The Journal of Thoracic and Cardiovascular Surgery
Volume 136, Issue 1 , Pages 37-45.e1 , July 2008

A self-renewing, tissue-engineered vascular graft for arterial reconstruction

  • Kei Torikai, MD

      Affiliations

    • Division of Cardiovascular Surgery, Department of Surgery, Osaka University Graduate School of Medicine, Osaka, Japan
  • ,
  • Hajime Ichikawa, MD, PhD

      Affiliations

    • Division of Cardiovascular Surgery, Department of Surgery, Osaka University Graduate School of Medicine, Osaka, Japan
  • ,
  • Koichiro Hirakawa, MS

      Affiliations

    • Senko Medical Instrument Manufacturing Co Ltd, Tokyo, Japan
  • ,
  • Goro Matsumiya, MD, PhD

      Affiliations

    • Division of Cardiovascular Surgery, Department of Surgery, Osaka University Graduate School of Medicine, Osaka, Japan
  • ,
  • Toru Kuratani, MD, PhD

      Affiliations

    • Division of Cardiovascular Surgery, Department of Surgery, Osaka University Graduate School of Medicine, Osaka, Japan
  • ,
  • Shigemitsu Iwai, MD, PhD

      Affiliations

    • Division of Cardiovascular Surgery, Department of Surgery, Osaka University Graduate School of Medicine, Osaka, Japan
  • ,
  • Atsuhiro Saito, PhD

      Affiliations

    • Division of Cardiovascular Surgery, Department of Surgery, Osaka University Graduate School of Medicine, Osaka, Japan
  • ,
  • Naomasa Kawaguchi, PhD

      Affiliations

    • Department of Pathology, Osaka University School of Allied Health Science, Osaka, Japan
  • ,
  • Nariaki Matsuura, MD, PhD

      Affiliations

    • Department of Pathology, Osaka University School of Allied Health Science, Osaka, Japan
  • ,
  • Yoshiki Sawa, MD, PhD

      Affiliations

    • Division of Cardiovascular Surgery, Department of Surgery, Osaka University Graduate School of Medicine, Osaka, Japan
    • Corresponding Author InformationAddress for reprints: Yoshiki Sawa, MD, PhD, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.

Received 29 December 2006 ,Revised 15 May 2007 ,Accepted 25 June 2007.

References 

  1. Edelman ER. Vascular tissue engineering: designer arteries. Circ Res. 1999;85:1115–1117
  2. Christine ES, Jennie MB. Acellular vascular tissues: natural biomaterials for tissue repair and tissue engineering. Biomaterials. 2000;21:2215–2231
  3. Langer R, Vacanti JP. Tissue engineering. Science. 1993;260:920–926
  4. Shin'oka T, Imai Y, Ikada Y. Transplantation of a tissue-engineered pulmonary artery. N Engl J Med. 2001;344:532–533
  5. Shin'oka T, Matsumura G, Hibino N, Naito Y, Watanabe M, Konuma T, et al. Midterm clinical result of tissue-engineered vascular autografts seeded with autologous bone marrow cells. J Thorac Cardiovasc Surg. 2005;129:1330–1338
  6. Sharp MA, Phillips D, Roberts I, Hands L. A cautionary case: the SynerGraft vascular prosthesis. Eur J Endovasc Surg. 2004;27:42–44
  7. Niklason LE, Gao J, Abbott WM, Hirschi KK, Houser S, Marini R, et al. Functional arteries grown in vitro. Science. 1999;284:489–493
  8. Campbell JH, Efendy JL, Campbell GR. Novel vascular graft grown within recipient's own peritoneal cavity. Circ Res. 1999;85:1173–1178
  9. Kaushal S, Amiel GE, Guleserian KJ, Shapira OM, Perry T, Sutherland FW, et al. Functional small-diameter neovessels created using endothelial progenitor cells expanded ex vivo. Nat Med. 2001;7:1035–1040
  10. He M, Shirota T, Yasui H, Matsuda T. Canine endothelial progenitor cell-lined hybrid vascular graft with nonthrombogenic potential. J Thorac Cardiovasc Surg. 2003;126:455–464
  11. Hoerstrup SP, Cummings I, Lachat M, Schoen FJ, Jenni R, Leschka S, et al. Functional growth in tissue-engineered living, vascular grafts: follow-up at 100 weeks in a large animal model. Circulation. 2006;114(1 Suppl):I159–I166
  12. Opits F, Schenke-Layland K, Cohnert TU, Starcher B, Halbhuber KJ, Martin DP, et al. Tissue engineering of aortic tissue: dire consequence of suboptimal elastic fiber synthesis in vivo. Cardiovasc Res. 2004;63:719–730
  13. Chen G, Sato T, Ushida T, Hirochika R, Tateishi T. Redifferentiation of dedifferentiated bovine chondrocytes when cultured in vitro in a PLGA-collagen hybrid mesh. FEBS Lett. 2003;542:95–99
  14. Iwai S, Sawa Y, Ichikawa H, Taketani S, Uchimura E, Chen G, et al. Biodegradable polymer with collagen microsponge serves as a new bioengineered cardiovascular prosthesis. J Thorac Cardiovasc Surg. 2004;128:472–479
  15. Iwai S, Sawa Y, Taketani S, Torikai K, Hirakawa K, Matsuda H. Novel tissue-engineered biodegradable material for reconstruction of vascular wall. Ann Thorac Surg. 2005;80:1821–1827
  16. Angus JA, Wright CE. Techniques to study the pharmacodynamics of isolated large and small blood vessels. J Pharmacol Toxicol Methods. 2000;44:395–407
  17. Matsumoto T, Tsuchida M, Sato M. Change in intramural strain distribution in rat aorta due to smooth muscle contraction and relaxation. Am J Physiol. 1996;271(4 Pt 2):H1711–H1716
  18. Clowes AW, Kirkman TR, Reidy MA. Mechanisms of arterial graft healing. Rapid transmural capillary ingrowth provides a source of intimal endothelium and smooth muscle in porous PTFE prostheses. Am J Pathol. 1986;123:220–230
  19. Greisler HP, Dennis JW, Endean ED, Ellinger J, Buttle KF, Kim DU. Derivation of neointima in vascular grafts. Circulation. 1988;78(3 Pt 2):I6–I12
  20. Tukaj C, Kubasik-Juraniec J, Kraszpulski M. Morphological changes of aortal smooth muscle cells exposed to calcitriol in culture. Med Sci Monit. 2000;5:668–674
  21. Hayashi A, Suzuki T, Tajima S. Modulations of elastin expression and cell proliferation by retinoids in cultured vascular smooth muscle cells. J Biochem. 1995;117:132–136
  22. Haruguchi H, Teraoka S. Intimal hyperplasia and hemodynamic factors in arterial bypass and arteriovenous grafts: a review. J Artif Organs. 2003;6:227–235

 We developed a tissue-engineered vascular graft for arterial reconstruction to facilitate renewing of autologous tissue without pretreatment and evaluated its utility in a porcine model. The graft showed morphologic evidence of good in situ cellularization, satisfactory durability against arterial pressure for 12 months, and potential to acquire vasomotor responsiveness.

 Supported by a grant from the Ministry of Economy, Trade, and Industry in the Japanese government.

PII: S0022-5223(07)01569-3

doi: 10.1016/j.jtcvs.2007.06.039

The Journal of Thoracic and Cardiovascular Surgery
Volume 136, Issue 1 , Pages 37-45.e1 , July 2008