Hyaluronic Acid Coating on Hydrophobic Tracheal Scaffold Enhances Mesenchymal Stem Cell Adhesion and Tracheal Regeneration

Abstract

BACKGROUND:

Long segmental tracheal repair is challenging in regenerative medicine due to low adhesion of stem cells to tracheal scaffolds. Optimal transplantation of stem cells for tracheal defects has not been established. We evaluated the role of hyaluronic acid (HA) coating of tracheal scaffolds in mesenchymal stem cell (MSC) adhesion and tracheal regeneration in a rabbit model.

METHODS:

A three-dimensionally printed tubular tracheal prosthesis was incubated with dopa-HA-fluorescein isothiocyanate in phosphate-buffered saline for 2 days. MSCs were incubated with an HA-coated scaffold, and their adhesion was evaluated by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide assay. HA coated scaffolds with or without MSC seeding were transplanted at the circumferential tracheal defect in rabbits, and survival, rigid bronchoscopy, radiologic findings, and histologic findings were compared between the two groups.

RESULTS:

HA-coated scaffolds showed better MSC adhesion than non-coated scaffolds. The HA-coated scaffolds with MSC group showed a wider airway and greater mucosal regeneration compared to the HA-coated scaffolds without MSC group.

CONCLUSION:

HA coating of scaffolds can promote MSC adhesion and tracheal regeneration.

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Acknowledgements

This research was supported by a Grant from the Korea Health Technology R&D Project through the Korea Health Industry Development Institute, funded by the Ministry of Health & Welfare, Republic of Korea (HI18C1174).

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Correspondence to Ji Hoon Jeong or Seong Keun Kwon.

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All protocols and experimental parameters were reviewed and approved by the Institutional Animal Care and Use Committee of Seoul National University Hospital (SNUH-IACUC No. 19–0147), and animals were maintained in an AAALAC International-accredited facility (#001169) in accordance with the Guide for the Care and Use of Laboratory Animals Eighth Edition, NRC (2010).

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Choi, J.S., Lee, M.S., Kim, J. et al. Hyaluronic Acid Coating on Hydrophobic Tracheal Scaffold Enhances Mesenchymal Stem Cell Adhesion and Tracheal Regeneration. Tissue Eng Regen Med 18, 225–233 (2021). https://doi.org/10.1007/s13770-021-00335-2

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Keywords

  • Trachea regeneration
  • Mesenchymal stem cell
  • Hyaluronic acid