1. Engineering a 3d-bioprinted model of human heart valve disease using nanoindentation-based biomechanics
- Author
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van der Valk, Dewy C., Blaser, Mark C., Grolman, Joshua M., Wu, Pin-Jou, Lee, Lang H., Wen, Jennifer R., Ha, Anna H., Buffolo, Fabrizio, van Mil, Alain, Bouten, Carlijn V. C., Body, Simon C., Mooney, David J., Sluijter, Joost P. G., Aikawa, Masanori, Hjortnaes, Jesper, Aikawa, Elena, van der Valk, Dewy, van der Ven, Casper, Blaser, Mark, Grolman, Joshua, Fenton, Owen, Lee, Lang, Tibbitt, Mark, Andresen, Jason, Wen, Jennifer, Ha, Anna, Bouten, Carlijn, Body, Simon, Mooney, David, Sluijter, Joost, van der Ven, Casper F.t., Tibbitt, Mark W, Langer, Robert S, Fenton, Owen Shea, Soft Tissue Biomech. & Tissue Eng., Cell-Matrix Interact. Cardiov. Tissue Reg., Institute for Complex Molecular Systems, Massachusetts Institute of Technology. Department of Chemical Engineering, Koch Institute for Integrative Cancer Research at MIT, van der Ven, Casper F.t., Fenton, Owen S., Tibbitt, Mark W, Andresen, Jason, and Langer, Robert S
- Subjects
aortic valve ,calcific aortic valve disease ,calcification ,mechanobiology ,bioprinting ,3D printing ,microdissection ,nanoindentation ,0301 basic medicine ,Aortic valve ,General Chemical Engineering ,030204 cardiovascular system & hematology ,SDG 3 – Goede gezondheid en welzijn ,Article ,Nanoindentation ,Calcification ,lcsh:Chemistry ,Mechanobiology ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,SDG 3 - Good Health and Well-being ,Materials Science(all) ,Calcific aortic valve disease ,Hyaluronic acid ,medicine ,General Materials Science ,Chemistry ,Biomechanics ,technology, industry, and agriculture ,Bioprinting ,medicine.disease ,030104 developmental biology ,medicine.anatomical_structure ,lcsh:QD1-999 ,Self-healing hydrogels ,Chemical Engineering(all) ,Microdissection ,Valve disease ,Biomedical engineering - Abstract
In calcific aortic valve disease (CAVD), microcalcifications originating from nanoscale calcifying vesicles disrupt the aortic valve (AV) leaflets, which consist of three (biomechanically) distinct layers: the fibrosa, spongiosa, and ventricularis. CAVD has no pharmacotherapy and lacks in vitro models as a result of complex valvular biomechanical features surrounding resident mechanosensitive valvular interstitial cells (VICs). We measured layer-specific mechanical properties of the human AV and engineered a three-dimensional (3D)-bioprinted CAVD model that recapitulates leaflet layer biomechanics for the first time. Human AV leaflet layers were separated by microdissection, and nanoindentation determined layer-specific Young’s moduli. Methacrylated gelatin (GelMA)/methacrylated hyaluronic acid (HAMA) hydrogels were tuned to duplicate layer-specific mechanical characteristics, followed by 3D-printing with encapsulated human VICs. Hydrogels were exposed to osteogenic media (OM) to induce microcalcification, and VIC pathogenesis was assessed by near infrared or immunofluorescence microscopy. Median Young’s moduli of the AV layers were 37.1, 15.4, and 26.9 kPa (fibrosa/spongiosa/ventricularis, respectively). The fibrosa and spongiosa Young’s moduli matched the 3D 5% GelMa/1% HAMA UV-crosslinked hydrogels. OM stimulation of VIC-laden bioprinted hydrogels induced microcalcification without apoptosis. We report the first layer-specific measurements of human AV moduli and a novel 3D-bioprinted CAVD model that potentiates microcalcification by mimicking the native AV mechanical environment. This work sheds light on valvular mechanobiology and could facilitate high-throughput drug-screening in CAVD.
- Published
- 2018