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Translating tissue-engineered tracheal replacement from bench to bedside

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Abstract

There are a variety of airway diseases with different clinical settings, which may extend from a surgical approach to total organ replacement. Tissue engineering involves modifying cells or tissues in order to repair, regenerate, or replace tissue in the body and seems to be a promising approach for airway replacement. The successful implantation of stem-cell-based tissue-engineered trachea in a young woman with end-stage post-tuberculosis left main bronchus collapse serves as a prototype for the airway tissue-engineered-based approach. The trachea indeed could represent a perfect model system to investigate the translational aspects of tissue engineering, largely due to its low-oxygen needs. This review highlights the anatomy of the airways, the various disease conditions that cause damage to the airways, elaborates on the essential components of the tissue-engineering approach, and discusses the success of the revolutionary trachea transplantation approach.

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References

  1. Des Jardins T (2007) Cardiopulmonary anatomy and physiology: essentials for respiratory care. Delmar, New York

    Google Scholar 

  2. Fishman AP, Elias JA, Fishman JA, Grippi MA, Senior RM, Pack AI (2008) Fishman’s pulmonary diseases and disorders. McGraw-Hill Professional, Columbus

    Google Scholar 

  3. Cardoso WV, Lu J (2006) Regulation of early lung morphogenesis: questions, facts and controversies. Development 133:1611–1624

    CAS  PubMed  Google Scholar 

  4. Okubo T, Knoepfler PS, Eisenman RN, Hogan BL (2005) Nmyc plays an essential role during lung development as a dosage-sensitive regulator of progenitor cell proliferation and differentiation. Development 132:1363–1374

    CAS  PubMed  Google Scholar 

  5. Kim CF, Jackson EL, Woolfenden AE, Lawrence S, Babar I, Vogel S, Crowley D, Bronson RT, Jacks T (2005) Identification of bronchioalveolar stem cells in normal lung and lung cancer. Cell 121:823–835

    CAS  PubMed  Google Scholar 

  6. Grillo HC (2002) Tracheal replacement: a critical review. Ann Thorac Surg 73:1995–2004

    PubMed  Google Scholar 

  7. Altmayer M, Biancosino C, Strauss J, Macchiarini P (2005) Multiple tracheal stenting or perseverare diabolicum est. J Thorc Cardiovasc Surg 130:223–224

    Google Scholar 

  8. Campbell KH, McWhir J, Ritchie WA, Wilmut I (1996) Sheep cloned by nuclear transfer from a cultured cell line. Nature 380:64–66

    CAS  PubMed  Google Scholar 

  9. Cooper DK, Keogh AM, Brink J, Corris PA, Klepetko W, Pierson RN, Schmoeckel M, Shirakura R, Warner Stevenson L, Xenotransplantation Advisory Committee of the International Society for Heart, Lung Transplantation (2000) Report of the Xenotransplantation Advisory Committee of the International Society for Heart and Lung Transplantation: the present status of xenotransplantation and its potential role in the treatment of end-stage cardiac and pulmonary diseases. J Heart Lung Transplant 12:1125–1165

    Google Scholar 

  10. Khademhosseini A, Vacanti JP, Langer R (2009) Progress in tissue engineering. Sci Am 300:64–71

    CAS  PubMed  Google Scholar 

  11. Macchiarini P, Jungebluth P, Go T, Asnaghi MA, Rees LE, Cogan TA, Dodson A, Martorell J, Bellini S, Parnigotto PP, Dickinson SC, Hollander AP, Mantero S, Conconi MT, Birchall MA (2008) Clinical transplantation of a tissue-engineered airway. Lancet 372:2023–2030

    PubMed  Google Scholar 

  12. Bader A, Macchiarini P (2010) Moving towards in situ tracheal regeneration: the bionic tissue engineered transplantation approach. J Cell Mol Med doi:10.1111/j.1582-4934.2010.01073.x (in press)

  13. Takahashi K, Tanabe K, Ohnuki M, Narita M, Ichisaka T, Tomoda K, Yamanaka S (2007) Induction of pluripotent stem cells from adult human fibroblasts by defined factors. Cell 131:861–872

    CAS  PubMed  Google Scholar 

  14. Kaji K, Norrby K, Paca A, Mileikovsky M, Mohseni P, Woltjen K (2009) Virus-free induction of pluripotency and subsequent excision of reprogramming factors. Nature 458:771–775

    CAS  PubMed  Google Scholar 

  15. Woltjen K, Michael IP, Mohseni P, Desai R, Mileikovsky M, Hämäläinen R, Cowling R, Wang W, Liu P, Gertsenstein M, Kaji K, Sung HK, Nagy A (2009) piggyBac transposition reprograms fibroblasts to induced pluripotent stem cells. Nature 458:766–770

    CAS  PubMed  Google Scholar 

  16. Atala A, Bauer SB, Soker S, Yoo JJ, Retik AB (2006) Tissue-engineered autologous bladders for patients needing cystoplasty. Lancet 367:1241–1246

    PubMed  Google Scholar 

  17. Pham C, Greenwood J, Cleland H, Woodruff P, Maddern G (2007) Bioengineered skin substitutes for the management of burns: a systematic review. Burns 33:946–957

    PubMed  Google Scholar 

  18. Baiguera S, Birchall MA, Macchiarini P (2010) Tissue-engineered tracheal transplantation. Transplantation 89:485–491

    PubMed  Google Scholar 

  19. Yamaya M, Finkbeiner WE, Chun SY, Widdicombe JH (1992) Differentiated structure and function of cultures from human tracheal epithelium. Am J Physiol 262:713–724

    Google Scholar 

  20. Gray TE, Guzman K, Davis CW, Abdullah LH, Nettesheim P (1996) Mucociliary differentiation of serially passaged normal human tracheobronchial epithelial cells. Am J Respir Cell Mol Biol 14:104–112

    CAS  PubMed  Google Scholar 

  21. Yoon JH, Kim KS, Kim SS, Lee JG, Park IY (2000) Secretory differentiation of serially passaged normal human nasal epithelial cells by retinoic acid: expression of mucin and lysozyme. Ann Otol Rhinol Laryngol 109(6):594–601

    CAS  PubMed  Google Scholar 

  22. Sachs LA, Finkbeiner WE, Widdicombe JH (2003) Effects of media on differentiation of cultured human tracheal epithelium. In Vitro Cell Dev Biol Anim 39:56–62

    CAS  PubMed  Google Scholar 

  23. Gray TE, Guzman K, Davis CW, Abdullah LH, Nettesheim P (1996) Mucociliary differentiation of serially passaged normal human tracheobronchial epithelial cells. Am J Respir Cell Mol Biol 14(1):104–112

    CAS  PubMed  Google Scholar 

  24. Pfenninger C, Leinhase I, Endres M, Rotter N, Loch A, Ringe J, Sittinger M (2007) Tracheal remodeling: comparison of different composite cultures consisting of human respiratory epithelial cells and human chondrocytes. In Vitro Cell Dev Biol Anim 43:28–36

    CAS  PubMed  Google Scholar 

  25. Rees LE, Gunasekaran S, Sipaul F, Birchall MA, Bailey M (2006) The isolation and characterisation of primary human laryngeal epithelial cells. Mol Immunol 43:725–730

    CAS  PubMed  Google Scholar 

  26. Baiguera S, Macchiarini P (2009) Trachea in regenerative medicine—from protocol to patient. Springer, Berlin Heidelberg New York

    Google Scholar 

  27. Randell SH (2006) Airway epithelial stem cells and the pathophysiology of chronic obstructive pulmonary disease. Proc Am Thorac Soc 3:718–725

    CAS  PubMed  Google Scholar 

  28. Rawlins EL, Hogan BL (2006) Epithelial stem cells of the lung: privileged few or opportunities for many? Development 133:2455–2465

    CAS  PubMed  Google Scholar 

  29. Rawlins EL, Hogan BL (2008) Ciliated epithelial cell lifespan in the mouse trachea and lung. Am J Physiol Lung Cell Mol Physiol 2915:L231–L234

    Google Scholar 

  30. Prockop DJ (1997) Marrow stem cells as stem cells for nonhematopoietic tissues. Science 276:71–74

    CAS  PubMed  Google Scholar 

  31. Bianco P, Riminacci M, Grathos S, Robey PG (2001) Bone marrow stromal stem cells. Nature, biology, and potential applications. Stem Cells 19:180–192

    CAS  PubMed  Google Scholar 

  32. Dennis JE, Chabord P (2002) Origin and differentiation of human and murine stroma. Stem Cells 20:205–214

    CAS  PubMed  Google Scholar 

  33. Minguell JJ, Erices A, Conget P (2003) Mesenchymal stem cells. Exp Biol Med 226:507–520

    Google Scholar 

  34. Noth U, Tuli R, Osyczka AM, Danielson KG, Tuan RS (2002) In vitro engineered cartilage constructs produced by press-coating biodegradable polymer with human mesenchymal stem cells. Tissue Eng 8:131–144

    CAS  PubMed  Google Scholar 

  35. Kunisaki SM, Freedman DA, Fauza DO (2006) Fetal tracheal reconstruction with cartilaginous grafts engineered from mesenchymal amniocytes. J Pediatr Surg 41:675–682

    PubMed  Google Scholar 

  36. Tsutsumi S, Shimazu A, Miyazaki K, Pan H, Koike C, Yoshida E, Takagishi K, Kato Y (2001) Retention of multilineage differentiation potential of mesenchymal cells during proliferation in response to FGF. Biochem Biophys Res Commun 288(2):413–419

    CAS  PubMed  Google Scholar 

  37. Bianchi G, Banfi A, Mastrogiacomo M, Notaro R, Notaro R, Luzzatto L, Cancedda R, Quarto R (2003) Ex vivo enrichment of mesenchymal cell progenitors by fibroblast growth factor 2. Exp Cell Res 287:98–105

    CAS  PubMed  Google Scholar 

  38. Nehrer S, Spector M, Minas T (1999) Histologic analysis of tissue after failed cartilage repair procedures. Clin Orthop Relat Res 365:149–162

    PubMed  Google Scholar 

  39. Hedbom E, Antonsson P, Hjerpe A, Aeschlimann D, Paulsson M, Rosa-Pimentel E, Sommarin Y, Wendel M, Oldberg A, Heinegård D (1992) Cartilage matrix proteins. An acidic oligomeric protein (COMP) detected only in cartilage. J Biol Chem 267(9):6132–6136

    CAS  PubMed  Google Scholar 

  40. Mastrogiacomo M, Cancedda R, Quarto R (2001) Effect of different growth factors on the chondrogenic potential of human bone marrow stromal cells. Osteoarthr Cartil 9(Suppl A):S36–S40

    PubMed  Google Scholar 

  41. Solchaga LA, Penick K, Porter JD, Goldberg VM, Caplan AI, Welter JF (2005) FGF-2 enhances the mitotic and chondrogenic potentials of human adult bone marrow-derived mesenchymal stem cells. J Cell Physiol 203(2):398–409

    CAS  PubMed  Google Scholar 

  42. Kafienah W, Mistry S, Williams C, Hollander AP (2006) Nucleostemin is a marker of proliferating stromal stem cells in adult human bone marrow. Stem Cells 24:113–120

    Google Scholar 

  43. Johnstone B, Hering TM, Caplan AI, Goldberg VM, Yoo JU (1998) In vitro chondrogenesis of bone marrow-derived mesenchymal progenitor cells. Exp Cell Res 238:265–272

    CAS  PubMed  Google Scholar 

  44. Kafienah W, Mistry S, Dickinson SC, Sims TJ, Learmonth I, Hollander AP (2007) Three-dimensional cartilage tissue engineering using adult stem cells from osteoarthritis patients. Arthritis Rheum 56:177–187

    PubMed  Google Scholar 

  45. Doss AE, Dunn SS, Kucera KA, Clemson LA, Zwischenberger JB (2007) Tracheal replacements: part 2. ASAIO J 53:631–639

    PubMed  Google Scholar 

  46. Kojima K, Bonassar LJ, Roy AK, Vacanti CA, Cortiella J (2002) Autologous tissue-engineered trachea with sheep nasal chondrocytes. J Thorac Cardiovasc Surg 123:1177–1184

    PubMed  Google Scholar 

  47. Wu W, Feng X, Mao T, Feng X, Ouyang HW, Zhao G, Chen F (2007) Engineering of human tracheal tissue with collagen-enforced poly-lactic-glycolic acid non-woven mesh: a preliminary study in nude mice. Br J Oral Maxillofac Surg 45:272–278

    PubMed  Google Scholar 

  48. Komura M, Komura H, Kanamori Y, Tanaka Y, Suzuki K, Sugiyama M, Nakahara S, Kawashima H, Hatanaka A, Hoshi K, Ikada Y, Tabata Y, Iwanaka T (2008) An animal model study for tissue-engineered trachea fabricated from a biodegradable scaffold using chondrocytes to augment repair of tracheal stenosis. J Pediatr Surg 43:2141–2146

    PubMed  Google Scholar 

  49. Lin CH, Su JM, Hsu SH (2008) Evaluation of type II collagen scaffolds reinforced by poly (epsilon-caprolactone) as tissue-engineered trachea. Tissue Eng Part C Methods 14:69–77

    CAS  PubMed  Google Scholar 

  50. Kim DY, Pyun JH, Choi JW, Kim JH, Lee JS, Shin HA, Kim HJ, Lee HN, Min BH, Cha HE, Kim CH (2010) Tissue-engineered allograft tracheal cartilage using fibrin/hyaluronan composite gel and its in vivo implantation. Laryngoscope 120:30–38

    CAS  PubMed  Google Scholar 

  51. Wu W, Cheng X, Zhao Y, Chen F, Feng X, Mao T (2007) Tissue engineering of trachea-like cartilage grafts by using chondrocyte macroaggregate: experimental study in rabbits. Artif Organs 31:826–834

    PubMed  Google Scholar 

  52. Weidenbecher M, Tucker HM, Awadallah A, Dennis JE (2008) Fabrication of a neotrachea using engineered cartilage. Laryngoscope 118:593–598

    PubMed  Google Scholar 

  53. Tani G, Usui N, Kamiyama M, Oue T, Fukuzawa M (2010) In vitro construction of scaffold-free cylindrical cartilage using cell sheet-based tissue engineering. Pediatr Surg Int 26:179–185

    PubMed  Google Scholar 

  54. Schmidt CE, Baier JM (2000) Acellular vascular tissues: natural biomaterials for tissue repair and tissue engineering. Biomaterials 21:2215–2231

    CAS  PubMed  Google Scholar 

  55. Rosso F, Giordano A, Barbarisi M, Barbarisi A (2004) From cell–ECM interactions to tissue engineering. J Cell Physiol 199:174–180

    CAS  PubMed  Google Scholar 

  56. Behrend M, Kluge E, Von Wasielewski R, Klempnauer J (2002) The mechanical influence of tissue engineering techniques on tracheal strength: an experimental study on sheep trachea. J Invest Surg 15:227–236

    PubMed  Google Scholar 

  57. Gilbert TW, Sellaro TL, Badylak SF (2006) Decellularization of tissues and organs. Biomaterials 27:3675–3683

    CAS  PubMed  Google Scholar 

  58. Gilbert TW, Gilbert S, Madden M, Reynolds SD, Badylak SF (2008) Morphologic assessment of extracellular matrix scaffolds for patch tracheoplasty in a canine model. Ann Thorac Surg 86:967–974

    PubMed  Google Scholar 

  59. Meezan E, Hjelle JT, Brendel K (1975) A simple, versatile, non disruptive method for the isolation of morphologically and chemically pure basement membranes from several tissues. Life Sci 17:1721–1732

    CAS  PubMed  Google Scholar 

  60. Walles T, Giere B, Hofmann M, Schanz J, Hofmann F, Mertsching H, Macchiarini P (2004) Experimental generation of a tissue-engineered functional and vascularized trachea. J Thorac Cardiovasc Surg 128:900–906

    PubMed  Google Scholar 

  61. Conconi MT, De Coppi P, Di Liddo R, Vigolo S, Zanon GF, Parnigotto PP, Nussdorfer GG (2005) Tracheal matrices, obtained by a detergent-enzymatic method, support in vitro the adhesion of chondrocytes and tracheal epithelial cells. Transpl Int 18:727–734

    CAS  PubMed  Google Scholar 

  62. Jungebluth P, Go T, Asnaghi A, Bellini S, Martorell J, Calore C, Urbani L, Ostertag H, Mantero S, Conconi MT, Macchiarini P (2009) Structural and morphologic evaluation of a novel detergent-enzymatic tissue-engineered tracheal tubular matrix. J Thorac Cardiovasc Surg 138:586–593

    CAS  PubMed  Google Scholar 

  63. Asnaghi MA, Jungebluth P, Raimondi MT, Dickinson SC, Rees LE, Go T, Cogan TA, Dodson A, Parnigotto PP, Hollander AP, Birchall MA, Conconi MT, Macchiarini P, Mantero S (2009) A double-chamber rotating bioreactor for the development of tissue-engineered hollow organs: from concept to clinical trial. Biomaterials 30:5260–5269

    CAS  PubMed  Google Scholar 

  64. Grek CL, Newton DA, Qiu Y, Wen X, Spyropoulos DD, Baatz JE (2009) Characterization of alveolar epithelial cells cultured in semipermeable hollow fibers. Exp Lung Res 35:155–174

    CAS  PubMed  Google Scholar 

  65. Vunjak-Novakovic G, Martin I, Obradovic B, Treppo S, Grodzinsky AJ, Langer R, Freed LE (1999) Bioreactor cultivation conditions modulate the composition and mechanical properties of tissue-engineered cartilage. J Orthop Res 17(1):130–138

    CAS  PubMed  Google Scholar 

  66. Tan Q, Hillinger S, van Blitterswijk CA, Weder W (2009) Intra-scaffold continuous medium flow combines chondrocyte seeding and culture systems for tissue engineered trachea construction. Interact Cardiovasc Thorac Surg 8:27–30

    PubMed  Google Scholar 

  67. Lin CH, Hsu SH, Huang CE, Cheng WT, Su JM (2009) A scaffold-bioreactor system for a tissue-engineered trachea. Biomaterials 30:4117–4126

    CAS  PubMed  Google Scholar 

  68. Weidenbecher M, Tucker HM, Gilpin DA, Dennis JE (2009) Tissue-engineered trachea for airway reconstruction. Laryngoscope 119:2118–2123

    PubMed  Google Scholar 

  69. Asnaghi A, Macchiarini P, Mantero S (2009) Tissue engineering toward organ replacement: a promising approach in airway transplant. Int J Artif Organs 32:763–768

    PubMed  Google Scholar 

  70. Ikada Y (2006) Challenges in tissue engineering. J R Soc Interface 3(10):589–601

    CAS  PubMed  Google Scholar 

  71. Nakamura T, Sato T, Araki M, Ichihara S, Nakada A, Yoshitani M, Itoi S, Yamashita M, Kanemaru S, Omori K, Hori Y, Endo K, Inada Y, Hayakawa K (2009) In situ tissue engineering for tracheal reconstruction using a luminar remodelling type of artificial trachea. J Thorac Cardiovasc Surg 138:811–819

    PubMed  Google Scholar 

  72. Seguin A, Radu D, Holder-Espinasse M, Bruneval P, Fialaire-Legendre A, Duterque-Coquillaud M, Carpentier A, Martinod E (2009) Tracheal replacement with cryopreserved, decellularized, or glutaraldehyde-treated aortic allografts. Ann Thorac Surg 87:861–868

    PubMed  Google Scholar 

  73. BBC News (2010) Windpipe transplant success in UK child. http://news.bbc.co.uk/2/hi/8576493.stm. Accessed 02 June 2010

  74. Faro RS, Goodwin CD, Organ CH Jr, Hall RT, Holder TM, Ashcraft KW, Amoury RA (1979) Tracheal agenesis. Ann Thorac Surg 28:295–299

    CAS  PubMed  Google Scholar 

  75. Lupi M, Bonetti LR, Trani N, Maccio L, Maiorana A (2009) Congenital tracheal atresia in newborn: case report and review of the literature. Pathologica 101:235–239

    CAS  PubMed  Google Scholar 

  76. Miller BJ, Morrison MD (1978) Congenital tracheal web-a case report. J Otolaryngol 7:218–222

    CAS  PubMed  Google Scholar 

  77. Terada M, Hotoda K, Toma M, Hirobe S, Kamagata S (2009) Surgical management of congenital tracheal stenosis. Gen Thorac Cardiovasc Surg 57:175–183

    PubMed  Google Scholar 

  78. Bryant R 3rd, Morales DL (2009) Corkscrew trachea: a novel type of congenital tracheal stenosis. Ann Thorac Surg 87:1923–1925

    PubMed  Google Scholar 

  79. Wright CD (2003) Tracheomalacia. Chest Surg Clin N Am 13:349–357

    PubMed  Google Scholar 

  80. Maldonado JA, Henry T, Gutiérrez FR (2010) Congenital thoracic vascular anomalies. Radiol Clin North Am 48:85–115

    PubMed  Google Scholar 

  81. Macchiarini P, Verhoye JP, Chapelier A, Fadel E, Dartevelle P (2000) Evaluation and outcome of different surgical techniques for postintubation tracheoesophageal fistulas. J Thorac Cardiovasc Surg 119:268–276

    CAS  PubMed  Google Scholar 

  82. Kay DJ, Mehta V, Goldsmith AJ (2003) Perioperative adenotonsillectomy management in children: current practices. Laryngoscope 113(4):592–597

    PubMed  Google Scholar 

  83. Andersen HA, Good CA, Clagett OT (1953) Trachiectasis with tracheocele: report of case in which a tracheocele was resected. Dis Chest 24:553–557

    CAS  PubMed  Google Scholar 

  84. Fuzesi K, Young DG (1976) Congenital laryngotracheosophageal cleft. J Pediatr Surg 11:933–937

    CAS  PubMed  Google Scholar 

  85. Sekine I, Kodama T, Yokose T, Nishiwaki Y, Suzuki K, Goto K, Nagai K, Kuriyama T (1998) Rare pulmonary tumors—a review of 32 cases. Oncology 55:431–434

    CAS  PubMed  Google Scholar 

  86. Hirano T, Franzén B, Kato H, Ebihara Y, Auer G (1994) Genesis of squamous cell lung carcinoma. Sequential changes of proliferation, DNA ploidy, and p53 expression. Am J Pathol 144:296–302

    CAS  PubMed  Google Scholar 

  87. Wathen CG, Kerr KM, Cowan DL, Douglas AC (1987) Tuberculosis of the trachea. Tubercle 68:225–228

    CAS  PubMed  Google Scholar 

  88. Karkos PD, Asrani S, Karkos CD, Leong SC, Theochari EG, Alexopoulou TD, Assimakopoulos AD (2009) Lemierre’s syndrome: a systematic review. Laryngoscope 119:1552–1559

    PubMed  Google Scholar 

  89. Goldhagen JL (1983) Croup: pathogenesis and management. J Emerg Med 1:3–11

    CAS  PubMed  Google Scholar 

  90. Seigler RS (1993) Bacterial tracheitis: recognition and treatment. J S C Med Assoc 89:83–87

    CAS  PubMed  Google Scholar 

  91. Bailhache A, Dehesdin D, François A, Marie JP, Choussy O (2008) Rhinoscleroma of the sinuses. Rhinology 46:338–341

    PubMed  Google Scholar 

  92. Chan TV, Spiegel JH (2007) Klebsiella rhinoscleromatis of the membranous nasal septum. J Laryngol Otol 121:998–1002

    CAS  PubMed  Google Scholar 

  93. Wain JC (2003) Postintubation tracheal stenosis. Chest Surg Clin N Am 13:231–246

    PubMed  Google Scholar 

  94. Zias N, Chroneou A, Tabba MK, Gonzalez AV, Gray AW, Lamb CR, Riker DR, Beamis JF Jr (2008) Post tracheostomy and post intubation tracheal stenosis: report of 31 cases and review of the literature. BMC Pulm Med 21(8):18

    Google Scholar 

  95. Mohan R, Iyer R, Thaller S (2009) Airway management in patients with facial trauma. J Craniofac Surg 20(1):21–23

    PubMed  Google Scholar 

  96. Smith DF, Rasmussen S, Peng A, Bagwell C, Johnson C 3rd (2009) Complete traumatic laryngotracheal disruption–a case report and review. Int J Pediatr Otorhinolaryngol 73(12):1817–1820

    PubMed  Google Scholar 

  97. Shlizerman L, Mazzawi S, Rakover Y, Ashkenazi D (2009) Foreign body aspiration in children: the effects of delayed diagnosis. Am J Otolaryngol doi:10.1016/j.amjoto.2009.03.007 (in press)

  98. Schilder AM (2010) Wegener’s granulomatosis vasculitis and granuloma. Autoimmun Rev 9:483–487

    CAS  PubMed  Google Scholar 

  99. Teirstein AT, Morgenthau AS (2009) “End-stage” pulmonary fibrosis in sarcoidosis. Mt Sinai J Med 76:30–36

    PubMed  Google Scholar 

  100. Rodrigues K, Neves FS, Stoeterau KB, Werner Castro GR, Nobre LF, Zimmermann AF, Pereira IA (2009) Pulmonary amyloidosis in Sjögren’s syndrome: a rare diagnosis for nodular lung lesions. Int J Rheum Dis 12:358–360

    PubMed  Google Scholar 

  101. Karaman E, Duman C, Cansz H, Ylmaz M, Ibrahimov M (2010) Laryngotracheal reconstruction at relapsing polychondritis. J Craniofac Surg 21:211–212

    PubMed  Google Scholar 

  102. Grillo HC, Wright CD (2005) Airway obstruction owing to tracheopathia osteoplastica: treatment by linear tracheoplasty. Ann Thorac Surg 79:1676–1681

    PubMed  Google Scholar 

  103. Kay EB (1951) Tracheal resection with primary anastomosis. Ann Otol Rhinol Laryngol 60(3):864–870

    CAS  PubMed  Google Scholar 

  104. Idriss FS, DeLeon SY, Ilbawi MN, Gerson CR, Tucker GF, Holinger L (1984) Tracheoplasty with pericardial patch for extensive tracheal stenosis in infants and children. J Thorac Cardiovasc Surg 88:527–536

    CAS  PubMed  Google Scholar 

  105. Tsang V, Murday A, Gillbe C, Goldstraw P (1989) Slide tracheoplasty for congenital funnel-shaped tracheal stenosis. Ann Thorac Surg 48:632–635

    CAS  PubMed  Google Scholar 

  106. Grillo HC (1994) Slide tracheoplasty for long-segment congenital tracheal stenosis. Ann Thorac Surg 58:613–619

    CAS  PubMed  Google Scholar 

  107. Elliott MJ, Haw MP, Jacobs JP, Bailey CM, Evans JNG, Herberhold C (1996) Tracheal reconstruction in children using cadaveric homograft trachea. Eur J Cardiothorac Surg 10:707–712

    CAS  PubMed  Google Scholar 

  108. Rose KG, Sesterhenn K, Wustrow F (1979) Tracheal allotransplantation in man. Lancet 1:433

    CAS  PubMed  Google Scholar 

  109. Genden EM, Urken ML (2003) Laryngotracheal transplantation: ethical limitations. Mt Sinai J Med 70(3):163–165

    PubMed  Google Scholar 

  110. Macchiarini P, Walles T, Biancosino C, Mertsching H (2004) First human transplantation of a bioengineered airway tissue. J Thorac Cardiovasc Surg 128(4):638–641

    PubMed  Google Scholar 

  111. Delaere P, Vranckx J, Verleden G, De Leyn P, Van Raemdonck D (2010) Tracheal allotransplantation after withdrawal of immunosuppressive therapy. N Engl J Med 362:138–145

    CAS  PubMed  Google Scholar 

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Kalathur, M., Baiguera, S. & Macchiarini, P. Translating tissue-engineered tracheal replacement from bench to bedside. Cell. Mol. Life Sci. 67, 4185–4196 (2010). https://doi.org/10.1007/s00018-010-0499-z

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