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1.
Biomacromolecules ; 23(10): 4427-4437, 2022 Oct 10.
Artículo en Inglés | MEDLINE | ID: mdl-36067476

RESUMEN

Targeted therapies using biopharmaceuticals are of growing clinical importance in disease treatment. Currently, there are several limitations of protein-based therapeutics (biologicals), including suboptimal biodistribution, lack of stability, and systemic side effects. A promising approach to overcoming these limitations could be a therapeutic cell-loaded 3D construct consisting of a suitable matrix component that harbors producer cells continuously secreting the biological of interest. Here, the recombinant spider silk proteins eADF4(C16), eADF4(C16)-RGD, and eADF4(C16)-RGE have been processed together with HEK293 producer cells stably secreting the highly traceable reporter biological TNFR2-Fc-GpL, a fusion protein consisting of the extracellular domain of TNFR2, the Fc domain of human IgG1, and the luciferase of Gaussia princeps as a reporter domain. eADF4(C16) and eADF4(C16)-RGD hydrogels provide structural and mechanical support, promote HEK293 cell growth, and allow fusion protein production by the latter. Bioink-captured HEK293 producer cells continuously release functional TNFR2-Fc-GpL over 14 days. Thus, the combination of biocompatible, printable spider silk bioinks with drug-producing cells is promising for generating implantable 3D constructs for continuous targeted therapy.


Asunto(s)
Productos Biológicos , Arañas , Animales , Proteínas de Artrópodos/metabolismo , Células HEK293 , Humanos , Hidrogeles , Inmunoglobulina G/metabolismo , Oligopéptidos/metabolismo , Receptores Tipo II del Factor de Necrosis Tumoral/metabolismo , Proteínas Recombinantes/química , Seda/química , Arañas/metabolismo , Distribución Tisular
2.
Cells ; 11(6)2022 03 08.
Artículo en Inglés | MEDLINE | ID: mdl-35326377

RESUMEN

The microvascular endothelial network plays an important role in osteogenesis, bone regeneration and bone tissue engineering. Endothelial progenitor cells (EPCs) display a high angiogenic and vasculogenic potential. The endothelialization of scaffolds with endothelial progenitor cells supports vascularization and tissue formation. In addition, EPCs enhance the osteogenic differentiation and bone formation of mesenchymal stem cells (MSCs). This study aimed to investigate the impact of EPCs on vascularization and bone formation of a hydroxyapatite (HA) and beta-tricalcium phosphate (ß-TCP)-fibrin scaffold. Three groups were designed: a scaffold-only group (A), a scaffold and EPC group (B), and a scaffold and EPC/MSC group (C). The HA/ß-TCP-fibrin scaffolds were placed in a porous titanium chamber permitting extrinsic vascularization from the surrounding tissue. Additionally, intrinsic vascularization was achieved by means of an arteriovenous loop (AV loop). After 12 weeks, the specimens were explanted and investigated by histology and CT. We were able to prove a strong scaffold vascularization in all groups. No differences regarding the vessel number and density were detected between the groups. Moreover, we were able to prove bone formation in the coimplantation group. Taken together, the AV loop is a powerful tool for vascularization which is independent from scaffold cellularization with endothelial progenitor cells' prior implantation.


Asunto(s)
Células Progenitoras Endoteliales , Células Madre Mesenquimatosas , Regeneración Ósea , Fibrina , Osteogénesis
3.
Microcirculation ; 29(2): e12742, 2022 02.
Artículo en Inglés | MEDLINE | ID: mdl-34863000

RESUMEN

OBJECTIVE: Transplantation of prefabricated tissue-engineered flaps can be a potential alternative for healing large tissue defects. Providing adequate vascular supply for an engineered tissue construct is one of the key points in establishing successful tissue engineering-based treatment approaches. In tissue engineering-based vascularization techniques like the arteriovenous loop, vascular grafts with high angiogenic potential can help to enhance neovascularization and tissue formation. Therefore, our study aimed to compare the angiogenic potential of vascular grafts from different locations in the rat. METHODS: The angiogenic activity was investigated by an ex vivo vessel outgrowth ring assay using 1-mm height vascular segments embedded in fibrin for 2 weeks. RESULTS: Maximum vessel outgrowth was observed on Days 10-12. Upper extremity vessels exhibited stronger outgrowth than lower extremity vessels. Moreover, arterial vessels demonstrated higher angiogenic potential compared with venous vessels. CONCLUSION: Collectively, our ex vivo findings suggest that upper extremity arterial vessels have a higher angiogenic capacity, which could be used to improve neovascularization and tissue formation in tissue engineering.


Asunto(s)
Neovascularización Fisiológica , Ingeniería de Tejidos , Animales , Arterias , Neovascularización Patológica , Ratas , Ingeniería de Tejidos/métodos , Venas
4.
ACS Nano ; 15(9): 14985-14995, 2021 Sep 28.
Artículo en Inglés | MEDLINE | ID: mdl-34491033

RESUMEN

Metal halides are a class of layered materials with promising electronic and magnetic properties persisting down to the two-dimensional limit. While most recent studies focused on the trihalide components of this family, the rather unexplored metal dihalides are also van der Waals layered systems with distinctive magnetic properties. Here we show that the dihalide NiBr2 grows epitaxially on a Au(111) substrate and exhibits semiconducting and magnetic behavior starting from a single layer. Through a combination of a low-temperature scanning-tunneling microscopy, low-energy electron diffraction, X-ray photoelectron spectroscopy, and photoemission electron microscopy, we identify two competing layer structures of NiBr2 coexisting at the interface and a stoichiometrically pure layer-by-layer growth beyond. Interestingly, X-ray absorption spectroscopy measurements revealed a magnetically ordered state below 27 K with in-plane magnetic anisotropy and zero-remanence in the single layer of NiBr2/Au(111), which we attribute to a noncollinear magnetic structure. The combination of such two-dimensional magnetic order with the semiconducting behavior down to the 2D limit offers the attractive perspective of using these films as ultrathin crystalline barriers in tunneling junctions and low-dimensional devices.

5.
Biomed Mater ; 16(6)2021 09 06.
Artículo en Inglés | MEDLINE | ID: mdl-34406979

RESUMEN

In situtissue engineering is an emerging field aiming at the generation of ready-to-use three-dimensional tissues. One solution to supply a proper vascularization of larger tissues to provide oxygen and nutrients is the arteriovenous loop (AVL) model. However, for this model, suitable scaffold materials are needed that are biocompatible/non-immunogenic, slowly degradable, and allow vascularization. Here, we investigate the suitability of the known gelatin methacryloyl (GelMA)-based hydrogel forin-situtissue engineering utilizing the AVL model. Rat AVLs are embedded by two layers of GelMA hydrogel in an inert PTFE chamber and implanted in the groin. Constructs were explanted after 2 or 4 weeks and analyzed. For this purpose, gross morphological, histological, and multiphoton microscopic analysis were performed. Immune response was analyzed based on anti-CD68 and anti-CD163 staining of immune cells. The occurrence of matrix degradation was assayed by anti-MMP3 staining. Vascularization was analyzed by anti-α-smooth muscle actin staining, multiphoton microscopy, as well as expression analysis of 53 angiogenesis-related proteins utilizing a proteome profiler angiogenesis array kit. Here we show that GelMA hydrogels are stable for at least 4 weeks in the rat AVL model. Furthermore, our data indicate that GelMA hydrogels are biocompatible. Finally, we provide evidence that GelMA hydrogels in the AVL model allow connective tissue formation, as well as vascularization, introducing multiphoton microscopy as a new methodology to visualize neovessel formation originating from the AVL. GelMA is a suitable material forin situandin vivoTE in the AVL model.


Asunto(s)
Materiales Biocompatibles , Gelatina , Metacrilatos , Neovascularización Fisiológica/fisiología , Ingeniería de Tejidos/métodos , Animales , Materiales Biocompatibles/química , Materiales Biocompatibles/farmacología , Gelatina/química , Gelatina/farmacología , Masculino , Metacrilatos/química , Metacrilatos/farmacología , Microscopía de Fluorescencia por Excitación Multifotónica , Modelos Cardiovasculares , Politetrafluoroetileno/química , Proteoma/metabolismo , Ratas
6.
Cells ; 10(8)2021 08 13.
Artículo en Inglés | MEDLINE | ID: mdl-34440843

RESUMEN

Adequate vascularization is a fundamental prerequisite for bone regeneration, formation and tissue engineering applications. Endothelialization of scaffold materials is a promising strategy to support neovascularization and bone tissue formation. Besides oxygen and nutrition supply, the endothelial network plays an important role concerning osteogenic differentiation of osteoprogenitor cells and consecutive bone formation. In this study we aimed to enhance the growth stimulating, proangiogenic and osteogenic features of the ADSC and HUVEC coculture system by means of VEGFA165 and BMP2 application. We were able to show that sprouting phenomena and osteogenic differentiation were enhanced in the ADSC/HUVEC coculture. Furthermore, apoptosis was unidirectionally decreased in HUVECs, but these effects were not further enhanced upon VEGFA165 or BMP2 application. In summary, the ADSC/HUVEC coculture system per se is a powerful tool for bone tissue engineering applications.


Asunto(s)
Proteína Morfogenética Ósea 2/farmacología , Diferenciación Celular/efectos de los fármacos , Osteogénesis/efectos de los fármacos , Factor de Crecimiento Transformador beta/farmacología , Factor A de Crecimiento Endotelial Vascular/farmacología , Tejido Adiposo/citología , Tejido Adiposo/metabolismo , Fosfatasa Alcalina/metabolismo , Apoptosis/efectos de los fármacos , Proliferación Celular/efectos de los fármacos , Técnicas de Cocultivo , Células Endoteliales de la Vena Umbilical Humana , Humanos , Proteínas Recombinantes/farmacología , Células Madre/citología , Células Madre/metabolismo , Ingeniería de Tejidos
7.
Biofabrication ; 13(4)2021 07 13.
Artículo en Inglés | MEDLINE | ID: mdl-34157687

RESUMEN

Due to its low immunogenic potential and the possibility to fine-tune their properties, materials made of recombinant engineered spider silks are promising candidates for tissue engineering applications. However, vascularization of silk-based scaffolds is one critical step for the generation of bioartificial tissues and consequently for clinical application. To circumvent insufficient vascularization, the surgically induced angiogenesis by means of arteriovenous loops (AVL) represents a highly effective methodology. Here, previously established hydrogels consisting of nano-fibrillary recombinant eADF4(C16) were transferred into Teflon isolation chambers and vascularized in the rat AVL model over 4 weeks. To improve vascularization, also RGD-tagged eADF4(C16) hydrogels were implanted in the AVL model over 2 and 4 weeks. Thereafter, the specimen were explanted and analyzed using histology and microcomputed tomography. We were able to confirm biocompatibility and tissue formation over time. Functionalizing eADF4(C16) with RGD-motifs improved hydrogel stability and enhanced vascularization even outperforming other hydrogels, such as fibrin. This study demonstrates that the scaffold ultrastructure as well as biofunctionalization with RGD-motifs are powerful tools to optimize silk-based biomaterials for tissue engineering applications.


Asunto(s)
Hidrogeles , Seda , Animales , Proteínas de Artrópodos , Oligopéptidos , Ratas , Arañas , Microtomografía por Rayos X
8.
Tissue Eng Part A ; 27(5-6): 413-423, 2021 03.
Artículo en Inglés | MEDLINE | ID: mdl-32723066

RESUMEN

Introduction: For the regeneration of large volume tissue defects, the interaction between angiogenesis and osteogenesis is a crucial prerequisite. The surgically induced angiogenesis by means of an arteriovenous loop (AVL), is a powerful methodology to enhance vascularization of osteogenic matrices. Moreover, the AVL increases oxygen and nutrition supply, thereby supporting cell survival as well as tissue formation. Adipose-derived stem cells (ADSCs) are interesting cell sources because of their simple isolation, expansion, and their osteogenic potential. This study targets to investigate the coimplantation of human ADSCs after osteogenic differentiation and human umbilical vein endothelial cells (HUVECs), embedded in a vascularized osteogenic matrix of hydroxyapatite (HAp) ceramic for bone tissue engineering. Materials and Methods: An osteogenic matrix consisting of HAp granules and fibrin has been vascularized by means of an AVL. Trials in experimental groups of four settings were performed. Control experiments without any cells (A) and three cell-loaded groups using HUVECs (B), ADSCs (C), as well as the combination of ADSCs and HUVECs (D) were performed. The scaffolds were implanted in a porous titanium chamber, fixed subcutaneously in the hind leg of immunodeficient Rowett Nude rats and explanted after 6 weeks. Results: In all groups, the osteogenic matrix was strongly vascularized. Moreover, remodeling processes and bone formation in the cell-containing groups with more bone in the coimplantation group were proved successful. Conclusion: Vascularization and bone formation of osteogenic matrices consisting of ADSCs and HUVECs in the rat AVL model could be demonstrated successfully for the first time. Hence, the coimplantation of differentiated ADSCs with HUVECs may therefore be considered as a promising approach for bone tissue engineering.


Asunto(s)
Células Madre Mesenquimatosas , Osteogénesis , Tejido Adiposo , Animales , Diferenciación Celular , Células Cultivadas , Células Endoteliales de la Vena Umbilical Humana , Humanos , Impresión Tridimensional , Ratas , Células Madre , Ingeniería de Tejidos , Andamios del Tejido
9.
Phys Chem Chem Phys ; 22(20): 11704-11712, 2020 May 28.
Artículo en Inglés | MEDLINE | ID: mdl-32407428

RESUMEN

Adsorption, desorption and fragmentation of borazine on Pt(110) are studied by temperature-programmed desorption, ultraviolet photoemission spectroscopy, workfunction measurements and density functional theory. Borazine adsorbs in part dissociatively, forming an upright (B3N3H5˙)ads adsorption complex. Radicals with a N-Pt bond are weakly bound and desorb recombinatively following second-order kinetics. Radicals with a B-Pt bond are similar in binding strength to the molecularly adsorbed species, which binds through dispersive forces to the (111) facets of the (1 × 2) reconstructed Pt(110). Both do not desorb but are dehydrogenated beyond T = 150 K. As T approaches 600 K the B-N ring progressively breaks down into its atomic constituents. The borazine ice multilayer is capable of trapping significant amounts of hydrogen. Previous studies of borazine adsorption on other transition metal surfaces yield a very similar pattern. Reported multiple molecular desorption peaks are artefacts. Implications for the nucleation and growth of h-BN monolayers at high temperatures are discussed.

10.
J Cell Mol Med ; 24(12): 7034-7043, 2020 06.
Artículo en Inglés | MEDLINE | ID: mdl-32394620

RESUMEN

The microvascular endothelial network is essential for bone formation and regeneration. In this context, endothelial cells not only support vascularization but also influence bone physiology via cell contact-dependent mechanisms. In order to improve vascularization and osteogenesis in tissue engineering applications, several strategies have been developed. One promising approach is the coapplication of endothelial and adipose derived stem cells (ADSCs). In this study, we aimed at investigating the best ratio of human umbilical vein endothelial cells (HUVECs) and osteogenic differentiated ADSCs with regard to proliferation, apoptosis, osteogenesis and angiogenesis. For this purpose, cocultures of ADSCs and HUVECs with ratios of 25%:75%, 50%:50% and 75%:25% were performed. We were able to prove that cocultivation supports proliferation whereas apoptosis was unidirectional decreased in cocultured HUVECs mediated by a p-BAD-dependent mechanism. Moreover, coculturing ADSCs and HUVECs stimulated matrix mineralization and the activity of alkaline phosphatase (ALP). Increased gene expression of the proangiogenic markers eNOS, Flt, Ang2 and MMP3 as well as sprouting phenomena in matrigel assays proved the angiogenic potential of the coculture. In summary, coculturing ADSCs and HUVECs stimulates proliferation, cell survival, osteogenesis and angiogenesis particularly in the 50%:50% coculture.


Asunto(s)
Tejido Adiposo/citología , Huesos/fisiología , Células Endoteliales de la Vena Umbilical Humana/citología , Células Madre/citología , Ingeniería de Tejidos , Fosfatasa Alcalina/genética , Fosfatasa Alcalina/metabolismo , Apoptosis , Diferenciación Celular , Proliferación Celular , Células Cultivadas , Colágeno , Subunidad alfa 1 del Factor de Unión al Sitio Principal/genética , Subunidad alfa 1 del Factor de Unión al Sitio Principal/metabolismo , Combinación de Medicamentos , Humanos , Laminina , Neovascularización Fisiológica , Osteogénesis , Proteoglicanos
11.
Front Oncol ; 10: 177, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32195171

RESUMEN

Background: Breast cancer is the most common malignancy in women. The interdisciplinary treatment is based on the histological tumor type, the TNM classification, and the patient's wishes. Following tumor resection and (neo-) adjuvant therapy strategies, breast reconstruction represents the final step in the individual interdisciplinary treatment plan. Although manifold flaps have been described, abdominal free flaps, such as the deep inferior epigastric artery perforator (DIEP) or the muscle-sparing transverse rectus abdominis myocutaneous (ms-TRAM) flap, are the current gold standard for autologous breast reconstruction. This retrospective study focuses on the safety of autologous breast reconstruction upon mastectomy using abdominal free flaps. Methods: From April 2012 until December 2018, 193 women received 217 abdominal free flaps for autologous breast reconstruction at the University Hospital of Erlangen. For perforator mapping, we performed computed tomography angiography (CTA). Venous anastomosis was standardized using a ring pin coupler system, and flap perfusion was assessed with fluorescence angiography. A retrospective analysis was performed based on medical records, the surgery report, and follow-up of outpatient course. Results: In most cases, autologous breast reconstruction was performed as a secondary reconstructive procedure after mastectomy and radiotherapy. In total, 132 ms1-TRAM, 23 ms2-TRAM, and 62 DIEP flaps were performed with 21 major complications (10%) during hospital stay including five free flap losses (2.3%). In all cases of free flap loss, we found an arterial thrombosis as the main cause. In 24 patients a bilateral breast reconstruction was performed without free flap loss. The majority of free flaps (96.7%) did not need additional supercharging or turbocharging to improve venous outflow. Median venous coupler size was 2.5 mm (range, 1.5-3.5 mm). Conclusion: Using CTA, intraoperative fluorescence angiography, titanized hernia meshes for rectus sheath reconstruction, and venous coupler systems, autologous breast reconstruction with DIEP or ms-TRAM free flaps is a safe and standardized procedure in high-volume microsurgery centers.

12.
Microsurgery ; 40(1): 74-78, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-30693558

RESUMEN

Abdominal free flaps such as the muscle sparing transverse rectus abdominis myocutaneous (ms-TRAM) or deep inferior epigastric artery perforator (DIEP) flap represent the gold standard in autologous breast reconstruction. We describe a salvage procedure during bilateral free flap breast reconstruction due to insufficient venous drainage using a venous cross-over bypass. A 54-year-old woman with a thrombosis of the left subclavian port-system in the medical history was elected for simultaneous bilateral breast reconstruction with ms-TRAM and DIEP flaps. Intraoperatively, a venous congestion of the DIEP flap, which was connected to the left cranial internal mammary vessels, appeared. In the absence of sufficient ipsilateral venous recipient vessels, we performed a salvage procedure requiring a 15 cm small saphenous vein graft and presternal subcutaneous tunneling. The flap vein was anastomosed end-to-end with the contralateral caudal internal mammary vein using a coupler system. The postoperative course was uneventful and both flaps survived. We describe the cross-over venous emergency bypass as a useful tool in unexpected venous thrombosis during bilateral free flap breast reconstruction.


Asunto(s)
Colgajos Tisulares Libres , Hiperemia/cirugía , Mamoplastia/efectos adversos , Complicaciones Posoperatorias/cirugía , Vena Safena/trasplante , Trombosis de la Vena/cirugía , Neoplasias de la Mama/cirugía , Femenino , Humanos , Hiperemia/diagnóstico por imagen , Hiperemia/etiología , Persona de Mediana Edad , Complicaciones Posoperatorias/diagnóstico por imagen , Complicaciones Posoperatorias/etiología , Trombosis de la Vena/diagnóstico por imagen , Trombosis de la Vena/etiología
13.
ACS Nano ; 13(6): 7083-7090, 2019 Jun 25.
Artículo en Inglés | MEDLINE | ID: mdl-31184857

RESUMEN

Hexagonal boron nitride (h-BN) monolayers were grown on Pt(110) using borazine as a precursor molecule. The resulting surface structure was studied by scanning tunneling microscopy, low-energy electron diffraction, and density functional theory calculations. Borazine fragments reduce the roughening temperature of pristine Pt(110) ( Tr = 1090 K); consequently, growth below T = 1100 K results in a serrated h-BN/Pt(110) surface with small terraces, defects, and domain boundaries. Surprisingly, h-BN deposition at T > 1100 K yields large terraces covered by a carpet-like single-domain h-BN monolayer. Despite the incommensurability and different symmetry, the epitaxial growth is almost perfect. The key to this counterintuitive behavior is the "soft" Pt(110) surface responding to the h-BN overlayer in two ways: First, the (1 × 2)-missing-row (m.r.) reconstruction is converted into a (1 × n)-m.r. reconstruction with a regular alternation of n = 5 and 6, yielding a superperiodicity of the Moiré pattern. Second, the remaining rows experience significant relaxations. Some Pt surface atoms are mobile underneath the h-BN monolayer, even at room temperature. Under growth conditions, the top metal layer is disordered and highly mobile, rendering the h-BN growth comparable to that on liquid gold. Such a mechanism may be of general relevance for the epitaxial growth of 2D materials. Because epitaxial deposition of Pt(110) on various substrates has been demonstrated, the present system appears scalable, and its regular 1D grooves render it a promising template for nanowire arrays.

14.
Tissue Eng Part A ; 25(21-22): 1504-1513, 2019 11.
Artículo en Inglés | MEDLINE | ID: mdl-30848159

RESUMEN

The surgically induced angiogenesis by means of arteriovenous (AV) loops represents a powerful method to significantly enhance vascularization of biomaterials. Regarding tissue engineering applications, spider silk is a promising biomaterial with a good biocompatibility and slow biodegradation. This study aims at investigating vascularization as well as de novo tissue formation of fibrous matrices made of electro-spun (ES) or wet-spun (WS) engineered ADF4(C16) spider silks in the rat AV loop model. Either ES or WS spider silk fibrous matrices were filled into Teflon chambers. Intrinsic vascularization was induced by means of an AV loop. After 4 weeks of vascularization, de novo tissue formation and biocompatibility were analyzed. Regardless of their significantly differing fiber diameters, both ES and WS eADF4(C16) fiber matrices displayed a good biocompatibility and initiated de novo tissue formation as well as vessel formation. Both matrices demonstrated partial vascularization originating from the AV loop, with more vessels in spider silk matrices with lower fiber diameters. We were able to demonstrate intrinsic vascularization of spider silk fibrous matrices by means of the AV loop. Moreover, our study indicates that the adjustment of the fiber diameter of engineered spider silks enables new possibilities to optimize vascularization. Impact Statement Spider silk is a promising biomaterial demonstrating excellent biocompatibility and biodegradation. Biotechnology allows the high-volume production of recombinant spider silk proteins, such as eADF4(C16), with the required purity for biomedical applications. In this study, eADF4(C16) fibrous matrices were produced by either electro- or wet-spinning, resulting in different fiber diameters. Forming an arteriovenous fistula, surgical vascularization of the scaffolds was induced. After 4 weeks, both silks demonstrated a good biocompatibility and tissue formation. The thinner electro-spun fibers displayed a faster biodegradation and vascularization, indicating that the adjustment of the fiber diameter is a valuable tool to fine-tune vascularization and biodegradation.


Asunto(s)
Arterias/fisiología , Modelos Biológicos , Neovascularización Fisiológica/efectos de los fármacos , Proteínas Recombinantes/farmacología , Seda/farmacología , Arañas/química , Venas/fisiología , Actinas/metabolismo , Animales , Arterias/efectos de los fármacos , Masculino , Implantación de Prótesis , Ratas Endogámicas Lew , Ingeniería de Tejidos , Venas/efectos de los fármacos , Microtomografía por Rayos X
15.
World J Surg Oncol ; 16(1): 217, 2018 Nov 07.
Artículo en Inglés | MEDLINE | ID: mdl-30404625

RESUMEN

BACKGROUND: Reconstruction of cranial composite defects, including all layers of the scalp and the neurocranium, poses an interdisciplinary challenge. Especially after multiple previous operations and/or radiation therapy, sufficient reconstruction is often only possible using microsurgical free flap transplantation. The aim of this study was to analyze the therapy of interdisciplinary cases with composite defects including the scalp and neurocranium. METHODS: From 2009 to 2017, 23 patients with 18 free flaps and 10 pedicled/local flaps were analyzed. First choices for free flaps were muscle flaps followed by fasciocutaneous flaps. RESULTS: Except for four patients, a stable coverage could be reached in the first operation. Three of these patients received a local scalp rotation flap in the first operation and needed an additional free flap because the local flap was no longer sufficient for coverage after wound healing deficiency or tumor relapse. The superficial temporal artery or external carotid artery served as recipient vessels. In special cases, venous grafts or an arteriovenous loop (AV loop) were used as extensions for the recipient vessels. CONCLUSIONS: In summary, an interdisciplinary approach with radical debridement of infected or necrotic tissue and the reconstruction of the dura mater are essential to reach a stable, long-lasting reconstructive result. Based on our experience, free flaps seem to be the first choice for patients after multiple previous operations and/or radiation therapy.


Asunto(s)
Microcirugia/métodos , Neoplasias/cirugía , Procedimientos de Cirugía Plástica/métodos , Cuero Cabelludo/cirugía , Cráneo/cirugía , Colgajos Quirúrgicos/trasplante , Adulto , Anciano , Anciano de 80 o más Años , Arteria Carótida Externa/cirugía , Femenino , Humanos , Venas Yugulares/cirugía , Masculino , Persona de Mediana Edad , Grupo de Atención al Paciente , Estudios Retrospectivos , Cuero Cabelludo/irrigación sanguínea , Cráneo/irrigación sanguínea , Colgajos Quirúrgicos/irrigación sanguínea , Arterias Temporales/cirugía , Resultado del Tratamiento
16.
Tissue Eng Part A ; 24(17-18): 1320-1331, 2018 09.
Artículo en Inglés | MEDLINE | ID: mdl-29652607

RESUMEN

Vascularization of bioartificial tissues can be significantly enhanced by the generation of an arteriovenous (AV) loop. Besides the surgical vascularization, the choice of the scaffold and the applied cells are indispensable cofactors. The combination of alginate dialdehyde and gelatin (ADA-GEL) and mesenchymal stem cells (MSCs) is a promising approach with regard to biocompatibility, biodegradation, as well as de novo tissue formation. In this study, we targeted the investigation of the vascularization of ADA-GEL with and in the absence of encapsulated MSCs in the AV loop model. A Teflon chamber filled with ADA-GEL microcapsules was placed in the groin of Lewis rats and an AV loop was placed into the chamber. Group A encompassed the ADA-GEL without MSCs, whereas group B contained 2 × 106 DiI-labeled MSCs/mL ADA-GEL. Four weeks postoperatively, tissue formation and vascularization were investigated by histology and microcomputed tomography. We were able to prove vascularization originating from the AV loop in both groups with statistically significant more vessels in group B containing MSCs. Moreover, encapsulated MSCs promoted biodegradation of the ADA-GEL microcapsules. In the present study, we were able to demonstrate for the first time, the successful vascularization of ADA-GEL microcapsules by means of the AV loop. Furthermore, ADA-GEL displayed a good biocompatibility and encapsulation of MSCs into ADA-GEL microcapsule-enhanced vascularization as well as biodegradation.


Asunto(s)
Alginatos/química , Células Inmovilizadas/metabolismo , Células Inmovilizadas/trasplante , Células Madre Mesenquimatosas/metabolismo , Neovascularización Fisiológica , Andamios del Tejido/química , Animales , Masculino , Ratas , Ratas Endogámicas Lew
17.
Biomed Res Int ; 2017: 9616939, 2017.
Artículo en Inglés | MEDLINE | ID: mdl-28932749

RESUMEN

The engineering of vascular grafts is a growing field in regenerative medicine. Although numerous attempts have been made, the current vascular grafts made of polyurethane (PU), Dacron®, or Teflon® still display unsatisfying results. Electrospinning of biopolymers and native proteins has been in the focus of research to imitate the extracellular matrix (ECM) of vessels to produce a small caliber, off-the-shelf tissue engineered vascular graft (TEVG) as a substitute for poorly performing PU, Dacron, or Teflon prostheses. Blended poly-ε-caprolactone (PCL)/collagen grafts have shown promising results regarding biomechanical and cell supporting features. In order to find a suitable PCL/collagen blend, we fabricated plane electrospun PCL scaffolds using various collagen type I concentrations ranging from 5% to 75%. We analyzed biocompatibility and morphological aspects in vitro. Our results show beneficial features of collagen I integration regarding cell viability and functionality, but also adverse effects like the loss of a confluent monolayer at high concentrations of collagen. Furthermore, electrospun PCL scaffolds containing 25% collagen I seem to be ideal for engineering vascular grafts.


Asunto(s)
Bioprótesis , Prótesis Vascular , Colágeno Tipo I/química , Ensayo de Materiales , Nanofibras/química , Poliésteres/química , Ingeniería de Tejidos/métodos , Animales , Línea Celular , Ratones
18.
Cells Tissues Organs ; 204(5-6): 218-227, 2017.
Artículo en Inglés | MEDLINE | ID: mdl-28746930

RESUMEN

Integrating bioartificial tissues into the host vasculature is a prerequisite for tissue engineering applications. Endothelial progenitor cells (EPCs) display a high angiogenic potential and a low donor-site morbidity, making them ideal for tissue engineering applications. In our study we used a murine EPC cell line (T17b) and rat mesenchymal stem cells (MSCs) for cocultivation experiments. MSCs were cocultured with increasing T17b EPC amounts. Furthermore, MSCs in monoculture were treated with conditioned medium (CM) from T17b EPCs and T17b EPCs were treated with CM from MSCs. Proliferation and apoptosis were quantified with a bromodeoxyuridine ELISA and a DNA fragmentation ELISA, respectively. Osteogenic differentiation was detected with an alkaline phosphatase assay and bone morphogenetic protein-2 ELISA. The production of proangiogenic molecules was measured with a matrix metalloproteinase-3 and vascular endothelial growth factor ELISA as well as nitric oxide assay. We could show that T17b EPCs stimulated MSC proliferation but not vice versa. On the other hand, MSCs promoted the cell survival of EPCs. The growth-inducing and antiapoptotic effects were dependent on heterotypic cell contacts and paracrine mediators. Moreover, proangiogenic growth factors were found in the coculture. Collectively, our results indicate that the coapplication of MSCs and T17b EPCs provides new perspectives for tissue engineering applications.


Asunto(s)
Proliferación Celular , Técnicas de Cocultivo/métodos , Células Progenitoras Endoteliales/citología , Células Madre Mesenquimatosas/citología , Neovascularización Fisiológica , Animales , Apoptosis , Células Cultivadas , Masculino , Ratas Endogámicas Lew , Ingeniería de Tejidos/métodos
19.
J Cell Biochem ; 117(8): 1869-79, 2016 08.
Artículo en Inglés | MEDLINE | ID: mdl-26754918

RESUMEN

Vascularization is important for bone development, fracture healing and engineering of artificial bone tissue. In the context of bone tissue engineering, it was shown that coimplantation of human primary umbilical vein endothelial cells (HUVECs) and human osteoblasts (hOBs) results in the formation of functional blood vessels and enhanced bone regeneration. Implanted endothelial cells do not only contribute to blood vessel formation, but also support proliferation, cell survival and osteogenic differentiation of coimplanted hOBs. These effects are partially mediated by direct heterotypic cell contacts. In a previous report we could show that cocultivated hOBs strongly increase the expression of genes involved in extracellular matrix (ECM) formation in HUVECs, suggesting that ECM may be involved in the intercellular communication between hOBs and HUVECs. The present study aimed at investigating whether comparable changes occur in hOBs. We therefore performed a microarray analysis of hOBs cultivated in direct contact with HUVECs, revealing 1,004 differentially expressed genes. The differentially expressed genes could be assigned to the functional clusters ECM, proliferation, apoptosis and osteogenic differentiation. The microarray data could be confirmed by performing quantitative real time RT-PCR on selected genes. Furthermore, we could show that the ECM produced by HUVECs increased the expression of the osteogenic differentiation marker alkaline phosphatase (ALP) in hOBs. In summary, our data demonstrate that HUVECs provoke complex changes in gene expression patterns in cocultivated hOBs and that ECM plays and important role in this interaction. J. Cell. Biochem. 117: 1869-1879, 2016. © 2016 Wiley Periodicals, Inc.


Asunto(s)
Apoptosis , Comunicación Celular , Diferenciación Celular , Matriz Extracelular/metabolismo , Células Endoteliales de la Vena Umbilical Humana/metabolismo , Osteoblastos/metabolismo , Técnicas de Cocultivo , Regulación de la Expresión Génica , Células Endoteliales de la Vena Umbilical Humana/citología , Humanos , Osteoblastos/citología
20.
Environ Technol ; 37(12): 1559-67, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-26582543

RESUMEN

Sinter plant off-gas is usually de-dusted by electrostatic precipitators. Compliance with the dust emission limits is often difficult because of the high specific resistivity of the emitted dust. Mechanical properties of the dust are also relevant for the electrostatic precipitator design. Dust samples from the four consecutive electrostatic precipitator fields were characterized in this study. Most measured parameters showed a considerable variation in the various dust samples. The particle size of the dust as well as its bulk density continuously decreased from the first field to the fourth field. The flowability of the dusts was generally bad and decreased from the first to the last field. In contrast, the wall friction angles with structural steel were quite constant at approximately 30°. The Fe content was lower in the dust from the last two fields while the concentration of K, Na, Cl(-) and [Formula: see text] was significantly higher. At the same time the particle density was lower. The maximum specific dust resistivity for the first field and second field dust was approximately 3 × 10(11) Ω cm and no signs for the occurrence of back corona were detected. For the dusts from the last two fields the maximum value was approximately 2 × 10(12) Ω cm. Back corona was observed in the temperature range from 120°C to 210°C. In this area the dust resistivity values were higher than 4 × 10(11) Ω cm.


Asunto(s)
Contaminantes Atmosféricos/análisis , Contaminantes Atmosféricos/química , Polvo/análisis , Monitoreo del Ambiente/métodos , Monitoreo del Ambiente/instrumentación , Diseño de Equipo , Calor , Metalurgia , Electricidad Estática
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