Londono Ricardo, Dziki Jenna L, Haljasmaa Eric, Turner Neill J, Leifer Cynthia A, Badylak Stephen F
Department of Surgery, McGowan Institute for Regenerative Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.
School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.
J Biomed Mater Res A. 2017 Aug;105(8):2109-2118. doi: 10.1002/jbm.a.36055. Epub 2017 Apr 12.
All biomaterials, including biologic scaffolds composed of extracellular matrix (ECM), elicit a host immune response when implanted. The type and intensity of this response depends in part upon the thoroughness of decellularization and removal of cell debris from the source tissue. Proinflammatory responses have been associated with negative downstream remodeling events including scar tissue formation, encapsulation, and seroma formation. The relative effects of specific cellular components upon the inflammatory response are not known. The objective of the present study was to determine the effect of different cell remnants that may be present in ECM scaffold materials upon the host innate immune response, both in vitro and in vivo. Collagen scaffolds were supplemented with one of three different concentrations of DNA, mitochondria, or cell membranes. Murine macrophages were exposed to the various supplemented scaffolds and the effect upon macrophage phenotype was evaluated. In vivo studies were performed using an abdominal wall defect model in the rat to evaluate the effect of the scaffolds upon the macrophage response. Murine macrophages exposed in vitro to scaffolds supplemented with DNA, mitochondria, and cell membranes showed increased expression of proinflammatory M1 marker iNOS and no expression of the proremodeling M2 marker Fizz1 regardless of supplementation concentration. A dose-dependent response was observed in the rat model for collagen scaffolds supplemented with cell remnants. DNA, mitochondria, and cell membrane remnants in collagen scaffolds promote a proinflammatory M1 macrophage phenotype in vivo and in vitro. These results reinforce the importance of a thorough decellularization process for ECM biologic scaffold materials. © 2017 Wiley Periodicals, Inc. J Biomed Mater Res Part A: 105A: 2109-2118, 2017.
所有生物材料,包括由细胞外基质(ECM)组成的生物支架,在植入时都会引发宿主免疫反应。这种反应的类型和强度部分取决于去细胞化的彻底程度以及从源组织中清除细胞碎片的情况。促炎反应与包括瘢痕组织形成、包裹和血清肿形成在内的负面下游重塑事件有关。特定细胞成分对炎症反应的相对影响尚不清楚。本研究的目的是确定ECM支架材料中可能存在的不同细胞残余物对宿主固有免疫反应在体外和体内的影响。胶原蛋白支架补充了三种不同浓度的DNA、线粒体或细胞膜中的一种。将小鼠巨噬细胞暴露于各种补充后的支架,并评估对巨噬细胞表型的影响。使用大鼠腹壁缺损模型进行体内研究,以评估支架对巨噬细胞反应的影响。体外暴露于补充有DNA、线粒体和细胞膜的支架的小鼠巨噬细胞显示促炎M1标志物诱导型一氧化氮合酶(iNOS)表达增加,而无论补充浓度如何,促重塑M2标志物Fizz1均无表达。在补充有细胞残余物的胶原蛋白支架的大鼠模型中观察到剂量依赖性反应。胶原蛋白支架中的DNA、线粒体和细胞膜残余物在体内和体外均促进促炎M1巨噬细胞表型。这些结果强化了对ECM生物支架材料进行彻底去细胞化过程的重要性。©2017威利期刊公司。《生物医学材料研究杂志》A部分:105A:2109 - 2118,2017年。