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Organ failure is one of the most frequent and devastating
problems in human health care, costing in excess of $400
billion annually. Failure of the vascular tissue remains
one of the primary causes of death in this country. Surgical
replacement using donor tissue is often successful, but
high quality graft tissue is in very short supply. Tissue
replacement therapy, using grafts constructed in vitro
from living human cells and man-made or natural biopolymers
is becoming a viable and desirable alternative. Incorporating
human cells into a three dimensional meshwork, fashioned
from natural material, e.g, collagen, or synthetic polymers
can generate structurally and functionally appropriate grafting
material. A detailed understanding of the tissue to be
modeled is essential for this task to be accomplished.
Recently, advances in several branches of science and technology
have made it possible to construct living in
vitro models of human tissue. During the past several
years we have been successful in constructing models of
the human skin and the cornea.
We propose to construct a Human Vascular Tissue Equivalent
composed of a matrix containing collagen type I, populated
densely with human umbilical artery smooth muscle cells
(HUASMC). This matrix will be lined with human artery endothelial
cells (HAECs) on one side and a collagen type I gel containing
sparse population of human dermal fibroblasts (HDFbs) on
the other side. The result of this will be the ability
to manufacture human arteries. In some cases this could
be using the patients own cells. The commercial application
for this technology would include every one of the millions
of bypass surgeries done every year, plus many other uses
in vessel replacement therapy.
©
Cardiovascular Research Institute, February 2000
An
Institute of Discovery at the University of North Texas
Health Science Center at Fort Worth
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