Comparative study of three vascular grafts produced by electrospinning in vitro and in vivo
Published 2016-01-11
Keywords
- vascular graft,
- electrospinning,
- polycaprolactone,
- polylactic-co glycolic acid,
- semipermeable inner layer
- neointima,
- immunohistochemistry,
- biocompatibility,
- implantation ...More
How to Cite
Copyright (c) 2016 Popova I.V., Stepanova A.O., Sergeevichev D.S., Akulov A.E., Zakharova I.S., Pokushalov E.A., Laktionov P.P., Karpenko A.A.

This work is licensed under a Creative Commons Attribution 4.0 International License.
Abstract
Objective. The study focused on the production and evaluation of small-diameter vascular grafts (less than 6 mm) by using an electrospinning approach.
Methods. The protocols of vascular grafts (VG) to be produced from the solutions of synthetic polymers and their blends with gelatin including those with a semipermeable inner layer were developed. The comparative study of the grafts in vitro and in vivo was carried out. The resistance of VG to displacement, suture retention, layers snagging and compatibility with native artery walls were studied. Also assessed was the time of hemostasis when implanting the grafts consisting of various mixes of polymers, as well as their biocompatibility at different stages of observation.
Results. VG produced by electrospinning and containing a semipermeable inner layer possess satisfactory mechanical properties, such as suture retention, resistance to displacement, stability during long term pulsatile stress, do not snag during implantation and form a tight contact with native artery walls. A histological study demonstrates active remodeling of VG including the growth of inner structure typical of a vessel, medium collagen/elastin layer with smooth muscle cells and synthetic fibers and an outer connective tissue capsule without any signature of inflammation. An immunohistochemical study demonstrates more efficient accumulation of smooth muscle cells in VG produced from polycaprolactone (PCL) as compared to other VG tested. VG produced from the PCL-gelatin blend and containing an inner semipermeable layer, as well as similar VG containing polylactic-co-glycolic acid (PLGA) in the inner semipermeable layer tended to produce an endothelial inner layer faster as compared to VG from PCL. However, VG with PLGA acid had a tendency to loose endothelial cells, possibly due to PLGA degradation. VG produced from PCL-gelatin blend and containing the inner semipermeable layer demonstrate limited accumulation of smooth muscle cells and progressive settlement with endothelial cells.
Conclusion. A comparative study of different VG produced by electrospinning enables to select variants of polymeric composition and structure of the implant that provide the best bio- and hemocompatibility. VG produced by electrospinning from PCL-gelatin blend and supplied with a semipermeable layer can be recommended for subsequent clinical approbation.
References
- Danaei G., Ding E.L., Mozaffarian D., Taylor B., Rehm J., Murray C.J., Ezzati M. The preventable causes of death in the United States: comparative risk assessment of dietary, lifestyle, and metabolic risk factors // PLoS Med. 2009. Vol. 6. № 4. P. e1000058.
- Покровский А.В., Гонтаренко В.Н. Состояние сосудистой хирургии в России в 2012 году. М.: Российское общество ангиологов и сосудистых хирургов, 2013. 95 с.
- Чернявский А.М., Едемский А.Г., Чернявский М.А., Виноградова Т.Е. Гибридные технологии при хирургическом лечении сочетанного атеросклеротического поражения коронарных и сонных артерий // Патология кровообращения и кардиохирургия. 2013. № 1. С. 45–50.
- Veith F.J., Moss C.M., Sprayregen S., Montefusco C. Preoperative saphenous venography in arterial reconstructive surgery of the lower extremity // Surgery. 1979. Vol. 85. № 3. P. 253–256.
- Klinkert P., Post P.N., Breslau P.J., van Bockel J.H. Saphenous vein versus PTFE for above-knee femoropopliteal bypass: a review of the literature // Eur. J. Vasc. Endovasc. Surg. 2004. Vol. 27. P. 357–362.
- Rossi G., Munteanu F.D., Padula G., Carillo F.J., Lord J.W. Nonanastomotic aneurysms in venous homologous grafts and bovine heterografts in femoropopliteal bypasses // Am. J. Surg. 1976. Vol. 132. P. 358–362.
- Rychlik I.J. Davey P., Murphy J., O'Donnell M.E. A meta-analysis to compare Dacron versus polytetrafluroethylene grafts for abov knee femoropopliteal arterybypass // J. Vasc. Surg. 2014. Vol. 60. № 2. P. 506–515.
- Anderson J.M. Inflammatory response to implants. ASAIO Trans. 1988. Vol. 34. P. 101–7.
- Mugnai D., Tille J.C., Mrówczyński W., de Valence S., Montet X., Möller M., Walpoth B.H. Experimental noninferiority trial of synthetic small-caliber biodegradable versus stable vascular grafts. // Journal of Thoracic and Cardiovascular Surgery. 2013. Vol. 146. P. 400–407.
- de Valence S., Tille J.-C., Mugnai D., Mrowczynski W., Gurny R., Möller M., Walpoth B.H. Long term performance of polycaprolactone vascular grafts in a rat abdominal aorta replacement model Original Research // Article Biomaterials. 2012. Vol. 33. P. 38–47.
- Hashi C.K., Derugin N., Janairo R.R., Lee R., Schultz D., Lotz J., Li S. Antithrombogenic Modification of Small-Diameter Microfibrous Vascular Grafts // Arteriosclerosis, Thrombosis, and Vascular Biology. 2010. Vol. 30. P. 1621–1627.
- Luong-Van E., Grшndahl L., Chua K.N., Leong K.W., Nurcombe V., Cool S.M. Controlled release of heparin from poly(e-caprolactone) electrospun fibers // Biomaterials. 2006. Vol. 27. P. 2042–50.
- Попова И.В., Степанова А.О., Плотникова Т.А., Сергеевичев Д.С., Акулов А.Е., Покушалов А.А., Лактионов П.П., Карпенко А.А. Изучение проходимости сосудистого протеза, изготовленного методом электроспиннинга // Ангиология и сосудистая хирургия. 2015. № 2. С. 136–142.
- Zhang Y., Huang Z.M., Xu X., Lim C.T., Ramakrishna S. Preparation of core-shell structured PCL-r-gelatin bi-component nanofibers by coaxial electrospinning // Chemistry of Materials. 2004. Vol. 16. № 18. P. 3406–3409.
- Hasan A., Memic A., Annabi N., Hossaind M., Paula A., Dokmecia M.R., Dehghanie F., Khademhosseini A. Electrospun scaffolds for tissue engineering of vascular grafts // Acta Biomaterialia. 2014. Vol. 10. P. 11–25.
- Uttayarat P., Perets A., Li M., Pimton P., Stachelek S.J., Alferiev I., Composto R.J., Levy R.J., Lelkes P.I. Micropatterning of three-dimensional electrospun polyurethane vascular grafts // Acta Biomaterialia. 2010. Vol. 6. P. 4229–4237.
- Han F., Jia X., Dai D., Yang X., Zhao J., Zhao Y., Fan Y., Yuan X. Performance of a multilayered small-diameter vascular scaffold dual-loaded with VEGF and PDGF // Biomaterials. 2013. Vol. 34. P. 7302–13.