To date, one approach to tissue engineering has been to develop in vitro co
nditions to ultimately fabricate functional cardiovascular structures prior
to final implantation, In our current experiment, we developed a new pulsa
tile flow system that provides biochemical and biomechanical signals to reg
ulate autologous patch-tissue development in vitro. The newly developed pat
ch bioreactor is made of Plexiglas and is completely transparent (Mediport
Kardiotechnik, Berlin), The bioreactor is connected to an air-driven respir
ator pump, and the cell culture medium continuously circulates through a cl
osed-loop system. We thus developed a closed-loop, perfused bioreactor for
long-term patch-tissue conditioning, which combines continuous, pulsatile p
erfusion and mechanical stimulation by periodically stretching the tissue-e
ngineered patch constructs. By adjusting the stroke volume, the stroke rate
, and the inspiration/expiration time of the ventilator, it allows various
pulsatile flows and different levels of pressure. The whole system is a hig
hly isolated cell culture setting, which provides a high level of sterility
, gas supply, and fits into a standard humidified incubator. The bioreactor
can be sterilized by ethylene oxide and assembled with a standard screwdri
ver, Our newly developed bioreactor provides optimal biomechanical and biod
ynamical stimuli for controlled tissue development and in vitro conditionin
g of an autologous tissue-engineered patch. (C) 2001 John Wiley & Sons, Inc
.