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Review
. 2023 Dec;43(12):2241-2255.
doi: 10.1161/ATVBAHA.123.318233. Epub 2023 Oct 12.

Engineering Organ-on-a-Chip Systems for Vascular Diseases

Affiliations
Review

Engineering Organ-on-a-Chip Systems for Vascular Diseases

Amid Shakeri et al. Arterioscler Thromb Vasc Biol. 2023 Dec.

Abstract

Vascular diseases, such as atherosclerosis and thrombosis, are major causes of morbidity and mortality worldwide. Traditional in vitro models for studying vascular diseases have limitations, as they do not fully recapitulate the complexity of the in vivo microenvironment. Organ-on-a-chip systems have emerged as a promising approach for modeling vascular diseases by incorporating multiple cell types, mechanical and biochemical cues, and fluid flow in a microscale platform. This review provides an overview of recent advancements in engineering organ-on-a-chip systems for modeling vascular diseases, including the use of microfluidic channels, ECM (extracellular matrix) scaffolds, and patient-specific cells. We also discuss the limitations and future perspectives of organ-on-a-chip for modeling vascular diseases.

Keywords: endothelial cells; hemodynamics; microfluidics; microphysiological systems; vascular diseases.

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Conflict of interest statement

Disclosures M. Radisic and Y. Zhao are inventors on a patent licensed to Valo Health, and they are receiving licensing revenue from this invention. The other authors report no conflicts.

Figures

Figure 1.
Figure 1.. Schematic illustration of the advanced microfluidic chips for vascular disease modeling and personalized medicine application.
OOC models provide advantages in incorporating various cells, simulating rheological factors, and mimicking pathological microenvironments towards the construction of vascular disease models for investigating pathogenesis of the disease, drug development, and personalized medicine.
Figure 2.
Figure 2.. Vascular disease on a chip
(a) (i) a photo of an InVADE platform. (ii) ECs after 48 hours after HCoVNL63 infection. Copyright 2022, Royal Society of Chemistry. (b) The promotion of capillary growth in microvessel devices by using photoablation as a guide. Copyright 2020, American Association for the Advancement of Science. (c) (i) A diagram depicting the process of angiogenesis in the assay. (ii) Distinct shapes of angiogenic sprouts that have formed over three days, white arrow indicates the direction of flow. Copyright 2016, Royal Society of Chemistry. (d) (i) Visual representation of the dysfunction of ECs/SMCs in the arterial wall during early stages of atherosclerosis, as replicated in a microfluidic system. (ii) Fluorescence image of SMCs co-cultured with ECs. The inset in the white box shows the alignment of actin filament, while the yellow dotted box indicates the z-stack of confocal sections. Copyright 2021, Royal Society of Chemistry. (e) (i) Streamlines after perfusion of beads at 150° expansion mimicking venous valve flow. (ii) Thrombus formation. Copyright 2018, American Heart Association. (f) (i) Tortuous microvessels that have been endothelialized. (ii) VWF fibers at the inner corners of vessel turns. Copyright 2015, Nature Publication Group. (g) Thrombus growth in a stenosed channel. Copyright 2022, Springer.

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