RT Journal Article T1 Tissue engineered in-vitro vascular patch fabrication using hybrid 3D printing and electrospinning. A1 Mayoral, Isabel A1 Bevilacqua, Elisa A1 Gómez, Gorka A1 Hmadcha, Abdelkrim A1 González-Loscertales, Ignacio A1 Reina, Esther A1 Sotelo, Julio A1 Domínguez, Antonia A1 Pérez-Alcántara, Pedro A1 Smani, Younes A1 González-Puertas, Patricia A1 Mendez, Ana A1 Uribe, Sergio A1 Smani, Tarik A1 Ordoñez, Antonio A1 Valverde, Israel K1 3D printing K1 Electrospinning K1 Endothelin Receptor A, ETA K1 Endothelin Receptor B, ETB K1 Mesenchymal stem cells K1 Reverse Transcription, Rt K1 Three-dimensional, 3D K1 Tissue engineering K1 Vascular graft K1 anti-alpha-smooth muscle actin, α-SMA K1 anti-cluster of differentiation 31, CD31 K1 anti-fibroblast specific protein 1, FSP1 K1 anti-smooth muscle protein 22, SM-22 K1 bone morphogenetic protein, BMP4 K1 computation fluid dynamic, CFD K1 computed tomography, CT K1 derived VSMC, dVSMC K1 endothelin-1, ET-1 K1 extracellular matrix, ECM K1 fused deposition modelling, FDM K1 mesenchymal stem cells, MSC K1 platelet-derived growth factor composed by two beta chains, PDGF-BB K1 room temperature, RT K1 tissue engineering vascular grafts, TEVG K1 transforming growth factor beta 1, TGFβ-1 K1 vascular smooth muscle cells, VSMC K1 wall shear stress, WSS K1 western blotting, WB AB Three-dimensional (3D) engineered cardiovascular tissues have shown great promise to replace damaged structures. Specifically, tissue engineering vascular grafts (TEVG) have the potential to replace biological and synthetic grafts. We aimed to design an in-vitro patient-specific patch based on a hybrid 3D print combined with vascular smooth muscle cells (VSMC) differentiation. Based on the medical images of a 2 months-old girl with aortic arch hypoplasia and using computational modelling, we evaluated the most hemodynamically efficient aortic patch surgical repair. Using the designed 3D patch geometry, the scaffold was printed using a hybrid fused deposition modelling (FDM) and electrospinning techniques. The scaffold was seeded with multipotent mesenchymal stem cells (MSC) for later maturation to derived VSMC (dVSMC). The graft showed adequate resistance to physiological aortic pressure (burst pressure 101 ​± ​15 ​mmHg) and a porosity gradient ranging from 80 to 10 ​μm allowing cells to infiltrate through the entire thickness of the patch. The bio-scaffolds showed good cell viability at days 4 and 12 and adequate functional vasoactive response to endothelin-1. In summary, we have shown that our method of generating patient-specific patch shows adequate hemodynamic profile, mechanical properties, dVSMC infiltration, viability and functionality. This innovative 3D biotechnology has the potential for broad application in regenerative medicine and potentially in heart disease prevention. YR 2022 FD 2022-04-14 LK http://hdl.handle.net/10668/22400 UL http://hdl.handle.net/10668/22400 LA en DS RISalud RD Apr 6, 2025