Name: synthesis of thermogelling poly(n-isopropylacrylamide)-graft-chondroitin sulfate composites with alginate microparticles for tissue engineering
Uploaded: 2016-10-26T12:30:00
Description: Watch this Scientific Journal Video about Synthesis of Thermogelling PolyN-isopropylacrylamide-graft-chondroitin Sulfate Composites with Alginate Microparticles for Tissue Engineering at JoVE.com

The authors would like to gratefully acknowledge the assistance of Dr. Jennifer Kadlowec in the development of the adhesive tensile testing protocol.
Research reported in this publication was supported by the National Institute of Arthritis and Musculoskeletal and Skin Diseases and the National Institute of Biomedical Imaging and Bioengineering of the National Institutes of Health under Award Number 1R15 AR 063920-01. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

1. Poly(N-isopropylacrylamide)-g-chondroitin Sulfate Synthesis
<ol>
	<li>Prior to the synthesis of the bioadhesive hydrogel, purify N-isopropylacrylamide (NIPAAm) monomer and methacrylate chondroitin sulfate (CS).
	<ol>
		<li>Weigh out at least 10 g of NIPAAm and dissolve the monomer in 400 ml&#160;of n-hexane at 60 &#176;C. Stir the container periodically until complete dissolution. Recrystallize the solution in a -20 &#176;C freezer for 24 hr.</li>
		<li>Remove the crystallized monomer from the container and vacuum f...

There are several critical steps in synthesizing the hydrogel-microparticle composite and evaluating its adhesive strength, swelling ability, and cellular biocompatibility. Free radical polymerization of PNIPAAm-g-CS requires successful methacrylation of chondroitin sulfate, complete dissolution of monomer components, and oxygen-free reaction conditions. The ratio of NIPAAm monomer to methacrylated chondroitin sulfate in the reaction mixture was chosen because it has been demonstrated, in our previous work, to generate c...

Injectable biomaterials are those that can be conveniently delivered into the body as a liquid and solidify in situ. Such materials have been applied extensively in regenerative medicine, where they are used to deliver encapsulated cells to the affected site 1-4 and act as a three-dimensional temporary extracellular matrix for the cells 5. For the patient, injectable biomaterials are advantageous because the surgical procedures for implantation are minimally invasive and the solid phase can fill irregularly shaped tissue defects, eliminating the need for custom-size implants.
Injectability can be achieved through a variety of mechanisms. External factors, like pH, have been investigated as a trigger for the formation of gels that encapsulate cells and bioactive molecules6-8. However, pH may not be the most convenient trigger to use in all physiological environments. Another traditional alternative for achieving injectability is using in situ chemical polymerization or crosslinking. A group developed a water-soluble redox system composed of ammonium persulfate and N,N,N&#39;,N&#39;-tetramethylethylenediamine and used it for reacting macromers composed of polyethylene glycol and poly(propylene) glycol 9,10. Zan et al. 11 developed injectable chitosan polyvinylalcohol networks crosslinked with glutaraldehyde. In such systems, the cytotoxicity of reactive components must be considered, especially for applications involving cell encapsulation. Also, exothermic polymerization could produce high enough temperatures to compromise surrounding tissue, which has been reported for polymeric bone cements 12,13.
Still other injectable polymer systems have been developed that exhibit a change from the liquid to solid state with temperature as the trigger. Known as thermogelling systems, these are aqueous polymer solutions that do not require chemical stimulus, monomers, or crosslinkers to achieve in situ formation 14. Rather, a phase transition usually occurring near physiological temperature induces the formation of a physically crosslinked three-dimensional network. Poloxamers such as Pluronic F127 are among the most widely studied polymers for thermogelling drug delivery 15-17 and cell encapsulation 18,19. However, it is well accepted that these gels lack stability at physiological conditions. Studies have demonstrated increased stability using chain extenders 20 or chemical crosslinkers 21,22. Nevertheless, the use of these reagents may limit the potential of the materials for cell encapsulation.
Poly(N-isopropylacrylamide) is a synthetic thermogelling polymer that has received significant attention in tissue engineering and drug delivery 14. Aqueous solutions of poly(N-isopropylacrylamide) (PNIPAAm) exhibit a lower critical solution temperature (LCST), typically occurring around 32 - 34 &#176;C 23,24. Below the LCST, water hydrates PNIPAAm chains. Above the transition temperature, the polymer becomes hydrophobic, resulting in a dramatic phase separation 25-27 and formation of a solid gel without the use of toxic monomers or crosslinkers. However, PNIPAAm homopolymers exhibit poor elastic properties and hold little water at physiological temperature due to hydrophobicity 28. In this work, we choose to incorporate chondroitin sulfate covalently into the PNIPAAm network, which offers the potential for enzymatic degradability 29, anti-inflammatory activity 30,31, and increased water and nutrient absorption 32. PNIPAAm copolymers with CS were prepared in our laboratory by polymerizing the monomer NIPAAm in the presence of methacrylate-functionalized CS to form grafted copolymer (PNIPAAm-g-CS). Because of the low crosslinking density of the copolymer, PNIPAAm-g-CS forms a viscous solution in water at RT&#160;and an elastic gel at physiological temperature due to the LCST 29. The polymer solutions become flowable again upon cooling below the LCST due to the reversibility of the transition.
We have demonstrated that PNIPAAm-g-CS has the potential to function as a tissue engineering scaffold, due to mechanical properties that can be tailored, degradability, and cytocompatibility with human embryonic kidney (HEK) 293 cells 29. However, in certain load bearing areas, such as the intervertebral disc, tissue engineering scaffolds should have the ability to form a substantial interface with surrounding disc tissue to eliminate the risk of dislocation 33. This interface is also necessary for the adequate transmission of force across the interface between the implant and the tissue 33. In our work, we have suspended alginate microparticles in aqueous solutions of PNIPAAm-g-CS and found that gelation localizes the microparticles, which provide adhesion with surrounding tissue 34. In this paper, we outline the steps for preparation of the thermogelling, adhesive polymer. Standard techniques for biomaterials characterization, cell imaging, and assays for viability were adapted to take into account the temperature sensitivity of the polymer and the reversibility of the phase transition. The injectable polymer described in this paper has wide potential for drug delivery and tissue engineering applications outside of those described in this paper. Moreover, the characterization methods described here may be applicable to other thermogelling systems.

<table border="0" cellpadding="0" cellspacing="0" width="885">
	<tbody>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">N-isopropylacrylamide, 99%, pure, stabilized</td>
			<td style="width:164px;">Acros Organics</td>
			<td style="width:120px;">2210-25-5</td>
			<td style="width:347px;">Refrigerate and remove stabilier with hexane</td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">Chondroitin sulfate A sodium salt (from bovine trachea)</td>
			<td style="width:164px;">Sigma-Aldrich</td>
			<td style="width:120px;">39455-18-0</td>
			<td style="width:347px;">Refrigerate</td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">Hexanes</td>
			<td style="width:164px;">Fisher Scientific</td>
			<td style="width:120px;">H302-4</td>
			<td style="width:347px;">Store in a flammable cabinet</td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">50% (w/w) sodium hydroxide</td>
			<td style="width:164px;">Fisher Scientific</td>
			<td style="width:120px;">SS254-1</td>
			<td style="width:347px;">Caustic in nature</td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">Methacrylic anhydride</td>
			<td style="width:164px;">Sigma-Aldrich</td>
			<td style="width:120px;">276685</td>
			<td style="width:347px;">Strong fumes; use in a fume hood</td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">Acetone</td>
			<td style="width:164px;">Fisher Scientific</td>
			<td style="width:120px;">A18-4</td>
			<td style="width:347px;">Chill in a refrigerator prior to use</td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">Nitrogen Gas</td>
			<td style="width:164px;">Praxair</td>
			<td style="width:120px;">7727-37-9</td>
			<td style="width:347px;">Part Number: NI 4.8, cylinder style T, 99.998% pure nitrogen (Argon may be used as an alternative inert gas)</td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">Tetramethylethylenediamine, 99% extra pure</td>
			<td style="width:164px;">Acros Organics</td>
			<td style="width:120px;">110-18-9</td>
			<td style="width:347px;"></td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">Ammonium persulfate</td>
			<td style="width:164px;">Sigma Aldrich</td>
			<td style="width:120px;">A3678</td>
			<td style="width:347px;">Hygroscopic and degrades in the presence of water</td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">Phosphate buffered saline tablets</td>
			<td style="width:164px;">Fisher Scientific</td>
			<td style="width:120px;">BP2944</td>
			<td style="width:347px;">Keep dry</td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">Alginic acid, sodium salt</td>
			<td style="width:164px;">Acros Organics</td>
			<td style="width:120px;">177775000</td>
			<td style="width:347px;">Use heat to aid in dissolving</td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">Calcium chloride dihydrate</td>
			<td style="width:164px;">Fisher Scientific</td>
			<td style="width:120px;">C79</td>
			<td style="width:347px;"></td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">Canola oil</td>
			<td style="width:164px;">Local store</td>
			<td style="width:120px;"></td>
			<td style="width:347px;">Obtain from a local store</td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">Tween 20</td>
			<td style="width:164px;">Sigma-Aldrich</td>
			<td style="width:120px;">93773</td>
			<td style="width:347px;"></td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">70% (v/v) Isopropoanol</td>
			<td style="width:164px;">Fisher Scientific</td>
			<td style="width:120px;">A416-4</td>
			<td style="width:347px;"></td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">Porcine ears</td>
			<td style="width:164px;">Haine&#39;s Pork Shop</td>
			<td style="width:120px;"></td>
			<td style="width:347px;">Obtain from a local butcher</td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">Sodium Chloride</td>
			<td style="width:164px;">Fisher Scientific</td>
			<td style="width:120px;">S271-3</td>
			<td style="width:347px;"></td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">Human embryonic kidney 293 cells</td>
			<td style="width:164px;">ATCC</td>
			<td style="width:120px;">ATCC CRL-1573</td>
			<td style="width:347px;">Store in liquid nitrogen for long-term use</td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">DMEM: 1X, high glucose, no pyruvate</td>
			<td style="width:164px;">Life Technologies</td>
			<td style="width:120px;">11965126</td>
			<td style="width:347px;">Refrigerate</td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">Fetal bovine serum</td>
			<td style="width:164px;">Life Technologies</td>
			<td style="width:120px;">10082-147</td>
			<td style="width:347px;">Refrigerate</td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">Penn Strep: 10,000 U/ml</td>
			<td style="width:164px;">Life Technologies</td>
			<td style="width:120px;">15140-122</td>
			<td style="width:347px;">Refrigerate</td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">Trypsin-EDTA: 0.5%, 10X</td>
			<td style="width:164px;">Life Technologies</td>
			<td style="width:120px;">15400-054</td>
			<td style="width:347px;">Refrigerate</td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">Methanol</td>
			<td style="width:164px;">VWR</td>
			<td style="width:120px;">AAA44571-K7</td>
			<td style="width:347px;"></td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">Live/Dead Cell viability kit</td>
			<td style="width:164px;">Life Technologies</td>
			<td style="width:120px;">L3224</td>
			<td style="width:347px;">Light sensitive, keep frozen</td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">XTT cell viability kit</td>
			<td style="width:164px;">Sigma Aldrich</td>
			<td style="width:120px;">TOX2-1KT</td>
			<td style="width:347px;">Light sensitive, keep frozen</td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">Clear DMEM: 1X, high glucose, no phenol</td>
			<td style="width:164px;">Life Technologies</td>
			<td style="width:120px;">21063-029</td>
			<td style="width:347px;">Refrigerate</td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">Dulbecco&#39;s PBS: 1X</td>
			<td style="width:164px;">Life Technologies</td>
			<td style="width:120px;">14190136</td>
			<td style="width:347px;">Refrigerate</td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">Sodium citrate</td>
			<td style="width:164px;">EMD</td>
			<td style="width:120px;">SX0445-1</td>
			<td style="width:347px;"></td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">Positive displacement pipette</td>
			<td style="width:164px;">BrandTech Scientific, INC</td>
			<td style="width:120px;">2702904</td>
			<td style="width:347px;">Dispenses 100 - 500 &#181;L and comes with attachable tips</td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">No 3. Stainless Steel scalpel handle</td>
			<td style="width:164px;">Sigma Aldrich</td>
			<td style="width:120px;">S2896</td>
			<td style="width:347px;"></td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">Miltex sterile surgical blades</td>
			<td style="width:164px;">Fisher Scientific</td>
			<td style="width:120px;">12-460-440</td>
			<td style="width:347px;">Size 10</td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">Power gem homogenizer</td>
			<td style="width:164px;">Fisher Scientific</td>
			<td style="width:120px;">08-451-660</td>
			<td style="width:347px;">Model # 125</td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">Porcelain mortar and pestle</td>
			<td style="width:164px;">Sigma Aldrich</td>
			<td style="width:120px;">Z247464</td>
			<td style="width:347px;">Holds 50 mL</td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">FreeZone 1 L benchtop freeze dry system</td>
			<td style="width:164px;">Labconco</td>
			<td style="width:120px;">7740020</td>
			<td style="width:347px;">Freeze samples prior to use</td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">Oil sealed rotary vane pump</td>
			<td style="width:164px;">Edwards</td>
			<td style="width:120px;">A65301906</td>
			<td style="width:347px;">Model # RV5</td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">Incubating orbital shaker</td>
			<td style="width:164px;">VWR</td>
			<td style="width:120px;">12620-946</td>
			<td style="width:347px;">Model # 980153</td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">Benchtop refrigerated centrifuge</td>
			<td style="width:164px;">Forma Scientific, INC</td>
			<td style="width:120px;"></td>
			<td style="width:347px;">Model # 5682</td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">Heated ovens</td>
			<td style="width:164px;">VWR</td>
			<td></td>
			<td style="width:347px;">Model # 1235PC</td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">2 N force gauge</td>
			<td style="width:164px;">Shimpo</td>
			<td style="width:120px;">FGV-0.5XY</td>
			<td style="width:347px;">Model # FGV-0.5XY</td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">E-force test stand</td>
			<td style="width:164px;">Shimpo</td>
			<td style="width:120px;">FGS-200PV</td>
			<td style="width:347px;">Model # FGS-200PV</td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">Tissue culture swinging bucket centrifuge</td>
			<td style="width:164px;">Beckman Coulter</td>
			<td style="width:120px;">366830</td>
			<td style="width:347px;">Model #6S-6KR</td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">Tissue culture microcentrifuge</td>
			<td style="width:164px;">Eppendorf</td>
			<td style="width:120px;"></td>
			<td style="width:347px;">Model #5415C</td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">Hemacytometer set</td>
			<td style="width:164px;">Hausser Scientific</td>
			<td style="width:120px;">3720</td>
			<td style="width:347px;">Requires replacement cover glass slips</td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">Slide warmer</td>
			<td style="width:164px;">Lab Scientific</td>
			<td style="width:120px;">XH-2022</td>
			<td style="width:347px;">Model # XH-2002</td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">Portable heating lamp</td>
			<td style="width:164px;">Underwriters Laboratories</td>
			<td style="width:120px;"></td>
			<td style="width:347px;">Helps to maintain polymer temperature at 37&#176;C</td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">Inverted fluorescent microscope</td>
			<td style="width:164px;">Zeiss</td>
			<td style="width:120px;"></td>
			<td style="width:347px;">Model Axiovert 25 CFL</td>
		</tr>
		<tr height="40">
			<td height="40" style="height:40px;width:255px;">Heated water bath</td>
			<td style="width:164px;">VWR</td>
			<td style="width:120px;"></td>
			<td style="width:347px;">Model # 1235PC</td>
		</tr>
		<tr height="36">
			<td height="36" style="height:36px;width:255px;">Rocking platform</td>
			<td style="width:164px;">VWR</td>
			<td style="width:120px;"></td>
			<td style="width:347px;">Series 100</td>
		</tr>
		<tr height="36">
			<td height="36" style="height:36px;width:255px;">Multiskan FC microtiter plate reader</td>
			<td style="width:164px;">Thermo Scientific</td>
			<td style="width:120px;"></td>
			<td style="width:347px;">Type 357</td>
		</tr>
		<tr height="36">
			<td height="36" style="height:36px;width:255px;">Cell culture incubator</td>
			<td style="width:164px;">VWR</td>
			<td style="width:120px;"></td>
			<td style="width:347px;">Model # 2350T</td>
		</tr>
		<tr height="36">
			<td height="36" style="height:36px;width:255px;">Purifier class II biosafety cabinet</td>
			<td style="width:164px;">Labconco</td>
			<td style="width:120px;"></td>
			<td style="width:347px;">Delta Series</td>
		</tr>
	</tbody>
</table>

synthesis of thermogelling poly(n-isopropylacrylamide)-graft-chondroitin sulfate composites with alginate microparticles for tissue engineering

Injectable biomaterials are defined as implantable materials that can be introduced into the body as a liquid and solidify in situ. Such materials offer the clinical advantages of being implanted minimally invasively and easily forming space-filling solids in irregularly shaped defects. Injectable biomaterials have been widely investigated as scaffolds for tissue engineering. However, for the repair of certain load-bearing areas in the body, such as the intervertebral disc, scaffolds should possess adhesive properties. This will minimize the risk of dislocation during motion and ensure intimate contact with the surrounding tissue, providing adequate transmission of forces. Here, we describe the preparation and characterization of a scaffold composed of thermally sensitive poly(N-isopropylacrylamide)-graft-chondroitin sulfate (PNIPAAM-g-CS) and alginate microparticles. The PNIPAAm-g-CS copolymer forms a viscous solution in water at RT, into which alginate particles are suspended to enhance adhesion. Above the lower critical solution temperature (LCST), around 30 &#176;C, the copolymer forms a solid gel around the microparticles. We have adapted standard biomaterials characterization procedures to take into account the reversible phase transition of PNIPAAm-g-CS. Results indicate that the incorporation of 50 or 75 mg/ml&#160;alginate particles into 5% (w/v) PNIPAAm-g-CS solutions quadruple the adhesive tensile strength of PNIPAAm-gCS alone (p&#60;0.05). The incorporation of alginate microparticles also significantly increases swelling capacity of PNIPAAm-g-CS (p&#60;0.05), helping to maintain a space-filling gel within tissue defects. Finally, results of the in vitro toxicology assay kit, 2,3-bis-(2-methoxy-4-nitro-5-sulfophenyl)-2H-tetrazolium-5-carboxanilide (XTT) and Live/Dead viability assay indicate that the adhesive is capable of supporting the survival and proliferation of encapsulated Human Embryonic Kidney (HEK) 293 cells over 5 days.

A thermally responsive grafted co-polymer was successfully synthesized and characterized for its bioadhesive strength, swelling properties, and in vitro cytocompatibility. We chose to investigate alginate due to its well-established mucoadhesive properties. Alginate microparticles, with an average diameter of 59.7 &#177; 14.9 &#181;m, were blended with 5% (w/v) PNIPAAm-g-CS at concentrations of 25, 50, and 75 mg/ml. These concentrations were based on one-half, equal to, and twice...

Watch this Scientific Journal Video about Synthesis of Thermogelling PolyN-isopropylacrylamide-graft-chondroitin Sulfate Composites with Alginate Microparticles for Tissue Engineering at JoVE.com

Synthesis of Thermogelling PolyN-isopropylacrylamide-graft-chondroitin Sulfate Composites with Alginate Microparticles for Tissue Engineering

An injectable tissue engineering scaffold composed of poly(N-isopropylacrylamide)-graft-chondroitin sulfate (PNIPAAm-g-CS)-containing alginate microparticles was prepared. The adhesive strength, swelling properties and in vitro biocompatibility are analyzed in this study. The characterization techniques developed here may be applicable to other thermogelling systems.

Synthesis of Thermogelling Poly(N-isopropylacrylamide)-graft-chondroitin Sulfate Composites with Alginate Microparticles for Tissue Engineering

Injectable biomaterials are defined as implantable materials that can be introduced into the body as a liquid and solidify in situ. Such materials offer ...

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Tissue Engineering of Tumor Stromal Microenvironment with Application to Cancer Cell Invasion

3D organotypic cultures of epithelial cells on a matrix embedded with mesenchymal cells are widely used to study epithelial cell differentiation and ...

Engineering 3D Cellularized Collagen Gels for Vascular Tissue Regeneration

Synthetic materials are known to initiate clinical complications such as inflammation, stenosis, and infections when implanted as vascular substitutes. ...

Synthesis of Keratin-based Nanofiber for Biomedical Engineering

Electrospinning, due to its versatility and potential for applications in various fields, is being frequently used to fabricate nanofibers. Production of ...

Preparation of Thermoresponsive Nanostructured Surfaces for Tissue Engineering

Thermoresponsive poly(N-isopropylacrylamide) (PIPAAm)-immobilized surfaces for controlling cell adhesion and detachment were fabricated by the ...

Tissue Engineering by Intrinsic Vascularization in an In Vivo Tissue Engineering Chamber

Tissue Engineering by Intrinsic Vascularization in an In Vivo Tissue Engineering Chamber

In reconstructive surgery, there is a clinical need for an alternative to the current methods of autologous reconstruction which are complex, costly and ...