IGF-1-containing multi-layered collagen-fibrin hybrid scaffolds for bladder tissue engineering

• Published in: Acta biomaterialia Vol. 41; pp. 75 - 85
• Main Authors: Vardar, E., Larsson, H.M., Engelhardt, E.M., Pinnagoda, K., Briquez, P.S., Hubbell, J.A., Frey, P.
• Format: Journal Article
• Language: English
• Published: England Elsevier Ltd 01-09-2016
• Subjects: Animals; Biocompatibility; Biocompatible Materials - pharmacology; Bladder; Bladder regeneration; Cell Movement - drug effects; Cell Proliferation - drug effects; Cell Survival - drug effects; Collagen; Collagen - pharmacology; Female; Fibrin; Fibrin - pharmacology; Human insulin-like growth factor-1; Humans; Immunohistochemistry; Insulin-Like Growth Factor I - pharmacology; Laminates; Muscles; Myocytes, Smooth Muscle - cytology; Myocytes, Smooth Muscle - drug effects; Rats, Nude; Scaffolds; Surgical implants; Tissue engineering; Tissue Engineering - methods; Tissue Scaffolds - chemistry; Urinary Bladder - physiology; Urinary Bladder - surgery; Fibrin; Human insulin-like growth factor-1; Bladder regeneration; Collagen
• ISSN: 1742-7061; 1878-7568
• DOI: 10.1016/j.actbio.2016.06.010

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Clinical success of bladder reconstructive procedures could be promoted by the availability of functional biomaterials. In this study, we have developed a multi-layered scaffold consisting of a bioactive fibrin layer laminated between two collagen sheets all having undergone plastic compression. With this construct we performed bladder augmentation in a nude rat model after partial bladder excision and evaluated the morphological and functional behavior of the implant. The fibrin was functionalized with a recombinant human insulin-like growth factor-1 (IGF-1) variant that covalently binds fibrin during polymerization and has a matrix metalloproteinase-cleavage insert to enable cell-mediated release. The purified IGF-1 variant showed similar bioactivity in vitro compared to commercially available wild type (wt) IGF-1, inducing receptor phosphorylation and induction of human smooth muscle cell proliferation. In vivo, the multi-layered bioactive collagen-fibrin scaffolds loaded with the IGF-1 variant triggered dose-dependent functional host smooth muscle cell invasion and bundle formation with re-urothelialization 4weeks after surgery in a rat model.
The design of new bio-functional scaffolds that can be employed for bladder reconstructive procedures is a growing focus in the field of tissue engineering. In this study, a fibrin binding form of human insulin-like growth factor-1 (IGF-1) was produced and used to functionalize a multi-layered collagen-fibrin scaffold consisting of bioactive fibrin layer, sandwiched between two collagen gels. An effective dosage of our IGF-1 variant was successfully determined via a nude rat bladder model, which may play a critical role in estimating its therapeutic dosage in clinical trials. Thus, this new bioactive scaffold may offer an advanced approach to accelerate bladder regeneration.