Cytotoxicity, Epidermal Barrier Function and Cytokine Evaluation after Antiseptic Treatment in Bioengineered Autologous Skin Substitute

Bioengineered autologous skin substitutes (BASS) technology is an emerging field for skin burn therapy. However, further studies on BASS characterization, viability against standard procedures for wound healing, and protocol optimization are necessary for the improvement of BASS technology for clini...

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Main Authors: Marta García-Valdivia, María I. Quiñones-Vico, Laura Ortega-Llamas, Ana Fernández-González, Ana Ubago-Rodríguez, Raquel Sanabria-de la Torre, Salvador Arias-Santiago
Format: Article
Language:English
Published: MDPI AG 2022-06-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/10/6/1453
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author Marta García-Valdivia
María I. Quiñones-Vico
Laura Ortega-Llamas
Ana Fernández-González
Ana Ubago-Rodríguez
Raquel Sanabria-de la Torre
Salvador Arias-Santiago
author_facet Marta García-Valdivia
María I. Quiñones-Vico
Laura Ortega-Llamas
Ana Fernández-González
Ana Ubago-Rodríguez
Raquel Sanabria-de la Torre
Salvador Arias-Santiago
author_sort Marta García-Valdivia
collection DOAJ
description Bioengineered autologous skin substitutes (BASS) technology is an emerging field for skin burn therapy. However, further studies on BASS characterization, viability against standard procedures for wound healing, and protocol optimization are necessary for the improvement of BASS technology for clinical use. The aim of this study is to evaluate the effect of common antiseptics for clinical use in BASS, focusing on cell viability, inflammatory cytokine pattern, and epithelium and skin barrier integrity, in order to establish the most adequate treatment for wound care after BASS grafting. Human keratinocytes (hKT) and dermal fibroblasts (hDF) were isolated from foreskin samples and integrated into hyaluronic acid-based BASS. The following antiseptics were applied every 48 h: ethanol (70%), chlorhexidine digluconate (1%), sodium hypochlorite (0.02%), povidone iodine (100 mg/mL), and polyhexanide (0.1%), during a follow-up of 16 days. Sodium hypochlorite was the only treatment that showed a high cell viability percentage throughout the evaluation time compared to other antiseptic treatments, as well as a similar cytokine secretion pattern as control BASS. No significant differences were found regarding epidermal barrier function. These findings point towards sodium hypochlorite being the least aggressive antiseptic treatment for BASS post-transplantation wound care.
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spelling doaj.art-98dd4b2f0d45436bb556bb8ee0b9c73c2023-11-23T15:45:04ZengMDPI AGBiomedicines2227-90592022-06-01106145310.3390/biomedicines10061453Cytotoxicity, Epidermal Barrier Function and Cytokine Evaluation after Antiseptic Treatment in Bioengineered Autologous Skin SubstituteMarta García-Valdivia0María I. Quiñones-Vico1Laura Ortega-Llamas2Ana Fernández-González3Ana Ubago-Rodríguez4Raquel Sanabria-de la Torre5Salvador Arias-Santiago6Cell Production and Tissue Engineering Unit, Virgen de las Nieves University Hospital, 18014 Granada, SpainCell Production and Tissue Engineering Unit, Virgen de las Nieves University Hospital, 18014 Granada, SpainCell Production and Tissue Engineering Unit, Virgen de las Nieves University Hospital, 18014 Granada, SpainCell Production and Tissue Engineering Unit, Virgen de las Nieves University Hospital, 18014 Granada, SpainCell Production and Tissue Engineering Unit, Virgen de las Nieves University Hospital, 18014 Granada, SpainCell Production and Tissue Engineering Unit, Virgen de las Nieves University Hospital, 18014 Granada, SpainCell Production and Tissue Engineering Unit, Virgen de las Nieves University Hospital, 18014 Granada, SpainBioengineered autologous skin substitutes (BASS) technology is an emerging field for skin burn therapy. However, further studies on BASS characterization, viability against standard procedures for wound healing, and protocol optimization are necessary for the improvement of BASS technology for clinical use. The aim of this study is to evaluate the effect of common antiseptics for clinical use in BASS, focusing on cell viability, inflammatory cytokine pattern, and epithelium and skin barrier integrity, in order to establish the most adequate treatment for wound care after BASS grafting. Human keratinocytes (hKT) and dermal fibroblasts (hDF) were isolated from foreskin samples and integrated into hyaluronic acid-based BASS. The following antiseptics were applied every 48 h: ethanol (70%), chlorhexidine digluconate (1%), sodium hypochlorite (0.02%), povidone iodine (100 mg/mL), and polyhexanide (0.1%), during a follow-up of 16 days. Sodium hypochlorite was the only treatment that showed a high cell viability percentage throughout the evaluation time compared to other antiseptic treatments, as well as a similar cytokine secretion pattern as control BASS. No significant differences were found regarding epidermal barrier function. These findings point towards sodium hypochlorite being the least aggressive antiseptic treatment for BASS post-transplantation wound care.https://www.mdpi.com/2227-9059/10/6/1453bioengineered autologous skin substitutecell viabilitycytokine secretiondrug developmentepidermal barrier functionin vitro model
spellingShingle Marta García-Valdivia
María I. Quiñones-Vico
Laura Ortega-Llamas
Ana Fernández-González
Ana Ubago-Rodríguez
Raquel Sanabria-de la Torre
Salvador Arias-Santiago
Cytotoxicity, Epidermal Barrier Function and Cytokine Evaluation after Antiseptic Treatment in Bioengineered Autologous Skin Substitute
Biomedicines
bioengineered autologous skin substitute
cell viability
cytokine secretion
drug development
epidermal barrier function
in vitro model
title Cytotoxicity, Epidermal Barrier Function and Cytokine Evaluation after Antiseptic Treatment in Bioengineered Autologous Skin Substitute
title_full Cytotoxicity, Epidermal Barrier Function and Cytokine Evaluation after Antiseptic Treatment in Bioengineered Autologous Skin Substitute
title_fullStr Cytotoxicity, Epidermal Barrier Function and Cytokine Evaluation after Antiseptic Treatment in Bioengineered Autologous Skin Substitute
title_full_unstemmed Cytotoxicity, Epidermal Barrier Function and Cytokine Evaluation after Antiseptic Treatment in Bioengineered Autologous Skin Substitute
title_short Cytotoxicity, Epidermal Barrier Function and Cytokine Evaluation after Antiseptic Treatment in Bioengineered Autologous Skin Substitute
title_sort cytotoxicity epidermal barrier function and cytokine evaluation after antiseptic treatment in bioengineered autologous skin substitute
topic bioengineered autologous skin substitute
cell viability
cytokine secretion
drug development
epidermal barrier function
in vitro model
url https://www.mdpi.com/2227-9059/10/6/1453
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