In Vivo Comparison of Synthetic Macroporous Filamentous and Sponge-like Skin Substitute Matrices Reveals Morphometric Features of the Foreign Body Reaction According to 3D Biomaterial Designs
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Synthetic macroporous biomaterials are widely used in the field of skin tissue engineering to mimic membrane functions of the native dermis. Biomaterial designs can be subclassified with respect to their shape in fibrous designs, namely fibers, meshes or fleeces, respectively, and porous designs, such as sponges and foams. However, synthetic matrices often have limitations regarding unfavorable foreign body responses (FBRs). Severe FBRs can result in unfavorable disintegration and rejection of an implant, whereas mild FBRs can lead to an acceptable integration of a biomaterial. In this context, comparative in vivo studies of different three-dimensional (3D) matrix designs are rare. Especially, the differences regarding FBRs between synthetically derived filamentous fleeces and sponge-like constructs are unknown. In the present study, the FBRs on two 3D matrix designs were explored after 25 days of subcutaneous implantation in a porcine model. Cellular reactions were quantified histopathologically to investigate in which way the FBR is influenced by the biomaterial architecture. Our results show that FBR metrics (polymorph-nucleated cells and fibrotic reactions) were significantly affected according to the matrix designs. Our findings contribute to a better understanding of the 3D matrix tissue interactions and can be useful for future developments of synthetically derived skin substitute biomaterials.
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Several studies demonstrated that fibrotic capsule was formed around scaffolds with smooth surface.
“In addition to crucial scaffold properties, several studies demonstrated that fibrotic capsule was formed around scaffolds with smooth surface [216].”
From Resorbable Biomaterials Used for 3D Scaffolds in Tissue Engineering: A Review (2023) · cites this paper as [216]
The Results (§3.3; page unavailable) report fibrous capsules around both scaffold types. The Discussion (§4.3; page unavailable) describes the filamentous scaffolds as smoother and reports thinner capsules around them than around the rougher sponge-like scaffolds. This supports capsule formation around smoother scaffolds, but this paper does not establish the claim that several studies demonstrated that finding. (LLM, conf=0.84)
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Foreign body reaction to biomaterials
Anderson, J. M., Rodriguez, A., & Chang, D. T. (2008) · Seminars in Immunology · doi:10.1016/j.smim.2007.11.004 · Cited by 5,138 · cited 1× · see citing works
“stated that inflammatory phases, that last for longer than 3 weeks within the FBR cascade, can be equated with infections [77].”
BackgroundImage analysis and machine learning in digital pathology: challenges and opportunities
Madabhushi, A., & Lee, G. (2016) · Medical Image Analysis · doi:10.1016/j.media.2016.06.037 · Cited by 1,093 · see citing works
Monocytes and macrophages in tissue repair: Implications for immunoregenerative biomaterial design
Ogle, M. E., Segar, C. E., Sridhar, S., & Botchwey, E. A. (2016) · Experimental Biology and Medicine · doi:10.1177/1535370216650293 · Cited by 378 · see citing works
Dermal Matrices and Bioengineered Skin Substitutes: A Critical Review of Current Options
Debels, H., Hamdi, M., Abberton, K., & Morrison, W. (2015) · Plastic and Reconstructive Surgery Global Open · doi:10.1097/gox.0000000000000219 · Cited by 227 · see citing works
Biocompatibility of implants: lymphocyte/macrophage interactions
Anderson, J. M., & McNally, A. K. (2011) · Seminars in Immunopathology · doi:10.1007/s00281-011-0244-1 · Cited by 226 · see citing works
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Cited by
Sorted by citations
Resorbable Biomaterials Used for 3D Scaffolds in Tissue Engineering: A Review
Vach Agocsova, S., Culenova, M., Birova, I., Omanikova, L., Moncmanova, B., Danisovic, L., Ziaran, S., Bakos, D., & Alexy, P. (2023) · Materials · doi:10.3390/ma16124267 · Cited by 98 · see citing works
- Authors
- Barsch, F., Mamilos, A., Schmitt, V. H., Babel, M., Winter, L., Wagner, W., Winther, H., Ottomann, C., Niedermair, T., Schreml, S., Hierlemann, H., & Brochhausen, C.
- Affiliations
- University of Freiburg (DE)
- University of Regensburg (DE)
- Johannes Gutenberg University Mainz (DE)
- University Hospital Regensburg (DE)
- University Hospital Heidelberg (DE)
- Medizinische Hochschule Hannover (DE)
- Unfallkrankenhaus Berlin (DE)
- PolyMedics Innovations GmbH, 73770 Denkendorf, Germany
- Corresponding author
- Brochhausen, Christoph
- ORCID
- Venue
- Cells
- Publisher
- MDPI AG
- Published
- 2022-09-11
- Volume
- 11
- Issue
- 18
- Pages
- 2834
- ISSN
- 2073-4409 (ISSN-L)
- PMC
- PMC9496825
- OpenAlex
- W4295592813
- Cited by
- 6
- References
- 5
- Citations by year
- 2026: 1 · 2025: 1 · 2023: 4
- FWCI
- 1.19
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Cells (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- University of Regensburg Publication Server (University of Regensburg) (acceptedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- University of Regensburg Publication Server (University of Regensburg)
- Topics
- Health Sciences › Medicine › Surgery › Tissue Engineering and Regenerative Medicine
- Physical Sciences › Materials Science › Biomaterials › Electrospun Nanofibers in Biomedical Applications
- Physical Sciences › Engineering › Biomedical Engineering › Bone Tissue Engineering Materials
- Keywords
- foreign body reaction, skin substitutes, skin tissue engineering, subcutaneous implantation, porcine model, histopathology
- MeSH terms
- Animals, Biocompatible Materials, Fibrosis, Foreign-Body Reaction, Swine, Skin, Artificial, Tissue Engineering
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