Successful Reconstruction of the Right Ventricular Outflow Tract by Implantation of Thymus Stem Cell Engineered Graft in Growing Swine

被引:12
作者
Albertario, Ambra [1 ]
Swim, Megan M. [1 ]
Ahmed, Eltayeb Mohamed [1 ]
Iacobazzi, Dominga [1 ]
Yeong, Michael [1 ]
Madeddu, Paolo [1 ]
Ghorbel, Mohamed T. [1 ]
Caputo, Massimo [1 ]
机构
[1] Univ Bristol, Bristol Heart Inst, Res Level 7,Upper Maudlin St, Bristol BS2 8HW, Avon, England
基金
英国医学研究理事会;
关键词
congenital heart disease; reconstruction; right ventricular outflow swine model; tissue engineering; tract stem cells; EXTRACELLULAR-MATRIX; PRELIMINARY EXPERIENCE; REPAIRED TETRALOGY; VALVES; DIFFERENTIATION; THERAPY; FALLOT;
D O I
10.1016/j.jacbts.2019.02.001
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Graft cellularization holds great promise in overcoming the limitations associated with prosthetic materials currently used in corrective cardiac surgery. In this study, the authors evaluated the advantages of graft cellularization for right ventricular outflow tract reconstruction in a novel porcine model. After 4.5 months from implantation, improved myocardial strain, better endothelialization and cardiomyocyte incorporation, and reduced fibrosis were observed in the cellularized grafts compared with the acellutar grafts. To the authors' knowledge, this is the first demonstration of successful right ventricular outflow tract correction using bioengineered grafts in a large animal model. (C) 2019 The Authors. Published by Elsevier on behalf of the American College of Cardiology Foundation.
引用
收藏
页码:364 / 384
页数:21
相关论文
共 26 条
[1]   The Noncanonical Functions of Cx43 in the Heart [J].
Agullo-Pascual, Esperanza ;
Delmar, Mario .
JOURNAL OF MEMBRANE BIOLOGY, 2012, 245 (08) :477-482
[2]   Pericardial tissue valves and Gore-Tex conduits as an alternative for right ventricular outflow tract replacement in children [J].
Allen, BS ;
El-Zein, C ;
Cuneo, B ;
Cava, JP ;
Barth, MJ ;
Ilbawi, MN .
ANNALS OF THORACIC SURGERY, 2002, 74 (03) :771-777
[3]   Right atrial area and right ventricular outflow tract akinetic length predict sustained tachyarrhythmia in repaired tetralogy of Fallot [J].
Bonello, Beatrice ;
Kempny, Aleksander ;
Uebing, Anselm ;
Li, Wei ;
Kilner, Philip J. ;
Diller, Gerhard-Paul ;
Pennell, Dudley J. ;
Shore, Darryl F. ;
Ernst, Sabine ;
Gatzoulis, Michael A. ;
Babu-Narayan, Sonya V. .
INTERNATIONAL JOURNAL OF CARDIOLOGY, 2013, 168 (04) :3280-3286
[4]   Right ventricular function in adults with repaired tetralogy of Fallot assessed with cardiovascular magnetic resonance imaging: Detrimental role of right ventricular outflow aneurysms or akinesia and adverse right-to-left ventricular interaction [J].
Davlouros, PA ;
Kilner, PJ ;
Hornung, TS ;
Li, W ;
Francis, JM ;
Moon, JCC ;
Smith, GC ;
Pennell, DJ ;
Gatzoulis, MA .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2002, 40 (11) :2044-2052
[5]  
Dohmen PM, 2006, J HEART VALVE DIS, V15, P823
[6]   Minimal criteria for defining multipotent mesenchymal stromal cells. The International Society for Cellular Therapy position statement [J].
Dominici, M. ;
Le Blanc, K. ;
Mueller, I. ;
Slaper-Cortenbach, I. ;
Marini, F. C. ;
Krause, D. S. ;
Deans, R. J. ;
Keating, A. ;
Prockop, D. J. ;
Horwitz, E. M. .
CYTOTHERAPY, 2006, 8 (04) :315-317
[7]   Progenitor cell therapy for heart disease [J].
Gonzales, Christine ;
Pedrazzini, Thierry .
EXPERIMENTAL CELL RESEARCH, 2009, 315 (18) :3077-3085
[8]   Pericyte-based human tissue engineered vascular grafts [J].
He, Wei ;
Nieponice, Alejandro ;
Soletti, Lorenzo ;
Hong, Yi ;
Gharaibeh, Burhan ;
Crisan, Mihaela ;
Usas, Arvydas ;
Peault, Bruno ;
Huard, Johnny ;
Wagner, William R. ;
Vorp, David A. .
BIOMATERIALS, 2010, 31 (32) :8235-8244
[9]  
Iacobazzi D, 2018, TISSUE ENG PT A, V24, P794, DOI [10.1089/ten.tea.2017.0290, 10.1089/ten.TEA.2017.0290]
[10]   Isolation, characterization and differentiation of mesenchymal stem cells from amniotic fluid, umbilical cord blood and Wharton's jelly in the horse [J].
Iacono, Eleonora ;
Brunori, Lara ;
Pirrone, Alessandro ;
Pagliaro, Pasquale Paolo ;
Ricci, Francesca ;
Tazzari, Pier Luigi ;
Merlo, Barbara .
REPRODUCTION, 2012, 143 (04) :455-468