TY  - JOUR
A1  - Tung, Wing Tai
A1  - Maring, Janita A.
A1  - Xu, Xun
A1  - Liu, Yue
A1  - Becker, Matthias
A1  - Somesh, Dipthi Bachamanda
A1  - Klose, Kristin
A1  - Wang, Weiwei
A1  - Sun, Xianlei
A1  - Ullah, Imran
A1  - Kratz, Karl
A1  - Neffe, Axel T.
A1  - Stamm, Christof
A1  - Ma, Nan
A1  - Lendlein, Andreas
T1  - In vivo performance of a cell and factor free multifunctional fiber mesh modulating postinfarct myocardial remodeling
T2  - Advanced Functional Materials
N2  - Guidance of postinfarct myocardial remodeling processes by an epicardial patch system may alleviate the consequences of ischemic heart disease. As macrophages are highly relevant in balancing immune response and regenerative processes their suitable instruction would ensure therapeutic success. A polymeric mesh capable of attracting and instructing monocytes by purely physical cues and accelerating implant degradation at the cell/implant interface is designed. In a murine model for myocardial infarction the meshes are compared to those either coated with extracellular matrix or loaded with induced cardiomyocyte progenitor cells. All implants promote macrophage infiltration and polarization in the epicardium, which is verified by in vitro experiments. 6 weeks post-MI, especially the implantation of the mesh attenuates left ventricular adverse remodeling processes as shown by reduced infarct size (14.7% vs 28-32%) and increased wall thickness (854 mu m vs 400-600 mu m), enhanced angiogenesis/arteriogenesis (more than 50% increase compared to controls and other groups), and improved heart function (ejection fraction = 36.8% compared to 12.7-31.3%). Upscaling as well as process controls is comprehensively considered in the presented mesh fabrication scheme to warrant further progression from bench to bedside.
KW  - bioinstructive materials
KW  - cardiac regeneration
KW  - function by structure;
KW  - modulation of in vivo regeneration
KW  - multifunctional biomaterials
Y1  - 2022
UR  - https://publishup.uni-potsdam.de/frontdoor/index/index/docId/63790
SN  - 1616-301X
SN  - 1616-3028
VL  - 32
IS  - 31
PB  - Wiley
CY  - Weinheim
ER  -