Biology subjects

Makhoul, N.

Publications and source records attributed to Makhoul, N..

3 recordsLinked to original sources

bioRxiv2026

Venous Angiogenesis and Dermal Fibroblast Augmentation of Decellularized Dermis: Towards Transplantable Dermal Substitutes

The ability to generate vascularized tissue constructs supplied by surgically accessible vessels remains a major limitation in reconstructive tissue engineering. Previous work demonstrated that positioning porous biomaterials around a vein can induce extensive vascular sprouting and generate a vascularized tissue volume without creation of an arteriovenous loop. However, this phenomenon has principally been demonstrated using rigid calcium-phosphate scaffolds, limiting its direct relevance to soft-tissue reconstruction. Here, we investigated whether a flexible decellularized dermal matrix could similarly be vascularized around a single unmodified vein and whether autologous dermal fibroblasts could further enhance this response. Decellularized rat dermis, with or without autologous dermal fibroblast seeding, was implanted either subcutaneously in the dorsal region or around the femoral vein for 8 weeks. Following Microfil perfusion, three-dimensional micro-CT demonstrated an extensive branching vascular network within perivenous constructs. Vessel volume relative to tissue volume was 0.2 +/- 0.1% in subcutaneous constructs without fibroblasts (n = 11) and 0.6 +/- 0.2% with fibroblasts (n = 9), compared with 6.+/- 1.4 % in perivenous constructs without fibroblasts (n = 10) and 7.3+/- 1.2% with fibroblasts (n = 10). Histology and immunohistochemistry similarly showed greater cellular repopulation and substantially higher CD31- and -SMA-positive vessel densities following perivenous implantation. Integrated two-way ANOVA of the same 8-week data confirmed a dominant effect of implantation site across the vascular outcomes, while fibroblast seeding significantly affected vascular volume, dermal remodeling, and nuclear density. The effect of fibroblast seeding on vascular volume was site dependent, with a significant implantation site fibroblast interaction. At 8 weeks, the vascularized dermal construct was completely dissected free from the surrounding tissues while maintaining its connection to the femoral vein. A small superficial incision into the isolated dermis produced visible bleeding, supporting an acute functional connection of the intradermal vascular network to the host circulation while the femoral venous connection was preserved. After flap elevation, perivenous constructs retained substantially greater vascular volume and showed more complete surface healing and organized skin architecture than subcutaneous constructs. Fibroblast seeding accelerated wound closure, while its effect on post-elevation vascular volume depended on implantation site: VV/TV decreased in subcutaneous constructs but increased in perivenous constructs. These findings show that single-vein vascularization can extend from rigid calcium-phosphate biomaterials to a compliant biological extracellular-matrix scaffold and may provide a simplified axial vascularization strategy without arterialization or incorporation of an arterial vessel.

bioengineering↗

bioRxiv2025

Extracellular Vesicles of Salivary Mesenchymal Stem Cells Mitigate Acute Irradiation Injury: Use of an ex-vivo organotypic human slice tissue culture as a disease model

AbstractIonizing radiation (IR) therapy for cancer patients can damage surrounding healthy tissues, particularly the salivary glands (SGs), leading to oral and systemic health issues reducing the quality of life of the patients. The mechanisms behind IR damage in SGs are not fully understood, and current therapies often fail to meet patient needs adequately. Therefore, identifying targeted pathways and alternative treatments is essential. To address this, we developed an ex vivo model of SG damage using human salivary glands obtained from patients. Healthy submandibular glands were harvested, cultured, and exposed to IR. RNA sequencing revealed elevated markers for DNA damage, inflammation, and ferroptosis, with four specific genes--FDXR, MDM2, H2AX, and p21--showing increases in expression that correlated with the IR dose. Using them, we developed a high-throughput genetic screening method to evaluate stem cell therapies aimed at mitigating IR injury. Conditioned media from mesenchymal stem/stromal cells (MSC-CM) were found to reduce the expression of all four markers, maintain tissue viability, promote cell proliferation, and decrease oxidative stress. Further analysis involved separating MSC-CM into two fractions: Extracellular Vesicles (EV)-rich and EV-depleted. The EV-depleted fractions retained elevated levels of DNA damage response markers, indicating that EVs play a crucial role in mediating tissue repair. In contrast, the EV-rich fractions reduced the markers of DNA damage response and were readily absorbed by the tissue slices. In conclusion, we have developed a genetic screening method to evaluate treatments for acute IR injury, emphasizing the significant role that EVs play in the repair process.

molecular biology↗

bioRxiv2018

Bioinorganic Angiogenesis

Causing a large diameter blood vessel to sprout branches and a capillary network on demand to create a new angiosome is key to harnessing to potential of regenerative medicine and advancing reconstructive surgery. Currently this can only be achieved by connecting a vein graft to an artery by microsurgery, the arteriovenous loop technique (AVL). The arterial blood pressure in the thin-walled vein is thought to drive remodelling to create branches, however the surgical complexity limits the application of the technique. In this study we demonstrate that unexpectedly, a vessel density of luminal branches in excess of that achieved by the surgical AVL approach can be induced simply by placing a vein in contact with a microporous calcium phosphate. Only osteoinductive biomaterials have been reported previously, this is thought to be the first report of an angio-inductive material. Pilot studies indicated that the material type greatly affected the degree of luminal vascularization. Material contact with the vein is not a requirement for luminal angiogenesis of the vein and together these findings point to a bioinorganic effect, wherein the degradation of the material both releases a stimulatory ionic milieu and creates space for the developing angiosome.

bioengineering↗