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Creation of an acellular dermal matrix from frozen skin

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Abstract

At present, one of the treatments of choice for closure of full-thickness skin loss is to use a cultured epidermal autograft when skin loss is extensive. In this study, we investigated a simple method of processing frozen surplus skin to produce an acellular, structurally intact, dermal matrix. First, the acellular dermal matrix prepared from normal human skin (ADM) we processed was observed using a transmission electron microscope and a scanning electron microscope. The matrix maintained the basement membrane complex and the extracellular matrix structure of the dermis despite frozen skin being used. Next, using an animal model, we transplanted the ADM and Pelnac, which is used as a contrast in full-thickness wounds onto nude rats. The dermal matrix supported fibroblast infiltration and neovascularization. These results suggest that skin processed by our simple method has the potential to be used as a dermal template together with the cultured epidermis in the closure of full-thickness wounds.

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References

  1. Blanck G, Lok M, Kok K, et al.: Gamma-interferon induction of HLA class II mRNAs in dermal fibroblasts studied by RNAes protection analysis. Hum Immunol29:150, 1990

    Article  PubMed  CAS  Google Scholar 

  2. Brown JB, Fryer MP, Ronda UP, et al: Post mortem homografts as biological dressings for extensive burn and denuded areas. Ann Surg138:618, 1953

    PubMed  CAS  Google Scholar 

  3. Burke JF, Yannus IV, Quinby WC, et al.: Successful use of a physiologically acceptable artificial skin in the treatment of extensive burn injury. Ann Surg194:413, 1981

    Article  PubMed  CAS  Google Scholar 

  4. Burke JF: Observation on the development of an artificial skin. Presidential address, 1982 American Burn Meeting. J Trauma23:543, 1983

    Article  PubMed  CAS  Google Scholar 

  5. Castagnoli C, Stella M, Magliacani G, et al: Anomalous expression of HLA class II molecules on keratinocytes and fibroblasts in hypertrophic scar consequent to the thermal therapy. Clin Exp Immunol82:350, 1990

    PubMed  CAS  Google Scholar 

  6. Chetty BV, Boissy RE, Warden GD, et al.: Basement membrane and fibroblast aberration in blisters at the donor, graft and spontaneously healed sites in patients with burns. Arch Dermatol128:181, 1992

    Article  PubMed  CAS  Google Scholar 

  7. Compton CC, Gill JM, Bradford DA, et al.: Skin regenerated from cultured epithelial autografts on full-thickness burn wounds from 6 days to 5 years after grafting. A light, electron microscopic and immunohistochemical study. Lab Invest60:600, 1989

    PubMed  CAS  Google Scholar 

  8. Cuono CB, Langdon R, Brichall N, et al: Composite autologous-allogenic skin replacement: Development and clinical application. Plast Reconstr Surg80:626, 1987

    Article  PubMed  CAS  Google Scholar 

  9. Cuono CB, Langdon R, McGuire J: Use of cultured epidermal autografts and dermal allografts as skin replacement after burn injury. Lancet1:1123, 1986

    Article  PubMed  CAS  Google Scholar 

  10. Dagalakis N, Flink J, Staskielis P, et al: Design of an artificial skin. III. Control of pore structure. J Biomed Mater Res14:511, 1980

    Article  PubMed  CAS  Google Scholar 

  11. Erlich HP, Trelstad RL, Fallon JT: Dermal vascular patterns in response to burn or freeze injury in rat. Exp Mol Pathol34:281, 1981

    Article  Google Scholar 

  12. Grabosch A, Rokes H: Neopterin as parameter of cellmediated immunity response in thermally injured patients. Burns18:113, 1992

    Article  PubMed  CAS  Google Scholar 

  13. Hiramoto M, Nishihata K, Azuma K, et al: Using a new artificial skin (GM901) for full-thickness wound defects. Base Clinic27:643, 1993

    Google Scholar 

  14. Hirayama S: Clinical use of artificial skin (SS-D). Ther Res13:2005, 1992

    Google Scholar 

  15. Ishida H, Kumagai N, Tanabe H, et al.: Clinical study of artificial skin (SS-D). Base Clinic26:1574, 1992

    Google Scholar 

  16. Koide M, Osaki K, Konishi J, et al.: A new type of biomaterial for artificial skin: Dehydrothermally cross-linked composites of fibrillar and denatured collagens. J. Biomed Mater Res27:87, 1993

    Article  Google Scholar 

  17. Lamke LO: The influence of different “skin grafts” on the evaporative water loss from burns. Scand J Plast Reconstr5:82, 1971

    Article  CAS  Google Scholar 

  18. Langdon RC, Cuono CB, Birchall N, et al.: Reconstitution of structure and cell function in human skin grafts derived from cryopreserved allogeneic dermis and autologous cultured keratinocytes. J Invest Dermatol91:478, 1988

    Article  PubMed  CAS  Google Scholar 

  19. Livesey SA, Hernon DN, Hollyoak MA, et al: Transplanted acellular allograft dermal matrix. Transplantation60:1, 1995

    Article  PubMed  CAS  Google Scholar 

  20. Lovenz HP, Adzick NS: Scarless skin wound repair in the fetus. West J Med159:350, 1993

    Google Scholar 

  21. Marshall L, Ghosh MM, Boyce SG, et al.: Effect of glycerol on intracellular virus survival; Implications for the clinical use of glycerol-preserved cadaver skin. Burns21:356, 1995

    Article  PubMed  CAS  Google Scholar 

  22. Matsuda K, Suzuki S, Issiki N, et al.: Two layers of artificial skin that is refrozen and dried. Burns17:77, 1991

    Google Scholar 

  23. Morita S, Takasawa H, Matsuda K, et al.: Re-freeze dried bilayers artificial skin. Proc 1st Far-East Symp Biomed Mater, 1993, pp 109–110

  24. Osaki K, Konishi A, Ikegami K, et al.: New trial use of “artificial skin.” Artif Intern Organs20:497, 1993

    Google Scholar 

  25. Oura T, Sugihara H, Nakamura Y, et al.: Clinical use of Terdermis as dermal substitute for serious dermal defect cases. Base Clinic28:114, 1994

    Google Scholar 

  26. Oura T, Honda K, Nara T, et al. Experience of using dermal substitutes: Neo-Matrix for full-thickness dermal defect wounds. Pharmacol Ther23:1635, 1995

    Google Scholar 

  27. Rowden G, Lewis MG, Sullivan AK: Ia antigen expression or human epidermal Langerhans cells. Nature (Lond)268:247, 1977

    Article  CAS  Google Scholar 

  28. Sakurai M, Takami Y, Tanaka H, et al.: Study of dermal substitutes taking process; Difference between an acellular dermal matrix and an artificial skin. 23th Japan Burn Society General Meeting, Excerpts, 1997, p 124

  29. Sedmak DD, Orosz CG: The role of vascular endothelial cells in transplantation. Arch Pathol Lab Med115:260, 1991

    PubMed  CAS  Google Scholar 

  30. Suzuki S, Issiki N: Clinical studies of using re-frozen and dried 2-layer artificial skin (GM901). Plast Reconstr Surg36:479, 1993

    Google Scholar 

  31. Takami Y, Kubota J, Ogo K: Factors that stimulate taking in artificial skin grafts. 6th Japan Plastic and Reconstructive Surgery Society Basic Meeting, Excerpts, 1997, p 58

  32. Yannus IV, Burke JF: Design of an artificial skin. I. Basic design principles. J Biomed Master Res14:65, 1980

    Article  Google Scholar 

  33. Yannus IV, Burke JF, Gordon PL, et al.: Design of an artificial skin. II. Control of chemical composition. J Biomed Mater Res14:107, 1980

    Article  Google Scholar 

  34. Yannus IV, Burke JF, Warpehoski M, et al.: Prompt, longterm functional replacement of skin. Trans Am Soc Artif Intern Organs27:19, 1981

    Google Scholar 

  35. Yannus IV, Burke JF, Orgill DP, et al.: Wound tissue can utilize a polymeric template to synthesize a functional extension of skin. Science215:174, 1982

    Article  Google Scholar 

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Mizuno, H., Takeda, A. & Uchinuma, E. Creation of an acellular dermal matrix from frozen skin. Aesth. Plast. Surg. 23, 316–322 (1999). https://doi.org/10.1007/s002669900292

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