Method and apparatus for preparing composite skin replacement

Chemistry: molecular biology and microbiology – Spore forming or isolating process

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Details

4352401, 530356, 424934, C12N 506, A61K 3512, A61K 3712

Patent

active

052739007

DESCRIPTION:

BRIEF SUMMARY
o the biologically active molecules are reacted with the biotinylated dermal component to incorporate the active molecules into the dermal component. The so-modified dermal component is then combined with the epidermal cells to form the composite skin replacement of the invention.


BRIEF DESCRIPTION OF THE DRAWINGS

The details of typical embodiments of the present invention will be described in connection with accompanying drawings in which:
FIGS. 1A and 1B are diagrammatic representations of the method used to prepare the composite skin replacement (1A) and the grafting of the skin replacement onto a wound (1B).
FIG. 2 is a photograph of a composite skin replacement prepared according to the method of the invention.
FIGS. 3A-3E are photomicrographs of composite skin replacements in vitro (3A-3D), and of split thickness skin (3E). 3A: composite skin replacement after 5 days incubation in culture medium containing 20%(v/v) FBS. 3B: composite skin replacement after 5 days incubation in serum-free culture medium. 3C,3D: mitotic cells in composite grafts. 3E: split thickness skin graft.
FIGS. 4A and 4B are transmission electron micrographs of a composite skin replacement after 11 days in culture. 4A: bottom to top showing pores (P) in the collagen substrate (CS). Numbers on the right identify 10 HK layers. 4B: Uppermost HK strata with cornified cell envelopes (CCE), and uncornified plasma membrane (PM), scale bars=10 .mu.m.
FIGS. 5A and 5B are transmission electron micrographs of HK cells in culture. 5A shows desmosomes that interconnect HK cells in culture, 5B shows enlargement of desmosomal junctions between cells. Scale bar=10 .mu.m.
FIGS. 6A-6C are transmission electron micrographs showing biological attachments between HK cells and the collagen substrate. 6A: HK cell attached to the CS by hemidesmosomes (HD) and formation of extracellular matrix (ecm). (V)=vesicles in the plasma membrane (pm). 6B: HD, pm and ecm. 6C: Arrows indicate banded collagen substrate. A,B, scale bars=1 .mu.m; C, scale bar=10 .mu.m.
FIG. 7 is a photomicrograph of a full thickness skin defect treated six weeks before, using the composite skin replacement of the invention. Arrows indicate reticulated spaces formed by as yet non-resorbed dermal membrane. Scale bar=100 .mu.m.
FIG. 8 is an exploded isometric view of the apparatus for preparing the dermal membrane of the invention.
FIG. 9 is an isometric view of the assembled apparatus.
FIG. 10 is a section view taken along line 10--10 of FIG. 9.
FIG. 11 is a partial exploded section view taken along line 10--10 of FIG. 9.
FIG. 12 is a schematic diagram depicting the various methods for attaching biologically active compounds to a substrate as described in Examples V and VI, infra.
FIG. 13 illustrates spot test results for binding of horseradish peroxidase (HRP) covalently bound to avidin with biotinylated collagen and non-biotinylated collagen on nitrocellulose paper as described in Example IV, infra.
FIG. 14 is photographs of biotinylated HRP conjugated to biotinylated collagen.


DETAILED DESCRIPTION OF THE INVENTION

The present invention includes a method for preparing a permanent composite skin replacement consisting of a biological epidermal component and an acellular, biosynthetic (biological material prepared by synthetic procedures), porous, resorbable dermal membrane component. Preferably, the epidermal component includes cultured human epithelial cells such as normal human keratinocytes (HK) which are cultured on the dermal membrane and attach to the membrane to allow subsequent grafting of the composite formed to a wound. For use in the composite, the epidermal cells may be derived from epidermal tissue which is genetically identical to the tissue of the composite recipient (autogeneic cells) or may be derived from isospecific (same species) but genetically dissimilar (allogeneic) tissue.
The dermal membrane component may be prepared using the apparatus of the invention. The dermal membrane is preferably prepared from collagen, for example bovine collagen and a mucopolysac

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