Lecture 9 - Tissue Engineering 2 Flashcards
What are the required cues for effective maturation of tissue in vitro?
O2 concentration, fluid flow, forces
These cues can be achieved using bioreactors.
Name a type of bioreactor used in tissue engineering.
Rotary Cell Culture, Stirred Flask
Stirred flask - medium flowss over and through scaffold
Rotary cell culture - cells in free flow stimulating microgravity
What are the types of forces applied in bioreactors?
Tension, Perfusion, Compression
Reference: Courtney A. Powell, et al (2002) American Journal of Physiology - Cell Physiology.
What is the optimal bioreactive for cartilage?
Rotating wall
Static - necrosis seen at centre and deposition of matrix
Spinner flask - harsh shear forces so cell death seen at edges
What is the significance of the temporomandibular joint (TMJ) in tissue engineering?
Used as a model in tissue engineering studies due to difficulty in generating it in vitro
Approximately 25% of the population exhibits TMJ disorders.
Uses combination of natural scaffold, bioreactor technology, and cell biology to replicate TMJ with cells at physiological density.
What is the outcome of bioreactor culture in bone defect repair?
Increased cell proliferation and bone matrix formation in comparison to static.
Pateint-specific bone constructs a possibility.
Reference: Grayson, W.L., et al. (2010) Proc. Natl. Acad. Sci. USA.
What is a patient-specific application of bioreactor technology?
Creation of patient-specific bone constructs
Reference: Grayson, W.L., et al. (2010) Proc. Natl. Acad. Sci. USA.
Define the concept of using the body as a bioreactor.
Using the body to provide the correct environment for tissue development
Involves chemical signaling and mechanical forces.
Scaffold inserted into host and body does the work.
What substance was injected to create an ‘in vivo bioreactor’ in a study?
Calcium alginate hydrogel
Injected between periosteum and tibia in rabbits.
Activates stem cells to differentiate into bone tissue.
What are the advantages of acellular strategies over engineered tissues?
Designed to release drug cocktails, recruit specific cells, less expensive
Example: 30-year-old TB patient, Claudia Castillo - end-stage bronchomalacia (weaking cartilage).
What was the method used in bronchial repair involving a donor trachea?
Seeded with epithelial cells and MSC-derived chondrocytes from the pateint
Bespoke bioreactor
Hydordynamic forces and liquid/air
Reference: Macchiarini, P., et al. (2008) Lancet.
What was the outcome of the bronchial repair procedure after 4 months?
Immediate restoration of functional airway, normal appearance and mechanical properties at 4 months
No donor antibodies & no immunosuppressive drugs = ‘biological scaffold’
What is the complexity challenge in tissue engineering?
Tissues are extremely complex, involving 3D structures, vascular networks, and nervous connections
What is a key component in the application of heart blood vessel repair?
SMCs on polyglycolic acid mesh with pulsatile flow 5% distension to stretch mesh and cells can experience mechanical force
Reference: Xu, Z.C., et al. (2008) Biomaterials.
What effect does pulsatile/dynamic culture have on blood vessels?
Increased strength and more ECM deposition
Reference: Xu, Z.C., et al. (2008) Biomaterials.
Fill in the blank: The application of _______ is crucial for cardiac muscle development in heart attack repair.
Contractile cardiomyocytes
Cells seeded onto scaffold, expansion takes place and contractile cardiomyocytes generated.
What is the primary use of donor organs or tissues in engineering?
To replicate structural complexity
This approach could potentially utilize xenogeneic tissues.
Which publication discusses the engineering of livers?
Uygun, B.E. et al (2010) Nature Medicine, 16, 814-821
What process was used to decellularize the liver in the study?
SDS treatment over 72 hours
Vascular network remains intact.
What remains intact after the decellularization of the liver?
Vascular network
What is a significant challenge in tissue engineering related to cell survival?
Cells need to be within ~200 µm of a blood vessel to survive
Tissue engineered constructs need capillaries which integrate with the patient.
What are three proposed solutions for vascularization in tissue-engineered constructs?
- Seed scaffold with endothelial cells (randomly or pre-formed channels)
- Incorporate VEGF into scaffold (promotes angiogenesis)
- Build scaffold around vascular bed ex vivo
What is the ideal solution for promoting vascularization?
- Scaffold (human platelet lysate)
- Signals (human platelet lysate)
- Cells (ECFCs)
Incorporarted into a bioactive construct
Name a type of cell that can form blood vessels when stimulated.
Endothelial Colony Forming Cells (ECFCs)