Sung In Jeonga, Jae Hyun Kwonb, Jin Ik Limb, c, Seung-Woo Choa, d, Youngmee Jungb, Won Jun Sungb, Soo Hyun Kimb,*, Young Ha Kimb, Young Moo Leea, Byung-Soo Kima, Cha Yong Choid, Soo-Ja Kimc
a School of Chemical Engineering, Hanyang University, Seoul 133-791, Republic of Korea
b Biomaterials Research Center, Korea Institute of Science and Technology, P.O. Box 131, Cheongryang, Seoul 130-650, Republic of Korea
c Department of Chemistry, Kyunghee University, Seoul 130-701, Republic of Korea
d School of Chemical Engineering, Seoul National University, Seoul 151-742, Republic of Korea
*Corresponding author
Abstract
Blood vessels are subjected in vivo to mechanical forces in a form of radial distention, encompassing cyclic mechanical strain due to the pulsatile nature of blood flow. Vascular smooth muscle (VSM) tissues engineered in vitro with a conventional tissue engineering technique may not be functional, because vascular smooth muscle cells (VSMCs) cultured in vitro typically revert from a contractile phenotype to a synthetic phenotype. In this study, we hypothesized that pulsatile strain and shear stress stimulate VSM tissue development and induce VSMCs to retain the differentiated phenotype in VSM engineering in vitro. To test the hypothesis, rabbit aortic smooth muscle cells (SMCs) were seeded onto rubber-like elastic, three-dimensional PLCL [poly(lactide-co-caprolactone), 50:50] scaffolds and subjected to pulsatile strain and shear stress by culturing them in pulsatile perfusion bioreactors for up to 8 weeks. As control experiments, VSMCs were cultured on PLCL scaffolds statically. The pulsatile strain and shear stress enhanced the VSMCs proliferation and collagen production. In addition, a significant cell alignment in a direction radial to the distending direction was observed in VSM tissues exposed to radial distention, which is similar to that of native VSM tissues in vivo, whereas VSMs in VSM tissues engineered in the static condition randomly aligned. Importantly, the expression of SM α-actin, a differentiated phenotype of SMCs, was upregulated by 2.5-fold in VSM tissues engineered under the mechano-active condition, compared to VSM tissues engineered in the static condition. This study demonstrates that tissue engineering of VSM tissues in vitro by using pulsatile perfusion bioreactors and elastic PLCL scaffolds leads to the enhancement of tissue development and the retention of differentiated cell phenotype.
Keywords : Vascular tissue engineering; Pulsatile perfusion bioreactor; Elastic poly-(l-lactide-co-ε-caprolactone) scaffold; Smooth muscle cell