细胞外矩阵支架用于心脏修复
Keith A Robinson1, Jinshen Li, Megumi Mathison
1American Cardiovascular Research Institute, Norcross, GA, USA. krobinson@acrionline.org
Circulation
|September 15, 2005
概括
尿膀矩阵 (UBM) 贴片在心脏病发作后促进心脏组织再生,显示心肌修复的潜力. UBM生物降解,并被收缩细胞所取代,性能优于合成ePTFE贴片.
科学领域:
- 再生医学是一种再生医学.
- 生物材料科学 生物材料科学
- 心血管研究研究心血管研究
背景情况:
- 心力衰竭是一个主要的健康问题.
- 组织工程心脏贴片提供了一个有前途的治疗策略.
- 细胞外矩阵支架正在研究用于心肌修复.
研究的目的:
- 评估尿膀矩阵 (UBM) 作为修复心脏梗塞左心室的支架.
- 为了比较UBM与扩展聚四乙烯 (ePTFE) 进行心脏补丁.
- 在猪模型中评估UBM的组织反应和再生潜力.
主要方法:
- 猪 (n=42) 经历了左心室 (LV) 中风.
- 植入了4层多层UBM或ePTFE补丁作为全厚LV墙壁替代品.
- 组织分析包括组织学,免疫细胞化学和流细胞测量在植入后1周,1个月和3个月.
主要成果:
- 3个月后,UBM被生物吸收,被血管化,带有肌纤维细胞和一些收缩细胞的纤维细胞组织取代.
- 与1个月后的ePTFE相比,UBM显示出显著更多的α-平滑肌肉活性阳性细胞 (P=0.04).
- 在3个月后,ePTFE贴片表现出异物反应,亡和化,心肌细胞标志物有限.
结论:
- UBM的生物降解伴随着含有收缩细胞的纤维细胞组织的形成.
- 在心脏补丁方面,UBM表现出优于合成EPTFE的优势.
- 在植入后3个月内,UBM显示了心肌置换的趋势.
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