UC biomedical engineering partners with University of Bordeaux

Daria Narmoneva, Ph.D, combines research in electric fields and 3D printing techniques to advance wound healing technology

The human body has an incredible capacity to heal itself, but sometimes it needs a little help. When a patient’s body lacks the resources to perform healing processes, we employ science to aid in reconstructing tissues and organs. Historically, tissue grafts and organ transplants were used, but this practice is limited by the shortage of human donor and invasive harvesting methods.

The development of computer-assisted medical interventions (CAMIs) provides a relevant tool for minimally invasive medical interventions. The advent of bioengineered materials opened a new frontier for tissue regeneration, but there are still many barriers to overcome before printing new tissue is a reality.

The vascular system supplies blood to all tissues and organs in the body. Vascular cells serve vital functions in the healing process, including nutrient and oxygen delivery. Endothelial cells on the inner surface of blood vessels also transmit bioactive molecules that affect the cellular environment. These chemical and mechanical signals stimulate vital processes like angiogenesis (the formation of new, functional blood vessels), which is essential to successful wound healing and tissue growth.

The ultimate success of 3D biological printing depends on the ability to create blood vessels within the printed tissue, and currently available 3D printing methods largely fail to create materials that stimulate capillary growth effectively. To function in the human body, complex tissues must be vascularized (have a functioning network of blood vessels). Embedded vascular networks are the missing link in the chain that will someday seamlessly merge laboratory-engineered human tissues with human bodies.

Daria Narmoneva, associate professor of biomedical engineering at the University of Cincinnati, spent the summer at the Laboratory for the Bioengineering of Tissues (BioTis) in Bordeaux, France, working alongside Prof. Raphaël Devillard, a leader in the field of 3D printing for bone and vascular tissue engineering.

Dr. Devillard uses a unique process, called Laser-Assisted Bioprinting (LAB) that represents as an exciting addition to the bioprinting’s arsenal, due to its rapidity, precision and ability to print viable cells both in vitro and in vivo, and can overcome many limitations of traditional 3D bioprinting approaches.

Techniques under development at BioTis print biological material that could aid wound healing in seconds using "bio ink." This is in contrast to the current techniques, which take several hours and use small jets of material.

In collaboration with Devillard and his group (Dr. Olivia Kérourédan and graduate student Jeremy Lesas), Narmoneva was researching a solution to one of the current hurdles in tissue engineering technology: encouraging engineered tissues to grow vascular networks in vitro.

Recent exciting findings by Narmoneva’s group in collaboration with Dr. Andrei Kogan (UC Physics) demonstrate that the growth of new blood vessels in capillary networks can be stimulated by exposure to specific electrical fields.

Through a deeper understanding of how electric fields affects 3D capillary networks and vascular tissues, Narmoneva and her partners can explore how these interactions can be used to enhance tissue repair, and a how to combine the LAB and electric field technologies to enhance capillary formation. This research may open new avenues for future applications of bioprinting for improved vascularization of chronic wounds and potential regenerative therapies for skin and other tissues.

 “The LAB process was first used to create in vitro constructs, which suggests a second step of implantation,” said Dr. Olivia Kérourédan, assistant professor in the Department of Conservative Dentistry and Endodontics at University of Bordeaux, and a PhD student in Tissue Bioengineering, “BioTis developed another approach consisting of in situ bioprinting (applying bioengineered materials straight on the site of the injury).”

“The LAB process has been applied to CAMIs for in vivo printing (Keriquel et al., 2010), and a workstation was adapted for in vivo bioprinting experiments,” said Kérourédan. “In situ & in vivo LAB could permit practitioners to bypass the in vitro steps by printing directly on the patient to diminish contamination risks or implantation delay."

Narmoneva’s stay in France was facilitated by the University of Bordeaux’s 2018 Visiting Scholars program, and included research in the lab, as well as meetings to discuss the creation of a cross-disciplinary, inter-institutional collaboration between UC’s College of Engineering and Applied Science’s (CEAS) Biomedical Engineering department, the Department of Health and Life Sciences at the University of Bordeaux and BioTis.

This collaboration builds on the strengths of its partners: Narmoneva’s innovative electric field stimulation system promotes cell growth in conjunction with BioTis’ state-of-the-art bioprinting technology. Their work is expected to produce joint publications and research proposals.

The two universities and the lab also discussed ongoing collaborations in education. According to Dr. Damien Le Nihouannen, who leads the Master’s program at BioTis, there are great opportunities for joint Master of Science and/or Master of Engineering programs that might include shared research publications, proposals, internships, e-learning, and overseas thesis work for both schools.

“We would like to do much more with this partnership in the future, including bringing the University of Bordeaux experts to speak here and sending students both ways,” said Narmoneva.

Narmoneva also gave two seminar presentations while in France, outlining her work in the area of diabetic wound healing and regenerative medicine.

This connection between the University of Cincinnati and the University of Bordeaux is a step forward in wound healing research.While it is in its early stages, advancements in this field would have huge impacts in the areas of childhood surgery, post-surgical recovery and chronic diabetic wound healing.

Learn more about research at UC, visit the CEAS website.

Featured image at top: Daria Narmoneva and Raphaël Devillard attend a presentation. Photo/provided.

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