Dearth Christopher L, Keane Timothy J, Scott Jeffrey R, Daly Kerry A, Badylak Stephen F
1 McGowan Institute for Regenerative Medicine , Pittsburgh, Pennsylvania.
2 Department of Surgery, University of Pittsburgh , Pittsburgh, Pennsylvania.
Tissue Eng Part A. 2015 Oct;21(19-20):2526-35. doi: 10.1089/ten.TEA.2014.0649. Epub 2015 Aug 24.
The use of biologic scaffold materials adjacent to synthetic meshes is commonplace. A prevalent clinical example is two-staged breast reconstruction, where biologic scaffolds are used to provide support and coverage for the inferior aspect of the synthetic expander. However, limited data exist regarding either the kinetics of biologic scaffold integration or the host tissue response to the biologic scaffold materials used for this application or other applications in which such scaffold materials are used. The present study evaluated the temporal host response to a biological scaffold when placed adjacent to a synthetic material. Evaluation criteria included quantification of material contracture and characterization of the host cell response and tissue remodeling events. Results show a decreased thickness of the collagenous tissue layer at biologic scaffold/silicone interface compared to the abdominal wall/silicone interface during the 12-week experimental time course. All test materials were readily incorporated into surrounding host tissue.
在合成网片附近使用生物支架材料很常见。一个普遍的临床例子是两阶段乳房重建,其中生物支架用于为合成扩张器的下侧提供支撑和覆盖。然而,关于生物支架整合的动力学,或者宿主组织对用于此应用或使用此类支架材料的其他应用中的生物支架材料的反应,现有数据有限。本研究评估了生物支架与合成材料相邻放置时宿主的时间反应。评估标准包括材料挛缩的量化以及宿主细胞反应和组织重塑事件的特征描述。结果显示,在12周的实验时间过程中,与腹壁/硅胶界面相比,生物支架/硅胶界面处的胶原组织层厚度有所减小。所有测试材料都很容易融入周围的宿主组织。