Effective decellularization of human nerve matrix for regenerative medicine with a novel protocol
Abstract
Injuries to the peripheral nerves represent a frequent cause of permanent disability in adults. The repair of large nerve lesions involves the use of autografts, but they have several inherent limitations. Overcoming these limitations, the use of decellularized nerve matrix has emerged as a promising treatment in tissue regenerative medicine. Here, we generate longer human decellularized nerve segments with a novel decellularization method, using nonionic, zwitterionic, and enzymatic incubations. Efficiency of decellularization was measured by DNA quantification and cell remnant analysis (myelin, S100, neurofilament). The evaluation of the extracellular matrix (collagen, laminin, and glycosaminoglycans) preservation was carried out by enzyme-linked immunosorbent assay (ELISA) or biochemical methods, along with histological and immunofluorescence analysis. Moreover, biomechanical properties and cytocompatibility were tested. Results showed that the decellularized nerves generated with this protocol have a concentration of DNA below the threshold of 50 ng/mg of dry tissue. Furthermore, myelin, S100, and MHCII proteins were absent, although some neurofilament remnants could be observed. Moreover, extracellular matrix proteins were well maintained, as well as the biomechanical properties, and the decellularized nerve matrix did not generate cytotoxicity. These results show that our method is effective for the generation of decellularized human nerve grafts. The generation of longer decellularized nerve segments would allow the understanding of the regenerative neurobiology after nerve injuries in both clinical assays and bigger animal models. Effective decellularization of human nerve matrix for regenerative medicine with a novel protocol. Combination of zwitterionic, non-ionic detergents, hyperosmotic solution and nuclease enzyme treatment remove cell remnants, maintain collagen, laminin and biomechanics without generating cytotoxic leachables.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Numerous decellularization protocols have been developed, encompassing an array of physical, chemical, and enzymatic treatments, often in combination.
“Numerous decellularization protocols have been developed, encompassing an array of physical, chemical, and enzymatic treatments, often in combination.”
From Bioactive scaffolds for tissue engineering: A review of decellularized extracellular matrix applications and innovations (2025) · cites this paper as [27]
Cites
Fiji: an open-source platform for biological-image analysis
Schindelin, J., Arganda-Carreras, I., Frise, E., Kaynig, V., Longair, M., Pietzsch, T., Preibisch, S., Rueden, C., Saalfeld, S., Schmid, B., et al. (2012) · Nature Methods · doi:10.1038/nmeth.2019 · Cited by 66,890 · see citing works
An overview of tissue and whole organ decellularization processes
Crapo, P. M., Gilbert, T. W., & Badylak, S. F. (2011) · Biomaterials · doi:10.1016/j.biomaterials.2011.01.057 · Cited by 3,591 · see citing works
Decellularization Strategies for Regenerative Medicine: From Processing Techniques to Applications
Gilpin, A., & Yang, Y. (2017) · BioMed Research International · doi:10.1155/2017/9831534 · Cited by 742 · see citing works
The Incidence of Peripheral Nerve Injury in Extremity Trauma
Taylor, C. A., Braza, D. W., Rice, J. B., & Dillingham, T. R. (2008) · American Journal of Physical Medicine & Rehabilitation · doi:10.1097/phm.0b013e31815e6370 · Cited by 557 · see citing works
Peripheral nerve regeneration through guidance tubes
Belkas, J. S., Shoichet, M. S., & Midha, R. (2004) · Neurological Research · doi:10.1179/016164104225013798 · Cited by 417 · see citing works
Clinical Outcome following Nerve Allograft Transplantation
Mackinnon, S. E., Doolabh, V. B., Novak, C. B., & Trulock, E. P. (2001) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-200105000-00016 · Cited by 408 · see citing works
Processed allografts and type I collagen conduits for repair of peripheral nerve gaps
Whitlock, E. L., TUFFAHA, S. H., Luciano, J. P., Yan, Y., Hunter, D. A., Magill, C. K., Moore, A. M., Tong, A. Y., Mackinnon, S. E., & Borschel, G. H. (2009) · Muscle & Nerve · doi:10.1002/mus.21220 · Cited by 404 · see citing works
Topp, K. S., & Boyd, B. S. (2006) · Physical Therapy · doi:10.1093/ptj/86.1.92 · Cited by 361 · see citing works
Optimized Acellular Nerve Graft Is Immunologically Tolerated and Supports Regeneration
Hudson, T. W., Zawko, S. A., Deister, C. A., Lundy, S. D., Hu, C. Y., Lee, K., & Schmidt, C. E. (2004) · Tissue Engineering · doi:10.1089/ten.2004.10.1641 · Cited by 354 · see citing works
Engineering an Improved Acellular Nerve Graft via Optimized Chemical Processing
Hudson, T. W., Liu, S. Y., & Schmidt, C. E. (2004) · Tissue Engineering · doi:10.1089/ten.2004.10.1346 · Cited by 310 · see citing works
Regeneration of the rat sciatic nerve into allografts made acellular through chemical extraction
Sondell, M., Lundborg, G., & Kanje, M. (1998) · Brain Research · doi:10.1016/s0006-8993(98)00251-0 · Cited by 259 · see citing works
Zhang, J., Li, X., Ren, Y., Zhao, Y., Xing, A., Jiang, C., Chen, Y., & An, L. (2018) · Frontiers in Cellular Neuroscience · doi:10.3389/fncel.2018.00001 · Cited by 257 · see citing works
A systematic review of animal models used to study nerve regeneration in tissue-engineered scaffolds
Angius, D., Wang, H., Spinner, R. J., Gutierrez-Cotto, Y., Yaszemski, M. J., & Windebank, A. J. (2012) · Biomaterials · doi:10.1016/j.biomaterials.2012.07.056 · Cited by 228 · see citing works
Decellularization of Fibroblast Cell Sheets for Natural Extracellular Matrix Scaffold Preparation
Xing, Q., Yates, K. M., Tahtinen, M., Shearier, E. R., Qian, Z., & Zhao, F. (2014) · Tissue Engineering Part C Methods · doi:10.1089/ten.tec.2013.0666 · Cited by 206 · see citing works
The impact of motor and sensory nerve architecture on nerve regeneration
Moradzadeh, A., Borschel, G. H., Luciano, J. P., Whitlock, E. L., Hayashi, A., Hunter, D. A., & Mackinnon, S. E. (2008) · Experimental Neurology · doi:10.1016/j.expneurol.2008.04.012 · Cited by 151 · see citing works
Extracellular Matrix Components in Peripheral Nerve Regeneration
González-Pérez, F., Udina, E., & Navarro, X. (2013) · International review of neurobiology · doi:10.1016/b978-0-12-410499-0.00010-1 · Cited by 139 · see citing works
Self-citationThe Role of Schwann Cell-Axon Interaction in Peripheral Nerve Regeneration
Namgung, U. (2014) · Cells Tissues Organs · doi:10.1159/000370324 · Cited by 135 · see citing works
Sural Nerve Donor-Site Morbidity
IJpma, F. F. A., Nicolai, J. A., & Meek, M. F. (2006) · Annals of Plastic Surgery · doi:10.1097/01.sap.0000221963.66229.b6 · Cited by 125 · see citing works
Gordon, T., & Borschel, G. H. (2016) · Experimental Neurology · doi:10.1016/j.expneurol.2016.01.014 · Cited by 118 · see citing works
Szynkaruk, M., Kemp, S. W. P., Wood, M. D., Gordon, T., & Borschel, G. H. (2012) · Tissue Engineering Part B Reviews · doi:10.1089/ten.teb.2012.0275 · Cited by 112 · see citing works
Boucher, A., Desforges, M., Duquette, P., & Talbot, P. J. (2007) · Clinical Immunology · doi:10.1016/j.clim.2007.02.002 · Cited by 95 · see citing works
The role of peripheral nerve ECM components in the tissue engineering nerve construction
Gao, X., Wang, Y., Chen, J., & Peng, J. C. (2013) · Reviews in the Neurosciences · doi:10.1515/revneuro-2013-0022 · Cited by 89 · see citing works
Digital nerve injuries: Epidemiology, results, costs, and impact on daily life
Thorsén, F., Rosberg, H., Carlsson, K. S., & Dahlin, L. B. (2012) · Journal of Plastic Surgery and Hand Surgery · doi:10.3109/2000656x.2012.676554 · Cited by 88 · see citing works
Tos, P., Ronchi, G., Papalia, I., Sallen, V., Legagneux, J., Geuna, S., & Giacobini-Robecchi, M. G. (2009) · International review of neurobiology · doi:10.1016/s0074-7742(09)87004-9 · Cited by 85 · see citing works
A Novel Fluorescent Probe That Is Brain Permeable and Selectively Binds to Myelin
Wu, C., Tian, D., Feng, Y., Polak, P. E., Wei, J., Sharp, A., Stankoff, B., Lubetzki, C., Zalc, B., Mufson, E. J., et al. (2006) · Journal of Histochemistry & Cytochemistry · doi:10.1369/jhc.5a6901.2006 · Cited by 68 · see citing works
Innovative Treatment of Peripheral Nerve Injuries
Ducic, I., Fu, R. H., & Iorio, M. L. (2012) · Annals of Plastic Surgery · doi:10.1097/sap.0b013e3182361b23 · Cited by 65 · see citing works
Philips, C., Cornelissen, M., & Carriel, V. (2017) · Journal of Neural Engineering · doi:10.1088/1741-2552/aaa21a · Cited by 65 · see citing works
Decellularisation and histological characterisation of porcine peripheral nerves
Žilić, L., Wilshaw, S., & Haycock, J. W. (2016) · Biotechnology and Bioengineering · doi:10.1002/bit.25964 · Cited by 64 · see citing works
Nerve Repair Using Decellularized Nerve Grafts in Rat Models. A Review of the Literature
Lovati, A. B., D’Arrigo, D., Odella, S., Tos, P., Geuna, S., & Raimondo, S. (2018) · Frontiers in Cellular Neuroscience · doi:10.3389/fncel.2018.00427 · Cited by 64 · see citing works
Management of Major Limb Injuries
Langer, V. (2014) · The Scientific World JOURNAL · doi:10.1155/2014/640430 · Cited by 64 · see citing works
The Role of Collagens in Peripheral Nerve Myelination and Function
Chen, P., Cescon, M., & Bonaldo, P. (2014) · Molecular Neurobiology · doi:10.1007/s12035-014-8862-y · Cited by 63 · see citing works
In vitrocharacterization of a nanostructured fibrin agarose bio-artificial nerve substitute
Carriel, V., Scionti, G., Campos, F., Roda, O., Castro, B., Cornelissen, M., Garzón, I. J., & Alaminos, M. (2015) · Journal of Tissue Engineering and Regenerative Medicine · doi:10.1002/term.2039 · Cited by 60 · see citing works
Philips, C., Campos, F., Roosens, A., Sánchez‐Quevedo, M. D. C., Declercq, H., & Carriel, V. (2018) · Annals of Biomedical Engineering · doi:10.1007/s10439-018-2082-y · Cited by 59 · see citing works
Wilson, A. D. H., Hart, A. M., Brännström, T., Wiberg, M., & Terenghi, G. (2003) · British Journal of Plastic Surgery · doi:10.1016/j.bjps.2003.08.005 · Cited by 52 · see citing works
Diogo, C. C., Camassa, J. A. D. A., Pereira, J. E., Maltez, L., Filipe, V. M. D. J., Couto, P., Geuna, S., Maurício, A. C., & Varejão, A. S. P. (2017) · Neurological Research · doi:10.1080/01616412.2017.1331873 · Cited by 40 · see citing works
Experience with Nerve Allograft Transplantation
Fox, I. K., & Mackinnon, S. E. (2007) · Seminars in Plastic Surgery · doi:10.1055/s-2007-991194 · Cited by 38 · see citing works
Kim, J. K., Koh, Y.-D., Kim, J. O., & Seo, D. H. (2016) · Journal of Plastic, Reconstructive & Aesthetic Surgery · doi:10.1016/j.bjps.2016.08.016 · Cited by 36 · see citing works
Squintani, G. M., Bonetti, B., Paolin, A., Vici, D., Cogliati, E., Murer, B., & Stevanato, G. (2013) · Journal of neurosurgery · doi:10.3171/2013.6.jns121801 · Cited by 31 · see citing works
Boriani, F., Fazio, N., Fotia, C., Savarino, L., Aldini, N. N., Martini, L., Zini, N., Bernardini, M., & Baldini, N. (2017) · Journal of Biomedical Materials Research Part A · doi:10.1002/jbm.a.36090 · Cited by 30 · see citing works
Detergent-free Decellularized Nerve Grafts for Long-gap Peripheral Nerve Reconstruction
Vasudevan, S., Huang, J., Botterman, B. R., Matloub, H. S., Keefer, E. W., & Cheng, J. (2014) · Plastic & Reconstructive Surgery Global Open · doi:10.1097/gox.0000000000000118 · Cited by 28 · see citing works
Peripheral Nerve Sheath Tumors of the Eyelid Dermis
Stagner, A. M., & Jakobiec, F. A. (2015) · Ophthalmic Plastic and Reconstructive Surgery · doi:10.1097/iop.0000000000000424 · Cited by 24 · see citing works
Peripheral nerve injuries: Long term follow-up results of rehabilitation
Adıgüzel, E., Yaşar, E., Tecer, D., Güzelküçük, Ü., Taşkaynatan, M. A., Kesikburun, S., & Özgül, A. (2016) · Journal of Back and Musculoskeletal Rehabilitation · doi:10.3233/bmr-160681 · Cited by 23 · see citing works
Wang, W., Itoh, S., & Takakuda, K. (2015) · Journal of Biomedical Materials Research Part A · doi:10.1002/jbm.a.35589 · Cited by 22 · see citing works
García‐Pérez, M. M., Martı́nez-Rodrı́guez, H. G., López-Guerra, G. G., Soto‐Domínguez, A., Said‐Fernández, S., Morales-Ávalos, R., Elizondo‐Omaña, R. E., Montes‐de‐Oca‐Luna, R., Guzmán‐López, S., Castillo‐Galván, M., et al. (2017) · PubMed · doi:10.14670/hh-11-844 · Cited by 12 · see citing works
Rhinosporidiosis in the nasal membranes: a case report.
Roberts, W. B. O. (1982) · PubMed · Cited by 3 · see citing works
Flagged first, then by citations
1 of the 46 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Zhang, X., Chen, X., Hong, H., Hu, R., Liu, J., & Liu, C. (2022) · Bioactive Materials · doi:10.1016/j.bioactmat.2021.09.014 · Cited by 680 · see citing works
Decellularization for the retention of tissue niches
Moffat, D., Ye, K., & Jin, S. (2022) · Journal of Tissue Engineering · doi:10.1177/20417314221101151 · Cited by 152 · see citing works
Liu, J., Song, Q., Yin, W., Li, C., An, N., Le, Y., Wang, Q., Feng, Y., Hu, Y., & Wang, Y. (2025) · Exploration · doi:10.1002/exp.20230078 · Cited by 140 · see citing works
Functional acellular matrix for tissue repair
Wang, B., Qinglai, T., Yang, Q., Li, M., Zeng, S., Yang, X., Xiao, Z., Tong, X., Lei, L., & Li, S. (2022) · Materials Today Bio · doi:10.1016/j.mtbio.2022.100530 · Cited by 111 · see citing works
Riva, E. R., Özkan, M., Contreras, E., Pawar, S., Zinno, C., Escarda‐Castro, E., Kim, J., Wieringa, P. A., Stellacci, F., Micera, S., et al. (2024) · Biomaterials Science · doi:10.1039/d3bm01163a · Cited by 43 · see citing works
Self-citationOrtega, J. A., de Aguiar, G. P. S., Chandravanshi, P., Levy, N., Engel, E., & Álvarez, Z. (2024) · Wiley Interdisciplinary Reviews Nanomedicine and Nanobiotechnology · doi:10.1002/wnan.1962 · Cited by 26 · see citing works
A novel decellularized nerve graft for repairing peripheral nerve long gap injury in the rat
Contreras, E., Bolívar, S., Nieto‐Nicolau, N., Fariñas, Ó., López‐Chicón, P., Navarro, X., & Udina, E. (2022) · Cell and Tissue Research · doi:10.1007/s00441-022-03682-1 · Cited by 19 · see citing works
Self-citationRole of secretomes in cell-free therapeutic strategies in regenerative medicine
Karimian, A., Khoshnazar, S. M., Kazemi, T., Asadi, A., & Abdolmaleki, A. (2023) · Cell and Tissue Banking · doi:10.1007/s10561-023-10073-5 · Cited by 18 · see citing works
Wang, Z., Lin, X. Q., Shi, Y., Yan, H., Shang, Y., & Ren, H. (2026) · Biomedical Technology · doi:10.1016/j.bmt.2025.100131 · Cited by 19 · see citing works
Rabbit as an animal model for the study of biological grafts in pelvic floor dysfunctions
Garcia, M. P., Casaní, L., Castells‐Sala, C., Pérez, M. L., Moga, E., Juan‐Babot, O., Lamo, L. A. D., López‐Chicón, P., Vilarrodona, A., Badimón, L., et al. (2021) · Scientific Reports · doi:10.1038/s41598-021-89698-z · Cited by 14 · see citing works
Self-citationAgarwal, G., Moes, K., & Schmidt, C. E. (2025) · Materials Today Bio · doi:10.1016/j.mtbio.2025.101483 · Cited by 8 · see citing works
Supercritical Carbon Dioxide Decellularization of Porcine Nerve Matrix for Regenerative Medicine
Le, L. T. T., Pham, N. C., Trinh, T. X., Nguyen, N. G., Nguyen, V. L., Nam, S., & Heo, C. Y. (2024) · Tissue Engineering Part A · doi:10.1089/ten.tea.2023.0228 · Cited by 7 · see citing works
Decellularized Graft for Repairing Severe Peripheral Nerve Injuries in Sheep
Contreras, E., Traserra, S., Bolívar, S., Nieto‐Nicolau, N., Jaramillo, J., Forés, J., José‐Cunilleras, E. L. V., Moll, X., García, F., Delgado-Martínez, I., et al. (2023) · Neurosurgery · doi:10.1227/neu.0000000000002572 · Cited by 4 · see citing works
Self-citationGovoni, M., Vivarelli, L., Fazio, N., Bolognesi, F., Fabbri, V. P., Maso, A., Storni, E., Querzoli, G., Contartese, D., Pagani, S., et al. (2025) · International Journal of Molecular Sciences · doi:10.3390/ijms26167937 · Cited by 2 · see citing works
Decellularized matrix grafts and peripheral nerve regeneration
Zhang, Q., Liu, X., Zhu, Y., Qian, T., Wang, S., & Li, M. (2025) · Neural Regeneration Research · doi:10.4103/nrr.nrr-d-25-00526 · Cited by 2 · see citing works
Martínez, J. I. R., Castells‐Sala, C., Piteira, A. R., Montagner, G., Trojan, D., Martínez‐Legazpi, P., Ocampo, A. A., Fernández‐Santos, M. E., Bermejo, J., Jashari, R., et al. (2025) · Therapeutics and Clinical Risk Management · doi:10.2147/tcrm.s486508 · Cited by 2 · see citing works
Self-citationPericardium decellularization in a one-day, two-step protocol
López‐Chicón, P., Martínez, J. I. R., Castells‐Sala, C., Lopez-Puerto, L., Ruiz-Ponsell, L., Fariñas, Ó., & Vilarrodona, A. (2024) · Molecular and Cellular Biochemistry · doi:10.1007/s11010-024-05086-x · Cited by 1 · see citing works
Self-citationMatrize dezelularizatuak eta zelula amak ehun ingeniaritzan
Luzuriaga, J., Ibarretxe, G., & Aranguren, U. (2024) · EKAIA Euskal Herriko Unibertsitateko Zientzi eta Teknologi Aldizkaria · doi:10.1387/ekaia.25202
- Authors
- Nieto-Nicolau, N., López-Chicón, P., Fariñas, O., Bolívar, S., Udina, E., Navarro, X., Casaroli-Marano, R., & Vilarrodona, A.
- Affiliations
- Universitat Autònoma de Barcelona (ES)
- Banc de Sang i Teixits (ES)
- Venue
- Cell and Tissue Research
- Published
- 2021-01-20
- Volume
- 384
- Issue
- 1
- Pages
- 167-177
- ISSN
- 0302-766X (ISSN-L)
- 1432-0878
- OpenAlex
- W3122573850
- Cited by
- 19
- References
- 46
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 6 · 2023: 2 · 2022: 4 · 2021: 2
- FWCI
- 3.31
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Cell and Tissue Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- TERCEL (RD16/0011/0035)
- CIBERNED (CB06/05/1105)
- Banc de Sang i Teixits (Ref I.2017.056)
- Topics
- Health Sciences › Medicine › Surgery › Tissue Engineering and Regenerative Medicine
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Nerve injury and regeneration
- Physical Sciences › Materials Science › Biomaterials › Electrospun Nanofibers in Biomedical Applications
- Keywords
- decellularization, peripheral nerve injury, nerve grafts, zwitterionic detergents, nonionic detergents, enzymatic treatment, extracellular matrix preservation, collagen, laminin, tissue mechanics, cytocompatibility, cell-free scaffolds
- MeSH terms
- Extracellular Matrix, Humans, Nerve Tissue, Regenerative Medicine
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review