Patent Application
20160199540
The present invention relates to the technical field of treatment of biological tissues and manufacture of tissue matrix materials, and in particular relates to a method for manufacturing an animal acellular tissue matrix material and an acellular tissue matrix material manufactured by the same.
There are great similarity and homology in an extracellular matrix of a tissue and organ of a human body and many animals. A biological matrix material manufactured by decellularization of an allogeneic or xenogenic tissue and organ has been successfully used for the repair and restoration of human tissues in clinical medicine. The decellularized tissue and organ matrix is also widely used for various studies in tissue engineering and regenerative medicine, for example, removing original cell components of a tissue and organ of animals, and re-cellularizing and functionalizing the matrix of the tissue and organ having a three-dimensional tissue scaffold structure by human cells in vitro, thereby finally producing the tissue and organ which can be implanted to human body.
The matrix of the tissue and organ is a three-dimensional scaffold composed of various complex structural proteins and functional proteins, and comprises many other active complexes. Main components include collagenous fiber, glycoprotein, mucoprotein, and the like, and the other components include saccharides such as glycosaminoglycan (hyaluronic acid, chondroitin sulfate), some lipids and growth factors. A good matrix of the tissue and organ has suitable biomechanical strength, and after being implanted into a host, the matrix material provides initial biomechanical support, and regulates cell behavior (e.g., adherence, migration, proliferation and differentiation) by interacting with a host cell, and the matrix of the tissue and organ itself is gradually degraded and converted into a new tissue with the ingrowth of the host cell.
Currently, there are approximately thirty kinds of matrix material products derived from tissues and organs all over the world, which have been used in various clinical medicines such as tissue repair and regeneration. Raw materials of the tissues and organs in these products are derived from tissues of human and various mammals, including blood vessel, cardiac valve, ligament, nerve, skin, small intestinal mucosa, forestomach, pericardium, peritoneum, muscle tendon and bladder, and the like.
A process procedure for manufacturing the matrix of the tissue and organ is very complex, including processes such as collection, preservation, washing, disinfection, decellularization, antigenicity reduction, virus inactivation, and terminal sterilization of the tissue and organ, and the like. There are many existing methods for manufacturing the matrix of the tissue and organ, and they can be classified into a physical method, a chemical method, an enzymatic method and the like according to their action principles of the decellularization. The most commonly used decellularization method is a method in which the physical treatment and chemical treatment are combined. The cellular membrane is damaged by stirring or ultrasonic, mechanical massage or pressurization, freezing and thawing, so that the cell components are released from the cell, further facilitating the subsequent decellularization and washing using a chemical detergent. The physical method itself is generally not sufficient to achieve complete decellularization. Enzymatic treatment method, such as some trypsin, can alter the density and porosity of the tissue extracellular matrix, and cut the connection between the cell surface and the tissue extracellular matrix. In addition, by using different process procedures and methods, the removal efficiency of cells and the effect or damage to the matrix of the tissue and organ are different. In addition to direct damage to the matrix of the tissue and organ, the collection, preservation, washing, disinfection, and decellularization treatment also influence the subsequent processing steps of the tissue and organ. Various treatments will influence and change the biochemical composition of the matrix of the tissue and organ, and the ultrastructure and biomechanical property of the three-dimensional scaffold to different extent, which will influence the response of the host to the implanted matrix material. The evidence of preclinical animal tests and human clinical application demonstrates that there are great differences among various products of the matrix of the tissue and organ in terms of the clinical performance of tissue repair and regeneration. The variation of characteristics of the matrix of the tissue and organ during the manufacture process is one of the main reasons causing the difference of clinical effects of various products.
Content of the Invention
With respect to the above defects present in prior art, in one aspect, the present invention provides a method for manufacturing an animal acellular tissue matrix material, which comprises the steps of:
1. collecting a raw material of an animal tissue, wherein the animal tissue is washed to remove blood and other dirt, and cut into a tissue material having a length, a width and a height of the desired specification and dimension, and then the tissue material is preserved at a low temperature;
2. thawing slowly, and rehydrating the tissue material in a normal saline containing gentamicin;
3. disinfecting and sterilizing the tissue material in a moderate alkaline solution, wherein the tissue material is then rinsed with sterile pure water, and the pH of the tissue material is adjusted to be neutral;
4. decellularizing and washing the tissue material;
5. digesting DNA components of the animal tissue, wherein the animal tissue is then rinsed with a normal saline;
6. digesting an antigen of α-1,3-galactose residue (α-Gal antigen) of the animal tissue, wherein the animal tissue is then rinsed with a high concentration of a sodium chloride solution, and rinsed with a normal saline;
7. inactivating the viruses in the animal tissue, wherein the animal tissue is then rinsed with a phosphate buffer solution;
8. packaging and sealing the animal tissue under an aseptic condition;
9. terminal sterilization treatment.
In the method, an enzymatic method is used to remove cell components and α-Gal antigen and improve the pliability of a tissue scaffold.
In an embodiment of the present invention, the raw material of the animal tissue in step 1 is selected from skin, dermis, artery, vein, stomach, cartilage, meniscus, small intestine, large intestine, diaphragm, muscle tendon, ligament, nervous tissue, bladder, urethra and ureter.
In a preferred embodiment of the present invention, the washing of the animal tissue to remove blood and other dirt in step 1 is performed by using pure water and a physical method or ultrasonic washing.
In a process method for manufacturing the tissue matrix material, the step of preservation of a raw material of a porcine dermis at a low temperature is involved, wherein, the rate of cooling and heating is a very important parameter. If the rate of cooling and heating is too rapid or not uniform within the tissues, tiny cracks can occur in local regions of the tissues and the tissue matrix is prone to be tore when used.
In an embodiment of the present invention, preferably, the tissue material in step 1 is preserved at a temperature of −40° C. or less which is achieved with an average cooling rate of no more than 1.0° C. per minute, and more preferably, the cooling rate is 0.5° C. per minute. The tissue material preserved at a low temperature is slowly thawed in an environment of 5˜12° C. in step 2, to avoid the production of cracks in the tissue due to an over-rapid temperature increase. After the ice is completely melted, the thawed tissue material is rehydrated in a normal saline containing 100 mg of gentamicin per litre for 3˜6 hours in step 2.
In one preferred embodiment of the present invention, the preservation at a low temperature in step 1 is long-term preservation, its method is to lay a porcine dermal material on a piece of protective layer with slightly larger area, such as cotton yarn cloth, paper, plastic film, nylon net or other cloth fabrics, and roll the dermis and the protective layer into one multilayer concentric roll or form a multilayer package form with the dermis and the protective layer being alternated, which is placed into a plastic bag, and kept in a refrigerator at −80° C. or −40° C. for preservation after being sealed.
In the preparation method of the present invention, the initial disinfection and sterilization of a raw material of a porcine dermis are involved. The existing methods comprise use of sodium hypochlorite, peroxyacetic acid, hydrogen peroxide, iodine solution, and a high concentration of sodium hydroxide solution (with a pH of 13 or more). After the treatment using these solutions, the tissue matrix is damaged to different extent, especially with the effects of sodium hydroxide, sodium hypochlorite, and iodine solution being greater.
Unlike the disinfection and sterilization technology of the raw material in the existing methods, in an embodiment of the present invention, the moderate alkaline solution in step 3 is a sodium bicarbonate or sodium hydroxide solution with a pH of 10.5-11.5 or an ammonia hydroxide solution with a concentration of 0.1%, the disinfection and sterilization method is to soak the rehydrated tissue material in the moderate alkaline solution for 24˜48 hours with shaking slowly, thereby avoiding the damage of the tissue matrix.
In an embodiment of the present invention, the decellularization method in step 4 is to firstly rinse the disinfected and sterilized and rinsed tissue material in a normal saline containing 2.0 millimole concentration of calcium chloride, 2.0 millimole concentration of magnesium chloride and 100 mg of gentamicin per litre at room temperature for 1˜3 hours, and then add a dispase solution to elute cells.
In one preferred embodiment, the dispase solution is a neutral dispase solution, each litre of which contains 1-20 millimole of calcium chloride, 1-20 millimole of magnesium chloride and 50-400 units of dispase, and the method for eluting cells with the dispase solution is to soak the tissue material in the dispase solution at 37° C. for 24˜36 hours with shaking slowly, and more preferably each litre of the neutral dispase solution contains 2.0 millimole of calcium chloride, 2.0 millimole of magnesium chloride and 100-200 units of dispase.
In one preferred embodiment of the present invention, after completing the decellularization in step 4, the washing step is performed. The washing comprises washing with a first detergent and washing with a second detergent, wherein the first detergent solution is a solution of 0.5% Triton X-100 in a buffer solution of hydroxyethylpiperazine ethane sulfonic acid (pH 7.0˜8.0), and the washing method is to soak the tissue material in the first detergent solution at 37 ° C. for 12˜18 hours with shaking slowly. The second detergent solution is a solution of 1.0% sodium deoxycholate in a phosphate buffer solution (pH 7.2˜7.8), and the washing method is to soak the tissue material in the second detergent solution at room temperature for 24˜36 hours with shaking slowly. Meanwhile, other suitable detergents, such as Tween-20, t-octylphenoxyl polyethylene ethoxyethanol and 3-[(3-cholesterol aminopropyl)dimethylamino]-1-propanesulfonic acid, and the like, are used in the present invention.
In an embodiment of the present invention, after being soaked in the first detergent solution and the second detergent solution, and prior to step 5, the tissue material is rinsed three times with a buffer solution of 20 mM hydroxyethylpiperazine ethane sulfonic acid (with a pH between 7.0˜8.0) at room temperature, each time for 2˜4 hours.
Due to the existence of DNA of the animal tissues, an inflammatory response is easily caused by the tissue matrix being implanted into a human body. In addition to human and old world monkeys, other mammals all contain α-Gal antigen consisting of glycoprotein or glycolipid with a disaccharide end of α-1,3-galactose residue [Gala(1,3)Gal] in vivo. The α-Gal antigen in porcine tissues will cause immunological rejection response. One of the methods for eliminating or overcoming the inflammatory response and rejection response is to remove DNA and α-Gal antigen from the animal tissue matrix using specific enzymatic treatment.
In an embodiment of the present invention, the digestion of DNA components of the animal tissue in step 5 is accomplished by adding a deoxyribonuclease solution, wherein the formula of the deoxyribonuclease solution is to add 2.0 millimole concentration of calcium chloride, 2.0 millimole of magnesium chloride and 5000 enzyme units of deoxyribonuclease into per litre of a buffer solution of 100 mM tri-hydroxymethyl aminomethane-hydrochloric acid (pH 7.2), and a method for degrading to remove DNA from the animal tissue is to soak the tissue material in the deoxyribonuclease solution to be treated for 18˜28 hours at 37° C. with shaking slowly, and then place the tissue material in a normal saline to be rinsed twice at room temperature, each time for 1˜3 hours.
In an embodiment of the present invention, digesting α-Gal antigen of the animal tissue in step (6) is accomplished by adding α-galactosidase solution, wherein the formula of the α-galactosidase solution is to add 2.0 mM calcium chloride, 2.0 mM magnesium chloride and 400GALU units of α-galactosidase into per litre of a buffer solution of 10 mM hydroxyethylpiperazine ethane sulfonic acid (with a pH between 7.0˜8.0), and a method for digesting the α-Gal antigen of the animal tissue is to soak the tissue material in the α-galactosidase solution, to be washed for 24˜36 hours at 37 ° C. with shaking slowly.
When the tissue matrix implanted into human body is manufactured, it is necessary to remove various residual enzymes. To achieve the above objectives, in an embodiment of the present invention, the washing is performed using a salting-out method, wherein the high concentration of sodium chloride solution in step 6 is a 2-5% sodium chloride solution, and a rinsing method is to soak the tissue material in the sodium chloride solution and wash the tissue material twice at room temperature, each time for 2˜4 hours. In a more preferable embodiment, the high concentration of sodium chloride solution is preferably a 3% sodium chloride solution. Furthermore, the sodium chloride solution can be replaced with other neutral salt solution, such as potassium chloride, magnesium chloride and lithium chloride, and the like.
To further increase the safety of the products, in a preferred embodiment of the present invention, virus inactivation treatment is also involved, wherein the virus inactivation agents in step 7 are hydrogen peroxide and peroxyacetic acid, and a method for the virus inactivation is to soak the tissue material in a solution containing 0.01˜0.10% hydrogen peroxide, 0.05˜0.50% acetic acid and 0.05˜0.50% peroxyacetic acid, to be washed for 2˜3 hours at room temperature with shaking slowly. In a more preferable embodiment, a solution containing 0.02% hydrogen peroxide, 0.15% acetic acid and 0.10% peroxyacetic acid is used for virus inactivation, with the number of viruses being decreased by 106 or more during 2˜3 hours. The concentration of hydrogen peroxide, acetic acid and peroxyacetic acid may be varied (increased or decreased) with the number of bacteria.
In an embodiment of the present invention, after the virus inactivation in step 7, the tissue material is rinsed three times at room temperature with a neutral phosphate buffer solution, each time for 2˜4 hours, to remove the residual hydrogen peroxide, acetic acid and peroxyacetic acid.
The terminal sterilization treatment of the tissue product is often one of the most destructive steps for the tissue material. For this reason, in an embodiment of the present invention, a low temperature irradiation is used to perform the treatment in step 9. In a preferred embodiment of the present invention, under the condition of −40° C., the terminal sterilization treatment of the product is performed using 10-50 kGy gamma ray, which greatly reduces the damage to the tissue material. In some preferred embodiments, a radiation dosage is varied (increased or decreased) depending on the number of bacteria in the tissue matrix. In one more preferable embodiment, the terminal sterilization treatment of the product is performed using 20˜30 kGy gamma ray.
In some alternative embodiments, in addition to the irradiation terminal sterilization method, the tissue matrix in the present invention can also be sterilized by using ethylene oxide gas after being lyophilized.
In some preferred embodiments of the present invention, the sequence of step 4 (decellularization with enzyme), step 5 (digesting DNA with enzyme) and step 6 (digesting α-1,3-galactose residue antigen with enzyme) can be adjusted or altered as actually required. For example, firstly, α-1,3-galactose residue antigen in animal tissues may be digested, and then the animal tissues are decellularized and the DNA components of animals are digested; or firstly, the animal DNA is eliminated, and then the antigen is eliminated and finally treated by decellularization.
Furthermore, in some alternative embodiments, if the animals improved by genetic engineering and free of α-Gal antigen are selected, the use of deoxyribonuclease is just needed. Meanwhile, to reduce the disadvantageous effect on the proteolysis of the extracellular matrix, the concentration of the dispase, temperature and time will be monitored and optimized while treating. In the process procedure, the specific enzyme inhibitor can further be added, for example, ethylenediamine tetraacetic acid is used to inhibit the activity of the dispase.
Another aspect of the present invention further relates to an animal acellular tissue matrix material manufactured by the above method of the present invention, wherein the raw material of the animal dermis used may include dermis with basement membrane, and may also include dermis with basement membrane removed.
In the method for manufacturing an acellular tissue matrix material according to the present invention, a series of steps of treating animal skin tissues and manufacturing the matrix of the tissue and organ as well as a plurality of biochemical solutions and formulas are involved. The dermal tissue matrix material manufactured by the above steps and solutions retains the original basic scaffold structure of the tissue extracellular matrix, main biochemical components and biomechanical strength, with an antigen causing immunological rejection response in the human body being effectively removed from the animal tissue; and improves the flexibility, drapability and the integration performance of wound curved surface of the tissue matrix, and the manufactured animal dermal matrix is similar with human skin, which will not cause the collagen in the tissue matrix to crosslink with other proteins, and will not cause degradation or denaturation, and the decellularized tissue dermis retains the biological integrity of the natural dermal tissue matrix.
A: a HE staining section of a fresh porcine dermis;
B: a HE staining section of a dermal matrix after being treated;
C: an immunochemical staining section of α-1,3-galactose residue antigen of the fresh porcine dermis;
D: an immunochemical staining section of α-1,3-galactose residue antigen of the treated dermal matrix.
A, B, C: an immunochemical staining section of collagen type I;
D, E, F: an immunochemical staining section of collagen type III;
A, D: negative staining;
B, E: positive staining of an untreated fresh porcine dermis;
C, F: treated tissue dermal matrixes.
The present invention is further illustrated in detail by way of examples hereinafter, and intended to illustrate rather than to limit the present invention. Further, it should be noted by those skilled in the art that several improvements and modifications can be made to the present invention without departing from the principle of the present invention, and these improvements and modifications also fall within the protection scope of the present invention.
1. Manufacture
(1) Collection and Preservation of a Tissue and Organ
Fresh porcine hide was collected from a newly slaughtered pig, and temporarily preserved in a refrigerator at 4° C. After the porcine hide was dehaired mechanically, the porcine hide was split into a dermis layer having a thickness of about 1.0 mm, which was cryopreserved at −20° C.
(2) Decellularization
After the dermis was thawed, it was firstly flushed with a normal saline twice, each time for 30 minutes. The flushed porcine dermis was soaked in a saline solution containing 100 mg of gentamicin per litre, and 2.0 millimole concentration of calcium chloride, 2.0 millimole concentration of magnesium chloride, and 150 units per litre of neutral dispase were further added to the solution, and the dermis is treated at 37° C. for 24 hours.
(3) Washing
After being soaked in gentamicin, the dermis was washed with a 0.5% Triton X-100 solution for 16 hours. After decellularization and washing, the dermis was flushed with a normal saline twice, each time for 120 minutes.
(4) Digestion of DNA and Removal of α-1,3-Galactose Residue Antigen
To each litre of the solution were further added 2.0 millimole concentration of calcium chloride, 2.0 millimole concentration of magnesium chloride, 5000 units of deoxyribonuclease and two tablets of Beano from Glaxosmithkline (containing α-galactosidase), and the dermis was treated at room temperature for 20 hours.
(5) Virus Inactivation
After being washed, the dermis was sterilized and virus inactivated with a solution containing 0.02% hydrogen peroxide, 0.15% acetic acid and 0.10% peroxyacetic acid for 2 hours.
(6) Washing and Preservation
Finally, the dermis was flushed with sterile normal saline until no Triton X-100 and enzyme remained. The treated dermal matrix was temporarily preserved in 6% glycerin.
2. Performance Detection
It was indicated by measurements that the tensile strength of the material was 15.0±3.6 megapascal (N=24); the strength of the suture was 56±13 newton (N=24); each 100 g by wet weight of the dermis matrix contained 24.2±2.9g of a dry matter material of a dermis (N=15). It was showed by analysis using differential scanning calorimeter that the initial denaturation temperature of the tissue matrix material was 58.0±0.4 ° C. (N=5), and the value of enthalpy change was 61.6±2.1 Joule per gram by dry weight (N=5), which were not significantly different from the dermis matrix in natural state from the raw material of the dermis, and there was no significant change or damage on the characteristics of the dermis matrix in the whole process course. It was indicated by analysis of the tissue section that there were no cell components (e.g., deoxyribonucleic acid DNA) and α-1,3-galactose residue antigen in the matrix, see
Fresh dermis was collected from a porcine body, and the fresh porcine dermis was treated in sodium hydroxide solutions with pH of 10.6, 11.5 and 11.8 at 37° C., respectively. Each kilogram of the porcine hide was in 4 litre of sodium hydroxide solution, with the control of phosphate buffer. After 24 hours, colony-forming unit per milliliter solution was determined. The phosphate buffer contained 10.3±1.3 logarithmic colony-forming unit (LogCFU)(N=3); and the logarithmic colony-forming unit in the solution with pH of 10.6, 11.5 and 11.8 was 2.1±0.1, 0 and 0, respectively. As could be seen, disinfection and sterilization effect in moderate alkaline solution was significant. It was demonstrated by using differential scanning calorimeter that the tissue matrix was damaged with pH of 11.5 or more, and the stability of protein in the tissue matrix was significantly reduced. The damage of high pH on the tissue matrix further demonstrated the irreversible imbibition and induration of the tissue matrix. This example determined a more suitable condition for washing and disinfecting the dermis, which comprised adjusting pH to be between 10.5˜11.5.
1. Manufacture
(1) Collection and Preservation of a Tissue and Organ
Fresh porcine hide was collected from a newly slaughtered pig, and temporarily preserved in a refrigerator at 4° C. After the porcine hide was dehaired mechanically, the porcine hide was split into a dermis layer having a thickness of about 1.0 mm.
(2) Collection and Washing
After collection and washing (see example 1), the porcine dermis with a thickness of 1.0 mm was temporarily preserved in a refrigerator at −80° C.
(3) Decellularization
After being thawed, the dermis was flushed with 5 mM of hydroxyethylpiperazine ethane sulfonic acid solution (pH 7.4), and was then treated at 37° C. for 18 hours after adding 2.0 mM of calcium chloride and 0.2 unit per milliliter of neutral dispase.
(4) Washing
The dermis was washed with 1.0% sodium deoxycholate solution at 37° C. for 20 hours.
(5) Digestion of DNA and α-1,3-Galactose Residue Antigen
After the dermis was flushed with sterile normal saline for 120 minutes, to each litre of the solution were further added 2.0 mM of calcium chloride, 2.0 mM of magnesium chloride, 4000 units of recombinant deoxyribonuclease and 200 GALU units of α-galactosidase extracted from seeds of green coffee bean, and the dermis was treated at 37° C. for 24 hours.
(6) Virus Inactivation
After being washed with sterile normal saline, the dermis was sterilized with 0.05% hydrogen peroxide, 0.30% acetic acid and 0.20% peroxyacetic acid for 2 hours.
(7) Washing
The dermis was flushed with a sterile normal saline until no sodium deoxycholate, recombinant deoxyribonuclease and α-galactosidase was remained.
(8) Terminal Sterilization Treatment
The treated dermal matrix was preserved in sterile normal saline solution containing 12% glycerin, and sterilized by 25 kGy of gamma ray.
2. Performance Detection
It was demonstrated by measurement using the durometer with OO-type probe that the softness of the untreated porcine dermis was 40±8.6(N=24), the softness of the acellular porcine dermis was 13.0±4.0 (N=25), and the softness of human dermis was 14.2±6.1 (N=40). It was demonstrated that there was no statistically significant difference in the softness between the porcine dermal matrix after decellularization treatment and the human dermis tissue, as compared to the untreated porcine dermis (much harder). Further, it was demonstrated that the method of the present invention improved the flexibility, drapability and the integration performance of wound curved surface of the tissue matrix.
It was demonstrated by analysis of the tissue section that α-1,3-galactose residue antigen of the produced tissue matrix was removed completely, the result of staining was negative, and no antigen was expressed. DNA content was determined by using a QuantiT-PicoGreen fluorochrome method, the results of which indicated that each gram of the fresh porcine dermis contained about 84.0±10.2 microgram of DNA (N=3), each gram of the porcine dermis after being washed and disinfected contained 62.9±9.5 microgram of DNA (N=3), each gram of the tissue matrix after being treated by decellularization and washed only contained 1.9±1.1 microgram of DNA (N=3), and the animal DNA content was averagely reduced by 97.7%. It was showed by analysis using differential scanning calorimeter that the initial denaturation temperature of the tissue matrix material was 54.7±0.2 ° C. (N=3), the value of enthalpy change was 59.5±3.1 Joule per gram by dry weight (N=3). As compared with the dermis in natural state from the raw material of the porcine dermis, the initial denaturation temperature was only reduced by 3.3° C., and there was no significant difference in the value of enthalpy change, which illustrated that there was no significant change or damage on the characteristics of the tissue matrix in the whole manufacture process (including terminal radiation sterilization by gamma ray).
The content of collagen in the tissue matrix was determined by hydroxyproline method, and the tissue matrix of porcine hide after terminal radiation sterilization by gamma ray contained 91.0±3.0% (N=6) of collagen. The content of elastin was determined by Fastin staining method, and the tissue matrix after terminal radiation sterilization by gamma ray contained 0.92±0.21% (N=6) of elastin, which was reduced by 71.4% as compared with the untreated porcine dermal material.
Characteristics of the acellular tissue matrix against hydrolysis via collagenase may be used to study the stability of collagen in the acellular tissue matrix manufactured by the present invention after terminal radiation sterilization by gamma ray. The manufactured acellular tissue matrix was placed into a trihydroxymethyl aminomethane-hydrochloric acid solution containing 5 units of collagenase per milliliter (10 mM, pH 7.5), and incubated at 37° C. for up to 64 hours. The results showed that as compared with the untreated porcine dermal material, characteristics of the acellular tissue matrix manufactured by the method of the present invention against hydrolysis via collagenase did not change after terminal radiation sterilization by gamma ray, see
By utilizing recellularization characteristics of the acellular tissue matrix manufactured by the method of the present invention, an animal evaluation experiment was performed with rats (Rattus norvegicus Lewis). After the rats (8 cases) were narcotized, the hair on the back was removed off by an electrical shaver, the surgical site was scrubbed with 70% alcohol, and a separate incision was cut on the upper and lower and left and right back, to form a small pocket, the size of which was suitable to accommodate 1×1 cm of sample (−1 mm thick). The tissue matrix sample was subcutaneously implanted into the rat. After the surgery, if the rats showed signs of pain, a buprenorphine solution (0.05 mg/kg) was used to stop pain. The rats were sacrificed after two weeks, and the implanted tissue matrix material was taken out and fixed with a 10% neutral formalin solution. Host cell ingrowth and angiogenesis of rats were observed by a tissue section method. The results demonstrated that a large number of host cells were grown into the tissue matrix material within two weeks, and the neovascularization began, with no adverse reaction being observed, see
| Number | Date | Country | Kind |
|---|---|---|---|
| 201310376619.8 | Aug 2013 | CN | national |
| Filing Document | Filing Date | Country | Kind |
|---|---|---|---|
| PCT/CN2014/078737 | 5/29/2014 | WO | 00 |
