Regenerative Medicine-Tissue Engineering

Regenerative Medicine is an interdisciplinary field of research and clinical applications, focused on repair, replacement, or regeneration of cells, tissues, or organs to restore impaired function resulting congenital defects, disease, trauma etc. One source of cells for Regenerative Medicine will eventually be hiPSC cells created by reprogramming adult cells. Development of successful cell-based therapies relies upon tissue engineering for the arrangement of assorted cells into correct spatial organization and the creation of optimal microenvironments for growth and differentiation. A major requirement for viability and function of the implantable construct is the availability of blood vessels to support its in vivo growth.

Vascularisation remains a critical obstacle in engineering thicker, metabolically demanding organs, such as the heart muscle, brain and liver. Regenerating tissue over 100–200 μm exceeds the capacity of nutrient supply and waste removal by diffusion, and requires an intimate supply of vascular networks. It takes several weeks for a scaffold to become fully vascularized in vivo. Recently, there is great interest in generating tissue-engineered constructs that are already vascularised before implantation to shorten the time needed for implant vascularisation and survival. Recent applications use vascular cells generated by differentiating hiPSCs, having the advantage that they produce cellular progeny autologous to the patients from which they were taken.


Tissue Engineering Using Vascular Organoids From Human Pluripotent Stem Cell Derived Mural Cell Phenotypes

We have developed a rapid differentiation protocol for hPSCs toward immature contractile SMCs, which can further mature after a short TGFb1/heparin treatment or be induced to synthetic SMCs after a short induction with FGF2. The phenotypic modulation of vascular SMCs is an important vascular injury repair mechanism and therefore, it plays a major role in the pathogenesis of a number of diseases, including atherosclerosis, restenosis and transplant vasculopathy. Our innovative differentiation strategy offers the possibility of studying, in the same simple experimental set up, the molecular mechanisms underlying phenotypic plasticity of the generated hPSC-SMCs. Given that FGF-TGFb signaling antagonism is reported as the primary regulator of the SMC phenotypes, our protocol is an ideal model to study this mechanism.

 

 

 

 

 

A quick and robust method has been developed to generate both contractile smooth muscle cells (cSMCs) and synthetic SMCs (sSMCs) from human pluripotent stem cells (hPSCs).

Markou M, Kouroupis D, Badounas F, Katsouras A, Kyrkou A, Fotsis T, Murphy C, Bagli E. Tissue Engineering Using Vascular Organoids From Human Pluripotent Stem Cell Derived Mural Cell Phenotypes. Front Bioeng Biotechnol. 2020 Apr 17;8:278. doi: 10.3389/fbioe.2020.00278. PMID: 32363181; PMCID: PMC7182037.

Generation of stem cell-based bioartificial anterior cruciate ligament (ACL) grafts for effective ACL rupture repair

We have combined stem cell technology with a non-absorbable biomaterial for the reconstruction of the ruptured ACL. Towards this purpose, multipotential stromal cells derived either from subcutaneous human adipose tissue (hAT-MSCs) or from induced pluripotent stem cells (iPSCs) generated from human foreskin fibroblasts (hiPSC-MSCs) were cultured on the biomaterial for 21 days in vitro to generate a 3D bioartifical ACL graft. Stem cell differentiation towards bone and ligament at the ends and central part of the biomaterial was selectively induced using either BMP-2/FGF-2 or TGF-β/FGF-2 combinations, respectively. The bioartificial ACL graft was subsequently implanted in a swine ACL rupture model in place of the surgically removed normal ACL. Four months post-implantation, the tissue engineered ACL graft generated an ACL-like tissue exhibiting morphological and biochemical characteristics resembling those of normal ACL.

 

 

 

 

 

 

 

We have generated bioartificial ACL grafts by differentiating hAT-MSCs or hiPS-MSCs on Leeds-Keio biomaterial to form a ligamentous part in the center and two osseous sections at both ends.

Kouroupis D, Kyrkou A, Triantafyllidi E, Katsimpoulas M, Chalepakis G, Goussia A, Georgoulis A, Murphy C, Fotsis T. Generation of stem cell-based bioartificial anterior cruciate ligament (ACL) grafts for effective ACL rupture repair. Stem Cell Res. 2016 Sep;17(2):448-457. doi: 10.1016/j.scr.2016.04.016. Epub 2016 Apr 22. PMID: 27217303.