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Title: |
Bioengineered Trachea With Fibroblasts in a Rabbit Model |
| Authors: |
Wataru Okano, MD; Yukio Nomoto, MD; Ikuo Wada, MD; Ken Kobayashi, PhD;
Masao Miyake, PhD; Tatsuo Nakamura, MD; Koichi Omori, MD |
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Objectives: Although our group has had mostly successful results with clinical application of a tracheal prosthesis,
delayed epithelial regeneration remains a problem. In our previous studies using rats, it was demonstrated that tracheal
fibroblasts accelerated proliferation and differentiation of the tracheal epithelium in vitro and in vivo. The purpose of this
study was to evaluate the effects of fibroblasts on epithelial regeneration in larger tracheal defects in rabbits.
Methods: We developed a bioengineered scaffold, the luminal surface of which was coated with fibroblasts. This scaffold
was implanted into tracheal defects in 12 rabbits (bioengineered group), and scaffolds without fibroblasts were
implanted in 12 rabbits (control group). The regenerated epithelium was histologically examined by light microscopy,
scanning electron microscopy, and immunohistochemical studies.
Results: In the bioengineered group, a stratified squamous epithelium was observed on the surface 7 days after transplantation.
However, in the control group, the scaffolds were exposed. Fourteen days after implantation, a columnar
ciliated epithelium was observed in the bioengineered group. The average thickness of the regenerated epithelium in the
bioengineered group was significantly greater than that in the control group.
Conclusions: This study indicated that fibroblasts had a stimulatory effect that hastened regeneration of the epithelium
in large tracheal defects. (Ann Otol Rhinol Laryngol 2009;118:796-804.) |
| Keywords: |
fibroblast, regeneration, trachea |
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