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Antonova LV, Krivkina EO, Sevostianova VV, Mironov AV, Rezvova MA, Shabaev AR, Tkachenko VO, Krutitskiy SS, Khanova MY, Sergeeva TY, Matveeva VG, Glushkova TV, Kutikhin AG, Mukhamadiyarov RA, Deeva NS, Akentieva TN, Sinitsky MY, Velikanova EA, Barbarash LS. Tissue-Engineered Carotid Artery Interposition Grafts Demonstrate High Primary Patency and Promote Vascular Tissue Regeneration in the Ovine Model. Polymers (Basel) 2021; 13:polym13162637. [PMID: 34451177 PMCID: PMC8400235 DOI: 10.3390/polym13162637] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2021] [Revised: 08/02/2021] [Accepted: 08/04/2021] [Indexed: 12/24/2022] Open
Abstract
Tissue-engineered vascular graft for the reconstruction of small arteries is still an unmet clinical need, despite the fact that a number of promising prototypes have entered preclinical development. Here we test Poly(3-hydroxybutyrate-co-3-hydroxyvalerate)Poly(ε-caprolactone) 4-mm-diameter vascular grafts equipped with vascular endothelial growth factor (VEGF), basic fibroblast growth factor (bFGF) and stromal cell-derived factor 1α (SDF-1α) and surface coated with heparin and iloprost (PHBV/PCL[VEGF-bFGF-SDF]Hep/Ilo, n = 8) in a sheep carotid artery interposition model, using biostable vascular prostheses of expanded poly(tetrafluoroethylene) (ePTFE, n = 5) as a control. Primary patency of PHBV/PCL[VEGF-bFGF-SDF]Hep/Ilo grafts was 62.5% (5/8) at 24 h postimplantation and 50% (4/8) at 18 months postimplantation, while all (5/5) ePTFE conduits were occluded within the 24 h after the surgery. At 18 months postimplantation, PHBV/PCL[VEGF-bFGF-SDF]Hep/Ilo grafts were completely resorbed and replaced by the vascular tissue. Regenerated arteries displayed a hierarchical three-layer structure similar to the native blood vessels, being fully endothelialised, highly vascularised and populated by vascular smooth muscle cells and macrophages. The most (4/5, 80%) of the regenerated arteries were free of calcifications but suffered from the aneurysmatic dilation. Therefore, biodegradable PHBV/PCL[VEGF-bFGF-SDF]Hep/Ilo grafts showed better short- and long-term results than bio-stable ePTFE analogues, although these scaffolds must be reinforced for the efficient prevention of aneurysms.
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Affiliation(s)
- Larisa V. Antonova
- Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia; (L.V.A.); (E.O.K.); (A.V.M.); (M.A.R.); (A.R.S.); (S.S.K.); (M.Y.K.); (T.Y.S.); (V.G.M.); (T.V.G.); (A.G.K.); (R.A.M.); (N.S.D.); (T.N.A.); (M.Y.S.); (E.A.V.); (L.S.B.)
| | - Evgenia O. Krivkina
- Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia; (L.V.A.); (E.O.K.); (A.V.M.); (M.A.R.); (A.R.S.); (S.S.K.); (M.Y.K.); (T.Y.S.); (V.G.M.); (T.V.G.); (A.G.K.); (R.A.M.); (N.S.D.); (T.N.A.); (M.Y.S.); (E.A.V.); (L.S.B.)
| | - Viktoriia V. Sevostianova
- Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia; (L.V.A.); (E.O.K.); (A.V.M.); (M.A.R.); (A.R.S.); (S.S.K.); (M.Y.K.); (T.Y.S.); (V.G.M.); (T.V.G.); (A.G.K.); (R.A.M.); (N.S.D.); (T.N.A.); (M.Y.S.); (E.A.V.); (L.S.B.)
- Correspondence: ; Tel.: +7-9069356076
| | - Andrey V. Mironov
- Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia; (L.V.A.); (E.O.K.); (A.V.M.); (M.A.R.); (A.R.S.); (S.S.K.); (M.Y.K.); (T.Y.S.); (V.G.M.); (T.V.G.); (A.G.K.); (R.A.M.); (N.S.D.); (T.N.A.); (M.Y.S.); (E.A.V.); (L.S.B.)
| | - Maria A. Rezvova
- Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia; (L.V.A.); (E.O.K.); (A.V.M.); (M.A.R.); (A.R.S.); (S.S.K.); (M.Y.K.); (T.Y.S.); (V.G.M.); (T.V.G.); (A.G.K.); (R.A.M.); (N.S.D.); (T.N.A.); (M.Y.S.); (E.A.V.); (L.S.B.)
| | - Amin R. Shabaev
- Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia; (L.V.A.); (E.O.K.); (A.V.M.); (M.A.R.); (A.R.S.); (S.S.K.); (M.Y.K.); (T.Y.S.); (V.G.M.); (T.V.G.); (A.G.K.); (R.A.M.); (N.S.D.); (T.N.A.); (M.Y.S.); (E.A.V.); (L.S.B.)
| | - Vadim O. Tkachenko
- Budker Institute of Nuclear Physics of Siberian Branch Russian Academy of Sciences, 630090 Novosibirsk, Russia;
| | - Sergey S. Krutitskiy
- Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia; (L.V.A.); (E.O.K.); (A.V.M.); (M.A.R.); (A.R.S.); (S.S.K.); (M.Y.K.); (T.Y.S.); (V.G.M.); (T.V.G.); (A.G.K.); (R.A.M.); (N.S.D.); (T.N.A.); (M.Y.S.); (E.A.V.); (L.S.B.)
| | - Mariam Yu. Khanova
- Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia; (L.V.A.); (E.O.K.); (A.V.M.); (M.A.R.); (A.R.S.); (S.S.K.); (M.Y.K.); (T.Y.S.); (V.G.M.); (T.V.G.); (A.G.K.); (R.A.M.); (N.S.D.); (T.N.A.); (M.Y.S.); (E.A.V.); (L.S.B.)
| | - Tatiana Yu. Sergeeva
- Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia; (L.V.A.); (E.O.K.); (A.V.M.); (M.A.R.); (A.R.S.); (S.S.K.); (M.Y.K.); (T.Y.S.); (V.G.M.); (T.V.G.); (A.G.K.); (R.A.M.); (N.S.D.); (T.N.A.); (M.Y.S.); (E.A.V.); (L.S.B.)
| | - Vera G. Matveeva
- Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia; (L.V.A.); (E.O.K.); (A.V.M.); (M.A.R.); (A.R.S.); (S.S.K.); (M.Y.K.); (T.Y.S.); (V.G.M.); (T.V.G.); (A.G.K.); (R.A.M.); (N.S.D.); (T.N.A.); (M.Y.S.); (E.A.V.); (L.S.B.)
| | - Tatiana V. Glushkova
- Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia; (L.V.A.); (E.O.K.); (A.V.M.); (M.A.R.); (A.R.S.); (S.S.K.); (M.Y.K.); (T.Y.S.); (V.G.M.); (T.V.G.); (A.G.K.); (R.A.M.); (N.S.D.); (T.N.A.); (M.Y.S.); (E.A.V.); (L.S.B.)
| | - Anton G. Kutikhin
- Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia; (L.V.A.); (E.O.K.); (A.V.M.); (M.A.R.); (A.R.S.); (S.S.K.); (M.Y.K.); (T.Y.S.); (V.G.M.); (T.V.G.); (A.G.K.); (R.A.M.); (N.S.D.); (T.N.A.); (M.Y.S.); (E.A.V.); (L.S.B.)
| | - Rinat A. Mukhamadiyarov
- Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia; (L.V.A.); (E.O.K.); (A.V.M.); (M.A.R.); (A.R.S.); (S.S.K.); (M.Y.K.); (T.Y.S.); (V.G.M.); (T.V.G.); (A.G.K.); (R.A.M.); (N.S.D.); (T.N.A.); (M.Y.S.); (E.A.V.); (L.S.B.)
| | - Nadezhda S. Deeva
- Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia; (L.V.A.); (E.O.K.); (A.V.M.); (M.A.R.); (A.R.S.); (S.S.K.); (M.Y.K.); (T.Y.S.); (V.G.M.); (T.V.G.); (A.G.K.); (R.A.M.); (N.S.D.); (T.N.A.); (M.Y.S.); (E.A.V.); (L.S.B.)
| | - Tatiana N. Akentieva
- Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia; (L.V.A.); (E.O.K.); (A.V.M.); (M.A.R.); (A.R.S.); (S.S.K.); (M.Y.K.); (T.Y.S.); (V.G.M.); (T.V.G.); (A.G.K.); (R.A.M.); (N.S.D.); (T.N.A.); (M.Y.S.); (E.A.V.); (L.S.B.)
| | - Maxim Yu. Sinitsky
- Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia; (L.V.A.); (E.O.K.); (A.V.M.); (M.A.R.); (A.R.S.); (S.S.K.); (M.Y.K.); (T.Y.S.); (V.G.M.); (T.V.G.); (A.G.K.); (R.A.M.); (N.S.D.); (T.N.A.); (M.Y.S.); (E.A.V.); (L.S.B.)
| | - Elena A. Velikanova
- Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia; (L.V.A.); (E.O.K.); (A.V.M.); (M.A.R.); (A.R.S.); (S.S.K.); (M.Y.K.); (T.Y.S.); (V.G.M.); (T.V.G.); (A.G.K.); (R.A.M.); (N.S.D.); (T.N.A.); (M.Y.S.); (E.A.V.); (L.S.B.)
| | - Leonid S. Barbarash
- Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia; (L.V.A.); (E.O.K.); (A.V.M.); (M.A.R.); (A.R.S.); (S.S.K.); (M.Y.K.); (T.Y.S.); (V.G.M.); (T.V.G.); (A.G.K.); (R.A.M.); (N.S.D.); (T.N.A.); (M.Y.S.); (E.A.V.); (L.S.B.)
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