Abstract

BackgroundEndothelialization of small diameter synthetic vascular grafts is a potential solution to the thrombosis and intimal hyperplasia that plague current devices. Endothelial colony forming cells, which are blood-derived and similar to mature endothelial cells, are a potential cell source. Anisotropic spatial growth restriction micropatterning has been previously shown to affect the morphology and function of mature endothelial cells in a manner similar to unidirectional fluid shear stress. To date, endothelial colony forming cells have not been successfully micropatterned. This study addresses the hypothesis that micropatterning of endothelial colony forming cells will induce morphological elongation, cytoskeletal alignment, and changes in immunogenic and thrombogenic–related gene expression.MethodsSpatially growth restrictive test surfaces with 25 μm-wide lanes alternating between collagen-I and a blocking polymer were created using microfluidics. Case-matched endothelial colony forming cells and control mature carotid endothelial cells were statically cultured on either micropatterned or non-patterned surfaces. Cell elongation was quantified using shape index. Using confocal microscopy, cytoskeletal alignment was visualized and density and apoptotic rate were determined. Gene expression was measured using quantitative PCR to measure KLF-2, eNOS, VCAM-1, and vWF.ResultsEndothelial colony forming cells were successfully micropatterned for up to 50 hours. Micropatterned cells displayed elongation and actin alignment. Micropatterning increased the packing densities of both cell types, but did not affect apoptotic rate, which was lower in endothelial colony forming cells. KLF-2 gene expression was increased in micropatterned relative to non-patterned endothelial colony forming cells after 50 hours. No significant differences were seen in the other genes tested.ConclusionsEndothelial colony forming cells can be durably micropatterned using spatial growth restriction. Micropatterning has a significant effect on the gross and subcellular morphologies of both cell types. Further study is required to fully understand the effect of micropatterning on endothelial colony forming cell gene expression.

Highlights

  • Durable artificial small-diameter synthetic vascular grafts for the treatment of vascular occlusions represent a critical unmet need in modern medicine

  • Micropatterning increased the packing densities of both cell types, but did not affect apoptotic rate, which was lower in endothelial colony forming cells

  • Kruppel-like factor 2 (KLF-2) gene expression was increased in micropatterned relative to non-patterned endothelial colony forming cells after 50 hours

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Summary

Introduction

Durable artificial small-diameter synthetic vascular grafts for the treatment of vascular occlusions represent a critical unmet need in modern medicine. Given that currently available synthetic biomaterials including expanded polytetrafluoroethylene (ePTFE) show limited patency at diameters less than 6 mm, this leaves many patients without viable alternatives [2,3]. One potential autologous source of endothelium is the harvesting of endothelial colony forming cells (ECFCs) from a venous blood draw. Several groups, including our own, have performed proof-ofconcept studies showing that mature primary endothelial cell (EC) [6,7] and ECFC [8,9] preseeding improve the performance of artificial vascular grafts, suggesting that ECFCs could serve as a cell source for an in vitro endothelialization approach. Endothelialization of small diameter synthetic vascular grafts is a potential solution to the thrombosis and intimal hyperplasia that plague current devices. Endothelial colony forming cells, which are blood-derived and similar to mature endothelial cells, are a potential cell source. This study addresses the hypothesis that micropatterning of endothelial colony forming cells will induce morphological elongation, cytoskeletal alignment, and changes in immunogenic and thrombogenic–related gene expression

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