TW201545779A - Method for production of decellularized biological material and the decellularized biological material prepared - Google Patents

Method for production of decellularized biological material and the decellularized biological material prepared Download PDF

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TW201545779A
TW201545779A TW103119129A TW103119129A TW201545779A TW 201545779 A TW201545779 A TW 201545779A TW 103119129 A TW103119129 A TW 103119129A TW 103119129 A TW103119129 A TW 103119129A TW 201545779 A TW201545779 A TW 201545779A
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decellularized
biological material
biomaterial
collagen
cells
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Ming-Thau Sheu
Hsiu-O Ho
Ying-Chen Chen
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Univ Taipei Medical
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Abstract

The invention provides a method for decellularization of a biological material to obtain a decellularized biological material. Compared to untreated biological material, the content of DNA of the decellularized biological material of the invention decreases to a low level and there is no significant reduction of glycosaminoglycan and collagen. The invention also provides a decellularized biological material prepared from the method of the invention and a support comprising the decellularized biological material.

Description

製備去細胞化生物材料之方法及由其製備之去細胞化生物材料 Method for preparing decellularized biological material and decellularized biological material prepared therefrom

本發明有關於去細胞化生物材料及用於產生該去細胞化生物材料之方法及其各種應用。更特定地,本發明有關於用甲酸進行去細胞化製備之去細胞化胞外基質(ECM)。 The present invention relates to decellularized biomaterials and methods for producing the decellularized biomaterials and their various applications. More specifically, the present invention relates to a decellularized extracellular matrix (ECM) prepared by decellularization with formic acid.

關節軟骨使得對接之關節面能在高負載下相對運動,且軟骨缺損伴有持續性疼痛與該關節之功能性限制並且因此被認為是嚴重的醫療問題。由於成熟軟骨細胞之代謝活性低與增殖速率弱,並且由於缺乏血管或淋巴管,而使受損的關節軟骨呈現受限的自我再生能力。由於自體或異體捐贈的組織匱乏,軟骨移植從未成功;此外,外科技術(如軟骨下骨鑽孔(drilling subchondral bone)、磨削性關節成形術(abrasion arthroplasty)或骨軟骨移植術(mosaicplasty))僅產生纖維軟骨及短暫的緩解,但當修復組織失效時,則發展成進行性病症。有鑑於嚴重地損害生活品質、當今治療的極限以及病患數目的不斷增加,對於探索退化性軟骨疾病之替代治療策略有高度急迫性;因此,這一直是軟骨組織工程學的主要動機。 Articular cartilage allows the butt joint surface to move relatively under high load, and the cartilage defect is accompanied by persistent pain and functional limitations of the joint and is therefore considered a serious medical problem. Due to the low metabolic activity and weak proliferation rate of mature chondrocytes, and the lack of blood vessels or lymphatic vessels, the damaged articular cartilage exhibits limited self-regeneration ability. Cartilage transplantation has never been successful due to lack of tissue donated by autologous or allogeneic; in addition, surgical techniques (such as drilling subchondral bone, abrasion arthroplasty or osteochoplasty (mosaicplasty) )) only fibrocartilage and transient relief are produced, but when the repaired tissue fails, it develops into a progressive condition. In view of the serious damage to quality of life, the limits of today's treatment, and the increasing number of patients, there is a high degree of urgency to explore alternative treatment strategies for degenerative cartilage; therefore, this has been the main motivation for cartilage tissue engineering.

軟骨是由軟骨細胞產生或維持之獨特胞外基質(ECM)組織而成。該ECM包括膠原蛋白纖維、主要II型膠原蛋白及連接蛋白(諸如蛋白 多糖(proteoglycan))、聚集蛋白聚糖(aggrecan)、葡糖胺聚糖(glycosamioglycan;GAG)及玻尿酸,其具有結構性功能以構成軟骨之機械特性、在軟骨細胞活性上具有回饋調節作用並且也成為軟骨細胞表型之特徵。多種天然或合成的支架已在動物模式中測試軟骨工程。天然支架藉由細胞表面受體與細胞交互作用,並且調節訊號通聯,但其可能在機械上地較差,並且遭受多種酵素主導之降解。透過修飾機械與化學特性,合成聚合物較為可控制及可預測。但是,除非特異性地結合,否則合成聚合物不會受益於直接細胞-支架的交互作用。因此,替代方法為使用去細胞化的組織。 Cartilage is a unique extracellular matrix (ECM) that is produced or maintained by chondrocytes. The ECM includes collagen fibers, major type II collagen, and connexins (such as proteins). Proteoglycan, aggrecan, glycosamioglycan (GAG) and hyaluronic acid, which have structural functions to constitute the mechanical properties of cartilage, have feedback regulation on chondrocyte activity and also Become a feature of the chondrocyte phenotype. A variety of natural or synthetic scaffolds have been tested for cartilage engineering in animal models. Natural scaffolds interact with cells via cell surface receptors and regulate signal communication, but they may be mechanically poor and suffer from a variety of enzyme-led degradation. Synthetic polymers are more controllable and predictable by modifying mechanical and chemical properties. However, synthetic polymers do not benefit from direct cell-scaffold interaction unless specifically bound. Therefore, an alternative method is to use decellularized tissue.

該去細胞化支架不僅做為支持性物質也調節細胞功能,例如細胞黏著、增殖、分泌ECM,以及藉由各種既存生物活性分子(例如,ECM、生長因子與細胞激素)之組織再生。ECM的成分在物種間通常具保留性,且即使對異種接受者也相當耐受。然而,異種或同種異體的細胞抗原被宿主認定為外來體,且因此可能誘發嚴重的發炎反應或免疫媒介排斥反應。細胞的移除降低免疫反應的風險以便異種非細胞ECM支架能被臨床上所應用,但其依照組織的種類、物種的來源以及去細胞化的方法而迥然不同。 The decellularized scaffold acts not only as a supporting substance but also as a supporting substance, such as cell adhesion, proliferation, secretion of ECM, and tissue regeneration by various existing bioactive molecules (eg, ECM, growth factors, and cytokines). The components of ECM are generally reserving between species and are fairly tolerant even to heterogeneous recipients. However, a heterologous or allogeneic cellular antigen is recognized by the host as an exosome, and thus may induce a severe inflammatory response or immune vector rejection. Removal of cells reduces the risk of immune response so that xenogeneic non-cellular ECM scaffolds can be used clinically, but vary widely depending on the type of tissue, the source of the species, and the method of decellularization.

WO 2008/146956係關於一種用於製備能使軟骨細胞或幹細胞貼附之細胞衍生ECM支架,其中使用清潔劑、有機磷化合物或介面活性劑以達成去細胞化。US 2012/0064043 A1提供一種產生半月板支架的方法,其包含同時用氧化劑與清潔劑來去除無關的物質並增加孔洞大小及其多孔性,使半月板組織去細胞化,並且於生物反應系統中於該組織上施予機械壓力。US 20140038290 A1揭露一種包含修飾之多糖之胞外基質,其修飾之多糖由重複的雙糖單元組成,該雙糖單元中的至少11%,一級醇基團被氧化成羧酸。US 20140023723 A1揭露一種製備包含去細胞化ECM之組合物的方法,其中藉由0.5% Triton X-100 之20mM氫氧化銨之磷酸鹽緩衝液(PBS)於37℃下處理5分鐘以形成塗佈有DM的組織培養基質,使該細胞分離自組織培養基質。 WO 2008/146956 relates to a cell-derived ECM scaffold for the preparation of chondrocytes or stem cells, wherein a detergent, an organophosphorus compound or an interfacial agent is used to achieve decellularization. US 2012/0064043 A1 provides a method of producing a meniscus stent comprising simultaneously removing an unrelated substance with an oxidizing agent and a cleaning agent and increasing the pore size and porosity thereof to decellularize the meniscus tissue and in the biological reaction system Mechanical pressure is applied to the tissue. US 20140038290 A1 discloses an extracellular matrix comprising a modified polysaccharide, the modified polysaccharide consisting of repeating disaccharide units, at least 11% of which are oxidized to a carboxylic acid. US 20140023723 A1 discloses a method of preparing a composition comprising decellularized ECM, wherein 0.5% Triton X-100 The 20 mM ammonium hydroxide phosphate buffer (PBS) was treated at 37 ° C for 5 minutes to form a DM-coated tissue culture substrate, and the cells were isolated from the tissue culture substrate.

Elder等人評估不同去細胞化處理(十二烷基硫酸鈉(SDS)、磷酸三丁酯、Triton X-100及低張再高張的溶液)在關節軟骨上的影響,且發現經2% SDS處理1或2小時顯著降低DNA含量並維持生物化學與生物機械特性(Elder BD,Eleswarapu SV,Athanasiou KA 2009.Extraction techniques for the decellularization of tissue engineered articular cartilage constructs.Biomaterials 30(22):3749-3756)。此外,SDS處理6或8小時導致完全去除細胞核,但是GAG含量與抗壓特性同時顯著降低。Thomas等人(Tissue Engineering:Part A,Volume 14,Number 4,2008,pp.505-518)藉由將半月板暴露於多次冷凍-解凍循環且培育在低張的三羥甲基胺基甲烷緩衝液、0.1%SDS之低張緩衝溶液外加蛋白酶抑制劑、核酸酶及高張緩衝液,並隨後以過氧乙酸消毒,使半月板去細胞化。該結果呈現其保留生物機械特性(主要結構蛋白)且未表現主要異種抗原決定區(半乳糖-α-1,3-半乳糖),但很可惜地,GAG有59.4%的損失。Kheir等人(Journal of Biomedical Materials Research A,Nov 2011,Vol.99A,Issue 2,pp.283-294)應用冷凍-解凍循環;接著循環培育於低張三羥甲基胺基甲烷緩衝液及0.1%(w/v)SDS之低張緩衝液外加蛋白酶抑制劑與核酸梅(核糖核酸酶與去氧核糖核酸酶),並且在使用0.1%(v/v)的過氧乙酸消毒。該去細胞化方法對軟骨之膠原蛋白含量有最小的影響。但是,對去細胞化組織之葡糖胺聚糖含量有顯著降低(98%損失)。 Elder et al. evaluated the effects of different decellularization treatments (sodium dodecyl sulfate (SDS), tributyl phosphate, Triton X-100, and hypotonic hypertonic solutions) on articular cartilage and found 2% SDS Treatment for 1 or 2 hours significantly reduced DNA content and maintained biochemical and biomechanical properties ( Elder BD, Eleswarapu SV, Athanasiou KA 2009. Extraction techniques for the decellularization of tissue engineered articular cartilage constructs. Biomaterials 30(22): 3749-3756 ) . In addition, SDS treatment for 6 or 8 hours resulted in complete removal of the nucleus, but the GAG content and compressive properties were significantly reduced at the same time. Thomas et al. ( College Engineering: Part A, Volume 14, Number 4, 2008, pp. 505-518 ) by exposing meniscus to multiple freeze-thaw cycles and cultivating in low tensile trishydroxymethylaminomethane A buffer solution, a 0.1% SDS low-tension buffer solution was added with a protease inhibitor, a nuclease, and a high-tension buffer, and then sterilized with peracetic acid to decellularize the meniscus. This result appears to retain its biomechanical properties (major structural protein) and does not exhibit a major heterologous epitope (galactose-α-1,3-galactose), but unfortunately, GAG has a 59.4% loss. Kheir et al. ( Journal of Biomedical Materials Research A, Nov 2011, Vol. 99A, Issue 2, pp. 283-294 ) applied a freeze-thaw cycle; followed by cycling in low- tension tris -hydroxymethylaminomethane buffer and 0.1 The low buffer of % (w/v) SDS was spiked with a protease inhibitor and nucleic acid plum (ribonuclease and deoxyribonuclease) and sterilized using 0.1% (v/v) peroxyacetic acid. This decellularization method has minimal effect on the collagen content of the cartilage. However, there was a significant decrease in the glycosaminoglycan content of decellularized tissues (98% loss).

酸處理用於去細胞化方案中溶解細胞的細胞質成分並去除核酸(Crapo PM,Gilbert TW,Badylak SF 2011.An overview of tissue and whole organ decellularization processes.Biomaterials 32(12):3233-3243)。然而,有些酸自生物材料去除細胞同時破壞該生物材料之生 物功能。例如,GAG與膠原蛋白顯著減少(Xiaochao Dong et al.,Mater Med(2009)20:2327-2336)。 Acid treatment is used to deplete cytoplasmic components of cells in a decellularization protocol and to remove nucleic acids ( Crapo PM, Gilbert TW, Badylak SF 2011. An overview of tissue and whole organ decellularization processes . Biomaterials 32(12): 3233-3243 ). However, some acids remove cells from biological materials while destroying the biological function of the biological material. For example, GAG and collagen are significantly reduced ( Xiaochao Dong et al., Mater Med (2009) 20: 2327-2336 ).

即使若干去細胞化處理已揭露,但仍有開發一種去細胞化方法的需求,以獲得具有令人滿意的去細胞化以及強度之ECM,其強度於功能上與未經處理之生物材料維持相等程度的GAG與膠原蛋白。 Even though several decellularization treatments have been uncovered, there is still a need to develop a decellularization method to obtain an ECM with satisfactory decellularization and strength that is functionally equivalent to untreated biological material. Degree of GAG and collagen.

本發明提供一種用於使生物材料去細胞化以獲得去細胞化的生物材料(諸如ECM、組織及器官)之方法。與未經處理之生物材料相比,本發明之去細胞化ECM的DNA含量降低至較低量,且GAG與膠原蛋白含量未顯著降低。 The present invention provides a method for decellularizing biological material to obtain decellularized biological materials such as ECM, tissues and organs. The DNA content of the decellularized ECM of the present invention was reduced to a lower amount compared to the untreated biomaterial, and the GAG and collagen content were not significantly reduced.

在一個態樣中,本發明提供一種用於產生去細胞化生物材料之方法,其包含提供具有細胞之未經處理之生物材料及用甲酸溶液在可自生物材料有效移除細胞及細胞核物質之濃度下處理生物材料,同時與未經處理之生物材料相比維持高於約85%的GAG。在一個實施例中,該方法與未經處理之生物材料相比進一步維持高於約75%的膠原蛋白。該去細胞化生物材料較佳為去細胞化ECM、組織或器官。 In one aspect, the invention provides a method for producing a decellularized biomaterial comprising providing an untreated biomaterial having cells and efficiently removing cells and nuclear material from the biomaterial with a formic acid solution The biomaterial is treated at a concentration while maintaining a GAG of greater than about 85% compared to the untreated biomaterial. In one embodiment, the method further maintains greater than about 75% collagen compared to the untreated biomaterial. The decellularized biomaterial is preferably a decellularized ECM, tissue or organ.

在一些實施例中,藉由本發明之方法處理之生物材料為皮膚、心瓣膜、心包、血管、脊髓、氣管、膀胱、韌帶、軟骨、半月板、盤、骨、硬膜、小腸黏膜下層、脊椎腦膜、腎、肝、肺或神經。藉由本發明之方法處理之組織及器官較佳為關節軟骨、半月板、盤組織(disc tissue)或骨骼組織。 In some embodiments, the biological material treated by the method of the present invention is skin, heart valve, pericardium, blood vessel, spinal cord, trachea, bladder, ligament, cartilage, meniscus, disc, bone, dura, small intestinal submucosa, spine Meninges, kidneys, liver, lungs or nerves. The tissues and organs treated by the method of the present invention are preferably articular cartilage, meniscus, disc tissue or bone tissue.

在一些實施例中,該溶液中的甲酸濃度在約10%(w/w)至約100%(w/w)、約15%(w/w)至約100%(w/w)、約20%(w/w)至約100%(w/w)、約30%(w/w)至約100%(w/w)、約40%(w/w)至約100%(w/w)、約50%(w/w)至約100%(w/w)、約60%(w/w)至約100%(w/w)、約70%(w/w)至約100%(w/w)、約80%(w/w)至約 100%(w/w)、約90%(w/w)至約100%(w/w)、約60%(w/w)至約99%(w/w)、約70%(w/w)至約99%(w/w)、約80%(w/w)至約99%(w/w)或90%(w/w)至約99%(w/w)範圍內。在一個實施例中,該甲酸溶液能進一步包含其他酸或共溶劑。在一個實施例中,用甲酸溶液處理生物材料小於15小時,較佳小於12小時,更佳為2至12小時。在一些實施例中,該生物材料與甲酸之比率為約1%(w/v)至約5%(w/v)、約丶%(w/v)至約4%(w/v)、約1%(w/v)至約3%(w/v)、約1%(w/v)至約2%(w/v)、約1.5%(w/v)至約5%(w/v)、1.5%(w/v)至約4%(w/v)、或1.5%(w/v)至約3%(w/v)。該生物材料與甲酸之比率為更佳為約2%。 In some embodiments, the formic acid concentration in the solution is from about 10% (w/w) to about 100% (w/w), from about 15% (w/w) to about 100% (w/w), about 20% (w/w) to about 100% (w/w), about 30% (w/w) to about 100% (w/w), about 40% (w/w) to about 100% (w/ w), from about 50% (w/w) to about 100% (w/w), from about 60% (w/w) to about 100% (w/w), from about 70% (w/w) to about 100 %(w/w), about 80% (w/w) to about 100% (w/w), about 90% (w/w) to about 100% (w/w), about 60% (w/w) to about 99% (w/w), about 70% (w/ w) to about 99% (w/w), from about 80% (w/w) to about 99% (w/w) or from 90% (w/w) to about 99% (w/w). In one embodiment, the formic acid solution can further comprise other acids or cosolvents. In one embodiment, the biological material is treated with the formic acid solution for less than 15 hours, preferably less than 12 hours, more preferably from 2 to 12 hours. In some embodiments, the ratio of the biomaterial to formic acid is from about 1% (w/v) to about 5% (w/v), from about 丶% (w/v) to about 4% (w/v), From about 1% (w/v) to about 3% (w/v), from about 1% (w/v) to about 2% (w/v), from about 1.5% (w/v) to about 5% (w) /v), 1.5% (w/v) to about 4% (w/v), or 1.5% (w/v) to about 3% (w/v). The ratio of the biomaterial to formic acid is more preferably about 2%.

在一個實施例中,本發明之方法自生物材料移除細胞及細胞核物質,且同時維持GAG量。與未經處理之生物材料相比,DNA含量顯著減少且GAG含量未明顯降低。在一個實施例中,DNA含量減少至小於約5%或更低,同時與未經處理之生物材料相比能維持高於約85%的GAG。較佳地,本發明之方法進一步維持高於約75%的膠原蛋白。 In one embodiment, the method of the invention removes cells and nuclear material from the biological material while maintaining the amount of GAG. Compared to untreated biomaterials, the DNA content was significantly reduced and the GAG content was not significantly reduced. In one embodiment, the DNA content is reduced to less than about 5% or less while maintaining greater than about 85% of the GAG compared to the untreated biomaterial. Preferably, the method of the invention further maintains greater than about 75% collagen.

本發明也提供一去細胞化生物材料,其中DNA與GAG含量分別小於約5%和高於約85%。在一個實施例中,該去細胞化生物材料具有高於約75%膠原蛋白。較佳地,該去細胞化生物材料為去細胞化ECM、組織或器官。在一些實施例中,本發明之去細胞化的生物材料能結合成為一或多種支撐物(諸如醫藥組合物、植入物、組織再生支架及醫療裝置)之一部分。 The invention also provides a decellularized biomaterial wherein the DNA and GAG content are less than about 5% and greater than about 85%, respectively. In one embodiment, the decellularized biomaterial has greater than about 75% collagen. Preferably, the decellularized biomaterial is a decellularized ECM, tissue or organ. In some embodiments, the decellularized biomaterial of the present invention can be combined as part of one or more supports, such as pharmaceutical compositions, implants, tissue regeneration scaffolds, and medical devices.

本發明也提供一種用於製備一種體外支架培養系統之方法及用於治療需要植入組織或器官之個體或治療以預防存有植入組織或器官風險的個體之方法,其包含使用本發明之去細胞化生物材料(較佳為去細胞化ECM)或支架。 The invention also provides a method for preparing an in vitro stent culture system and a method for treating an individual or treatment requiring implantation of a tissue or organ to prevent the risk of having an implanted tissue or organ, comprising using the invention Decellularize biomaterials (preferably decellularized ECM) or scaffolds.

本發明之去細胞化生物材料(較佳為去細胞化ECM)或支架可用於治療缺損、損傷、受傷、患病、老化或缺血性組織或器官,其包括 (但不限於)軟骨、盤、關節軟骨、骨、硬膜、半月板、頭部、頸部、眼睛、嘴巴、咽喉、食道、胸部、骨骼、韌帶、肌腱、肺、結腸、直腸、胃、前列腺、胰臟、乳腺、卵巢、輸卵管、子宮、子宮頸、睪丸或其他生殖器官、頭髮毛囊、皮膚、隔膜、甲狀腺、血液、肌肉、骨髓、心臟、淋巴結、血管、大腸、小腸、腎、肝、胰腺、腦、脊髓及中樞神經系統。 The decellularized biomaterial (preferably decellularized ECM) or scaffold of the invention can be used to treat a defect, injury, injury, disease, aging or ischemic tissue or organ, including (but not limited to) cartilage, disc, articular cartilage, bone, dura mater, meniscus, head, neck, eyes, mouth, throat, esophagus, chest, bones, ligaments, tendons, lungs, colon, rectum, stomach, Prostate, pancreas, breast, ovary, fallopian tube, uterus, cervix, testicular or other reproductive organs, hair follicles, skin, diaphragm, thyroid, blood, muscle, bone marrow, heart, lymph nodes, blood vessels, large intestine, small intestine, kidney, liver , pancreas, brain, spinal cord and central nervous system.

圖1.將經甲酸處理2小時之豬半月板之DNA、葡糖胺聚糖、膠原蛋白以及I型及II型膠原蛋白的含量與經PBS處理之新鮮半月板相比較。數值以平均值±SD(n=5)呈現,*p<0.05。 Figure 1. Comparison of DNA, glycosaminoglycan, collagen, and type I and type II collagen of pig meniscus treated with formic acid for 2 hours compared to PBS-treated fresh meniscus. Values are presented as mean ± SD ( n = 5), * p < 0.05.

圖2.新鮮豬半月板(左側)及經甲酸處理2小時之去細胞化半月板(右側)的巨觀視圖。 Figure 2. Giant view of fresh pig meniscus (left side) and decellularized meniscus (right side) treated with formic acid for 2 hours.

圖3.新鮮豬半月板(A、C、E及G)及經甲酸處理2小時之半月板(B、D、F及H)經H&E(A及B)、愛爾斯藍(Alcian blue)(C及D)、馬松三色染色法(Masson's trichrome)(E及F)及II型膠原蛋白之免疫組織化學(G及H)染色之後的影像。比例尺:在100x放大率下100μm(A-H)及在400x放大率下50μm(A1-H1)。 Figure 3. Fresh pig meniscus (A, C, E, and G) and meniscus treated with formic acid for 2 hours (B, D, F, and H) via H&E (A and B), Alcian blue Images of (C and D), Masson's trichrome (E and F) and immunohistochemistry (G and H) staining of type II collagen. Scale bar: 100 μm (AH) at 100x magnification and 50 μm (A1-H1) at 400x magnification.

圖4.在上面接種人類軟骨細胞0天(A)、7天(B)、14天(C)、21天(D)及28天(E)之非細胞ECM支架的SEM照片。比例尺:在300x放大率下200μm(A-E)及在500x放大率下100μm(A1-E1)。 Figure 4. SEM photograph of non-cellular ECM scaffolds on which human chondrocytes were inoculated for 0 days (A), 7 days (B), 14 days (C), 21 days (D), and 28 days (E). Scale bar: 200 μm (AE) at 300x magnification and 100 μm (A1-E1) at 500x magnification.

圖5.當人類軟骨細胞在非細胞ECM支架中培養7天(A)、14天(B)、21天(C)及28天(D)時,存活/死亡細胞之螢光染色照片。比例尺:500μm。 Figure 5. Fluorescent staining of viable/dead cells when human chondrocytes were cultured for 7 days (A), 14 days (B), 21 days (C) and 28 days (D) in a non-cellular ECM scaffold. Scale bar: 500 μm.

圖6.在上面接種人類軟骨細胞7天(A)、14天(B)、21天(C)及28天(D)之非細胞ECM支架的H&E染色影像。比例尺:在100x放大率下100μm(A-D)及在400x放大率下50μm(A1-D1)。 Figure 6. H&E staining images of non-cellular ECM scaffolds seeded on human chondrocytes for 7 days (A), 14 days (B), 21 days (C), and 28 days (D). Scale bar: 100 μm (AD) at 100x magnification and 50 μm (A1-D1) at 400x magnification.

圖7.在上面接種人類軟骨細胞7天(A)、14天(B)、21天(C)及28天(D)之非細胞ECM支架的愛爾斯藍染色影像。比例尺:在100x放大率下100μm(A-D)及在400x放大率下50μm(A1-D1)。 Figure 7. Aers blue stained images of non-cellular ECM scaffolds seeded on human chondrocytes for 7 days (A), 14 days (B), 21 days (C), and 28 days (D). Scale bar: 100 μm (AD) at 100x magnification and 50 μm (A1-D1) at 400x magnification.

圖8.在上面接種人類軟骨細胞7天(A)、14天(B)、21天(C)及28天(D)之非細胞ECM支架的馬松三色染色法染色影像。比例尺:在100x放大率下100μm(A-D)及在400x放大率下50μm(A1-D1)。 Figure 8. Masson trichrome staining images of non-cellular ECM scaffolds seeded on human chondrocytes for 7 days (A), 14 days (B), 21 days (C), and 28 days (D). Scale bar: 100 μm (AD) at 100x magnification and 50 μm (A1-D1) at 400x magnification.

圖9.在上面接種人類軟骨細胞7天(A)、14天(B)、21天(C)及28天(D)之非細胞ECM支架之II型膠原蛋白免疫組織化學染色的影像。比例尺:在100x放大率下100μm(A-D)及在400x放大率下50μm(A1-D1)。 Figure 9. Image of type II collagen immunohistochemical staining of non-cellular ECM scaffolds on human chondrocytes for 7 days (A), 14 days (B), 21 days (C) and 28 days (D). Scale bar: 100 μm (AD) at 100x magnification and 50 μm (A1-D1) at 400x magnification.

圖10.在不同時間點在上面培養人類軟骨細胞之ECM非細胞支架中之DNA(A)、葡糖胺聚糖(B)、膠原蛋白(C)及II型膠原蛋白(D)的含量。數值以平均值±SD(n=5)呈現。 Figure 10. Contents of DNA (A), glycosaminoglycan (B), collagen (C) and type II collagen (D) in ECM non-cellular scaffolds from which human chondrocytes were cultured at different time points. Values are presented as mean ± SD (n = 5).

圖11.在不同時間點經軟骨細胞接種之去細胞化豬半月板中的聚集蛋白聚糖(A)、II型膠原蛋白(B)、X型膠原蛋白(C)及I型膠原蛋白(D)之基因表現量。數值以平均值±SD(n=3)呈現。 Figure 11. Aggrecan (A), type II collagen (B), type X collagen (C), and type I collagen (D) in decellularized pig meniscus inoculated with chondrocytes at different time points. ) The amount of gene expression. Values are presented as mean ± SD ( n = 3 ).

圖12.當骨髓衍生之人類間質幹細胞在單層(TCPS)中或在非細胞ECM支架(S)上培養且用生長培養基(M)或軟骨形成培養基(C)餵養14天及21天時,聚集蛋白聚糖(A)、II型膠原蛋白(B)及I型膠原蛋白(C)之基因表現量。數值以平均值±SD(n=3)呈現。 Figure 12. When bone marrow-derived human mesenchymal stem cells are cultured in monolayers (TCPS) or on non-cellular ECM scaffolds (S) and fed with growth medium (M) or chondrogenic medium (C) for 14 and 21 days. Gene expression levels of aggrecan (A), type II collagen (B), and type I collagen (C). Values are presented as mean ± SD (n = 3).

圖13.經骨髓衍生之人類間質幹細胞接種21天及用愛爾斯藍(A)、馬松三色染色法(B)及II型膠原蛋白之免疫組織化學(C)染色之ECM非細胞支架的影像。比例尺:在100x下為100μm。 Figure 13. ECM non-cells stained with bone marrow-derived human mesenchymal stem cells for 21 days and immunohistochemical (C) stained with Ayers blue (A), Masson's trichrome staining (B) and type II collagen. The image of the stand. Scale bar: 100 μm at 100x.

圖14.當骨髓衍生之人類間質幹細胞在單層(TCPS)中或在非細胞ECM支架(S)上培養且用生長培養基(M)或軟骨形成培養基(C)餵養14天及21天時,聚集蛋白聚糖(A)、II型膠原蛋白(B)及I型膠原蛋白(C) 之基因表現量。數值以平均值±SD(n=3)呈現。 Figure 14. When bone marrow-derived human mesenchymal stem cells are cultured in monolayer (TCPS) or on non-cellular ECM scaffolds (S) and fed with growth medium (M) or chondrogenic medium (C) for 14 and 21 days. Gene expression levels of aggrecan (A), type II collagen (B), and type I collagen (C). Values are presented as mean ± SD (n = 3).

圖15.將經甲酸處理不同週期之豬半月板之DNA及葡糖胺聚糖的含量與經PBS處理之新鮮半月板相比較。 Figure 15. Comparison of DNA and glycosaminoglycan content of pig meniscus treated with formic acid for different cycles compared to PBS treated fresh meniscus.

圖16.經不同濃度甲酸處理2小時或4小時之豬半月板之DNA含量。 Figure 16. DNA content of pig meniscus treated with different concentrations of formic acid for 2 or 4 hours.

圖17.將經不同去細胞化處理後之豬皮膚的DNA含量與經PBS處理之新鮮皮膚相比較。數值以平均值±SD(n=3)呈現。 Figure 17. Comparison of the DNA content of pig skin after different decellularization treatments with fresh skin treated with PBS. Values are presented as mean ± SD (n = 3).

圖18.將在不同時間點經不同去細胞化處理後之豬半月板之DNA(A)、膠原蛋白(B)及葡糖胺聚糖(C)的含量與經PBS處理之新鮮半月板相比較。數值以平均值±SD(n=3)呈現。 Figure 18. Contents of DNA (A), collagen (B) and glycosaminoglycan (C) in pig meniscus after different decellularization treatments at different time points with fresh PBS-treated meniscus Comparison. Values are presented as mean ± SD ( n = 3 ).

本發明開發一種用於使生物材料去細胞化以獲得去細胞化生物材料(諸如ECM、組織及器官)之方法;該生物材料較佳為軟骨、關節軟骨、半月板、骨骼或皮膚。本發明之去細胞化方法對用於製備非細胞支架之生物材料(較佳為ECM)具有最小不良作用。與未經處理之生物材料相比,本發明之去細胞化生物材料的DNA含量降低至較低量且GAG及膠原蛋白含量未顯著降低。本發明之去細胞化生物材料不僅提供臨時棲息處,且亦具有不同生理學功能及原生環境以促進細胞增殖及新組織形成。 The present invention develops a method for decellularizing biological materials to obtain decellularized biological materials such as ECM, tissues and organs; the biological material is preferably cartilage, articular cartilage, meniscus, bone or skin. The decellularization method of the present invention has minimal adverse effects on the biomaterial (preferably ECM) used to prepare non-cellular scaffolds. The DNA content of the decellularized biomaterial of the present invention is reduced to a lower amount and the GAG and collagen content are not significantly reduced as compared to the untreated biomaterial. The decellularized biomaterial of the present invention not only provides temporary habitat, but also has different physiological functions and a native environment to promote cell proliferation and new tissue formation.

在以下子章節中進一步詳細描述本發明之各種態樣。除非另外規定,否則本文中所用之所有技術及科學術語均具有與一般熟習本發明所屬領域之技術者通常所理解相同之含義。以下描述適合之方法及材料之實例,但類似或等效於本文所述之方法及材料之方法及材料亦可用於操作本發明。本文所述之材料、方法及實例僅為說明性且並無意加以限制。本文中所提及之所有公開案、專利申請案、專利及其他參考文獻均以全文引用的方式併入本文中。 Various aspects of the invention are described in further detail in the following subsections. All technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs, unless otherwise specified. Examples of suitable methods and materials are described below, but methods and materials similar or equivalent to those described herein can also be used in the practice of the present invention. The materials, methods, and examples described herein are illustrative only and are not intended to be limiting. All publications, patent applications, patents, and other references mentioned herein are hereby incorporated by reference in their entirety.

除非上下文另外明確指出,否則如本文所用,單數形式「一」及「該」包括單個及複數個參考物。舉例而言,術語「一個細胞」包括單個細胞以及複數個細胞,包括其混合物。 As used herein, the singular forms "" For example, the term "a cell" includes a single cell as well as a plurality of cells, including mixtures thereof.

如本文所用,術語「及/或」係指且涵蓋相關所列項目中之一或多者之任何及所有可能組合、及當以替代性(「或」)解釋時不存在組合。 The term "and/or" as used herein refers to and encompasses any and all possible combinations of one or more of the associated listed items, and does not have a combination when interpreted as an alternative ("or").

如本文所用,術語「約」在指可量測值(諸如量或濃度及其類似物)時意謂涵蓋指定量之20%、10%、5%、1%、0.5%或甚至0.1%之變化。 As used herein, the term "about" when referring to a measurable value (such as a quantity or concentration and the like) means 20%, 10%, 5%, 1%, 0.5% or even 0.1% of the specified amount. Variety.

如本文所用,術語「GAG」意謂葡糖胺聚糖。 As used herein, the term "GAG" means glycosaminoglycan.

如本文所用,術語「支架」及「基質」可互換地指天然或合成結構或具有開口多孔性之網狀結構,其在空間延伸且在體內或活體外提供用於活體組織生長之機械或其他支撐。 As used herein, the terms "scaffold" and "matrix" are used interchangeably to refer to a natural or synthetic structure or a network having an open porosity that extends spatially and provides mechanical or other means for growth of living tissue in vivo or in vitro. support.

如本文所用,術語「胞外基質」及「ECM」係指用於細胞生長之天然或人造支架。天然ECM(在諸如哺乳動物及人類之多細胞生物體中發現之ECM)為結構及非結構生物分子之複雜混合物,包括(但不限於)膠原蛋白、彈性蛋白、層黏連蛋白、葡糖胺聚糖、蛋白聚糖、抗微生物劑、化學引誘劑、細胞激素及生長因子。在哺乳動物中,ECM通常包含約90%呈不同形式之膠原蛋白。 As used herein, the terms "extracellular matrix" and "ECM" refer to natural or artificial scaffolds for cell growth. Natural ECM (ECM found in multicellular organisms such as mammals and humans) is a complex mixture of structural and non-structural biomolecules including, but not limited to, collagen, elastin, laminin, glucosamine Glycans, proteoglycans, antimicrobial agents, chemoattractants, cytokines and growth factors. In mammals, ECM typically contains about 90% collagen in a different form.

如本文所用,術語「去細胞化」係指自組織或器官(例如來自ECM)之一部分移除細胞及其相關碎片。 As used herein, the term "decellularization" refers to the partial removal of cells and related fragments from one of tissues or organs (eg, from an ECM).

如本文所用,術語「個體」係指動物、哺乳動物或特定言之,人類患者。 As used herein, the term "individual" refers to an animal, a mammal or, in particular, a human patient.

如本文所用,術語「治療」意謂藉由降低、緩解、逆轉或防止至少一種不良作用或症狀來改善個體之病狀。 As used herein, the term "treatment" means to ameliorate the condition of an individual by reducing, alleviating, reversing or preventing at least one adverse effect or symptom.

在一個態樣中,本發明提供一種用於產生去細胞化生物材料之方 法,其包含提供具有細胞之未經處理之生物材料及用甲酸溶液在可自生物材料有效移除細胞及細胞核物質之濃度下處理生物材料,同時與未經處理之生物材料相比維持高於約85%的GAG。在一個實施例中,本發明之方法與未經處理之生物材料相比進一步維持高於約75%膠原蛋白。 In one aspect, the invention provides a method for producing decellularized biological material a method comprising: providing an untreated biological material having cells and treating the biological material with a formic acid solution at a concentration effective to remove cells and nuclear material from the biological material while maintaining a higher than untreated biological material About 85% of GAG. In one embodiment, the method of the invention further maintains greater than about 75% collagen compared to untreated biomaterial.

在一個實施例中,待藉由本發明之方法處理之生物材料為組織及器官。組織或器官較佳為皮膚、心瓣膜、心包、血管、脊髓、氣管、膀胱、韌帶、軟骨、半月板、盤、骨、硬膜、小腸黏膜下層、脊椎腦膜、腎、肝、肺或神經。藉由本發明之方法處理之組織及器官更佳為關節軟骨、半月板、盤組織或骨骼。 In one embodiment, the biological material to be treated by the method of the present invention is tissue and organs. The tissue or organ is preferably a skin, heart valve, pericardium, blood vessel, spinal cord, trachea, bladder, ligament, cartilage, meniscus, disc, bone, dura mater, submucosa of the small intestine, spinal meninges, kidney, liver, lung or nerve. The tissues and organs treated by the method of the present invention are more preferably articular cartilage, meniscus, disc tissue or bone.

在一個實施例中,本發明之去細胞化生物材料為去細胞化ECM、去細胞化組織或去細胞化器官。組織或器官係如上文所提及。 In one embodiment, the decellularized biomaterial of the invention is a decellularized ECM, a decellularized tissue, or a decellularized organ. The tissue or organ line is as mentioned above.

在一個實施例中,溶液中之甲酸濃度在約10%(w/w)至約100%(w/w)範圍內。甲酸濃度較佳在約10%(w/w)至約100%(w/w)、約15%(w/w)至約100%(w/w)、約20%(w/w)至約100%(w/w)、約30%(w/w)至約100%(w/w)、約40%(w/w)至約100%(w/w)、約50%(w/w)至約100%(w/w)、約60%(w/w)至約100%(w/w)、約70%(w/w)至約100%(w/w)、約80%(w/w)至約100%(w/w)、約90%(w/w)至約100%(w/w)、約60%(w/w)至約99%(w/w)、70%(w/w)至約99%(w/w)、80%(w/w)至約99%(w/w)或90%(w/w)至約99%(w/w)範圍內。 In one embodiment, the concentration of formic acid in the solution ranges from about 10% (w/w) to about 100% (w/w). The formic acid concentration is preferably from about 10% (w/w) to about 100% (w/w), from about 15% (w/w) to about 100% (w/w), about 20% (w/w) to About 100% (w/w), about 30% (w/w) to about 100% (w/w), about 40% (w/w) to about 100% (w/w), about 50% (w) /w) to about 100% (w/w), about 60% (w/w) to about 100% (w/w), about 70% (w/w) to about 100% (w/w), about 80% (w/w) to about 100% (w/w), about 90% (w/w) to about 100% (w/w), about 60% (w/w) to about 99% (w/ w), 70% (w/w) to about 99% (w/w), 80% (w/w) to about 99% (w/w) or 90% (w/w) to about 99% (w) /w).

在一個實施例中,甲酸溶液可進一步包含共溶劑。共溶劑較佳包含甘油、乙醇、1-丙醇、聚乙二醇600中之任一者或其混合物。 In one embodiment, the formic acid solution may further comprise a cosolvent. The cosolvent preferably comprises any one of glycerin, ethanol, 1-propanol, polyethylene glycol 600, or a mixture thereof.

在一個實施例中,甲酸溶液可進一步包含酸溶液。酸溶液較佳包含乙酸、過氧乙酸或檸檬酸中之任一者或其混合物。 In one embodiment, the formic acid solution may further comprise an acid solution. The acid solution preferably comprises any one of acetic acid, peroxyacetic acid or citric acid or a mixture thereof.

在一個實施例中,生物材料與甲酸之比率為約1%(w/v)至約5%(w/v)、約1%(w/v)至約4%(w/v)、約1%(w/v)至約3%(w/v)、約1% (w/v)至約2%(w/v)、約1.5%(w/v)至約5%(w/v)、1.5%(w/v)至約4%(w/v)或1.5%(w/v)至約3%(w/v)。生物組織與甲酸之比率更佳為約1%(w/v)至約3%(w/v)。生物組織與甲酸之比率更佳為約2%(w/v)。 In one embodiment, the ratio of biomaterial to formic acid is from about 1% (w/v) to about 5% (w/v), from about 1% (w/v) to about 4% (w/v), about 1% (w/v) to about 3% (w/v), about 1% (w/v) to about 2% (w/v), about 1.5% (w/v) to about 5% (w/v), 1.5% (w/v) to about 4% (w/v) or 1.5% (w/v) to about 3% (w/v). The ratio of biological tissue to formic acid is preferably from about 1% (w/v) to about 3% (w/v). The ratio of biological tissue to formic acid is preferably about 2% (w/v).

在一個實施例中,用甲酸溶液處理生物材料小於15小時,較佳小於12小時。處理時間較佳小於約1小時至約14小時中之任一者。處理時間更佳為約1小時至約14小時、約1小時至約13小時、約1小時至約12小時、約1小時至約11小時、約1小時至約10小時、約1小時至約9小時、約1小時至約8小時、約1小時至約7小時、約1小時至約6小時、約1小時至約5小時、約1小時至約4小時、約1小時至約3小時、約1小時至約2小時、約2小時至約15小時、約2小時至約14小時、約2小時至約13小時、約2小時至約12小時、約2小時至約11小時、約2小時至約10小時、約2小時至約9小時、約2小時至約8小時、約2小時至約7小時、約2小時至約6小時、約2小時至約5小時、約2小時至約4小時或約2小時至約3小時。 In one embodiment, the biomaterial is treated with a formic acid solution for less than 15 hours, preferably less than 12 hours. The treatment time is preferably less than any of about 1 hour to about 14 hours. The treatment time is more preferably from about 1 hour to about 14 hours, from about 1 hour to about 13 hours, from about 1 hour to about 12 hours, from about 1 hour to about 11 hours, from about 1 hour to about 10 hours, from about 1 hour to about 9 hours, about 1 hour to about 8 hours, about 1 hour to about 7 hours, about 1 hour to about 6 hours, about 1 hour to about 5 hours, about 1 hour to about 4 hours, about 1 hour to about 3 hours , about 1 hour to about 2 hours, about 2 hours to about 15 hours, about 2 hours to about 14 hours, about 2 hours to about 13 hours, about 2 hours to about 12 hours, about 2 hours to about 11 hours, about 2 hours to about 10 hours, about 2 hours to about 9 hours, about 2 hours to about 8 hours, about 2 hours to about 7 hours, about 2 hours to about 6 hours, about 2 hours to about 5 hours, about 2 hours To about 4 hours or about 2 hours to about 3 hours.

在一個實施例中,本發明之方法自生物材料移除細胞及細胞核材料,同時維持GAG之量。在一個實施例中,本發明之方法進一步維持膠原蛋白。與未經處理之生物材料相比,DNA含量顯著降低且GAG及膠原蛋白含量未明顯降低。在一個實施例中,與未經處理之生物材料相比,DNA含量降低至小於約5%或更低。DNA含量較佳降低至小於約4.5%、小於約4.1%、小於約4.0%、小於約3.5%、小於約3.0%、小於約2.5%、小於約2.0%、小於約1.5%、小於約1.0%、小於約0.8%或小於約0.5%。在一個實施例中,與未經處理之生物材料相比,DNA含量降低至約0.1%至約5%;較佳降低至約0.1%至約5.0%、約0.1%至約4.5%、約0.1%至約4.0%、約0.1%至約3.0%、約0.4%至約5.0%、約0.4%至約4.5%或約0.4%至約4.0%。 In one embodiment, the method of the invention removes cells and nuclear material from the biomaterial while maintaining the amount of GAG. In one embodiment, the method of the invention further maintains collagen. Compared to untreated biomaterials, DNA content was significantly reduced and GAG and collagen levels were not significantly reduced. In one embodiment, the DNA content is reduced to less than about 5% or less compared to the untreated biomaterial. Preferably, the DNA content is reduced to less than about 4.5%, less than about 4.1%, less than about 4.0%, less than about 3.5%, less than about 3.0%, less than about 2.5%, less than about 2.0%, less than about 1.5%, less than about 1.0%. Less than about 0.8% or less than about 0.5%. In one embodiment, the DNA content is reduced to from about 0.1% to about 5% compared to the untreated biomaterial; preferably to about 0.1% to about 5.0%, from about 0.1% to about 4.5%, to about 0.1. % to about 4.0%, from about 0.1% to about 3.0%, from about 0.4% to about 5.0%, from about 0.4% to about 4.5% or from about 0.4% to about 4.0%.

在一個實施例中,在藉由本發明之方法處理生物材料之後,與未 經處理之生物材料相比,可維持高於約85%的GAG。與未經處理之生物材料相比,較佳可維持高於約85%、87%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%或99%的GAG;更佳可維持高於約90%、91%、92%、93%、94%或95%的GAG。在一個實施例中,可維持約85%至約99%的GAG。較佳可維持約85%至約98%、約85%至約97%、約85%至約96%、約85%至約95%、約85%至約94%、約90%至約99%、約90%約98%、約90%至約97%、約90%至約96%、約90%約95%或約90%至約94%的GAG。 In one embodiment, after processing the biological material by the method of the present invention, GAG above about 85% can be maintained compared to treated biomaterials. Preferably, it is maintained above about 85%, 87%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, compared to the untreated biomaterial. 98% or 99% GAG; more preferably more than about 90%, 91%, 92%, 93%, 94% or 95% GAG. In one embodiment, from about 85% to about 99% of the GAG can be maintained. Preferably, it is maintained from about 85% to about 98%, from about 85% to about 97%, from about 85% to about 96%, from about 85% to about 95%, from about 85% to about 94%, from about 90% to about 99. %, about 90% about 98%, about 90% to about 97%, about 90% to about 96%, about 90% to about 95% or about 90% to about 94% of GAG.

在一個實施例中,與未經處理之生物材料相比,可維持高於約75%的膠原蛋白。較佳可維持高於約76%、高於約77%、高於約78%、高於約79%、高於約80%、高於約82%、高於約84%、高於約86%、高於約88%、高於約90%、高於約92%、高於約94%、高於約96%、高於約97%、高於約98%或高於約99%的膠原蛋白。在一個實施例中,可維持約75%至99%、約77%至99%、約79%至99%、約80%至99%、約80%至95%或約80%至90%的膠原蛋白。 In one embodiment, greater than about 75% of collagen can be maintained as compared to untreated biomaterial. Preferably, it can be maintained above about 76%, above about 77%, above about 78%, above about 79%, above about 80%, above about 82%, above about 84%, above about 86. %, above about 88%, above about 90%, above about 92%, above about 94%, above about 96%, above about 97%, above about 98% or above about 99% Collagen. In one embodiment, about 75% to 99%, about 77% to 99%, about 79% to 99%, about 80% to 99%, about 80% to 95%, or about 80% to 90% can be maintained. Collagen.

在一個實施例中,在處理生物材料之前,本發明之方法進一步包含預處理步驟。在一些實施例中,預處理包括(但不限於)洗滌、消毒、分離、均質化、振動、音波處理、超音波處理、灌注、機械按摩、加壓、粉碎、攪動或攪拌處理。 In one embodiment, the method of the present invention further comprises a pretreatment step prior to processing the biological material. In some embodiments, the pretreatment includes, but is not limited to, washing, disinfecting, separating, homogenizing, vibrating, sonicating, ultrasonic processing, perfusion, mechanical massage, pressurization, comminution, agitation, or agitation.

在一個實施例中,在處理生物材料之前,本發明之方法進一步包含物理去細胞化、化學去細胞化或物理去細胞化與化學去細胞化組合之步驟。物理去細胞化較佳包括(但不限於)冷凍-解凍、超音波處理、灌注或物理攪動。化學去細胞化較佳包括(但不限於)酸性溶液、低滲溶液、陰離子、非離子或陽離子型清潔劑,或酶(脫氧核糖核酸酶、核糖核酸酶或胰蛋白酶)。 In one embodiment, the method of the invention further comprises the steps of physical decellularization, chemical decellularization or physical decellularization combined with chemical decellularization prior to processing the biological material. Physical decellularization preferably includes, but is not limited to, freeze-thaw, ultrasonic treatment, perfusion, or physical agitation. Chemical decellularization preferably includes, but is not limited to, an acidic solution, a hypotonic solution, an anionic, nonionic or cationic detergent, or an enzyme (deoxyribonuclease, ribonuclease or trypsin).

在一個實施例中,在處理生物材料之後,本發明之方法進一步包 含洗滌步驟。洗滌為去細胞化基質之常規洗滌,藉由使用生理緩衝液、磷酸鹽緩衝鹽水或含有抗生素之培養介質,灌注或透析。在一個實施例中,洗滌步驟進行半天至七天或更長時間。 In one embodiment, the method of the present invention further comprises after processing the biological material Contains a washing step. Washing is a conventional wash of the decellularized matrix by perfusion or dialysis using physiological buffer, phosphate buffered saline or culture medium containing antibiotics. In one embodiment, the washing step is carried out for half a day to seven days or longer.

在另一實施例中,在處理生物材料之後,本發明之方法進一步包含形成作為支架之去細胞化生物材料的步驟,該步驟藉由使去細胞化生物材料與/不與致孔劑混合,將其倒入用於使支架成形之模型中,且隨後冷凍乾燥成形之支架。 In another embodiment, after processing the biological material, the method of the present invention further comprises the step of forming a decellularized biomaterial as a scaffold by mixing the decellularized biomaterial with/or without a porogen, It is poured into a mold for forming the stent, and then the formed stent is freeze-dried.

在另一態樣中,本發明提供去細胞化生物材料,其中與未經處理之生物材料相比,DNA及GAG含量分別小於約5%或更低及高於約85%。在一個實施例中,與未經處理之生物材料相比,去細胞化生物材料維持高於約75%。本文中描述DNA、GAG及膠原蛋白之較佳含量。去細胞化生物材料較佳為去細胞化ECM、去細胞化組織或去細胞化器官。組織或器官係如上文所提及。 In another aspect, the invention provides a decellularized biomaterial having a DNA and GAG content of less than about 5% or less and greater than about 85%, respectively, compared to an untreated biomaterial. In one embodiment, the decellularized biomaterial is maintained above about 75% compared to the untreated biomaterial. Preferred amounts of DNA, GAG and collagen are described herein. Decellularized biological material is preferably decellularized ECM, decellularized tissue or decellularized organ. The tissue or organ line is as mentioned above.

在一些態樣中,本發明之去細胞化生物材料(諸如去細胞化ECM、組織或器官)係與支撐物結合。特定言之,本文包括用於將去細胞化生物材料調配為一或多種類型之支撐物(諸如醫藥組合物、值入物、組織再生支架及醫療裝置)之一部分的方法。去細胞化生物材料較佳為去細胞化ECM、去細胞化組織或去細胞化器官。組織或器官係如上文所提及。 In some aspects, the decellularized biomaterial of the invention (such as a decellularized ECM, tissue or organ) is associated with a support. In particular, herein includes methods for formulating decellularized biomaterials into one or more types of supports, such as pharmaceutical compositions, value-adding materials, tissue regeneration scaffolds, and medical devices. Decellularized biological material is preferably decellularized ECM, decellularized tissue or decellularized organ. The tissue or organ line is as mentioned above.

本發明亦包括用於藉由使用本發明之去細胞化生物材料製造及植入物之方法。植入物可為非限制性。 The invention also includes methods for making and implanting decellularized biomaterials using the invention. The implant can be non-limiting.

在一些態樣中,支撐物為諸如組織再生支架之生物相容性材料。去細胞化生物材料較佳為去細胞化ECM、去細胞化組織或去細胞化器官。去細胞化組織或器官係如上文所提及。本發明之一個態樣係提供將去細胞化生物材料併入生物相容性材料中以用於植入個體中。在一個實施例中,生物相容性材料呈支架形式。支架可為天然膠原蛋白、 去細胞化、改良性胞外基質,或合成聚合物。在某些實施例中,支架用作用於細胞增殖及最終組織形成之模板。在特定實施例中,支架允許去細胞化胞外基質緩慢釋放至周圍組織中。在周圍組織中之細胞開始倍增時,其填滿支架且長成為三維組織。 In some aspects, the support is a biocompatible material such as a tissue regeneration scaffold. Decellularized biological material is preferably decellularized ECM, decellularized tissue or decellularized organ. Decellularized tissues or organ lines are as mentioned above. One aspect of the invention provides for the incorporation of decellularized biomaterial into a biocompatible material for implantation into an individual. In one embodiment, the biocompatible material is in the form of a stent. The scaffold can be natural collagen, Decellularized, modified extracellular matrix, or synthetic polymer. In certain embodiments, the scaffold is used as a template for cell proliferation and ultimately tissue formation. In a particular embodiment, the scaffold allows for slow release of the decellularized extracellular matrix into the surrounding tissue. When the cells in the surrounding tissue begin to multiply, they fill the scaffold and grow into a three-dimensional tissue.

在一些態樣中,支撐物包括醫療裝置。去細胞化生物材料可用於形成可植入個體中之醫療裝置或假體裝置。去細胞化生物材料較佳為去細胞化ECM、去細胞化組織或去細胞化器官。去細胞化組織或器官係如上文所提及。在一個實施例中,可將去細胞化生物材料併入製造醫療或假體裝置所需之基底材料中。在另一實施例中,去細胞化生物材料可用於塗佈或覆蓋醫療或假體裝置。醫療及假體裝置可插入或植入患者身體中。 In some aspects, the support comprises a medical device. Decellularized biomaterials can be used to form medical devices or prosthetic devices in an implantable individual. Decellularized biological material is preferably decellularized ECM, decellularized tissue or decellularized organ. Decellularized tissues or organ lines are as mentioned above. In one embodiment, the decellularized biomaterial can be incorporated into the substrate material needed to make a medical or prosthetic device. In another embodiment, the decellularized biomaterial can be used to coat or cover a medical or prosthetic device. Medical and prosthetic devices can be inserted or implanted into the patient's body.

在某些實施例中,去細胞化生物材料可用於治療缺損、損傷、受傷、患病、老化或缺血性組織或器官,其包括(但不限於)軟骨、盤、關節軟骨、骨、硬膜、半月板、頭部、頸部、眼睛、嘴巴、咽喉、食道、胸部、骨骼、韌帶、肌腱、肺、結腸、直腸、胃、前列腺、胰臟、乳腺、卵巢、輸卵管、子宮、子宮頸、睪丸或其他生殖器官、頭髮毛囊、皮膚、隔膜、甲狀腺、血液、肌肉、骨髓、心臟、淋巴結、血管、大腸、小腸、腎、肝、胰腺、腦、脊髓及中樞神經系統。去細胞化生物材料較佳為去細胞化ECM、去細胞化組織或去細胞化器官。 組織或器官較佳為皮膚、心瓣膜、心包、血管、脊髓、氣管、膀胱、韌帶、軟骨、半月板、盤、骨、硬膜、小腸黏膜下層、脊椎腦膜、腎、肝、肺或神經。 In certain embodiments, the decellularized biomaterial can be used to treat a defect, injury, injury, disease, aging, or ischemic tissue or organ including, but not limited to, cartilage, disc, articular cartilage, bone, hard Membrane, meniscus, head, neck, eyes, mouth, throat, esophagus, chest, bones, ligaments, tendons, lungs, colon, rectum, stomach, prostate, pancreas, breast, ovary, fallopian tubes, uterus, cervix , test pills or other reproductive organs, hair follicles, skin, diaphragm, thyroid, blood, muscle, bone marrow, heart, lymph nodes, blood vessels, large intestine, small intestine, kidney, liver, pancreas, brain, spinal cord and central nervous system. Decellularized biological material is preferably decellularized ECM, decellularized tissue or decellularized organ. The tissue or organ is preferably a skin, heart valve, pericardium, blood vessel, spinal cord, trachea, bladder, ligament, cartilage, meniscus, disc, bone, dura mater, submucosa of the small intestine, spinal meninges, kidney, liver, lung or nerve.

舉例而言,對於缺損、損傷、受傷、患病、老化或缺血性軟骨或皮膚之處理,可在單次手術中將去細胞化生物材料支架植入上述軟骨之損傷部位或由疾病或年齡造成之缺損部位中。 For example, for the treatment of defects, injuries, injuries, illness, aging or ischemic cartilage or skin, the decellularized biomaterial scaffold can be implanted into the injury site of the cartilage or by disease or age in a single operation. In the defect area caused.

舉例而言,對於骨軟骨缺損之治療,由於其解剖學排列,其中軟 骨下骨直接定位在受傷軟骨下方且損傷為軟骨損傷及軟骨下骨或軟骨下骨骼骨損傷,因此其為本文所述用於治療軟骨病變之方法的擴展。真正骨缺損、病變或斷裂為骨架骨中之單獨損傷。 For example, for the treatment of osteochondral defects, due to its anatomical arrangement, which is soft The subosseous bone is positioned directly beneath the injured cartilage and is damaged by cartilage damage and subchondral or subchondral bone damage, and thus is an extension of the methods described herein for treating cartilage lesions. A true bone defect, lesion, or fracture is a single lesion in the skeleton bone.

舉例而言,關節軟骨為沒有血管、神經或淋巴供應之獨特組織。除形成纖維或纖維軟骨性組織以外,缺乏血管及淋巴循環可為關節軟骨為何具有此種較弱的癒合能力的一個原因。關節軟骨之獨特機械功能從未在顯著損傷、老化磨損或疾病(諸如骨關節炎(OA))之後自發地恢復。可將本發明之去細胞化ECM支架植入缺損關節軟骨中以用於關節軟骨再生。 For example, articular cartilage is a unique tissue without a blood vessel, nerve or lymph supply. In addition to the formation of fibrous or fibrocartilageous tissue, the lack of blood vessels and lymphatic circulation can be a cause of why articular cartilage has such a weak healing ability. The unique mechanical function of articular cartilage never spontaneously recovers after significant damage, aging wear or disease, such as osteoarthritis (OA). The decellularized ECM scaffold of the present invention can be implanted into the defect articular cartilage for articular cartilage regeneration.

在一個態樣中,本發明提供一種用於製備活體外支架培養系統之方法,該方法包含(i)提供本發明之去細胞化生物材料支架,(ii)灌注細胞群,包括幹細胞、祖細胞或能夠分化之部分分化祖細胞,或能夠功能上成熟以用於去細胞化生物材料支架之細胞群體,及(iii)在實現灌注去細胞化生物材料支架之重新細胞分化及幹細胞或祖細胞之分化及功能成熟或該群體中之細胞之功能成熟之條件下,使灌注去細胞化生物材料支架與細胞群接觸一段時間。去細胞化生物材料較佳為去細胞化ECM、去細胞化組織或去細胞化器官。去細胞化組織或器官係如上文所提及。本方法較佳進一步包含提供能夠誘發細胞分化成有機體之生理活性物質。生理活性物質係選自由以下組成之群:胰島素樣生長因子(IGF)、纖維母細胞生長因子(FGF)、組織生長因子(TGF)、骨形態生成蛋白(BMP)、神經生長因子(NGF)、血小板衍生生長因子(PDGF)及腫瘤壞死因子(TNF)。 In one aspect, the invention provides a method for preparing an in vitro stent culture system, the method comprising (i) providing a decellularized biomaterial scaffold of the invention, (ii) a perfused cell population, including stem cells, progenitor cells Or a differentiated progenitor cell capable of differentiation, or a cell population capable of functional maturation for decellularization of a biomaterial scaffold, and (iii) re-cell differentiation and stem or progenitor cells in a perfusion decellularized biomaterial scaffold The perfusion decellularized biomaterial scaffold is contacted with the cell population for a period of time under conditions of differentiation and functional maturation or functional maturation of cells in the population. Decellularized biological material is preferably decellularized ECM, decellularized tissue or decellularized organ. Decellularized tissues or organ lines are as mentioned above. Preferably, the method further comprises providing a physiologically active substance capable of inducing differentiation of the cells into an organism. The physiologically active substance is selected from the group consisting of insulin-like growth factor (IGF), fibroblast growth factor (FGF), tissue growth factor (TGF), bone morphogenetic protein (BMP), nerve growth factor (NGF), Platelet-derived growth factor (PDGF) and tumor necrosis factor (TNF).

在另一態樣中,本發明提供一種用於產生組織移植物之方法,其包含以下步驟:a)提供本發明之去細胞化生物材料支架;b)使有機體中之細胞滲入去細胞化生物材料支架中; c)培育有機體內之組織一段足以使細胞分化之時間;及d)提供能夠誘發細胞分化之生理活性物質。 In another aspect, the invention provides a method for producing a tissue graft comprising the steps of: a) providing a decellularized biomaterial scaffold of the invention; b) allowing cells in the organism to infiltrate the decellularized organism In the material holder; c) cultivating the tissue in the organism for a time sufficient to differentiate the cells; and d) providing a physiologically active substance capable of inducing cell differentiation.

去細胞化生物材料較佳為去細胞化ECM、去細胞化組織或去細胞化器官。去細胞化組織或器官係如上文所提及。 Decellularized biological material is preferably decellularized ECM, decellularized tissue or decellularized organ. Decellularized tissues or organ lines are as mentioned above.

本發明使用甲酸以產生一種用於生物材料(較佳為半月板)去細胞化之方案。去細胞化之成功係藉由與未經處理之生物材料相比缺少細胞及保留ECM來確定。去細胞化生物材料之初步活體內生物相容性研究設法建立軟骨再生之可能臨床效用。舉例而言,在非細胞支架中接種人類軟骨細胞之後,DNA、GAG、膠原蛋白及II型膠原蛋白含量在第4週增加10.10倍、7.11倍、4.24倍及5.11倍。II型膠原蛋白及聚集蛋白聚糖之基因表現量增加進一步證實維持軟骨細胞表型。另外,當經軟骨形成培養基培養之人類骨髓衍生之間質幹細胞具有增加之軟骨形成標記的跡象時,證明支架有效支撐軟骨生成。最終,在大鼠中進行活體內植入以分析生物相容性。非細胞支架不僅提供臨時棲息,且亦具有不同生理功能及原生環境以促進細胞增殖及新組織形成。 The present invention uses formic acid to produce a protocol for decellularization of biological materials, preferably meniscus. The success of decellularization is determined by the lack of cells and the retention of ECM compared to untreated biomaterials. Initial in vivo biocompatibility studies of decellularized biomaterials seek to establish the possible clinical utility of cartilage regeneration. For example, after inoculation of human chondrocytes in non-cellular scaffolds, the content of DNA, GAG, collagen and type II collagen increased by 10.10 times, 7.11 times, 4.24 times and 5.11 times in the fourth week. An increase in the gene expression of type II collagen and aggrecan further confirmed the maintenance of the chondrocyte phenotype. In addition, when human bone marrow-derived mesenchymal stem cells cultured in a chondrogenic medium have signs of increased chondrogenesis markers, it is demonstrated that the scaffold effectively supports chondrogenesis. Finally, in vivo implantation was performed in rats to analyze biocompatibility. Non-cellular scaffolds not only provide temporary habitat, but also have different physiological functions and native environment to promote cell proliferation and new tissue formation.

本發明由以下實例進一步說明但不限於該等實例。 The invention is further illustrated by, but not limited to, the following examples.

實例Instance

實例1 用甲酸使半月板去細胞化Example 1 Decellularization of meniscus with formic acid

自成年豬膝關節收集半月板,用磷酸鹽緩衝鹽水(PBS)洗滌,且隨後冷凍乾燥(Eyela FD-5N,日本東京)。精細破碎經凍乾之半月板且將0.2g半月板攪拌懸浮於10mL甲酸(>99%,Sigma-Aldrich,St.Louis,MO,USA)中保持2小時。接著使懸浮液均質化及透析。在藉由透析移除過量酸及細胞碎片之後,將半月板漿料置放於圓柱形模具中且冷凍乾燥以製造支架。藉由環氧乙烷對此等支架進行滅菌,且隨後脫氣以分析特徵。 The meniscus was collected from the adult pig knee joint, washed with phosphate buffered saline (PBS), and then freeze-dried (Eyela FD-5N, Tokyo, Japan). The lyophilized meniscus was finely disrupted and 0.2 g of meniscus was suspended and suspended in 10 mL of formic acid (>99%, Sigma-Aldrich, St. Louis, MO, USA) for 2 hours. The suspension is then homogenized and dialyzed. After removing excess acid and cell debris by dialysis, the meniscus slurry was placed in a cylindrical mold and lyophilized to make a stent. The stents were sterilized by ethylene oxide and subsequently degassed to analyze the features.

非細胞ECM支架之特徵分析Characterization of non-cellular ECM scaffolds

生物化學分析Biochemical analysis

為量測DNA、GAG及膠原蛋白之量,樣品首先在60℃下用木瓜蛋白酶溶液(於150mM氯化鈉、55mM檸檬酸鈉.2H2O、5mM半胱胺酸鹽酸鹽及5mM EDTA鈉.2H2O中0.56U/mL)消化16小時。藉由PicoGreen定量套組(Molecular Probes,Eugene,OR,USA)量測雙股DNA含量,且使用先前報導之每一軟骨細胞含7.7pg DNA之數值估計細胞數目。自實驗組之螢光減去陰性、無DNA之對照組的螢光以得到單獨支架之螢光。根據製造商說明藉由Blyscan® GAG分析套組(Biocolor,Newtonabbey,UK)測定GAG之量。將標本溶解物與Blyscan®染料試劑混合且接著藉由離心收集GAG-染料複合物。在移除上清液及排乾試管之後,添加解離劑。接著將溶液轉移至96孔板中且在656nm波長下藉由微板分光光度計獲得相對於背景對照之吸光度。將硫酸軟骨素用作標準物以計算標本中GAG之濃度。 To measure the amount of DNA, GAG and collagen, the sample was first treated with papain solution at 60 ° C (in 150 mM sodium chloride, 55 mM sodium citrate. 2H 2 O, 5 mM cysteamine hydrochloride and 5 mM sodium EDTA). Digestion of .6H/mL in .2H 2 O for 16 hours. The double-stranded DNA content was measured by a PicoGreen Quantitative Kit (Molecular Probes, Eugene, OR, USA) and the number of cells was estimated using the previously reported value of 7.7 pg of DNA per chondrocyte. Fluorescence of the negative, DNA-free control group was subtracted from the fluorescence of the experimental group to obtain fluorescence of the individual scaffolds. The amount of GAG was determined by the Blyscan ® GAG assay kit (Biocolor, Newtonabbey, UK) according to the manufacturer's instructions. The sample lysate with Blyscan ® dye reagent are mixed and then collected by centrifugation GAG- dye complex. After removing the supernatant and draining the tube, the dissociation agent was added. The solution was then transferred to a 96 well plate and the absorbance relative to the background control was obtained by a microplate spectrophotometer at a wavelength of 656 nm. Chondroitin sulfate was used as a standard to calculate the concentration of GAG in the specimen.

木瓜蛋白酶消化物進一步經酸解且與氯胺-T及對二甲基胺基苯甲醛溶液反應,以測定羥基脯胺酸之量。使用7.25之質量比將羥基脯胺酸含量轉換成膠原蛋白含量。藉由微盤讀取器在560nm下偵測光學密度。使用一系列濃度之羥基脯胺酸建立標準曲線。藉由ELISA使用I型及II型膠原蛋白偵測套組(Chondrex Inc.,Redmond,WA,USA)按供應商所述研究I型及II型膠原蛋白之量。簡言之,樣品在4℃下藉由胃蛋白酶溶液消化隔夜伴以溫和混合48小時,且隨後與胰腺彈性蛋白酶溶液在4℃下混合隔夜。在490nm下在微盤讀取器中讀取ELISA反應光學密度。 The papain digest was further acidified and reacted with chloramine-T and p-dimethylaminobenzaldehyde solution to determine the amount of hydroxyproline. The hydroxyproline content was converted to collagen content using a mass ratio of 7.25. The optical density was detected at 560 nm by a microdisk reader. A standard curve was established using a range of concentrations of hydroxyproline. The amount of type I and type II collagen was studied by ELISA using Type I and Type II collagen detection kits (Chondrex Inc., Redmond, WA, USA) as described by the supplier. Briefly, samples were digested overnight by pepsin solution at 4 °C with gentle mixing for 48 hours and then mixed with pancreatic elastase solution overnight at 4 °C. The ELISA reaction optical density was read at 490 nm in a microdisk reader.

組織學及免疫組織化學染色Histological and immunohistochemical staining

半月板在去細胞化之前及之後於10%(v/v)中性緩衝福馬林中固定隔夜,經由一系列乙醇脫水且包埋於石蠟中。用蘇木素及曙紅(H&E)對5-10μm厚之標本橫截面進行染色以觀察細胞核,用愛爾斯藍染色 以觀察GAG沈積或用馬松三色染色法染色以觀測膠原蛋白。藉由於TBST溶液(三羥甲基胺基甲烷緩衝生理鹽水及Tween20)中以1:100稀釋之抗II型膠原蛋白抗體(bs-0709r,Bioss,MA,USA))對II型膠原蛋白進行免疫定位且信號用UltraVision Quanto偵測系統(Thermo Scientific,MA,USA)放大10分鐘,接著根據製造商說明藉由DAB進行觀察。用蘇木素對細胞核進行對比染色。用ScanScop(Aperio,CA,USA)掃描載玻片。 The meniscus was fixed overnight in 10% (v/v) neutral buffered formalin before and after decellularization, dehydrated via a series of ethanol and embedded in paraffin. The cross section of the 5-10 μm thick specimen was stained with hematoxylin and eosin (H&E) to observe the nucleus and stained with Ayers blue. The collagen was observed by observing GAG deposition or staining with Masson's trichrome staining. Immunization of type II collagen by anti-type II collagen antibody (bs-0709r, Bioss, MA, USA) diluted 1:100 in TBST solution (trishydroxymethylaminomethane buffered saline and Tween20) The signals were positioned and amplified using an UltraVision Quanto detection system (Thermo Scientific, MA, USA) for 10 minutes, followed by observation by DAB according to the manufacturer's instructions. The nuclei were contrast-stained with hematoxylin. Slides were scanned with ScanScop (Aperio, CA, USA).

活體外研究In vitro study

活體外細胞毒性In vitro cytotoxicity

經滅菌之支架在37℃下於含血清之培養基中培育24小時。收集150μL支架提取物用於活體外細胞毒性測試。將NIH 3T3小鼠纖維母細胞以1×104個細胞/孔之接種密度接種於96孔板上且在37℃下培育隔夜。用萃取物或新鮮培養基置換培養基且再培育24小時。在培育期之後,用含有阿爾瑪藍(alamar blue)(Invitrogen Life Technologies,Carlsbad,CA,USA)之新鮮介質溶液置換萃取物且再培育2小時。藉由微盤讀取器在560nm激發波長及620nm發射波長下量測阿爾瑪藍/培養基混合物之螢光強度。螢光值與活細胞數目成比例且對應於細胞代謝活性。 The sterilized scaffold was incubated in serum-containing medium for 24 hours at 37 °C. 150 μL of scaffold extract was collected for in vitro cytotoxicity testing. NIH 3T3 mouse fibroblasts were seeded in 96-well plates at a seeding density of 1 × 10 4 cells/well and incubated overnight at 37 °C. The medium was replaced with extract or fresh medium and incubated for an additional 24 hours. After the incubation period, the extract was replaced with fresh medium solution containing alamar blue (Invitrogen Life Technologies, Carlsbad, CA, USA) and incubated for an additional 2 hours. The fluorescence intensity of the Alamar Blue/medium mixture was measured by a microdisk reader at an excitation wavelength of 560 nm and an emission wavelength of 620 nm. The fluorescence value is proportional to the number of viable cells and corresponds to cellular metabolic activity.

活體外軟骨細胞研究In vitro chondrocyte research

在形成匯合細胞層之後,使用0.025%胰蛋白酶加含EDTA之PBS分離人類原生軟骨細胞(ScienCell Research Laboratories,Carlsbad,CA,USA),將其重新懸浮於補充培養基(ScienCell Research Laboratories,Carlsbad,CA,USA)中且用於活體外實驗。在細胞接種之前,將支架分別浸於PBS及培養基中5分鐘,且藉由無菌薄綿紙移除過量液體,且隨後置於96孔板中。使用微量吸管輔助器(pippetman)將軟骨細胞懸浮液(10μL)(1×105個細胞)直接滴至支架中。將細胞/支架構築體置放 於恆溫箱(37℃,5% CO2)中2小時用於細胞黏著,隨後添加0.2ml新鮮生長培養基,且每三天更換培養基。亦以類似方式培養不含細胞之支架且將其視為空白,且在所有分析法中減去該等值以抵消干擾。 After formation of the confluent cell layer, human primary chondrocytes (ScienCell Research Laboratories, Carlsbad, CA, USA) were isolated using 0.025% trypsin plus EDTA-containing PBS and resuspended in supplemental medium (ScienCell Research Laboratories, Carlsbad, CA, In USA) and used for in vitro experiments. Prior to cell seeding, the scaffolds were each immersed in PBS and medium for 5 minutes, and excess liquid was removed by sterile tissue paper and then placed in a 96-well plate. A chondrocyte suspension (10 μL) (1 × 10 5 cells) was directly dropped into the scaffold using a micropipette aid (pippetman). The cells/branches were placed in an incubator (37 ° C, 5% CO 2 ) for 2 hours for cell adhesion, followed by the addition of 0.2 ml of fresh growth medium, and the medium was changed every three days. Cell-free scaffolds were also cultured in a similar manner and considered blank, and the values were subtracted from all assays to offset interference.

活細胞/死細胞染色Live cell/dead cell staining

在第1週、第2週、第3週及第4週,用無菌PBS沖洗細胞/支架構築體且藉由存活/死亡分析套組(Molecular Probes,Eugene,OR,USA)與8μM鈣黃綠素-AM(calcein-AM)及4μM乙錠均二聚體-1(ethidium homodimer-1)一起培育。立即使用FITC/德克薩斯(Texas)紅色濾光片藉由與共焦成像系統連接之倒置螢光顯微鏡檢測切片。 At week 1, week 2, week 3, and week 4, the cells/branches were washed with sterile PBS and analyzed by survival/death assay kits (Molecular Probes, Eugene, OR, USA) with 8 μM calcein- AM (calcein-AM) was incubated with 4 μM ethidium homodimer-1. Sections were immediately examined using an FITC/Texas red filter by an inverted fluorescent microscope attached to a confocal imaging system.

掃描電子顯微鏡檢查(SEM)Scanning electron microscopy (SEM)

在培養一段所需時間之後,藉由SEM觀測軟骨細胞之附著。用2.5%(w/v)戊二醛/PBS固定細胞/支架構築體,用PBS(pH 7.4)洗滌,用1%(w/v)四氧化鋨後固定,且隨後使用一系列遞增濃度之乙醇脫水。接著在進行SEM(Hitachi-2400,日本東京)觀察之前對樣品進行臨界點乾燥且用金塗佈。 After a desired period of incubation, the attachment of chondrocytes was observed by SEM. The cells were fixed with 2.5% (w/v) glutaraldehyde/PBS, washed with PBS (pH 7.4), fixed with 1% (w/v) osmium tetroxide, and then used in a series of increasing concentrations. Dehydration of ethanol. The sample was then subjected to critical point drying and coated with gold before observation by SEM (Hitachi-2400, Tokyo, Japan).

完全RNA萃取及即時PCRComplete RNA extraction and real-time PCR

為定量聚集蛋白聚糖、I型、II型及X型膠原蛋白之基因表現,根據標準TRIzol(Invitrogen Life Technologies,Carlsbad,USA)方案,分別在第1週、第2週、第3週及第4週自生長於支架上之軟骨細胞提取完全細胞RNA。藉由具有UV吸收之NanoDrop ND-1000分光光度計評估所萃取之RNA之濃度及純度。在以下實驗中僅使用呈現>1.8之260nm/280nm比率的樣品。藉由ReverTra Ace套組(Toyobo,日本大阪)將經分離之mRNA轉錄成cDNA。 To quantify the gene expression of aggrecan, type I, type II, and type X collagen, according to the standard TRIzol (Invitrogen Life Technologies, Carlsbad, USA) protocol, at week 1, week 2, week 3, and Complete cellular RNA was extracted from chondrocytes grown on the scaffold for 4 weeks. The concentration and purity of the extracted RNA were evaluated by a NanoDrop ND-1000 spectrophotometer with UV absorption. Only samples exhibiting a ratio of 260 nm/280 nm of >1.8 were used in the following experiments. The isolated mRNA was transcribed into cDNA by the ReverTra Ace kit (Toyobo, Osaka, Japan).

藉由即時PCR在LightCycler 480系統(Roche Applied Science,Indianapolis,USA)上定量聚集蛋白聚糖、I型、II型及X型膠原蛋白之基因表現。藉由人類探針庫(Human ProbeLibrary)之羅氏通用探針庫 分析設計中心(Roche Universal ProbeLibrary Assay Design Center)(www.roche-applied-science.com)設計引子,且使用人類探針庫第9號及第80號探針(Roche Applied Science,Indianapolis,USA)。使用聚集蛋白聚糖之特異性引子(NM_001135,正向:5'-cagatggacaccccatgc-3'及反向:5'-cattccactcgcccttctc-3')、I型膠原蛋白之特異性引子(NM_000088,正向:5'-gccaacctggtgctaaagg-3'及反向:5'-caggagcaccaacattacca-3')、II型膠原蛋白之特異性引子(NM_001844,正向:5'-gtgaacctggtgtctctggtc-3'及反向:5'-tttccaggttttccagcttc-3')及X型膠原蛋白之特異性引子(NM_000493,正向:5'-agcttcagaaagctgccaag-3'及反向:5'-gcagcatattctcagatggattct-3')擴增目標基因。將管家基因甘油醛-3-磷酸去氫酶(GAPDH)用作參照基因(NM_002046,正向:5'-acgggaagcttgtcatcaat-3'及反向:5'-catcgccccacttgatttt-3'),且將所有靶基因之表現校正為樣品之GAPDH表現。對於各反應,將LightCycler Taqman Master套組(Roche Applied Science,Indianapolis,IN,USA)與10μL總體積之400nM各引子、0.2μL探針及900ng cDNA一起使用。所有擴增均在LightCycler 480(Roche Applied Science,Indianapolis,IN,USA)中在以下條件下進行:在95℃下預熱1個循環保持15分鐘;擴增45個循環:在95℃下保持10秒,在58℃下保持30秒,在72℃下保持3秒;及最終冷卻至40℃。基於各目標及管家基因之臨限循環(CT)值,使用比較性CT法定量目標基因之相對量。 The gene expression of aggrecan, type I, type II and type X collagen was quantified by real-time PCR on a LightCycler 480 system (Roche Applied Science, Indianapolis, USA). The primer was designed by the Human Probe Library's Roche Universal Probe Library Assay Design Center (www.roche-applied-science.com), and the human probe library No. 9 was used. And probe No. 80 (Roche Applied Science, Indianapolis, USA). Specific primers for aggrecan (NM_001135, positive: 5'-cagatggacacccccgg-3-3 and reverse: 5'-cattccactcgcccttctc-3'), type I collagen specific primer (NM_000088, positive: 5 '-gccaacctggtgctaaagg-3' and reverse: 5'-caggagcaccaacattacca-3'), type II collagen specific primer (NM_001844, positive: 5'-gtgaacctggtgtctctggtc-3' and reverse: 5'-tttccaggttttccagcttc-3 ') and type X collagen specific primer (NM_000493, positive: 5'-agcttcagaaagctgccaag-3' and reverse: 5'-gcagcatattctcagatggattct-3') amplify the target gene. The housekeeping gene glyceraldehyde-3-phosphate dehydrogenase (GAPDH) was used as a reference gene (NM_002046, positive: 5'-acgggaagcttgtcatcaat-3' and reverse: 5'-catcgccccacttgatttt-3'), and all target genes were The performance is corrected to the GAPDH performance of the sample. For each reaction, a LightCycler Taqman Master kit (Roche Applied Science, Indianapolis, IN, USA) was used with 10 μL total volume of 400 nM primers, 0.2 μL probe and 900 ng cDNA. All amplifications were performed in LightCycler 480 (Roche Applied Science, Indianapolis, IN, USA) under the following conditions: preheating at 95 °C for 1 cycle for 15 minutes; amplification for 45 cycles: maintaining at 95 °C for 10 cycles Seconds, held at 58 ° C for 30 seconds, held at 72 ° C for 3 seconds; and finally cooled to 40 ° C. The relative amount of the target gene was quantified using a comparative C T method based on the target cycle and the threshold cycle (C T ) value of the housekeeping gene.

軟骨生成骨髓衍生之人類間質幹細胞Chondrogenic bone marrow-derived human mesenchymal stem cells

骨髓衍生之hMSC係購自德克薩斯A&M大學衛生科學中心(Texas A&M University Health Science Center)(Temple,TX,USA)。hMSC與hMSC生長培養基(Lonza,Walkersville,MD,USA)一起在單層中於37℃,5% CO2下培養且每3天更換培養基。在形成匯合細胞層之後,使 用0.05%胰蛋白酶加EDTA(Lonza)分離hMSC,重新懸浮於hMSC生長培養基中,且用於以下軟骨生成誘導實驗。使用滴管將hMSC懸浮液(10μL;105個細胞)直接滴至96孔板(組織培養物聚苯乙烯[TCPS]組)或96孔板中之支架中。將TCPS及細胞/支架構築體置放於恆溫箱中2小時用於細胞黏著,接著添加0.2mL新鮮培養基。對於軟骨生成,添加含有ITS+補充劑、地塞米松(dexamethasone)、抗壞血酸鹽、丙酮酸鈉、脯胺酸、GA-1000、L-麩醯胺酸及轉型生長因子(TGF)-β3之hMSC軟骨形成SingleQuotsTM培養基(Lonza)保持14天及21天。用hMSC生長培養基(Lonza)維持對照組。所有TCPS及細胞/支架均在含濕氣培育箱中保持在37℃,5% CO2下且每3天更換培養基。 Bone marrow-derived hMSC lines were purchased from the Texas A&M University Health Science Center (Temple, TX, USA). hMSC was cultured in a monolayer at 37 ° C, 5% CO 2 with hMSC growth medium (Lonza, Walkersville, MD, USA) and the medium was changed every 3 days. After formation of the confluent cell layer, hMSCs were isolated using 0.05% trypsin plus EDTA (Lonza), resuspended in hMSC growth medium, and used for the following chondrogenesis induction experiments. The hMSC suspension (10 μL; 10 5 cells) was directly dropped into a 96-well plate (tissue culture polystyrene [TCPS] group) or a scaffold in a 96-well plate using a dropper. The TCPS and the cell/support architecture were placed in an incubator for 2 hours for cell adhesion, followed by the addition of 0.2 mL of fresh medium. For chondrogenesis, add hMSC cartilage containing ITS+ supplements, dexamethasone, ascorbate, sodium pyruvate, proline, GA-1000, L-glutamic acid, and transforming growth factor (TGF)-β3 forming SingleQuots TM media (Lonza) for 14 and 21 days. The control group was maintained with hMSC growth medium (Lonza). All TCPS and cells/scaffolds were maintained at 37 ° C, 5% CO 2 in a moisture containing incubator and the medium was changed every 3 days.

在預定時間點收集細胞且進行組織學、生物化學及即時PCR定量分析。 Cells were harvested at predetermined time points and subjected to histological, biochemical, and real-time PCR quantitative analysis.

活體內免疫生物相容性研究In vivo immunobiocompatibility study

使用十五隻8週齡至10週齡雄性史泊格多利(Sprague Dawley)大鼠。在藉由異氟醚(Abbott,Queenborough,UK)麻醉及用碘伏及70%乙醇消毒之後,各大鼠皮下插入小型支架塞,同時處理3隻大鼠作為假處理組。使用鈍剝離在各大鼠背部上製得1cm切口及製得四個皮下袋。將支架小心置放於各別袋中且用傷口閉合鉗使傷口閉合,且將動物放回罩殼設施中,在其中動物能自由進食及喝水。一週稱重一次以及檢查大鼠之衛生體質。在第1週、第2週及第4週,人為處死大鼠且收集具有構築體之標本且用H&E染色以評估是否出現發炎性反應。因為ECM支架在植入後不可見,所以切除足夠大面積以確保支架保持在標本中。 Fifteen male Sprague Dawley rats, aged 8 weeks to 10 weeks, were used. After anesthesia with isoflurane (Abbott, Queenborough, UK) and disinfection with iodophor and 70% ethanol, each rat was subcutaneously inserted into a small stent plug while three rats were treated as a sham treatment group. A 1 cm incision was made on the back of each rat using blunt dissection and four subcutaneous pockets were prepared. The stents were carefully placed in separate pockets and the wounds were closed with wound closure forceps and the animals were placed back into the enclosure facility where the animals were free to eat and drink. Weigh once a week and check the health of the rats. At week 1, week 2 and week 4, rats were sacrificed and specimens with constructs were collected and stained with H&E to assess whether an inflammatory response occurred. Because the ECM stent is not visible after implantation, a large enough area is removed to ensure that the stent remains in the specimen.

與新鮮豬半月板相比,圖1展示DNA之量顯著降低至4.10%(p<0.01),表明去細胞化方法(甲酸處理2小時)之效率。亦藉由GAG、總膠原蛋白以及I型及II型膠原蛋白之個別量測來測定支架之ECM含 量。在新鮮半月板與非細胞半月板之間僅存在7.16% GAG含量損失(p=0.087)。非細胞ECM支架中之膠原蛋白、I型及II型膠原蛋白之量降低,但仍保持>80%(p=0.714、0.092及0.087)。 Figure 1 shows a significant reduction in the amount of DNA to 4.10% (p < 0.01) compared to fresh pig meniscus, indicating the efficiency of the decellularization process (formic acid treatment for 2 hours). The ECM content of the scaffold is also determined by individual measurements of GAG, total collagen, and type I and type II collagen. the amount. There was only a 7.16% loss of GAG content between the fresh meniscus and the non-cellular meniscus (p=0.087). The amount of collagen, type I and type II collagen in the non-cellular ECM scaffold decreased, but remained >80% (p=0.714, 0.092 and 0.087).

在藉由甲酸使半月板去細胞化2小時之後,製造海綿樣多孔支架;巨觀照片展示於圖2右側中,且新鮮壓實豬半月板展示於圖2左側中。 After decellularization of the meniscus for 2 hours by formic acid, a sponge-like porous scaffold was made; macroscopic photographs are shown in the right side of Figure 2, and freshly compacted pig meniscus is shown in the left side of Figure 2.

藉由組織學進一步確認支架之去細胞化及ECM維持(甲酸處理2小時)。在新鮮豬半月板中,H&E染色(圖3(A)及圖3(A1))說明軟骨細胞為圓形且包埋在腔隙內。相比之下,在去細胞化之後不存在細胞或細胞碎片,如圖3(B)及圖3(B1)中所示。愛爾斯藍染色在新鮮半月板及去細胞化半月板上給出陽性結果,表明在去細胞化之後殘餘GAG(圖3(C)、圖3(C1)、圖3(D)及圖3(D1))。經由馬松三色染色法染色,膠原蛋白作為主要組織架構存在於新鮮豬半月板以及去細胞化支架中(圖3(E)、圖3(E1)、圖3(F)及圖3(F1))。圖3(G)、圖3(G1)、圖3(H)及圖3(H1)顯示在免疫組織化學檢驗之後II型膠原蛋白之外觀。吾人證明甲酸處理2小時能夠高效移除所有細胞物質同時最小化任何對殘餘ECM之組成及量之不良作用。 Decellularization of the scaffold and ECM maintenance (formic acid treatment for 2 hours) were further confirmed by histology. In fresh pig meniscus, H&E staining (Fig. 3(A) and Fig. 3(A1)) indicates that the chondrocytes are round and embedded in the cavity. In contrast, no cells or cell debris were present after decellularization, as shown in Figure 3 (B) and Figure 3 (B1). Aers blue staining gave positive results on fresh meniscus and decellularized meniscus, indicating residual GAG after decellularization (Figure 3 (C), Figure 3 (C1), Figure 3 (D), and Figure 3 (D1)). Stained by Masson's trichrome staining, collagen is present as a major tissue structure in fresh pig meniscus and decellularized scaffolds (Figure 3 (E), Figure 3 (E1), Figure 3 (F), and Figure 3 (F1). )). Figures 3(G), 3(G1), 3(H) and 3(H1) show the appearance of type II collagen after immunohistochemistry. We have demonstrated that formic acid treatment for 2 hours is capable of efficiently removing all cellular material while minimizing any adverse effects on the composition and amount of residual ECM.

活體外細胞毒性測試In vitro cytotoxicity test

由阿爾瑪藍分析獲得之吸光度與細胞之代謝活性直接相關且與支架之毒性成反比。在培養兩天之後,在單層中接種之NIH 3T3小鼠纖維母細胞之螢光值(平均值±SD:33134.42±2573.10,n=6)與在非細胞ECM支架中接種之NIH 3T3小鼠纖維母細胞之螢光值(平均值±SD:35195.14±5417.12,n=6)之間沒有顯著差異(p=0.167),表明非細胞ECM支架沒有細胞毒性。 The absorbance obtained by Alamar Blue analysis is directly related to the metabolic activity of the cells and inversely proportional to the toxicity of the scaffold. After two days of culture, the fluorescence values of NIH 3T3 mouse fibroblasts inoculated in a monolayer (mean ± SD: 33134.42 ± 2573.10, n = 6) and NIH 3T3 mice inoculated in a non-cellular ECM scaffold There was no significant difference between the fluorescence values of fibroblasts (mean ± SD: 35195.14 ± 5417.12, n = 6) (p = 0.167), indicating that the non-cellular ECM scaffold was not cytotoxic.

軟骨細胞附著及活力Chondrocyte attachment and vitality

將人類原生軟骨細胞接種於非細胞ECM支架中以評估細胞增殖及 ECM產量。在整個實驗週期內,藉由SEM監測支架中之軟骨細胞之形態學及分佈。圖4顯示附著至支架孔之具有圓形或橢圓形形態學之軟骨細胞。較高放大率展示上面俘獲細胞之ECM樣組分且發現一些細胞已遷移及附著至互連孔隙。表明軟骨細胞係均勻分佈於多孔非細胞支架中且甚至直至第28天仍保持其形態。 Human primary chondrocytes were seeded in non-cellular ECM scaffolds to assess cell proliferation and ECM production. The morphology and distribution of chondrocytes in the scaffolds were monitored by SEM throughout the experimental period. Figure 4 shows chondrocytes with circular or elliptical morphology attached to the well of the stent. Higher magnification shows the ECM-like components of the above captured cells and some cells have been found to migrate and attach to the interconnected pores. It was shown that the chondrocyte line was evenly distributed in the porous acellular scaffold and maintained its morphology even until the 28th day.

關於活細胞/死細胞染色(圖5),鈣黃綠素AM能夠滲透活細胞之細胞膜,其中其藉由細胞內酯酶裂解且產生綠色螢光。溴化乙錠均二聚體-1能夠進入具有受損細胞膜之細胞且結合至片段化核酸,藉此在死細胞中產生紅色螢光。在第7天,除少數已死亡之細胞以外,大多數細胞經染色具有綠色螢光。然後觀查綠色活細胞,且出現極少紅色死細胞。此等結果指示當在非細胞ECM支架中培養時,人類軟骨細胞展示高活力。 Regarding live cell/dead cell staining (Fig. 5), calcein AM is able to penetrate the cell membrane of living cells, which is cleaved by intracellular esterase and produces green fluorescence. Ethidium bromide homodimer-1 is capable of entering cells with damaged cell membranes and binding to fragmented nucleic acids, thereby producing red fluorescence in dead cells. On day 7, except for a few dead cells, most cells were stained with green fluorescence. Then look at the green living cells, and there are very few red dead cells. These results indicate that human chondrocytes exhibit high viability when cultured in a non-cellular ECM scaffold.

對軟骨細胞進行組織學及生物化學分析以確認在整個研究週期內出現之軟骨細胞及ECM分泌物之特定形態,藉由組織學染色評估細胞/支架構築體。進行H&E染色以觀察非細胞ECM支架中之細胞的形態、分佈及活力,在圖6中展示許多均勻分佈之圓形軟骨細胞。分別如圖7-圖9中所示,經由愛爾斯藍、馬松三色染色法及免疫組織化學染色,構築體內之ECM組分之顯著沈積及積聚顯而易見,表明分別合成更大量之GAG、膠原蛋白及II型膠原蛋白。 Histological and biochemical analysis of chondrocytes was performed to confirm the specific morphology of chondrocytes and ECM secretions that occurred throughout the study period, and cell/support architecture was assessed by histological staining. H&E staining was performed to observe the morphology, distribution, and viability of cells in the non-cellular ECM scaffold, and a number of uniformly distributed circular chondrocytes were shown in FIG. As shown in Figures 7-9, the significant deposition and accumulation of ECM components in the body is evident through the Aels Blue, Masson trichrome staining and immunohistochemical staining, indicating that a larger amount of GAG is synthesized separately. Collagen and type II collagen.

DNA、GAG及膠原蛋白之量測使吾人能夠定量軟骨細胞之增殖及ECM合成。在於第14天、第21天及第28天接種軟骨細胞之後,DNA含量顯示分別增加1.03倍、1.89倍及2.62倍(p<0.01)(圖10(A)),且其表示增加之細胞數目。在第28天,細胞總數達到10.10×105個,其對應於一個月增加10.10倍。關於GAG分泌,與空白支架相比,在第7天、第14天、第21天及第28天,生長於支架上之細胞分別展示1.05倍、3.20倍、5.85倍及7.11倍之顯著增加(p<0.01)(圖10(B))。在 圖10(C)中,在不同時間點,膠原蛋白之量亦展示1.06倍、2.43倍、3.39倍及4.24倍之類似增加。關於II型膠原蛋白,與空白支架相比,在整個研究週期內,含量亦增加至1.75倍、3.82倍、4.43倍及5.11倍(p<0.01)(圖10(D))。相比之下,I型膠原蛋白(陰性標記物)之量在定量下限值以下(LLOQ,<0.08μg/mL)。GAG、膠原蛋白及II型膠原蛋白之逐漸增加的含量與DNA量之結果一致;同時此等結果對應於光學顯微鏡組織學及SEM觀察結果。 Measurement of DNA, GAG and collagen allows us to quantify chondrocyte proliferation and ECM synthesis. After inoculation of chondrocytes on days 14, 21, and 28, the DNA content showed an increase of 1.03, 1.89, and 2.62 (p < 0.01), respectively (Fig. 10(A)), and it indicates an increased number of cells. . On day 28, the total number of cells reached 10.10 × 10 5 th, which corresponds to 10.10 times the month increased. Regarding GAG secretion, on days 7, 14, 21, and 28, the cells grown on the scaffold showed a significant increase of 1.05, 3.20, 5.85, and 7.11, respectively, compared to the blank scaffold ( p < 0.01) (Fig. 10 (B)). In Figure 10(C), the amount of collagen also showed similar increases of 1.06, 2.43, 3.39 and 4.24 at different time points. Regarding type II collagen, the content was also increased to 1.75 times, 3.82 times, 4.43 times, and 5.11 times (p < 0.01) over the entire study period as compared with the blank scaffold (Fig. 10(D)). In contrast, the amount of type I collagen (negative marker) was below the quantitative lower limit (LLOQ, <0.08 μg/mL). The increasing content of GAG, collagen and type II collagen is consistent with the amount of DNA; and these results correspond to the results of light microscopy histology and SEM observation.

定量即時PCRQuantitative real-time PCR

為評估接種於非細胞ECM支架中之軟骨細胞的軟骨形成分化,分別於第7天、第14天、第21天及第28天藉由即時PCR測定軟骨形成標記物之變化(圖11)。軟骨生成之兩個陽性標記物,聚集蛋白聚糖及II型膠原蛋白顯著增加(p<0.01)。相反,未觀測到軟骨生成表現之陰性標記物(I型及X型膠原蛋白)的顯著變化(p=0.155及0.245)。基因表現之結果連同組織學染色及生物化學定量之結果表明當在非細胞ECM支架中培養時,人類軟骨細胞維持其正常表型且軟骨樣組織經工程改造。 To assess cartilage differentiation of chondrocytes seeded in non-cellular ECM scaffolds, changes in cartilage formation markers were determined by real-time PCR on days 7, 14, 21 and 28, respectively (Figure 11). Two positive markers of chondrogenesis, aggrecan and type II collagen were significantly increased (p < 0.01). In contrast, no significant changes in the negative markers of cartilage formation (type I and type X collagen) were observed (p = 0.155 and 0.245). The results of gene expression, together with histological staining and biochemical quantification, indicate that human chondrocytes maintain their normal phenotype and cartilage-like tissue is engineered when cultured in a non-cellular ECM scaffold.

軟骨生成骨髓衍生之人類間質幹細胞Chondrogenic bone marrow-derived human mesenchymal stem cells

使用GAG、完全膠原蛋白及II型膠原蛋白作為軟骨形成分化標記物,圖12顯示當將hMSC接種於非細胞ECM支架或TCPS上且與生長培養基或軟骨形成培養基一起培養時,第14天及第21天時ECM之平均量的相對比。與接種於TCPS上之hMSC相比,非細胞ECM支架上且與軟骨形成培養基一起培養之hMSC合成更高量之GAG、膠原蛋白及II型膠原蛋白。聚集蛋白聚糖及II型膠原蛋白之組織學影像(圖13)及增加之基因表現(圖14)證實軟骨形成分化之一致結果,而觀測到I型膠原蛋白(軟骨細胞去分化之標記物)之略微下調。除人類軟骨細胞以外,非細胞ECM支架類似地提供信號以驅使hMSC趨向軟骨生成。 GAG, complete collagen, and type II collagen were used as markers for chondrogenic differentiation, and Figure 12 shows that when hMSCs were seeded on non-cellular ECM scaffolds or TCPS and cultured with growth medium or chondrogenic medium, day 14 and The relative ratio of the average amount of ECM at 21 days. Compared to hMSCs seeded on TCPS, hMSCs cultured on non-cellular ECM scaffolds and cultured with chondrogenic medium synthesize higher amounts of GAG, collagen and type II collagen. Histological images of aggrecan and type II collagen (Fig. 13) and increased gene expression (Fig. 14) confirmed consistent results for chondrogenic differentiation, while type I collagen (marker for dedifferentiation of chondrocytes) was observed. It is slightly down. In addition to human chondrocytes, non-cellular ECM scaffolds similarly provide signals to drive hMSCs toward chondrogenesis.

活體內研究In vivo study

將非細胞ECM支架構築體經皮下植入大鼠中持續7天、14天及28天以確定支架是否為生物相容性。在實驗週期期間無動物死亡。隨著自支架完全移除細胞,亦移除非細胞組織中之免疫原性抗原。非細胞ECM支架能夠允許新組織形成且由宿主很好地耐受而無不良反應,表明同種異體去細胞化支架可作為軟骨工程改造之理想來源。 Non-cellular ECM scaffolds were implanted subcutaneously into rats for 7 days, 14 days, and 28 days to determine if the scaffold was biocompatible. No animals died during the experimental period. The immunogenic antigen in the non-cellular tissue is also removed as the cells are completely removed from the scaffold. Non-cellular ECM scaffolds are capable of allowing new tissue to form and are well tolerated by the host without adverse reactions, suggesting that allogeneic decellularized scaffolds can be an ideal source of cartilage engineering.

實例2至實例7 在不同時間用甲酸使半月板去細胞化Example 2 to Example 7 Decellularization of meniscus with formic acid at different times

根據實例1中所述之方法使實例2及實例7之支架去細胞化,其中如表1中所示使用甲酸處理不同時間(2小時、4小時、6小時、8小時、10小時及12小時)。將切碎之半月板浸於PBS中12小時且充當對照組。在預定時間點時將懸浮液均質化,透析,且隨後冷凍乾燥以製造支架。藉由生物化學分析比較DNA及主要ECM(GAG及膠原蛋白)之量來確定去細胞化之成功。圖15顯示甲酸處理時間越長,則所顯示之去細胞化越有效。 The scaffolds of Examples 2 and 7 were decellularized according to the method described in Example 1, wherein formic acid treatment was used as shown in Table 1 for different times (2 hours, 4 hours, 6 hours, 8 hours, 10 hours, and 12 hours). ). The minced meniscus was immersed in PBS for 12 hours and served as a control group. The suspension was homogenized at a predetermined time point, dialyzed, and then lyophilized to make a scaffold. The success of decellularization was determined by biochemical analysis comparing the amount of DNA and major ECM (GAG and collagen). Figure 15 shows that the longer the formic acid treatment time, the more effective the decellularization shown.

實例8至實例14 在不同濃度下用甲酸使半月板去細胞化Examples 8 to 14 Decellularization of meniscus with formic acid at various concentrations

根據實例1中所述之方法使實例8及實例14之支架去細胞化,其中使用不同濃度之甲酸(12.5%、25%、37.5%、50%、62.5%、75%、87.5%)2小時或4小時(見表1)。圖16顯示甲酸之濃度越高或處理時間越長,則所顯示之去細胞化越有效。 The scaffolds of Examples 8 and 14 were decellularized according to the method described in Example 1, using different concentrations of formic acid (12.5%, 25%, 37.5%, 50%, 62.5%, 75%, 87.5%) for 2 hours. Or 4 hours (see Table 1). Figure 16 shows that the higher the concentration of formic acid or the longer the treatment time, the more effective the decellularization shown.

實例15 製造去細胞化皮膚支架Example 15 Making a decellularized skin scaffold

自成年豬收集皮膚且藉由PBS洗滌。將0.2g皮膚分別懸浮於10mL乙酸(>99%)、甲酸(>99%)、過氧乙酸(15%)及檸檬酸(60%)中伴以在室溫下攪拌24小時。將皮膚浸於PBS中24小時作為對照。在24小時之後,洗滌皮膚以移除過量酸及細胞碎片,且隨後冷凍乾燥以製造支架。藉由環氧乙烷對此等支架進行滅菌,且隨後脫氣以測定DNA。 Skin was collected from adult pigs and washed by PBS. 0.2 g of skin was separately suspended in 10 mL of acetic acid (>99%), formic acid (>99%), peracetic acid (15%) and citric acid (60%) with stirring at room temperature for 24 hours. The skin was immersed in PBS for 24 hours as a control. After 24 hours, the skin was washed to remove excess acid and cell debris, and then lyophilized to make a scaffold. The stents were sterilized by ethylene oxide and subsequently degassed to determine DNA.

圖17表明使用甲酸可使DNA含量降低至小於1%;然而,使用乙酸及檸檬酸無法使DNA含量降低至令人滿意的水準。儘管過氧乙酸之處理能夠使DNA顯著降低,但其腐蝕標本。 Figure 17 shows that the use of formic acid reduces the DNA content to less than 1%; however, the use of acetic acid and citric acid does not reduce the DNA content to a satisfactory level. Although the treatment with peracetic acid can significantly reduce the DNA, it corrodes the specimen.

比較實例1至比較實例2Comparative Example 1 to Comparative Example 2

比較實例1至比較實例2之支架係基於實例1中所述之方法,其中如表1中所示採用不同濃度之過氧乙酸及不同處理時間段。藉由生物化學分析比較DNA及主要ECM(GAG及膠原蛋白)之量來確定去細胞化之成功。 The stents of Comparative Example 1 to Comparative Example 2 were based on the method described in Example 1, wherein different concentrations of peroxyacetic acid and different treatment periods were employed as shown in Table 1. The success of decellularization was determined by biochemical analysis comparing the amount of DNA and major ECM (GAG and collagen).

比較實例3至比較實例6Compare Example 3 to Comparative Example 6

根據實例1中所述之方法使比較實例3至比較實例6之支架去細胞化,其中使用乙酸(>99%)、蘋果酸(60%)、丁二酸(5%)或檸檬酸(60%)處理2小時、4小時、6小時、8小時、10小時或12小時。吾人嘗試施用更高濃度之酸溶液以實現最佳去細胞化作用及縮短處理時間。市售酸產品之純度或其飽和溶解度引起研究中所用之酸的不同濃度。藉由生物化學分析比較DNA及主要ECM(GAG及膠原蛋白)之量來確 定去細胞化之成功。 The scaffolds of Comparative Examples 3 to 6 were decellularized according to the method described in Example 1, using acetic acid (>99%), malic acid (60%), succinic acid (5%) or citric acid (60). %) Treatment for 2 hours, 4 hours, 6 hours, 8 hours, 10 hours or 12 hours. I tried to apply a higher concentration of acid solution to achieve optimal decellularization and shorten processing time. The purity of the commercially available acid product or its saturated solubility causes different concentrations of the acid used in the study. Compare the amount of DNA and major ECM (GAG and collagen) by biochemical analysis The success of decellularization.

支架製造分析法Stent manufacturing analysis

為確認細胞移除,進行DNA定量。圖18(A)展示在不同酸處理之後,與對照半月板(PBS處理12小時)相比之相對DNA含量。浸於甲酸溶液中2小時能夠使DNA之量降低至4.10%(p<0.01),而在經乙酸、0.15%過氧乙酸及5%丁二酸處理2小時之半月板中未發現明顯影響(各自為p=0.095、0.059及0.074)。 To confirm cell removal, DNA quantification was performed. Figure 18 (A) shows the relative DNA content compared to control meniscus (12 hours of PBS treatment) after different acid treatments. Immersion in formic acid solution for 2 hours reduced the amount of DNA to 4.10% (p<0.01), while no significant effect was observed in the meniscus treated with acetic acid, 0.15% peracetic acid and 5% succinic acid for 2 hours. Each is p=0.095, 0.059 and 0.074).

圖18(B)及圖18(C)顯示在不同處理之後,主要ECM(膠原蛋白及GAG)之殘餘比。經甲酸處理2小時對GAG或膠原蛋白含量沒有顯著不良作用(p=0.087及0.714)。在2小時時,乙酸及檸檬酸引起膠原蛋白大量破壞(分別為p=0.043及0.027),且乙酸及15%過氧乙酸極大降低GAG之量(分別為p=0.038及<0.01)。 Figure 18 (B) and Figure 18 (C) show the residual ratio of major ECM (collagen and GAG) after different treatments. There was no significant adverse effect on GAG or collagen content after treatment with formic acid for 2 hours (p=0.087 and 0.714). At 2 hours, acetic acid and citric acid caused extensive destruction of collagen (p=0.043 and 0.027, respectively), and acetic acid and 15% peroxyacetic acid greatly reduced the amount of GAG (p=0.038 and <0.01, respectively).

Claims (25)

一種產生去細胞化生物材料之方法,其包含提供具有細胞之未經處理之生物材料及用甲酸溶液在可自生物材料有效移除細胞及細胞核物質之濃度下處理生物材料,同時與未經處理之生物材料相比維持高於約85%的GAG。 A method of producing a decellularized biological material comprising providing an untreated biological material having cells and treating the biological material with a formic acid solution at a concentration effective to remove cells and nuclear material from the biological material, simultaneously with untreated The biomaterial maintains a GAG above about 85%. 如請求項1之方法,其中藉由本發明之方法處理之生物材料為組織與器官。 The method of claim 1, wherein the biological material treated by the method of the present invention is a tissue and an organ. 如請求項1之方法,其中該生物材料為皮膚、心瓣膜、心包、血管、脊髓、氣管、膀胱、韌帶、軟骨、半月板、盤、骨、硬膜、小腸黏膜下層、脊椎腦膜、腎、肝、肺或神經。 The method of claim 1, wherein the biological material is skin, heart valve, pericardium, blood vessel, spinal cord, trachea, bladder, ligament, cartilage, meniscus, disc, bone, dura, small intestinal submucosa, spinal meninges, kidney, Liver, lung or nerve. 如請求項1之方法,其中該溶液中甲酸濃度在約50%(w/w)至約100%(w/w)範圍內。 The method of claim 1, wherein the concentration of formic acid in the solution is in the range of from about 50% (w/w) to about 100% (w/w). 如請求項1之方法,其中該去細胞化生物材料為去細胞化ECM、去細胞化組織或去細胞化器官。 The method of claim 1, wherein the decellularized biomaterial is a decellularized ECM, a decellularized tissue, or a decellularized organ. 如請求項1之方法,其進一步維持高於75%膠原蛋白。 As in the method of claim 1, it further maintains greater than 75% collagen. 如請求項1之方法,其中該甲酸溶液能進一步包含共溶劑。 The method of claim 1, wherein the formic acid solution further comprises a cosolvent. 如請求項1之方法,其中該甲酸溶液能進一步包含酸溶液。 The method of claim 1, wherein the formic acid solution further comprises an acid solution. 如請求項1之方法,其中該生物材料與甲酸之比率為約1%(w/v)至約5%(w/v)。 The method of claim 1, wherein the ratio of the biomaterial to formic acid is from about 1% (w/v) to about 5% (w/v). 如請求項1之方法,其中用甲酸溶液處理生物材料小於15小時。 The method of claim 1, wherein the biological material is treated with the formic acid solution for less than 15 hours. 如請求項1之方法,其中該組織與器官為異源的、同源的、同種異體的、自體的或異種的組織或器官。 The method of claim 1, wherein the tissue and the organ are heterologous, homologous, allogeneic, autologous or xenogeneic tissues or organs. 如請求項1之方法,與未經處理之生物材料相比,其中DNA含量降低至小於約5%或更低。 The method of claim 1, wherein the DNA content is reduced to less than about 5% or less compared to the untreated biological material. 如請求項1之方法,其中可維持高於約90%的GAG。 The method of claim 1 wherein greater than about 90% of the GAG is maintained. 如請求項1之方法,其中可維持高於約80%的膠原蛋白。 The method of claim 1, wherein more than about 80% of the collagen is maintained. 如請求項1之方法,在處理該生物材料之前,其進一步包含預處理步驟。 The method of claim 1, further comprising a pretreatment step prior to processing the biological material. 如請求項1之方法,在處理該生物材料之前,其進一步包含物理去細胞化、化學去細胞化或該物理與該化學去細胞化之組合步驟。 The method of claim 1, further comprising physical decellularization, chemical decellularization or a combination of the physical and the chemical decellularization prior to processing the biological material. 如請求項1之方法,在處理該生物材料之後,其進一步包含洗滌步驟。 The method of claim 1, after the processing of the biological material, further comprising a washing step. 如請求項1之方法,在處理該生物材料之後,其進一步包含形成作為支架之去細胞化生物材料的步驟,該步驟藉由使去細胞化生物材料與/不與致孔劑混合,將其倒入用於使支架成形之模型中,且隨後冷凍乾燥成形之支架。 The method of claim 1, after the processing of the biological material, further comprising the step of forming a decellularized biomaterial as a scaffold by mixing the decellularized biomaterial with/without a porogen Pour into the mold used to shape the stent and then freeze dry the shaped stent. 一種去細胞化生物材料,其中DNA與GAG含量分別小於約5%或更低及高於約85%。 A decellularized biomaterial wherein the DNA and GAG content are less than about 5% or less and greater than about 85%, respectively. 如請求項19之去細胞化生物材料,其進一步維持高於75%的膠原蛋白。 The decellularized biomaterial of claim 19 further maintains greater than 75% collagen. 如請求項19之去細胞化生物材料,其為去細胞化ECM、組織或器官。 A decellularized biomaterial according to claim 19 which is a decellularized ECM, tissue or organ. 如請求項19之去細胞化生物材料,其與支撐物結合。 The decellularized biomaterial of claim 19 is bound to a support. 如請求項19之去細胞化生物材料,其中該支撐物為醫藥組合物、植入物、組織再生支架或醫療裝置。 The decellularized biomaterial of claim 19, wherein the support is a pharmaceutical composition, an implant, a tissue regeneration scaffold, or a medical device. 一種用於製備製備活體外支架培養系統之方法,其包含(i)提供本發明之去細胞化生物材料支架,(ii)灌注細胞群,包括幹細胞、祖細胞或能夠分化之部分分化祖細胞,或能夠功能上成熟以用於去細胞化生物材料支架之細胞群體,及(iii)在實現灌注去細胞化生物材料支架之重新細胞分化及幹細胞或祖細胞之分化及功能成 熟或該群體中之細胞之功能成熟之條件下,使灌注去細胞化生物材料支架與細胞群接觸一段時間。 A method for preparing an in vitro stent culture system comprising (i) providing a decellularized biomaterial scaffold of the invention, (ii) a perfused cell population, including stem cells, progenitor cells, or partially differentiated progenitor cells capable of differentiating, Or a functionally mature cell population for decellularizing a biomaterial scaffold, and (iii) re-cell differentiation and stem cell or progenitor cell differentiation and function in a perfusion decellularized biomaterial scaffold The perfused decellularized biomaterial scaffold is contacted with the cell population for a period of time under conditions of maturity or maturity of the cells in the population. 一種用於產生組織移植物之方法,其包含以下步驟:a)提供本發明之去細胞化生物材料支架;b)使有機體中之細胞滲入去細胞化生物材料支架中;c)培育有機體內之組織一段足以使細胞分化之時間;及d)提供能夠誘發細胞分化之生理活性物質。 A method for producing a tissue graft comprising the steps of: a) providing a decellularized biomaterial scaffold of the present invention; b) infiltrating cells in the organism into a decellularized biomaterial scaffold; c) cultivating the organism Organizing a period of time sufficient to differentiate the cells; and d) providing a physiologically active substance capable of inducing cell differentiation.
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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111712270A (en) * 2017-10-13 2020-09-25 创伤护理咨询创伤学研究有限责任公司 Reduction of elastin enables recellularisation of cartilage implants
CN116836266A (en) * 2023-08-07 2023-10-03 苏州先觉新材料科技有限公司 Sheep spinal nucleus pulposus collagen and extraction method thereof

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111712270A (en) * 2017-10-13 2020-09-25 创伤护理咨询创伤学研究有限责任公司 Reduction of elastin enables recellularisation of cartilage implants
CN116836266A (en) * 2023-08-07 2023-10-03 苏州先觉新材料科技有限公司 Sheep spinal nucleus pulposus collagen and extraction method thereof
CN116836266B (en) * 2023-08-07 2024-03-19 苏州先觉新材料科技有限公司 Sheep spinal nucleus pulposus collagen and extraction method thereof

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