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AngioChip: a biodegradable scaffold with built-in vasculature for organ-on-a-chip engineering and direct surgical anastomosis

机译:AngioChip:具有内置脉管系统的可生物降解支架,用于片上器官工程和直接外科手术吻合

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Recapitulating vascular interfaces of different organs in 3-D is critical in both organ-on-a-chip and tissue engineering applications. 3-D micro-tissues composed of parenchymal cells have often been studied in the absence of vasculature, whereas vasculature-on-a-chip has primarily been studied separately from parenchymal cells. Furthermore, clinical translation has been achieved only for thin tissues or those with a low metabolic demand (e.g. skin, cartilage and bladder). Large solid tissues (e.g. myocardium, liver) are highly sensitive to oxygen levels and become vulnerable within hours without oxygen supply. These tissues would greatly benefit from rapid vascularization in vitro and direct vascular integration in vivo. Vascular networks can be engineered with subtractive fabrication by embedding a sacrificial carbohydrate-glass lattice, Pluronic F127, or dry alginate fibers in hydrogels. However, the soft hydrogel provides only a temporary structural support for the fragile hollow network and does not permit extensive tissue remodeling, which inevitably alters the hydrogel structure and collapses the embedded network. Synthetic biodegradable polymers could provide sufficient structural support to the engineered vessels, but their low permeability prevents biomolecule exchange and cell migration between the vessels and the parenchymal space. To accommodate these two opposing material criteria we created AngioChip, a stable biodegradable scaffold with a built-in branching micro-channel network (Figure 1) that contained two unique features realized by our new 3-D stamping technique. First, the synthetic built-in vascular walls were thin and flexible, yet strong enough to mechanically support a perfusable vasculature in a contracting tissue and enable direct surgical anastomosis. Second, to allow efficient molecular exchange and cell migration, nano-pores and micro-holes were incorporated into the vascular walls. By establishing a stable, permeable, vessel network within AngioChips, we were liberated from material constraints, which allowed us to use any soft natural extracellular matrix (e.g. collagen, Matrigel) embedded with cells in the parenchymal space permitting the extensive tissue remodelling. Cardiac tissues were created from human embryonic stem cell (hESC), human mesenchymal stem cells (MSCs) as a side population and HUVECs for inner lumen coating. To provide an evidence of tissue-level organization, confocal images and histological cross-sections show compact layers of cells throughout the entire tissue volume, including the scaffold interior (Figure 2g,h,i). Fully human liver-AngioChips were engineered using hESC derived hepatocytes. High-density culture resulted in the formation of junctions between hepatocytes, and a positive staining for albumin and bile canalicull (Figure 2e,f). Vascularized hepatic tissues and cardiac tissues, engineered using AngioChips, were shown to process clinically relevant drugs delivered through their internal vasculature. Incorporation of nano-pores and micro-holes in the vessel walls enhanced vessel permeability, permitted inter-cellular crosstalk, extravasation of monocytes and sprouting of endothelial cells upon stimulation (Figure 2a,b,c,d). AngioChip cardiac tissues were also implanted via direct surgical anastomoses to the femoral vessels of rat hindlimbs, establishing immediate blood perfusion (Figure 3).
机译:在3D芯片中概括不同器官的血管界面对于片上器官和组织工程应用都是至关重要的。经常在没有脉管系统的情况下研究由实质细胞组成的3-D微组织,而片上脉管系统主要是与实质细胞分开研究的。此外,仅对于薄组织或具有低代谢需求的组织(例如皮肤,软骨和膀胱)已经实现了临床翻译。大型实体组织(例如,心肌,肝脏)对氧气水平高度敏感,并且在没有氧气供应的情况下数小时内就变得脆弱。这些组织将极大地受益于体外快速血管生成和体内直接血管整合。通过将牺牲性碳水化合物玻璃格,Pluronic F127或干藻酸盐纤维嵌入水凝胶中,可以通过消减制造技术来工程化血管网络。然而,软水凝胶仅为脆弱的中空网络提供了暂时的结构支撑,并且不允许广泛的组织重塑,这不可避免地改变了水凝胶的结构并使嵌入的网络塌陷。合成的可生物降解的聚合物可以为工程血管提供足够的结构支撑,但是它们的低渗透性阻止了血管与实质空间之间的生物分子交换和细胞迁移。为了适应这两个相反的材料标准,我们创建了AngioChip,这是一种稳定的可生物降解的支架,具有内置的分支微通道网络(图1),其中包含通过我们的新型3-D压印技术实现的两个独特功能。首先,合成的内置血管壁薄而柔软,但强度足以在收缩组织中机械支撑可灌注的脉管系统,并可以进行直接的手术吻合。第二,为了允许有效的分子交换和细胞迁移,将纳米孔和微孔掺入血管壁。通过在AngioChips内建立稳定,可渗透的血管网络,我们摆脱了物质限制,这使我们能够使用在实质空间内嵌入细胞的任何柔软的天然细胞外基质(例如胶原蛋白,基质胶),从而进行广泛的组织重塑。心脏组织是由人类胚胎干细胞(hESC),人类间充质干细胞(MSC)作为侧群以及HUVEC用于内腔包被而创建的。为了提供组织水平组织的证据,共聚焦图像和组织学横截面显示了包括支架内部在内的整个组织体积中细胞的致密层(图2g,h,i)。使用hESC衍生的肝细胞对完全的人类肝脏-AngioChips进行了工程改造。高密度培养导致肝细胞之间连接的形成,并且白蛋白和胆小管呈阳性染色(图2e,f)。使用AngioChips设计的血管化肝组织和心脏组织显示可处理通过其内部脉管系统递送的临床相关药物。在血管壁中掺入纳米孔和微孔可增强血管通透性,允许细胞间串扰,单核细胞外渗和刺激后内皮细胞发芽(图2a,b,c,d)。还通过直接外科吻合术将AngioChip心脏组织植入大鼠后肢的股血管,从而立即进行血液灌注(图3)。

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