Ultrastructural changes in esophageal tissue undergoing stretch tests with possible impact on tissue engineering and long gap esophageal repairs performed under tension.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
31 01 2023
Historique:
received: 01 09 2022
accepted: 27 01 2023
entrez: 31 1 2023
pubmed: 1 2 2023
medline: 3 2 2023
Statut: epublish

Résumé

Esophageal biomechanical studies are being performed to understand structural changes resulting from stretches during repair of esophageal atresias as well as to obtain biomechanical values for tissue-engineered esophagus. The present study offers insights into ultrastructural changes after stretching of the ovine esophagus using uniaxial stretch tests. In vitro uniaxial stretching was performed on esophagi (n = 16) obtained from the abattoir within 4-6 h of 1-month-old lambs. Esophagi were divided into 4 groups (4 esophagi/group): control, Group1 (G1), Group2 (G2), Group3 (G3) stretched to 20%, 30% and 40% of their original length respectively. Force and lengthening were measured with 5 cycles performed on every specimen. Transmission electron microscopic (TEM) studies were performed on the 4 groups. During observational TEM study of the control group there were no significant differences in muscle cell structure or extracellular matrix. In all stretched groups varying degrees of alterations were identified. The degree of damage correlated linearly with the increasing level of stretch. Distance between the cells showed significant difference between the groups (control (μ = 0.41 μm, SD = 0.26), G1 (μ = 1.36 μm, SD = 1.21), G2 (μ = 2.8 μm, SD = 1.83), and G3 (μ = 3.01 μm, SD = 2.06). The diameter of the cells (control μ = 19.87 μm, SD = 3.81; G1 μ = 20.38 μm, SD = 4.45; G2 μ = 21.7 μm, SD = 6.58; G3 μ = 24.48 μm, SD = 6.69) and the distance between myofibrils (control μ = 0.23 μm, SD = 0.08; G1 μ = 0.27 μm, SD = 0.08; G2 μ = 0.4 μm, SD = 0.15; G3 μ = 0.61 μm, SD = 0.2) were significantly different as well ( p < 0.05 was considered to be significant). Esophageal stretching > 30% alters the regular intracellular and extracellular structure of the esophageal muscle and leads to disruption of intra- and extracellular bonds. These findings could provide valuable insights into alterations in the microscopic structure of the esophagus in esophageal atresias repaired under tension as well as the basis for mechanical characterization for tissue engineering of the esophagus.

Identifiants

pubmed: 36721004
doi: 10.1038/s41598-023-28894-5
pii: 10.1038/s41598-023-28894-5
pmc: PMC9889733
doi:

Types de publication

Journal Article Observational Study Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1750

Informations de copyright

© 2023. The Author(s).

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Auteurs

Ede Biro (E)

Department of Paediatrics, Division of Paediatric Surgery, University of Pécs Medical School, Jozsef Attila St. 7, Pécs, 7634, Hungary. biro.ede@pte.hu.

Gerhard Sommer (G)

Institute of Biomechanics, Graz University of Technology, Graz, Austria.

Gerd Leitinger (G)

Research Unit Electron Microscopic Techniques, Division of Cell Biology, Histology and Embryology, Gottfried Schatz Research Center, Medical University of Graz, Graz, Austria.

Hajnalka Abraham (H)

Department of Medical Biology and Central Electron Microscopic Laboratory, University of Pécs Medical School, Pécs, Hungary.

Daniel J Kardos (DJ)

Department of Paediatrics, Division of Paediatric Surgery, University of Pécs Medical School, Jozsef Attila St. 7, Pécs, 7634, Hungary.

Zsolt Oberritter (Z)

Department of Paediatrics, Division of Paediatric Surgery, University of Pécs Medical School, Jozsef Attila St. 7, Pécs, 7634, Hungary.

Amulya K Saxena (AK)

Department of Pediatric Surgery, Chelsea Children's Hospital, Chelsea and Westminster Hospital NHS Fdn Trust, Imperial College London, 369 Fulham Road, London, SW10 9NH, UK.

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Classifications MeSH