Aim: To introduce embryoid bodies derived from mouse embryonic stem (ES) cells, which differentiate blood vessel-like structures and leukocytes, as a novel in vitro model system for biocompatibility, inflammation, and angiogenesis studies. Methodology/Results: Punched spherical discs of bioabsorbable polymers (ε-caprolactone and <smlcap>L</smlcap>-lactide in different compositions) with a diameter of 2 mm and a thickness of 0.2 mm were inoculated with embryoid bodies for cocultivation. As reference material for biocompatible, nonbioabsorbable, and bioincompatible materials, polymer punched discs of petriPERM (PP) membrane (polytetrafluoroethylene) as well as polyvinylchloride (PVC) were used. Tissue outgrowth on the polymer discs decreased and cell toxicity increased upon confrontation on bioabsorbable biomaterials and PVC. Bioabsorbable polymers as well as PVC decreased the branching points and total tube length of CD31-positive vascular structures in embryoid bodies. With the exception of PP, all applied materials increased the differentiation of CD68-positive macrophages and the generation of reactive oxygen species, which is indicative of proinflammatory processes upon contact of tissue with biomaterials. Consequently, cocultivation with polymers increased secretion of the cytokines interleukin-6, monocyte chemotactic protein-1, and tumor necrosis factor-α. Conclusion: Three-dimensional tissues cultivated from ES cells are well-suited for testing the biocompatibility, the vascular response, and the inflammatory reaction towards bioabsorbable and nonbioabsorbable polymers.

1.
Araki, M., H. Tao, T. Sato, N. Nakajima, S.H. Hyon, T. Nagayasu, T. Nakamura (2009) Development of a new tissue-engineered sheet for reconstruction of the stomach. Artif Organs 33: 818-826.
2.
Arslan, E., S.U. Yaylaci, M.U. Guler, A.B. Tekinay (2016) Therapeutic Nanomaterials for Cartilage Regeneration. New York, Wiley, pp 59-85.
3.
Bekhite, M.M., H.R. Figulla, H. Sauer, M. Wartenberg (2013) Static magnetic fields increase cardiomyocyte differentiation of Flk-1+ cells derived from mouse embryonic stem cells via Ca2+ influx and ROS production. Int J Cardiol 167: 798-808.
4.
Bekhite, M.M., A. Finkensieper, S. Binas, J. Muller, R. Wetzker, H.R. Figulla, H. Sauer, M. Wartenberg (2011) VEGF-mediated PI3K class IA and PKC signaling in cardiomyogenesis and vasculogenesis of mouse embryonic stem cells. J Cell Sci 124: 1819-1830.
5.
Bekhite, M.M., V. Muller, S.H. Troger, J.P. Muller, H.R. Figulla, H. Sauer, M. Wartenberg (2015) Involvement of phosphoinositide 3-kinase class IA (PI3K 110alpha) and NADPH oxidase 1 (NOX1) in regulation of vascular differentiation induced by vascular endothelial growth factor (VEGF) in mouse embryonic stem cells. Cell Tissue Res 364: 159-174.
6.
Bertleff, M.J., T. Stegmann, R.S. Liem, G. Kors, P.H. Robinson, J.P. Nicolai, J.F. Lange (2009) Comparison of closure of gastric perforation ulcers with biodegradable lactide-glycolide-caprolactone or omental patches. JSLS 13: 550-554.
7.
Blass, C.R. (1992) PVC as a biomedical polymer - plasticizer and stabilizer toxicity. Med Device Technol 3: 32-40.
8.
Boccafoschi, F., C. Mosca, M. Ramella, I. Carmagnola, V. Chiono, G. Ciardelli, M. Cannas (2013) Biological evaluation of materials for cardiovascular application: the role of the short-term inflammatory response in endothelial regeneration. J Biomed Mater Res A 101: 3131-3140.
9.
Castoldi, A., C. Naffah de Souza, N.O. Camara, P.M. Moraes-Vieira (2016) The macrophage switch in obesity development. Front Immunol 6: 637.
10.
Centola, M., A. Rainer, C. Spadaccio, S. De Porcellinis, J.A. Genovese, M. Trombetta (2010) Combining electrospinning and fused deposition modeling for the fabrication of a hybrid vascular graft. Biofabrication 2: 014102.
11.
Deshmane, S.L., S. Kremlev, S. Amini, B.E. Sawaya (2009) Monocyte chemoattractant protein-1 (MCP-1): an overview. J Interferon Cytokine Res 29: 313-326.
12.
Ekholm, M., J. Hietanen, R.M. Tulamo, J. Muhonen, C. Lindqvist, M. Kellomaki, R. Suuronen (2003) Tissue reactions of subcutaneously implanted mixture of epsilon-caprolactone-lactide copolymer and tricalcium phosphate: an electron microscopic evaluation in sheep. J Mater Sci Mater Med 14: 913-918.
13.
Ensan, S., A. Li, R. Besla, N. Degousee, J. Cosme, M. Roufaiel, E.A. Shikatani, M. El-Maklizi, J.W. Williams, L. Robins, C. Li, B. Lewis, T.J. Yun, J.S. Lee, P. Wieghofer, R. Khattar, K. Farrokhi, J. Byrne, M. Ouzounian, C.C. Zavitz, G.A. Levy, C.M. Bauer, P. Libby, M. Husain, F.K. Swirski, C. Cheong, M. Prinz, I. Hilgendorf, G.J. Randolph, S. Epelman, A.O. Gramolini, M.I. Cybulsky, B.B. Rubin, C.S. Robbins (2016) Self-renewing resident arterial macrophages arise from embryonic CX3CR1(+) precursors and circulating monocytes immediately after birth. Nat Immunol 17: 159-168.
14.
Finkensieper, A., M.M. Bekhite, H. Fischer, S. Nitza, H.R. Figulla, J.P. Muller, H. Sauer, M. Wartenberg (2013) Antibacterial capacity of differentiated murine embryonic stem cells during defined in vitro inflammatory conditions. Stem Cells Dev 22: 1977-1990.
15.
Finkensieper, A., S. Kieser, M.M. Bekhite, M. Richter, J.P. Mueller, R. Graebner, H.R. Figulla, H. Sauer, M. Wartenberg (2010) The 5-lipoxygenase pathway regulates vasculogenesis in differentiating mouse embryonic stem cells. Cardiovasc Res 86: 37-44.
16.
Gentile, C. (2016) Filling the gaps between the in vivo and in vitro microenvironment: engineering of spheroids for stem cell technology. Curr Stem Cell Res Ther 11: 652-665.
17.
Hannig, M., H.R. Figulla, H. Sauer, M. Wartenberg (2010) Control of leucocyte differentiation from embryonic stem cells upon vasculogenesis and confrontation with tumour tissue. J Cell Mol Med 14: 303-312.
18.
Huang, Y.H., F. Sharifpanah, S. Becker, M. Wartenberg, H. Sauer (2016) Impact of arachidonic acid and the leukotriene signaling pathway on vasculogenesis of mouse embryonic stem cells. Cells Tissues Organs 201: 319-332.
19.
Idris, S.B., K. Arvidson, P. Plikk, S. Ibrahim, A. Finne-Wistrand, A.C. Albertsson, A.I. Bolstad, K. Mustafa (2010) Polyester copolymer scaffolds enhance expression of bone markers in osteoblast-like cells. J Biomed Mater Res A 94: 631-639.
20.
Kim, S.H., E. Chung, S.H. Kim, Y. Jung, Y.H. Kim, S.H. Kim (2010) A novel seamless elastic scaffold for vascular tissue engineering. J Biomater Sci Polym Ed 21: 289-302.
21.
Larranaga, A., E. Diamanti, E. Rubio, T. Palomares, A. Alonso-Varona, P. Aldazabal, F.J. Martin, J.R. Sarasua (2014) A study of the mechanical properties and cytocompatibility of lactide and caprolactone based scaffolds filled with inorganic bioactive particles. Mater Sci Eng C Mater Biol Appl 42: 451-460.
22.
Li, C., J. Zhang, Y. Li, S. Moran, G. Khang, Z. Ge (2013) Poly (L-lactide-co-caprolactone) scaffolds enhanced with poly (beta-hydroxybutyrate-co-beta-hydroxyvalerate) microspheres for cartilage regeneration. Biomed Mater 8: 025005.
23.
Mascheck, L., F. Sharifpanah, S.Y. Tsang, M. Wartenberg, H. Sauer (2015) Stimulation of cardiomyogenesis from mouse embryonic stem cells by nuclear translocation of cardiotrophin-1. Int J Cardiol 193: 23-33.
24.
Matsumura, G., N. Isayama, S. Matsuda, K. Taki, Y. Sakamoto, Y. Ikada, K. Yamazaki (2013) Long-term results of cell-free biodegradable scaffolds for in situ tissue engineering of pulmonary artery in a canine model. Biomaterials 34: 6422-6428.
25.
Morris, A.H., T.R. Kyriakides (2014) Matricellular proteins and biomaterials. Matrix Biol 37: 183-191.
26.
Pamula, E., P. Dobrzynski, B. Szot, M. Kretek, J. Krawciow, B. Plytycz, M. Chadzinska (2008) Cytocompatibility of aliphatic polyesters - in vitro study on fibroblasts and macrophages. J Biomed Mater Res A 87: 524-535.
27.
Pego, A.P., M.J. Van Luyn, L.A. Brouwer, P.B. van Wachem, A.A. Poot, D.W. Grijpma, J. Feijen (2003) In vivo behavior of poly(1,3-trimethylene carbonate) and copolymers of 1,3-trimethylene carbonate with D,L-lactide or epsilon-caprolactone: degradation and tissue response. J Biomed Mater Res A 67: 1044-1054.
28.
Potter, C.M., K.H. Lao, L. Zeng, Q. Xu (2014) Role of biomechanical forces in stem cell vascular lineage differentiation. Arterioscler Thromb Vasc Biol 34: 2184-2190.
29.
Rasal, R.M., A.V. Janokar, D.E. Hirt (2010) Poly(lactic acid) modifications. Prog Polym Sci 35: 338-356.
30.
Schmelter, M., B. Ateghang, S. Helmig, M. Wartenberg, H. Sauer (2006) Embryonic stem cells utilize reactive oxygen species as transducers of mechanical strain-induced cardiovascular differentiation. FASEB J 20: 1182-1184.
31.
Scislowska-Czarnecka, A., E. Pamula, A. Tlalka, E. Kolaczkowska (2012) Effects of aliphatic polyesters on activation of the immune system: studies on macrophages. J Biomater Sci Polym Ed 23: 715-738.
32.
Sharifpanah, F., S. Behr, M. Wartenberg, H. Sauer (2016) Mechanical strain stimulates vasculogenesis and expression of angiogenesis guidance molecules of embryonic stem cells through elevation of intracellular calcium, reactive oxygen species and nitric oxide generation. Biochim Biophys Acta 1863: 3096-3105.
33.
Sharifpanah, F., S. De Silva, M.M. Bekhite, J. Hurtado-Oliveros, K.T. Preissner, M. Wartenberg, H. Sauer (2015) Stimulation of vasculogenesis and leukopoiesis of embryonic stem cells by extracellular transfer RNA and ribosomal RNA. Free Radic Biol Med 89: 1203-1217.
34.
Sharifpanah, F., M. Wartenberg, M. Hannig, H.M. Piper, H. Sauer (2008) Peroxisome proliferator-activated receptor alpha agonists enhance cardiomyogenesis of mouse ES cells by utilization of a reactive oxygen species-dependent mechanism. Stem Cells 26: 64-71.
35.
Shedden, L., K. Oldroyd, P. Connolly (2009) Current issues in coronary stent technology. Proc Inst Mech Eng H 223: 515-524.
36.
Smith, M.D., M.H. Grant, C.R. Blass, J.M. Courtney, J.C. Barbenel (1995) Poly(vinyl chloride) formulations: acute toxicity to cultured human cell lines. J Biomater Sci Polym Ed 7: 453-459.
37.
van Tienen, T.G., R.G. Heijkants, P. Buma, J.H. de Groot, A.J. Pennings, R.P. Veth (2002) Tissue ingrowth and degradation of two biodegradable porous polymers with different porosities and pore sizes. Biomaterials 23: 1731-1738.
38.
Wartenberg, M., J. Gunther, J. Hescheler, H. Sauer (1998) The embryoid body as a novel in vitro assay system for antiangiogenic agents. Lab Invest 78: 1301-1314.
39.
Wu, Y., L. Shen, L. Ge, Q. Wang, J. Qian, F. Zhang, K. Yao, D. Huang, Y. Chen, J. Ge (2016) Six-month outcomes of the XINSORB bioresorbable sirolimus-eluting scaffold in treating single de novo lesions in human coronary artery. Catheter Cardiovasc Interv 87: 630-637.
40.
Wu, Y., L. Shen, Q. Wang, L. Ge, J. Xie, X. Hu, A. Sun, J. Qian, J. Ge (2012) Comparison of acute recoil between bioabsorbable poly-L-lactic acid XINSORB stent and metallic stent in porcine model. J Biomed Biotechnol 2012: 413956.
41.
Zhu, Z., X. Gan, H. Fan, H. Yu (2015) Mechanical stretch endows mesenchymal stem cells stronger angiogenic and anti-apoptotic capacities via NFkappaB activation. Biochem Biophys Res Commun 468: 601-605.
You do not currently have access to this content.