Evidence map›Paper›PMID 40772385›Full record

ArticleAdvanced healthcare materials2025

Uniting 4D Printing and Melt Electrowriting for the Enhancement of Regenerative Small Diameter Vascular Grafts.

Max von Witzleben, Akvilė Gasiūnaitė, Marlene Ihle, Ashwini Rahul Akkineni, Kathleen Schütz, Tilman Ahlfeld, Michael Gelinsky, Anja Lode, Sarah Duin

Abstract read
In one paragraph

Article in Advanced healthcare materials, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Review
  2. Review
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  4. Review
  5. Article
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

9 authors.

Max von WitzlebenTechnische Universität Dresden, University Hospital Carl Gustav Carus and Faculty of Medicine, Centre for Translational Bone, Joint and Soft Tissue Research, Fetscherstraße 74, 01307, Dresden, Germany.ORCID 0000-0001-9803-4679
Akvilė GasiūnaitėTechnische Universität Dresden, University Hospital Carl Gustav Carus and Faculty of Medicine, Centre for Translational Bone, Joint and Soft Tissue Research, Fetscherstraße 74, 01307, Dresden, Germany.ORCID 0000-0003-2943-9896
Marlene IhleTechnische Universität Dresden, University Hospital Carl Gustav Carus and Faculty of Medicine, Centre for Translational Bone, Joint and Soft Tissue Research, Fetscherstraße 74, 01307, Dresden, Germany.
Ashwini Rahul AkkineniTechnische Universität Dresden, University Hospital Carl Gustav Carus and Faculty of Medicine, Centre for Translational Bone, Joint and Soft Tissue Research, Fetscherstraße 74, 01307, Dresden, Germany.ORCID 0000-0002-9611-8753
Kathleen SchützTechnische Universität Dresden, University Hospital Carl Gustav Carus and Faculty of Medicine, Centre for Translational Bone, Joint and Soft Tissue Research, Fetscherstraße 74, 01307, Dresden, Germany.
Tilman AhlfeldTechnische Universität Dresden, University Hospital Carl Gustav Carus and Faculty of Medicine, Centre for Translational Bone, Joint and Soft Tissue Research, Fetscherstraße 74, 01307, Dresden, Germany.ORCID 0000-0002-6350-3399
Michael GelinskyTechnische Universität Dresden, University Hospital Carl Gustav Carus and Faculty of Medicine, Centre for Translational Bone, Joint and Soft Tissue Research, Fetscherstraße 74, 01307, Dresden, Germany.ORCID 0000-0001-9075-5121
Anja LodeTechnische Universität Dresden, University Hospital Carl Gustav Carus and Faculty of Medicine, Centre for Translational Bone, Joint and Soft Tissue Research, Fetscherstraße 74, 01307, Dresden, Germany.ORCID 0000-0001-7704-6435
Sarah DuinTechnische Universität Dresden, University Hospital Carl Gustav Carus and Faculty of Medicine, Centre for Translational Bone, Joint and Soft Tissue Research, Fetscherstraße 74, 01307, Dresden, Germany.ORCID 0000-0002-0968-183X

Funding

Deutsche Forschungsgemeinschaft 445679257
6 · The paper itself

Abstract

The development of mechanically robust, cell-instructive, and seweable small-diameter (≤ Ø 6 mm) tubular scaffolds remain a major challenge in vascular tissue engineering. Here, a hybrid biofabrication strategy is presented that combines 4D printing of alginate-methylcellulose (AlgMC) hydrogels with melt electrowritten (MEW) poly(ε-caprolactone) (PCL) reinforcement to produce tubular constructs with programmable shape-morphing capacity. The MEW fiber meshes significantly improve mechanical integrity, enabling suturing and perfusion, while preserving the anisotropic swelling behavior required for morphogenesis. Scaffold functionalization using human blood-derived protein coatings - such as fresh frozen plasma, platelet lysate, and fibrinogen - markedly enhances cellular adhesion and fibroblast proliferation without compromising structural transformation. Biological evaluation using mono and co-cultures of fibroblasts, endothelial cells (HUVEC), and vascular smooth muscle cells (vSMC) reveals the formation of organized bi-layers and phenotype-specific cell morphologies on AlgMC/PCL composites. Notably, a confluent endothelial layer promotes contractile marker expression in vSMC, while vSMC support endothelial coverage in the absence of a growth-arrested fibroblast feeder layer, indicating reciprocal stabilization. While further optimization is needed to meet the demands of small-diameter vascular grafts fully, the presented system offers a versatile and promising platform for engineering soft tissue constructs that benefit from topographical guidance, spatially controlled adhesion, and adaptive geometry.

Indexed as

Blood Vessel ProsthesisPrinting, Three-DimensionalTissue EngineeringTissue ScaffoldsAlginatesAnimalsCell AdhesionCell ProliferationFibroblastsHumansHuman Umbilical Vein Endothelial CellsHydrogelsMethylcelluloseMyocytes, Smooth MusclePolyestersAlginatesHydrogelsMethylcellulosepolycaprolactonePolyesters4D printingadditive manufacturingalginateextrusion 3D printingmelt electrowritingmethylcellulosepolycaprolactone

Identifiers

PMID40772385
PMCPMC12645082

What OpenQuestion holds

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Registered trials

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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.