Nitrate-Functionalized poly(ε-Caprolactone) Small-Diameter Vascular Grafts Enhance Vascular Regeneration via Sustained Release of Nitric Oxide.

Nitrate-Functionalized poly(ε-Caprolactone) Small-Diameter Vascular Grafts Enhance Vascular Regeneration via Sustained Release of Nitric Oxide.
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硝酸盐功能化聚(ε-己内酯)小直径血管移植物通过持续释放一氧化氮增强血管再生

DOI:
10.3389/fbioe.2021.770121
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发表时间:
2021
影响因子:
5.7
通讯作者:
Zhao Q
Zhao Q
中科院分区:
工程技术2区
文献类型:
--
作者:
Yang S;Zheng X;Qian M;Wang H;Wang F;Wei Y;Midgley AC;He J;Tian H;Zhao Q

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人工小直径血管移植物(SDVG)由合成的可生物降解聚合物,如聚(ε-己内酯)(PCL)制成,具有良好的力学性能,但经常面临影响其长期移植成功的问题。一氧化氮(NO)是一种重要的生理气体递质,在协调血管组织功能和再生中起着多种作用。本研究采用静电纺丝法制备了硝酸盐功能化聚(ε-己内酯)血管移植物,该血管移植物能在体内通过分步生物转化持续释放一氧化氮。硝酸化SDVG (PCL/NO)维持大鼠腹动脉置换术后的通畅。PCL/NO促进移植后3个月细胞浸润。相比之下,未经修饰的PCL SDVG显示细胞生长缓慢,新内膜形成的发生率增加。与未修饰的PCL SDVG相比,PCL/NO表现出更好的内皮细胞(EC)排列和管腔覆盖,更明确的血管平滑肌细胞(VSMC)层。此外,NO的释放刺激Sca-1+血管祖细胞(VPCs)分化并促进快速腔内内皮化。此外,PCL/NO抑制VPCs向骨桥蛋白阳性细胞的分化,从而防止血管钙化。总体而言,PCL/NO可促进细胞向内生长、EC单层形成和VSMC层再生;同时抑制钙化斑块的形成。我们的研究结果表明,PCL/NO可以作为改善和长期成功的SDVG植入物的有希望的候选者。
Artificial small-diameter vascular grafts (SDVG) fabricated from synthetic biodegradable polymers, such as poly(ε-caprolactone) (PCL), exhibit beneficial mechanical properties but are often faced with issues impacting their long-term graft success. Nitric oxide (NO) is an important physiological gasotransmitter with multiple roles in orchestrating vascular tissue function and regeneration. We fabricated a functional vascular graft by electrospinning of nitrate-functionalized poly(ε-caprolactone) that could release NO in a sustained manner via stepwise biotransformation in vivo. Nitrate-functionalized SDVG (PCL/NO) maintained patency following abdominal arterial replacement in rats. PCL/NO promoted cell infiltration at 3-months post-transplantation. In contrast, unmodified PCL SDVG showed slow cell in-growth and increased incidence of neointima formation. PCL/NO demonstrated improved endothelial cell (EC) alignment and luminal coverage, and more defined vascular smooth muscle cell (VSMC) layer, compared to unmodified PCL SDVG. In addition, release of NO stimulated Sca-1+ vascular progenitor cells (VPCs) to differentiate and contribute to rapid luminal endothelialization. Furthermore, PCL/NO inhibited the differentiation of VPCs into osteopontin-positive cells, thereby preventing vascular calcification. Overall, PCL/NO demonstrated enhanced cell ingrowth, EC monolayer formation and VSMC layer regeneration; whilst inhibiting calcified plaque formation. Our results suggested that PCL/NO could serve as promising candidates for improved and long-term success of SDVG implants.
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