Skip to main content
Go to the home page of the European Commission (opens in new window)
English en
CORDIS - EU research results
CORDIS

biomimetic engineered chordae tendineae for valve repair and regeneration

Project description

Mitral valve repair with regenerative technology

Heart diseases, particularly those affecting the mitral valve, are a leading cause of death globally, especially among people over 65. Mitral valve regurgitation, caused by damage to the valve’s chordae tendineae (CT), impacts millions of people. The current treatment involves replacing damaged CT with expanded polytetrafluoroethylene (ePTFE). However, this method can lead to complications such as rupture and calcification. The ERC-funded BioChord project offers a groundbreaking alternative: a polymeric bioengineered regenerative CT. BioChord aims to repair the valve and then gradually integrate with the patient’s tissue, transforming into a functional structure that mimics natural CT and provides long-term mechanical support to the heart.

Objective

The human heart is among those organs suffering from a limited capacity to self-regenerate. Heart diseases continue to be a leading cause of mortality with suboptimal therapeutic options. Thus, deploying new therapeutic strategies for tissue repair is a primary objective in modern cardiac medicine. Valvular heart diseases, such as those related to the Mitral Valve (MV), are the leading causes of cardiovascular morbidity and mortality worldwide, affecting 5.1% of the 65+ years old population. In particular, MV regurgitation, one of the most common valvopathies, affects over 24 million people worldwide. Since the fundamental nature of MV regurgitation is mechanical, caused by physical, irreversible damage to the restraining force structures of the valvular apparatus, the only effective treatment is limited to the surgical approaches that include MV repair or replacement. However, when the regurgitation is due to Chordae Tendinae (CT) elongation or rupture, several studies have demonstrated the substantial advantages of MV repair, using a substitute for the damaged CT vs. MV replacement. Currently, the expanded polytetrafluoroethylene (ePTFE) has become the standard approach in CT repair/replacement1. However, several complications (rupture, calcification, detachment, fibrosis, and slippage) have been observed. Hence, there continues to be an urgent need to develop better MV repair techniques that are simple, effective, and durable. In this proposal, we intend to further advance and validate BioChord, the first ever polymeric bioengineered regenerative CT, designed to first repair the MV by replacing the diseased CT, providing mechanical support to the valvular apparatus, then to be restored by the patient tissue, progressively becoming a functional tendon-like structure that, as a native CT, while connecting the valve leaflet to the papillary muscle, will sustain the valvular apparatus with blood and nutrients.

Fields of science (EuroSciVoc)

Programme(s)

Topic(s)

Funding Scheme

HORIZON-ERC-POC - HORIZON ERC Proof of Concept Grants

See all projects funded under this funding scheme

Call for proposal

(opens in new window) ERC-2023-POC

See all projects funded under this call

Host institution

FONDAZIONE RI.MED
Net EU contribution
€ 150 000,00
Address
VIA BANDIERA 11
90133 Palermo
Italy
Region
Isole Sicilia Palermo
Activity type
Research Organisations
Links
Total cost
No data

Beneficiaries (1)