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JONES ET AL STEM CELL ACCUMULATION ON HUMAN XENOGRAFT

References

ADULT CARDIAC

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Ann Thorac Surg 2014;97:2104–10

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INVITED COMMENTARY I am grateful for the opportunity to comment on the manuscript by Jones and colleagues [1], because it represents an interesting and novel approach that addresses a long-standing issue of creating a clinically applicable biological vascular prosthesis. The current interest in complete arterial revascularization in clinical practice remains a vexing problem because of the limited availability of appropriate arterial conduits. Recently, several interesting papers demonstrated development bioengineered grafts using stem cells [2, 3]. However, these grafts need a surface modification to improve cell recruitment and attachment; this is particularly true for endothelial cells that are anchored dependent cells. A fibrin meshwork might enhance endothelialization [4]. The authors successfully studied decellularized human arterial scaffolds to be used as grafts in their experiments. Therein lies attraction of the elegant approach taken by investigators. They have demonstrated that decellularized branches of the human internal mammary artery can be used as an arterial interposition graft in a small animal model. They have shown cellular repopulation with the presence of progenitor cells and the development of mature endothelial and smooth muscle cells markers.

Ó 2014 by The Society of Thoracic Surgeons Published by Elsevier Inc

This study needs to be expanded to large animal model and perhaps for use in additional pilot clinical studies of human-derived grafts. Nickolas Kipshidze, MD, PhD Valeri Chekanov, MD, PhD New York Cardiovascular Research 1726 2nd Ave, Ste 4S New York, NY 10128 e-mail: [email protected]

References 1. Jones SG, Hu Y, Xu Q, Jahangiri M. Stem cells accumulate on a decellularized arterial xenograft in vivo. Ann Thorac Surg 2014;97:2104–10. 2. Schaner PJ, Martin ND, Tulenko TN, et al. Decellularized vein as a potential scaffold for vascular tissue engineering. J Vasc Surg 2004;40:146–53. 3. Isenberg BC, Williams C, Tranquillo RT. Small-diameter artificial arteries engineered in vitro. Circ Res 2006;98:25–35. 4. Kipshidze N, Ferguson JJ 3rd, Keelan MH Jr, et al. Endoluminal reconstruction of the arterial wall with endothelial cell/ glue matrix reduces restenosis in an atherosclerotic rabbit. J Am Coll Cardiol 2000;36:1396–403.

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Invited commentary.

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