Abstract
Decellularized equine carotid arteries (dEAC) are suggested to represent an alternative for alloplastic vascular grafts in haemodialysis patients to achieve vascular access. Recently it was shown that intensified detergent treatment completely removed cellular components from dEAC and thereby significantly reduced matrix immunogenicity. However, detergents may also affect matrix composition and stability and render scaffolds cytotoxic. Therefore, intensively decellularized carotids (int-dEAC) were now evaluated for their biomechanical characteristics (suture retention strength, burst pressure and circumferential compliance at arterial and venous systolic and diastolic pressure), matrix components (collagen and glycosaminoglycan content) and indirect and direct cytotoxicity (WST-8 assay and endothelial cell seeding) and compared with native (n-EAC) and conventionally decellularized carotids (con-dEAC). Both decellularization protocols comparably reduced matrix compliance (venous pressure compliance: 32.2 and 27.4% of n-EAC; p < 0.01 and arterial pressure compliance: 26.8 and 23.7% of n-EAC, p < 0.01) but had no effect on suture retention strength and burst pressure. Matrix characterization revealed unchanged collagen contents but a 39.0% (con-dEAC) and 26.4% (int-dEAC, p < 0.01) reduction of glycosaminoglycans, respectively. Cytotoxicity was not observed in either dEAC matrix which was also displayed by an intact endothelial lining after seeding. Thus, even intensified decellularization generates matrix scaffolds highly suitable for vascular tissue engineering purposes, e.g., the generation of haemodialysis shunts.
Similar content being viewed by others
References
Albers, F. J. Causes of hemodialysis access failure. Adv. Ren. Replace. Ther. 1:107–118, 1994.
Badylak, S. F. Decellularized allogeneic and xenogeneic tissue as a bioscaffold for regenerative medicine: factors that influence the host response. Ann. Biomed. Eng. 42:1517–1527, 2014.
Ballyk, P. D., C. Walsh, J. Butany, and M. Ojha. Compliance mismatch may promote graft-artery intimal hyperplasia by altering suture-line stresses. J. Biomech. 31:229–237, 1998.
Barra, J. G., R. L. Armentano, J. Levenson, E. I. Fischer, R. H. Pichel, and A. Simon. Assessment of smooth muscle contribution to descending thoracic aortic elastic mechanics in conscious dogs. Circ. Res. 73:1040–1050, 1993.
Boeer, U., F. F. Buettner, M. Klingenberg, G. C. Antonopoulos, H. Meyer, A. Haverich, and M. Wilhelmi. Immunogenicity of intensively decellularized equine carotid arteries is conferred by the extracellular matrix protein collagen type VI. PLoS One 9:e105964, 2014.
Boer, U., A. Lohrenz, M. Klingenberg, A. Pich, A. Haverich, and M. Wilhelmi. The effect of detergent-based decellularization procedures on cellular proteins and immunogenicity in equine carotid artery grafts. Biomaterials 32:9730–9737, 2011.
Boer, U., C. Spengler, D. Jonigk, M. Klingenberg, C. Schrimpf, S. Lutzner, M. Harder, H. H. Kreipe, A. Haverich, and M. Wilhelmi. Coating decellularized equine carotid arteries with CCN1 improves cellular repopulation, local biocompatibility, and immune response in sheep. Tissue Eng. A 19:1829–1842, 2013.
Boer, U., C. Spengler, M. Klingenberg, D. Jonigk, M. Harder, H. H. Kreipe, A. Haverich, and M. Wilhelmi. Cytotoxic effects of polyhexanide on cellular repopulation and calcification of decellularized equine carotids in vitro and in vivo. Int. J. Artif. Organs 36:184–194, 2013.
Cebotari, S., I. Tudorache, T. Jaekel, A. Hilfiker, S. Dorfman, W. Ternes, A. Haverich, and A. Lichtenberg. Detergent decellularization of heart valves for tissue engineering: toxicological effects of residual detergents on human endothelial cells. Artif. Organs 34:206–210, 2010.
Cigliano, A., A. Gandaglia, A. J. Lepedda, E. Zinellu, F. Naso, A. Gastaldello, P. Aguiari, P. De Muro, G. Gerosa, M. Spina, and M. Formato. Fine structure of glycosaminoglycans from fresh and decellularized porcine cardiac valves and pericardium. Biochem. Res. Int. 2012:979351, 2012.
Conklin, B. S., E. R. Richter, K. L. Kreutziger, D. S. Zhong, and C. Chen. Development and evaluation of a novel decellularized vascular xenograft. Med. Eng. Phys. 24:173–183, 2002.
Crapo, P. M., T. W. Gilbert, and S. F. Badylak. An overview of tissue and whole organ decellularization processes. Biomaterials 32:3233–3243, 2011.
Dahl, S. L., J. Koh, V. Prabhakar, and L. E. Niklason. Decellularized native and engineered arterial scaffolds for transplantation. Cell Transplant. 12:659–666, 2003.
Diamantouros, S. E., L. G. Hurtado-Aguilar, T. Schmitz-Rode, P. Mela, and S. Jockenhoevel. Pulsatile perfusion bioreactor system for durability testing and compliance estimation of tissue engineered vascular grafts. Ann. Biomed. Eng. 41:1979–1989, 2013.
Edwards, C. A., and W. D. O’Brien, Jr. Modified assay for determination of hydroxyproline in a tissue hydrolyzate. Clin. Chim. Acta 104:161–167, 1980.
Faulk, D. M., C. A. Carruthers, H. J. Warner, C. R. Kramer, J. E. Reing, L. Zhang, A. D’Amore, and S. F. Badylak. The effect of detergents on the basement membrane complex of a biologic scaffold material. Acta Biomater. 10(1):183–193, 2013.
Gilbert, T. W., T. L. Sellaro, and S. F. Badylak. Decellularization of tissues and organs. Biomaterials 27:3675–3683, 2006.
Green, E. M., J. C. Mansfield, J. S. Bell, and C. P. Winlove. The structure and micromechanics of elastic tissue. Interface Focus 4:20130058, 2014.
Heine, J., A. Schmiedl, S. Cebotari, M. Karck, H. Mertsching, A. Haverich, and K. Kallenbach. Tissue engineering human small-caliber autologous vessels using a xenogenous decellularized connective tissue matrix approach: preclinical comparative biomechanical studies. Artif. Organs 35:930–940, 2011.
Huang, A. H., and L. E. Niklason. Engineering of arteries in vitro. Cell. Mol. Life Sci. 71:2103–2118, 2014.
Kapadia, M. R., D. A. Popowich, and M. R. Kibbe. Modified prosthetic vascular conduits. Circulation 117:1873–1882, 2008.
Kasimir, M. T., G. Weigel, J. Sharma, E. Rieder, G. Seebacher, E. Wolner, and P. Simon. The decellularized porcine heart valve matrix in tissue engineering: platelet adhesion and activation. Thromb. Haemost. 94:562–567, 2005.
Kennealey, P. T., N. Elias, M. Hertl, D. S. Ko, R. F. Saidi, J. F. Markmann, E. E. Smoot, D. A. Schoenfeld, and T. Kawai. A prospective, randomized comparison of bovine carotid artery and expanded polytetrafluoroethylene for permanent hemodialysis vascular access. J. Vasc. Surg. 53:1640–1648, 2011.
Keynton, R. S., M. M. Evancho, R. L. Sims, N. V. Rodway, A. Gobin, and S. E. Rittgers. Intimal hyperplasia and wall shear in arterial bypass graft distal anastomoses: an in vivo model study. J. Biomech. Eng. 123:464–473, 2001.
Koenneker, S., O. E. Teebken, M. Bonehie, M. Pflaum, S. Jockenhoevel, A. Haverich, and M. H. Wilhelmi. A biological alternative to alloplastic grafts in dialysis therapy: evaluation of an autologised bioartificial haemodialysis shunt vessel in a sheep model. Eur. J. Vasc. Endovasc. Surg. 40:810–816, 2010.
Lichtenberg, A., S. Cebotari, I. Tudorache, G. Sturz, M. Winterhalter, A. Hilfiker, and A. Haverich. Flow-dependent re-endothelialization of tissue-engineered heart valves. J. Heart Valve Dis. 15:287–293, 2006; (discussion 293-284).
Marlatt, K. L., A. S. Kelly, J. Steinberger, and D. R. Dengel. The influence of gender on carotid artery compliance and distensibility in children and adults. J. Clin. Ultrasound 41:340–346, 2013.
Mulisch, M., and U. Welsch (eds.). Romeis – Mikroskopische Technik. Heidelberg: Spektrum Akademischer Verlag Heidelberg, 2010.
Murase, Y., Y. Narita, H. Kagami, K. Miyamoto, Y. Ueda, M. Ueda, and T. Murohara. Evaluation of compliance and stiffness of decellularized tissues as scaffolds for tissue-engineered small caliber vascular grafts using intravascular ultrasound. ASAIO J. 52:450–455, 2006.
Pellegata, A. F., M. A. Asnaghi, I. Stefani, A. Maestroni, S. Maestroni, T. Dominioni, S. Zonta, G. Zerbini, and S. Mantero. Detergent-enzymatic decellularization of swine blood vessels: insight on mechanical properties for vascular tissue engineering. Biomed. Res. Int. 2013:918753, 2013.
Perez, D. R., F. F. Damberger, and K. Wuthrich. Horse prion protein NMR structure and comparisons with related variants of the mouse prion protein. J. Mol. Biol. 400:121–128, 2010.
Qing, L. L., H. Zhao, and L. L. Liu. Progress on low susceptibility mechanisms of transmissible spongiform encephalopathies. Dongwuxue Yanjiu 35:436–445, 2014.
Roy-Chaudhury, P., M. El-Khatib, B. Campos-Naciff, D. Wadehra, K. Ramani, M. Leesar, M. Mistry, Y. Wang, J. S. Chan, T. Lee, and R. Munda. Back to the future: how biology and technology could change the role of PTFE grafts in vascular access management. Semin. Dial. 25:495–504, 2012.
Roy, S., P. Silacci, and N. Stergiopulos. Biomechanical properties of decellularized porcine common carotid arteries. Am. J. Physiol. Heart Circ. Physiol. 289:H1567–H1576, 2005.
Santoro, D., F. Benedetto, P. Mondello, N. Pipito, D. Barilla, F. Spinelli, C. A. Ricciardi, V. Cernaro, and M. Buemi. Vascular access for hemodialysis: current perspectives. Int. J. Nephrol. Renovasc. Dis. 7:281–294, 2014.
Schmidt, C. E., and J. M. Baier. Acellular vascular tissues: natural biomaterials for tissue repair and tissue engineering. Biomaterials 21:2215–2231, 2000.
Shoemaker, P. A., D. Schneider, M. C. Lee, and Y. C. Fung. A constitutive model for two-dimensional soft tissues and its application to experimental data. J. Biomech. 19:695–702, 1986.
Silver, F. H., I. Horvath, and D. J. Foran. Viscoelasticity of the vessel wall: the role of collagen and elastic fibers. Crit. Rev. Biomed. Eng. 29:279–301, 2001.
Sonoda, H., S. Urayama, K. Takamizawa, Y. Nakayama, C. Uyama, H. Yasui, and T. Matsuda. Compliant design of artificial graft: compliance determination by new digital X-ray imaging system-based method. J. Biomed. Mater. Res. 60:191–195, 2002.
Tillman, B. W., S. K. Yazdani, L. P. Neff, M. A. Corriere, G. J. Christ, S. Soker, A. Atala, R. L. Geary, and J. J. Yoo. Bioengineered vascular access maintains structural integrity in response to arteriovenous flow and repeated needle puncture. J. Vasc. Surg. 56:783–793, 2012.
Tschoeke, B., T. C. Flanagan, S. Koch, M. S. Harwoko, T. Deichmann, V. Ella, J. S. Sachweh, M. Kellomaki, T. Gries, T. Schmitz-Rode, and S. Jockenhoevel. Tissue-engineered small-caliber vascular graft based on a novel biodegradable composite fibrin-polylactide scaffold. Tissue Eng. A 15:1909–1918, 2009.
Verbeke, F. H., M. Agharazii, P. Boutouyrie, B. Pannier, A. P. Guerin, and G. M. London. Local shear stress and brachial artery functions in end-stage renal disease. J. Am. Soc. Nephrol. 18:621–628, 2007.
Wang, X. N., C. Z. Chen, M. Yang, and Y. J. Gu. Implantation of decellularized small-caliber vascular xenografts with and without surface heparin treatment. Artif. Organs 31:99–104, 2007.
Weston, M. W., K. Rhee, and J. M. Tarbell. Compliance and diameter mismatch affect the wall shear rate distribution near an end-to-end anastomosis. J. Biomech. 29:187–198, 1996.
Wilhelmi, M. H., and A. Haverich. Materials used for hemodialysis vascular access: current strategies and a call to action. Graft 6:6–15, 2003.
Williams, C., J. Liao, E. M. Joyce, B. Wang, J. B. Leach, M. S. Sacks, and J. Y. Wong. Altered structural and mechanical properties in decellularized rabbit carotid arteries. Acta Biomater. 5:993–1005, 2009.
Wilshaw, S. P., J. Kearney, J. Fisher, and E. Ingham. Biocompatibility and potential of acellular human amniotic membrane to support the attachment and proliferation of allogeneic cells. Tissue Eng. A 14:463–472, 2008.
Zhao, Y., S. Zhang, J. Zhou, J. Wang, M. Zhen, Y. Liu, J. Chen, and Z. Qi. The development of a tissue-engineered artery using decellularized scaffold and autologous ovine mesenchymal stem cells. Biomaterials 31:296–307, 2010.
Zhou, J., O. Fritze, M. Schleicher, H. P. Wendel, K. Schenke-Layland, C. Harasztosi, S. Hu, and U. A. Stock. Impact of heart valve decellularization on 3-D ultrastructure, immunogenicity and thrombogenicity. Biomaterials 31:2549–2554, 2010.
Zou, Y., and Y. Zhang. Mechanical evaluation of decellularized porcine thoracic aorta. J. Surg. Res. 175:359–368, 2012.
Acknowledgments
(a) There were no contributions that do not justify authorship (b) We thank S. Reuss and M. Harder for the conductance of the Picogreen assay and R. Abedian for his help with the sGAG determination. (c) The work was funded by the “Else Kroener-Fresenius foundation”, Germany. (d) No conflict of interest exists.
Author information
Authors and Affiliations
Corresponding author
Additional information
Associate Editor Peter E. McHugh oversaw the review of this article.
Electronic supplementary material
Below is the link to the electronic supplementary material.
10439_2015_1328_MOESM1_ESM.tif
Supplemental figure S1: Custom-made burst chamber device comprised of an aluminum chamber with a central hole through which the pressure is applied on the sample and with a side entrance for the monitoring of the pressure. Supplementary material 1 (TIFF 737 kb)
10439_2015_1328_MOESM2_ESM.tif
Supplemental figure S2: Mechanical tester for suture retention strength (SRT) test with fixed decellularized equine carotid artery under low tension (A) or near rupture (B). Supplementary material 2 (TIFF 1071 kb)
10439_2015_1328_MOESM3_ESM.tif
Supplemental figure S3: Custom-made device for circumferential compliance determination. A: Compliance chamber with fixed decellularized equine carotid artery. B: Pressure unit for the generation of pulses with a small piston driven by a linear motor. Supplementary material 3 (TIFF 900 kb)
Rights and permissions
About this article
Cite this article
Böer, U., Hurtado-Aguilar, L.G., Klingenberg, M. et al. Effect of Intensified Decellularization of Equine Carotid Arteries on Scaffold Biomechanics and Cytotoxicity. Ann Biomed Eng 43, 2630–2641 (2015). https://doi.org/10.1007/s10439-015-1328-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10439-015-1328-1