Matrix Property-Controlled Stem Cell Differentiation for Cardiac and Skeletal Tissue Regeneration

摘要

When ischemia, caused by diseases such as myocardial infarction (MI) or atherosclerotic peripheral artery disease (PAD), happens in myocardium or skeletal muscles, the depletion of oxygen and nutrients can cause the immediate death of muscle cells, the formation of stiff scar tissues, followed by the mechanical and functional properties loss of heart/skeletal muscles. In order to treat these diseases, it's necessary to: 1). fast re-establish the blood flow of ischemic tissues; 2). fully regenerate the cardiac/skeletal muscles to restore the tissue functions.;One of the widely used approaches to reach these treatment goals is stem cell transplantation. By using novel biomaterial-based scaffolds (gels, foams or fibrous networks), stem cells may be delivered into the injured area, differentiate into cardiomyocytes/myofibers and help the regeneration of local tissues. In the first part of this work, physical induction approaches for stem cell differentiation is presented. Using an electrospinning method, fibrous scaffolds based on hydrogel and polyurethane (PU) were fabricated and cardiac differentiation of cardio-sphere derived cells (CDCs) was successfully induced through the control of scaffold mechanical and morphological properties (fiber diameter, density, alignment, single fiber modulus and scaffold macro modulus). In a hydrogel system, the matrix modulus was successfully decoupled from the chemical structure, composition and water content properties, and a matrix tensile modulus of around 20kPa was found to better induce the myogenic differentiation of mesenchymal stem cells (MSCs) cultured under normal condition.;In the other hand, due to the harsh local environment caused by ischemia, the transplanted cells usually have low survival and differentiation rates. To solve this problem, cells were delivered in hydrogels with angiogenesis factor basic fibroblast growth factor (bFGF) or oxygen release microspheres (ORM) to conquer the local low oxygen and low nutrient conditions. The second part of this work focuses on the application of this delivery system in vivo using a mice hindlimb ischemia model. Results showed that MSC survival and myogenic differentiation rates were significantly improved both in vitro and in vivo with the delivery of bFGF or ORM under ischemic condition. In addition, a dramatic increase of muscle fiber regeneration, blood flow recovery as well as the mechanical/functional (muscle contractility, fatigue resistance and mice running ability) properties was observed. These results indicate the great potential of this cell-gel-biomolecule system in the treatment of muscle regeneration.;To better understand how the matrix modulus affects the stem cell differentiation, we developed a novel approach using digital image correlation (DIC) and finite element modeling (FEM) to calculate the cell-generated tractions. This is presented in the third part of this work, and our results demonstrated that MSCs with higher myogenic differentiation exerted larger tractions to their surrounding matrix.