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用于伤口护理的羊膜和羊膜/绒毛膜同种异体移植数据的标准化报告。

Standardized reporting of amnion and amnion/chorion allograft data for wound care.

作者信息

Sabol Taylor J, Tran Grace S, Matuszewski Jason, Weston Wendy W

机构信息

Biostem Technologies Pompano Beach Florida USA.

出版信息

Health Sci Rep. 2022 Aug 23;5(5):e794. doi: 10.1002/hsr2.794. eCollection 2022 Sep.

Abstract

BACKGROUND

The favorable biological and mechanical properties of the most common components of the placenta, the amnion and chorion, have been explored for regenerative medical indications. The use of the combination of amnion and chorion has also become very popular. But, published data from placental tissues in their final, useable form is lacking. During treatment with membrane product, the tissue is usually sterile, intact and laid on a wound or treatment area. The factors available to the treatment area from the applied product need to be elucidated and presented in a relatable form. Current reporting for eluted growth factor results are typically expressed per milliliter, which is not informative with respect to the area of tissue covered by the actual membrane and may differ among techniques.

METHODS

To address this inconsistency, amnion or amnion/chorion were isolated from human placentas and processed by a proprietary procedure. The final dry, sterilized product was evaluated for structural components and growth factor elution. Growth factors were quantified by multiplex panels and ELISAs and the values normalized to specific area and elution volume of finished product. This information allows extrapolation to all membrane sizes and affords cross-study comparisons.

RESULTS

Analysis of membrane supernatants show that dehydrated, sterilized amnion and amnion/chorion elute factors that are conducive to wound healing, which are available to recipient tissues. Importantly, these measurable factors eluted from dehydrated, sterilized membranes can be reported as a function of available factors per square centimeter of tissue.

CONCLUSIONS

The standardized characterization of dehydrated, sterilized amnion and amnion/chorion as delivered to recipient tissues permits understanding and comparison of the products across various graft sizes, types, and eluate volumes. Further, reporting this data as a function of cm of dehydrated tissue allows extrapolation by independent scientists and clinicians.

摘要

背景

胎盘最常见的组成部分羊膜和绒毛膜具有良好的生物学和力学性能,已被用于再生医学领域进行研究。羊膜和绒毛膜联合使用也已非常普遍。但是,目前缺乏关于胎盘组织最终可用形式的公开数据。在使用膜产品进行治疗时,组织通常是无菌、完整的,并放置在伤口或治疗区域上。需要阐明从应用产品中释放到治疗区域的因素,并以一种相关的形式呈现。目前关于洗脱生长因子结果的报告通常以每毫升表示,这对于实际膜覆盖的组织面积来说并无参考价值,并且不同技术之间可能存在差异。

方法

为了解决这种不一致性,从人胎盘中分离出羊膜或羊膜/绒毛膜,并通过专有程序进行处理。对最终的干燥、灭菌产品进行结构成分和生长因子洗脱评估。通过多重检测板和酶联免疫吸附测定法对生长因子进行定量,并将值归一化为成品的特定面积和洗脱体积。这些信息允许外推到所有膜尺寸,并进行跨研究比较。

结果

对膜上清液的分析表明,脱水、灭菌的羊膜和羊膜/绒毛膜能洗脱有利于伤口愈合的因子,这些因子可被受体组织利用。重要的是,从脱水、灭菌膜中洗脱的这些可测量因子可以表示为每平方厘米组织中可用因子的函数。

结论

输送到受体组织的脱水、灭菌羊膜和羊膜/绒毛膜的标准化特征有助于理解和比较不同移植尺寸、类型和洗脱体积的产品。此外,将这些数据表示为脱水组织每平方厘米的函数,便于独立的科学家和临床医生进行外推。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23ca/9399452/69fd9309cbcd/HSR2-5-e794-g003.jpg

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