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Adipose mesenchymal stem cell-based tissue engineering mesh with sustained bFGF release to enhance tissue repair.

Abstract
Pelvic organ prolapse (POP) harms the quality of life of elderly patients. Transvaginal polypropylene mesh repair for POP was a frequently reported complication and was banned by the FDA in 2019. New therapeutic strategies are urgently required, and tissue engineering technology could be a novel therapy. Here, we developed a tissue engineering mesh out of three components: silk fibroin (SF) knitted mesh loaded with basic fibroblast growth factor (bFGF) and adipose-derived stem cells (ADSCs). We used coaxial electrospinning technology to achieve local bFGF release to promote regeneration. Additionally, ADSCs were loaded to demonstrate their paracrine ability of immune regulation and angiogenesis. Meanwhile, knitted silk fibroin mesh provided mechanical support. In vitro, SF/bFGF/ADSC tissue engineering mesh can stably release bFGF and has good biocompatibility, promoting cell proliferation and extracellular matrix synthesis. Six months after the SF/bFGF/ADSC tissue engineering mesh was implanted in a SD rat model, extracellular matrix reorganization, angiogenesis, and immunomodulatory effect, as well as mechanical properties of the implanting position were improved. Hence, SF/bFGF/ADSC tissue engineering mesh could be regarded as a promising option with excellent collagen synthesis, low foreign body response, and early angiogenic ability, providing potential ideas for POP treatment.
AuthorsXiaotong Wu, Hong Guo, Yuanyuan Jia, Qing Wang, Jiaqi Wang, Xiuli Sun, Jianliu Wang
JournalBiomaterials science (Biomater Sci) Vol. 10 Issue 12 Pg. 3110-3121 (Jun 14 2022) ISSN: 2047-4849 [Electronic] England
PMID35543346 (Publication Type: Journal Article)
Chemical References
  • Fibroblast Growth Factor 2
  • Fibroins
Topics
  • Adipose Tissue
  • Aged
  • Animals
  • Fibroblast Growth Factor 2 (metabolism, pharmacology)
  • Fibroins (metabolism)
  • Humans
  • Mesenchymal Stem Cells (metabolism)
  • Quality of Life
  • Rats
  • Rats, Sprague-Dawley
  • Surgical Mesh
  • Tissue Engineering

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