Bioartificial Pancreas

Abstract

The present invention provides a bioartificial device, e.g., a bioartificial pancreas, for implantation into a patient's vascular system. The bioartificial pancreas includes a scaffold configured to fit into the inner wall of a blood vessel and a cell complex support supported by the scaffold, the cell complex support extending longitudinally within the internal cavity of the scaffold such that the cell complex support is exposed to the bloodstream when the scaffold is fitted into the blood vessel. The cell complex support includes one or more pockets defined by a thin membrane, in which cell complexes containing pancreatic islets are disposed, and the thin membrane is configured to diffuse oxygen and glucose from the bloodstream into the one or more pockets at a rate sufficient to support the survival of the pancreatic islets. The present invention also includes methods for making and using the bioartificial pancreas.

Description

[Technical field]

[0001] CROSS-REFERENCE TO RELATED APPLICATIONS This application claims the benefit of U.S. Provisional Application No. 62 / 907,434, filed September 27, 2019, which is incorporated by reference in its entirety.

[0002] Incorporation by Reference All publications and patent applications mentioned in this specification are herein incorporated by reference in their entirety to the same extent as if each individual publication or patent application was specifically and specifically indicated to be incorporated by reference.

[0003] Described herein is an endovascular bioprosthetic device having a tubular shape. In certain embodiments, the endovascular bioprosthetic device of the present invention is bioabsorbable and contains a cell composite of cells and a biocompatible material. In some embodiments, the cells are pancreatic islet cells. [Background technology]

[0004] Type 1 diabetes is a chronic metabolic disease characterized by an inability to produce sufficient insulin to regulate blood sugar. Type 1 diabetes accounts for approximately 10% of the more than 420 million cases of diabetes worldwide. The cause of type 1 diabetes is unknown, but its pathogenesis is thought to involve autoimmune destruction of insulin-producing beta cells in the pancreas. If left untreated, complications associated with hyperglycemia can damage blood vessels, nerves, and organs, leading to seizures, diabetic ketoacidosis, and even death. Thus, type 1 diabetes patients traditionally must rely on insulin for the rest of their lives. Insulin therapy typically involves the use of syringes or insulin pumps that deliver insulin intravenously. However, daily insulin therapy does not always rigorously alleviate the strain caused by uncontrollable fluctuations in stress, food intake, and physical activity.

[0005] An alternative therapy that reduces the burden of accurate blood glucose monitoring is pancreatic islet transplantation, which provides a more reliable means of producing and delivering insulin. Recent technological advances have also led to the development of bioartificial pancreases, in which the islets are typically encapsulated in a semi-permeable environment that allows the delivery of oxygen and glucose to the islet cells and the release of insulin and waste products from the islet cells. Although various types of bioartificial pancreases have been developed, many of these have been found to have limitations.

[0006] Thus, there is a need for improved bioartificial pancreases and methods for the treatment and management of diabetes and other metabolic diseases. Summary of the Invention [Means for solving the problem]

[0007] The present invention describes a bioartificial graft (such as a bioartificial pancreas graft) that can autonomously and sustainably regulate hormones (such as insulin) in a patient. A "bioartificial" graft refers to a graft composed of living and artificial components. The bioartificial graft of the present invention may include a cell complex, which includes a combination of living cells and one or more biocompatible materials to maintain the survival of the cells. In some cases, the cells are dispersed within a matrix of a biocompatible material. The cells may also be encapsulated within a biocompatible material, which may function as a semi-permeable immune barrier. The cells may be implanted into a patient's body to produce one or more hormones to regulate the patient's endocrine system. For example, the cells may secrete insulin and / or glucagon to regulate the blood glucose level in the patient's blood. The cells participate in a feedback system in the body to regulate blood glucose levels based on hormone concentrations in the bloodstream.

[0008] According to some embodiments, the cell complex can be formed into or supported by a tubular structure (such as a stent). The size and shape of the tubular structure can be configured to allow insertion into a patient's blood vessel while maintaining cell viability with a biocompatible material. The tubular graft can be expandable so that it can be inserted into the patient's blood vessel in a collapsed state and expanded at a target site in the patient's blood vessel. The outer wall of the tubular graft can be fixed to the blood vessel wall when the tubular graft is deployed in the blood vessel. By placing the tubular graft close to the patient's bloodstream, sufficient oxygen and nutrients can be supplied to the cells, and hormones produced by the cells can be rapidly delivered to the patient's bloodstream.

[0009] In some cases, the bioartificial grafts of the invention are configured to promote the formation of an endothelial cell layer covering the bioartificial graft, which may also function as a semi-permeable immune barrier. The bioartificial grafts of the invention may be encapsulated within a pocket between the endothelial cell layer and the vessel wall, which may also serve to protect the cells from the patient's immune system.

[0010] The bioartificial graft of the present invention may be composed of one or more bioabsorbable materials (also called bioresorbable materials) that are gradually degraded and absorbed in the body. For example, the stent of the present invention may be composed of a bioabsorbable polymer or a bioabsorbable metal, and the biocompatible material that supports and maintains cell survival may also be composed of a bioabsorbable polymer. Thus, the bioartificial graft of the present invention may be configured to be absorbed into the patient's body when the cells deteriorate or no longer produce hormones, thereby eliminating the need to retrieve the bioartificial graft from the patient's body. After the bioartificial graft of the present invention is absorbed and eliminated in the body, one or more additional grafts may be inserted into the patient's body as needed.

[0011] Any of the bioartificial grafts described herein can be used to treat one or more diseases or conditions. In some cases, the bioartificial grafts of the present invention are used to treat patients suffering from metabolic diseases (such as type 1 diabetes). However, the use of the bioartificial grafts of the present invention is not limited to the treatment of any type of metabolic disease or to metabolic diseases in general. For example, the bioartificial grafts of the present invention can be comprised of pancreatic islets that produce insulin, glucagon, amylin, somatostatin, ghrelin, and / or pancreatic polypeptide, in any combination and ratio of these hormones. Alternatively or in addition to the above, the bioartificial grafts of the present invention can be comprised of thyroid hormone-producing cells, parathyroid hormone-producing cells, or adrenal hormone (e.g., cortisol)-producing cells. Alternatively or in addition to the above, the bioartificial grafts of the present invention can be comprised of non-cellular particles that are comprised of chemotherapeutic or biological agents.

[0012] According to some embodiments, a bioartificial pancreatic graft placed in a patient's vasculature comprises: a stent having an outer surface defining a diameter small enough for placement within a patient's vasculature and an inner surface defining a lumen through which blood flows; and A cellular complex covering at least a portion of the inner and outer surfaces of the stent. Including, The cell complex is characterized in that it contains pancreatic islet cells and one or more types of biocompatible materials for maintaining the survival of the pancreatic islet cells. The stent may be a bioabsorbable stent. The stent may include a plurality of struts, at least a portion of which is covered with the cell complex. The islet cells may be embedded in pores of a matrix of the one or more biocompatible materials. The islet cells may be dispersed in a matrix of the one or more biocompatible materials. The one or more biocompatible materials may be bioabsorbable materials. The bioabsorbable stent may include a bioabsorbable material having an absorption rate of about 3 months to about 3 years. The bioabsorbable stent may include a bioabsorbable polymer and / or a bioabsorbable metal. The cell complex may include one or more outer layers made of a biocompatible material, and the one or more outer layers may completely encapsulate the islet cells. The tubular wall of the bioabsorbable stent may include one or more blood flow channels for supplying oxygen to the blood vessels and promoting vascularization of the islet cells. The tubular wall may include a plurality of struts spaced apart from one another, with the gaps between the struts corresponding to the one or more blood flow paths. The graft may include one or more chemical agents, such as growth factors and / or anticoagulants. The cell complex may include about 50,000 to 1 million pancreatic islet cells. The graft may be configured to promote the growth of endothelial cells located between the patient's bloodstream and the graft. The graft may further include a semipermeable membrane surrounding the bioabsorbable stent, the cell complex, and the cells, the semipermeable membrane configured to substantially block the patient's immune response against the pancreatic islet cells and to be permeable to hormones, oxygen, nutrients, and waste products.

[0013] According to some embodiments, a bioartificial pancreatic graft placed in a patient's vasculature comprises: a bioabsorbable material configured to maintain the viability of the pancreatic islets and having the pancreatic islets dispersed therein; the pancreatic islets are encapsulated within the bioabsorbable material; and the bioabsorbable material having a tubular shape with an outer surface configured to contact a patient's blood vessel and an inner surface defining a lumen through which blood flows; It is characterized by: The diameter of the tubular bioabsorbable material may be substantially the same as the inner diameter of the patient's blood vessel. The tubular bioabsorbable material may have a wall having a mesh-like structure with a plurality of openings. The graft may be configured to promote the growth of endothelial cells located between the patient's blood stream and the bioabsorbable material. The islet cells may be embedded within pores of the matrix of the bioabsorbable material. The bioabsorbable material may include one or more polymeric materials. The bioabsorbable material may have one or more outer layers of a bioabsorbable material, and the islets may be completely encapsulated by the one or more outer layers. The wall of the tubular bioabsorbable material may include one or more blood flow channels for supplying oxygen to the blood vessel and promoting vascularization of the islets. The one or more blood flow channels may include openings in the wall of the tubular bioabsorbable material. The concentration of the islets in the graft may be about 5% to about 99% by weight.

[0014] According to some embodiments, a method of forming a bioartificial pancreatic graft includes: forming a cell complex by mixing the islets with one or more biocompatible materials configured to maintain the viability of the islets; and Coating at least a portion of a stent (bioabsorbable stent) with the cell complex in which at least a portion of the pancreatic islets are encapsulated in the biocompatible material. Includes. The method may further include coating the cell complex with one or more layers of the one or more biocompatible materials to completely encapsulate the islets. Coating the stent with the cell complex may include using a liquid deposition method, an ultrasonic coating method, or a combination thereof. The stent may include a tubular wall having a plurality of struts spaced apart from one another, and coating the stent includes covering at least a portion of the plurality of struts. The concentration of islets in the cell complex is about 5% to about 99%.

[0015] According to some embodiments, the method of treating a patient suffering from diabetes includes: inserting a bioartificial pancreatic graft in a contracted state into the patient's blood vessels, the bioartificial pancreatic graft comprising a bioabsorbable stent covered with a cellular composite comprising pancreatic islets and one or more biocompatible materials for maintaining the survival of the islets; and Expanding the bioabsorbable stent at a target site within the patient's blood vessel to bring the bioartificial pancreatic graft into contact with a wall of the blood vessel. Includes.

[0016] Another aspect of the present invention is a bioartificial pancreas, comprising: a scaffold configured to fit into an interior wall of a blood vessel; A cell complex support supported by the scaffold; Including, the scaffold comprises a blood flow lumen extending longitudinally through an internal cavity thereof, such that blood flows through the lumen when the scaffold is engaged with a blood vessel; The cell complex support extends longitudinally within an internal cavity of the scaffold, thereby exposing the cell complex support to blood flow when the scaffold engages with a blood vessel; the cell complex support comprises one or more pockets bounded by a membrane; a cellular complex, including but not limited to a pancreatic islet, disposed within said one or more pockets; and the membrane is configured to allow oxygen and glucose to diffuse from the bloodstream into the one or more pockets at a rate sufficient to support survival of the islets; The present invention provides a bioartificial pancreas, characterized by:

[0017] In some of the embodiments of the bioartificial pancreas according to this aspect, the thickness of the cell complex support when the cell complex is supported is 0.30 mm to 1.0 mm. In all or some of the embodiments, the cell complex support may further include a junction region between the one or more pockets, and the cell complex support is joined to the scaffold at the junction region. In such an embodiment, the bioartificial pancreas may be such that the cell complex support is joined to the scaffold by thermal bonding between the junction region and the scaffold, the cell complex support may be joined to the scaffold by suturing, and / or the cell complex support may be joined to the scaffold by crimping between the junction region and the scaffold. The cell complex support may include a plurality of pockets and may further include a junction region between each pocket, and a cell complex including (but not limited to) a pancreatic islet may be disposed in each pocket.

[0018] In all or some of the above embodiments, the cell complex support comprises two microporous membrane layers, each of which may have a plurality of pores, for example, less than 100 μm in diameter, and each of which may have a thickness of less than 0.1 mm.

[0019] In all or some of the above embodiments, the density of pancreatic islets in the cell complex may be between 2.5% and 100%, for example between 12% and 30%.

[0020] In some embodiments, the cell complex support extends along substantially the entire circumference of the internal cavity of the scaffold, and in some embodiments, the cell complex support extends along a portion of the entire circumference of the internal cavity of the scaffold.

[0021] In some embodiments, the scaffold is an expandable stent, in such embodiments, the cell composite support may be attached to a strut of the expandable stent.

[0022] In any or all of the above embodiments, the scaffold and cell complex support have a delivery configuration having a first diameter and a deployed configuration having a second diameter larger than the first diameter, and the bioartificial pancreas is configured to be delivered in the delivery configuration by a catheter to an implantation site in a blood vessel and to expand to the deployed configuration outside of the catheter at the implantation site. In any or all of the above embodiments, the scaffold may be bioabsorbable.

[0023] In yet another aspect of the present invention, there is provided a bioartificial pancreas, comprising: a scaffold configured to fit into an interior wall of a blood vessel; A cell complex support supported by the scaffold; Including, the scaffold comprises a blood flow lumen extending longitudinally through an internal cavity thereof, such that blood flows through the lumen when the scaffold is engaged with a blood vessel; The cell complex support extends longitudinally within an internal cavity of the scaffold, thereby exposing the cell complex support to blood flow when the scaffold engages with a blood vessel; the cell complex support comprises a plurality of enclosed pockets and a plurality of bonding regions, the bonding regions being bonded to the scaffold; A cell complex comprising a pancreatic islet is disposed within the sealed pocket; and the cell complex support is configured to allow oxygen and glucose to diffuse from the bloodstream into the sealed pocket at a rate sufficient to support survival of the islets; A bioartificial pancreas is provided, comprising: The thickness of the cell complex support when the cell complex is supported may be 0.30 mm to 1.0 mm.

[0024] In an embodiment of the bioartificial pancreas according to this aspect, the cell complex support may be attached to the scaffold by thermal bonding of the one or more attachment regions to the scaffold, the cell complex support may be attached to the scaffold by one or more sutures, and / or the cell complex support may be attached to the scaffold by crimping of the one or more attachment regions to the scaffold.

[0025] In all or some of the above embodiments, the cell complex support comprises two microporous membrane layers, each of which may have a plurality of pores, for example, less than 100 μm in diameter, and each of which may have a thickness of less than 0.1 mm.

[0026] In all or some of the embodiments, the density of pancreatic islets in the cell complex may be between 2.5% and 100%, for example, between 12% and 30%.

[0027] In some embodiments, the cell complex support extends along substantially the entire circumference of the internal cavity of the scaffold, and in some embodiments, the cell complex support extends along a portion of the entire circumference of the internal cavity of the scaffold.

[0028] In some embodiments, the scaffold is an expandable stent, in such embodiments, the cell composite support may be attached to a strut of the expandable stent.

[0029] In any or all of the above embodiments, the scaffold and cell complex support have a delivery configuration having a first diameter and a deployed configuration having a second diameter larger than the first diameter, and the bioartificial pancreas is configured to be delivered in the delivery configuration by a catheter to an implantation site in a blood vessel and to expand to the deployed configuration outside of the catheter at the implantation site. In any or all of the above embodiments, the scaffold may be bioabsorbable.

[0030] In yet another aspect of the present invention, there is provided a bioartificial pancreas, comprising: a scaffold configured to fit into an interior wall of a blood vessel; A cell complex support supported by the scaffold; Including, the scaffold comprises a blood flow lumen extending longitudinally through an internal cavity thereof, such that blood flows through the lumen when the scaffold is engaged with a blood vessel; The cell complex support extends longitudinally within an internal cavity of the scaffold, thereby exposing the cell complex support to blood flow when the scaffold engages with a blood vessel; the cell complex support comprises one or more pockets; a cell complex comprising a pancreatic islet is disposed within the one or more pockets; and The thickness of the cell complex support when the cell complex is supported is 0.30 mm to 1.0 mm. A bioartificial pancreas is provided, comprising:

[0031] In one embodiment, the cell complex support further comprises a junction region between the one or more pockets, and the cell complex support is joined to the scaffold at the junction region. In such an embodiment, the bioartificial pancreas may be joined to the scaffold by thermal bonding between the junction region and the scaffold, the cell complex support may be joined to the scaffold by suturing, and / or the cell complex support may be joined to the scaffold by crimping between the junction region and the scaffold. The cell complex support may comprise a plurality of pockets and further comprise a junction region between each pocket, and a cell complex including, but not limited to, a pancreatic islet may be disposed in each pocket.

[0032] In all or some of the above embodiments, the cell complex support comprises two microporous membrane layers, each of which may have a plurality of pores, for example, less than 100 μm in diameter, and each of which may have a thickness of less than 0.1 mm.

[0033] In all or some of the embodiments, the density of pancreatic islets in the cell complex may be between 2.5% and 100%, for example, between 12% and 30%.

[0034] In some embodiments, the cell complex support extends along substantially the entire circumference of the internal cavity of the scaffold, and in some embodiments, the cell complex support extends along a portion of the entire circumference of the internal cavity of the scaffold.

[0035] In some embodiments, the scaffold is an expandable stent, in such embodiments, the cell composite support may be attached to a strut of the expandable stent.

[0036] In any or all of the above embodiments, the scaffold and cell complex support have a delivery configuration having a first diameter and a deployed configuration having a second diameter larger than the first diameter, and the bioartificial pancreas is configured to be delivered in the delivery configuration by a catheter to an implantation site in a blood vessel and to expand to the deployed configuration outside of the catheter at the implantation site. In any or all of the above embodiments, the scaffold may be bioabsorbable.

[0037] In yet another aspect of the present invention, there is provided a bioartificial pancreas, comprising: a scaffold configured to fit into an interior wall of a blood vessel; A cell complex support supported by the scaffold and provided with a thin film; Including, the scaffold comprises a blood flow lumen extending longitudinally through an internal cavity thereof, such that blood flows through the lumen when the scaffold is engaged with a blood vessel; The cell complex support extends longitudinally within an internal cavity of the scaffold, thereby exposing the cell complex support to blood flow when the scaffold engages with a blood vessel; the cell complex support comprises one or more pockets bounded by two microporous thin film layers; The microporous thin film layer has a thickness of less than 0.1 mm and pores with a diameter of less than 100 μm; and A cell complex containing a pancreatic islet is disposed in the one or more pockets. A bioartificial pancreas is provided, comprising:

[0038] In all or some of the above embodiments, the cell complex support may further include a junction area between the one or more pockets, where the cell complex support is attached to the scaffold. In such an embodiment, the bioartificial pancreas may be attached to the scaffold by thermal bonding between the junction area and the scaffold, may be attached to the scaffold by suturing, and / or may be attached to the scaffold by crimping between the junction area and the scaffold. The cell complex support may include a plurality of pockets and further include a junction area between each pocket, where a cell complex including, but not limited to, a pancreatic islet may be disposed in each pocket.

[0039] In all or some of the above embodiments, the cell complex support comprises two microporous membrane layers, each of which may have a plurality of pores, for example, less than 100 μm in diameter, and each of which may have a thickness of less than 0.1 mm.

[0040] In all or some of the embodiments, the density of pancreatic islets in the cell complex may be between 2.5% and 100%, for example, between 12% and 30%.

[0041] In some embodiments, the cell complex support extends along substantially the entire circumference of the internal cavity of the scaffold, and in some embodiments, the cell complex support extends along a portion of the entire circumference of the internal cavity of the scaffold.

[0042] In some embodiments, the scaffold is an expandable stent, in such embodiments, the cell composite support may be attached to a strut of the expandable stent.

[0043] In all or some of the above embodiments, the scaffold and cell complex support have a delivery configuration having a first diameter and a deployed configuration having a second diameter larger than the first diameter, and the bioartificial pancreas is configured to be delivered in the delivery configuration by a catheter to an implantation site in a blood vessel and to expand to the deployed configuration outside of the catheter at the implantation site.

[0044] In another aspect of the invention, a method for producing a bioartificial pancreas comprising a scaffold and cell composite support is provided. Some embodiments of the method include: Injecting the cell complex containing the pancreatic islets into the pocket of the cell complex support through the opening; and Closing the opening Includes.

[0045] In some embodiments, the injecting step includes injecting the cell complex through a capillary extending from the opening, and some embodiments further include retracting the capillary, which may be performed, for example, by retracting the capillary while injecting the cell complex.

[0046] Some embodiments include a step of attaching the cell complex support to the scaffold, for example, a step of injecting the cell complex into a pocket of the cell complex support may be performed after the step of attaching the cell complex support to the scaffold, or a step of injecting the cell complex into a pocket of the cell complex support may be performed after the step of attaching the cell complex support to the scaffold.

[0047] In an embodiment in which the cell complex support further comprises a plurality of pockets and a plurality of bonding regions, the injection step may further comprise the step of injecting the cell complex into the plurality of pockets, and the bonding step may comprise the step of bonding the plurality of bonding regions to the scaffold.

[0048] In yet another aspect of the present invention, a method of treating a patient suffering from diabetes is provided. In some embodiments, the method comprises: implanting a bioartificial pancreas comprising a cell complex support and a cell complex comprising pancreatic islets disposed within the cell complex support at an implantation site within a blood vessel of the patient; allowing blood to flow from the blood vessel into the bioartificial pancreas; diffusing oxygen from the blood into the cell complex to maintain a minimum oxygen concentration in the islets of 0.05 mM; allowing glucose to diffuse from the blood into the cell complex; producing insulin from the pancreatic islets in response to the concentration of glucose diffused from the blood into the cell complex; and delivering insulin produced by said pancreatic islets to said blood. Includes. In some embodiments, the implanting step includes delivering the bioartificial pancreas to an implantation site within the blood vessel through a catheter, and expanding the bioartificial pancreas from a delivery configuration to a deployed configuration.

[0049] These and other features and advantages are described herein.

[0050] The novel features of the embodiments described herein are set forth with particularity in the appended claims. The features and advantages of the embodiments described herein may be better understood by reference to the following detailed description of exemplary embodiments and the accompanying drawings, in which: [Brief description of the drawings]

[0051] [Figure 1A-1B] 1A shows a perspective view of a portion of a bioartificial graft placed in a blood vessel, and FIG. 1B shows an axial cross-sectional view of a bioartificial graft placed in a blood vessel.

[0052] [Figure 2A-2B] FIG. 1 shows an axial cross-section of a re-endothelialized blood vessel on a bioartificial graft.

[0053] [Figure 3A-3B]

[0023] Figure 3A shows a longitudinal cross-sectional view of a bioprosthetic graft having one or more semipermeable membrane layers, and Figure 3B shows an axial cross-sectional view of the bioprosthetic graft.

[0054] [Figure 4A-4C] 1 shows a bioartificial graft deployed within a vessel using a balloon delivery system.

[0055] [Diagram 5] 1 shows a flow chart illustrating a method for forming a bioartificial implant.

[0056] [Figure 6A] FIG. 2 shows a front view of a cell complex support according to an embodiment of the present invention.

[0057] [Figure 6B] 6B shows a cross-sectional view of the cell complex support of FIG. 6A taken along line 6B-6B of FIG. 6A.

[0058] [Figure 7] FIG. 6B shows a front view of a portion of the cell complex support of FIG. 6A with a filling tube positioned within each pocket of the cell complex support.

[0059] [Figure 8] FIG. 1 shows a plan view of a scaffold to which a cell complex support may be attached.

[0060] [Figure 9] 9 shows a plan view of the cell complex support of FIG. 6A bonded to the scaffold of FIG. 8.

[0061] [Figure 10A-10B] 1A-1D show end views illustrating the delivery and deployment configurations of a bioartificial pancreas according to one embodiment of the present invention.

[0062] [Figure 11A-11B] 1A-1D show end views of a bioartificial pancreas in a delivery and deployment configuration according to another embodiment of the present invention.

[0063] [Figure 12A-12B] 1A-1D show end views of a bioartificial pancreas in a delivery and deployment configuration according to yet another embodiment of the present invention. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0064] Disclosed herein is a bioartificial graft (such as a bioartificial pancreas graft) for regulating the patient's endocrine system by implanting it into the patient's body to release one or more hormones into the patient's bloodstream. The bioartificial graft of the present invention can be placed in a blood vessel adjacent to or integrated into the blood vessel wall. The bioartificial graft of the present invention can include living cells (such as pancreatic islets) that produce hormones. Since the bioartificial graft of the present invention is placed in the vicinity of the patient's bloodstream, it can rapidly deliver hormones to the patient's bloodstream and promote good vascularization of the cells.

[0065] 1A and 1B show a bioartificial graft 100 according to some embodiments placed within a blood vessel 102. The bioartificial graft 100 may include a scaffold 104 (such as a stent) and a cell complex 107 supported by the scaffold. The cell complex 107 includes cells (such as pancreatic islets) and one or more biocompatible materials. When the bioartificial graft is placed within a patient's blood vessel 102, glucose and oxygen are provided to the cell complex 107 from the bloodstream, which may cause the cell complex 107 to produce one or more hormones. The one or more hormones may be released into the lumen 110 of the bioartificial graft 100 and into the patient's blood within the blood vessel 102 to regulate the patient's endocrine system. In some cases, the bioartificial graft 100 is used to treat diseases or conditions, such as metabolic diseases, including diabetes. When the bioartificial graft 100 is used to treat diabetes, the bioartificial graft 100 is a bioartificial pancreas.

[0066] The cell complex may be of any type. In some embodiments, the cell complex may include pancreatic islets, such as human adult pancreatic islets (autograft or allograft); xenogeneic pancreatic islets (e.g., porcine); fetal beta cells; islet-like cells differentiated from stem cells; islet-like cells transdifferentiated from other types of cells, such as hepatocytes, pancreatic acinar cells, pancreatic ductal cells; genetically modified non-beta cells and / or genetically altered non-beta cells; or any combination thereof. In some cases, the cell complex includes types of cells other than pancreatic islets, such as thyroid hormone-producing cells and / or adrenal hormone-producing cells. The cell complex may also include a combination of pancreatic islets and other types of cells. The type of cells may be selected depending on the disease or condition and the hormones to treat such disease or condition. Different types of cells may be used to produce different types of hormones and / or the amount of hormones produced may be varied. If the cells in the cell complex are pancreatic islets, the islets may produce one or more of insulin, amylin, glucagon, somatostatin, ghrelin, and pancreatic polypeptide, and these hormones may be produced in any combination and in any ratio. In some embodiments, the cells in the cell complex are human cells, which may be obtained, for example, from a laboratory that performs cell isolation. In some embodiments, the cells in the cell complex are animal cells (pig cells). In some cases, the cells in the cell complex are genetically modified cells. In some cases, the bioartificial graft includes stem cells.

[0067] The cell complex may include cells embedded in a matrix of a biocompatible material, which may be configured to maintain the viability of the cells. The cells may be encapsulated in the biocompatible material. In some cases, as shown in FIG. 1B, the cell complex 107 may include one or more outer layers 112 of a biocompatible material 108 that may cover and substantially completely encapsulate the cells 106 to form a barrier between the islet cells and the patient's immune response (e.g., lymphocytes, antibodies, macrophages, and / or complement molecules in the bloodstream). The biocompatible material 108 may be a semi-permeable material that allows nutrients (e.g., glucose) and / or oxygen to diffuse through the biocompatible material 108 to reach the cells 106, and allows hormones and / or waste products released by the cells 106 to diffuse through the biocompatible material 108 to leave the cell complex 107. In some cases, the biocompatible material 108 may be permeable with one or more nutrients.

[0068] The biocompatible material 108 may be a porous material with a network of pores that contain the cells 106. Thus, the cells 106 may be dispersed within the matrix of the biocompatible material 108. In some cases, the cells 106 form clusters within the matrix of the biocompatible material 108. The biocompatible material 108 may be a bioabsorbable material, i.e., a material configured to be safely dissolved and / or absorbed in the body. In some cases, the biocompatible material 108 includes an artificial polymeric material and / or a natural polymeric material. In certain embodiments, the biocompatible material 108 includes alginate, polyethylene glycol (PEG), agarose, polytetrafluoroethylene (PTFE), any combination thereof, and the like. In some embodiments, the biocompatible material 108 includes two or more polymers.

[0069] The number and concentration of cells contained in the cell complex 107 of the bioartificial graft 100 may be varied. In some embodiments, the cell complex 107 contains about 50,000 to 1 million cells (e.g., about 50,000 to 100,000 cells, about 500,000 to 1 million cells, or about 100,000 to about 1 million cells) (e.g., pancreatic islets). In some embodiments, the concentration (weight concentration) of cells (e.g., pancreatic islets) contained in the cell complex 107 is about 5% to about 100% (e.g., about 5% to 99%, about 5% to about 90%, about 50% to about 90%, or about 60% to about 80%).

[0070] The biocompatible material 108 may be any material that is substantially non-harmful and non-toxic to living cells and / or living tissues. The biocompatible material 108 may be configured to maintain viability of the islets for a predetermined period of time. In some cases, the predetermined period of time may be from about 3 months to about 5 years (e.g., from about 6 months to about 2 years, from about 3 months to about 2 years, from about 1 year to about 3 years, or from about 9 months to about 2 years). According to some embodiments, the biocompatible material 108 includes one or more agents that help maintain viability of the cells 106. For example, one or more enzymes and / or pH adjusters may be injected or incorporated within the biocompatible material 108 to maintain a favorable environment for the cells 106. In some cases, VEG-A and / or VEG-F are used to promote angiogenesis. The biocompatible material 108 may also include other types of cells, such as endothelial cells and mesenchymal stem cells. The biocompatible material 108 may also include extracellular matrix components such as collagen, elastin, fibronectin, laminin, and / or proteoglycans. Additionally, the biocompatible material 108 may include oxygen radical scavengers and / or oxygen-containing molecules.

[0071] The scaffold 104 may generally have a tubular wall, the outer surface of which defines an outer diameter small enough to allow the stent to reside within the vessel 102 when the stent is deployed within the vessel 102, and the inner surface of the tubular wall defines a lumen 110 through which blood flows. For example, the wall of the scaffold 104 may include a network of struts spaced apart from one another. The struts may be a mesh or network of wires or filaments with openings (also referred to as gaps or holes) between the wires or filaments. The scaffold 104 supports a cellular complex 107 (cells 106 and a biocompatible material 108). For example, at least a portion of the inner surface of the scaffold 104 may be covered with a cellular matrix 107. In some cases, at least a portion of the outer surface of the scaffold 104 is also covered with the cellular matrix 107 (or, alternatively, the inner surface of the scaffold 104 is not covered with the cellular matrix 107, but at least a portion of the outer surface of the scaffold 104 is covered with the cellular matrix 107). In embodiments in which the scaffold comprises multiple struts, at least a portion of the struts of the scaffold 104 may be covered with the cellular matrix 107. In some cases, the scaffold 104 is designed to be radially collapsible and / or radially expandable.

[0072] In some embodiments, the cell conjugate 107 covers the scaffold 104 such that the cell conjugate 107 partially or substantially completely occludes some or all of the openings in the scaffold 104 (e.g., openings between the struts of a stent). If at least some of the openings between the struts of the scaffold 104 remain unoccluded, the unoccluded openings may act as pathways through the wall of the bioartificial graft 100, thereby improving the supply of oxygen to the cells 106 and / or blood vessels 102. In some embodiments, the size of the openings in the scaffold 104 in an area along the wall of the bioartificial graft 100 is about 0.5 mm 2 ~25mm 2 (For example, about 1 to 5 mm 2 , about 5~25mm 2, or about 0.5 to 20 mm 2 The wall of the bioartificial graft 100 may include one or more additional openings that function as blood flow channels. Such additional or additional blood flow openings along the wall of the bioartificial graft 100 may be sized to be 100 μm or less. 2 ~10,000μm 2 (For example, about 144 to 10,000 μm 2 , about 1,000~5,000μm 2 , or about 500 to 9,000 μm 2 ) may also be used.

[0073] The scaffold 104 may be comprised of any suitable material. In some embodiments, the scaffold 104 comprises one or more bioabsorbable materials configured to dissolve and / or be absorbed in vivo. In some embodiments, the bioabsorbable material of the scaffold 104 comprises the same bioabsorbable material as the biocompatible material 108 of the cell composite 107. In some embodiments, the bioabsorbable material of the scaffold 104 comprises a different material than the biocompatible material 108 of the cell composite 107. The bioabsorbable material of the scaffold 104 may comprise a polymer-based material, such as one or more of a polylactic acid-based polymer, a tyrosine polycarbonate polymer, and a salicylic acid polymer. The bioabsorbable material of the stent 104 may comprise a metal-based material, such as one or more of iron, magnesium, and zinc. The metal-based material may comprise one or more metal alloys.

[0074] In some variations, the bioartificial graft 100 includes one or more materials that are not substantially bioabsorbable. For example, the scaffold 104 and / or the biocompatible material 108 may be comprised of a material that is not substantially biodegradable and / or is not substantially bioabsorbable. In such cases, the bioartificial graft 100, or a portion thereof, may be configured to be retrieved from the patient's vasculature. For example, the bioartificial graft 100 may be retrieved from the patient's body when the cells 106 no longer produce sufficient amounts of hormone. In one particular embodiment, the biocompatible material 108 and the cells 106 are bioabsorbable, but the scaffold 104 is not substantially bioabsorbable (e.g., comprised of nitinol, titanium, stainless steel, and / or a non-bioabsorbable polymer). Thus, once the biocompatible material 108 and the cells 106 have been bioabsorbed (or have been partially absorbed), the scaffold 104 may be retrieved, for example, using a retrieval catheter device. In some embodiments, the stent 104 is comprised of a material that is not bioabsorbable.

[0075] When the scaffold 104 is made of a bioabsorbable material, the bioabsorbable material may be configured to dissolve and be absorbed in vivo within a predetermined period of time. The predetermined period of time may vary depending on various factors, such as the type of bioabsorbable material, the size of the scaffold 104, and / or the location of the bioartificial graft 100 in the patient's body. In some embodiments, the bioabsorbable material of the scaffold 104 may have an absorption rate of about 3 months to about 3 years (e.g., about 6 months to 2 years, about 3 months to 2 years, about 1 year to 3 years, or about 9 months to 2 years). In some embodiments, the bioabsorbable material of the scaffold 104 is configured to be absorbed in vivo near the time when the cells 106 no longer produce hormones. In some embodiments, the bioabsorbable material of the scaffold 104 is configured to be absorbed in vivo after the cells 106 no longer produce hormones. This configuration ensures that the cell complex including the cells 106 is supported by the bioabsorbable material of the scaffold 104 from the time when the cells 106 produce the hormone until at least the time when the cells 106 stop producing the hormone. In some embodiments, the bioabsorbable material of the scaffold 104 is configured to be absorbed into the body before the cells 106 are no longer able to produce the hormone. For example, the cells 106 may continue to function in the "pocket" even after the scaffold 104 is absorbed.

[0076] The bioartificial graft 100 may be placed in any artery or vein in the patient's body. In some cases, placement in an artery may be preferred to expose the cell complex to oxygen-rich blood and nutrients. That is, arteries may have a higher oxygen partial pressure than veins. Additionally, blood flow in arteries may be a relatively immune-protected part of the body. Veins may also have slower blood flow and lower blood pressure, possibly increasing the risk of thrombosis. However, placement in veins may also be advantageous because the body may be able to form collateral venous pathways if the vein is damaged.

[0077] In some embodiments, the diameter of blood vessel 102 may be at least about 0.5 cm. In some embodiments, the diameter of blood vessel 102 may be about 0.5 cm to about 4 cm (e.g., about 0.5-3 cm, about 1-2 cm, about 1-3 cm, about 2-3 cm, about 1-4 cm, about 3-4 cm, about 1.5-3.5 cm, or about 2.5-4 cm).

[0078] According to some embodiments, the bioartificial graft 100 is placed within an artery or vein in or near the pancreas, spleen, kidney, liver, heart, and / or other organs of the patient. In some cases, the bioartificial graft 100 is placed at a location away from a specific organ or away from organs in general. In some embodiments, one or more bioartificial grafts 100 may be deployed in one or more of the following: splenic artery, splenic vein, celiac artery, iliac artery, infrarenal aorta, thoracic aorta, abdominal aorta, carotid artery, hepatic artery, posterior pancreatic artery, great pancreatic artery, transverse pancreatic artery, anterior and posterior superior pancreaticoduodenal artery, anterior and posterior inferior pancreaticoduodenal artery, anterior and posterior superior pancreaticoduodenal vein, and / or anterior and posterior inferior pancreaticoduodenal vein. In some cases, the bioartificial graft 100 is placed near or within the spleen, since the spleen may not be considered a vital organ. In some cases, placement of the bioprosthetic graft 100 in the splenic artery may provide some advantages since the splenic artery may be relatively long, allowing for the deployment of multiple stents and / or long stents. In some cases, placement of the bioprosthetic graft 100 in the infrarenal aorta may provide some advantages since the infrarenal aorta may have a relatively large diameter, allowing for the placement of a large diameter stent capable of supporting a physiological cell mass. Additionally, the infrarenal aorta may be relatively easily accessible from the femoral artery, making in-stent restenosis highly unlikely. In some embodiments, the bioprosthetic graft 100 is placed at or near the infrarenal aorta and / or iliac artery bifurcation, such as the iliac artery. In some cases, implanting the bioprosthetic graft 100 at or near a bifurcation, such as the iliac artery bifurcation, may reduce the likelihood of the bioprosthetic graft 100 migrating within the vessel. Additionally, the abdominal aorta and iliac arteries are relatively large in diameter, making in-stent restenosis unlikely to occur. Placement of the bioartificial graft 100 may take into consideration factors such as the possibility of thrombosis, the possibility of an immune response, and the shape of the blood vessel (e.g., tortuous blood vessels may be more difficult to place a bioartificial graft in than straight blood vessels).In some cases, two or more bioprosthetic grafts 100 are placed in the patient's vasculature. For example, two or more bioprosthetic grafts 100 may be deployed in the same artery, in different arteries, in the same vein, in different veins, or in any combination of arteries and veins.

[0079] When deployed in a patient's blood vessel 102, the bioartificial graft 100 can be configured to contact the inner wall of the blood vessel 102. The outer diameter of the bioartificial graft 100 can be substantially the same as the inner diameter of the blood vessel 102. In some cases, the scaffold 104 can be configured to withstand the forces of blood flow, i.e., blood can flow through the lumen 110 of the scaffold 104 without collapsing. The scaffold 104 can be configured to withstand radially inward pressure from the wall of the blood vessel 102 without collapsing. In some embodiments, the scaffold 104 can be configured to apply sufficient radial force to partially and effectively increase the diameter of the vessel lumen. This configuration may allow for the placement of a stent with a larger overall diameter without occluding the lumen of the blood vessel 102.

[0080] In some cases, the scaffold 104 and biocompatible material 108 may be comprised of a continuous tubular bioabsorbable material having cells 106 dispersed therein. The walls of the tubular bioabsorbable material may include a mesh or network structure with openings between the mesh or network struts, which may function as blood flow channels to provide oxygen to the cells 106 and / or blood vessel 102, as described herein. In some cases, the walls of the tubular bioabsorbable material may include openings instead of or in addition to the multiple openings that function as blood flow channels between the struts, as described herein. The walls of the tubular bioabsorbable material may be configured to adhere to the inner wall of the blood vessel 102, thereby maintaining the shape of the lumen 110 of the scaffold 104 so that blood can flow through the lumen 110.

[0081] Bioartificial implant 100 may be designed to operate within the range of temperatures expected to be encountered when implanted within a patient's body, i.e., bioartificial implant 100 may be configured to operate nominally near average body temperature (e.g., about 37° C.) and within a range of body temperature fluctuations.

[0082] The size of the bioartificial graft 100 may vary depending on, for example, the size of the blood vessel 102. In some embodiments, the length of the bioartificial graft 100 is about 2 cm to 10 cm (e.g., about 2-3 cm, about 3-10 cm, about 5-10 cm, or about 6-10 cm).

[0083] In some cases, the bioartificial graft is covered with a proliferated endothelial layer due to re-endothelialization. Figures 2A and 2B show an example of a re-endothelialized vascular wall 102 on a bioartificial graft 100 in some embodiments. Figure 2A shows that the implanted bioartificial graft 100 secretes insulin in the lumen 110 of the bioartificial graft 100 (and in the blood vessel 102) in response to changes in blood glucose levels. As shown in Figure 2B, after a certain period of time, an endothelial cell layer 120 may be formed on the bioartificial graft 100. This re-endothelialization can form a space, or "pocket," between the endothelial cell layer 120 and the vascular wall 102 in which the bioartificial graft 100 can be placed. Cells in the bioartificial graft 100 continue to produce hormones (e.g., insulin) in the pocket and secrete the hormones into the lumen 110. The endothelial cell layer 120 may act as a semi-permeable barrier to protect the cells 106 from the patient's immune response while allowing diffusion of nutrients and / or oxygen to the islet cells 106 and hormones and / or waste products from the cells 106. The endothelial cell layer 120 may or may not include one or more outer layers 112 of a biocompatible material 108, as described herein.

[0084] The bioabsorbable material of the bioartificial graft 100 (e.g., the scaffold 104 and / or the biocompatible material 108) can be configured to be gradually absorbed by the body while the cells 106 continue to produce hormones (e.g., insulin). After a period of time, the cells 106 may no longer be able to produce hormones (e.g., insulin), which may be due to the biocompatible material 108 being absorbed by the body, the natural life span of the cells, or both. Once the bioartificial graft is absorbed and the cells disintegrate in the pocket and / or stop secreting hormones (e.g., insulin), a new bioartificial graft may be deployed in the blood vessel 102.

[0085] According to some embodiments, the bioartificial graft may be modified to include one or more chemical agents (e.g., small molecules, drugs and / or proteins). For example, the bioartificial graft 100 may include growth factors such as vascular endothelial growth factors (e.g., VEG-A and / or VEG-F) to promote endothelial cell proliferation. The bioartificial graft 100 may include an anticoagulant (e.g., heparin). Alternative or additional chemical agents may include anti-inflammatory drugs such as TNF-α inhibitors and / or immunosuppressants such as sirolimus and tacrolimus. Such chemical agents may be applied to the surface of or incorporated into the biocompatible material 108 of the cell composite and / or scaffold 104. According to some embodiments, the bioartificial graft 100 may further include one or more cells other than pancreatic islet cells. For example, follicular cells may be incorporated into the cell complex 108 to release thyroid hormones (e.g., thyroid hormones T4 / T3), and other agents that regulate the endocrine system may be incorporated into the cell complex 108. The cell complex 108 may include cells that produce parathyroid hormone (PTH), cells that produce adrenal hormones (e.g., cortisol and / or aldosterone), and / or cells that produce sex hormones. The bioartificial graft 100 may also include stem cells.

[0086] The bioprosthetic graft may be delivered into the patient's body by any method. In some cases, the bioprosthetic graft is delivered intravascularly using catheterization. Also, as described herein, the bioprosthetic graft may be collapsible and expandable. Thus, in some embodiments, the bioprosthetic graft may be deployed intravascularly using an endovascular procedure. One example of such a procedure uses a balloon delivery system.

[0087] 3A and 3B show a variation of a bioartificial graft 100, in which the scaffold 104, the cell complex 107 and the cells 106 are surrounded by one or more layers of semi-permeable material. FIG. 3A shows a longitudinal cross-section of the bioartificial graft 100, and FIG. 3B shows an axial cross-section of the bioartificial graft 100. The scaffold 104 and the cell complex 107 can be encapsulated by one or more semi-permeable membrane layers 320, i.e., the one or more semi-permeable membrane layers 320 can cover the inner diameter 350 of the scaffold and the outer diameter 352 of the scaffold. The cell complex 107 can be injected between the one or more semi-permeable membrane layers 320. The one or more semi-permeable membrane layers 320 can be made of any biocompatible material that can substantially block the patient's immune response against the cells 106 and allows the passage of oxygen and nutrients to the cells in the cell complex and the passage of hormones and waste products from the cells in the cell complex. In some embodiments, the one or more semipermeable membrane layers 320 are comprised of natural and / or synthetic polymers (e.g., PTFE). In some embodiments, the one or more semipermeable membrane layers 320 include two sheets of semipermeable material hermetically bonded together at the proximal end 340 and the distal end 342 of the bioartificial graft 100. In some embodiments, the two sheets of semipermeable material are hermetically bonded together (e.g., by heat forming). In some embodiments, a sealant 360 is used to hermetically bond the two sheets of semipermeable material together. The sealant 360 may be comprised of any biocompatible material capable of maintaining a seal during placement within the patient's vasculature. In some embodiments, the sealant 360 may be a sealant comprised of a biocompatible adhesive and / or a biocompatible chemical.

[0088] 4A-4C show an example of a bioartificial graft placed in a blood vessel using a balloon delivery system. The balloon delivery system may include an inflatable balloon 450 and a guide wire 452. With the stent of the bioartificial graft 100 in a collapsed state, the bioartificial graft 100 can be inserted into the blood vessel by mounting the deflated balloon 450 inside the bioartificial graft 100. The bioartificial graft 100 may be manufactured while mounted on the balloon 450, or may be mounted on the balloon 450 after the bioartificial graft 100 is manufactured. FIG. 4A shows that the balloon 450 with the bioartificial graft 100 mounted thereon is guided through the lumen of the blood vessel 102 with the aid of a guide wire 452. The access site into which the balloon delivery system is inserted may vary depending on the target vessel and the target site within the target vessel. The access site may be an artery, such as the femoral artery or the radial artery.

[0089] As shown in FIG. 4B, once the balloon delivery system reaches the target site within the blood vessel 102, the balloon 450 can be inflated to expand the balloon 450 within the blood vessel 102. Expanding the balloon 450 can expand the bioartificial graft 100 and cause it to expand from a collapsed state to an expanded state and contact the inner surface of the blood vessel 102. In some cases, the bioartificial graft 100 is expanded to a fully expanded state or a nearly fully expanded state. After expanding the bioartificial graft 100, the balloon 450 can be deflated and removed from the blood vessel 102 using the guidewire 452.

[0090] In some embodiments, one or more radiopaque markers may be used to visualize the balloon delivery system and / or the bioprosthetic graft 100 during delivery into the patient. For example, ring markers may be placed at or near either end of the bioprosthetic graft 100 and radio frequency imaging techniques may be used to allow a physician to view the ring markers and thereby estimate the location of the bioprosthetic graft 100 during delivery into the patient. After the bioprosthetic graft 100 is placed into the patient, the radiopaque markers may be removable from the balloon delivery system and / or the bioprosthetic graft 100 and the patient.

[0091] In another embodiment, the bioartificial graft 100 is configured for implantation within the vessel 102 without the use of a balloon. For example, the scaffold 104 (FIGS. 1A-3B) may be a self-expanding stent. In one particular variation, the self-expanding stent may be compressed into a delivery catheter and placed within the vessel 102. The outer sheath of the delivery catheter may be retracted, allowing the self-expanding stent to expand like a spring to a desired expanded diameter at the target site within the vessel 102.

[0092] The bioartificial grafts described herein can be manufactured using a variety of techniques. FIG. 5 shows a flow chart illustrating a method for forming a bioartificial graft according to some embodiments. For example, a cell composite can be formed (502) by combining cells with one or more biocompatible materials, which may be bioabsorbable. In certain embodiments, the biocompatible materials can include alginate, PEG, agarose, and / or collagen polymers. A solution (e.g., an aqueous solution) of a biocompatible polymer can be mixed with islet cells to form a slurry. In some embodiments, one or more chemical agents (e.g., drugs) and / or cells other than islet cells are added to the slurry to incorporate the chemical agents and / or cells other than islet cells into the cell composite.

[0093] A scaffold (e.g., a stent) designed for insertion into a patient's blood vessel can be coated with the cell complex (504). The scaffold can be composed of a bioabsorbable and / or biocompatible material, such as a bioabsorbable polymer or a metal stent. In some cases, the scaffold is pretreated with one or more chemical agents to promote adhesion of the cell complex to the stent. The chemical agents can include one or more peptide coatings. For example, an integrin binding motif, such as an RGD motif (a peptide consisting of arginine-glycine-aspartic acid), can be used to promote cell adhesion to the scaffold. In some cases, the scaffold is coated with one or more layers of a biocompatible material. In some embodiments, the scaffold includes one or more chemical agents such that the chemical agents (e.g., drugs) are eluted from the scaffold upon placement in the patient's body. The one or more chemical agents can be coated on the stent and / or incorporated into the material of the scaffold. Various coating methods can be used. In some embodiments, the cell complex is deposited using liquid deposition, ultrasonic coating, spray deposition, or any combination thereof. In some embodiments, the cell complexes are deposited as a solution (e.g., an aqueous solution). After the solution containing the cell complexes is deposited, it may be dried to some extent. In some cases, the solution containing the cell complexes may be maintained in a solution state (e.g., while remaining wet).

[0094] In some embodiments, the cell complex deposited on the scaffold may be coated with one or more layers of a biocompatible material (506). The biocompatible coating may serve to encapsulate the cells in the cell complex so that they are not gradually worn away from the scaffold by exposure to blood flowing in the patient's bloodstream, while at the same time allowing oxygen and glucose to reach the cells and waste products to be removed from the cells. Each layer of these biocompatible coatings may be very thin, for example, from about 1 nm to about 1 mm. The total thickness of the biocompatible coating may be from about 1 nm to about 5 mm.

[0095] 6A-9 show an embodiment of a bioartificial pancreas 600. A cell complex 602 composed of pancreatic islets and a biocompatible material is placed in a pocket 604 of a cell complex support 606. In some embodiments, the density of the islets in the cell complex 602 may be 2.5%-100%, or 12%-30%. In embodiments where the density of the islets in the cell complex 602 is less than 100%, the remaining percentage may be a porous medium, which may be, for example, one or more of alginate, agarose, PEG, chitosan, and the like.

[0096] In order to maintain the survival of the islets when the bioartificial pancreas is implanted in a blood vessel and release insulin in response to blood glucose levels, oxygen and glucose supplied from the blood flowing through the bioartificial pancreas (probably blood from the capillary network of the nutrient blood vessels in the blood vessel wall) must reach the islets in the bioartificial pancreas. The higher the blood glucose level, the higher the oxygen consumption by the islets. Therefore, the bioartificial pancreas graft of the present invention has a structure that allows oxygen and glucose to diffuse from the bloodstream into the interior of the cell complex at a rate sufficient to maintain the survival of the islets. In addition, the density of the islets in the cell complex of the bioartificial pancreas graft of the present invention is an islet density that does not exceed the islet density that can be supported by the oxygen concentration that reaches the islets, and is an islet density that can supply a sufficient amount of insulin in response to glucose that reaches the islets in the cell complex. In the embodiment described herein, oxygen at a minimum concentration of 0.05 mM passes through the cell complex support to reach all the islets in the cell complex.

[0097] In this embodiment, the cell complex support 606 includes two microporous thin film layers 608, 610 that define the boundaries of the pockets 604. The microporous thin film layers 608 and 610 are joined to each other at the junction regions 612 between the outer edge of the cell complex support 602 and each pocket 604. The cell complexes 602 are disposed within each pocket 604. In some embodiments, the thickness of each microporous thin film layer is less than 0.1 mm. In some embodiments, the pores of the microporous thin film layers may be less than 100 μm in diameter so that glucose and oxygen in the blood flowing through the scaffold can enter the pockets 604 and reach the cell complexes 602 at a rate sufficient to maintain the viability of the islets, and insulin produced by the islets in the cell complexes can reach the bloodstream. The pores of the microporous thin film layers may also be configured to allow glucose and / or oxygen to reach the cell complexes from the nutrient capillaries of the blood vessels in which the bioartificial pancreas 600 is implanted. By placing the bioartificial pancreas in a blood vessel, vascularization of a nutrient capillary network may occur in the blood vessel. In some embodiments, as shown in FIG. 6B, the thickness T of the constructed cell complex support may be 0.30 mm to 1.0 mm.

[0098] In an embodiment of the present invention, the two microporous thin film layers 608, 610 of the cell complex support 606 may be made of a polymer such as ePTFE, hydrophilic ePTFE, nylon, polyethylene, or PEEK. On the upper surface of the microporous thin film layer 608, an adhesive (e.g., FEP, polyurethane, etc.) may be applied to the entire circumference of the outer edge 618 of the microporous thin film layer 608 and the bonding region 612, and the microporous thin film layer 608 and the microporous thin film layer 610 may be thermally bonded. A capillary 620 (e.g., a polyethylene tube having a diameter of 300 to 500 μm) may be disposed on the upper surface of the microporous thin film layer 608 at each pocket 604. As shown in FIG. 7, each capillary 620 has an open end at one end of the pocket, and a part of each capillary 620 extends beyond the boundary of the microporous thin film layer 608. The bottom surface of the second microporous thin film layer 610 may then be placed on top of the microporous thin film layer 608, so that the second microporous thin film layer 610 covers the capillaries 620. The microporous thin film layers may then be heat bonded to one another at the bonding areas 612 and the outer edge 618 of the cell complex support 606 by heating the two microporous thin film layers and adhesive (e.g., to 200° F.-500° F.) using an oven or sealing apparatus.

[0099] In another embodiment, the microporous thin film layers 608, 610 are bonded together without the use of adhesives, relying on the sufficiently low melting points of the polymers that make up the microporous thin film layers 608, 610. The polymers that make up the microporous thin film layers 608, 610 are locally melted by applying heat to the bottom surface of the microporous thin film layer 608 and the top surface of the microporous thin film layer 610 in the bond area 612 and / or periphery 618. The polymer then resolidifies to form a weld in the bond area 612 and / or periphery 618.

[0100] In one method of manufacturing the cell complex 602 and the cell complex support 606, a microporous hydrogel (e.g., alginate, fibrin, chitosan, agarose, polyethylene glycol) and islets may be mixed at 37°C to achieve an islet density of 12%-30%, and a polymeric crosslinker may be added to harden the hydrogel to enhance its physical stability for protecting the islets. The cell complex may be injected into the pockets 604 through the capillaries 620 using a Hamilton syringe. While injecting the cell complex, each capillary 620 may be gradually withdrawn from each pocket 604, so that the cell complex is evenly distributed in each pocket. After the injection of the cell complex is completed and each capillary 620 is withdrawn from each pocket 604, each pocket may be sealed by heat sealing the outer edge of each pocket 604 in the manner described above to prevent leakage of the cell complex. After heat sealing each pocket 604, the cell complex support may be cooled at room temperature (i.e., 4°C). The injection of the cell complex 602 into the cell complex support 606 may be performed before the cell complex support is attached to the scaffold, or may be performed after the cell complex support is attached to the scaffold.

[0101] The bioartificial pancreas 600 may be configured as a cylinder, or a portion of the same, so that it can fit into the inner wall of a blood vessel, such as the descending aorta. For illustrative purposes, FIGS. 8 and 9 show the scaffold 614 and the cell composite support 606 in plan view. In this embodiment, the scaffold 614 is a cylindrical mesh stent with a cavity therein. The scaffold 614 may be formed, for example, of a shape memory alloy, such as Nitinol, or may be formed of a bioabsorbable material. The scaffold 614 may be compressed and delivered into the patient's blood vessel (such as the descending aorta), and may be expanded (e.g., by self-expansion) and deployed within the patient's blood vessel. The attachment region 612 and / or the outer edge 618 of the cell composite support 606 may be attached to the filament 616 of the scaffold 614 by heat bonding, crimping, suturing, adhesive, or other suitable attachment mechanism. In this embodiment, the cell composite support 606 substantially surrounds the entire inner cavity of the scaffold. In another embodiment, the cell complex support defines only a portion of the interior cavity of the scaffold.

[0102] In some embodiments, one or both microporous thin film layers may comprise one or more of the following on their outer surface: hydrogel, heparin, growth factors (e.g., VEGF, VEGA, etc.), and immunotherapeutic agents (e.g., sirolimus, tacrolimus, etc.).

[0103] The bioartificial pancreas of the present invention may be delivered to a desired implantation site in a blood vessel, such as the infrarenal aorta, through a catheter. The diameter of the bioartificial pancreas in the delivery form may be small, and the diameter of the bioartificial pancreas in the deployed form may be large. The diameter of the bioartificial pancreas in the delivery form may be 1 to 10 mm, and the diameter of the bioartificial pancreas in the deployed form may be 5 mm to 25 mm.

[0104] 10A-B show a delivery configuration and a deployment configuration of a bioartificial pancreas 700 according to an embodiment of the present invention. As in the previous embodiment, the bioartificial pancreas 700 includes a cell complex support 706 bonded to a scaffold 714. A cell complex (e.g., a cell complex consisting of pancreatic islets and a microporous hydrogel as described above) is supported in the cell complex support 706. As shown in FIG. 10A, the bioartificial pancreas 700 is loaded into a delivery catheter 730 in a reduced diameter delivery configuration, with the pockets 704 containing the cell complexes extending radially inward and the bonded regions 712 remaining bonded to the scaffold 714. The outer surface of the scaffold 714 (e.g., the struts 734 of the scaffold, etc.) is engaged with the protrusions 732 on the inner surface of the catheter 730. When the bioartificial pancreas 700 is pushed out of the distal end of the catheter at the desired implantation site in the blood vessel 736, the scaffold 714 self-expands and each pocket 704 moves radially outward. 10A-B are not necessarily to scale.

[0105] 11A-B show the delivery and deployment configurations of a bioartificial pancreas 800 according to another embodiment of the present invention. As in the previous embodiment, the bioartificial pancreas 800 includes a cell complex support 806 bonded to a scaffold 814. A cell complex (e.g., a cell complex consisting of pancreatic islets and a microporous hydrogel as described above) is supported in the cell complex support 806. In this embodiment, the area of ​​the inner surface of the scaffold 814 covered by the cell complex support 806 is smaller than in other embodiments, and the scaffold 814 is not a closed cylinder but has an open end 838 and an open end 840. As shown in FIG. 11A, the bioartificial pancreas 800 is mounted in a delivery catheter 830 in a delivery configuration in which the scaffold 814 is spirally wound to reduce its diameter. When the bioartificial pancreas 800 is pushed out of the distal end of the catheter at the desired implantation site in the blood vessel 836, the spirally wound scaffold 814 uncoils and self-expands. 11B shows scaffold 814 uncoiled with the open ends substantially opposed. However, depending on the diameter of vessel 836, open ends 838, 840 of scaffold 814 may be spaced apart to form an open-sided cylinder or tubule, or open ends 838, 840 may overlap to form a partial helix. Figures 11A-B are not necessarily to scale.

[0106] 12A-B show a delivery configuration and a deployment configuration of a bioartificial pancreas 900 according to yet another embodiment of the present invention. As in the previous embodiment, the bioartificial pancreas 900 includes a cell complex support 906 joined to a scaffold 914. A cell complex (e.g., a cell complex consisting of pancreatic islets and a microporous hydrogel as described above) is supported in the cell complex support 906. As shown in FIG. 12A, the bioartificial pancreas 900 is mounted in a delivery catheter 930 in a delivery configuration in which the cell complex support 906 and the scaffold 914 form a folded portion 938 radially inward to reduce the diameter. When the bioartificial pancreas 900 is pushed out of the distal end of the catheter at the desired implantation site in the blood vessel 936, the scaffold 914 self-expands to substantially eliminate the folded portion 938, as shown in FIG. 12B. FIGS. 12A-B are not necessarily to scale.

[0107] In some embodiments, the stent and / or cell composite of the present invention is manufactured using three-dimensional (3D) printing. In some cases, the entire graft including the stent and / or cell composite of the present invention is manufactured using three-dimensional (3D) printing.

[0108] In this specification, when a particular feature or component is said to be "based on" another feature or component, the particular feature or component may be directly based on the other feature or component, or intermediate features and / or components may be present. In contrast, when a particular feature or component is said to be "directly based on" another feature or component, there are no intermediate features or components. Also, when a particular feature or component is said to be "in relation to", "in addition to", or "in combination with" another feature or component, the particular feature or component may be directly related to, in addition to, or in combination with the other feature or component, or intermediate features or components may be present. In contrast, when a particular feature or component is said to be "directly related to", "in addition to", or "in combination with" another feature or component, there are no intermediate features or components. Although certain features and components have been described or presented herein with reference to one embodiment, these features and components may also be applicable to other embodiments, and those skilled in the art will appreciate that a description of a structure or feature described "in relation to" another feature may include some overlap with, or underlying, the related feature.

[0109] The terms used herein are for the purpose of describing particular embodiments only and are not intended to limit the present invention. For example, the singular forms "a", "an" and "the" herein include the plural unless expressly stated otherwise. Also, the terms "comprises" and / or "comprising" herein specify the presence of features, steps, operations, components and / or ingredients described herein, but do not exclude the presence or addition of one or more other features, steps, operations, components, ingredients and / or groups thereof. As used herein, the term "and / or" includes any combination of one or more of the associated items listed above and may be abbreviated as " / ".

[0110] Spatial terms such as "below," "below," "belower," "above," and the like may be used herein to facilitate the description of the relationship of one component or feature to another, as depicted in the drawings. Such spatial terms encompass various orientations of the device in addition to the orientation of the device as depicted in use or operation. For example, a component depicted as "below" or "below" another component or feature would be "above" the other component or feature if the device depicted in the drawings were inverted. Thus, the representative term "below" may encompass both an orientation of "above" and "below." Additionally, the device depicted in the drawings may be oriented in other ways (rotated 90 degrees or at other orientations) and the spatial terms used herein interpreted accordingly. Similarly, terms such as "upward," "downward," "vertical," "horizontal," and the like are used herein for descriptive purposes only, unless otherwise noted.

[0111] In this specification, the terms "first" and "second" may be used to describe various features / components (including steps), but unless otherwise stated, these features / components are not limited to these terms. These terms may be used to distinguish one feature / component from another feature / component. Thus, a first feature / component described below may be referred to as a second feature / component, and similarly, a second feature / component described below may be referred to as a first feature / component, without departing from the teachings of the present invention.

[0112] In this specification and in the claims that follow, unless otherwise indicated, the term "comprise," and its variants "comprises" and "comprising," mean that various components can be used in combination in the methods and articles of the invention (e.g., compositions, devices including apparatus, methods, etc.). For example, the term "comprise" suggests the inclusion of any of the components or steps described herein, but does not exclude other components or steps.

[0113] Generally, the apparatus and methods described herein are inclusive, although all of the components and / or steps, or a subset of the components and / or steps, may be exclusive and may be expressed as "consisting of" or "consisting essentially of" the various components, steps, subcomponents or substeps.

[0114] Unless otherwise stated, any numerical value described in this specification (including the examples) and in the claims may be interpreted as being modified by the term "about" or "to the extent of" even if not expressly stated. The term "about" or "to the extent of" may be used to indicate that the numerical value and / or level described herein is within a reasonable expected range. For example, a numerical value may be within ±0.1% of the numerical value (or numerical range) described herein, within ±1% of the numerical value (or numerical range) described herein, within ±2% of the numerical value (or numerical range) described herein, within ±5% of the numerical value (or numerical range) described herein, within ±10% of the numerical value (or numerical range) described herein, etc. Unless otherwise stated, any numerical value described herein should be interpreted as including an approximation of that numerical value. For example, if the numerical value "10" is disclosed, the numerical value "about 10" is also disclosed. Any numerical range described herein includes any subranges within a portion of that numerical range. Also, as can be easily understood by those skilled in the art, when a specific numerical value is disclosed, "less than or equal to that numerical value", "more than or equal to that numerical value", and a numerical range that can be set between those numerical values ​​are also disclosed. For example, when a numerical value "X" is disclosed (for example, when X is a numerical value), numerical values ​​such as "less than or equal to X" and "more than or equal to X" are also disclosed. In addition, data is provided in various formats throughout this application, and these data indicate upper and lower limits as well as ranges indicating any combination of data points. For example, when a specific data point "10" and another specific data point "15" are disclosed, numerical values ​​greater than 10, numerical values ​​greater than or equal to 10, numerical values ​​less than 10, numerical values ​​less than 10, numerical values ​​equal to 10, numerical values ​​greater than 15, numerical values ​​greater than or equal to 15, numerical values ​​less than 15, numerical values ​​equal to or equal to 15, and a range of 10 to 15 is also disclosed. Also, each unit between two specific units is disclosed. For example, when the numerical values ​​"10" and "15" are disclosed, numerical values ​​11, 12, 13, and 14 are also disclosed.

[0115] Although various embodiments have been described by way of example, various modifications may be made in the various embodiments without departing from the scope of the invention as set forth in the claims. For example, the order in which the various steps in the methods described above are performed may often be changed in other embodiments, and in yet other embodiments, one or more steps of the methods may be omitted altogether. Any feature of the various apparatus and system embodiments may be included in some embodiments and not included in other embodiments. Thus, the foregoing description has been provided primarily for exemplary purposes and should not be construed as limiting the scope of the invention as defined in the claims.

[0116] The illustrations and examples described herein are provided only for the purpose of illustrating specific embodiments in which the subject matter of the present invention may be practiced, and are not intended to limit the present invention. As described herein, other embodiments may be utilized, and other embodiments may be derived from the description herein, such that structural and logical substitutions and changes may be made without departing from the scope of the present disclosure. In this specification, the embodiments of such inventive subject matter may be referred to simply as "inventions" individually or collectively for convenience, when in fact more than one embodiment is disclosed, but without intentionally limiting the scope of this application to one invention or one inventive concept. Thus, even if a specific embodiment is illustrated and described herein, the specific embodiment described herein may be replaced with another configuration that is expected to achieve the same purpose. The present disclosure encompasses any application or modification of the various embodiments. A person skilled in the art who has reviewed the above description will readily recognize combinations of the above embodiments, as well as other embodiments not specifically described herein.

Claims

1. 1. A bioartificial pancreas, comprising: a scaffold configured to engage an interior wall of a blood vessel of a subject; A cell complex support supported by the scaffold; Including, the scaffold comprises a blood flow lumen extending longitudinally through an internal cavity thereof, such that blood flows through the lumen when the scaffold is engaged with a blood vessel; The cell complex support extends longitudinally within an internal cavity of the scaffold, thereby exposing the cell complex support to blood flow when the scaffold engages with a blood vessel; the cell complex support comprises a plurality of enclosed pockets and a plurality of bonding regions, the bonding regions being bonded to the scaffold; A cell complex including a pancreatic islet is disposed in the sealed pocket; said cell complex support comprising two microporous thin film layers defining the boundaries of said pocket; and the cell complex support is configured to allow diffusion of nutrients from the bloodstream into the sealed pocket; A bioartificial pancreas characterized by:

2. 2. The bioartificial pancreas according to claim 1, wherein the thickness of the cell complex support when carrying the cell complex is 0.30 mm to 1.0 mm.

3. 3. The bioartificial pancreas of claim 1 or 2, wherein each microporous thin film layer comprises a plurality of pores having a diameter of less than 100 μm.

4. The bioartificial pancreas of any one of claims 1 to 3, wherein each microporous thin film layer has a thickness of less than 0.1 mm.

5. The bioartificial pancreas according to any one of claims 1 to 4, wherein the cell complex contains 12% to 30% pancreatic islet cells.

6. The bioartificial pancreas of any one of claims 1 to 5, wherein the cell complex support extends along the entire circumference of the internal cavity of the scaffold.

7. The bioartificial pancreas of any one of claims 1 to 6, wherein the cell complex support extends along a portion of the entire circumference of the internal cavity of the scaffold.

8. The bioartificial pancreas of any one of claims 1 to 7, wherein the scaffold is an expandable stent.

9. The bioartificial pancreas of claim 8 , wherein the cell composite support is joined to struts of the expandable stent.

10. The bioartificial pancreas of any one of claims 1 to 9, wherein the scaffold and cell complex support have a delivery configuration having a first diameter and a deployed configuration having a second diameter larger than the first diameter, and the bioartificial pancreas is configured to be delivered in the delivery configuration by a catheter to an implantation site in a blood vessel of the subject and to expand to the deployed configuration outside of the catheter at the implantation site.

11. The bioartificial pancreas of any one of claims 1 to 10, wherein the scaffold is bioabsorbable.

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