Is tissue augmentation a reality in biosurgery? An experimental study of endothelial cell invasion into tissue filler.

Tomaz Velnar, Vladimir Smrkolj, Marjan Slak Rupnik, Lidija Gradisnik
Author Information
  1. Tomaz Velnar: Department of Neurosurgery, University Medical Centre Ljubljana, Slovenia Laboratory Centre of Medical Faculty Maribor, Maribor, Slovenia. tvelnar@hotmail.com

Abstract

New therapeutic approaches for wound treatment are evolving. Non healing wounds in oncology and after trauma may be cured by a novel technique of tissue augmentation with soft tissue fillers. The principle resides in filling the wound with collagen filler in order to seal the defect and promote healing. Successful angiogenesis forms the basis of tissue filler survival and determines the outcome of the healing process. During this study, basic data about endothelial cell invasion into collagen-made substratum was collected that could be used for neoangiogenesis studies in tissue augmentation techniques for large wound defect treatment. In the in vitro assay, the human umbilical vein endothelial cells (HUVEC) grow into a three-dimensional framework of collagenous tissue fillers, forming the basic step for angiogenesis. After heparins were used as chemotactic agents, a typical bell-shaped relationship between chemotaxis and agent concentrations was found. Significant cell infiltration was present in the assays with chemotactic agents. These observations support the potential for tissue augmentation with soft tissue fillers that could be used in acute and chronic non healing traumatic and oncology wounds after extensive surgical resections and radiotherapy.

References

  1. Int Wound J. 2009 Apr;6(2):159-66 [PMID: 19432666]
  2. Clin Plast Surg. 1998 Jul;25(3):321-40 [PMID: 9696896]
  3. Chin Med J (Engl). 2002 Mar;115(3):331-5 [PMID: 11940357]
  4. Zentralbl Chir. 2006 Apr;131 Suppl 1:S62-7 [PMID: 16575647]
  5. Vasa. 1991;20(3):207-15 [PMID: 1659056]
  6. Surg Clin North Am. 1997 Jun;77(3):509-28 [PMID: 9194878]
  7. Lab Invest. 1988 Sep;59(3):363-72 [PMID: 3411937]
  8. Plast Reconstr Surg. 2001 Mar;107(3):757-62 [PMID: 11304602]
  9. Adv Drug Deliv Rev. 2003 Nov 28;55(12):1595-611 [PMID: 14623403]
  10. Plast Reconstr Surg. 2001 Oct;108(5):1154-60; discussion 1161-2 [PMID: 11604611]
  11. Clin Orthop Relat Res. 2001 May;(386):203-9 [PMID: 11347837]
  12. Emerg Med Clin North Am. 2007 Feb;25(1):1-22 [PMID: 17400070]
  13. Surgery. 1996 Aug;120(2):433-9 [PMID: 8751615]
  14. Dermatol Clin. 1986 Jul;4(3):481-4 [PMID: 3521993]
  15. J Int Med Res. 2009 Sep-Oct;37(5):1528-42 [PMID: 19930861]
  16. Clin Chem. 2003 Jan;49(1):32-40 [PMID: 12507958]
  17. Surgery. 1995 Aug;118(2):280-6; discussion 286-7 [PMID: 7638745]
  18. Clin Dermatol. 2007 Jan-Feb;25(1):39-48 [PMID: 17276200]
  19. Curr Probl Surg. 2001 Feb;38(2):72-140 [PMID: 11452260]
  20. Tissue Eng Part A. 2011 Mar;17(5-6):665-75 [PMID: 20929281]
  21. Chin Med J (Engl). 2000 Apr;113(4):383-4 [PMID: 11775242]
  22. J Exp Med. 1980 Oct 1;152(4):931-44 [PMID: 7420025]
  23. Plast Reconstr Surg. 2006 May;117(6):1789-96 [PMID: 16651952]
  24. J Am Acad Orthop Surg. 2006;14(10 Spec No.):S152-6 [PMID: 17003189]
  25. Cancer Res. 2004 Dec 15;64(24):9012-7 [PMID: 15604266]
  26. Haematologica. 1991 Jul-Aug;76(4):311-20 [PMID: 1724438]
  27. Ann Plast Surg. 2004 May;52(5):471-9; discussion 479 [PMID: 15096930]
  28. J Periodontol. 2007 Mar;78(3):377-96 [PMID: 17335361]
  29. Exp Cell Res. 2000 Nov 25;261(1):69-74 [PMID: 11082276]
  30. Semin Thromb Hemost. 1987 Oct;13(4):504-13 [PMID: 3321439]
  31. Plast Reconstr Surg. 2010 Jun;125(6):1805-1813 [PMID: 20517106]
  32. Am J Clin Dermatol. 2000 Sep-Oct;1(5):269-75 [PMID: 11702318]
  33. Laryngoscope. 2010 Mar;120(3):443-9 [PMID: 20131371]
  34. J Craniofac Surg. 1993 Jul;4(3):142-7 [PMID: 8241356]
  35. Plast Reconstr Surg. 2008 Apr;121(4):1144-1152 [PMID: 18349631]
  36. Int J Biomater. 2011;2011:172389 [PMID: 21876695]
  37. J Hand Surg Am. 2010 Mar;35(3):415-21 [PMID: 20138715]
  38. J Orthop Surg (Hong Kong). 2002 Jun;10(1):53-60 [PMID: 12401922]
  39. Surg Clin North Am. 1996 Aug;76(4):879-903 [PMID: 8782479]
  40. Circulation. 1995 Feb 1;91(3):755-63 [PMID: 7530174]
  41. Ann Plast Surg. 1998 Nov;41(5):503-7 [PMID: 9827953]
  42. Bull Mem Acad R Med Belg. 2001;156(3-4):175-84; discussion 185 [PMID: 11789398]
  43. Methods Mol Med. 2006;129:197-208 [PMID: 17085813]
  44. ASAIO J. 2000 Nov-Dec;46(6):S2-5 [PMID: 11110286]
  45. Tissue Eng Part A. 2011 Mar;17(5-6):725-39 [PMID: 20929282]

MeSH Term

Cell Movement
Collagen
Human Umbilical Vein Endothelial Cells
Humans
Neovascularization, Pathologic
Wound Healing

Chemicals

Collagen

Word Cloud

Created with Highcharts 10.0.0tissuehealingaugmentationwoundfillersfillerendothelialcellusedtreatmentwoundsoncologysoftdefectangiogenesisstudybasicinvasionchemotacticagentsNewtherapeuticapproachesevolvingNontraumamaycurednoveltechniqueprincipleresidesfillingcollagenordersealpromoteSuccessfulformsbasissurvivaldeterminesoutcomeprocessdatacollagen-madesubstratumcollectedneoangiogenesisstudiestechniqueslargevitroassayhumanumbilicalveincellsHUVECgrowthree-dimensionalframeworkcollagenousformingstepheparinstypicalbell-shapedrelationshipchemotaxisagentconcentrationsfoundSignificantinfiltrationpresentassaysobservationssupportpotentialacutechronicnontraumaticextensivesurgicalresectionsradiotherapyrealitybiosurgery?experimental

Similar Articles

Cited By (2)