biomimetic engineered chordae tendineae for valve repair and regeneration

This project aims to develop and validate BioChord, a bioengineered regenerative chordae tendineae for mitral valve repair, enhancing durability and promoting tissue restoration.

Subsidie
€ 150.000
2023

Projectdetails

Introduction

The human heart is among those organs suffering from a limited capacity to self-regenerate. Heart diseases continue to be a leading cause of mortality with suboptimal therapeutic options. Thus, deploying new therapeutic strategies for tissue repair is a primary objective in modern cardiac medicine.

Valvular Heart Diseases

Valvular heart diseases, such as those related to the Mitral Valve (MV), are the leading causes of cardiovascular morbidity and mortality worldwide, affecting 5.1% of the 65+ years old population. In particular, MV regurgitation, one of the most common valvopathies, affects over 24 million people worldwide.

Nature of MV Regurgitation

Since the fundamental nature of MV regurgitation is mechanical, caused by physical, irreversible damage to the restraining force structures of the valvular apparatus, the only effective treatment is limited to the surgical approaches that include MV repair or replacement.

Treatment Options

However, when the regurgitation is due to Chordae Tendinae (CT) elongation or rupture, several studies have demonstrated the substantial advantages of MV repair, using a substitute for the damaged CT vs. MV replacement. Currently, the expanded polytetrafluoroethylene (ePTFE) has become the standard approach in CT repair/replacement.

Complications

However, several complications have been observed, including:

  • Rupture
  • Calcification
  • Detachment
  • Fibrosis
  • Slippage

Hence, there continues to be an urgent need to develop better MV repair techniques that are simple, effective, and durable.

Proposal Overview

In this proposal, we intend to further advance and validate BioChord, the first ever polymeric bioengineered regenerative CT, designed to:

  1. Repair the MV by replacing the diseased CT.
  2. Provide mechanical support to the valvular apparatus.
  3. Be restored by the patient tissue, progressively becoming a functional tendon-like structure.

As a native CT, it will connect the valve leaflet to the papillary muscle and sustain the valvular apparatus with blood and nutrients.

Financiële details & Tijdlijn

Financiële details

Subsidiebedrag€ 150.000
Totale projectbegroting€ 150.000

Tijdlijn

Startdatum1-10-2023
Einddatum31-3-2026
Subsidiejaar2023

Partners & Locaties

Projectpartners

  • FONDAZIONE RI.MEDpenvoerder

Land(en)

Italy

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