title: Mechanical stimuli-induced urothelial differentiation in a human tissue-engineered tubular genitourinary graft.
abstract: BACKGROUND
  A challenge in urologic tissue engineering is to obtain well-differentiated urothelium to overcome the complications related to other sources of tissues used in ureteral and urethral substitution.
  
  
  OBJECTIVE
  We investigated the effects of in vitro mechanical stimuli on functional and morphologic properties of a human tissue-engineered tubular genitourinary graft (TTGG).
  
  
  METHODS
  Using the self-assembly technique, we developed a TTGG composed of human dermal fibroblasts and human urothelial cells without exogenous scaffolding. Eight substitutes were subjected to dynamic flow and hydrostatic pressure for up to 2 wk compared to static conditions (n=8).
  
  
  METHODS
  Stratification and cell differentiation were assessed by histology, electron microscopy, immunostaining, and uroplakin gene expression. Barrier function was determined by permeation studies with carbon 14-urea.
  
  
  CONCLUSIONS
  Dynamic conditions showed well-established stratified urothelium and basement membrane formation, whereas no stratification was observed in static culture. The first signs of cell differentiation were perceived after 7 d of perfusion and were fully expressed at day 14. Superficial cells under perfusion displayed discoidal and fusiform vesicles and positive staining for uroplakin 2, cytokeratine 20, and tight junction protein ZO-1, similar to native urothelium. Mechanical stimuli induced expression of the major uroplakin transcripts, whereas expression was low or undetectable in static culture. Permeation studies showed that mechanical constraints significantly improved the barrier function compared to static conditions (p<0.01 at 14 d, p<0.05 at 7 d) and were comparable to native urothelium.
  
  
  CONCLUSIONS
  Mechanical stimuli induced in vitro terminal urothelium differentiation in a human genitourinary substitute displaying morphologic and functional properties equivalent to a native urologic conduit.
authors.affiliation: Centre LOEX de l'Université Laval, Génie tissulaire et régénération: LOEX - Centre de recherche FRSQ du Centre hospitalier affilié universitaire de Québec, Canada.
authors.forename: Valérie
authors.initials: V
authors.lastname: Cattan
authors.forename: Geneviève
authors.initials: G
authors.lastname: Bernard
authors.forename: Alexandre
authors.initials: A
authors.lastname: Rousseau
authors.forename: Sara
authors.initials: S
authors.lastname: Bouhout
authors.forename: Stéphane
authors.initials: S
authors.lastname: Chabaud
authors.forename: François A
authors.initials: FA
authors.lastname: Auger
authors.forename: Stéphane
authors.initials: S
authors.lastname: Bolduc
mesh_terms: D001485:Basement Membrane / Q000378:metabolism; D015415:Biomarkers / Q000378:metabolism; D002454:Cell Differentiation; D002478:Cells, Cultured; D018920:Coculture Techniques; D005347:Fibroblasts / Q000378:metabolism / Q000502:physiology* / Q000648:ultrastructure; D005455:Fluorescent Antibody Technique; D006801:Humans; D006874:Hydrostatic Pressure; D053554:Keratin-20 / Q000378:metabolism; D040542:Mechanotransduction, Cellular; D008565:Membrane Proteins / Q000378:metabolism; D008855:Microscopy, Electron, Scanning; D046529:Microscopy, Electron, Transmission; D010539:Permeability; D010750:Phosphoproteins / Q000378:metabolism; D012333:RNA, Messenger / Q000378:metabolism; D013314:Stress, Mechanical; D013997:Time Factors; D023822:Tissue Engineering / Q000379:methods; D014158:Transcription, Genetic; D015854:Up-Regulation; D014566:Urogenital System / Q000378:metabolism / Q000502:physiology* / Q000648:ultrastructure; D060170:Uroplakin II / Q000235:genetics / Q000378:metabolism; D019459:Urothelium / Q000378:metabolism / Q000502:physiology* / Q000648:ultrastructure; D062826:Zonula Occludens-1 Protein
chemical_list: D015415:Biomarkers; C507499:KRT20 protein, human; D053554:Keratin-20; D008565:Membrane Proteins; D010750:Phosphoproteins; D012333:RNA, Messenger; C569042:TJP1 protein, human; C554658:UPK2 protein, human; D060170:Uroplakin II; D062826:Zonula Occludens-1 Protein