The present invention relates to a system and method for creating an in vitro blood vessel model to investigate drug induced vascular injury other vascular pathology.
Blood vessels are a tissue central to many disease states. One such disease state is drug induced vascular injury (DIVI), a pathological insult to blood vessels that occurs after the administration of a drug. DIVI causes smooth muscle cell (SMC) death and hemorrhage and is characterized by the extravasation of red blood cells (RBCs) from the vascular lumen into surrounding SMC layers. This phenomenon occurs without overt damage to the endothelial cells (ECs). The cause of DIVI is poorly understood but its occurrence often halts in vivo testing of candidate drugs.
The predilection for DIVI is unclear. The central and only specific event in DIVI is the extravasation of RBCs into the media of the effected blood vessels. Currently, the molecular mechanisms of DIVI are unclear and no specific biomarkers are known that allow DIVI to be distinguished from other forms of vascular injury. It is contemplated that improved understanding of the mechanisms of DIVI will improve the screening of drugs under development and better correlate the significance of in vivo animal testing and human susceptibility to DIVI.
It would therefore be desirable to develop an in vitro model of a small diameter blood vessel to allow the study of a variety of vascular diseases and physiological mechanisms. In particular, the model would be used to investigate the mechanisms and biomarkers of DIVI in animals and humans. It would provide a platform for the screening of drugs under development and allow disease processes effecting small to medium sized vessels to be investigated.
In a first aspect the present invention provides an in vitro blood vessel model comprising two channels separated by a porous membrane that is covered on one side by endothelial cells and is covered on the other side by smooth muscle cells, wherein said model is susceptible to the extravasation of red blood cells across said porous membrane due to drug induced vascular injury.
The porous membrane may be designed to mimic the internal elastic lamina of blood vessels, preferably having a porosity of approximately 11%, pore sizes ranging from 2.3-13 μm, and an average pore size of 6.4 μm. It is contemplated that this porous membrane is a track-etched polycarbonate membrane that may be coated with at least one of elastin, fibrinogen, and collagen, or combinations thereof.
The in vitro blood vessel model includes a luminal channel designed to mimic the lumen of a small blood vessel and a smooth muscle channel designed to mimic the medial layer of a blood vessel. It is also contemplated that, in the preferred embodiment, the smooth muscle channel is an open smooth muscle channel that may be capped by a lid and may include beveled walls adjacent to the porous membrane.
In a certain embodiment of the present invention, the in vitro blood vessel model includes smooth muscle and luminal channels having offset inflow and outflow ponds that reduce non-physiological shear stress on the porous membrane.
In another aspect of the present invention, a method of assaying an agent for its ability to cause drug induced vascular injury is provided. Such a method comprises, providing an in vitro blood vessel model comprising two channels separated by a porous membrane that is coated on one side by an endothelial cell layer and is coated on the other side by a smooth muscle cell layer, wherein said model is susceptible to the extravasation of red blood cells through said porous membrane due to drug induced vascular injury, passing the agent through the channel adjacent the endothelial cells of the in vitro model, and analyzing the channel adjacent the smooth muscle cells for the extravasation of red bloods cells, which indicates that the agent causes drug induced vascular injury.
These and other features, objects and advantages of the present invention will become better understood from the description that follows. The description of preferred embodiments is not intended to limit the invention to cover all modifications, equivalents and alternatives. Reference should therefore be made to the claims recited herein for interpreting the scope of the invention.
The present invention provides an in vitro model of a blood vessel, through which blood or culture media flows at physiological rates, that allows the investigation of a variety of vascular diseases and physiological mechanisms.
Referring to
The luminal channel 12 models the lumen of a blood vessel and may also be referred to as the vascular channel or vascular lumen. The smooth muscle channel 14 is designed to allow SMC growth and models the medial layer of the blood vessel. It is contemplated that SMC growth may be better facilitated by employing an open smooth muscle channel 22, which provides access to increased volumes of growth media, and beveled sides 24, which allow cells to more readily come into contact with the membrane. This arrangement provides more uniform seeding of the device and minimizes the number of cells which attempt to attach to the non-membrane portion of the smooth muscle channel 14. Referring to
Referring to
Referring again to
Blood flow through the device 10 at physiological flow rates generates physiological shear stress and causes RBCs to extravasate through the porous membrane 16 if the membrane does not include endothelial or smooth muscle cell layers. However, when ECs and SMCs are grown on opposing sides of the membrane, culture media including RBC's or 6 μm microspheres (that is, RBC analogs) flow through the luminal channel 12, but do not extravasate through the porous membrane 16 into the smooth muscle channel 14. Any combination of drugs and hemodynamic models can be applied to this model to investigate the mechanisms and potential biomarkers of drug induced vascular injury.
In another embodiment, the present invention provides an in vitro blood vessel model having 0.5-10 μm thick porous membrane including one or more proteins such as collagen, elastin, fibrin, fibronectin, laminin, hylauronic acid. This membrane, is initially less porous than the internal elastic lamina of a blood vessel, but, over time, is broken down or remodeled by the endothelial and/or smooth muscle cells to produce a membrane containing physiological proteins that allows the extravasation of RBCs or RBC analogs under appropriate conditions. This advantageously allows the continued adhesion of ECs to the membrane under high shear stress conditions. The membrane may further include an electrospun material, for example, polycaprolactone, coated with extracellular matrix proteins such as collagen. Alternately, the present invention can include a porous collagen membrane that allows the extravasation of RBCs. This porous collagen membrane may be crosslinked and may resist significantly remodeling by the cells over the course of the culture or experiment.
Additional cells can be cultured within or on the SMCs to further study vascular physiology or pathological states that occur in blood vessels, such as atherosclerosis and inflammation. For example, fibroblasts may be seeded above SMCs to replicate an adventitial-like layer to the blood model. The fibroblasts can be seeded into the SMC channel shortly after the SMCs have been seeded or after several days of SMC culture. In addition, adipocytes can be seeded above the SMCs or following seeding with fibroblasts. The adipocytes, with or without additional fibroblasts, allow the establishment of perivascular fat tissue similar to an in vivo condition.
Referring now to
Referring again to
Referring to
In another embodiment, the microfluidic device may be placed in a single pass or recirculating system where culture media is passed through the device. The system determines and adjusts flow, overall pressure, and pressure waveform at the inlet and outlet of the device to produce a desired set of conditions, for example, physiologic conditions or pathological conditions observed in DIVI. These hemodynamic conditions, in addition to the presence or absence of a drug, may lead to an improved understanding of the mechanisms of DIVI.
Referring to
The dTomato-labeled ECs indicated that the ECs formed a monolayer on the polycarbonate membrane within the luminal channel. This was further demonstrated by subsequent CD31 and DAPI (4′,6-diamidino-2-phenylindole) staining, as shown in
DIVI is only one example of a pathological or physiological process which can be investigated with the model. For example, atherosclerosis could be modeled in part using ECs, SMCs, and perhaps other cell types such as macrophages or foam cells. Virtually any other disease process which effects small to medium sized vessels could be investigated using this model.
The present invention has been described in terms of one or more preferred embodiments, and it should be appreciated that many equivalents, alternatives, variations, and modifications, aside from those expressly stated, are possible and within the scope of the invention.
This application is the U.S. national phase, pursuant to 35 U.S.C. §371, of PCT international application Ser. No. PCT/US2009/033736, filed Feb. 11, 2009, designating the United States and published in English on Aug. 20, 2009 as publication WO 2009/102751 A2, which claims the benefit of U.S. Provisional Application Ser. No. 61/065,356, filed Feb. 11, 2008, and U.S. Provisional Application Ser. No. 61/103,117, filed Oct. 6, 2008. The entire contents of the aforementioned patent applications are incorporated herein by this reference.
Filing Document | Filing Date | Country | Kind | 371c Date |
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PCT/US2009/033736 | 2/11/2009 | WO | 00 | 10/21/2010 |
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WO2009/102751 | 8/20/2009 | WO | A |
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20110053207 A1 | Mar 2011 | US |
Number | Date | Country | |
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61065356 | Feb 2008 | US | |
61103117 | Oct 2008 | US |