Purpose Ureteral and urethral structures need to be replaced in several congenital and acquired diseases. Tissue engineered structures might be a solution for replacing diseased or missing tubular structures of the urinary tract. Collagen, the most abundant protein in mammals, gives structure, consistency and resistance to soft tissues and might act as adequate scaffold to engineer such tissue constructs. Material and Methods We designed a novel method to obtain a cell-seeded tubular scaffold, based on collagen gel submitted to a process of plastic compression. We specifically investigated their mechanical properties, and their aptitude for human bladder smooth muscle cell growth was evaluated by histology and electron microscopy. Results The resulting construct has a particularly high collagen density and is characterized by very promising mechanical properties regarding burst pressure and water tightness, which makes it an attractive candidate for tissue engineering of ureteral and urethral structures. Seeding density of 106 smooth muscle cells per 300ml gel gives a more than 25-fold increase of the cell population within the tubes after two weeks in culture. The histology of the three-dimensional smooth muscle cell growth within the tubular matrix is demonstrated and electron microscopy analysis of the construct discussed. The results of such tubes, further seeded with human urothelial cells and cultured in a flow bioreactor system, will be discussed. Conclusions The plastic compressed collagen gel tubes are easy-to-produce, readily cell-seeded matrices. The reported results clearly set plastic compressed collagen gel tubes as suitable scaffolds for tissue engineering of tubular structures of the human urinary tract. Ureteral and urethral structures need to be replaced in several congenital and acquired diseases. Tissue engineered structures might be a solution for replacing diseased or missing tubular structures of the urinary tract. Collagen, the most abundant protein in mammals, gives structure, consistency and resistance to soft tissues and might act as adequate scaffold to engineer such tissue constructs. We designed a novel method to obtain a cell-seeded tubular scaffold, based on collagen gel submitted to a process of plastic compression. We specifically investigated their mechanical properties, and their aptitude for human bladder smooth muscle cell growth was evaluated by histology and electron microscopy. The resulting construct has a particularly high collagen density and is characterized by very promising mechanical properties regarding burst pressure and water tightness, which makes it an attractive candidate for tissue engineering of ureteral and urethral structures. Seeding density of 106 smooth muscle cells per 300ml gel gives a more than 25-fold increase of the cell population within the tubes after two weeks in culture. The histology of the three-dimensional smooth muscle cell growth within the tubular matrix is demonstrated and electron microscopy analysis of the construct discussed. The results of such tubes, further seeded with human urothelial cells and cultured in a flow bioreactor system, will be discussed. The plastic compressed collagen gel tubes are easy-to-produce, readily cell-seeded matrices. The reported results clearly set plastic compressed collagen gel tubes as suitable scaffolds for tissue engineering of tubular structures of the human urinary tract.
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