Optimising the decellularization of human elastic cartilage with trypsin for future use in ear reconstruction
Open accessAbstract
Decellularized scaffolds can induce chondrogenic differentiation of stem cells. This study compares different methods to optimise the decellularization of auricular cartilage. The process consisted of an initial 12 hour dry freeze thaw which froze the cartilage specimens in an empty tube at −20 °C. Samples were allowed to thaw at room temperature followed by submersion in phosphate buffer solution in which they were frozen at −20 °C for a 12 hour period. They were then allowed to thaw at room temperature as before. Protocol A subsequently involved subjecting specimens to both deoxyribonuclease and sodium deoxycholate. Protocol B and C were adaptations of this using 0.25% trypsin (7 cycles) and a 0.5 molar solution of ethylenediaminetetraacetic acid (3 hours for each cycle) respectively as additional steps. Trypsin accelerated the decellularization process with a reduction in DNA content from 55.4 ng/μL (native) to 17.3 ng/μL (P-value < 0.05) after 14 days. Protocol B showed a faster reduction in DNA content when compared with protocol A. In comparison to protocol C after 14 days, trypsin also showed greater decellularization with a mean difference of 11.7 ng/μL (P-value < 0.05). Histological analysis with H&E and DAPI confirmed depletion of cells at 14 days with trypsin.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
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?
Mere EDTA treatment is insufficient to achieve suitable acellular ECM scaffolds.
“However, mere EDTA treatment is insufficient to achieve suitable acellular ECM scaffolds [95].”
From Immunogenicity of decellularized extracellular matrix scaffolds: a bottleneck in tissue engineering and regenerative medicine (2023) · cites this paper as [95]
The Results (Histological analysis; page unavailable) report that nuclei remained after 14 days with the EDTA-containing protocol, supporting its insufficiency under those conditions. But Materials and Methods (Decellularization process; page unavailable) show that this protocol also used DNase and other steps, so the study does not establish that EDTA treatment alone is generally insufficient for acellular ECM scaffolds. (LLM, conf=0.86)
Experimental — accuracy not yet measuredTrypsin may impact ECM mechanics.
“Initially used in decellularization for its efficacy in disrupting tissue ultrastructure and enhancing the penetration of other agents, trypsin may nevertheless impact ECM mechanics.”
From Bioactive scaffolds for tissue engineering: A review of decellularized extracellular matrix applications and innovations (2025) · cites this paper as [43]
Shafiq's method for auricular cartilage decellularization integrated SDC, freeze-thaw cycles, DNase, and trypsin, which effectively removed cells and preserved collagen and biomechanical properties.
“Shafiq's method for auricular cartilage decellularization integrated SDC, freeze–thaw cycles, DNase, and trypsin, which effectively removed cells and preserved collagen and biomechanical properties.”
From Bioactive scaffolds for tissue engineering: A review of decellularized extracellular matrix applications and innovations (2025) · cites this paper as [43]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
The citation lists haven’t been fetched yet
References 28 · Cited by 82
Research works printed but not linked: 25
- [1]Bradbury ET Hewison J Timmons MJ Psychological and social outcome of prominent ear correction in children British journal of plastic surgery. 1992 45 2 97 100 10.1016/0007-1226(92)90165-T 1562855 · DOI · Paper page
- [2]Orstavik, K. H., Medbo, S. & Mair, I. W. Right‐sided microtia and conductive hearing loss with variable expressivity in three generations. Clinical genetics, 38(2), 117–120 (1990) 2208762
- [5]Converse, J. M. The absorption and shrinkage of maternal ear cartilage used as living homografts: Follow-up report of 21 of Gillies’ patients. Reconstructive Plastic Surgery. 2nd Ed. Philadelphia: Saunders, 308 (1977).
- [7]Uppal RS Sabbagh W Chana J Gault DT Donor-site morbidity after autologous costal cartilage harvest in ear reconstruction and approaches to reducing donor-site contour deformity Plastic and reconstructive surgery 2008 121 6 1949 1955 10.1097/PRS.0b013e318170709e 18520880 · DOI
- [8]Kawanabe Y Nagata S A new method of costal cartilage harvest for total auricular reconstruction: part I Avoidance and prevention of intraoperative and postoperative complications and problems. Plastic and reconstructive surgery 2006 117 6 2011 2018 16651978
- [9]Walton RL Beahm EK Auricular reconstruction for microtia: Part II. Surgical techniques Plastic and reconstructive surgery 2002 110 1 234 252 10.1097/00006534-200207000-00041 12087261 · DOI
- [10]Zhang Q Zhang R Xu F Jin P Cao Y Auricular reconstruction for microtia: personal 6-year experience based on 350 microtia ear reconstructions in China Plastic and reconstructive surgery 2009 123 3 849 858 10.1097/PRS.0b013e318199f057 19319047 · DOI
- [11]Young B., Woodford P. & O’Dowd G. Wheater’s Functional Histology, 6th Edition, A Text and Colour Atlas 10, 181–182 (2013).
- [12]Otto IA Auricular reconstruction using biofabrication-based tissue engineering strategies Biofabrication 2015 7 3 032001 10.1088/1758-5090/7/3/032001 26200941 · DOI
- [13]Sterodimas A de Faria J Correa WE Pitanguy I Tissue engineering and auricular reconstruction: a review Journal of Plastic, Reconstructive & Aesthetic Surgery 2009 62 no. 4 447 452 10.1016/j.bjps.2008.11.046 19114322 · DOI
- [14]Xue JX Chondrogenic differentiation of bone marrow-derived mesenchymal stem cells induced by acellular cartilage sheets Biomaterials 2012 33 24 5832 5840 10.1016/j.biomaterials.2012.04.054 22608213 · DOI · Paper page
- [15]Utomo L Preparation and characterization of a decellularized cartilage scaffold for ear cartilage reconstruction Biomedical Materials 2015 10 1 015010 10.1088/1748-6041/10/1/015010 25586138 · DOI
- [16]Gong YY A sandwich model for engineering cartilage with acellular cartilage sheets and chondrocytes Biomaterials 2011 32 9 2265 2273 10.1016/j.biomaterials.2010.11.078 21194746 · DOI
- [17]Baiguera S Tissue engineered human tracheas for in vivo implantation Biomaterials 2010 31 34 8931 8938 10.1016/j.biomaterials.2010.08.005 20800273 · DOI
- [18]Giraldo-Gomez DM Trypsin as enhancement in cyclical tracheal decellularization: morphological and biophysical characterization Materials Science and Engineering: C 2016 59 930 937 10.1016/j.msec.2015.10.094 26652450 · DOI
- [19]Sutherland AJ Converse GL Hopkins RA Detamore MS The bioactivity of cartilage extracellular matrix in articular cartilage regeneration Advanced healthcare materials 2015 4 1 29 39 10.1002/adhm.201400165 25044502 PMC4286437 · DOI
- [21]Szarko M Muldrew K Bertram JE Freeze-thaw treatment effects on the dynamic mechanical properties of articular cartilage BMC musculoskeletal disorders 2010 11 1 231 10.1186/1471-2474-11-231 20932309 PMC2958988 · DOI
- [22]Elder BD Kim DH Athanasiou KA Developing an articular cartilage decellularization process toward facet joint cartilage replacement Neurosurgery 2010 66 4 722 727 10.1227/01.NEU.0000367616.49291.9F 20305493 PMC3164496 · DOI
- [23]Burk J Freeze-thaw cycles enhance decellularization of large tendons Tissue Engineering Part C: Methods 2013 20 no. 4 276 284 10.1089/ten.tec.2012.0760 23879725 PMC3968887 · DOI
- [24]Murphy CM Matsiko A Haugh MG Gleeson JP O’Brien FJ Mesenchymal stem cell fate is regulated by the composition and mechanical properties of collagen–glycosaminoglycan scaffolds Journal of the mechanical behavior of biomedical materials 2012 11 53 62 10.1016/j.jmbbm.2011.11.009 22658154 · DOI
- [25]Reilly GC Engler AJ Intrinsic extracellular matrix properties regulate stem cell differentiation Journal of biomechanics 2010 43 no. 1 55 62 10.1016/j.jbiomech.2009.09.009 19800626 · DOI
- [26]Schwarz S Decellularized cartilage matrix as a novel biomatrix for cartilage tissue-engineering applications Tissue engineering Part A 2012 18 no. 21-22 2195 2209 10.1089/ten.tea.2011.0705 22690787 · DOI
- [27]Chen CW Type I and II collagen regulation of chondrogenic differentiation by mesenchymal progenitor cells Journal of orthopaedic research 2005 23 no. 2 446 453 10.1016/j.orthres.2004.09.002 15734261 · DOI
- [28]Reiffel AJ High-fidelity tissue engineering of patient-specific auricles for reconstruction of pediatric microtia and other auricular deformities PloS one 2013 8 no. 2 e56506 10.1371/journal.pone.0056506 23437148 PMC3577892 · DOI
- [29]Poldervaart MT Sustained release of BMP-2 in bioprinted alginate for osteogenicity in mice and rats PLoS One 2013 8 no. 8 e72610 10.1371/journal.pone.0072610 23977328 PMC3747086 · DOI
- Authors
- Rahman, S., Griffin, M., Naik, A., Szarko, M., & Butler, P. E. M.
- Affiliations
- University College London (GB)
- The Royal Free Hospital (GB)
- St George's, University of London (GB)
- Corresponding author
- Rahman, Shafiq
- Griffin, Michelle
- Venue
- Scientific Reports
- Published
- 2018-02-15
- Volume
- 8
- Issue
- 1
- Pages
- 3097-3097
- ISSN
- 2045-2322 (ISSN-L)
- PMC
- PMC5814427
- OpenAlex
- W2807223136
- Cited by
- 82
- References
- 28
- Citations by year
- 2026: 4 · 2025: 12 · 2024: 14 · 2023: 12 · 2022: 6 · 2021: 14 · 2020: 9 · 2019: 10 · 2018: 1
- FWCI
- 8.84
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Scientific Reports (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Funders
- Action Medical Research
- National Institute for Health and Care Research (ACF-2016-18-022)
- Medical Research Council (MC_PC_15014, MC_EX_MR/M003485/1)
- Topics
- Health Sciences › Medicine › Surgery › Tissue Engineering and Regenerative Medicine
- Physical Sciences › Engineering › Biomedical Engineering › Bone Tissue Engineering Materials
- Physical Sciences › Engineering › Biomedical Engineering › 3D Printing in Biomedical Research
- Keywords
- decellularization, elastic cartilage, auricular cartilage, trypsin, ear reconstruction, decellularized scaffolds, DNase, sodium deoxycholate, EDTA, DNA content, chondrogenic differentiation, freeze-thaw
- MeSH terms
- Cadaver, Cartilage, Cell Differentiation, Ear, Ear, External, Extracellular Matrix, Humans, Stem Cells, Trypsin, Plastic Surgery Procedures, Chondrogenesis, Tissue Engineering, Elastic Cartilage, Tissue Scaffolds, Mesenchymal Stem Cells
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