2018
DOI: 10.1016/j.jacbts.2017.12.003
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Rapid Endothelialization of Off-the-Shelf Small Diameter Silk Vascular Grafts

Abstract: Visual AbstractElectrospinning of silk to create nanofibers, which deposit onto a rotating collector. This results in the formation of a pure silk conduit of 1.5 mm internal diameter. These conduits are then implanted into the descending abdominal aorta of Sprague Dawley Rats with end-to-end suturing, and left for 3, 6, 12, and 24 weeks. Endpoint histologic analysis of the explanted grafts demonstrate hyperplasia stabilization, complete endothelialization and excellent blood compatibility.

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Cited by 60 publications
(52 citation statements)
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“…The relative contribution of each secondary structure was determined by integration of the corresponding fitted peaks obtained from FSD calculations. The position of each peak was further confirmed by double differentiation of the amide I envelopes and peak assignment was as follow: side chains (1595–1605 cm −1 ); β‐sheets (1610–1628 and 1697–1704 cm −1 ); random coils (1635–1650 cm −1 ); alpha‐helix (1652–1660 cm −1 ), and beta‐turns (1663–1695 cm −1 ). A nonlinear least‐square convergence criterion monitored the error between the original and deconvoluted spectra, imposing relative errors below 10 −6 .…”
Section: Methodsmentioning
confidence: 95%
“…The relative contribution of each secondary structure was determined by integration of the corresponding fitted peaks obtained from FSD calculations. The position of each peak was further confirmed by double differentiation of the amide I envelopes and peak assignment was as follow: side chains (1595–1605 cm −1 ); β‐sheets (1610–1628 and 1697–1704 cm −1 ); random coils (1635–1650 cm −1 ); alpha‐helix (1652–1660 cm −1 ), and beta‐turns (1663–1695 cm −1 ). A nonlinear least‐square convergence criterion monitored the error between the original and deconvoluted spectra, imposing relative errors below 10 −6 .…”
Section: Methodsmentioning
confidence: 95%
“…In this study, we demonstrate that changing the silk manufacturing process and therefore altering the fibre thickness and porosity of electrospun silk vascular grafts has a profound effect on vascular remodelling in a rat abdominal aorta grafting model. Compared to a water spun (WS) silk graft with relatively low porosity previously developed in our lab 13 , we observed significantly more rapid re-endothelisation on a HFIP spun (HS) silk graft spun with increased fibre diameter and higher porosity. Maturation of neointimal hyperplasia was also accelerated, plateauing at earlier timepoints compared to low porosity grafts and characterised by enhanced deposition of extracellular matrix proteins.…”
Section: Introductioncontrasting
confidence: 52%
“…While several methods of graft generation are compatible with silk, electrospinning has some intrinsic advantages, with multiple studies demonstrating modulation of fibre diameter 8 , mechanical properties 9,10 and blending with other synthetic polymers or proteins to obtain hybrid scaffolds 11,12 . Following several studies exploring the feasibility of making durable synthetic silk conduits, recent advances in silk processing have made mechanically robust conduits feasible for the first time 13 . While physical scaffold parameters such as elasticity, fibre diameter and porosity are known to influence cell infiltration, morphology and signalling in flat scaffolds, the effect of these parameters on long-term graft performance is less clear.…”
Section: Introductionmentioning
confidence: 99%
“…[ 25 ] Electrospun scaffolds composed of synthetic polymers have higher mechanical durability in terms of burst strength and compliance, though the use of naturally based polymers significantly improves cell engraftment. [ 26 ]…”
Section: Tissue Engineered Vascular Graftsmentioning
confidence: 99%