Melt electrowriting-printed peritoneal scaffold prevents peritoneal adhesion and facilitates peritoneal repair
Open accessAbstract
Peritoneal adhesion is a critical issue after abdominal surgery. Cell-based methods for preventing peritoneal adhesion have not yet been fully investigated. Here, we constructed a highly biomimetic peritoneal scaffold by seeding mesothelial cells, the natural physiological barrier of the peritoneum, onto a melt electrowriting-printed scaffold. The scaffolds with the microfibers crossed at different angles (30°, 60°, and 90°) were screened based on mesothelial cell proliferation and orientation. Thirty degrees were more suitable for improving proliferation of mesothelial cells and cell growth in a single direction; therefore, the 30° peritoneal scaffold could better mimic the physiological structure of native peritoneum. Mechanistically, such a peritoneal scaffold was able to act as a barrier to prevent peritoneal resident macrophages from migrating to the site of the peritoneal lesion. In vivo mesothelial cell tracking using lentivirus technology confirmed that the peritoneal scaffold, compared to the scaffold without mesothelial cells, could prevent peritoneal adhesion and was directly involved in the repair of injured peritoneum. This study suggests that the peritoneal scaffolds can potentially prevent peritoneal adhesion, offering a new approach for clinical treatment.
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A MEW peritoneal scaffold with 30° fiber alignment best supported a confluent layer of mesothelial cells, creating a biomimetic barrier.
“The MEW scaffold with 30° fiber alignment best supported a confluent layer of mesothelial cells—the cells that naturally line the peritoneum—creating a biomimetic barrier.”
From Biomaterials in Postoperative Adhesion Barriers and Uterine Tissue Engineering (2025) · cites this paper as [274]
Section 3.2 reports that the 30° scaffold supported more mesothelial-cell attachment and proliferation than the 60° and 90° scaffolds, with growth oriented to mimic the native peritoneum. The Introduction describes the cell-seeded scaffold as a physical and biological barrier. Our copy does not establish that the cells formed a confluent layer. (LLM, conf=0.86)
Experimental — accuracy not yet measuredWhen implanted in a rat abdominal injury model, a mesothelial-cell-seeded MEW mesh acted as a functional anti-adhesion barrier by physically blocking pro-adhesive cells like macrophages from infiltrating the injured site and actively participating in regenerating the damaged peritoneum.
“When implanted in a rat abdominal injury model, a mesothelial-cell-seeded MEW mesh acted as a functional anti-adhesion barrier: it physically blocked pro-adhesive cells (like macrophages) from infiltrating the injured site and actively participated in regenerating the damaged peritoneum [274].”
From Biomaterials in Postoperative Adhesion Barriers and Uterine Tissue Engineering (2025) · cites this paper as [274]
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Experimental — accuracy not yet measuredThe cell-coated MEW film markedly prevented postoperative peritoneal adhesions compared to acellular scaffolds.
“The cell-coated MEW film markedly prevented postoperative peritoneal adhesions compared to acellular scaffolds.”
From Biomaterials in Postoperative Adhesion Barriers and Uterine Tissue Engineering (2025) · cites this paper as [274]
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Sorted by citations
Biomaterials in Postoperative Adhesion Barriers and Uterine Tissue Engineering
Fazel Anvari-Yazdi, A., Badea, I., & Chen, X. (2025) · Gels · doi:10.3390/gels11060441 · Cited by 20 · see citing works
- Authors
- Li, S., Huang, J., Xu, Z., Liu, Y., Ren, H., Li, Z., Chen, C., Chen, K., Wu, X., & Ren, J.
- Affiliations
- Nanjing General Hospital of Nanjing Military Command (CN)
- Nanjing First Hospital (CN)
- ORCID
- Venue
- International Journal of Bioprinting
- Publisher
- AccScience Publishing
- Published
- 2023-02-10
- Volume
- 9
- Issue
- 3
- Pages
- 682
- ISSN
- 2424-7723 (ISSN-L)
- 2424-8002
- PMC
- PMC10236344
- OpenAlex
- W4321253642
- Cited by
- 10
- References
- 0
- Citations by year
- 2026: 3 · 2025: 5 · 2023: 2
- FWCI
- 0.62
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- International Journal of Bioprinting (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- National Natural Science Foundation of China (82270595)
- Government of Jiangsu Province
- Topics
- Physical Sciences › Materials Science › Biomaterials › Electrospun Nanofibers in Biomedical Applications
- Health Sciences › Medicine › Surgery › Intestinal and Peritoneal Adhesions
- Health Sciences › Medicine › Surgery › Tissue Engineering and Regenerative Medicine
- Keywords
- peritoneal adhesions, melt electrowriting, mesothelial cells, cell seeding, cell proliferation, cell orientation, macrophage migration, peritoneal repair, cell tracking, abdominal surgery complications
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