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A three-dimensional in vitro dynamic micro-tissue model of cardiac scar formation

Type of publication Peer-reviewed
Publikationsform Original article (peer-reviewed)
Author Occhetta Paola, Isu Giuseppe, Lemme Marta, Conficconi Chiara, Oertle Philipp, Räz Christian, Visone Roberta, Cerino Giulia, Plodinec Marija, Rasponi Marco, Marsano Anna,
Project Engineered patches for cardiac repair
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Original article (peer-reviewed)

Journal Integrative Biology
Volume (Issue) 10(3)
Page(s) 174 - 183
Title of proceedings Integrative Biology
DOI 10.1039/c7ib00199a


In vitro cardiac models able to mimic the fibrotic process are paramount to develop an effective anti-fibrosis therapy that can regulate fibroblast behaviour upon myocardial injury. In previously developed in vitro models, typical fibrosis features were induced by using scar-like stiffness substrates and/or potent morphogen supplementation in monolayer cultures. In our model, we aimed to mimic in vitro a fibrosis-like environment by applying cyclic stretching of cardiac fibroblasts embedded in three-dimensional fibrin-hydrogels alone. Using a microfluidic device capable of delivering controlled cyclic mechanical stretching (10% strain at 1 Hz), some of the main fibrosis hallmarks were successfully reproduced in 7 days. Cyclic strain indeed increased cell proliferation, extracellular matrix (ECM) deposition (e.g. type-I-collagen, fibronectin) and its stiffness, forming a scar-like tissue with superior quality compared to the supplementation of TGFβ1 alone. Taken together, the observed findings resemble some of the key steps in the formation of a scar: (i) early fibroblast proliferation, (ii) later phenotype switch into myofibroblasts, (iii) ECM deposition and (iv) stiffening. This in vitro scar-on-a-chip model represents a big step forward to investigate the early mechanisms possibly leading later to fibrosis without any possible confounding supplementation of exogenous potent morphogens.