# Mechanotransduction of autotransplants: remodeling potential of heart valves from autologous pericardial tissue

**Authors:** Marvin Steitz, Mahamuda Badhon Khan, Alexander Breitenstein-Attach, Boris Warnack, Frank Edelmann, Felix Berger, Boris Schmitt

PMC · DOI: 10.3389/fbioe.2025.1680107 · Frontiers in Bioengineering and Biotechnology · 2025-10-02

## TL;DR

This paper reviews how autologous pericardial tissue could be used to create living heart valves with regenerative potential.

## Contribution

The paper introduces autologous pericardial tissue as a novel material for heart valves with self-regulating properties.

## Key findings

- Autologous pericardial tissue offers a solid extracellular matrix foundation for heart valves.
- Interstitial cells are crucial for the long-term durability of autologous tissue-based valves.
- Mechanotransduction in autologous tissue supports regenerative potential in living heart valves.

## Abstract

Current commercial heart valve prostheses are non-living structures, either derived from artificial materials (mechanical valves) or foreign biological materials (xeno- or homo-graft). Since the use of viable tissue with native-like properties is essential for a heart valve with self-regulation properties, autologous collagen-based tissue can be considered a promising alternative material. While the extracellular matrix of pericardial tissue offers a solid foundation, it is the interstitial cells that play a crucial role in ensuring long-term durability. This review explores the mechanotransduction capabilities of autologous tissue as a replacement material for living heart valves with regenerative potential.

## Full-text entities

- **Genes:** ELN (elastin) [NCBI Gene 2006] {aka ADCL1, SVAS, WBS, WS}, PXN (paxillin) [NCBI Gene 5829], FN1 (fibronectin 1) [NCBI Gene 2335] {aka CIG, ED-B, FINC, FN, FNZ, GFND}, LOX (lysyl oxidase) [NCBI Gene 4015] {aka AAT10}, SMN1 (survival of motor neuron 1, telomeric) [NCBI Gene 6606] {aka BCD541, GEMIN1, SMA, SMA1, SMA2, SMA3}, ZYX (zyxin) [NCBI Gene 7791] {aka ESP-2, HED-2}, ACTA1 (actin alpha 1, skeletal muscle) [NCBI Gene 58] {aka ACTA, ASMA, CFTD, CFTD1, CFTDM, CMYO2A}
- **Diseases:** cytotoxicity (MESH:D064420), SVD (MESH:D006349), calcification (MESH:D002114), infectious (MESH:D003141), endocarditis (MESH:D004696), aortic valve (MESH:D001024)
- **Chemicals:** allysine (MESH:C000061), amino acids (MESH:D000596), glycosaminoglycan (MESH:D006025), hydroxyproline (MESH:D006909), heparan sulfate (MESH:D006497), chondroitin sulfate (MESH:D002809), keratan sulfate (MESH:D007632), hydroxylysine (MESH:D006901), glycine (MESH:D005998), hyaluronic acid (MESH:D006820), calcium (MESH:D002118), aldehyde (MESH:D000447), glutaraldehyde (MESH:D005976), lysine (MESH:D008239), dermatan sulfate (MESH:D003871), heparin (MESH:D006493), disaccharides (MESH:D004187)
- **Species:** Homo sapiens (human, species) [taxon 9606], Ovis aries (domestic sheep, species) [taxon 9940], Bos taurus (bovine, species) [taxon 9913], Pseudomonas sp. IC (species) [taxon 79542]

## Full text

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## Figures

2 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12528101/full.md

## References

50 references — full list in the complete paper: https://tomesphere.com/paper/PMC12528101/full.md

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Source: https://tomesphere.com/paper/PMC12528101