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Imaging-Guided Bioreactor for Generating Bioengineered Airway Tissue
Published on: April 6, 2022
A novel tissue-engineered approach to problems of the postpneumonectomy space
Nobuo Tsunooka1, Shin Hirayama, Jeffrey A Medin
1Latner Thoracic Surgery Research Laboratories, Division of Thoracic Surgery, Toronto General Hospital, University Health Network, Toronto, Ontario, Canada.
The Annals of Thoracic Surgery
|March 1, 2011
Summary
Engineered collagen matrices with cells show potential for treating post-pneumonectomy space complications. These cellularized matrices promote neovascularization and aid bacterial clearance, offering a less disfiguring alternative.
Area of Science:
- Biomaterials Science
- Regenerative Medicine
- Thoracic Surgery
Background:
- Pleural space complications after pneumonectomy are challenging.
- Current treatments like tissue flaps and thoracoplasty are disfiguring.
- Novel tissue engineering approaches are needed.
Purpose of the Study:
- To investigate the feasibility of engineered tissue for post-pneumonectomy space complications.
- To evaluate cell survival, angiogenesis, and bacterial clearance in engineered matrices.
- To explore a less disfiguring treatment option.
Main Methods:
- Left pneumonectomy in mice followed by immediate implantation of cellularized collagen matrices.
- Bioluminescence imaging to assess cell viability and angiogenesis.
- Histology, immunohistochemistry, and flow cytometry for cellular analysis.
- Empyema model with Staphylococcus aureus to evaluate bacterial clearance.
Main Results:
- Cells survived and proliferated within collagen matrices in vivo.
- Significant neovascularization and increased total cellularity observed.
- Both cellularized and acellular matrices demonstrated bacterial clearance.
- Early cell survival and matrix integration confirmed.
Conclusions:
- Engineered cellularized collagen matrices are feasible for post-pneumonectomy space.
- These matrices support cell survival, neovascularization, and bacterial clearance.
- This approach offers a promising, less disfiguring alternative for managing post-pneumonectomy space issues.
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Clinical Manifestations:
Clinical Manifestations:
Pneumothorax-I
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.

