iBTA Technology for Biomedical Applications

A special issue of Bioengineering (ISSN 2306-5354). This special issue belongs to the section "Regenerative Engineering".

Deadline for manuscript submissions: closed (30 September 2024) | Viewed by 2606

Special Issue Editor


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Guest Editor
Biotube Co., Ltd., Tokyo, Japan
Interests: regenerative medicine; tissue engineering; artificial blood vessels; biotube; biosheet; biovalve; allogeneic transplant; cardiovascular surgery; scaffolds; stem cells

Special Issue Information

Dear Colleagues,

Regenerative medicine is expected to be one of the next generation's major medical treatments. The goal of regenerative medicine approaches is to create biological therapies or substitutes to replace or restore the functions of living tissues lost due to failure or disease. Since general regenerative medicine requires the processing of cells or tissues, it will take time for it to become widely available, also for economic reasons. On the other hand, in-body tissue architecture (iBTA) technology, which uses the patient's body as an incubator to prepare tissues for autologous implantation, is a practical bioprocess engineering for regenerative medicine without requirement of any special equipment or facilities. By simply embedding a mold into the patient’s body temporarily, a personalized implant with the desired shape and dimensions can be almost automatically obtained using only the components within the patient's body. In recent years, it has become possible to collect stem cells in the body by applying iBTA. This Special Issue covers shape design for iBTA-based tissues, the evaluation of physical properties of their obtained tissue, application to various tissue regenerations, preclinical implant evaluation, and first-in-human clinical trials. By bringing together contributions from experts in a wide range of fields, the current state of iBTA technology will broadly introduce from basics to applications. 

Dr. Yasuhide Nakayama
Guest Editor

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Keywords

  • regenerative medicine
  • tissue engineering
  • artificial blood vessels
  • biotube
  • biosheet
  • biovalve
  • allogeneic transplant
  • cardiovascular surgery
  • scaffolds
  • stem cells
  • in-body tissue architecture (iBTA) technology

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Published Papers (1 paper)

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Research

16 pages, 13682 KiB  
Article
Carotid Artery Bypass Surgery of In-Body Tissue Architecture-Induced Small-Diameter Biotube in a Goat Model: A Pilot Study
by Tadashi Umeno, Kazuki Mori, Ryosuke Iwai, Takayuki Kawashima, Takashi Shuto, Yumiko Nakashima, Tsutomu Tajikawa, Yasuhide Nakayama and Shinji Miyamoto
Bioengineering 2024, 11(3), 203; https://doi.org/10.3390/bioengineering11030203 - 21 Feb 2024
Cited by 4 | Viewed by 1854
Abstract
Biotubes are autologous tubular tissues developed within a patient’s body through in-body tissue architecture, and they demonstrate high potential for early clinical application as a vascular replacement. In this pilot study, we used large animals to perform implantation experiments in preparation for preclinical [...] Read more.
Biotubes are autologous tubular tissues developed within a patient’s body through in-body tissue architecture, and they demonstrate high potential for early clinical application as a vascular replacement. In this pilot study, we used large animals to perform implantation experiments in preparation for preclinical testing of Biotube. The biological response after Biotube implantation was histologically evaluated. The designed Biotubes (length: 50 cm, internal diameter: 4 mm, and wall thickness: 0.85 mm) were obtained by embedding molds on the backs of six goats for a predetermined period (1–5 months). The same goats underwent bypass surgery on the carotid arteries using Biotubes (average length: 12 cm). After implantation, echocardiography was used to periodically monitor patency and blood flow velocity. The maximum observation period was 6 months, and tissue analysis was conducted after graft removal, including the anastomosis. All molds generated Biotubes that exceeded the tensile strength of normal goat carotid arteries, and eight randomly selected Biotubes were implanted. Thrombotic occlusion occurred immediately postoperatively (1 tube) if anticoagulation was insufficient, and two tubes, with insufficient Biotube strength (<5 N), were ruptured within a week. Five tubes maintained patency for >2 months without aneurysm formation. The spots far from the anastomosis became stenosed within 3 months (3 tubes) when Biotubes had a wide intensity distribution, but the shape of the remaining two tubes remained unchanged for 6 months. The entire length of the bypass region was walled with an αSMA-positive cell layer, and an endothelial cell layer covered most of the lumen at 2 months. Complete endothelial laying of the luminal surface was obtained at 3 months after implantation, and a vascular wall structure similar to that of native blood vessels was formed, which was maintained even at 6 months. The stenosis was indicated to be caused by fibrin adhesion on the luminal surface, migration of repair macrophages, and granulation formation due to the overproliferation of αSMA-positive fibroblasts. We revealed the importance of Biotubes that are homogeneous, demonstrate a tensile strength > 5 N, and are implanted under appropriate antithrombotic conditions to achieve long-term patency of Biotube. Further, we clarified the Biotube regeneration process and the mechanism of stenosis. Finally, we obtained the necessary conditions for a confirmatory implant study planned shortly. Full article
(This article belongs to the Special Issue iBTA Technology for Biomedical Applications)
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