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Bio-Design and Manufacturing  2025 Vol.8 No.6 P.917-929

http://doi.org/10.1631/bdm.2500211


A microneedle substrate-based sutureless engineered cardiac patch for myocardial infarction repair


Author(s):  Zibo Liu (???), Pengcheng Yang (???), Yueming Tian (???), Heyuan Deng (???), Jingjing Xia (???), Binhan Li (???), Bingyan Wu (???), Yongcong Fang (???), Zhuo Xiong (??) & Ting Zhang (??)

Affiliation(s):  1 Biomanufacturing Center, Department of Mechanical Engineering, Tsinghua University, Beijing 100084, China 2Biomanufacturing and Rapid Forming Technology Key Laboratory of Beijing, Beijing 100084, China 3 Biomanufacturing and Engineering Living Systems Innovation International Talents Base (111 Base), Beijing 100084, China 4State Key Laboratory of Tribology in Advanced Equipment, Tsinghua University, Beijing 100084, China

Corresponding email(s):   xiongzhuo@tsinghua.edu.cn, t-zhang@mail.tsinghua.edu.cn

Key Words:  Microneedles Engineered cardiac patches Myocardial infarction repair


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Zibo Liu (???), Pengcheng Yang (???), Yueming Tian (???), Heyuan Deng (???), Jingjing Xia (???), Binhan Li (???), Bingyan Wu (???), Yongcong Fang (???), Zhuo Xiong (??) & Ting Zhang (??) . A microneedle substrate-based sutureless engineered cardiac patch for myocardial infarction repair[J]. Journal of Zhejiang University Science D, 2025, 8(6): 917-929.

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Abstract: 
Myocardial infarction (MI) is a challenging condition that results in scar formation on the ventricular wall, causing myocardial damage and ventricular thinning. Engineered cardiac patches (ECPs) designed to regenerate myocardial tissue have been proposed to repair the ventricular wall and replenish myocardial cells. However, their clinical use is limited by manufacturing and fixation challenges. This study introduces a manufacturing strategy for a composite ECP, which comprises an antiadhesion shell layer, a conductive myocardial tissue, and an exosome-laden microneedle substrate. The ECP can anchor to the infarcted myocardium through its microneedle substrate. Meanwhile, its outer shell prevents nonspecific adhesion, enabling stable and suture-free attachment. Using this microneedle substrate, we applied a 3D-printed ECP in a rat model of post-MI repair. Our results showed that this strategy reduced left ventricular damage, improved cardiac ejection fraction, decreased the fibrotic area, increased ventricular wall thickness, improved microvascular recovery, and thus facilitated the repair of maladaptive ventricular remodeling post-MI. This microneedle substrate holds great promise for use in the fixation of patches during the repair of myocardial tissue and other organs, thereby promoting the clinical application of tissue-engineered patches.

一种基于微针基底的免缝合工程化心脏补片

作者:刘子博1,2,3,杨鹏程1,2,3,田月明1,2,3,邓贺元1,2,3,夏静静1,2,3,李彬寒1,2,3, 吴炳炎1,2,3,方永聪1,2,3,熊卓1,2,3,张婷1,2,3,4 机构:1清华大学机械工程系生物制造中心,中国北京市,100084;2生物制造与快速成形技术北京市重点实验室,中国北京市,100084;3“生物制造与工程化生命系统”国际创新人才基地,中国北京市,100084;4清华大学高端装备界面科学与技术全国重点实验室,中国北京市,100084 目的:心肌梗死(MI)是一种临床常见且难以逆转的疾病,主要特征为心室壁瘢痕形成,导致心肌结构受损和心室壁变薄。工程化心脏补片(ECP)作为一种治疗手段,用于修复受损心室壁并补充功能性心肌细胞。本研究旨在构建一种新型复合ECP,解决ECP临床推广中制造复杂和固定效果不佳的挑战,并促进心肌组织再生。 创新点:提出了一种新型复合ECP的构建策略。该补片由具有抗黏附功能的外壳层、导电心肌组织结构,以及负载外泌体的微针衬底三部分组成。其中,微针衬底能够实现对梗死心肌的稳定锚定,而外壳层可有效抑制非特异性组织黏连,从而实现稳定、免缝合的补片固定方式。 方法:构建由抗黏附外壳层、导电心肌组织结构和负载外泌体的微针衬底组成的新型复合ECP。通过动物心肌梗死修复实验,评估该补片在改善MI后不良心室重塑方面的效果。 结论:该补片可显著减轻左心室结构损伤,提高心脏射血分数,减少纤维化面积,增加心室壁厚度,并促进微血管再生,最终改善MI后的不良心室重塑。该补片不仅在心肌修复中显示出良好的应用潜力,也为组织工程化补片在其他组织修复中的临床转化提供了新思路。
关键词:心肌梗死;工程化心脏补片;免缝合固定;微针衬底;外泌体;组织再生

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