PMID- 30339045 OWN - NLM STAT- MEDLINE DCOM- 20200501 LR - 20200501 IS - 1460-2202 (Electronic) IS - 0271-3683 (Linking) VI - 44 IP - 3 DP - 2019 Mar TI - Evaluation of the Suitability of Biocompatible Carriers as Artificial Transplants Using Cultured Porcine Corneal Endothelial Cells. PG - 243-249 LID - 10.1080/02713683.2018.1536215 [doi] AB - Purpose/Aim: Evaluating the suitability of bioengineered collagen sheets and human anterior lens capsules (HALCs) as carriers for cultivated porcine corneal endothelial cells (pCECs) and in vitro assessment of the cell-carrier sheets as tissue-engineered grafts for Descemet membrane endothelial keratoplasty (DMEK). MATERIALS AND METHODS: pCECs were isolated, cultured up to P2 and seeded onto LinkCell bioengineered matrices of 20 microm (LK20) or 100 microm (LK100) thickness, and on HALC. During expansion, pCEC viability and morphology were assessed by light microscopy. ZO-1 and Na(+)/K(+)-ATPase expression was investigated by immunohistochemistry. Biomechanical properties of pCEC-carrier constructs were evaluated by simulating DMEK surgery in vitro using an artificial anterior chamber (AC) and a human donor cornea without Descemet membrane (DM). RESULTS: During in vitro expansion, cultured pCECs retained their proliferative capacity, as shown by the positive staining for proliferative marker Ki67, and a high cell viability rate (96 +/- 5%). pCECs seeded on all carriers formed a monolayer of hexagonal, tightly packed cells that expressed ZO-1 and Na(+)/K(+)-ATPase. During in vitro surgery, pCEC-LK20 and pCEC-LK100 constructs were handled like Descemet stripping endothelial keratoplasty (DSEK) grafts, i.e. folded like a "taco" for insertion because of challenges related to rolling and sticking of the grafts in the injector. pCEC-HALC constructs behaved similar to the DMEK reference model during implantation and unfolding in the artificial AC, showing good adhesion to the bare stroma. CONCLUSIONS: In vitro DMEK surgery showed HALC as the most suitable carrier for cultivated pCECs with good intraoperative graft handling. LK20 carrier showed good biocompatibility, but required a DSEK-adapted surgical protocol. Both carriers might be notional candidates for potential future clinical applications. FAU - Spinozzi, Daniele AU - Spinozzi D AD - a Netherlands Institute for Innovative Ocular Surgery , Rotterdam , The Netherlands. FAU - Miron, Alina AU - Miron A AD - a Netherlands Institute for Innovative Ocular Surgery , Rotterdam , The Netherlands. FAU - Bruinsma, Marieke AU - Bruinsma M AD - a Netherlands Institute for Innovative Ocular Surgery , Rotterdam , The Netherlands. FAU - Dapena, Isabel AU - Dapena I AD - a Netherlands Institute for Innovative Ocular Surgery , Rotterdam , The Netherlands. AD - b Melles Cornea Clinic Rotterdam , Rotterdam , The Netherlands. FAU - Lavy, Itay AU - Lavy I AD - a Netherlands Institute for Innovative Ocular Surgery , Rotterdam , The Netherlands. AD - b Melles Cornea Clinic Rotterdam , Rotterdam , The Netherlands. FAU - Binder, Perry S AU - Binder PS AD - c Gavin Herbert Eye Institute , University of California , Irvine , California , USA. FAU - Rafat, Mehrdad AU - Rafat M AD - d LinkoCare Life Science AB , Linkoping , Sweden. AD - e Department of Biomedical Engineering , Linkoping University , Linkoping , Sweden. FAU - Oellerich, Silke AU - Oellerich S AD - a Netherlands Institute for Innovative Ocular Surgery , Rotterdam , The Netherlands. FAU - Melles, Gerrit R J AU - Melles GRJ AD - a Netherlands Institute for Innovative Ocular Surgery , Rotterdam , The Netherlands. AD - b Melles Cornea Clinic Rotterdam , Rotterdam , The Netherlands. AD - f Amnitrans EyeBank Rotterdam , Rotterdam , The Netherlands. LA - eng PT - Evaluation Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20181207 PL - England TA - Curr Eye Res JT - Current eye research JID - 8104312 RN - 0 (Biocompatible Materials) RN - 0 (Ki-67 Antigen) RN - 0 (Zonula Occludens-1 Protein) RN - 9007-34-5 (Collagen) RN - EC 7.2.2.13 (Sodium-Potassium-Exchanging ATPase) SB - IM MH - Animals MH - *Biocompatible Materials MH - Cell Proliferation/physiology MH - Cell Survival/physiology MH - Cells, Cultured MH - *Collagen MH - Descemet Stripping Endothelial Keratoplasty MH - Endothelium, Corneal/*cytology/metabolism MH - Fluorescent Antibody Technique, Indirect MH - Humans MH - Ki-67 Antigen/metabolism MH - *Lens Capsule, Crystalline MH - Sodium-Potassium-Exchanging ATPase/metabolism MH - Swine MH - Tissue Engineering MH - *Tissue Scaffolds MH - Zonula Occludens-1 Protein/metabolism OTO - NOTNLM OT - Porcine endothelial cells OT - cell carriers OT - cell culture OT - donor material OT - endothelial cell transplantation EDAT- 2018/10/20 06:00 MHDA- 2020/05/02 06:00 CRDT- 2018/10/20 06:00 PHST- 2018/10/20 06:00 [pubmed] PHST- 2020/05/02 06:00 [medline] PHST- 2018/10/20 06:00 [entrez] AID - 10.1080/02713683.2018.1536215 [doi] PST - ppublish SO - Curr Eye Res. 2019 Mar;44(3):243-249. doi: 10.1080/02713683.2018.1536215. Epub 2018 Dec 7.