Cardiac tissue engineering has been motivated by the need to create functio
nal tissue equivalents for scientific studies and cardiac tissue repair. We
previously demonstrated that contractile cardiac cell-polymer constructs c
an be cultivated using isolated cells, 3-dimensional scaffolds,and bioreact
ors. In the present work, we examined the effects of (1) cell source (neona
tal rat or embryonic chick), (2) initial cell seeding density, (3) cell see
ding vessel, and (4) tissue culture vessel on the structure and composition
of engineered cardiac muscle. Constructs seeded under well-mixed condition
s with rat heart cells at a high initial density ((6-8) x 10(6) cells/polym
er scaffold) maintained structural integrity and contained macroscopic cont
ractile areas (approximately 20 mm(2)). Seeding in rotating vessels (lamina
r flow) rather than mixed flasks (turbulent flow) resulted in 23% higher se
eding efficiency and 20% less cell damage as assessed by medium lactate deh
ydrogenase levels (p < 0.05). Advantages of culturing constructs under mixe
d rather than static conditions included the maintenance of metabolic param
eters in physiological ranges, 2-4 times higher construct cellularity (p le
ss than or equal to 0.0001), more aerobic cell metabolism, and a more physi
ological, elongated cell shape. Cultivations in rotating bioreactors, in wh
ich flow patterns are laminar and dynamic, yielded constructs with a more a
ctive, aerobic metabolism as compared to constructs cultured in mixed or st
atic flasks. After 1-2 weeks of cultivation, tissue constructs expressed ca
rdiac specific proteins and ultrastructural features and had approximately
2-6 times lower cellularity (p < 0.05) but similar metabolic activity per u
nit cell when compared to native cardiac tissue. (C) 1999 John Wiley & Sons
, Inc.