A biomechanical assessment of tissue-engineered polymer neo-uteri after orthotopic implantation

Rachel C. Nordberg Ph.D. , Renata S. Magalhaes M.D., Ph.D. , Irene Cervelló Ph.D. , J.Koudy Williams D.V.M. , Anthony Atala M.D. , Elizabeth G. Loboa Ph.D.
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Abstract

Objective

To assess the in vivo biomechanical maturation of tissue-engineered neo-uteri that have previously supported live births in a rabbit model.

Design

Nonclinical animal study.

Setting

University-based research laboratory.

Animals

Eighteen adult female rabbits.

Intervention

Biodegradable poly-DL-lactide-co-glycolide-coated polyglycolic acid scaffolds seeded with autologous uterine-derived endometrial and myometrial cells. Nonseeded scaffolds and seeded, tissue-engineered neo-uteri were implanted into one uterine horn of rabbits for 1, 3, or 6 months, excised, and biomechanically assessed in comparison to native uterine tissue.

Main Outcome Measures

Tensile stress-relaxation testing, strain-to-failure testing, and viscoelastic modeling.

Results

By evaluating the biomechanical data with several viscoelastic models, it was revealed that tissue-engineered uteri were more mechanically robust than nonseeded scaffolds. For example, the 10% instantaneous stress of the tissue-engineered neo-uteri was 2.1 times higher than the nonseeded scaffolds at the 1-month time point, 1.6 times higher at the 3-month time point, and 1.5 times higher at the 6-month time point. Additionally, as the duration of implantation increased, the engineered constructs became more mechanically robust (e.g., 10% instantaneous stress of the tissue-engineered neo-uteri increased from 22 kPa at 1 month to 42 kPa at 6 months). Compared with native tissue values, tissue-engineered neo-uteri achieved or surpassed native tissue values by the 6-month time point.

Conclusion

The present study evaluated the mechanical characteristics of novel tissue-engineered neo-uteri that have previously been reported to support live births in the rabbit model. We demonstrate that the biomechanics of these implants closely resemble those of native tissue, giving further credence to their development as a clinical solution to uterine factor infertility.

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组织工程聚合物新特异酵母在异位植入后的生物力学评估。
目的评估曾在兔子模型中支持活产的组织工程新uteri的体内生物力学成熟度:设计:非临床动物研究:研究对象:18 只成年雌性兔子:18只成年雌性兔子:干预措施:可生物降解的聚-DL-乳酸-聚乙二醇涂层聚乙醇酸支架,播种自体子宫内膜和子宫肌细胞。将未播种的支架和播种的组织工程新子宫植入家兔的一个子宫角 1、3 或 6 个月,然后切除,并与原生子宫组织进行生物力学评估:拉伸应力-松弛测试、应变-破坏测试、粘弹性建模:结果:通过使用几种粘弹性模型评估生物力学数据,发现组织工程子宫比非播种支架更具机械稳健性。例如,组织工程新子宫的 10% 瞬时应力在 1 个月时是非播种支架的 2.1 倍,在 3 个月时是 1.6 倍,在 6 个月时是 1.5 倍。此外,随着植入时间的延长,工程构建物的机械稳健性也有所提高(例如,组织工程新特异性的 10%瞬时应力从 1 个月时的 22 千帕增加到 6 个月时的 42 千帕)。与原生组织值相比,组织工程新uteri在6个月时达到或超过了原生组织值:本研究评估了新型组织工程新uteri的机械特性。我们证明了这些植入物的生物力学特性与原生组织非常相似,从而进一步证实了它们可作为子宫因素不孕症的临床解决方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
F&S science
F&S science Endocrinology, Diabetes and Metabolism, Obstetrics, Gynecology and Women's Health, Urology
CiteScore
2.00
自引率
0.00%
发文量
0
审稿时长
51 days
期刊最新文献
Refining endometrial assembloids: a novel approach to 3-dimensional culture of the endometrium. Transcriptomic profiling of the oocyte-cumulus-granulosa cell complex from estrogen receptor β knockout mice. Oligoasthenospermia is correlated with increased preeclampsia incidence in subfertile couples undergoing in vitro fertilization and embryo transfer: a secondary analysis of a randomized clinical trial. A seed or soil problem in early endometriosis: stromal cell origin drives cellular invasion and coupling over mesothelial cell origin. Embryonic aneuploidy - the true "last barrier in assisted reproductive technology"?
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