Username:
Password:
 
Tuesday, September 7th, 2010

 
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
  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
 
  Acrobat Reader 8.0 is recommeded to properly view and print the article.
Reader can be downloaded here: