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Tissue-engineered heart valve leaflets: does cell origin affect outcome?

T Shinoka1, D Shum-Tim, P X Ma

  • 1Department of Cardiovascular Surgery, Children's Hospital, Boston, Mass 02115, USA.

Circulation
|December 31, 1997
PubMed
Summary
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Tissue-engineered valve leaflets (TEL) derived from arterial myofibroblasts showed better growth and structure compared to dermal fibroblasts in a lamb model. Arterial cells are preferable for creating functional autologous tissue-engineered valve leaflets.

Area of Science:

  • Biomedical Engineering
  • Regenerative Medicine
  • Cardiovascular Research

Background:

  • Previous success in creating autologous tissue-engineered valve leaflets (TEL) for pulmonary valve replacement in lambs.
  • The optimal cell source for these engineered leaflets remains undetermined.

Purpose of the Study:

  • To compare dermal fibroblasts with arterial wall myofibroblasts as the cell origin for tissue-engineered valve leaflet constructs.
  • To evaluate the functional and morphological development of these autologous constructs in vivo.

Main Methods:

  • Isolation and in vitro expansion of endothelial cells and fibroblasts from ovine dermal and arterial sources.
  • Seeding of cells onto biodegradable polyglactin and polyglycolic acid polymer scaffolds.
  • Implantation of autologous tissue-engineered leaflets to replace a pulmonary valve leaflet in juvenile lambs.

Related Experiment Videos

  • Histological, biochemical, and biomechanical analysis of explanted leaflets after 8-10 weeks.
  • Main Results:

    • All implanted tissue-engineered leaflets persisted in the pulmonary position, with complete polymer degradation.
    • Arterial-derived leaflets (Group A) exhibited a significantly higher growth index than dermal-derived leaflets (Group D).
    • Histology revealed more abundant elastic fibers in arterial-derived leaflets; dermal leaflets showed macroscopic thickening and contraction.

    Conclusions:

    • Autologous tissue-engineered leaflets derived from vascular fibroblasts integrate and develop similarly to native valve leaflets.
    • Arterial myofibroblasts are a more suitable cell source than dermal fibroblasts for creating tissue-engineered valve leaflets under current conditions.