Pericardial bioscaffold coated with ECM gels and urothelial cells for the repair of a rabbit urinary bladder defect

Repair of damaged or faulty complex modular organs such as the urinary bladder is a current clinical challenge. The design of constructs for reconstructive urological surgery can draw advantage from the bioactivity of natural extracellular matrix (ECM) bioscaffolds, as well as the activity provided by cells seeded into constructs. Considering these benefits, this work compares the performance of pericardial ECM bioscaffolds and constructs seeded with gel-supported urothelial cells in the repair of urinary bladder defects in rabbits. The bioscaffolds considered in this study are of porcine (pM) and bovine (bM) origin and exhibited a residual composition that confers bioactivity in mesh presentation. Coating an ECM gel on the bioscaffolds promoted the adhesion and viability of urothelial cells. Repairing a full-thickness urinary bladder defect in a rabbit model with the bioscaffolds and constructs resulted in the integration with the host bladder; meanwhile, bladder volumetric capacity was promoted using bM and constructs. Although no contribution of gel/cell seeding to the failure of mechanical properties of the urinary neobladder was observed, this seeding technique is suitable for integration with different strategies to engineer constructs for urinary bladder reconstructive surgery.