Decellularized heart valve scaffolds possess many desirable properties in valvular tissue engineering. However, their current
applications were limited by short durability, easily structural dysfunction and immunological competence. Although crosslinking
with chemical reagents, such as glutaraldehyde (GA), will enhance the mechanical properties, the low long-term stability and
cytotoxicity of the scaffolds remains potential problem. Nordihydroguaiaretic acid (NDGA) is a bioactive natural product which
is able to crosslink collagen and was proven to be effective in preparation of scaffold for tendon tissue engineering. In
this paper, NDGA crosslinked decellularized heart valve scaffolds demonstrated higher tensile strength, enzymatic hydrolysis
resistance and store stability than the non-crosslinked ones. Its mechanical properties and cytocompability were superior
to that of GA-crosslinked heart valve matrix. Below the concentration of 10 μg/ml, NDGA has no visible cytotoxic effect on
both endothelial cells (EC) and valvular interstitial cells (VIC) and its cytotoxicity is much less than that of GA. The LC50
(50% lethal concentration) of NDGA on ECs and VICs are 32.6 μg/ml and 47.5 μg/ml, respectively, while those of GA are almost
30 times higher than NDGA (
P < 0.05). ECs can attach to and maintain normal morphology on the surface of NDGA-crosslinked valvular scaffolds but not GA-crosslinked
ones. This study demonstrated that NDGA-crosslinking of decellularized valvular matrix is a promising approach for preparation
of heart valve tissue engineering scaffolds.
Xiqin Lü and Wanyin Zhai contributed equally to this work.