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Clinical Application and Histological Properties of Autologous Tissue-engineered Skin Equivalents Using an Acellular Dermal Matrix

期刊

JOURNAL OF NIPPON MEDICAL SCHOOL
卷 81, 期 6, 页码 356-363

出版社

MEDICAL ASSOC NIPPON MEDICAL SCH
DOI: 10.1272/jnms.81.356

关键词

tissue engineering; skin equivalent; acellular dermal matrix

资金

  1. Ministry of Education, Culture, Sports, Science and Technology of the Government of Japan [c-13671833, c-23592658]
  2. Grants-in-Aid for Scientific Research [23592658, 13671833] Funding Source: KAKEN

向作者/读者索取更多资源

We developed a transplantable tissue-engineered skin equivalent composed of autologous cultured keratinocytes, fibroblasts, and a decellularized allogeneic dermis (acellular allogeneic dermal matrix; ADM) obtained from cadavers. In a process taking 3 weeks, cultured autologous keratinocytes from burn patients were expanded and then grown on ADMs. The tissue-engineered autologous skin equivalents (TESEs) were then transplanted in a one-stage procedure to the debrided third-degree burn wounds of 4 patients. The mean graft survival rate was 96%. Delayed graft loss and graft fragility were not observed. Histological and immunohistological findings indicated that the transplanted TESE had similar characteristics to normal human split-thickness skin grafts. These results suggest that the TESE using ADM can be used for permanent repair of full-thickness skin defects.

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