Compositions and Methods to Promote Endothelialization of Cardiovascular Implants
Provided here are fusion proteins that, when immobilized on the (blood-facing) surface of a cardiovascular implant, promote endothelialization, which is critical for long-term biocompatibility.
A major challenge to the clinical utilization and success of off-the-shelf vascular grafts (e.g. decellularized, devitalized and non-biologic/polymeric grafts) is endothelialization of the lumen in order to prevent thrombosis and occlusion. Efforts to address this through the immobilization of growth factors, synthetic peptides and various proteins have typically resulted in incomplete endothelialization, especially in the center of the grafts.
This invention provides a series of fusion proteins that can be immobilized on modified surfaces of implantable devices and serve to recruit and bind monocytes, which, when bound, promote endothelialization. These fusion proteins, when immobilized, have been shown to bind monocytes under static and flow conditions. When these proteins were immobilized on the luminal surface of vascular grafts, specifically an acellular tissue engineered vessel, the grafts remained patent. Because these studies also revealed that monocytes recruited to the adventitial side of the grafts appeared to result in the presence of smooth muscle cells, they may promote tissue regeneration more generally.
Source: SciePro, https://stock.adobe.com/uk/226496226, stock.adobe.com
- Maintains autologous status of implants by recruiting patient's own cells
- Improves biocompatibility
- Vascular grafts
- Heart valves
- Stents
PCT/US2023/069071 published 2023-12-28
In vivo demonstration
Available for licensing or collaboration.
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