Methods of tissue decellularization used for preparation of biologic scaffolds and in vivo relevance
Open accessAbstract
Biologic scaffolds composed of extracellular matrix (ECM) are widely used in both preclinical animal studies and in many clinical applications to repair and reconstruct tissues. Recently, 3-dimensional ECM constructs have been investigated for use in whole organ engineering applications. ECM scaffolds are prepared by decellularization of mammalian tissues and the ECM provides natural biologic cues that facilitate the restoration of site appropriate and functional tissue. Preservation of the native ECM constituents (i.e., three-dimensional ultrastructure and biochemical composition) during the decellularization process would theoretically result in the ideal scaffold for tissue remodeling. However, all methods of decellularization invariably disrupt the ECM to some degree. Decellularization of tissues and organs for the production of ECM bioscaffolds requires a balance between maintaining native ECM structure and the removal of cellular materials such as DNA, mitochondria, membrane lipids, and cytosolic proteins. These remnant cellular components can elicit an adverse inflammatory response and inhibit constructive remodeling if not adequately removed. Many variables including cell density, matrix density, thickness, and morphology can affect the extent of tissue and organ decellularization and thus the integrity and physical properties of the resulting ECM scaffold. This review describes currently used decellularization techniques, and the effects of these techniques upon the host response to the material.
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?
Decellularization protocols vary and are typically tailored based on tissue-specific factors like density and geometry.
“Decellularization protocols vary and are typically tailored based on tissue-specific factors like density and geometry [4, 18, 21, 22].”
From Effects of Various Decellularization Methods for the Development of Decellularized Extracellular Matrix from Tilapia (<i>Oreochromis niloticus</i>) Viscera (2024) · cites this paper as [22]
Collagen, the predominant structural protein in the ECM, provides an appropriate 3D microenvironment that promotes cell adhesion, proliferation, and differentiation, thereby facilitating tissue regeneration and repair.
“Collagen, the predominant structural protein in the ECM, provides an appropriate 3D microenvironment that promotes cell adhesion, proliferation, and differentiation, thereby facilitating tissue regeneration and repair.[ 119 ]”
From Bioactive scaffolds for tissue engineering: A review of decellularized extracellular matrix applications and innovations (2025) · cites this paper as [119]
Quantification of residual DNA as a potent immunogen and indirect index of remaining cell materials is a practical tool to estimate remaining immunogen amount throughout dECM.
“The quantification of residual DNA as a potent immunogen and indirect index of remaining cell materials is a practical tool to estimate the remaining immunogen amount throughout the dECM [54–56].”
From Immunogenicity of decellularized extracellular matrix scaffolds: a bottleneck in tissue engineering and regenerative medicine (2023) · cites this paper as [56]
TX100 decellularization efficacy is highly dependent on target tissue configuration; complete decellularization has been reported in thin tissues such as nerves and pericardium, while TX100 application alone does not seem successful in removing immunogen cell debris from denser tissues such as arteries.
“It is of interest to further note that TX100 decellularization efficacy is highly dependent on the target tissue configuration. Complete decellularization has been reported in thin tissues such as nerves and pericardium, while TX100 application alone does not seem successful in removing immunogen cell debris from denser tissues such as arteries [56, 75, 83].”
From Immunogenicity of decellularized extracellular matrix scaffolds: a bottleneck in tissue engineering and regenerative medicine (2023) · cites this paper as [56]
SDS concentrations over 50 mg/L in washing solution or remaining SDS in ECM-based biomaterials beyond 10 μg/mg dry weight have shown cytotoxicity.
“SDS concentrations over 50 mg/L in washing solution or remaining SDS in ECM-based biomaterials beyond 10 µg/mg dry weight have shown cytotoxicity [56, 87].”
From Immunogenicity of decellularized extracellular matrix scaffolds: a bottleneck in tissue engineering and regenerative medicine (2023) · cites this paper as [56]
Ionizing radiations, including γ-irradiation and electron beam irradiation, are prominent physical sterilizers that induce nucleic acid denaturation to terminate pathogen activities.
“Ionizing radiations, including γ-irradiation and electron beam irradiation, are prominent physical sterilizers, inducing nucleic acid denaturation to terminate pathogen activities.”
From Immunogenicity of decellularized extracellular matrix scaffolds: a bottleneck in tissue engineering and regenerative medicine (2023) · cites this paper as [56]
Mild irradiation induces crosslinking of dECM scaffolds, while heavy irradiation denatures and degrades ECM, resulting in inferior mechanical strength and cell attachment capability.
“Mild irradiation induces crosslinking of dECM scaffolds, while heavy irradiation denatures and degrades ECM, resulting in inferior mechanical strength and cell attachment capability.”
From Immunogenicity of decellularized extracellular matrix scaffolds: a bottleneck in tissue engineering and regenerative medicine (2023) · cites this paper as [56]
25 kGy is the optimal Gamma dose for sterilization of dECM scaffolds with favorable ECM preservation and induction of minimal immune response.
“In this regard, 25 kGy is the optimal Gama dose for sterilization of dECM scaffolds with favorable ECM preservation and induction of minimal immune response.[56, 222].”
From Immunogenicity of decellularized extracellular matrix scaffolds: a bottleneck in tissue engineering and regenerative medicine (2023) · cites this paper as [56]
Ionizing radiations may damage ECM ultrastructure and produce lipid-derived cytotoxic particles, limiting their application.
“They may damage ECM ultrastructure and produce lipid-derived cytotoxic particles that have limited their application.”
From Immunogenicity of decellularized extracellular matrix scaffolds: a bottleneck in tissue engineering and regenerative medicine (2023) · cites this paper as [56]
Cites
Circulating mitochondrial DAMPs cause inflammatory responses to injury
Zhang, Q., Raoof, M., Chen, Y., Sumi, Y., Sursal, T., Junger, W., Brohi, K., Itagaki, K., & Hauser, C. J. (2010) · Nature · doi:10.1038/nature08780 · Cited by 3,812 · see citing works
Decellularization of tissues and organs
Gilbert, T. W., Sellaro, T. L., & Badylak, S. F. (2006) · Biomaterials · doi:10.1016/j.biomaterials.2006.02.014 · Cited by 2,222 · see citing works
Self-citationBrown, B. N., Valentin, J. E., Stewart-Akers, A. M., McCabe, G. P., & Badylak, S. F. (2009) · Biomaterials · doi:10.1016/j.biomaterials.2008.11.040 · Cited by 896 · see citing works
Self-citationRieder, E., Kasimir, M.-T., Silberhumer, G., Seebacher, G., Wolner, E., Simon, P., & Weigel, G. (2004) · The Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/j.jtcvs.2003.06.017 · Cited by 430 · see citing works
A Whole-Organ Regenerative Medicine Approach for Liver Replacement
Soto-Gutierrez, A., Zhang, L., Medberry, C., Fukumitsu, K., Faulk, D., Jiang, H., Reing, J., Gramignoli, R., Komori, J., Ross, M., et al. (2011) · Tissue Engineering Part C: Methods · doi:10.1089/ten.tec.2010.0698 · Cited by 311 · see citing works
Self-citationPerfusion decellularization of human and porcine lungs: Bringing the matrix to clinical scale
Gilpin, S. E., Guyette, J. P., Gonzalez, G., Ren, X., Asara, J. M., Mathisen, D. J., Vacanti, J. P., & Ott, H. C. (2014) · The Journal of Heart and Lung Transplantation · doi:10.1016/j.healun.2013.10.030 · Cited by 263 · see citing works
Biologic scaffolds composed of central nervous system extracellular matrix
Crapo, P. M., Medberry, C. J., Reing, J. E., Tottey, S., van der Merwe, Y., Jones, K. E., & Badylak, S. F. (2012) · Biomaterials · doi:10.1016/j.biomaterials.2012.01.044 · Cited by 263 · see citing works
Self-citationThe promotion of a constructive macrophage phenotype by solubilized extracellular matrix
Sicari, B. M., Dziki, J. L., Siu, B. F., Medberry, C. J., Dearth, C. L., & Badylak, S. F. (2014) · Biomaterials · doi:10.1016/j.biomaterials.2014.06.060 · Cited by 255 · see citing works
Self-citationYang, B., Zhang, Y., Zhou, L., Sun, Z., Zheng, J., Chen, Y., & Dai, Y. (2010) · Tissue Engineering Part C: Methods · doi:10.1089/ten.tec.2009.0311 · Cited by 206 · see citing works
Immunogenicity of Decellularized Porcine Liver for Bioengineered Hepatic Tissue
Mirmalek-Sani, S.-H., Sullivan, D. C., Zimmerman, C., Shupe, T. D., & Petersen, B. E. (2013) · The American Journal of Pathology · doi:10.1016/j.ajpath.2013.05.002 · Cited by 115 · see citing works
Sun, W. Q., & Leung, P. (2008) · Acta Biomaterialia · doi:10.1016/j.actbio.2008.02.006 · Cited by 114 · see citing works
Influence of pH on Extracellular Matrix Preservation During Lung Decellularization
Tsuchiya, T., Balestrini, J. L., Mendez, J., Calle, E. A., Zhao, L., & Niklason, L. E. (2014) · Tissue Engineering Part C: Methods · doi:10.1089/ten.tec.2013.0492 · Cited by 89 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Extracellular matrix-based materials for regenerative medicine
Hussey, G. S., Dziki, J. L., & Badylak, S. F. (2018) · Nature Reviews Materials · doi:10.1038/s41578-018-0023-x · Cited by 844 · see citing works
Self-citationProcessing of collagen based biomaterials and the resulting materials properties
Meyer, M. (2019) · BioMedical Engineering OnLine · doi:10.1186/s12938-019-0647-0 · Cited by 539 · see citing works
Towards organoid culture without Matrigel
Kozlowski, M. T., Crook, C. J., & Ku, H. T. (2021) · Communications Biology · doi:10.1038/s42003-021-02910-8 · Cited by 409 · see citing works
Kasravi, M., Ahmadi, A., Babajani, A., Mazloomnejad, R., Hatamnejad, M. R., Shariatzadeh, S., Bahrami, S., & Niknejad, H. (2023) · Biomaterials Research · doi:10.1186/s40824-023-00348-z · Cited by 316 · see citing works
Brown, M., Li, J., Moraes, C., Tabrizian, M., & Li-Jessen, N. Y. K. (2022) · Biomaterials · doi:10.1016/j.biomaterials.2022.121786 · Cited by 282 · see citing works
The impact of detergents on the tissue decellularization process: A ToF-SIMS study
White, L. J., Taylor, A. J., Faulk, D. M., Keane, T. J., Saldin, L. T., Reing, J. E., Swinehart, I. T., Turner, N. J., Ratner, B. D., & Badylak, S. F. (2017) · Acta Biomaterialia · doi:10.1016/j.actbio.2016.12.033 · Cited by 268 · see citing works
Self-citationExtracellular Matrix-Based Biomaterials and Their Influence Upon Cell Behavior
Cramer, M. C., & Badylak, S. F. (2020) · Annals of Biomedical Engineering · doi:10.1007/s10439-019-02408-9 · Cited by 196 · see citing works
Self-citationDecellularization 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
Three-dimensional liver-derived extracellular matrix hydrogel promotes liver organoids function
Saheli, M., Sepantafar, M., Pournasr, B., Farzaneh, Z., Vosough, M., Piryaei, A., & Baharvand, H. (2018) · Journal of Cellular Biochemistry · doi:10.1002/jcb.26622 · Cited by 148 · see citing works
Costa, A., Naranjo, J. D., Londono, R., & Badylak, S. F. (2017) · Cold Spring Harbor Perspectives in Medicine · doi:10.1101/cshperspect.a025676 · Cited by 135 · see citing works
Self-citationRegulation of decellularized matrix mediated immune response
Chakraborty, J., Roy, S., & Ghosh, S. (2020) · Biomaterials Science · doi:10.1039/c9bm01780a · Cited by 130 · 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
Brain organoid formation on decellularized porcine brain ECM hydrogels
Simsa, R., Rothenbücher, T., Gürbüz, H., Ghosheh, N., Emneus, J., Jenndahl, L., Kaplan, D. L., Bergh, N., Serrano, A. M., & Fogelstrand, P. (2021) · PLOS ONE · doi:10.1371/journal.pone.0245685 · Cited by 114 · see citing works
Novel Sodium Deoxycholate-Based Chemical Decellularization Method for Peripheral Nerve
McCrary, M. W., Vaughn, N. E., Hlavac, N., Song, Y. H., Wachs, R. A., & Schmidt, C. E. (2020) · Tissue Engineering Part C: Methods · doi:10.1089/ten.tec.2019.0135 · Cited by 61 · see citing works
Dalgliesh, A. J., Parvizi, M., Lopera-Higuita, M., Shklover, J., & Griffiths, L. G. (2018) · Acta Biomaterialia · doi:10.1016/j.actbio.2018.08.016 · Cited by 57 · see citing works
Cicuéndez, M., Casarrubios, L., Feito, M. J., Madarieta, I., Garcia-Urkia, N., Murua, O., Olalde, B., Briz, N., Diez-Orejas, R., & Portolés, M. T. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22083847 · Cited by 39 · see citing works
Messner, F., Guo, Y., Etra, J. W., & Brandacher, G. (2019) · Transplant International · doi:10.1111/tri.13432 · Cited by 29 · see citing works
Hussein, K. H., Ahmadzada, B., Correa, J. C., Sultan, A., Wilken, S., Amiot, B., & Nyberg, S. L. (2024) · Bioactive Materials · doi:10.1016/j.bioactmat.2024.06.001 · Cited by 28 · see citing works
“Importantly, SDS concentrations beyond 10 μ g/mg dry weight have shown cytotoxicity [98, 99].”
BackgroundBioprinting of hepatic tissue model using photocrosslinkable dECM-containing composite hydrogel
Tabatabaei Rezaei, N., Kumar, H., Liu, H., Rajeev, A., Natale, G., Lee, S. S., Park, S. S., & Kim, K. (2025) · Materials Today Bio · doi:10.1016/j.mtbio.2025.101824 · Cited by 13 · see citing works
Aron, J., Bual, R., Alimasag, J., Arellano, F., Baclayon, L., Bantilan, Z. C., Lumancas, G., Nisperos, M. J., Labares, M., Valle, K. D. D., et al. (2024) · International Journal of Biomaterials · doi:10.1155/2024/6148496 · Cited by 7 · see citing works
Immune Response to Extracellular Matrix Bioscaffolds: A Comprehensive Review
Romero, D. J., Hussey, G., & Capella-Monsonís, H. (2025) · Biologics · doi:10.3390/biologics5030028 · Cited by 7 · see citing works
Strategies for decellularization, re-cellularization and crosslinking in liver bioengineering
Wang, J., & Jin, X. (2024) · The International Journal of Artificial Organs · doi:10.1177/03913988231218566 · Cited by 3 · see citing works
Yadav, C. J., Yadav, U., Afrin, S., Lee, J.-Y., Kamel, J., & Park, K.-M. (2026) · Biomaterials Science · doi:10.1039/d5bm01589h · Cited by 2 · see citing works
- Authors
- Keane, T. J., Swinehart, I. T., & Badylak, S. F.
- Affiliations
- University of Pittsburgh (US)
- McGowan Institute for Regenerative Medicine (US)
- Corresponding author
- Badylak, Stephen F.
- Venue
- Methods
- Publisher
- Elsevier BV
- Published
- 2015-08
- Volume
- 84
- Pages
- 25-34
- ISSN
- 1046-2023 (ISSN-L)
- OpenAlex
- W2078246403
- Cited by
- 670
- References
- 12
- Citations by year
- 2026: 39 · 2025: 62 · 2024: 81 · 2023: 78 · 2022: 65 · 2021: 75 · 2020: 61 · 2019: 60 · 2018: 55 · 2017: 48 · 2016: 32 · 2015: 13 · 2014: 1
- FWCI
- 9.44
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Methods (acceptedVersion)
- PubMed (publishedVersion)
- Funders
- National Science Foundation (DGE-1247842)
- Topics
- Health Sciences › Medicine › Surgery › Tissue Engineering and Regenerative Medicine
- Physical Sciences › Engineering › Biomedical Engineering › 3D Printing in Biomedical Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Medicine › Hydrogels: synthesis, properties, applications
- Keywords
- extracellular matrix scaffolds, biological scaffolds, tissue remodeling, inflammation, decellularization methods
- MeSH terms
- Animals, Biocompatible Materials, Cell Separation, Extracellular Matrix, Humans, Materials Testing, Sterilization, Tissue Engineering, Tissue Scaffolds
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