干燥人培养表皮加速糖尿病小鼠皮肤缺损创面的愈合。

Dried human cultured epidermis accelerates wound healing in diabetic mouse skin defect wounds.

机构信息

Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Kyoto University, Shogoin Kawahara-cho 54, Sakyo-ku, Kyoto-City, 606-8507, Japan.

Japan Tissue Engineering, Co., Ltd., Gamagori, Japan.

出版信息

Sci Rep. 2022 Feb 24;12(1):3184. doi: 10.1038/s41598-022-07156-w.

Abstract

Cryopreserved allogeneic cultured epidermis (CE) is used for treating second-degree burn wounds and diabetic foot ulcers; however, the need for cryopreservation limits its use. We have previously reported that CE accelerates wound healing irrespective of its viability and hypothesized that dehydrated CEs lacking living cells may act as an effective wound dressing. We prepared dried CE and investigated its morphological and physical properties and wound-healing effects and compared them with those of cryopreserved CE. Hematoxylin-eosin staining, immunostaining for basement membrane, and electron microscopy revealed that the morphologies of dried CE and cryopreserved CE were comparable and that the membrane structure was not damaged. The breaking strength, modulus of elasticity, and water permeability of dried CE were comparable with those of the cryopreserved CE. Furthermore, the levels of various active cytokines and chemokines in dried CE were comparable with those in cryopreserved CE. Dried CE applied to skin defect in diabetic mice significantly reduced the wound area and increased the new epithelium length 4 and 7 days after implantation, similar to that observed for cryopreserved CE. Consequently, dried CE had similar morphological and physical properties and wound-healing effects compared with those of cryopreserved CE and can be a physiological and versatile wound-dressing.

摘要

冷冻保存的同种异体培养表皮 (CE) 用于治疗二度烧伤和糖尿病足溃疡;然而,冷冻保存的需求限制了它的使用。我们之前曾报道过,CE 加速伤口愈合,而不考虑其活力,并假设缺乏活细胞的脱水 CE 可能作为一种有效的伤口敷料。我们制备了干燥的 CE,并研究了其形态和物理特性以及伤口愈合效果,并将其与冷冻保存的 CE 进行了比较。苏木精-伊红染色、基底膜免疫染色和电子显微镜显示,干燥的 CE 和冷冻保存的 CE 的形态相似,膜结构未受损。干燥的 CE 的断裂强度、弹性模量和水渗透性与冷冻保存的 CE 相当。此外,干燥的 CE 中各种活性细胞因子和趋化因子的水平与冷冻保存的 CE 相当。干燥的 CE 应用于糖尿病小鼠的皮肤缺损,在植入后 4 天和 7 天显著减少了伤口面积并增加了新的上皮长度,与冷冻保存的 CE 观察到的结果相似。因此,干燥的 CE 与冷冻保存的 CE 具有相似的形态和物理特性以及伤口愈合效果,并且可以作为一种生理性的、多用途的伤口敷料。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a85/8873462/3136e3eb7c21/41598_2022_7156_Fig1_HTML.jpg

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