Fibrin gel as a scaffold for skin substitute – production and clinical experience

The purpose of this study was to create a fibrin-based human skin substitute in vitro with epidermal and dermal component and to assess its healing potential in deep partial and full thickness burns. Fibrin scaffolds were prepared from commercial fibrin glue kits. Human fibroblasts were cultured in...

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Main Authors: Antun Kljenak, Mirna Tominac Trcin, Marina Bujić, Tamara Dolenec, Martina Jevak, Gordan Mršić, Gordana Zmiš, Zoran Barčot, Ante Muljačić, Maja Popović
Format: Article
Language:English
Published: Sestre Milosrdnice University hospital, Institute of Clinical Medical Research 2016-01-01
Series:Acta Clinica Croatica
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Online Access:https://hrcak.srce.hr/file/243094
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author Antun Kljenak
Mirna Tominac Trcin
Marina Bujić
Tamara Dolenec
Martina Jevak
Gordan Mršić
Gordana Zmiš
Zoran Barčot
Ante Muljačić
Maja Popović
author_facet Antun Kljenak
Mirna Tominac Trcin
Marina Bujić
Tamara Dolenec
Martina Jevak
Gordan Mršić
Gordana Zmiš
Zoran Barčot
Ante Muljačić
Maja Popović
author_sort Antun Kljenak
collection DOAJ
description The purpose of this study was to create a fibrin-based human skin substitute in vitro with epidermal and dermal component and to assess its healing potential in deep partial and full thickness burns. Fibrin scaffolds were prepared from commercial fibrin glue kits. Human fibroblasts were cultured in fibrin gel. Human keratinocytes were seeded on the top of the gel. Viability of cells was determined fluorimetrically. Scanning electron microscope and immunocytochemistry analysis of cultured cells were performed. After hydrosurgical preparation of deep burn necrotic tissue, wound bed was prepared for skin substitutes. Progress of healing was documented using visual estimation and photos. Scanning electron microscope images showed good cell attachment and colony spreading of keratinocytes and fibroblasts on fibrin scaffold. Immunofluorescent staining of cell cultures on fibrin scaffold showed expression of vimentin, a marker of fibroblast cells, cytokeratin 19, a marker of epithelial stem cells, as well as involucrin, a marker of differentiated keratinocytes. Clinical results clearly showed that appearance of the skin did not differ significantly from the areas of transplanted skin using split-thickness skin graft techniques. In conclusion, using these fibrin-cultured autografts on massive full-thickness burn resulted in good healing.
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spelling doaj.art-cbb94ebe1fe4479d91848dd9cd72b16e2024-04-15T13:55:33ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512016-01-0155.2.27928810.20471/acc.2016.55.02.15Fibrin gel as a scaffold for skin substitute – production and clinical experienceAntun Kljenak0Mirna Tominac Trcin1Marina Bujić2Tamara Dolenec3Martina Jevak4Gordan Mršić5Gordana Zmiš6Zoran Barčot7Ante Muljačić8Maja Popović9Zagreb Children’s Hospital, Zagreb, CroatiaTissue Bank, University Department of Traumatology, Sestre milosrdnice University Hospital Center, Zagreb, CroatiaTissue Bank, University Department of Traumatology, Sestre milosrdnice University Hospital Center, Zagreb, CroatiaTissue Bank, University Department of Traumatology, Sestre milosrdnice University Hospital Center, Zagreb, CroatiaTissue Bank, University Department of Traumatology, Sestre milosrdnice University Hospital Center, Zagreb, CroatiaIvan Vučetić Center for Forensic Investigations, Research and Expertise, Zagreb, Croatia; Department of Biology, Faculty of Veterinary Medicine, University of Zagreb, Zagreb, CroatiaTissue Bank, University Department of Traumatology, Sestre milosrdnice University Hospital Center, Zagreb, CroatiaZagreb Children’s Hospital, Zagreb, CroatiaTissue Bank, University Department of Traumatology, Sestre milosrdnice University Hospital Center, Zagreb, CroatiaDepartment of Biology, Faculty of Veterinary Medicine, University of Zagreb, Zagreb, CroatiaThe purpose of this study was to create a fibrin-based human skin substitute in vitro with epidermal and dermal component and to assess its healing potential in deep partial and full thickness burns. Fibrin scaffolds were prepared from commercial fibrin glue kits. Human fibroblasts were cultured in fibrin gel. Human keratinocytes were seeded on the top of the gel. Viability of cells was determined fluorimetrically. Scanning electron microscope and immunocytochemistry analysis of cultured cells were performed. After hydrosurgical preparation of deep burn necrotic tissue, wound bed was prepared for skin substitutes. Progress of healing was documented using visual estimation and photos. Scanning electron microscope images showed good cell attachment and colony spreading of keratinocytes and fibroblasts on fibrin scaffold. Immunofluorescent staining of cell cultures on fibrin scaffold showed expression of vimentin, a marker of fibroblast cells, cytokeratin 19, a marker of epithelial stem cells, as well as involucrin, a marker of differentiated keratinocytes. Clinical results clearly showed that appearance of the skin did not differ significantly from the areas of transplanted skin using split-thickness skin graft techniques. In conclusion, using these fibrin-cultured autografts on massive full-thickness burn resulted in good healing.https://hrcak.srce.hr/file/243094Cells, culturedFibrinSkin, artificialBurns
spellingShingle Antun Kljenak
Mirna Tominac Trcin
Marina Bujić
Tamara Dolenec
Martina Jevak
Gordan Mršić
Gordana Zmiš
Zoran Barčot
Ante Muljačić
Maja Popović
Fibrin gel as a scaffold for skin substitute – production and clinical experience
Acta Clinica Croatica
Cells, cultured
Fibrin
Skin, artificial
Burns
title Fibrin gel as a scaffold for skin substitute – production and clinical experience
title_full Fibrin gel as a scaffold for skin substitute – production and clinical experience
title_fullStr Fibrin gel as a scaffold for skin substitute – production and clinical experience
title_full_unstemmed Fibrin gel as a scaffold for skin substitute – production and clinical experience
title_short Fibrin gel as a scaffold for skin substitute – production and clinical experience
title_sort fibrin gel as a scaffold for skin substitute production and clinical experience
topic Cells, cultured
Fibrin
Skin, artificial
Burns
url https://hrcak.srce.hr/file/243094
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