Enhanced vascular regeneration with chemically/physically treated bovine/human pericardium in rodents.
(2018) Journal of Surgical Research — Vol. 222, p. 167-179 (2018)
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- Glutaraldehyde-treated pericardia for cardiovascular applications have poor long-term clinical results. The efficacy of a combined physical/chemical treatment to improve pericardium biocompatibility and vascular regeneration was assessed and compared with detergent treatment and two commercial bovine pericardia: PeriGuard (DGBP) and Edwards pericardium (nDGBP). The physical and chemical process was applied to bovine and human pericardia (DBP-DHP), and the detergent process was applied to bovine (DDBP). Native (NBP) and treated bovine tissues were assessed for decellularization (HE/DAPI/DNA/α-Gal and MHC-1 staining) and mechanical integrity ex vivo. Twenty Wistar rats received subcutaneous patches of each bovine tissue to assess immunogenic response up to 4 months (flow cytometry). Ten additional rats received four subcutaneous bovine-treated patches (one/condition) to evaluate the inflammatory reaction (CD3/CD68 immunostaining), calcification (von Kossa staining/calcium quantification), and integration assessment (Hematoxylin and eosin staining). Finally, 15 rodents received a patch on the aorta (DBP n = 5, DHP n = 5, and DGBP n = 5), and vascular biocompatibility and arterial wall regeneration were assessed after 4 months (CD3/CD68/CD31/ASMA and Miller staining). DBP reached the higher level of decellularization, no immunogenic response whereas maintaining mechanical properties. DBP induced the lowest level grade of inflammation after 2 months (P < 0.05) concomitantly for better remodeling. No complications occurred with DBP and DHP where vascular regeneration was confirmed. Moreover, they induced a low level of CD3/CD68 infiltrations. This process significantly reduces immunogenicity and improves biocompatibility of bovine and human pericardia for better vascular regeneration.
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van Steenberghe, M., Schubert, T., Xhema, D., Bouzin, C., Guiot, Y., Duisit, J., Abdelhamid, K., & Gianello, P. (2018). Enhanced vascular regeneration with chemically/physically treated bovine/human pericardium in rodents. Journal of Surgical Research, 222, 167-179. https://doi.org/10.1016/j.jss.2017.09.043 (Original work published 2018)