Skingineering II: transplantation of large-scale laboratory-grown skin analogues in a new pig model

Background: Tissue engineering of skin with near-normal anatomy is an intriguing novel strategy to attack the still unsolved problem of how to ideally cover massive full-thickness skin defects. After successful production of large, pig cell-derived skin analogues, we now aim at developing an appropriate large animal model for transplantation studies. Materials and methods: In four adult Swiss pigs, full-thickness skin defects, measuring 7.5×7.5cm, were surgically created and then shielded against the surrounding skin by a new, self-designed silicone chamber. In two animals each, Integra dermal regeneration templates or cultured autologous skin analogues, respectively, were applied onto the wound bed. A sophisticated shock-absorbing dressing was applied for the ensuing 3weeks. Results were documented photographically and histologically. Results: All animals survived uneventfully. Integra healed in perfectly, while the dermo-epidermal skin analogues showed complete take of the dermal compartment but spots of missing epidermis. The chamber proved effective in precluding ("false positive”) healing from the wound edges and the special dressing efficiently kept the operation site intact and clean for the planned 3weeks. Conclusion: We present a novel and valid pig model permitting both transplantation of large autologous, laboratory-engineered skin analogues and also keeping the site of intervention undisturbed for at least three postoperative weeks. Hence, the model will be used for experiments testing whether such large skin analogues can restore near-normal skin, particularly in the long term. If so, clinical application can be envisione

An in-silico approach to meniscus tissue regeneration: Modeling, numerical simulation, and experimental analysis

We develop a model the dynamics of human mesenchymal stem cells (hMSCs) and chondrocytes evolving in a nonwoven polyethylene terephtalate (PET) scaffold impregnated with hyaluron and supplied with a differentiation medium. The scaffold and the cells are assumed to be contained in a bioreactor with fluid perfusion. The differentiation of hMSCs into chondrocytes favors the production of extracellular matrix (ECM) and is influenced by fluid stress. The model takes deformations of ECM and PET scaffold into account. The scaffold structure is explicitly included by statistical assessment of the fibre distribution from CT images. The effective macroscopic equations are obtained by appropriate upscaling from dynamics on lower (microscopic and mesoscopic) scales and feature in the motility terms an explicit cell diffusion tensor encoding the assessed anisotropic scaffold structure. Numerical simulations show its influence on the overall cell and tissue dynamics

Novel airflow ring for the reduction of germ load in a surgical field

Hospital-acquired infections occur through microbial contamination of the surgical wound and can lead to severe complications. A significant transmission path is the aerogenic transmission, where pathogens stick to floating particles like skin scales or to air moisture. A novel porous airflow ring which is placed around the surgical field aims to overcome this by applying sterile air directly at the operation wound. The ring is provided with an air tight coating at the outer side and allows for fixation on the skin by an adhesive coating at the lower side. To evaluate its performance the airflow ring was placed in an atmosphere with nebulized suspension of Staphylococcus arlettae of a concentration of 5.0 x 10^5 CFU/ml resp. 5.0 x 10^6 CFU/ml within a box. The formation of bacterial colonies (CFU) on contact plates placed within the airflow ring was subsequently determined by visual counting after incubating at 37 °C for one day. CFU counts of the ventilated and the unventilated situation were compared. With the smaller inoculum, the introduction of bacteria into the inner site of the ring was completely prevented, whereas the contact plate of the unventilated ring resulted in 77 to 427 colonies in different trials. With the higher inoculum, the bacteria ingress was very strongly reduced by 99.7% respectively 99.9%. In conclusion the airflow ring shows a strong shielding effect for germs adhered to fog-sized water droplets. To clearly demonstrate the effect, the number of bacteria was greatly increased compared to reality in this setup. It was shown that it can withstand even conditions significantly worse than those encountered in an operating theatre. In order to demonstrate the effect in vivo, clinical trials have to be conducted to confirm the laboratory results