Đánh giá ảnh hưởng của nồng độ Trypsin - Edta đến hiệu quả tách tế bào và bảo toàn cấu trúc da trong chế tạo tấm trung bì da đồng loại không tế bào

Ngo Ngoc Ha1,, Pham Thi Hue1, Dinh Tien Chung1, Nguyen Thi Thu Ha1, Nguyen Tien Dung1
1 Le Huu Trac National Burn Hospital

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Abstract

Human acellular dermal matrix (hADM) is a biological scaffold derived from human skin in which the epidermis and cellular components of the dermis are completely removed, while preserving the collagen structure of the dermis.
Objective: This study aimed to evaluate the effect of different Trypsin-EDTA concentrations on cell removal efficiency and structural preservation of the dermis, in order to determine the optimal concentration for the preparation of hADM.
Subjects and methods: Thirty donated human skin samples were randomly assigned into three groups (n = 10 each) and treated with different Trypsin-EDTA concentrations: 0.5X (0,125%), 1X (0.25%) and 1.5X (0.375%). All samples underwent repeated freeze-thaw cycles, followed by a two-step enzymatic decellularization process: immersion at 40C for 24 hours, then incubation at 370C for 3 hours. Epidermal separation efficiency and cellular removal were evaluated using epidermal detachment rates and histological analysis.
Results: Increasing Trypsin - EDTA concentrations showed a strong correlation with higher epidermal separation rates after enzymatic treatment at 40C for 24 hours (p < 0.05), with mean 15.24 ± 8.94%, 36.84 ± 7.44%, and 45.99 ± 7.10% for the 0.5X, 1X and 1.5X groups, respectively. After the second enzymatic treatment at 370C for 3 hours, the separation rates continued to rise, reaching 28.25 ± 10.33%, 93.98 ± 13.08%, and 95.47 ± 11.99%, respectively. However, the difference between the 1X and 1.5X groups was not statistically significant (p > 0.05). Histological evaluation confirmed complete cell removal in all groups. However, the 1.5X group exhibited more pronounced disruption of collagen structure, with lower fiber density and looser organization.
Conclusion: Trypsin - EDTA proved to be an effective agent for both epidermal separation and dermal decellularization in hADM preparation. A concentration of 0.25% (1X) was identified as optimal, providing high cell removal efficiency while better preserving collagen structure.

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References

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