Tissue-engineered
plant scaffolds have shown promising applications
in in vitro studies. To assess the applicability of natural plant
scaffolds as vascular patches, we tested decellularized leaf and onion
cellulose in a rat inferior vena cava patch venoplasty model. The
leaf was decellularized, and the scaffold was loaded with polylactic-
co
-glycolic acid (PLGA)-based rapamycin nanoparticles (nanoparticles).
Nanoparticle-perfused leaves showed decreased neointimal thickness
after implantation on day 14; there were also fewer CD68-positive
cells and PCNA-positive cells in the neointima in the nanoparticle-perfused
patches than in the control patches. Onion cellulose was decellularized,
coated with rapamycin nanoparticles, and implanted in the rat; the
nanoparticle-coated onion cellulose patches also showed decreased
neointimal thickness. These data show that natural plant-based scaffolds
may be used as novel scaffolds for tissue-engineered vascular patches.
However, further modifications are needed to enhance patch strength
for artery implantations.