
Jana Zarubova
Institute of Physiology of the Czech Academy of Sciences, Czech Republic.
Title: Dynamic decellularization and recellularization of vascular grafts
Biography
Biography: Jana Zarubova
Abstract
Cardiovascular diseases are one of the leading causes of death worldwide [1]. A common treatment option to replace the diseased blood vessels is vascular grafting using patient’s own blood vessels. The availability of such grafts is however limited by the patient’s age or pathology. Artificial alternatives to the autologous grafts are currently made of relatively inert non-degradable materials such as expanded polytetrafluoroethylene and polyethylene terephthalate [2]. These polymers have been successfully used for the replacements of blood vessels with a high blood flow and an internal diameter larger than 6 mm. However, smaller-diameter grafts show very poor long-term patency, largely due to the thrombogenicity of the artificial surface under low flow conditions and intimal hyperplasia [3, 4]. Recently, decellularized tissues have emerged as promising scaffolds for constructing replacements of various tissues and organs. In this study, decellularization of porcine vessels in a perfusion dynamic system was examined and compared with the manual decellularization procedure. The composition of extracellular matrix proteins [5], structure and mechanical properties of decellularized vessels were tested and compared with native blood vessels. Decellularized scaffolds were then seeded with endothelial cells and adipose-derived stem cells and cultured in a bioreactor with defined shear stress in order to simulate physiological conditions in the body. It was shown that dynamic decellularization dramatically shortens the time needed for decellularization. It also enables standardization of the decellularization process resulting in a consistent scaffold material. Cultivation of recellularized vessels under dynamic conditions induces anti-thrombogenic phenotype in endothelial cells and improves cell adhesion and ingrowth into the scaffold.