ABSTRACT

I. Introduction ....................................................................................................................... 61

II. Structure, Biochemistry, and Rheological Properties of Fibrin ...................................... 62

III. Interaction of Cells with Fibrin ........................................................................................ 63

A. Fibroblasts in Fibrin ................................................................................................. 63

B. Smooth Muscle Cells in Fibrin ................................................................................ 63

C. Other Cell Types ....................................................................................................... 64

IV. Challenges Using Fibrin ................................................................................................... 64

A. Controlling Fibrinolysis during Formation of New ECM ....................................... 64

B. Removing (or Masking) Residual Fibrin ................................................................. 64

C. Effects of Fibrin Degradation Products (FDPs) ....................................................... 65

V. Tissue Engineering Applications ...................................................................................... 65

A. Fibrin as a Cell Delivery Vehicle ............................................................................ 65

B. Artificial Ocular Surface .......................................................................................... 66

C. Skin Grafts ................................................................................................................ 66

D. Bio-Artificial Arteries ............................................................................................... 66

E. Heart Valves ............................................................................................................. 67

VI. Summary ........................................................................................................................... 68

References ..................................................................................................................................... 68

Collagen, which has seen widespread use in tissue engineering, has several advantages as a

scaffold, including the ability to entrap cells directly as it is reconstituted into a gel. However, there

are some drawbacks to its use, particularly the suppression of cell proliferation and protein

synthesis.