Evidence map›Paper›PMID 21571635›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2011

Decellularized tissue-engineered blood vessel as an arterial conduit.

Clay Quint, Yuka Kondo, Roberto J Manson, Jeffrey H Lawson, Alan Dardik, Laura E Niklason

Open access · greenAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 161 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
161citing papers in PubMed, 1 pooled it
14.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

161 citing papers in PubMed, 1 synthesis or guideline pooled it, 364 citations in OpenAlex.

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  16. Bioengineered vascular grafts with a pathogenicScience translational medicine · 2024
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101 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Clay QuintDepartment of Biomedical Engineering, Yale University, New Haven, CT 06520, USA.
Yuka Kondo
Roberto J Manson
Jeffrey H Lawson
Alan Dardik
Laura E Niklason
Duke University Hospital · USYale University · US

Funding

Biological Vascular GraftsR01HL083895 · NHLBI · YALE UNIVERSITY · PI NIKLASON, LAURA E · 2006 to 2015
$5.7M
Molecular Regulation of Vein Graft AdapationR01HL095498 · NHLBI · YALE UNIVERSITY · PI DARDIK, ALAN · 2009 to 2013
$2.4M
Enabling Strategies for Growing Collagenous TissuesR01EB008366 · NIBIB · YALE UNIVERSITY · PI HUMPHREY, JAY D., NIKLASON, LAURA E · 2007 to 2010
$2.2M
Bioengineered grafts using endothelial progenitor cellsF32HL083662 · NHLBI · YALE UNIVERSITY · PI QUINT, CLAY C · 2006 to 2008
$222k
NHLBI NIH HHS 1F32 HL083662NHLBI NIH HHS F32 HL083662NHLBI NIH HHS HL-083895NHLBI NIH HHS R01 HL083895NHLBI NIH HHS R01 HL095498NIBIB NIH HHS EB-008366NIBIB NIH HHS R01 EB008366
6 · The paper itself

Abstract

Arterial tissue-engineering techniques that have been reported previously typically involve long waiting times of several months while cells from the recipient are cultured to create the engineered vessel. In this study, we developed a different approach to arterial tissue engineering that can substantially reduce the waiting time for a graft. Tissue-engineered vessels (TEVs) were grown from banked porcine smooth muscle cells that were allogeneic to the intended recipient, using a biomimetic perfusion system. The engineered vessels were then decellularized, leaving behind the mechanically robust extracellular matrix of the graft wall. The acellular grafts were then seeded with cells that were derived from the intended recipient--either endothelial progenitor cells (EPC) or endothelial cell (EC)--on the graft lumen. TEV were then implanted as end-to-side grafts in the porcine carotid artery, which is a rigorous testbed due to its tendency for graft occlusion. The EPC- and EC-seeded TEV all remained patent for 30 d in this study, whereas the contralateral control vein grafts were patent in only 3/8 implants. Going along with the improved patency, the cell-seeded TEV demonstrated less neointimal hyperplasia and fewer proliferating cells than did the vein grafts. Proteins in the mammalian target of rapamycin signaling pathway tended to be decreased in TEV compared with vein grafts, implicating this pathway in the TEV's resistance to occlusion from intimal hyperplasia. These results indicate that a readily available, decellularized tissue-engineered vessel can be seeded with autologous endothelial progenitor cells to provide a biological vascular graft that resists both clotting and intimal hyperplasia. In addition, these results show that engineered connective tissues can be grown from banked cells, rendered acellular, and then used for tissue regeneration in vivo.

Indexed as

Blood Vessel ProsthesisAnimalsArteriesBlood CoagulationCarotid ArteriesCell ProliferationEndothelial CellsExtracellular MatrixPerfusionRegenerative MedicineSignal TransductionSirolimusStem CellsSwineTissue EngineeringSirolimus

Identifiers

PMID21571635
PMCPMC3107282
OpenAlexW2155958464

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.