Abstract

Tracheal disorders can usually reduce the free lumen diameter or wall stiffness, and hence limit airflow. Trachea tissue engineering seems a promising treatment for such disorders. The required mechanical compatibility of the prepared scaffold with native trachea necessitates investigation of the mechanical behavior of the human trachea. This study aimed at mechanical characterization of human tracheas and comparing the results based on age and gender. After isolating 30 human tracheas, samples of tracheal cartilage, smooth muscle, and connective tissue were subjected to uniaxial tension to obtain force-displacement curves and calculate stress-stretch data. Among several models, the Yeoh and Mooney-Rivlin hyperelastic functions were best able to describe hyperelastic behavior of all three tracheal components. The mean value of the elastic modulus of human tracheal cartilage was calculated to be 16.92 ± 8.76 MPa. An overall tracheal stiffening with age was observed, with the most considerable difference in the case of cartilage. Consistently, we noticed some histological alterations in cartilage and connective tissue with aging, which may play a role in age-related tracheal stiffening. No considerable effect of gender on the mechanical behavior of tracheal components was observed. The results of this study can be applied in the design and fabrication of trachea tissue engineering scaffolds.

Highlights

  • The trachea is a hollow semi-cylindrical organ which acts as an airway and contributes to the drainage of secretions of bronchi and bronchioles

  • It is notable that to include all samples in the averaging process, such calculations were performed calculations were performed until a stretch (λ) of 1.2 (i.e., 20% strain) was recorded for cartilage, and until stretch of 1.2 muscle

  • We evaluated the mechanical properties of the main constituents of human trachea, including cartilage, connective tissue and smooth muscle using uniaxial tensile tests

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Summary

Introduction

The trachea is a hollow semi-cylindrical organ which acts as an airway and contributes to the drainage of secretions of bronchi and bronchioles. The human trachea is composed of 18 to 22 consecutive C-shaped cartilaginous rings which are incomplete in the posterior region of the trachea and completed by the trachealis muscle, known as smooth muscle tissue. The narrow spaces between cartilaginous rings are filled with connective tissue [1,2]. Other soft connective tissues of the trachea include the adventitia membrane as the outermost layer of the trachea, along with mucosa and submucosa membranes covering its inner surface [3]. There is a close relationship between the mechanical performance of the trachea and its physiological function during respiration. The stiff cartilage components keep the trachea lumen open and inhibit its collapse during negative respiratory pressures, and prevent the air flow limitation

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