Structural assessments in decellularized extracellular matrix of porcine semilunar heart valves: Evaluation of cell niches

• Published in: Xenotransplantation (Københaven) 2019-05, Vol.26 (3), p.e12503-n/a
• Main Authors: Roderjan, João Gabriel, Noronha, Lúcia, Stimamiglio, Marco Augusto, Correa, Alejandro, Leitolis, Amanda, Bueno, Ronaldo Rocha Loures, da Costa, Francisco Diniz Affonso
• Format: Article
• Language: English
• Subjects: Animals; Aorta; Aortic Valve - surgery; basement membrane; Biochemical analysis; Biocompatibility; Biomechanical Phenomena - physiology; Cell adhesion; Collagen; Collagen - metabolism; Cytotoxicity; decellularization; Elastin; Extracellular matrix; Extracellular Matrix - metabolism; Female; Heart; Heart Valve Prosthesis; heart valves; Heart Valves - physiology; Heart Valves - surgery; Histology; Humans; Immunofluorescence; Male; Mechanical properties; Microscopy; Physiology; Protein composition; Pulmonary Valve - surgery; regenerative medicine; Scanning electron microscopy; Sodium lauryl sulfate; Swine; Tissue engineering; Tissue Engineering - methods; Transplantation, Heterologous
• ISSN: 0908-665X; 1399-3089
• DOI: 10.1111/xen.12503

Tissue‐engineered heart valves aim to reproduce the biological properties of natural valves with anatomically correct structure and physiological performance. The closest alternative to creating an ideal heart valve substitute is to use decellularized porcine heart valves, due to their anatomy and availability. However, the immunological barrier and the structural maintenance limit the long‐term physiological performance of decellularized porcine heart valves. This study investigated the extracellular matrix (ECM) structure of aortic and pulmonary porcine valves decellularized by a low concentration sodium dodecyl sulfate (SDS)‐based method in order to determine the ECM scaffold (ECMS) conditions related to remodeling potential. To assess the structures of the leaflets and conduits of the heart valves, ECM components and their organization were evaluated by histology, biochemical analysis (BC), scanning electron microscopy, multiphoton microscopy, tensile test, immunofluorescence labeling (IF), and Raman microspectroscopy used to draw a profile of the cell niches. Histology and multiphoton imaging of decellularized aortic and pulmonary leaflets and conduits revealed a collagen and elastin histoarchitecture with rearrangement, loosening fibers, and glycosaminoglycan depletion confirmed by biochemistry quantification. The potential cytotoxicity of SDS residues was eliminated after 10 wash cycles. The mechanical properties of the structure of the valve indicated a functional resistance of decellularized ECM. The IF demonstrated the presence of basement membrane, suggesting a potential structure for host cell attachment. The RM analysis showed evidence of molecular interactions, suggesting conservation of the chemical composition, particularly among the protein molecular structures. The structural analyses performed in the semilunar porcine heart valves demonstrate that decellularized ECMS has structural properties that support physiological performance and potential host tissue integration. In fact, decellularized leaflet scaffolds were prone to cell interaction after human adipose‐derived stromal cell seeding and culturing. Further analysis of biocompatibility, particularly the ECM‐cell interaction, can elucidate the remodeling process, in preserved decellularized heart valve scaffold.