Tissue engineered vascular grafts (TEVGs) are a promising technology, but are hindered by occlusion. Seeding with bone-marrow derived mononuclear cells (BM-MNCs) mitigates occlusion, yet the precise mechanism remains unclear. Seeded cells disappear quickly and potentially mediate an anti-inflammatory effect through paracrine signaling. Here, a series of reciprocal genetic TEVG implantations plus
recombinant protein treatment is reported to investigate what role
interleukin-10, an anti-inflammatory
cytokine, plays from both host and seeded cells. TEVGs seeded with BM-MNCs from wild-type and
IL-10 KO mice, plus unseeded grafts, are implanted into wild-type and
IL-10 KO mice. Wild-type mice with unseeded grafts also receive recombinant
IL-10. Serial ultrasound evaluates occlusion and TEVGs are harvested at 14 d for immunohistochemical analysis. TEVGs in
IL-10 KO mice have significantly higher occlusion incidence compared to wild-type mice attributed to acute (<3 d)
thrombosis. Cell seeding rescues TEVGs in
IL-10 KO mice comparable to wild-type patency.
IL-10 from the host and seeded cells do not significantly influence graft
inflammation and macrophage phenotype, yet
IL-10 treatment shows interesting
biologic effects including decreasing cell proliferation and increasing M2 macrophage polarization.
IL-10 from the host is critical for preventing TEVG
thrombosis and seeded BM-MNCs exert a significant anti-thrombotic effect in
IL-10 KO mice.