In situ electrostimulation drives a regenerative shift in the zone of infarcted myocardium.

Electrostimulation represents a well-known trophic factor for different tissues. In vitro electrostimulation of non-stem and stem cells induces myogenic predifferentiation and may be a powerful tool to generate cells with the capacity to respond to local areas of injury. We evaluated the effects of in vivo electrostimulation on infarcted myocardium using a miniaturized multiparameter implantable stimulator in rats. Parameters of electrostimulation were organized to avoid a direct driving or pacing of native heart rhythm. Electrical stimuli were delivered for 14 days across the scar site. In situ electrostimulation used as a cell-free, cytokine-free stimulation system, improved myocardial function, and increased angiogenesis through endothelial progenitor cell migration and production of vascular endothelial growth factor (VEGF). In situ electrostimulation represents a novel means to stimulate repair of the heart and other organs, as well as to precondition tissues for treatment with cell-based therapies.

Load-adaptive scaffold architecturing: a bioinspired approach to the design of porous additively manufactured scaffolds with optimized mechanical properties.

Computer-Aided Tissue Engineering (CATE) is based on a set of additive manufacturing techniques for the fabrication of patient-specific scaffolds, with geometries obtained from medical imaging. One of the main issues regarding the application of CATE concerns the definition of the internal architecture of the fabricated scaffolds, which, in turn, influences their porosity and mechanical strength. The present study envisages an innovative strategy for the fabrication of highly optimized structures, based on the a priori finite element analysis (FEA) of the physiological load set at the implant site. The resulting scaffold micro-architecture does not follow a regular geometrical pattern; on the contrary, it is based on the results of a numerical study. The algorithm was applied to a solid free-form fabrication process, using poly(ε-caprolactone) as the starting material for the processing of additive manufactured structures. A simple and intuitive geometry was chosen as a proof-of-principle application, on which finite element simulations and mechanical testing were performed. Then, to demonstrate the capability in creating mechanically biomimetic structures, the proximal femur subjected to physiological loading conditions was considered and a construct fitting a femur head portion was designed and manufactured.

A biomimetic three-layered compartmented scaffold for vascular tissue engineering.

Tissue engineering of vascular grafts still presents several shortcomings. Aiming to vascular regeneration, we developed a biomimetic multilayered scaffold with a middle pivotal collagen lamina between two functionalized layers of poly-L-lactide by means of electrospinning technique, with oriented drug-delivery capacity for the differentiation of human mesenchymal stem cells seeded therein. Applying appropriate cytokines, the inner layer is able to act as a drug delivery system in order to generate a pro-angiogenic and anti-thrombotic environment and the outer one is used to induce the media and adventitia generation. Our findings are consistent with an adequate cell engrafting and a double type of differentiation in each side of the scaffold, in particular cells exhibited morphostructural changes resulting in the achievement of an endothelial-like phenotype in cells populating the inner side of the scaffold and SMA positivity with cell elongation resembling muscular phenotype in the cells of the outer layer. The proposed "smart" vascular bio-prosthesis will recapitulate the structure and microenvironment of native cardiovascular tissues. It could surmount many hurdles to clinical use and would be relevant for therapeutic applications in a variety of medical fields.

A G-CSF functionalized PLLA scaffold for wound repair: An in vitro preliminary study.

Targeting wound repair, we developed an electrospun poly-L-lactide fibrous scaffold functionalized with G-CSF, a growth factor which is widely recognized as important in wound healing homeostasis. The scaffold was characterized in terms of morphology, mechanical properties and in vitro capacity to induce organization of co-cultures of murine fibroblasts and keratinocytes into a dermo-epidermal multilayered structure. Our findings are consistent with the promotion of a nonhostile environment, in which seeded cells could arrange themselves in an appropriate topographic distribution of elements at different levels of maturation up to a cornified epithelium on the top layer, resembling native skin.

An innovative device to support Politzer manoeuvre.

Politzer manoeuvre causes retrograde inflation of the middle ear by forcing air through the Eustachian tube. It has been proposed as nonsurgical treatment of middle ear with effusion, Eustachian tube dysfunction and negative middle ear pressure from elevation changes. Even if Politzer manoeuvre can be considered a classical technique, it is generally performed without any feedback about its correctness neither about qualitative evidence about its efficacy. In this paper we describe an innovative device, named OTOFREE, specifically designed to support medical doctors during Politzer manoeuvre. OTOFREE provides information about the correctness of the manoeuvre and also useful hints about the treatments results.