Transformation of Breast Reconstruction via Additive Biomanufacturing

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Chhaya, Mohit P
Balmayor, Elizabeth R
Hutmacher, Dietmar W
Schantz, Jan-Thorsten
Griffith University Author(s)
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2016
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Abstract

Adipose tissue engineering offers a promising alternative to current breast reconstruction options. However, the conventional approach of using a scaffold in combination with adipose-derived precursor cells poses several problems in terms of scalability and hence clinical feasibility. Following the body-as-a-bioreactor approach, this study proposes a unique concept of delayed fat injection into an additive biomanufactured and custom-made scaffold. Three study groups were evaluated: Empty scaffold, Scaffold containing 4 cm3 lipoaspirate and Empty scaffold +2-week prevascularisation period. In group 3, of prevascularisation, 4 cm3 of lipoaspirate was injected into scaffolds after 2 weeks. Using a well-characterised additive biomanufacturing technology platform, patient-specific scaffolds made of medical-grade-polycaprolactone were designed and fabricated. Scaffolds were implanted in subglandular pockets in immunocompetent minipigs (n = 4) for 24-weeks. Angiogenesis and adipose tissue regeneration were observed in all constructs. Histological evaluation showed that the prevascularisation + lipoaspirate group had the highest relative area of adipose tissue (47.32% ± 4.12) which was significantly higher than both lipoaspirate-only (39.67% ± 2.04) and empty control group (8.31% ± 8.94) and similar to native breast tissue (44.97% ± 14.12). This large preclinical animal study provides proof-of-principle that the clinically applicable prevascularisation and delayed fat-injection techniques can be used for regeneration of large volumes of adipose tissue.

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Scientific Reports

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6

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1

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© The Author(s) 2016. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

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Biomedical engineering

Biomedical and clinical sciences

Science & Technology

Multidisciplinary Sciences

Science & Technology - Other Topics

ADIPOSE-TISSUE

ENDOTHELIAL-CELLS

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Chhaya, MP; Balmayor, ER; Hutmacher, DW; Schantz, J-T, Transformation of Breast Reconstruction via Additive Biomanufacturing, Scientific Reports, 2016, 6 (1)

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