Abstract
Massive resections of segments of the gastrointestinal (GI) tract lead to intestinal discontinuity. Functional tubular replacements are needed. Different scaffolds were designed for intestinal tissue engineering application. However, none of the studies have evaluated the mechanical properties of the scaffolds. We have previously shown the biocompatibility of chitosan as a natural material in intestinal tissue engineering. Our scaffolds demonstrated weak mechanical properties. In this study, we enhanced the mechanical strength of the scaffolds with the use of chitosan fibers. Chitosan fibers were circumferentially-aligned around the tubular chitosan scaffolds either from the luminal side or from the outer side or both. Tensile strength, tensile strain, and Young’s modulus were significantly increased in the scaffolds with fibers when compared with scaffolds without fibers. Burst pressure was also increased. The biocompatibility of the scaffolds was maintained as demonstrated by the adhesion of smooth muscle cells around the different kinds of scaffolds. The chitosan scaffolds with fibers provided a better candidate for intestinal tissue engineering. The novelty of this study was in the design of the fibers in a specific alignment and their incorporation within the scaffolds.
Highlights
Diseases of the gastrointestinal tract including short bowel syndrome result from massive resections of the intestine [1]
We have previously demonstrated the biocompatibility of chitosan scaffolds in intestinal tissue engineering [13,14]
We demonstrated that chitosan fibers circumferentially embedded in the tubular scaffolds have higher Young’s Modulus and burst strength than tubular chitosan scaffolds without fibers
Summary
Diseases of the gastrointestinal tract including short bowel syndrome result from massive resections of the intestine [1]. One of the treatment options includes intestinal transplantation but it is limited by many factors such as immuno-rejection of the graft, shortage of donor organs, and the size of the graft to be transplanted [3,4]. Another option for patients is total parenteral nutrition [5]. This is associated with complications related to the catheter and liver diseases [6].
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