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Eisler DW, Held PDM, Rahmanian-Schwarz PDA, Baur DJO, Daigeler PDA, Denzinger DM. The Goettingen minipig as an experimental model in wound-healing studies. JPRAS Open 2024; 40:336-345. [PMID: 38746039 PMCID: PMC11091460 DOI: 10.1016/j.jpra.2024.03.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2023] [Accepted: 03/30/2024] [Indexed: 05/16/2024] Open
Abstract
Background Deep dermal wounds in extensive burns and chronic wound-healing disorders represent a significant medical problem and require a high level of therapy to reduce the risk of infection and other long-term consequences, such as amputation. A better understanding of the wound-healing processes is essential, and animal models are indispensable to fundamental research. Objective This study aimed to provide a transparent protocol and prove the effectiveness of an in vivo porcine model using Goettingen minipigs for wound-healing studies. Material and methods Thirteen female Goettingen minipigs were kept in species-appropriate housing and were treated according to the German law for the protection of animals. The study was performed with permission from the local ethical review committee of animal welfare. The experimental procedure for studying dermal regeneration in 102 full-thickness wounds through clinical observation and histological analysis, focusing on neodermal formation, is described in detail. Results The Goettingen minipig model proved to be suitable in wound-healing studies. The dermal regeneration was evident and viewable without wound contamination or any rejection reaction. The histological evaluations were also reliable and clearly presented the optimized wound healing of deep dermal wounds using the different therapeutic approaches. Conclusion Given the great clinical need for alternative or complementary therapies, we considered the Goettingen minipig trial a reliable, ethically justifiable, effective, and reproducible in vivo model for wound-healing studies.
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Affiliation(s)
- Dr. Wiebke Eisler
- Department of Hand, Plastic, Reconstructive, and Burn Surgery, BG Unfallklinik Tuebingen, Eberhard Karls University Tuebingen, Germany
| | - Prof. Dr. Manuel Held
- Department of Hand, Plastic, Reconstructive, and Burn Surgery, BG Unfallklinik Tuebingen, Eberhard Karls University Tuebingen, Germany
| | - Prof. Dr. Afshin Rahmanian-Schwarz
- Department of Plastic, Hand, Reconstructive and Aesthetic Surgery, Hand surgery, Traunstein Hospital, Ludwig-Maximilians-Universität Munich, Germany
| | - Dr. Jan-Ole Baur
- Department of Dermatology, University hospital Erlangen, Friedrich-Alexander-University Erlangen-Nuernberg, Germany
| | - Prof. Dr. Adrien Daigeler
- Department of Hand, Plastic, Reconstructive, and Burn Surgery, BG Unfallklinik Tuebingen, Eberhard Karls University Tuebingen, Germany
| | - Dr. Markus Denzinger
- Department of Pediatric Surgery, Klinik St. Hedwig, University Medical Center Regensburg, Regensburg, Germany
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Sierra-Sánchez Á, Magne B, Savard E, Martel C, Ferland K, Barbier MA, Demers A, Larouche D, Arias-Santiago S, Germain L. In vitro comparison of human plasma-based and self-assembled tissue-engineered skin substitutes: two different manufacturing processes for the treatment of deep and difficult to heal injuries. BURNS & TRAUMA 2023; 11:tkad043. [PMID: 37908563 PMCID: PMC10615253 DOI: 10.1093/burnst/tkad043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/09/2023] [Revised: 06/13/2023] [Accepted: 07/21/2023] [Indexed: 11/02/2023]
Abstract
Background The aim of this in vitro study was to compare side-by-side two models of human bilayered tissue-engineered skin substitutes (hbTESSs) designed for the treatment of severely burned patients. These are the scaffold-free self-assembled skin substitute (SASS) and the human plasma-based skin substitute (HPSS). Methods Fibroblasts and keratinocytes from three humans were extracted from skin biopsies (N = 3) and cells from the same donor were used to produce both hbTESS models. For SASS manufacture, keratinocytes were seeded over three self-assembled dermal sheets comprising fibroblasts and the extracellular matrix they produced (n = 12), while for HPSS production, keratinocytes were cultured over hydrogels composed of fibroblasts embedded in either plasma as unique biomaterial (Fibrin), plasma combined with hyaluronic acid (Fibrin-HA) or plasma combined with collagen (Fibrin-Col) (n/biomaterial = 9). The production time was 46-55 days for SASSs and 32-39 days for HPSSs. Substitutes were characterized by histology, mechanical testing, PrestoBlue™-assay, immunofluorescence (Ki67, Keratin (K) 10, K15, K19, Loricrin, type IV collagen) and Western blot (type I and IV collagens). Results The SASSs were more resistant to tensile forces (p-value < 0.01) but less elastic (p-value < 0.001) compared to HPSSs. A higher number of proliferative Ki67+ cells were found in SASSs although their metabolic activity was lower. After epidermal differentiation, no significant difference was observed in the expression of K10, K15, K19 and Loricrin. Overall, the production of type I and type IV collagens and the adhesive strength of the dermal-epidermal junction was higher in SASSs. Conclusions This study demonstrates, for the first time, that both hbTESS models present similar in vitro biological characteristics. However, mechanical properties differ and future in vivo experiments will aim to compare their wound healing potential.
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Affiliation(s)
- Álvaro Sierra-Sánchez
- LOEX Tissue Engineering Laboratory and Department of Surgery, Faculty of Medicine, Université Laval, 1401 18e rue, Québec (Québec) G1J 1Z4, Canada
- CHU de Québec – Université Laval Research Center, Division of Regenerative Medicine, 1401 18e rue, Québec (Québec) G1J 1Z4, Canada
- Unidad de Producción Celular e Ingeniería Tisular (UPCIT), Virgen de las Nieves University Hospital, ibs. GRANADA, Andalusian Network for the design and translation of Advanced Therapies, Av. de las Fuerzas Armadas, Nº2, 4ª Planta Ed. de Gobierno, 18014, Granada, Spain
| | - Brice Magne
- LOEX Tissue Engineering Laboratory and Department of Surgery, Faculty of Medicine, Université Laval, 1401 18e rue, Québec (Québec) G1J 1Z4, Canada
- CHU de Québec – Université Laval Research Center, Division of Regenerative Medicine, 1401 18e rue, Québec (Québec) G1J 1Z4, Canada
| | - Etienne Savard
- LOEX Tissue Engineering Laboratory and Department of Surgery, Faculty of Medicine, Université Laval, 1401 18e rue, Québec (Québec) G1J 1Z4, Canada
- CHU de Québec – Université Laval Research Center, Division of Regenerative Medicine, 1401 18e rue, Québec (Québec) G1J 1Z4, Canada
| | - Christian Martel
- LOEX Tissue Engineering Laboratory and Department of Surgery, Faculty of Medicine, Université Laval, 1401 18e rue, Québec (Québec) G1J 1Z4, Canada
- CHU de Québec – Université Laval Research Center, Division of Regenerative Medicine, 1401 18e rue, Québec (Québec) G1J 1Z4, Canada
| | - Karel Ferland
- LOEX Tissue Engineering Laboratory and Department of Surgery, Faculty of Medicine, Université Laval, 1401 18e rue, Québec (Québec) G1J 1Z4, Canada
- CHU de Québec – Université Laval Research Center, Division of Regenerative Medicine, 1401 18e rue, Québec (Québec) G1J 1Z4, Canada
| | - Martin A Barbier
- LOEX Tissue Engineering Laboratory and Department of Surgery, Faculty of Medicine, Université Laval, 1401 18e rue, Québec (Québec) G1J 1Z4, Canada
- CHU de Québec – Université Laval Research Center, Division of Regenerative Medicine, 1401 18e rue, Québec (Québec) G1J 1Z4, Canada
| | - Anabelle Demers
- LOEX Tissue Engineering Laboratory and Department of Surgery, Faculty of Medicine, Université Laval, 1401 18e rue, Québec (Québec) G1J 1Z4, Canada
- CHU de Québec – Université Laval Research Center, Division of Regenerative Medicine, 1401 18e rue, Québec (Québec) G1J 1Z4, Canada
| | - Danielle Larouche
- LOEX Tissue Engineering Laboratory and Department of Surgery, Faculty of Medicine, Université Laval, 1401 18e rue, Québec (Québec) G1J 1Z4, Canada
- CHU de Québec – Université Laval Research Center, Division of Regenerative Medicine, 1401 18e rue, Québec (Québec) G1J 1Z4, Canada
| | - Salvador Arias-Santiago
- Unidad de Producción Celular e Ingeniería Tisular (UPCIT), Virgen de las Nieves University Hospital, ibs. GRANADA, Andalusian Network for the design and translation of Advanced Therapies, Av. de las Fuerzas Armadas, Nº2, 4ª Planta Ed. de Gobierno, 18014, Granada, Spain
- Department of Dermatology, Virgen de las Nieves University Hospital, Av. Madrid, Nº11–15, 18012, Granada, Spain
- Department of Dermatology, Faculty of Medicine, University of Granada, Av. de la Investigación, Nº11, 18016, Granada, Spain
| | - Lucie Germain
- LOEX Tissue Engineering Laboratory and Department of Surgery, Faculty of Medicine, Université Laval, 1401 18e rue, Québec (Québec) G1J 1Z4, Canada
- CHU de Québec – Université Laval Research Center, Division of Regenerative Medicine, 1401 18e rue, Québec (Québec) G1J 1Z4, Canada
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Ortiz-Arrabal O, Bermejo-Casares F, Garzón I, Mesa-García MD, Gómez-Llorente C, Alaminos M. Optimization of human skin keratinocyte culture protocols using bioactive molecules derived from olive oil. Biomed Pharmacother 2023; 164:115000. [PMID: 37301136 DOI: 10.1016/j.biopha.2023.115000] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2023] [Revised: 05/26/2023] [Accepted: 06/07/2023] [Indexed: 06/12/2023] Open
Abstract
Skin damage due to severe burns can compromise patient life. Current tissue engineering methods allow the generation of human skin substitutes for clinical use. However, this process is time-consuming, as the keratinocytes required to generate artificial skin have a low proliferation rate in culture. In this study, we evaluated the pro-proliferative effects of three natural biomolecules isolated from olive oil: phenolic extract (PE), DL-3,4-dihydroxyphenyl glycol (DHFG), and oleuropein (OLP), on cultured human skin keratinocytes. The results showed that PE and OLP increased the proliferation of immortalized human skin keratinocytes, especially at concentrations of 10 and 5 µg/mL, respectively, without altering cell viability. In contrast, DHFG did not produce a significant improvement in keratinocyte proliferation. In normal human skin keratinocytes obtained from skin biopsies, we found that PE, but not OLP, could increase the number of keratinocyte colonies and the area occupied by these cells. Furthermore, this effect was associated with increased KI-67 and Proliferating cell nuclear antigen (PCNA) gene expression. Thus, we propose that PE positively affects keratinocyte proliferation and could be used in culture protocols to improve bioartificial skin generation by tissue engineering.
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Affiliation(s)
- Olimpia Ortiz-Arrabal
- Tissue Engineering Group, Department of Histology, Faculty of Medicine, University of Granada, Granada E18016, Spain; Instituto de Investigación Biosanitaria ibs.GRANADA, Granada E18012, Spain; Doctoral Program in Biochemistry and Molecular Biology, University of Granada, Granada E18071, Spain
| | - Fabiola Bermejo-Casares
- Tissue Engineering Group, Department of Histology, Faculty of Medicine, University of Granada, Granada E18016, Spain
| | - Ingrid Garzón
- Tissue Engineering Group, Department of Histology, Faculty of Medicine, University of Granada, Granada E18016, Spain; Instituto de Investigación Biosanitaria ibs.GRANADA, Granada E18012, Spain
| | - María-Dolores Mesa-García
- Instituto de Investigación Biosanitaria ibs.GRANADA, Granada E18012, Spain; Department of Biochemistry and Molecular Biology II, School of Pharmacy, Campus Universitario de Cartuja, Granada 18071, Spain; Institute of Nutrition and Food Technology "José Mataix", Biomedical Research Center, University of Granada, Avenida del Conocimiento s/n, Granada 18100, Spain.
| | - Carolina Gómez-Llorente
- Instituto de Investigación Biosanitaria ibs.GRANADA, Granada E18012, Spain; Department of Biochemistry and Molecular Biology II, School of Pharmacy, Campus Universitario de Cartuja, Granada 18071, Spain; Institute of Nutrition and Food Technology "José Mataix", Biomedical Research Center, University of Granada, Avenida del Conocimiento s/n, Granada 18100, Spain.
| | - Miguel Alaminos
- Tissue Engineering Group, Department of Histology, Faculty of Medicine, University of Granada, Granada E18016, Spain; Instituto de Investigación Biosanitaria ibs.GRANADA, Granada E18012, Spain.
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Kianian S, Zhao K, Kaur J, Lu KW, Rathi S, Ghosh K, Rogoff H, Hays TR, Park J, Rafailovich M, Simon M, Bui DT, Khan SU, Dagum AB, Singh G. Autologous Skin Grafts, versus Tissue-engineered Skin Constructs: A Systematic Review and Meta-analysis. PLASTIC AND RECONSTRUCTIVE SURGERY-GLOBAL OPEN 2023; 11:e5100. [PMID: 37388427 PMCID: PMC10303215 DOI: 10.1097/gox.0000000000005100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2022] [Accepted: 05/05/2023] [Indexed: 07/01/2023]
Abstract
For over 100 years, autologous skin grafts have remained the gold standard for the reconstruction of wounds but are limited in availability. Acellular tissue-engineered skin constructs (acellular TCs) and cellular tissue-engineered skin constructs (cellular TCs) may address these limitations. This systematic review and meta-analysis compare outcomes between them. Methods A systematic review was conducted using PRISMA guidelines, querying MEDLINE, Embase, Web of Science, and Cochrane to assess graft incorporation, failure, and wound healing. Case reports/series, reviews, in vitro/in vivo work, non-English articles or articles without full text were excluded. Results Sixty-six articles encompassing 4076 patients were included. No significant differences were found between graft failure rates (P = 0.07) and mean difference of percent reepithelialization (p = 0.92) when split-thickness skin grafts were applied alone versus co-grafted with acellular TCs. Similar mean Vancouver Scar Scale was found for these two groups (p = 0.09). Twenty-one studies used at least one cellular TC. Weighted averages from pooled results did not reveal statistically significant differences in mean reepithelialization or failure rates for epidermal cellular TCs compared with split-thickness skin grafts (p = 0.55). Conclusions This systematic review is the first to illustrate comparable functional and wound healing outcomes between split-thickness skin grafts alone and those co-grafted with acellular TCs. The use of cellular TCs seems promising from preliminary findings. However, these results are limited in clinical applicability due to the heterogeneity of study data, and further level 1 evidence is required to determine the safety and efficacy of these constructs.
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Affiliation(s)
- Sara Kianian
- From the Renaissance School of Medicine at Stony Brook University, Stony Brook, N.Y
| | - Kelley Zhao
- From the Renaissance School of Medicine at Stony Brook University, Stony Brook, N.Y
| | | | | | | | - Kanad Ghosh
- From the Renaissance School of Medicine at Stony Brook University, Stony Brook, N.Y
- Department of Plastic and Reconstructive Surgery, University of Chicago, Chicago, Ill
| | - Hunter Rogoff
- From the Renaissance School of Medicine at Stony Brook University, Stony Brook, N.Y
| | - Thomas R Hays
- From the Renaissance School of Medicine at Stony Brook University, Stony Brook, N.Y
- Orlando Health at Orlando Regional Medical Center, Orlando, Fla
| | | | - Miriam Rafailovich
- Department of Materials Science and Chemical Engineering, Stony Brook University Medical Center, Stony Brook, N.Y
| | - Marcia Simon
- Department of Oral Biology and Pathology, School of Dental Medicine, Stony Brook University, Stony Brook, N.Y
| | - Duc T Bui
- From the Renaissance School of Medicine at Stony Brook University, Stony Brook, N.Y
- Division of Plastic and Reconstructive Surgery, Department of Surgery, Stony Brook University, Stony Brook, N.Y.
| | - Sami U Khan
- From the Renaissance School of Medicine at Stony Brook University, Stony Brook, N.Y
- Division of Plastic and Reconstructive Surgery, Department of Surgery, Stony Brook University, Stony Brook, N.Y.
| | - Alexander B Dagum
- Division of Plastic and Reconstructive Surgery, Department of Surgery, Stony Brook University, Stony Brook, N.Y.
| | - Gurtej Singh
- From the Renaissance School of Medicine at Stony Brook University, Stony Brook, N.Y
- Division of Plastic and Reconstructive Surgery, Department of Surgery, Stony Brook University, Stony Brook, N.Y.
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5
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Min D, Ahn Y, Lee HK, Jung W, Kim H. A novel optical coherence tomography-based in vitro method of anti-aging skin analysis using 3D skin wrinkle mimics. Skin Res Technol 2023; 29:e13354. [PMID: 37357658 PMCID: PMC10209839 DOI: 10.1111/srt.13354] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2022] [Accepted: 05/08/2023] [Indexed: 06/27/2023]
Abstract
BACKGROUND Wrinkles represent a characteristic symptom of skin aging. In recent years, various studies have focused on their prevention and/or cure. However, clinical tests are still the only method available to directly detect and evaluate the anti-wrinkle efficacy of various substances. Moreover, no in vitro strategy for such anti-aging skin analysis has been reported. Therefore, in this study, we aimed to develop a novel technology to overcome these limitations. MATERIALS AND METHODS Full-thickness (FT) skin wrinkle mimics with various widths and depths were fabricated using a collagen stamping method. These were analyzed and compared using 2D and 3D Swept Source-Optical Coherence Tomography (SS-OCT) imaging technologies. RESULTS SS-OCT demonstrated superficial and cross-sectional images of the wrinkle mimics, and the size of the wrinkles was validated using image analysis. Retinoic acid treatment significantly decreased both the depth and width of wrinkles formed in the FT skin wrinkle mimics. CONCLUSIONS Using 3D tissue engineering and SS-OCT imaging technologies, we developed a novel in vitro technique that can directly detect skin wrinkles. This significantly efficient method could lead to an alternative strategy for animal experiments and preclinical anti-aging research on the skin.
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Affiliation(s)
- Daejin Min
- AMOREPACIFIC Research and Innovation CenterYonginRepublic of Korea
| | - Yujin Ahn
- Department of Biomedical EngineeringUlsan National Institute of Science and Technology (UNIST)UlsanRepublic of Korea
| | | | - Woonggyu Jung
- Department of Biomedical EngineeringUlsan National Institute of Science and Technology (UNIST)UlsanRepublic of Korea
| | - Hyoung‐June Kim
- AMOREPACIFIC Research and Innovation CenterYonginRepublic of Korea
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6
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Wang Z, Xiao C, Roy M, Yuan Z, Zhao L, Liu Y, Guo X, Lu P. Bioinspired skin towards next-generation rehabilitation medicine. Front Bioeng Biotechnol 2023; 11:1196174. [PMID: 37229496 PMCID: PMC10203386 DOI: 10.3389/fbioe.2023.1196174] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2023] [Accepted: 04/24/2023] [Indexed: 05/27/2023] Open
Abstract
The rapid progress of interdisciplinary researches from materials science, biotechnologies, biomedical engineering, and medicine, have resulted in the emerging of bioinspired skins for various fantasticating applications. Bioinspired skin is highly promising in the application of rehabilitation medicine owing to their advantages, including personalization, excellent biocompatibility, multi-functionality, easy maintainability and wearability, and mass production. Therefore, this review presents the recent progress of bioinspired skin towards next-generation rehabilitation medicine. The classification is first briefly introduced. Then, various applications of bioinspired skins in the field of rehabilitation medicine at home and abroad are discussed in detail. Last, we provide the challenges we are facing now, and propose the next research directions.
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Affiliation(s)
- Zhenghui Wang
- Department of Rehabilitation, The First Affiliated Hospital of Xinxiang Medical University, Weihui, China
| | - Chen Xiao
- Department of Rehabilitation, The First Affiliated Hospital of Xinxiang Medical University, Weihui, China
| | - Mridul Roy
- Department of Oncology, The First Affiliated Hospital of Xinxiang Medical University, Weihui, China
| | - Zhiyao Yuan
- SanQuan College of Xinxiang Medical University, Xinxiang, China
| | - Lingyu Zhao
- Department of Rehabilitation, The First Affiliated Hospital of Xinxiang Medical University, Weihui, China
| | - Yanting Liu
- Department of Oncology, The First Affiliated Hospital of Xinxiang Medical University, Weihui, China
| | - Xuejun Guo
- Department of Rehabilitation, The First Affiliated Hospital of Xinxiang Medical University, Weihui, China
| | - Ping Lu
- Department of Oncology, The First Affiliated Hospital of Xinxiang Medical University, Weihui, China
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Nanotechnology-based alternatives for the topical delivery of immunosuppressive agents in psoriasis. Int J Pharm 2023; 631:122535. [PMID: 36566826 PMCID: PMC9876733 DOI: 10.1016/j.ijpharm.2022.122535] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2022] [Revised: 12/19/2022] [Accepted: 12/20/2022] [Indexed: 12/24/2022]
Abstract
Psoriasis is a recurring, immune-mediated dermatological disorder. Many therapeutic agents are available for the treatment of psoriasis, including immunosuppressants and biologic treatments with immunosuppressant action. The employment of nanotechnology allows drug tailoring to achieve dermal targeting, improve efficacy and minimize undesirable effects. Here we discuss the use of the topical route in combination with nano-based drug delivery systems containing immunosuppressants for the management of psoriasis. This review is based on articles selected from 2011 to 2022, using the keywords "Psoriasis" AND "Immunosuppressants" AND "Nano*" in the main databases. Fifty-seven articles were retrieved, although only forty-two matched the inclusion criteria. Nanocarriers such as liposomes, ethosomes, niosomes, solid lipid nanoparticle, nanostructured lipid carriers and microspheres containing immunosuppressive drugs (methotrexate, cyclosporine, tacrolimus, and etanercept) were identified. The main findings of these studies are related to the improved in vitro/ex vivo permeation/penetration and therapeutic efficacy of nanoparticles in vitro and in vivo, compared to the drug in solution. Based on the studies discussed in this review, encapsulation in several types of nanocarriers decreases toxicity, dose, and dose frequency. Furthermore, it enables specific targeting of the active drug, pointing to the possibility of improving topical therapy for psoriasis. In conclusion, nanoformulations represent a novel and promising tool for psoriasis treatment.
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Pérez-Díaz MA, Alvarado-Gómez E, Martínez-Pardo ME, José Yacamán M, Flores-Santos A, Sánchez-Sánchez R, Martínez-Gutiérrez F, Bach H. Development of Radiosterilized Porcine Skin Electrosprayed with Silver Nanoparticles Prevents Infections in Deep Burns. Int J Mol Sci 2022; 23:13910. [PMID: 36430385 PMCID: PMC9698029 DOI: 10.3390/ijms232213910] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2022] [Revised: 10/29/2022] [Accepted: 11/08/2022] [Indexed: 11/16/2022] Open
Abstract
Extensive burns represent a significant challenge in biomedicine due to the multiple systemic and localized complications resulting from the major skin barrier loss. The functionalization of xenografts with nanostructured antibacterial agents proposes a fast and accessible application to restore barrier function and prevent localized bacterial contamination. Based on this, the objective of this work was to functionalize a xenograft by electrospray deposition with silver nanoparticles (AgNPs) and to evaluate its antibiofilm and cytotoxic effects on human fibroblasts. Initially, AgNPs were synthesized by a green microwave route with sizes of 2.1, 6.8, and 12.2 nm and concentrations of 0.055, 0.167, and 0.500 M, respectively. The AgNPs showed a size relationship directly proportional to the concentration of AgNO3, with a spherical and homogeneous distribution determined by high-resolution transmission electron microscopy. The surface functionalization of radiosterilized porcine skin (RPS) via electrospray deposition with the three AgNP concentrations (0.055, 0.167, and 0.500 M) in the epidermis and the dermis showed a uniform distribution on both surfaces by energy-dispersive X-ray spectroscopy. The antibiofilm assays of clinical multidrug-resistant Pseudomonas aeruginosa showed significant effects at the concentrations of 0.167 and 0.500 M, with a log reduction of 1.3 and 2.6, respectively. Additionally, viability experiments with human dermal fibroblasts (HDF) exposed to AgNPs released from functionalized porcine skin showed favorable tolerance, with retention of viability more significant than 90% for concentrations of 0.05 and 0.167 M after 24 h exposure. Antibacterial activity combined with excellent biocompatibility makes this biomaterial a candidate for antibacterial protection by inhibiting bacterial biofilms in deep burns during early stages of development.
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Affiliation(s)
- Mario Alberto Pérez-Díaz
- Laboratorio de Biotecnología, Instituto Nacional de Rehabilitación Luis Guillermo Ibarra Ibarra (INR-LGII), Calzada México Xochimilco No. 289, Colonia Arenal de Guadalupe, Tlalpan, Ciudad de México 14389, Mexico
| | - Elizabeth Alvarado-Gómez
- Laboratorio de Antimicrobianos, Biopelículas y Microbiota, Facultad de Ciencias Químicas, Universidad Autónoma de San Luis Potosí, Av. Dr. Manuel Nava No. 6, Zona Universitaria, San Luis Potosí 78210, Mexico
| | - María Esther Martínez-Pardo
- Banco de Tejidos Radioesterilizados, Instituto Nacional de Investigaciones Nucleares (BTR-ININ), Carretera México-Toluca S/N La Marquesa, Ocoyoacac 52750, Mexico
| | - Miguel José Yacamán
- Applied Physics and Materials Science Department, Core Faculty Center for Materials Interfaces in Research and Applications (MIRA), Northern Arizona University, Flagstaff, AZ 86011, USA
| | - Andrés Flores-Santos
- Laboratorio de Antimicrobianos, Biopelículas y Microbiota, Facultad de Ciencias Químicas, Universidad Autónoma de San Luis Potosí, Av. Dr. Manuel Nava No. 6, Zona Universitaria, San Luis Potosí 78210, Mexico
| | - Roberto Sánchez-Sánchez
- Unidad de Ingeniería de Tejidos Terapia Celular y Medicina Regenerativa, Instituto Nacional de Rehabilitación Luis Guillermo Ibarra Ibarra (INR-LGII), Calzada México Xochimilco No. 289, Colonia Arenal de Guadalupe, Tlalpan, Ciudad de México 14389, Mexico
- Escuela de Ingeniería y Ciencias, Departamento de Bioingeniería, Instituto Tecnologico de Monterrey, C. Puente No. 222, Colonia Arboledas Sur, Tlalpan, Ciudad de México 14380, Mexico
| | - Fidel Martínez-Gutiérrez
- Laboratorio de Antimicrobianos, Biopelículas y Microbiota, Facultad de Ciencias Químicas, Universidad Autónoma de San Luis Potosí, Av. Dr. Manuel Nava No. 6, Zona Universitaria, San Luis Potosí 78210, Mexico
- Centro de Investigación en Ciencias de la Salud y Biomedicina, Universidad Autónoma de San Luis Potosí, Sierra Leona No. 550, Lomas, San Luis Potosí 28210, Mexico
| | - Horacio Bach
- Division of Infectious Diseases, Department of Medicine, University of British Columbia, 2660 Oak Street, Vancouver, BC V6H 3Z6, Canada
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9
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Li J, Fu S, Lu KW, Christie O, Gozelski MT, Cottone MC, Cottone P, Kianian S, Feng KC, Simon M, Rafailovich M, Dagum AB, Singh G. Engineering functional skin constructs: A quantitative comparison of three-dimensional bioprinting with traditional methods. Exp Dermatol 2021; 31:516-527. [PMID: 34727395 DOI: 10.1111/exd.14488] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2021] [Revised: 09/07/2021] [Accepted: 10/15/2021] [Indexed: 11/27/2022]
Abstract
Tissue engineering has been successful in reproducing human skin equivalents while incorporating new approaches such as three-dimensional (3D) bioprinting. The latter method offers a plethora of advantages including increased production scale, ability to incorporate multiple cell types and printing on demand. However, the quality of printed skin equivalents compared to those developed manually has never been assessed. To leverage the benefits of this method, it is imperative that 3D-printed skin should be structurally and functionally similar to real human skin. Here, we developed four bilayered human skin epidermal-dermal equivalents: non-printed dermis and epidermis (NN), printed dermis and epidermis (PP), printed epidermis and non-printed dermis (PN), and non-printed epidermis and printed dermis (NP). The effects of printing induced shear stress [0.025 kPa (epidermis); 0.049 kPa (dermis)] were characterized both at the cellular and at the tissue level. At cellular level, no statistically significant differences in keratinocyte colony-forming efficiency (CFE) (p = 0.1641) were observed. In the case of fibroblasts, no significant differences in the cell alignment index (p < 0.1717) and their ability to contract collagen gel (p = 0.851) were detected. At the tissue levels, all the four skin equivalents were characterized using histological and immunohistochemical analysis with no significant differences found in either epidermal basal cell count, thickness of viable epidermis, and relative intensity of filaggrin and claudin-1. Our results demonstrated that 3D printing can achieve the same high-quality skin constructs as have been developed traditionally, thus opening new avenues for numerous high-throughput industrial and clinical applications.
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Affiliation(s)
- Juyi Li
- Department of Materials Science and Chemical Engineering Stony Brook, Stony Brook University, New York, USA
| | - Shi Fu
- Department of Materials Science and Chemical Engineering Stony Brook, Stony Brook University, New York, USA
| | - Kimberly W Lu
- Department of Materials Science and Chemical Engineering Stony Brook, Stony Brook University, New York, USA
| | - Olias Christie
- Department of Materials Science and Chemical Engineering Stony Brook, Stony Brook University, New York, USA
| | - Michael T Gozelski
- Department of Materials Science and Chemical Engineering Stony Brook, Stony Brook University, New York, USA
| | - Michael C Cottone
- Department of Materials Science and Chemical Engineering Stony Brook, Stony Brook University, New York, USA
| | - Philip Cottone
- Department of Materials Science and Chemical Engineering Stony Brook, Stony Brook University, New York, USA
| | - Sara Kianian
- Department of Surgery, Stony Brook University, Stony Brook, New York, USA
| | - Kuan-Che Feng
- Department of Materials Science and Chemical Engineering Stony Brook, Stony Brook University, New York, USA
| | - Marcia Simon
- Department of Oral Biology and Pathology, Stony Brook University, Stony Brook, New York, USA
| | - Miriam Rafailovich
- Department of Materials Science and Chemical Engineering Stony Brook, Stony Brook University, New York, USA
| | - Alexander B Dagum
- Department of Surgery, Stony Brook University, Stony Brook, New York, USA
| | - Gurtej Singh
- Department of Surgery, Stony Brook University, Stony Brook, New York, USA
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10
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Linares-Gonzalez L, Rodenas-Herranz T, Campos F, Ruiz-Villaverde R, Carriel V. Basic Quality Controls Used in Skin Tissue Engineering. Life (Basel) 2021; 11:1033. [PMID: 34685402 PMCID: PMC8541591 DOI: 10.3390/life11101033] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2021] [Revised: 09/25/2021] [Accepted: 09/25/2021] [Indexed: 12/15/2022] Open
Abstract
Reconstruction of skin defects is often a challenging effort due to the currently limited reconstructive options. In this sense, tissue engineering has emerged as a possible alternative to replace or repair diseased or damaged tissues from the patient's own cells. A substantial number of tissue-engineered skin substitutes (TESSs) have been conceived and evaluated in vitro and in vivo showing promising results in the preclinical stage. However, only a few constructs have been used in the clinic. The lack of standardization in evaluation methods employed may in part be responsible for this discrepancy. This review covers the most well-known and up-to-date methods for evaluating the optimization of new TESSs and orientative guidelines for the evaluation of TESSs are proposed.
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Affiliation(s)
- Laura Linares-Gonzalez
- Servicio de Dermatología, Hospital Universitario San Cecilio, 18016 Granada, Spain; (L.L.-G.); (T.R.-H.)
- Ibs. GRANADA, Instituto Biosanitario de Granada, 18016 Granada, Spain; (F.C.); (V.C.)
- Department of Histology, University of Granada, 18016 Granada, Spain
| | - Teresa Rodenas-Herranz
- Servicio de Dermatología, Hospital Universitario San Cecilio, 18016 Granada, Spain; (L.L.-G.); (T.R.-H.)
- Ibs. GRANADA, Instituto Biosanitario de Granada, 18016 Granada, Spain; (F.C.); (V.C.)
- Department of Histology, University of Granada, 18016 Granada, Spain
| | - Fernando Campos
- Ibs. GRANADA, Instituto Biosanitario de Granada, 18016 Granada, Spain; (F.C.); (V.C.)
- Department of Histology, University of Granada, 18016 Granada, Spain
| | - Ricardo Ruiz-Villaverde
- Servicio de Dermatología, Hospital Universitario San Cecilio, 18016 Granada, Spain; (L.L.-G.); (T.R.-H.)
- Ibs. GRANADA, Instituto Biosanitario de Granada, 18016 Granada, Spain; (F.C.); (V.C.)
- Department of Histology, University of Granada, 18016 Granada, Spain
| | - Víctor Carriel
- Ibs. GRANADA, Instituto Biosanitario de Granada, 18016 Granada, Spain; (F.C.); (V.C.)
- Department of Histology, University of Granada, 18016 Granada, Spain
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11
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Li H, Cheng F, Orgill DP, Yao J, Zhang YS. Handheld bioprinting strategies for in situ wound dressing. Essays Biochem 2021; 65:533-543. [PMID: 34028545 PMCID: PMC8720383 DOI: 10.1042/ebc20200098] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2021] [Revised: 04/26/2021] [Accepted: 04/28/2021] [Indexed: 01/06/2023]
Abstract
Handheld bioprinting has recently attracted considerable attention as a technology to deliver biomaterials and/or cells to injury sites by using freeform, user-instructed deposition approaches, specifically targeted towards in situ wound dressing and healing. In this review, we present a concise introduction of handheld bioprinting, and a thorough discussion on design and manufacture of handheld bioprinters and choice over bioinks. Finally, the advantages, challenges, and prospective of the said technologies are elaborated. It is believed that handheld bioprinting will play an essential role in the field of in situ wound healing mainly due to its excellent portability, user-friendliness, cost-effectiveness, and amenability to various wound needs.
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Affiliation(s)
- Hongbin Li
- Division of Engineering in Medicine, Brigham and Women’s Hospital, Department of Medicine, Harvard Medical School, Cambridge, MA 02139, U.S.A
- College of Light Industry and Textile, Qiqihar University, Qiqihar, Heilongjiang 161000, P.R. China
| | - Feng Cheng
- Division of Engineering in Medicine, Brigham and Women’s Hospital, Department of Medicine, Harvard Medical School, Cambridge, MA 02139, U.S.A
| | - Dennis P. Orgill
- Department of Surgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA 02115, U.S.A
| | - Junjie Yao
- Department of Biomedical Engineering, Duke University, Durham, NC 27708, U.S.A
| | - Yu Shrike Zhang
- Division of Engineering in Medicine, Brigham and Women’s Hospital, Department of Medicine, Harvard Medical School, Cambridge, MA 02139, U.S.A
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12
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Sierra-Sánchez Á, Kim KH, Blasco-Morente G, Arias-Santiago S. Cellular human tissue-engineered skin substitutes investigated for deep and difficult to heal injuries. NPJ Regen Med 2021; 6:35. [PMID: 34140525 PMCID: PMC8211795 DOI: 10.1038/s41536-021-00144-0] [Citation(s) in RCA: 45] [Impact Index Per Article: 15.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2020] [Accepted: 05/25/2021] [Indexed: 02/05/2023] Open
Abstract
Wound healing is an important function of skin; however, after significant skin injury (burns) or in certain dermatological pathologies (chronic wounds), this important process can be deregulated or lost, resulting in severe complications. To avoid these, studies have focused on developing tissue-engineered skin substitutes (TESSs), which attempt to replace and regenerate the damaged skin. Autologous cultured epithelial substitutes (CESs) constituted of keratinocytes, allogeneic cultured dermal substitutes (CDSs) composed of biomaterials and fibroblasts and autologous composite skin substitutes (CSSs) comprised of biomaterials, keratinocytes and fibroblasts, have been the most studied clinical TESSs, reporting positive results for different pathological conditions. However, researchers' purpose is to develop TESSs that resemble in a better way the human skin and its wound healing process. For this reason, they have also evaluated at preclinical level the incorporation of other human cell types such as melanocytes, Merkel and Langerhans cells, skin stem cells (SSCs), induced pluripotent stem cells (iPSCs) or mesenchymal stem cells (MSCs). Among these, MSCs have been also reported in clinical studies with hopeful results. Future perspectives in the field of human-TESSs are focused on improving in vivo animal models, incorporating immune cells, designing specific niches inside the biomaterials to increase stem cell potential and developing three-dimensional bioprinting strategies, with the final purpose of increasing patient's health care. In this review we summarize the use of different human cell populations for preclinical and clinical TESSs under research, remarking their strengths and limitations and discuss the future perspectives, which could be useful for wound healing purposes.
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Affiliation(s)
- Álvaro Sierra-Sánchez
- Cell Production and Tissue Engineering Unit, Virgen de las Nieves University Hospital, Andalusian Network of Design and Translation of Advanced Therapies, Granada, Spain.
- Biosanitary Institute of Granada (ibs.GRANADA), Granada, Spain.
| | - Kevin H Kim
- Department of Dermatology, University of Arkansas for Medical Sciences, Little Rock, AR, USA
- Department of Dermatology, Virgen de las Nieves University Hospital, Granada University, Granada, Spain
| | - Gonzalo Blasco-Morente
- Department of Dermatology, Virgen de las Nieves University Hospital, Granada University, Granada, Spain
| | - Salvador Arias-Santiago
- Cell Production and Tissue Engineering Unit, Virgen de las Nieves University Hospital, Andalusian Network of Design and Translation of Advanced Therapies, Granada, Spain
- Biosanitary Institute of Granada (ibs.GRANADA), Granada, Spain
- Department of Dermatology, Virgen de las Nieves University Hospital, Granada University, Granada, Spain
- Department of Dermatology, Faculty of Medicine, University of Granada, Granada, Spain
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13
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Suarez-Arnedo A, Torres Figueroa F, Clavijo C, Arbeláez P, Cruz JC, Muñoz-Camargo C. An image J plugin for the high throughput image analysis of in vitro scratch wound healing assays. PLoS One 2020; 15:e0232565. [PMID: 32722676 PMCID: PMC7386569 DOI: 10.1371/journal.pone.0232565] [Citation(s) in RCA: 202] [Impact Index Per Article: 50.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2020] [Accepted: 07/11/2020] [Indexed: 12/13/2022] Open
Abstract
In vitro scratch wound healing assay, a simple and low-cost technique that works along with other image analysis tools, is one of the most widely used 2D methods to determine the cellular migration and proliferation in processes such as regeneration and disease. There are open-source programs such as imageJ to analyze images of in vitro scratch wound healing assays, but these tools require manual tuning of various parameters, which is time-consuming and limits image throughput. For that reason, we developed an optimized plugin for imageJ to automatically recognize the wound healing size, correct the average wound width by considering its inclination, and quantify other important parameters such as: area, wound area fraction, average wound width, and width deviation of the wound images obtained from a scratch/ wound healing assay. Our plugin is easy to install and can be used with different operating systems. It can be adapted to analyze both individual images and stacks. Additionally, it allows the analysis of images obtained from bright field, phase contrast, and fluorescence microscopes. In conclusion, this new imageJ plugin is a robust tool to automatically standardize and facilitate quantification of different in vitro wound parameters with high accuracy compared with other tools and manual identification.
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Affiliation(s)
| | | | - Camila Clavijo
- Department of Biomedical Engineering, Universidad de los Andes, Bogotá, Colombia
| | - Pablo Arbeláez
- Department of Biomedical Engineering, Universidad de los Andes, Bogotá, Colombia
| | - Juan C. Cruz
- Department of Biomedical Engineering, Universidad de los Andes, Bogotá, Colombia
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14
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Ogorevc J, Poklukar K, Dovč P. Establishment and characterization of proliferating primary cultures of equine epidermal keratinocytes. Anim Biotechnol 2019; 32:282-291. [PMID: 31736400 DOI: 10.1080/10495398.2019.1687091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Skin-derived tissue cultures are a useful model to study molecular mechanisms of skin renewal and pathogenesis of dermal diseases. Horses often suffer from skin diseases, skin trauma and problems with proper wound healing, which could be improved by in vitro grown keratinocyte grafts. Herein we describe establishment and characterization of equine skin-derived primary cell cultures, using enzymatic and explant methods. The established cell lines of primary equine keratinocytes (peK) maintained high proliferative capacity for over five passages and expressed different epithelial/keratinocyte-specific markers. Characterization of the primary culture was performed in parallel with localization studies of the markers in the skin histological sections, using commercially available antibodies. Relative expression of typical differentiation stage-specific markers was determined in the established cell lines, using RT-qPCR. Basal (proliferating) keratinocytes were the predominant cell type in the established cell lines, but low expression of post-mitotic keratinocyte markers was also detected. Differences in marker expression were observed neither between the peK originating from two different animals nor between the peK established with two different methods (enzymatically or by explanting). The described methods in combination with the suggested characterization and differentiation markers are suitable for establishment of proliferating peK and evaluation of their differentiation status.
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Affiliation(s)
- Jernej Ogorevc
- Department of Animal Science, Biotechnical Faculty, University of Ljubljana, Domžale, Slovenia
| | - Klavdija Poklukar
- Department of Animal Science, Biotechnical Faculty, University of Ljubljana, Domžale, Slovenia.,Agricultural Institute of Slovenia, Ljubljana, Slovenia
| | - Peter Dovč
- Department of Animal Science, Biotechnical Faculty, University of Ljubljana, Domžale, Slovenia
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15
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Abstract
Skin injury to the face remains one of the greatest challenges in wound care due to the varied contours and complex movement of the face. Current treatment strategies for extensive facial burns are limited to the use of autografts, allografts, and skin substitutes, and these often result in scarring, infection, and graft failure. Development of an effective treatment modality will greatly improve the quality of life and social integration of the affected individuals. In this proof of concept study, we developed a novel strategy, called "BioMask", which is a customized bioengineered skin substitute combined with a wound dressing layer that snugly fits onto the facial wounds. To achieve this goal, three-dimensional (3D) bioprinting principle was used to fabricate the BioMask that could be customized by patients' clinical images such as computed tomography (CT) data. Based on a face CT image, a wound dressing material and cell-laden hydrogels were precisely dispensed and placed in a layer-by-layer fashion by the control of air pressure and 3-axis stage. The resulted miniature BioMask consisted of three layers; a porous polyurethane (PU) layer, a keratinocyte-laden hydrogel layer, and a fibroblast-laden hydrogel layer. To validate this novel concept, the bioprinted BioMask was applied to a skin wound on a pre-fabricated face-shaped structure in mice. Through this in vivo study using the 3D BioMask, skin contraction and histological examination showed the regeneration of skin tissue, consisting of epidermis and dermis layers, on the complex facial wounds. Consequently, effective and rapid restoration of aesthetic and functional facial skin would be a significant improvement to the current issues a facial wound patient experience.
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16
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Models in the Research Process of Psoriasis. Int J Mol Sci 2017; 18:ijms18122514. [PMID: 29186769 PMCID: PMC5751117 DOI: 10.3390/ijms18122514] [Citation(s) in RCA: 65] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2017] [Revised: 11/21/2017] [Accepted: 11/22/2017] [Indexed: 12/20/2022] Open
Abstract
Psoriasis is an ancient, universal chronic skin disease with a significant geographical variability, with the lowest incidence rate at the equator, increasing towards the poles. Insights into the mechanisms responsible for psoriasis have generated an increasing number of druggable targets and molecular drugs. The development of relevant in vitro and in vivo models of psoriasis is now a priority and an important step towards its cure. In this review, we summarize the current cellular and animal systems suited to the study of psoriasis. We discuss the strengths and limitations of the various models and the lessons learned. We conclude that, so far, there is no one model that can meet all of the research needs. Therefore, the choice model system will depend on the questions being addressed.
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