CN109045357B - Provenance skin and preparation method thereof - Google Patents

Provenance skin and preparation method thereof Download PDF

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Publication number
CN109045357B
CN109045357B CN201811236839.XA CN201811236839A CN109045357B CN 109045357 B CN109045357 B CN 109045357B CN 201811236839 A CN201811236839 A CN 201811236839A CN 109045357 B CN109045357 B CN 109045357B
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skin
preparation
hole
provenance
antigen
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CN109045357A (en
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孙理华
张勇
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Wang Xiaomin
Zhang Yong
Zheng Rui
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Wuhan Aoxiang Biotechnology Co Ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/36Materials for grafts or prostheses or for coating grafts or prostheses containing ingredients of undetermined constitution or reaction products thereof, e.g. transplant tissue, natural bone, extracellular matrix
    • A61L27/3604Materials for grafts or prostheses or for coating grafts or prostheses containing ingredients of undetermined constitution or reaction products thereof, e.g. transplant tissue, natural bone, extracellular matrix characterised by the human or animal origin of the biological material, e.g. hair, fascia, fish scales, silk, shellac, pericardium, pleura, renal tissue, amniotic membrane, parenchymal tissue, fetal tissue, muscle tissue, fat tissue, enamel
    • A61L27/362Skin, e.g. dermal papillae
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    • C12N5/00Undifferentiated human, animal or plant cells, e.g. cell lines; Tissues; Cultivation or maintenance thereof; Culture media therefor
    • C12N5/06Animal cells or tissues; Human cells or tissues
    • C12N5/0697Artificial constructs associating cells of different lineages, e.g. tissue equivalents
    • C12N5/0698Skin equivalents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K35/00Medicinal preparations containing materials or reaction products thereof with undetermined constitution
    • A61K35/12Materials from mammals; Compositions comprising non-specified tissues or cells; Compositions comprising non-embryonic stem cells; Genetically modified cells
    • A61K35/36Skin; Hair; Nails; Sebaceous glands; Cerumen; Epidermis; Epithelial cells; Keratinocytes; Langerhans cells; Ectodermal cells
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/36Materials for grafts or prostheses or for coating grafts or prostheses containing ingredients of undetermined constitution or reaction products thereof, e.g. transplant tissue, natural bone, extracellular matrix
    • A61L27/38Materials for grafts or prostheses or for coating grafts or prostheses containing ingredients of undetermined constitution or reaction products thereof, e.g. transplant tissue, natural bone, extracellular matrix containing added animal cells
    • A61L27/3804Materials for grafts or prostheses or for coating grafts or prostheses containing ingredients of undetermined constitution or reaction products thereof, e.g. transplant tissue, natural bone, extracellular matrix containing added animal cells characterised by specific cells or progenitors thereof, e.g. fibroblasts, connective tissue cells, kidney cells
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/36Materials for grafts or prostheses or for coating grafts or prostheses containing ingredients of undetermined constitution or reaction products thereof, e.g. transplant tissue, natural bone, extracellular matrix
    • A61L27/38Materials for grafts or prostheses or for coating grafts or prostheses containing ingredients of undetermined constitution or reaction products thereof, e.g. transplant tissue, natural bone, extracellular matrix containing added animal cells
    • A61L27/3804Materials for grafts or prostheses or for coating grafts or prostheses containing ingredients of undetermined constitution or reaction products thereof, e.g. transplant tissue, natural bone, extracellular matrix containing added animal cells characterised by specific cells or progenitors thereof, e.g. fibroblasts, connective tissue cells, kidney cells
    • A61L27/3813Epithelial cells, e.g. keratinocytes, urothelial cells
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/36Materials for grafts or prostheses or for coating grafts or prostheses containing ingredients of undetermined constitution or reaction products thereof, e.g. transplant tissue, natural bone, extracellular matrix
    • A61L27/38Materials for grafts or prostheses or for coating grafts or prostheses containing ingredients of undetermined constitution or reaction products thereof, e.g. transplant tissue, natural bone, extracellular matrix containing added animal cells
    • A61L27/3886Materials for grafts or prostheses or for coating grafts or prostheses containing ingredients of undetermined constitution or reaction products thereof, e.g. transplant tissue, natural bone, extracellular matrix containing added animal cells comprising two or more cell types
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/50Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L27/00Materials for grafts or prostheses or for coating grafts or prostheses
    • A61L27/50Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
    • A61L27/60Materials for use in artificial skin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P17/00Drugs for dermatological disorders
    • A61P17/02Drugs for dermatological disorders for treating wounds, ulcers, burns, scars, keloids, or the like
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    • C12N2502/00Coculture with; Conditioned medium produced by
    • C12N2502/09Coculture with; Conditioned medium produced by epidermal cells, skin cells, oral mucosa cells
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    • C12N2502/00Coculture with; Conditioned medium produced by
    • C12N2502/09Coculture with; Conditioned medium produced by epidermal cells, skin cells, oral mucosa cells
    • C12N2502/091Coculture with; Conditioned medium produced by epidermal cells, skin cells, oral mucosa cells melanocytes
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    • C12N2502/00Coculture with; Conditioned medium produced by
    • C12N2502/09Coculture with; Conditioned medium produced by epidermal cells, skin cells, oral mucosa cells
    • C12N2502/094Coculture with; Conditioned medium produced by epidermal cells, skin cells, oral mucosa cells keratinocytes
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    • C12N2502/00Coculture with; Conditioned medium produced by
    • C12N2502/13Coculture with; Conditioned medium produced by connective tissue cells; generic mesenchyme cells, e.g. so-called "embryonic fibroblasts"
    • C12N2502/1323Adult fibroblasts
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    • C12N2502/00Coculture with; Conditioned medium produced by
    • C12N2502/13Coculture with; Conditioned medium produced by connective tissue cells; generic mesenchyme cells, e.g. so-called "embryonic fibroblasts"
    • C12N2502/1335Skeletal muscle cells, myocytes, myoblasts, myotubes
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    • C12N2502/00Coculture with; Conditioned medium produced by
    • C12N2502/28Vascular endothelial cells

Abstract

The present invention provides a kind of provenance skins and preparation method thereof.The preparation method includes the following steps: the epidermis and subcutaneous tissue that 1) go antigen Animal Skin, obtains the middle layer with a thickness of 0.1~0.6mm, presses 2~25/cm on the middle layer2Uniformly set through-hole, the diameter of the through-hole is 0.1~4.2mm, obtains that antigen is sterile hole Animal Skin after sterilizing;2) it goes to the sterile deep layer skin side for having hole Animal Skin of antigen to plant fibroblast described, plants keratinocyte and melanocyte in shallow layer skin side opening to get the provenance skin.Provenance skin of the invention can realize the healing of the surface of a wound especially II degree burn wound quickly.Preparation method in the present invention makes its application on human skin that large-scale production may be implemented, to cope with the case for being badly in need of large area skin transplanting.

Description

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.

Claims (9)

1. a kind of preparation method of provenance skin, which comprises the steps of:
1) epidermis and subcutaneous tissue for going antigen Animal Skin, obtain the middle layer with a thickness of 0.1~0.6mm, in the centre 10~15/cm is pressed on layer2Through-hole is uniformly set, the diameter of the through-hole is 3.0~3.6mm, must go antigen is sterile to have after sterilizing Hole Animal Skin;It is described to go to antigen germfree animal skin source for pig;
2) it is described go antigen it is sterile have hole Animal Skin deep layer skin side plant fibroblast, cultivated in DMEM culture medium to Cell 50%~80% contacts, and sucks culture medium;Keratinocyte and melanocyte are planted in the hole of shallow layer skin side, are used Ratio is outside DKSFM the and MCDB culture medium culture to cell proliferation overfolw hole of 1:1.
2. preparation method according to claim 1, which is characterized in that the middle layer with a thickness of 0.1~0.5mm.
3. preparation method according to claim 2, which is characterized in that the middle layer with a thickness of 0.3~0.4mm.
4. preparation method according to claim 1, which is characterized in that the fibroblast, keratinocyte and The source of melanocyte is prepuce tissues.
5. preparation method according to claim 1, which is characterized in that the ratio of the keratinocyte and melanocyte Example is (1~5): 1.
6. preparation method according to claim 5, which is characterized in that the ratio of the keratinocyte and melanocyte Example is 5:1.
7. preparation method according to claim 1, which is characterized in that the specific steps of the sterilizing are as follows: the skin that will be obtained Layer difference successively passes through hypochlorous acid and handles 10~60min, sterile rinsing agent, and new gill goes out 10~60min of processing, sterile water washing It is handled again through physiological saline afterwards.
8. the provenance skin that preparation method described in any one of claims 1 to 7 is prepared.
9. preparation method described in any one of claims 1 to 7 or provenance skin according to any one of claims 8 are burnt in preparation treatment The graft of wound or the application in beauty treatment skin.
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