Multi-faceted enhancement of full-thickness skin wound healing by treatment with autologous micro skin tissue columns

Abstract Impaired wound healing is an immense medical challenge, and while autologous skin grafting remains the “gold-standard” therapeutic option for repairing wounds that cannot be closed by primary or secondary intention, it is limited by substantial donor site morbidity. We previously developed...

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Autores principales: Christiane Fuchs, Linh Pham, Jermaine Henderson, Katherine J. Stalnaker, R. Rox Anderson, Joshua Tam
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/47e2cf79e6ba418886e310ad08841f72
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spelling oai:doaj.org-article:47e2cf79e6ba418886e310ad08841f722021-12-02T14:09:02ZMulti-faceted enhancement of full-thickness skin wound healing by treatment with autologous micro skin tissue columns10.1038/s41598-021-81179-72045-2322https://doaj.org/article/47e2cf79e6ba418886e310ad08841f722021-01-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-81179-7https://doaj.org/toc/2045-2322Abstract Impaired wound healing is an immense medical challenge, and while autologous skin grafting remains the “gold-standard” therapeutic option for repairing wounds that cannot be closed by primary or secondary intention, it is limited by substantial donor site morbidity. We previously developed the alternative approach of harvesting full-thickness skin tissue in the form of “micro skin tissue columns” (MSTCs), without causing scarring or any other long-term morbidity. In this study we investigated how MSTC treatment affects the different cellular processes involved in wound healing. We found that MSTC-derived cells were able to remodel and repopulate the wound volume, and positively impact multiple aspects of the wound healing process, including accelerating re-epithelialization by providing multiple cell sources throughout the wound area, increasing collagen deposition, enhancing dermal remodeling, and attenuating the inflammatory response. These effects combined to enhance both epidermal and dermal wound healing. This MSTC treatment approach was designed for practical clinical use, could convey many benefits of autologous skin grafting, and avoids the major drawback of donor site morbidity.Christiane FuchsLinh PhamJermaine HendersonKatherine J. StalnakerR. Rox AndersonJoshua TamNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-13 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Christiane Fuchs
Linh Pham
Jermaine Henderson
Katherine J. Stalnaker
R. Rox Anderson
Joshua Tam
Multi-faceted enhancement of full-thickness skin wound healing by treatment with autologous micro skin tissue columns
description Abstract Impaired wound healing is an immense medical challenge, and while autologous skin grafting remains the “gold-standard” therapeutic option for repairing wounds that cannot be closed by primary or secondary intention, it is limited by substantial donor site morbidity. We previously developed the alternative approach of harvesting full-thickness skin tissue in the form of “micro skin tissue columns” (MSTCs), without causing scarring or any other long-term morbidity. In this study we investigated how MSTC treatment affects the different cellular processes involved in wound healing. We found that MSTC-derived cells were able to remodel and repopulate the wound volume, and positively impact multiple aspects of the wound healing process, including accelerating re-epithelialization by providing multiple cell sources throughout the wound area, increasing collagen deposition, enhancing dermal remodeling, and attenuating the inflammatory response. These effects combined to enhance both epidermal and dermal wound healing. This MSTC treatment approach was designed for practical clinical use, could convey many benefits of autologous skin grafting, and avoids the major drawback of donor site morbidity.
format article
author Christiane Fuchs
Linh Pham
Jermaine Henderson
Katherine J. Stalnaker
R. Rox Anderson
Joshua Tam
author_facet Christiane Fuchs
Linh Pham
Jermaine Henderson
Katherine J. Stalnaker
R. Rox Anderson
Joshua Tam
author_sort Christiane Fuchs
title Multi-faceted enhancement of full-thickness skin wound healing by treatment with autologous micro skin tissue columns
title_short Multi-faceted enhancement of full-thickness skin wound healing by treatment with autologous micro skin tissue columns
title_full Multi-faceted enhancement of full-thickness skin wound healing by treatment with autologous micro skin tissue columns
title_fullStr Multi-faceted enhancement of full-thickness skin wound healing by treatment with autologous micro skin tissue columns
title_full_unstemmed Multi-faceted enhancement of full-thickness skin wound healing by treatment with autologous micro skin tissue columns
title_sort multi-faceted enhancement of full-thickness skin wound healing by treatment with autologous micro skin tissue columns
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/47e2cf79e6ba418886e310ad08841f72
work_keys_str_mv AT christianefuchs multifacetedenhancementoffullthicknessskinwoundhealingbytreatmentwithautologousmicroskintissuecolumns
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AT jermainehenderson multifacetedenhancementoffullthicknessskinwoundhealingbytreatmentwithautologousmicroskintissuecolumns
AT katherinejstalnaker multifacetedenhancementoffullthicknessskinwoundhealingbytreatmentwithautologousmicroskintissuecolumns
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