Objective: In tissue engineering, three-dimensional biodegradable scaffolds
are generally used as a basic structure for cell anchorage, cell prolifera
tion and cell differentiation. The currently used biodegradable scaffolds i
n cardiovascular tissue engineering are potentially immunogenic, they show
toxic degradation and inflammatory reactions. The aim of this study is to e
stablish a new three-dimensional cell culture system within cells achieve u
niform distribution and quick tissue development. and with no toxic degrada
tion or inflammatory reactions. Methods: Human aortic tissue is harvested f
rom the ascending aorta in the operation room and worked up to pure human m
yofibroblasts cultures. These human myofibroblasts cultures are suspended i
n fibrinogen solution and seeded into 6-well culture plates for cell develo
pment for 4 weeks and supplemented with different concentrations of aprotin
in. Hydroxyproline assay and histological studies were performed to evaluat
e the tissue development in these fibrin gel structures. Results: The light
microscopy and the transmission electron microscopy studies for tissue dev
elopment based on the three-dimensional fibrin gel structures showed homoge
nous cell growth and confluent collagen production. No toxic degradation or
inflammatory reactions could be detected. Furthermore, fibrin gel myofibro
blasts structures dissolved within 2 days in medium without aprotinin, but
medium supplemented with higher concentration of aprotinin retained the thr
ee-dimensional structure and had a higher collagen content (P < 0.005) and
a better tissue development. Conclusions: A three-dimensional fibrin gel st
ructure can serve as a useful scaffold for tissue engineering with controll
ed degradation, excellent seeding effects and good tissue development. (C)
2000 Elsevier Science B.V. All rights reserved.