Preparation of a completely autologous trileaflet valve-shaped construct by in-body tissue architecture technology.
The aim of this study was to prepare completely autologous heart-valve-shaped constructs without using any artificial scaffold materials by in-body tissue architecture technology, which is a practical concept of regenerative medicine based on the biological defense mechanism against foreign bodies. Silicone rods were used as molds to achieve the tubular shape of the arteries, which were implanted in the subcutaneous spaces of rabbits. After 2 weeks of primary in-body tissue incubation, the silicone rods were completely encapsulated within a thin membranous connective tissue mainly consisting of collagen and having a thickness of approximately 100 microm. To achieve the trileaflet shape of the valve, the cylindrical tissues obtained were rolled up with polyurethane belts cut in the shape of three semi-ovals. The assembled tissues were reimplanted for 2 weeks for secondary incubation. The resulting tissues were over-encapsulated with the newly developed membranous connective tissue having a thickness of approximately 200-400 microm. The newly formed membranes were completely fused to the previously developed inner membrane. After the removal of the two artificial materials, tubular constructs with trileaflet-shaped internal surface were obtained. By controlling the formation of the encapsulating tissue in the two-step in-body tissue incubation process, we were able to develop completely autologous trileaflet valve-shaped constructs.
Nakayama
Yasuhide
Y
Department of Bioengineering, Advanced Medical Engineering Center, National Cardiovascular Center Research Institute, Osaka, Japan.
Yamanami
Masashi
M
Department of Bioengineering, Advanced Medical Engineering Center, National Cardiovascular Center Research Institute, Osaka, Japan.|Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Yahata
Yuki
Y
Department of Bioengineering, Advanced Medical Engineering Center, National Cardiovascular Center Research Institute, Osaka, Japan.|Department of Mechanical Engineering, Kansai University, Osaka, Japan.
Tajikawa
Tsutomu
T
Department of Mechanical Engineering, Kansai University, Osaka, Japan.
Ohba
Kenkichi
K
Department of Mechanical Engineering, Kansai University, Osaka, Japan.
Watanabe
Taiji
T
Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Kanda
Keiichi
K
Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Yaku
Hitoshi
H
Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.
D000818:Animals; D001158:Arteries / Q000033:anatomy & histology; D003094:Collagen; D003238:Connective Tissue / Q000254:growth & development; D048091:Guided Tissue Regeneration / Q000379:methods*; D006351:Heart Valves / Q000033:anatomy & histology*; D008422:Materials Testing; D016612:Paraffin Embedding; D011140:Polyurethanes; D011817:Rabbits; D012828:Silicones / Q000737:chemistry
D011140:Polyurethanes; D012828:Silicones; D003094:Collagen