Page 100 - IJB-8-2
P. 100

3D-printed Stent Coated with Dipyridamole-loaded Nanofiber
                                                               coated  with  PDLLA/DP  nanofibers  could  inhibit  the
                                                               proliferation  of  SMC  and  had  no  detrimental  effects
                                                               on  endothelial  cells  in  vitro.  Furthermore,  the  in vivo
           A                        B
                                                               implantation of stents coated with PDLLA/DP nanofibers
                                                               showed initial patency and continuous endothelialization
                                                               and  alleviated  neointimal  formation  compared  to  bare
                                                               stents. Collectively, the integrated stents coated with DP-
                                                               loaded  PDLLA  nanofibers  showed  great  potential  for
                                                               restenosis  prevention  and  endothelialization.  In  future
                                                               research, the decrease in strut thickness and the long-term
                                                               in vivo implantation of improved stents will be further
                                                               explored.

                                                               Acknowledgments
                                                               The  authors  acknowledge  funding  support  from  the
                                                               Tsinghua  University  Initiative  Scientific  Research
                                                               Program (20197050024) and the 111 Project (B17026).
                                                               Conflicts of interest
           Figure  8.  Immunohistochemical  analysis  of  the  stented  arterial
           segments for CD31 after implantation for 28 days. (A) Bare stents   No conflict of interest was reported by all authors.
           and (B) stents coated with dipyridamole-loaded poly(D,L-lactide)/
           DP nanofibers.                                      Author contributions
           with the guidance of the 3Rs principle (replace, reduce,   C.  W.,  L.  Z.,  and  W.  S.  proposed  the  integrated  stent
           and refine), we only retained the “Stent” group as a control   design and prepared the manuscript. C. W., Y. Y., and J.
           group to reduce the number of experimental animals as   J. conducted the experiments. Y. F. and L. O. helped to
                                                               revise the manuscript. All authors have given approval to
           much as possible. After implantation for 28 days, arteries
           implanted with DP-loaded stents were observed with a   the final version of the manuscript.
           reduction in intimal hyperplasia, the average neointimal   References
           area,  and  the  neointimal  stenosis  ratio  (Figure  7  and
           Figure S6). These results suggest that stents coated with   1.   Wiebe  J,  Nef  HM,  Hamm  CW,  2014,  Current  Status  of
           DP-loaded nanofibers could effectively inhibit neointimal   Bioresorbable Scaffolds in the Treatment of Coronary Artery
           development. Endothelialization is a hallmark of vascular   Disease. J Am Coll Cardiol, 64:2541–51.
           healing and is important for the prevention of thrombus
           formation. As presented in Figure 8, the neointimal on      https://doi.org/10.1016/j.jacc.2014.09.041
           bare stents showed deficient CD31 expression, indicating   2.   Wessely R, 2010, New Drug-eluting Stent Concepts. Nat Rev
           the  delayed  repair  of  the  endothelium.  Moreover,   Cardiol, 7:194–203.
           continuous initial endothelialization was observed in the      https://doi.org/10.1038/nrcardio.2010.14
           inner surface of stents coated with DP-loaded nanofibers,   3.   Ang  H Y,  Bulluck  H, Wong  P, et al.,  2017,  Bioresorbable
           which  was  a  positive  signal  for  long-term  vascular   Stents: Current and Upcoming Bioresorbable Technologies.
           patency.
                                                                   Int J Cardiol, 228:931–9.
           5. Conclusions                                          https://doi.org/10.1016/j.ijcard.2016.11.258

           In this study, we developed an integrated stent with the   4.   Joner M, Finn AV, Farb A, et al., 2006, Pathology of Drug-
           combination  of  3D-printed  PCL  stents  and  DP-loaded   Eluting  Stents  in  Humans.  Delayed  Healing  and  Late
           electrospun  nanofibers.  Stents  coated  with  nanofibers   Thrombotic Risk. J Am Coll Cardiol, 48:193–202.
           presented  precise  structures  and  possessed  enhanced      https://doi.org/10.1016/j.jacc.2006.03.042
           radial strength. The in vitro degradation and drug release   5.   Capranzano P, Dangas G, 2012, Late Stent Thrombosis: The
           evaluation  showed  a  long-term  sustained  release  of   Last Remaining Obstacle in Coronary Interventional Therapy.
           DP drug from PDLLA nanofibers over 120 days. With
           the introduction of DP in fibers, the stents also showed   Curr Cardiol Rep, 14:408–17.
           excellent  in  vitro  hemocompatibility. The  cell  viability      https://doi.org/10.1007/s11886-012-0283-9
           and morphological analysis results indicated that stents   6.   Inoue  T,  Croce  K,  Morooka  T, et al.,  2011,  Vascular

           92                          International Journal of Bioprinting (2022)–Volume 8, Issue 2
   95   96   97   98   99   100   101   102   103   104   105