Evidence map›Paper›PMID 35603301›Full record

ArticleCommunications medicine2022

Tissue engineered vascular grafts transform into autologous neovessels capable of native function and growth.

Kevin M Blum, Jacob C Zbinden, Abhay B Ramachandra, Stephanie E Lindsey, Jason M Szafron, James W Reinhardt, Megan Heitkemper, Cameron A Best, Gabriel J M Mirhaidari, Yu-Chun Chang and 27 more

Open access · goldAbstract read
In one paragraph

Article in Communications medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 6% 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

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Small Diameter Vascular Grafts Made in Minutes.Advanced materials (Deerfield Beach, Fla.) · 2026
    Article
  3. Article
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  14. Article
  15. FSGe: A fast and strongly-coupled 3D fluid-solid-growth interaction method.Computer methods in applied mechanics and engineering · 2024
    Article
  16. Article
  17. Article
  18. Article
  19. Hemodynamics and Wall Mechanics of Vascular Graft Failure.Arteriosclerosis, thrombosis, and vascular biology · 2024
    Review
  20. 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

37 authors at 6 institutions in 2 countries.

Kevin M Blum *Center for Regenerative Medicine, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH 43205 USA.
Jacob C Zbinden *Center for Regenerative Medicine, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH 43205 USA.
Abhay B Ramachandra *Department of Biomedical Engineering, Yale University, New Haven, CT 06520 USA.
Stephanie E Lindsey *Department of Pediatrics (Cardiology), Stanford University, Stanford, CA 94305 USA.ORCID 0000-0002-4784-5647
Jason M Szafron *Department of Biomedical Engineering, Yale University, New Haven, CT 06520 USA.
James W ReinhardtCenter for Regenerative Medicine, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH 43205 USA.
Megan HeitkemperCenter for Regenerative Medicine, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH 43205 USA.
Cameron A BestCenter for Regenerative Medicine, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH 43205 USA.
Gabriel J M MirhaidariCenter for Regenerative Medicine, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH 43205 USA.ORCID 0000-0003-0665-7268
Yu-Chun ChangCenter for Regenerative Medicine, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH 43205 USA.
Anudari UlziibayarCenter for Regenerative Medicine, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH 43205 USA.
John KellyCenter for Regenerative Medicine, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH 43205 USA.ORCID 0000-0002-5865-5347
Kejal V ShahCenter for Regenerative Medicine, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH 43205 USA.
Joseph D DrewsCenter for Regenerative Medicine, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH 43205 USA.
Jason ZakkoCenter for Regenerative Medicine, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH 43205 USA.
Shinka MiyamotoCenter for Regenerative Medicine, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH 43205 USA.
Yuichi MatsuzakiCenter for Regenerative Medicine, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH 43205 USA.
Ryuma IwakiCenter for Regenerative Medicine, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH 43205 USA.
Hira AhmadCenter for Regenerative Medicine, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH 43205 USA.ORCID 0000-0001-7063-8614
Robbie DaultonCenter for Regenerative Medicine, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH 43205 USA.ORCID 0000-0001-9469-5306
Drew MusgraveCenter for Regenerative Medicine, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH 43205 USA.
Matthew G WietCenter for Regenerative Medicine, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH 43205 USA.ORCID 0000-0001-8375-7903
Eric HeuerCenter for Regenerative Medicine, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH 43205 USA.
Emily LawsonThe Ohio State University College of Medicine, Columbus, OH 43210 USA.
Erica SchwarzDepartment of Bioengineering, Stanford University, Stanford, CA 94304 USA.
Michael R McDermottCenter for Cardiovascular Research, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH 43205 USA.
Rajesh KrishnamurthyDepartment of Radiology, Nationwide Children's Hospital, Columbus, Ohio 43205 USA.ORCID 0000-0002-9137-642X
Ramkumar KrishnamurthyDepartment of Radiology, Nationwide Children's Hospital, Columbus, Ohio 43205 USA.ORCID 0000-0002-0479-5213
Kan HorThe Heart Center, Nationwide Children's Hospital, Columbus, OH 43205 USA.
Aimee K ArmstrongThe Heart Center, Nationwide Children's Hospital, Columbus, OH 43205 USA.ORCID 0000-0002-4534-5075
Brian A BoeThe Heart Center, Nationwide Children's Hospital, Columbus, OH 43205 USA.ORCID 0000-0002-7300-995X
Darren P BermanThe Heart Center, Nationwide Children's Hospital, Columbus, OH 43205 USA.
Aaron J Trask *Center for Cardiovascular Research, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH 43205 USA.
Jay D Humphrey *Department of Biomedical Engineering, Yale University, New Haven, CT 06520 USA.ORCID 0000-0003-1011-2025
Alison L Marsden *Institute for Computational and Mathematical Engineering (ICME), Stanford University, Stanford, CA 94305 USA.
Toshiharu Shinoka *The Heart Center, Nationwide Children's Hospital, Columbus, OH 43205 USA.ORCID 0000-0002-5173-9249
Christopher K Breuer *Center for Regenerative Medicine, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH 43205 USA.
Nationwide Children's Hospital · USYale University · USInstitute of Mathematical Statistics · USStanford Medicine · USStanford University · USThe Ohio State University · US

Funding

Training In Cardiovascular Physiology & PharmacologyT32HL007444 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Ju Chen, Robert Scott Ross · 1985 to 2026
$11.1M
Improving Tissue Engineered Vascular Graft Performance via Computational ModelingR01HL139796 · NHLBI · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI BREUER, CHRISTOPHER KANE, HUMPHREY, JAY D. · 2018 to 2025
$6.4M
T32 Training Program in Mechanisms and Innovation in Vascular DiseaseT32HL098049 · NHLBI · STANFORD UNIVERSITY · PI Nicholas James Leeper, Philip S Tsao · 2010 to 2026
$6.3M
UCSD PRIDE Faculty Development Program in Cardiovascular SciencesR25HL145817 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Robert Scott Ross, Joann Trejo · 2019 to 2026
$3.3M
Elucidating the Molecular Mechanisms Underlying LYST-mediated Tissue Engineered Vascular Graft StenosisR01HL157491 · NHLBI · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI BREUER, CHRISTOPHER KANE · 2021 to 2024
$2.9M
Development of an Improved Vascular Graft for Use in Congenital Heart SurgeryR01HL128847 · NHLBI · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI BREUER, CHRISTOPHER KANE · 2016 to 2019
$2.8M
A preclinical study evaluating and comparing the efficacy of tissue engineered vascular grafts to polytetrafluoroethylene grafts - DIVERSITY SUPP VILLARREALR01HL163065 · NHLBI · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI BREUER, CHRISTOPHER KANE · 2022 to 2025
$1.4M
Differential Macro- and Micro-Vascular Remodeling in Type 2 Diabetes and Metabolic SyndromeR00HL116769 · NHLBI · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI TRASK, AARON J · 2016 to 2018
$747k
Novel Non-Invasive Coronary Flow Patterning to Predict Early Coronary Microvascular DiseaseR21EB026518 · NIBIB · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI TRASK, AARON J · 2018 to 2020
$684k
Asylum Research MFP-3D-BIO Atomic Force MicroscopeS10OD023438 · OD · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI TRASK, AARON J · 2017 to 2017
$316k
NHLBI NIH HHS R00 HL116769NHLBI NIH HHS R01 HL128847NHLBI NIH HHS R01 HL139796NHLBI NIH HHS R01 HL157491NHLBI NIH HHS R01 HL163065NHLBI NIH HHS R25 HL145817NHLBI NIH HHS T32 HL007444NHLBI NIH HHS T32 HL098049NIBIB NIH HHS R21 EB026518NIH HHS S10 OD023438
6 · The paper itself

Abstract

Background: Tissue-engineered vascular grafts (TEVGs) have the potential to advance the surgical management of infants and children requiring congenital heart surgery by creating functional vascular conduits with growth capacity. Methods: Herein, we used an integrative computational-experimental approach to elucidate the natural history of neovessel formation in a large animal preclinical model; combining an in vitro accelerated degradation study with mechanical testing, large animal implantation studies with in vivo imaging and histology, and data-informed computational growth and remodeling models. Results: Our findings demonstrate that the structural integrity of the polymeric scaffold is lost over the first 26 weeks in vivo, while polymeric fragments persist for up to 52 weeks. Our models predict that early neotissue accumulation is driven primarily by inflammatory processes in response to the implanted polymeric scaffold, but that turnover becomes progressively mechano-mediated as the scaffold degrades. Using a lamb model, we confirm that early neotissue formation results primarily from the foreign body reaction induced by the scaffold, resulting in an early period of dynamic remodeling characterized by transient TEVG narrowing. As the scaffold degrades, mechano-mediated neotissue remodeling becomes dominant around 26 weeks. After the scaffold degrades completely, the resulting neovessel undergoes growth and remodeling that mimicks native vessel behavior, including biological growth capacity, further supported by fluid-structure interaction simulations providing detailed hemodynamic and wall stress information. Conclusions: These findings provide insights into TEVG remodeling, and have important implications for clinical use and future development of TEVGs for children with congenital heart disease.

Indexed as

BiomaterialsCardiovascular biologyTissues

Identifiers

PMID35603301
PMCPMC9053249
OpenAlexW4205457830

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.