Provenance skin and preparation method thereof
Technical field
The present invention relates to field of tissue engineering technology, more particularly, to a kind of provenance skin and preparation method thereof.
Background technique
Skin is a kind of particular tissues organ, it plays the stimulation for resisting external buffer environment, moisture evaporation, metabolin row
Out, it breathes freely, prevents disease, adjusts the effects of body temperature, when encountering the illnesss such as skin burn, burn into tearing, need a large amount of skin
It is treated in source.However donor skin is very limited, the especially treatment of the extensive deep burn wounded, the first preferred embodiment is certainly
Body dermatoplasty, if the new surface of a wound of skin donor site can not only be generated by carrying out auto-skin grafting, but also since dermal lesions can also
Cause the formation of skin donor site stasis of blood trace and pigmentation, it is often more important that large-area burns sufferer has been in no micromicro and has moved, to this kind of trouble
For person, it is vital for transplanting corresponding provenance skin in time.
In the prior art, the scheme that can be used for treating big surface skin product defect has three: one temporary skin substitute, such as
Organic film and cream, synthesis bracket, natural scaffold etc., major product someone and Animal Skin tendon bracket, Integra Skin, collagen egg
White quasi polymer etc., this kind of substitute to be mainly characterized by no bioactivity, material source wide, cheap, can only conduct
Interim substitution, lacks skin patient to large area, can not solve the root problem for lacking skin;Secondly bracket and cell fusion object, such as silica gel-
Collagen-cell skin, pigskin-cell skin, beef tendon-cell skin etc., major product have Dermatograft, pigskin-fibroblast,
Beef tendon-fibroblast etc., point for being mainly characterized by bioactivity, can induce autologous skin correlation factor of this kind of fusions
It secretes, plays the role of inducing skin growth, autologous patient skin repair system can not be established;Thirdly skin of living body culture, such as people
Skin bit culture, double-layer cell culture, donor graft etc., major product have cell sheet, Apligrat, fell block etc., this kind of culture
Object has been mainly characterized by that bioactivity, to establish autologous patient skin repair system, raw material sources limited, is adapted only to small range
Transplanting, it is difficult to form bulk article.It can be seen that needing to formulate a kind of provenance skin, it has bioactivity, can establish self
Skin repair system can manufacture, can be used for the scarce skin patient of large area.
Summary of the invention
The first object of the present invention is to provide a kind of preparation method of provenance skin, and this method comprises the following steps:
1) epidermis and subcutaneous tissue for going antigen Animal Skin, obtain the middle layer with a thickness of 0.1~0.6mm, described
2~25/cm is pressed in middle layer2Uniformly set through-hole, the diameter of the through-hole is 0.1~4.2mm, obtained after sterilizing antigen without
Bacterium has hole Animal Skin;
2) the sterile deep layer skin side for having hole Animal Skin of antigen is gone to plant fibroblast described, in shallow layer skin side opening kind
Keratinocyte and melanocyte are planted to get the provenance skin.
There is bioactivity using the provenance skin that preparation method of the invention obtains, can establish autologous skin dummy
System, can manufacture, and can be used for large area and lacks skin patient.
Wherein, through-hole refers to through the hole of middle layer.
In a preferred embodiment of the invention, the source for removing antigen germfree animal cortex be pig, ox, sheep or
Rabbit, preferably pig.
In a preferred embodiment of the invention, the middle layer with a thickness of 0.1~0.5mm, preferably 0.3~
0.4mm。
In a preferred embodiment of the invention, the density in the hole is 10~15/cm2, the diameter in hole is 3.0~
3.6mm。
In the present invention, fibroblast, keratinocyte and melanocyte can be by being commercially available, and above-mentioned three kinds
Cell is preferably same antigenic type.Above-mentioned three kinds of cells preferentially select prepuce tissues source.
Wherein, fibroblast, keratinocyte and the preparation of melanocyte cell include the following steps:
1) provenance comes from Wrapping annulus cuts operation relic tissue;
2) tissue in step 1) source is sufficiently cleaned through sterile saline, to be impregnated 5 minutes in 75% medicinal alcohol,
After physiology salt is washed 1 time, 8 minutes in 0.2% new gill goes out, then washed 2 times with PBS solution, with neutral proteinase and tryptose
Enzyme separates the cell of different levels, is collected in different test tubes respectively, and indicate level;
3) fibroblastic histocyte block DMEM culture medium culture will be contained, will be used containing keratinocyte
Histocyte block containing melanocyte is respectively obtained into fiber finer with MCDB culture medium culture by DKSFM culture medium culture
Born of the same parents, keratinocyte and melanocyte.Wherein, condition of culture are as follows: 37 DEG C, saturated humidity, 5%CO2It is cultivated in incubator,
2/3 culture solution was changed every 3-5 days, until cell 90% contacts, is collected cell with pancreas enzyme -EDTA solution digestion, is used according to 3-4 times
Corresponding culture medium diluting cells.
The spent antigen defatted animal micromicro of the present invention is with oneself processing or commercial goods.Wherein, described to go antigen animal
Skin be preferably grease removal, removal of impurities, except DNA, except removing antigen animal cortex after RNA and de- antigen.It can be used in this field often
Method carrys out grease removal, cleans, removes DNA, removing RNA and de- antigen.Wherein, more preferably be by dodecyl sulphate
Sodium, sodium hydroxide, peregal, bleeding agent, ammonium sulfate, neutral proteinase, lipase, DNA enzymatic, RNA enzyme, impulse electric field, without from
A series of processing such as sub- water with grease removal, removal of impurities, remove DNA, except RNA, de- antigen.In preparation flow, Animal Skin must not with it is any
The poisonous and harmful drug contacts such as heavy metal ion, dyestuff, benzene class.
In a preferred embodiment of the invention, the specific steps of the sterilizing are as follows: respectively successively by obtained cortex
10~60min, sterile rinsing agent are handled by hypochlorous acid, new gill goes out 10~60min of processing, again through physiology after sterile water washing
Saline treatment.Wherein, more preferably, obtained cortex is successively handled into 30~40min, sterile washing by hypochlorous acid respectively
Agent, new gill go out 30~40min of processing, handle again through physiological saline after sterile water washing.More preferably, the cortex that will be obtained
It successively sterilizes 30 minutes by 0.7~0.9ppm hypochlorous acid, sterile rinsing agent 3 times, 0.2% new gill sterilizes 30 minutes, nothing
Bacterium is washed 2 times, and medical grade physiological saline is handled 2 times, obtains antigen germfree animal skin.
In a preferred embodiment of the invention, step 2) specifically:
It goes to the sterile deep layer skin side for having hole Animal Skin of antigen to plant fibroblast described, is cultivated in DMEM culture medium
It is contacted to cell 50%~80%, sucks culture medium;Keratinocyte and melanin are planted in the hole of the shallow layer skin side
Cell, DKSFM the and MCDB culture medium for being 1:1 with ratio are cultivated to outside cell proliferation overfolw hole.
Wherein, fibroblast preferably is planted in the hole for going to the sterile deep layer skin side for having hole Animal Skin of antigen.
In a preferred embodiment of the invention, the preparation method of provenance skin specifically comprises the following steps:
1) epidermis and subcutaneous tissue for going antigen Animal Skin, obtain the middle layer with a thickness of 0.1~0.6mm, described
2~25/cm is pressed in middle layer2Uniformly set through-hole, the diameter of the through-hole is 0.1~4.2mm, obtained after sterilizing antigen without
Bacterium has hole Animal Skin;
2) hole Animal Skin is laid in culture dish by the antigen is sterile, upward by deep layer skin side, according to 0.1~
0.2ml/cm2Add culture medium, 37 DEG C of incubation at least 3h remove culture medium, and the fibroblast and DMEM training are added in hole
Base is supported, culture to 50-80% contacts, and sucks culture medium;Keratinocyte is planted in the shallow-layer hole skin and melanin is thin
Born of the same parents, additional proportion are (1~5): 1 DKSFM and MCDB culture medium, 3d change a subculture, until outside cell proliferation overfolw hole.
Another object of the present invention is to provide the provenance skins obtained by above-mentioned preparation method.
A further object of the present invention is to provide above-mentioned preparation methods or the provenance skin as made from above-mentioned preparation method to exist
Prepare the application in burn wound graft or beauty treatment skin, especially answering in the graft for the treatment of II degree burn wound
With.
The present invention is 2-25 according to density by the way that 0.1~0.6mm of thickness is removed antigen germfree animal (pig, ox etc.) skin
A/cm2It uniformly punches, bore dia 0.1-4.2mm, fibroblast is planted in deep layer surface hole, plants angle in shallow layer skin face
Matter forms cell and melanocyte mixture, can be used to skin substitutes transplanting outside cell proliferation overfolw hole.Kind of the invention
Source skin solves the problems, such as skin source deficiency, is mainly used for lacking skin patient, provides kind of a skin for the sufferer of skin-grafting.The kind that the present invention obtains
Source skin can especially meet the needs of II degree burn wound patient well.
Specific embodiment
With reference to embodiment, the embodiment of the present invention is furthur described in detail.Following embodiment is used for
Illustrate the present invention, but is not intended to limit the scope of the invention.
Unless otherwise specified, the conventional means that technological means used is well known to those skilled in the art in embodiment, institute
It is commercial goods with raw material.
Embodiment 1
Present embodiments provide a kind of provenance skin, it is specific the preparation method is as follows:
1, sterile to remove antigen degreasing pigskin layer
1) pigskin passes through lauryl sodium sulfate, sodium hydroxide, peregal, bleeding agent, ammonium sulfate, neutral proteinase, rouge
A series of processing such as fat enzyme, DNA enzymatic, RNA enzyme, impulse electric field, deionized water, with grease removal, removal of impurities, except DNA, except RNA, de- anti-
It is former;
2) step 1) is obtained into skin through plane layer machine except epidermis and subcutaneous tissue, makes intermediate layer thickness 0.4mm;
3) go antigen degreasing pigskin according to 15/cm for what step 2) obtained2Uniformly punching, bore dia 3.0mm.
4) pigskin that step 3) obtains successively is passed through 0.9-1.0ppm hypochlorous acid to sterilize 50 minutes, sterile rinsing agent 3 times,
0.5% new gill sterilizes 50 minutes, and sterile washing 2 times, medical grade physiological saline is handled 2 times, obtains antigen germfree animal
There is hole skin.
2, kind source cell preparation
1) provenance is from Chinese Fetal Foreskin Fibroblasts ring cutting operation relic;
2) tissue in step 1) source is sufficiently cleaned through sterile saline, to be impregnated 5 minutes in 75% medicinal alcohol,
After physiology salt is washed 1 time, sterilize 8 minutes in 0.2% new gill goes out, then washed 2 times with PBS solution, with neutral proteinase and pancreas
Protease separates the histocyte block of different levels, is collected in different test tubes respectively;
3) fibroblastic histocyte block DMEM culture medium culture will be contained, will be used containing keratinocyte
Histocyte block containing melanocyte is respectively obtained into fiber finer with MCDB culture medium culture by DKSFM culture medium culture
Born of the same parents, keratinocyte and melanocyte, condition of culture are as follows: 37 DEG C, saturated humidity, 5%CO2It is cultivated in incubator, every
2/3 culture solution is changed within 3-5 days, until cell 90% contacts, cell is collected with pancreas enzyme -EDTA solution digestion, is used pair according to 3-4 times
Answer culture medium diluting cells.
3, provenance skin preparation method
1) go antigen is sterile to have hole pigskin laying in (deep layer skin side is upward) in culture dish, according to 0.l-0.2ml/cm2Add
Culture medium, 37 DEG C incubate 3 hours or more, suck culture medium, plant fibroblast, DMEM culture medium are added, until cell 60%
Contact, obtains skin-cell;
2) skin-cell for cultivating step 1), changes a subculture in 3 days and sucks culture medium after 7 days, remove skin-cell
Compound, overturning, down (cellular layer is downward), plantation keratinocyte and melanocyte mix deep layer in shallow-layer face
Body (ratio of two kinds of cells is 5:1), adds DKSFM and MCDB culture medium each 50%, changes a subculture within 3 days, until cell is numerous
It grows outside overfolw hole, obtains provenance skin;
3) step 2) is removed into provenance skin, according to the size of patient wound, shape, cuts provenance skin, kind at this time
Source skin can be used for skin substitutes transplanting.
Embodiment 2
A kind of provenance skin is present embodiments provided, specific preparation method is same as Example 1, is different only in that, this reality
It is commercially available for applying fibroblast, keratinocyte and melanocyte in example, is synantigen type.
Embodiment 3
A kind of provenance skin is present embodiments provided, specific preparation method is same as Example 1, is different only in that, in nothing
Bacterium goes in the step 3) of antigen degreasing pigskin layer according to 2/cm2Uniformly punching, bore dia 4.2mm.
Embodiment 4
A kind of provenance skin is present embodiments provided, specific preparation method is same as Example 1, is different only in that, in nothing
Bacterium goes in the step 3) of antigen degreasing pigskin layer according to 25/cm2Uniformly punching, bore dia 0.1mm.
Embodiment 5
A kind of provenance skin is present embodiments provided, specific preparation method is same as Example 1, is different only in that, this reality
Applying example is ox-hide.
Experimental example
Comparative example 1 used in this experimental example is the provenance skin being commercialized in this field.
Clinical report
1, experimental subjects
II degree burnt degree advanced stage granulation wound, and the age is no more than 60 years old research object.The research object is not suffered a shock
The complex injuries such as phase, chemical poisoning do not merge the serious primary disease such as angiocarpy, the cerebrovascular, liver, kidney, hemopoietic system, do not have
Allergic constitution person or autoimmune disease person.
2, experimental method
1) preoperative planning blood, routine urinalysis, Liver and kidney function.
2) transfer operation
It will be in the dermatoplasty of cultured Examples 1 to 5 and comparative example 1 to II degree burnt degree advanced stage granulation wound.
By the composite skin graft being attached on petrolatum gauze on the surface of a wound, downwards, epidermis faces upward corium, will be answered with 3-0 silk thread
Skin closure is closed, the surface of a wound is fixed on, stays long line, salt water gauze with big mesh is placed on petrolatum gauze, is packaged slightly pressure dressing.
3) postoperative with sensitive antibiotic 5-7 days.
After postoperative 7-10 days of granulation wound Composite skin, suture is cut off, soaks internal layer dressing with physiological saline, gently
After removal, inspects transplanting Composite Skin and survived situation by area, observe color, secretion, the edge of wound situation of skin.With oil gauze, salt
Water gauze and gauze continue slightly pressurized package, dressing 2 times weekly in art the latter moon.
3, efficacy assessment standard
It is effective: 75% or more composite skin wound healing of transplanting.
Effective: transplanting composite skin wound healing is in 30%-75%.
Invalid: transplanting composite skin wound healing is not and 30%.
4, experimental result
This experiment has carried out clinical research in certain research institute, is selected in 30 patients altogether, is randomly divided into 6 groups, 6 groups use respectively
Skin in Examples 1 to 5 and comparative example 1 is observed through art the latter moon, evaluates it and tissue engineering composite skin transplanting is repaired
The improvement situation of multiple deep burn and scar, the curative effect of each MAIN OUTCOME MEASURES are as follows:
(1) it wound secretion: is oozed out without wound secretion.
(2) surface of a wound swelling: noninvasive edema of the face is swollen.
(3) edge of wound reacts: being negative reaction (reacting without edge of wound)
(4) wound healing percentage: using having 4 after the transfer 22 days or so in 5 of the provenance skin of embodiment 1
It is effective;Using have in 5 of the provenance skin of embodiment 24 after the transfer 23 days or so it is effective;Use the kind of embodiment 3
Have in 5 of source skin 4 after the transfer 25 days or so it is effective;Using have in 5 of the provenance skin of embodiment 45
After the transfer 25 days or so it is effective;Using have in 5 of the provenance skin of embodiment 54 after the transfer 28 days or so it is effective;
Using have in 5 of the provenance skin of comparative example 13 transplanting one month after it is effective.
Simultaneously more compared with the effect in comparative example 1 using patient's postoperation recovery effect of the provenance skin of Examples 1 to 5
It is good, it can preferably be merged with patient's autologous skin, rejection is less.
Finally, method of the invention is only preferable embodiment, it is not intended to limit the scope of the present invention.It is all
Within the spirit and principles in the present invention, any modification, equivalent replacement, improvement and so on should be included in protection of the invention
Within the scope of.