Fadilah Nur Izzah Md, Ahmat Nazeha, Hao Looi Qi, Maarof Manira, Rajab Nor Fadilah, Idrus Ruszymah Binti Hj, Fauzi Mh Busra
Centre for Tissue Engineering and Regenerative Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur 56000, Malaysia.
My Cytohealth Sdn. Bhd., Kuala Lumpur 56000, Malaysia.
Polymers (Basel). 2023 May 24;15(11):2436. doi: 10.3390/polym15112436.
Wound care management is incredibly challenging for chronic injuries, despite the availability of various types of wound care products in the market. However, most current wound-healing products do not attempt to mimic the extracellular matrix (ECM) and simply provide a barrier function or wound covering. Collagen is a natural polymer that involves a major constituent of the ECM protein, thus making it attractive to be used in skin tissue regeneration during wound healing. This study aimed to validate the biological safety assessments of ovine tendon collagen type-I (OTC-I) in the accredited laboratory under ISO and GLP settings. It is important to ensure that the biomatrix will not stimulate the immune system to produce any adverse reaction. Therefore, we successfully extracted collagen type-I from the ovine tendon (OTC- I) using a method of low-concentration acetic acid. The three-dimensional (3D) skin patch of spongy OTC-I was a soft and white colour, being tested for safety and biocompatibility evaluations based on ISO 10993-5, ISO 10993-10, ISO 10993-11, ISO 10993-23, USP 40 <151>, and OECD 471. For the dermal sensitisation and acute irritation test, none of the tested animals displayed any erythema or oedema effects ( > 0.005). In addition, there were no abnormalities detected in the organ of the mice after being exposed to OTC-I; additionally, no morbidity and mortality were observed in the acute systemic test under the guideline of ISO 10993-11:2017. The grade 0 (non-reactive) based on ISO 10993-5:2009 was graded for the OTC-I at 100% concentration and the mean number of the revertant colonies did not exceed 2-fold of the 0.9% / sodium chloride compared to the tester strains of (TA100, TA1535, TA98, TA1537), and (WP2 ). Our study revealed that OTC-I biomatrix does not present any adverse effects or abnormalities in the present study's condition of induced skin sensitization effect, mutagenic and cytotoxic towards cells and animals. This biocompatibility assessment demonstrated a good agreement between in vitro and in vivo results regarding the absence of skin irritation and sensitization potential. Therefore, OTC-I biomatrix is a potential medical device candidate for future clinical trials focusing on wound care management.
尽管市场上有各种类型的伤口护理产品,但伤口护理管理对于慢性伤口来说极具挑战性。然而,目前大多数伤口愈合产品并未试图模拟细胞外基质(ECM),而只是提供屏障功能或伤口覆盖物。胶原蛋白是一种天然聚合物,是ECM蛋白的主要成分,因此使其在伤口愈合期间用于皮肤组织再生具有吸引力。本研究旨在在ISO和GLP环境下的认可实验室中验证I型羊肌腱胶原蛋白(OTC-I)的生物安全性评估。确保生物基质不会刺激免疫系统产生任何不良反应非常重要。因此,我们使用低浓度乙酸法成功从羊肌腱中提取了I型胶原蛋白(OTC-I)。海绵状OTC-I的三维(3D)皮肤贴片呈柔软的白色,根据ISO 10993-5、ISO 10993-10、ISO 10993-11、ISO 10993-23、USP 40 <151>和经合组织471进行安全性和生物相容性评估。在皮肤致敏和急性刺激试验中,受试动物均未表现出任何红斑或水肿效应(>0.005)。此外,小鼠接触OTC-I后器官未检测到异常;另外,在ISO 10993-11:2017指南下的急性全身试验中未观察到发病和死亡情况。基于ISO 10993-5:2009的0级(无反应)被评定为100%浓度的OTC-I,与测试菌株(TA100、TA1535、TA98、TA1537)和(WP2)相比,回复菌落的平均数量不超过0.9%/氯化钠的2倍。我们的研究表明,在本研究诱导的皮肤致敏效应、对细胞和动物的致突变性和细胞毒性条件下,OTC-I生物基质未出现任何不良反应或异常。这种生物相容性评估表明,在体外和体内结果之间,在无皮肤刺激和致敏潜力方面具有良好的一致性。因此,OTC-I生物基质是未来专注于伤口护理管理的临床试验的潜在医疗器械候选物。