Mechanical compliance and immunological compatibility of fixative-free decellularized/cryopreserved human pericardium.

<h4>Background</h4>The pericardial tissue is commonly used to produce bio-prosthetic cardiac valves and patches in cardiac surgery. The procedures adopted to prepare this tissue consist in treatment with aldehydes, which do not prevent post-graft tissue calcification due to incomplete xe...

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Autores principales: Maria Cristina Vinci, Giulio Tessitore, Laura Castiglioni, Francesca Prandi, Monica Soncini, Rosaria Santoro, Filippo Consolo, Francesca Colazzo, Barbara Micheli, Luigi Sironi, Gianluca Polvani, Maurizio Pesce
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Publicado: Public Library of Science (PLoS) 2013
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spelling oai:doaj.org-article:357eabc4e45a449eb5f8b1a7116e660f2021-11-18T07:45:02ZMechanical compliance and immunological compatibility of fixative-free decellularized/cryopreserved human pericardium.1932-620310.1371/journal.pone.0064769https://doaj.org/article/357eabc4e45a449eb5f8b1a7116e660f2013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23705010/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>The pericardial tissue is commonly used to produce bio-prosthetic cardiac valves and patches in cardiac surgery. The procedures adopted to prepare this tissue consist in treatment with aldehydes, which do not prevent post-graft tissue calcification due to incomplete xeno-antigens removal. The adoption of fixative-free decellularization protocols has been therefore suggested to overcome this limitation. Although promising, the decellularized pericardium has not yet used in clinics, due to the absence of proofs indicating that the decellularization and cryopreservation procedures can effectively preserve the mechanical properties and the immunologic compatibility of the tissue.<h4>Principal findings</h4>The aim of the present work was to validate a procedure to prepare decellularized/cryopreserved human pericardium which may be implemented into cardiovascular homograft tissue Banks. The method employed to decellularize the tissue completely removed the cells without affecting ECM structure; furthermore, uniaxial tensile loading tests revealed an equivalent resistance of the decellularized tissue to strain, before and after the cryopreservation, in comparison with the fresh tissue. Finally, immunological compatibility, showed a minimized host immune cells invasion and low levels of systemic inflammation, as assessed by tissue transplantation into immune-competent mice.<h4>Conclusions</h4>Our results indicate, for the first time, that fixative-free decellularized pericardium from cadaveric tissue donors can be banked according to Tissue Repository-approved procedures without compromising its mechanical properties and immunological tolerance. This tissue can be therefore treated as a safe homograft for cardiac surgery.Maria Cristina VinciGiulio TessitoreLaura CastiglioniFrancesca PrandiMonica SonciniRosaria SantoroFilippo ConsoloFrancesca ColazzoBarbara MicheliLuigi SironiGianluca PolvaniMaurizio PescePublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 5, p e64769 (2013)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Maria Cristina Vinci
Giulio Tessitore
Laura Castiglioni
Francesca Prandi
Monica Soncini
Rosaria Santoro
Filippo Consolo
Francesca Colazzo
Barbara Micheli
Luigi Sironi
Gianluca Polvani
Maurizio Pesce
Mechanical compliance and immunological compatibility of fixative-free decellularized/cryopreserved human pericardium.
description <h4>Background</h4>The pericardial tissue is commonly used to produce bio-prosthetic cardiac valves and patches in cardiac surgery. The procedures adopted to prepare this tissue consist in treatment with aldehydes, which do not prevent post-graft tissue calcification due to incomplete xeno-antigens removal. The adoption of fixative-free decellularization protocols has been therefore suggested to overcome this limitation. Although promising, the decellularized pericardium has not yet used in clinics, due to the absence of proofs indicating that the decellularization and cryopreservation procedures can effectively preserve the mechanical properties and the immunologic compatibility of the tissue.<h4>Principal findings</h4>The aim of the present work was to validate a procedure to prepare decellularized/cryopreserved human pericardium which may be implemented into cardiovascular homograft tissue Banks. The method employed to decellularize the tissue completely removed the cells without affecting ECM structure; furthermore, uniaxial tensile loading tests revealed an equivalent resistance of the decellularized tissue to strain, before and after the cryopreservation, in comparison with the fresh tissue. Finally, immunological compatibility, showed a minimized host immune cells invasion and low levels of systemic inflammation, as assessed by tissue transplantation into immune-competent mice.<h4>Conclusions</h4>Our results indicate, for the first time, that fixative-free decellularized pericardium from cadaveric tissue donors can be banked according to Tissue Repository-approved procedures without compromising its mechanical properties and immunological tolerance. This tissue can be therefore treated as a safe homograft for cardiac surgery.
format article
author Maria Cristina Vinci
Giulio Tessitore
Laura Castiglioni
Francesca Prandi
Monica Soncini
Rosaria Santoro
Filippo Consolo
Francesca Colazzo
Barbara Micheli
Luigi Sironi
Gianluca Polvani
Maurizio Pesce
author_facet Maria Cristina Vinci
Giulio Tessitore
Laura Castiglioni
Francesca Prandi
Monica Soncini
Rosaria Santoro
Filippo Consolo
Francesca Colazzo
Barbara Micheli
Luigi Sironi
Gianluca Polvani
Maurizio Pesce
author_sort Maria Cristina Vinci
title Mechanical compliance and immunological compatibility of fixative-free decellularized/cryopreserved human pericardium.
title_short Mechanical compliance and immunological compatibility of fixative-free decellularized/cryopreserved human pericardium.
title_full Mechanical compliance and immunological compatibility of fixative-free decellularized/cryopreserved human pericardium.
title_fullStr Mechanical compliance and immunological compatibility of fixative-free decellularized/cryopreserved human pericardium.
title_full_unstemmed Mechanical compliance and immunological compatibility of fixative-free decellularized/cryopreserved human pericardium.
title_sort mechanical compliance and immunological compatibility of fixative-free decellularized/cryopreserved human pericardium.
publisher Public Library of Science (PLoS)
publishDate 2013
url https://doaj.org/article/357eabc4e45a449eb5f8b1a7116e660f
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