Volume 13, Issue 11 pp. 1965-1977
RESEARCH ARTICLE

Promotion of dermal regeneration using pullulan/gelatin porous skin substitute

Nan Cheng

Nan Cheng

Sunnybrook Research Institute, University of Toronto, Toronto, ON, Canada

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Marc G. Jeschke

Corresponding Author

Marc G. Jeschke

Sunnybrook Research Institute, University of Toronto, Toronto, ON, Canada

Institute of Medical Science, University of Toronto, Toronto, ON, Canada

Department of Surgery, University of Toronto, Toronto, ON, Canada

Department of Immunology, University of Toronto, Toronto, ON, Canada

Ross-Tilley Burn Centre, Sunnybrook Health Sciences Centre, Toronto, ON, Canada

Correspondence

Saeid Amini Nik, Sunnybrook Research Institute, University of Toronto, Toronto, ON M4N 3M5, Canada.

Email: [email protected]

Marc G Jeschke, Sunnybrook Research Institute, University of Toronto, Toronto, ON M4N 3M5, Canada.

Email: [email protected]

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Mohammadali Sheikholeslam

Mohammadali Sheikholeslam

Sunnybrook Research Institute, University of Toronto, Toronto, ON, Canada

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Andrea-Kaye Datu

Andrea-Kaye Datu

Sunnybrook Research Institute, University of Toronto, Toronto, ON, Canada

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Hwan Hee Oh

Hwan Hee Oh

Sunnybrook Research Institute, University of Toronto, Toronto, ON, Canada

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Saeid Amini-Nik

Corresponding Author

Saeid Amini-Nik

Sunnybrook Research Institute, University of Toronto, Toronto, ON, Canada

Department of Surgery, University of Toronto, Toronto, ON, Canada

Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, ON, Canada

Correspondence

Saeid Amini Nik, Sunnybrook Research Institute, University of Toronto, Toronto, ON M4N 3M5, Canada.

Email: [email protected]

Marc G Jeschke, Sunnybrook Research Institute, University of Toronto, Toronto, ON M4N 3M5, Canada.

Email: [email protected]

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First published: 27 July 2019
Citations: 15

Abstract

Tissue-engineered dermal substitutes represent a promising approach to improve wound healing and provide more sufficient regeneration, compared with current clinical standards on care of large wounds, early excision, and grafting of autografts. However, inadequate regenerative capacity, impaired regeneration/degradation profile, and high cost of current commercial tissue-engineered dermal regeneration templates hinder their utilization, and the development of an efficient and cost-effective tissue-engineered dermal substitute remains a challenge. Inspired from our previously reported data on a pullulan/gelatin scaffold, here we present a new generation of a porous pullulan/gelatin scaffold (PG2) served as a dermal substitute with enhanced chemical and structural characteristics. PG2 shows excellent biocompatibility (viability, migration, and proliferation), assessed by in vitro incorporation of human dermal fibroblasts in comparison with the Integra® dermal regeneration template (Control). When applied on a mouse full-thickness excisional wound, PG2 shows rapid scaffold degradation, more granulation tissue, more collagen deposition, and more cellularity in comparison with Control at 20 days post surgery. The faster degradation is likely due to the enhanced recruitment of inflammatory macrophages to the scaffold from the wound bed, and that leads to earlier maturation of granulation tissue with less myofibroblastic cells. Collectively, our data reveal PG2's characteristics as an applicable dermal substitute with excellent dermal regeneration, which may attenuate scar formation.

CONFLICT OF INTEREST

The authors have declared that there is no conflict of interest.

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