Title Information
Title
Patterned Arteriole-Scale Vessels Enhance Engraftment, Perfusion, and Maturation of Engineered Human Myocardium for Heart Regeneration
Type of Resource (primo)
dissertations
Name: Personal
Name Part
Kant, Rajeev Josef
Role
Role Term: Text
creator
Name: Personal
Name Part
Coulombe, Kareen
Role
Role Term: Text
Advisor
Name: Personal
Name Part
Shukla, Anita
Role
Role Term: Text
Reader
Name: Personal
Name Part
Lee, Jonghwan
Role
Role Term: Text
Reader
Name: Personal
Name Part
Zhang, Peng
Role
Role Term: Text
Reader
Name: Personal
Name Part
Laflamme, Michael
Role
Role Term: Text
Reader
Name: Corporate
Name Part
Brown University. Biology and Medicine: Biomedical Engineering
Role
Role Term: Text
sponsor
Origin Information
Copyright Date
2022
Physical Description
Extent
xx, 246 p.
digitalOrigin
born digital
Note: thesis
Thesis (Ph. D.)--Brown University, 2022
Genre (aat)
theses
Abstract
Cardiovascular disease (CVD) continues to be the leading cause of death globally, with myocardial infarctions (MI), or heart attacks, representing a major contributing event to ischemic cases of CVD. In MI, blood vessels supplying the heart with nutrients are blocked, starving downstream tissue of nutrients, and causing cell death that permanently decreases heart function. A new generation of cellularized therapeutics based on human induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs) aims to remuscularize the heart through cellular tissue implants to augment contractile function post-MI. However, the creation of such implantable engineered human myocardium (EHM) necessitates a robust vascular supply to ensure the delivered cells survive and engraft on the heart. We hypothesized that patterning a defined arteriole-scale vascular network in our EHMs (vEHMs) would facilitate cell survival and engraftment, and thus improve maturation of delivered hiPSC-CMs. In this dissertation work, we adapted a vessel-patterning technique based on sacrificial biomaterial templates to create engineered tissues with patent vasculature. We then developed a novel in vitro platform inspired by the aortic ring assay to evaluate surrogate host-implant vascular outgrowth. Our experiments demonstrated improved vascular outgrowth between aortic rings and tissues with patterned vasculature. Next, we combined our vessel patterning methodology with hiPSC-CM tissue formation to create vascularized vEHMs and designed an Arduino-controlled perfusion bioreactor to enable dynamic perfusion culture. Implantation of these vEHMs in a rodent model of ischemia-reperfusion myocardial infarction demonstrated significantly improved cellular engraftment, vascularization, and muscle development compared to control non-vascularized and non-perfused tissues. Together, these aims demonstrate the innovative design process and improved therapeutic benefit of incorporating large, patterned vessels in EHMs vessels with in vitro perfusion for a dual remuscularization-revascularization treatment of myocardial infarction. This work serves as a foundation for developing sophisticated EHMs with translational applications for cardiac regeneration.
Subject (fast) (authorityURI="http://id.worldcat.org/fast", valueURI="http://id.worldcat.org/fast/00832578")
Topic
Biomedical engineering--Research
Subject
Topic
cardiovascular disease
Language
Language Term (ISO639-2B)
English
Record Information
Record Content Source (marcorg)
RPB
Record Creation Date (encoding="iso8601")
20220706