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Drop-shaped microgrooves guide unidirectional cell migration for enhanced endothelialization

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  • Xing-wang Wang

    (Zhejiang University)

  • Cheng-qiang Ye

    (Zhejiang University)

  • Qian Tang

    (Zhejiang University
    Engineering Research Center for Cardiovascular Innovative Devices of Zhejiang Province)

  • Hong-mei Yu

    (Zhejiang University)

  • Jing Wang

    (Zhejiang University
    The Second Affiliated Hospital Zhejiang University School of Medicine)

  • Guo-sheng Fu

    (Zhejiang University
    Engineering Research Center for Cardiovascular Innovative Devices of Zhejiang Province)

  • Ke-feng Ren

    (Zhejiang University
    Zhejiang University
    Engineering Research Center for Cardiovascular Innovative Devices of Zhejiang Province)

  • Lu Yu

    (Zhejiang University
    Engineering Research Center for Cardiovascular Innovative Devices of Zhejiang Province)

  • Jian Ji

    (Zhejiang University
    The Second Affiliated Hospital Zhejiang University School of Medicine)

Abstract

Atrial fibrillation (AF) significantly increases the risk of ischemic stroke, and in non-valvular AF, 90% of stroke-causing thrombi arise from the left atrial appendage (LAA). Percutaneous LAA occlusion using an occluder is a crucial clinical intervention. However, occluder materials could provoke thrombi, termed device-related thrombosis (DRT), leading to treatment failure. Rapid endothelialization is essential to address the DRT but the occluder’s large surface area and irregular cell migration on the surface impede this process. Here, we report a continuous drop-shaped microgroove, which has a drop-shaped unit structure similar to endothelial cells. The microgrooves polarize the cytoskeleton, guiding cell unidirectional migration within the grooves, and increase cell migration efficiency. We show that drop-shaped microgrooves accelerate wound healing in a rat model, and that occluder discs with drop-shaped microgrooves promote endothelialization in a canine model. Together, our results show that integrating microgrooves with medical devices is a promising approach for addressing DRT.

Suggested Citation

  • Xing-wang Wang & Cheng-qiang Ye & Qian Tang & Hong-mei Yu & Jing Wang & Guo-sheng Fu & Ke-feng Ren & Lu Yu & Jian Ji, 2025. "Drop-shaped microgrooves guide unidirectional cell migration for enhanced endothelialization," Nature Communications, Nature, vol. 16(1), pages 1-15, December.
  • Handle: RePEc:nat:natcom:v:16:y:2025:i:1:d:10.1038_s41467-025-57146-5
    DOI: 10.1038/s41467-025-57146-5
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    References listed on IDEAS

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    1. Claire Leclech & David Gonzalez-Rodriguez & Aurélien Villedieu & Thévy Lok & Anne-Marie Déplanche & Abdul I. Barakat, 2022. "Topography-induced large-scale antiparallel collective migration in vascular endothelium," Nature Communications, Nature, vol. 13(1), pages 1-11, December.
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