Improving in vivo outcomes of decellularized vascular grafts via incorporation of a novel extracellular matrix.

Abstract:

:Each year, hundreds of thousands coronary bypass procedures are performed in the US, yet there currently exists no off-the-shelf alternative to autologous vessel transplant. In the present study, we investigated the use of mouse thrombospondin-2 knockout (TSP2 KO) cells, which secrete a non-thrombogenic and pro-migratory extracellular matrix (TSP2 KO ECM), to modify small diameter vascular grafts. To accomplish this, we first optimized the incorporation of TSP2 KO ECM on decellularized rat aortas. Because MMP levels are known to be elevated in TSP2 KO cell culture, it was necessary to probe the effect of the modification process on the graft's mechanical properties. However, no differences were found in suture retention, Young's modulus, or ultimate tensile strength between modified and unmodified grafts. Platelet studies were then performed to determine the time point at which the TSP2 KO ECM sufficiently reduced thrombogenicity. Finally, grafts modified by either TSP2 KO or WT cells or unmodified grafts, were implanted in an abdominal aortic interposition model in rats. After 4 weeks, grafts with incorporated TSP2 KO ECM showed improved endothelial and mural cell recruitment, and a decreased failure rate compared to control grafts. Therefore, our studies show that TSP2 KO ECM could enable the production of off-the-shelf vascular grafts while promoting reconstruction of native vessels.

journal_name

Biomaterials

journal_title

Biomaterials

authors

Kristofik NJ,Qin L,Calabro NE,Dimitrievska S,Li G,Tellides G,Niklason LE,Kyriakides TR

doi

10.1016/j.biomaterials.2017.06.025

subject

Has Abstract

pub_date

2017-10-01 00:00:00

pages

63-73

eissn

0142-9612

issn

1878-5905

pii

S0142-9612(17)30424-6

journal_volume

141

pub_type

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