Abstract

ObjectiveThis study focusses on the development of a biomimetic oxygenator test device. Due to limited biocompatibility, current oxygenators do not allow mid- to long-term therapy. Tissue engineering uses autologous cell sources to overcome the immunogenic barriers of biomaterials. Surface coating with endothelial cells might improve hemocompatibility and thus prevent immunogenic reactions of the body. In this study this concept is applied to endothelialise a gas-permeable membrane to develop a biomimetic oxygenator test-device (ENDOXY).MethodsENDOXY—a multifunctional test-system was developed to endothelialise a gas-permeable membrane suitable for cell culture and to test the cell retention under shear stress and to measure gas transfer through it.ResultsSuccessful endothelialisation of the membrane was achieved and cells showed characteristic endothelial morphologies. They stained positive for endothelial markers. The number of cells aligned with shear stress and cell retention after blood perfusing experiments was high. Gas transfer is observed via uncoated and endothelialised membranes.ConclusionThe study showed promising results with regard to system design, endothelialisation, and cell retention under shear stress conditions. It strongly encourages further research into the system by testing different membrane materials to design a biomimetic membrane surface and pave way for a fully hemocompatible oxygenator.

Highlights

  • The number of cells aligned with shear stress and cell retention after blood perfusing experiments was high

  • Patients suffering from terminal lung failure are treated with mechanical ventilation and, if necessary, extracorporeal membrane oxygenation (ECMO) while waiting for recovery or a donor lung

  • Few other groups deal with the topic of coating endothelial cells on gaspermeable membranes: Polk et al [5] endothelialised modified microporous hollow fibres for a biohybrid artificial lung prototype and Hess and co-workers [6] endothelialised poly 4-methyl-1-pentene (PMP) gas exchange membranes under static culture conditions

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Summary

Objective

This study focusses on the development of a biomimetic oxygenator test device. Current oxygenators do not allow mid- to long-term therapy. Tissue engineering uses autologous cell sources to overcome the immunogenic barriers of biomaterials. Surface coating with endothelial cells might improve hemocompatibility and prevent immunogenic reactions of the body. In this study this concept is applied to endothelialise a gas-permeable membrane to develop a biomimetic oxygenator testdevice (ENDOXY)

Results
Conclusion
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Materials and Methods
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Discussion
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