Cited by 35Tissue Engineering and Regenerative MedicineElectrospun Nanofibers in Biomedical ApplicationsCollagen: Extraction and Characterization

Antigen removal process preserves function of small diameter venous valved conduits, whereas SDS-decellularization results in significant valvular insufficiency

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Lopera Higuita, Manuela, Griffiths, Leigh G.·2020·Acta Biomaterialia

Abstract

Chronic venous disease (CVD) is the most common reported chronic condition in the United States, affecting more than 25 million Americans. Regardless of its high occurrence, current therapeutic options are far from ideal due to their palliative nature. For best treatment outcomes, challenging cases of chronic venous insufficiency (CVI) are treated by repair or replacement of venous valves. Regrettably, the success of venous valve transplant is dependent on the availability of autologous venous valves and hindered by the possibility of donor site complications and increased patient morbidity. Therefore, the use of alternative tissue sources to provide off-the-shelf venous valve replacements has potential to be extremely beneficial to the field of CVI. This manuscript demonstrates the capability of producing off-the-shelf fully functional venous valved extracellular matrix (ECM) scaffold conduits from bovine saphenous vein (SV), using an antigen removal (AR) method. AR ECM scaffolds maintained native SV structure-function relationships and associated venous valves function. Conversely, SDS decellularization caused significant changes to the collagen and elastin macromolecular structures, resulting in collagen fibril merging, elimination of fibril crimp, amalgaming collagen fibers and fragmentation of the inner elastic lamina. ECM changes induced by SDS decellularization resulted in significant venous valve dysfunction. Venous valved conduits generated using the AR approach have potential to serve as off-the-shelf venous valve replacements for CVI. STATEMENT OF SIGNIFICANCE: Retention of the structure and composition of extracellular matrix (ECM) proteins within xenogeneic scaffolds for tissue engineering is of crucial importance, due to the undeniable effect ECM proteins can impose on repopulating cells and function of the resultant biomaterial. This manuscript demonstrates that alteration or elimination of ECM proteins via commonly utilized decellularization approach results in complete disruption of venous valve function. Conversely, retention of the delicate ECM structure and composition of native venous tissue, using an antigen removal tissue processing method, results in preservation of native venous valve function.

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Crossref · 10.1016/j.actbio.2020.03.003

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  • Damage to elastin can lead to release of elastin peptides through harsh decellularization or depletion of GAGs, and liberated elastin particles can induce monocyte chemotaxis, promote T helper cell differentiation into inflammatory phenotypes, and contribute to antibody-mediated inflammatory responses.

    “Damage to elastin can lead to the release of elastin peptides, either through harsh decellularization processes or the depletion of glycosaminoglycans (GAGs). GAGs play a crucial role in protecting elastin from protease activity [[76], [77], [78]]. The liberated elastin particles could induce monocyte chemotaxis, promote T helper cell differentiation into inflammatory phenotypes (TH1 and TH17),”

    From Liver tissue engineering using decellularized scaffolds: Current progress, challenges, and opportunities (2024) · cites this paper as [76]

    Split into 2 atoms — 0 confirmed, 2 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.

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  • C3b components bind their corresponding receptors on M1 macrophages and trigger release of matrix metalloproteinases (MMPs), the principal ECM degradative enzyme, mediating dECM graft failure.

    “C3b components bind their corresponding receptors on these M1 macrophages and trigger the release of matrix metalloproteinases (MMPs), the principal ECM degradative enzyme, mediating the dECM graft failure [46, 47].”

    From Immunogenicity of decellularized extracellular matrix scaffolds: a bottleneck in tissue engineering and regenerative medicine (2023) · cites this paper as [46]

    The Discussion states that activated macrophages produce matrix metalloproteinases that disrupt ECM scaffolds, potentially causing functional deficiencies. It does not describe C3b binding to receptors on M1 macrophages as the trigger, or identify MMPs as the principal ECM-degradative enzyme. No page number is available in our copy. (LLM, conf=0.86)

    Experimental — accuracy not yet measured
  • During decellularization of elastin-containing tissues, elastin may be denatured leading to release of elastin particles, directly via harsh agents such as SDS and trypsin or indirectly via depletion of GAGs, which protect elastin from protease activity.

    “During the decellularization of such tissues, elastin may be denatured that leads to the release of elastin particles; directly via the impact of harsh agents such as SDS and trypsin or indirectly via the depletion of GAGs, which have a critical role in protecting elastin from protease activity [46, 106–108].”

    From Immunogenicity of decellularized extracellular matrix scaffolds: a bottleneck in tissue engineering and regenerative medicine (2023) · cites this paper as [46]

    Split into 2 atoms — 0 confirmed, 2 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.

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  • Decellularization protocols differ in their ability to remove each immunogenic cell protein; a process that removes cytosolic immunogen proteins may not effectively remove immunogen cytoskeleton proteins.

    “While a decellularization process successfully removes cytosolic immunogen proteins, it might be unable to remove immunogen cytoskeleton proteins effectively [46].”

    From Immunogenicity of decellularized extracellular matrix scaffolds: a bottleneck in tissue engineering and regenerative medicine (2023) · cites this paper as [46]

    The Introduction (page unavailable) says antigens can persist in completely acellular scaffolds, supporting the general point that decellularization may leave immunogenic material behind. It does not establish the specific contrast claimed: successful removal of cytosolic immunogen proteins alongside ineffective removal of cytoskeletal immunogen proteins. (LLM, conf=0.82)

    Experimental — accuracy not yet measured
  • The amount of remaining hydrophilic and hydrophobic antigens precisely correlates with the immunogenicity of dECM scaffolds, unlike the level of DNA retention.

    “Unlike the level of DNA retention, the amount of remaining hydrophilic and hydrophobic antigens precisely correlates with the immunogenicity of the dECM scaffolds [25, 46].”

    From Immunogenicity of decellularized extracellular matrix scaffolds: a bottleneck in tissue engineering and regenerative medicine (2023) · cites this paper as [46]

    The Introduction (page not specified) says residual antigen content correlates with in vivo adaptive immune response, whereas scaffold cellularity is poorly correlated with residual antigen content. The Results measure DNA and hydrophilic and lipophilic antigens, but the paper does not establish a precise immunogenicity correlation for each antigen fraction or directly compare that correlation with DNA retention. (LLM, conf=0.86)

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Cited by

Sorted by citations

Authors
Lopera Higuita, M., & Griffiths, L. G.
Affiliations
Mayo Clinic (US)
Corresponding author
Griffiths, Leigh G.
Venue
Acta Biomaterialia
Publisher
Elsevier BV
Published
2020-04
Volume
107
Pages
115-128
ISSN
1742-7061 (ISSN-L)
OpenAlex
W3009078494
Cited by
35
References
6
Citations by year
2026: 4 · 2025: 4 · 2024: 5 · 2023: 6 · 2022: 5 · 2021: 11
FWCI
5.03
Type
journal article
Language
en
Open access
Locations
  • Acta Biomaterialia (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institutes of Health (R01HL121068)
Topics
  • Health Sciences › Medicine › Surgery › Tissue Engineering and Regenerative Medicine
  • Physical Sciences › Materials Science › Biomaterials › Electrospun Nanofibers in Biomedical Applications
  • Physical Sciences › Materials Science › Biomaterials › Collagen: Extraction and Characterization
Keywords
antigen removal, venous valve function, chronic venous insufficiency, extracellular matrix scaffolds, collagen fibril structure, elastic lamina
MeSH terms
Animals, Antigens, Surface, Cattle, Collagen, Elastin, Extracellular Matrix, Chemical Fractionation, Humans, Rabbits, Saphenous Vein, Sodium Dodecyl Sulfate, Extracellular Matrix Proteins, Tissue Engineering, Tissue Scaffolds, Venous Valves

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