the coating according to the invention may be accomplished using various techniques to deposit the ccn1 onto or into the substrate , i . e . the implantable device . according to one aspect of the invention the device , preferably the decellularized bioprosthesis , is dipped or immersed into a solution comprising the ccn1 ( ccn1 in the sense as defined above ). the ccn1 could also be sprayed to the implant surface or be applied by any other technique known to the practitioner in the field . the solvent may be any suitable fluid , for example a cell culture medium , a physiological solution or the like . after the dipping or immersion in one or several cycles , generally the deposition of the ccn1 on the surface or at least part of the surface of the implant , the coated device is preferably not dried , although a careful drying is not excluded . the ccn1 deposition process leaves the device with a thin film of tightly adherent bioactive molecules , preferably confluent in the plane . in a preferred embodiment the coating is therefore a humid protein - rich coating . the implantable device according to this invention is intended for use in the human body where in - vivo repopulation or remodeling with endothelial cells of the recipient is expected or intended and bears a coating comprising ccn1 or a fragment thereof or a construct with ccn1 with corresponding function with respect to cell adhesion and deposited on a surface of the device the device is preferably a prosthetic device what means that a natural tissue or organ or part of organ lost in an accident or surgical operation is replaced . the prosthetic device can thus be a tissue for implantation , a graft , shunt , vessel , or organ or part of an organ . in accordance with preferred embodiments of the invention the tissue prosthesis is derived from animal or human origin and comprises a collagen - based tissue matrix . further it is preferred that the tissue prosthesis is part of a heart , a heart valve , an artery , a vene , any blood vessel , a pulmonary tissue or an intestinal tissue , especially a vascularized intestinal tissue as disclosed in ep 1 230 939 b1 . for massive reduction in antigeneicity of bioprosthesis native biological tissues have to be completely decellularized . therefore , the device according to preferred embodiments of this invention comprises decellularized tissue matrices . decellularization as such , is a process well known in the art , and the skilled practitioner may choose an appropriate technique for the very application . preferably decellularization is performed by either enzymatic treatment , osmotic lysis , including hypo - and / or hypertonic treatment , treatment with detergents and / or cell - toxic chemicals , chelating agents , mechanical means or a combination of two or more of these methods . for enzymatic treatment trypsin / edta ( 0 . 05 %/ 0 . 02 %) is preferred . for osmotic lysis a treatment with hypotonic ( 10 mm ) and hypertonic ( 1 . 5 m kcl ) solution in a series is most preferred , and especially a treatment as disclosed in de 10 2005 023 599 a1 . decellularization with tris buffers , or detergent decellularization with triton x - 100 ( 0 . 5 %), sds ( 0 . 5 %), na - deoxycholate ( 0 . 5 %) and others — or any combination of these in any concentration and various incubation temperatures — is successful and appropriate as well . the process for the production of an implantable and decellularized device according to this invention comprises the following steps : a ) providing an implantable tissue of animal or human origin ; b ) removing native cells from the tissue or organ to provide a tissue matrix ( decellularization ); c ) treating the tissue matrix with ccn1 or a fragment thereof or a construct with ccn1 with corresponding function with respect to cell adhesion to deposit the ccn1 on a surface of the matrix to produce a coated device . as described above , the treatment of step c ) comprises preferably one of the following techniques : immersing or dipping the tissue into a solution of ccn1 ; rinsing the tissue with a solution of ccn1 ; spraying a solution of ccn1 to the surface of the tissue , where ccn1 is to be understood in the sense of the definition given above . placement of a thin film , tightly adherent bioactive molecules coating onto the various bioprosthetic devices provides attractive properties to the device for colonization with endothelial cells . as a result , a bioprosthetic device may be used in situations where other devices have been preferred , thus providing more options for the surgeon and the patient . for example , homografts have been the preferred device for replacement of a valve in a patient with active endocarditis . homografts are in low supply , high demand and are typically reserved for pediatric cases . thus , having a bioprosthetic device with a bioactive coating provides a significant new option for adult endocarditis cases . to circumvent the low supply of homografts for pediatric patients , bioprostheic devices of xenogeneic origin with a bioactive coating may serve as an alternative . furthermore , implantation of bioprosthetic arterio - venous shunts with a bioactive coating in dialysis patients will allow a fast in vivo generation of a living artificial and puncture resistant vessel suited for dialysis . although the present invention has been described with reference to preferred embodiments , workers skilled in the art will recognize that changes may be made in form and detail without departing from the spirit and scope of the invention . for example , even though certain techniques have been disclosed as preferred , other methods including chemical methods for deposition of the coating or mechanical methods for decellularization are within the contemplation of this invention . ovine pv ( pulmonary valves from sheep ) were decellularized using detergent solution ( 0 . 5 %- na - deoxycholate / 0 . 5 %- sds ). the completeness of decellularization was assessed by histological stainings ( h & amp ; e ). coating of the luminal surface of decellularized pv was performed with 500 ng recombinant ccn1 ( abnova ( taiwan ) corporation ) in 10 ml cell culture medium dmem for 12 h under slow rotation . immunostainings revealed a complete coverage of ccn1 on the luminal surface of coated pv . a efficient repopulation with endothelial cells was demonstrated upon seeding and pulsatile flow cultivation in the bioreactor in vitro . the superiority of these ccn1 coated valves however was found by in vivo testing . these decellularized and ccn1 coated pv were transplanted into the orthotopic position in juvenile sheep . after three months the function of the valves was evaluated by echocardiography and in all cases ( n = 4 ) the valves were fully competent without any signs of leakiness . the histological analysis of the valves after euthanization of the sheep revealed full coverage with an endothelial monolayer covering wall and the ventricular and the pulmonal side of valves leaflets . this in contrast to decellularized but not ccn1 covered valves which lack an in vivo re - endothilalization three months after implantation in the sheep model . the existing vascular bed of a completely decellularized biological vascularized intestinal matrix was filled with a solution of 500 ng recombinant ccn1 ( abnova ( taiwan ) corporation ) in 3 ml ebm - 2 medium by injection via the arterial branch of the pedicle . incubation was performed overnight at 37 ° c . in completely humidified atmosphere composed of air supplemented with 5 % co 2 . during this incubation time the biological vascularized matrix was placed in a petri dish ( d = 10 cm ) containing ebm - 2 that prevents the matrix from drying - up . this treatment leads to a complete coating of the walls of the vascular bed as demonstrated by immunohistochemical stains against ccn1 . this method will allow the efficient reseeding with a low number of endothelal cells in vitro prior implantation into the patient . in summary , the exposure of decellularized matrices to medium containing recombinant ccn1 leads to a coating of the surface with this molecule , which in turn results in adhesion of endothelial cells in vitro when incubated in a bioreactor ( example 1 & amp ; 2 ) and in vivo when implanted in orthotopic position in the sheep model ( example 1 ).
for an implantable device intended for use in the human body an in - vivo colonization with autologous cells is often desired . the devices , especially prosthetic devices like implant tissues , grafts , shunts , vessels , organs or a part of organs are commonly derived from animal or human origin and comprise a collagen - based tissue matrix . the invention proposes a coating deposited on a surface of the device and comprising the matrix protein ccn1 as an extracellular matrix - associated protein mediating cell adhesion or cell migration .