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Stocco E, Barbon S, Mammana M, Zambello G, Contran M, Parnigotto PP, Macchi V, Conconi MT, Rea F, De Caro R, Porzionato A. Preclinical and clinical orthotopic transplantation of decellularized/engineered tracheal scaffolds: A systematic literature review. J Tissue Eng 2023; 14:20417314231151826. [PMID: 36874984 PMCID: PMC9974632 DOI: 10.1177/20417314231151826] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2022] [Accepted: 01/04/2023] [Indexed: 03/07/2023] Open
Abstract
Severe tracheal injuries that cannot be managed by mobilization and end-to-end anastomosis represent an unmet clinical need and an urgent challenge to face in surgical practice; within this scenario, decellularized scaffolds (eventually bioengineered) are currently a tempting option among tissue engineered substitutes. The success of a decellularized trachea is expression of a balanced approach in cells removal while preserving the extracellular matrix (ECM) architecture/mechanical properties. Revising the literature, many Authors report about different methods for acellular tracheal ECMs development; however, only few of them verified the devices effectiveness by an orthotopic implant in animal models of disease. To support translational medicine in this field, here we provide a systematic review on studies recurring to decellularized/bioengineered tracheas implantation. After describing the specific methodological aspects, orthotopic implant results are verified. Furtherly, the only three clinical cases of compassionate use of tissue engineered tracheas are reported with a focus on outcomes.
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Affiliation(s)
- Elena Stocco
- Department of Neurosciences, Section of Human Anatomy, University of Padova, Padova, Italy
- L.i.f.e.L.a.b. Program, Consorzio per la Ricerca Sanitaria (CORIS), Veneto Region, Padova, Italy
- Foundation for Biology and Regenerative Medicine, Tissue Engineering and Signaling-TES, Onlus, Padova, Italy
| | - Silvia Barbon
- Department of Neurosciences, Section of Human Anatomy, University of Padova, Padova, Italy
- L.i.f.e.L.a.b. Program, Consorzio per la Ricerca Sanitaria (CORIS), Veneto Region, Padova, Italy
- Foundation for Biology and Regenerative Medicine, Tissue Engineering and Signaling-TES, Onlus, Padova, Italy
| | - Marco Mammana
- L.i.f.e.L.a.b. Program, Consorzio per la Ricerca Sanitaria (CORIS), Veneto Region, Padova, Italy
- Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University Hospital of Padova, Padova, Italy
| | - Giovanni Zambello
- Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University Hospital of Padova, Padova, Italy
| | - Martina Contran
- Department of Neurosciences, Section of Human Anatomy, University of Padova, Padova, Italy
| | - Pier Paolo Parnigotto
- Foundation for Biology and Regenerative Medicine, Tissue Engineering and Signaling-TES, Onlus, Padova, Italy
| | - Veronica Macchi
- Department of Neurosciences, Section of Human Anatomy, University of Padova, Padova, Italy
- L.i.f.e.L.a.b. Program, Consorzio per la Ricerca Sanitaria (CORIS), Veneto Region, Padova, Italy
- Foundation for Biology and Regenerative Medicine, Tissue Engineering and Signaling-TES, Onlus, Padova, Italy
| | - Maria Teresa Conconi
- Foundation for Biology and Regenerative Medicine, Tissue Engineering and Signaling-TES, Onlus, Padova, Italy
- Department of Pharmaceutical and Pharmacological Sciences, University of Padova, Padova, Italy
| | - Federico Rea
- L.i.f.e.L.a.b. Program, Consorzio per la Ricerca Sanitaria (CORIS), Veneto Region, Padova, Italy
- Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University Hospital of Padova, Padova, Italy
| | - Raffaele De Caro
- Department of Neurosciences, Section of Human Anatomy, University of Padova, Padova, Italy
- L.i.f.e.L.a.b. Program, Consorzio per la Ricerca Sanitaria (CORIS), Veneto Region, Padova, Italy
- Foundation for Biology and Regenerative Medicine, Tissue Engineering and Signaling-TES, Onlus, Padova, Italy
| | - Andrea Porzionato
- Department of Neurosciences, Section of Human Anatomy, University of Padova, Padova, Italy
- L.i.f.e.L.a.b. Program, Consorzio per la Ricerca Sanitaria (CORIS), Veneto Region, Padova, Italy
- Foundation for Biology and Regenerative Medicine, Tissue Engineering and Signaling-TES, Onlus, Padova, Italy
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Han MN, Kim JH, Choi SH. Evaluation of Biomechanical Properties and Morphometric Structures of the Trachea in Pigs and Rabbits. In Vivo 2022; 36:1718-1725. [PMID: 35738586 DOI: 10.21873/invivo.12884] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2022] [Revised: 05/27/2022] [Accepted: 05/31/2022] [Indexed: 11/10/2022]
Abstract
BACKGROUND/AIM Animals differ in the biochemical composition, attachments, and mechanical properties of tracheal cartilage. This study examined the biomechanical properties and morphological structure of the trachea of pigs, and rabbits as preclinical models. MATERIALS AND METHODS The trachea in pigs and rabbits can be divided into four regions, cranial cervical, middle cervical, thoracic inlet, and intra-thoracic parts. RESULTS The total number of tracheal rings in pigs and rabbits was 32-35 and 34-38 rings, respectively. The pig bronchus first branches from the trachea, reaching the cranial lobe of the lungs before branching to the main bronchus, while the rabbit bronchus branched after the main bronchus. A comparison of the posterior region of the crosssectional trachea shows that the rabbit has a C-shape with cartilage connected to the tracheal muscle, and the pig has the tracheal muscle covered with cartilage. The trachea of pigs and rabbits decreased in tracheal thickness and size from the thoracic inlet toward the lungs. The stress-strain in the longitudinal and transverse tensile test was higher in rabbits than in pigs. The tensile stress of the four regions was significantly different in the transverse tensile test (p<0.001). In the bending test, more force was required to bend pig than rabbit tracheas. Microscopic and scanning electron microscopy showed no structural differences in tracheal cartilage between the two species. CONCLUSION These results suggest that there is great variation in morphology and physical properties of the trachea in pigs and rabbits. We found porcine tracheas have similar biomechanical properties to those of humans.
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Affiliation(s)
- Mi-Na Han
- College of Veterinary Medicine, Chungbuk National University, Cheongju, Republic of Korea
| | - Joong-Hyun Kim
- Osong Medical Innovation Foundation, Nonclinical Center, Cheongju, Republic of Korea
| | - Seok Hwa Choi
- College of Veterinary Medicine, Chungbuk National University, Cheongju, Republic of Korea;
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Baggio Simeoni PR, Simeoni RB, Bispo Machado Júnior PA, de Almeida MB, Dziedzic DSM, da Rosa NN, Ferreira Stricker PE, dos Santos Miggiolaro AFR, Naves G, Neto NB, de Noronha L, Francisco JC, Teixeira de Carvalho KA, Guarita-Souza LC. Tracheal Repair with Human Umbilical Cord Mesenchymal Stem Cells Differentiated in Chondrocytes Grown on an Acellular Amniotic Membrane: A Pre-Clinical Approach. Life (Basel) 2021; 11:879. [PMID: 34575028 PMCID: PMC8466253 DOI: 10.3390/life11090879] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2021] [Revised: 08/12/2021] [Accepted: 08/13/2021] [Indexed: 02/07/2023] Open
Abstract
Acellular amniotic membrane (AM) has been studied, with promising results on the reconstruction of lesioned tissues, and has become an attractive approach for tracheal repair. This study aimed to evaluate the repair of the trachea with human umbilical cord mesenchymal stem cells (hucMSCs) differentiated in chondrocytes, grown on an experimental model. Tracheal defects were induced by surgical tracheostomy in 30 New Zealand rabbits, and the acellular amniotic membrane, with or without cells, was covering the defect. The hucMSCs were isolated and cultivated with chondrogenic differentiation over the culture of 14 days, and then grown on the AM. In this study, the AM was biocompatible and hucMSCs differentiated into chondrocytes. Our results demonstrated an important role for AM with cultured cells in the promotion of immature collagen, known to produce tissue regeneration. In addition, cartilaginous tissue was found at the tracheal defects, demonstrated by immunohistology results. This study suggests that this biomaterial implantation can be an effective future therapeutic alternative for patients with tracheal injury.
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Affiliation(s)
- Paulo Ricardo Baggio Simeoni
- Experimental Laboratory of Institute of Biological and Health Sciences of Pontifical, Catholic University of Paraná (PUCPR), Street Imaculada Conceição, 1155, Curitiba 80215-901, Paraná, Brazil; (R.B.S.); (P.A.B.M.J.); (A.F.R.d.S.M.); (G.N.); (N.B.N.); (L.d.N.); (J.C.F.); (L.C.G.-S.)
| | - Rossana Baggio Simeoni
- Experimental Laboratory of Institute of Biological and Health Sciences of Pontifical, Catholic University of Paraná (PUCPR), Street Imaculada Conceição, 1155, Curitiba 80215-901, Paraná, Brazil; (R.B.S.); (P.A.B.M.J.); (A.F.R.d.S.M.); (G.N.); (N.B.N.); (L.d.N.); (J.C.F.); (L.C.G.-S.)
| | - Paulo André Bispo Machado Júnior
- Experimental Laboratory of Institute of Biological and Health Sciences of Pontifical, Catholic University of Paraná (PUCPR), Street Imaculada Conceição, 1155, Curitiba 80215-901, Paraná, Brazil; (R.B.S.); (P.A.B.M.J.); (A.F.R.d.S.M.); (G.N.); (N.B.N.); (L.d.N.); (J.C.F.); (L.C.G.-S.)
| | - Meila Bastos de Almeida
- Department of Veterinary Medicine, Universidade Federal do Paraná (UFPR), Rua XV de Novembro, 1299, Curitiba 80060-000, Paraná, Brazil;
| | - Dilcele Silva Moreira Dziedzic
- Advanced Therapy and Cellular Biotechnology in Regenerative Medicine Research Group, Pelé Pequeno Príncipe Research Institute & Pequeno Príncipe Faculties (FPP) Ave., Silva Jardim, 1632, Curitiba 80240-020, Paraná, Brazil; (D.S.M.D.); (N.N.d.R.); (P.E.F.S.); (K.A.T.d.C.)
| | - Nádia Nascimento da Rosa
- Advanced Therapy and Cellular Biotechnology in Regenerative Medicine Research Group, Pelé Pequeno Príncipe Research Institute & Pequeno Príncipe Faculties (FPP) Ave., Silva Jardim, 1632, Curitiba 80240-020, Paraná, Brazil; (D.S.M.D.); (N.N.d.R.); (P.E.F.S.); (K.A.T.d.C.)
| | - Priscila E. Ferreira Stricker
- Advanced Therapy and Cellular Biotechnology in Regenerative Medicine Research Group, Pelé Pequeno Príncipe Research Institute & Pequeno Príncipe Faculties (FPP) Ave., Silva Jardim, 1632, Curitiba 80240-020, Paraná, Brazil; (D.S.M.D.); (N.N.d.R.); (P.E.F.S.); (K.A.T.d.C.)
| | - Anna Flávia Ribeiro dos Santos Miggiolaro
- Experimental Laboratory of Institute of Biological and Health Sciences of Pontifical, Catholic University of Paraná (PUCPR), Street Imaculada Conceição, 1155, Curitiba 80215-901, Paraná, Brazil; (R.B.S.); (P.A.B.M.J.); (A.F.R.d.S.M.); (G.N.); (N.B.N.); (L.d.N.); (J.C.F.); (L.C.G.-S.)
| | - Guilherme Naves
- Experimental Laboratory of Institute of Biological and Health Sciences of Pontifical, Catholic University of Paraná (PUCPR), Street Imaculada Conceição, 1155, Curitiba 80215-901, Paraná, Brazil; (R.B.S.); (P.A.B.M.J.); (A.F.R.d.S.M.); (G.N.); (N.B.N.); (L.d.N.); (J.C.F.); (L.C.G.-S.)
| | - Nelson Bergonse Neto
- Experimental Laboratory of Institute of Biological and Health Sciences of Pontifical, Catholic University of Paraná (PUCPR), Street Imaculada Conceição, 1155, Curitiba 80215-901, Paraná, Brazil; (R.B.S.); (P.A.B.M.J.); (A.F.R.d.S.M.); (G.N.); (N.B.N.); (L.d.N.); (J.C.F.); (L.C.G.-S.)
| | - Lucia de Noronha
- Experimental Laboratory of Institute of Biological and Health Sciences of Pontifical, Catholic University of Paraná (PUCPR), Street Imaculada Conceição, 1155, Curitiba 80215-901, Paraná, Brazil; (R.B.S.); (P.A.B.M.J.); (A.F.R.d.S.M.); (G.N.); (N.B.N.); (L.d.N.); (J.C.F.); (L.C.G.-S.)
| | - Julio Cesar Francisco
- Experimental Laboratory of Institute of Biological and Health Sciences of Pontifical, Catholic University of Paraná (PUCPR), Street Imaculada Conceição, 1155, Curitiba 80215-901, Paraná, Brazil; (R.B.S.); (P.A.B.M.J.); (A.F.R.d.S.M.); (G.N.); (N.B.N.); (L.d.N.); (J.C.F.); (L.C.G.-S.)
| | - Katherine Athayde Teixeira de Carvalho
- Advanced Therapy and Cellular Biotechnology in Regenerative Medicine Research Group, Pelé Pequeno Príncipe Research Institute & Pequeno Príncipe Faculties (FPP) Ave., Silva Jardim, 1632, Curitiba 80240-020, Paraná, Brazil; (D.S.M.D.); (N.N.d.R.); (P.E.F.S.); (K.A.T.d.C.)
| | - Luiz Cesar Guarita-Souza
- Experimental Laboratory of Institute of Biological and Health Sciences of Pontifical, Catholic University of Paraná (PUCPR), Street Imaculada Conceição, 1155, Curitiba 80215-901, Paraná, Brazil; (R.B.S.); (P.A.B.M.J.); (A.F.R.d.S.M.); (G.N.); (N.B.N.); (L.d.N.); (J.C.F.); (L.C.G.-S.)
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