Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Study on Effective Preservation of Bovine Pericardium Using Decellulariation and ${\alpha}$-galactosidase for Eliminating Xenoreactive Antigen

이종 항원 제거를 위한 무세포화와 알파-갈락토시다아제를 이용한 효과적인 우심낭 보존 방법에 관한 연구

  • Kim, Min-Seok (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Park, Cham-Jin (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Kim, Soo-Hwan (Seoul National University Hospital, Clinical Research Institute, Xenotransplantation Research Center) ;
  • Lim, Hong-Gook (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Kim, Yong-Jin (Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine)
  • 김민석 (서울대학교 의과대학 서울대학교병원 흉부외과학교실) ;
  • 박참진 (서울대학교 의과대학 서울대학교병원 흉부외과학교실) ;
  • 김수환 (서울대학교병원 이종장기이식센터) ;
  • 임홍국 (서울대학교 의과대학 서울대학교병원 흉부외과학교실) ;
  • 김용진 (서울대학교 의과대학 서울대학교병원 흉부외과학교실)
  • Received : 2010.09.06
  • Accepted : 2010.11.15
  • Published : 2010.12.05
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Abstract

Background: Effective decellularization and fixation process is critical, in order to use xenogenic valves clinically. In the present study, we decellularized bovine pericardium using sodium dodecyl sulfate (SDS) and N-lauroyl sarcosinate, treated with $\alpha$-galactosidase, and then fixed in various manners, to find out the most effective tissue preservation & fixation procedure. Material and Method: Bovine pericardium was decellularized with SDS and N-lauroyl sarcosinate, and treated with $\alpha$-galactosidase. Both groups were fixed differently, by varying glutaraldehyde (GA) or EDC (1-ethyl-3-(3-dimethyl aminopropyl)-carbodiimide)/N-hydroxysuccinamide (NHS) treatment conditions. Thereafter, physical examination, tensile strength test, thermal stability test, cytotoxicity test, pronase test, pronase-ninhydrin test, purpald test, permeability test, compliance test, H&E staining, DNA quantification, and $\alpha$-galactose staining were carried out to each groups. Result: GA fixed groups showed better physical properties and thermal stability than EDC/NHS fixed groups, EDC/NHS-GA dual fixed groups showed better physical properties and thermal stability than EDC/NHS fixed groups, and showed better thermal stability than GA fixed groups. In pronase test and pronase-ninhydrin test, GA fixed groups and EDC/NHS-GA dual fixed groups showed stronger crosslinks than EDC/NHS groups. Permeability and compliance tended to increase in EDC/NHS-GA dual fixed groups, compared to GA fixed groups. But, EDC/NHS-GA dual fixed groups had stronger tensile strength and lower cytotoxicity than GA fixed groups. Conclusion: We have verified that EDC/NHS-GA dual fixation can make effective crosslinks and lower the toxicity of GA fixation. Henceforth, we will verify if EDC/NHS-GA dual fixation can lower calcifications & tissue failure in vivo experiment.

배경: 이종조직판막이나 조직이 임상적으로 이용되기 위해서는 조직의 장기간의 내구성이 동반된 효과적인 보존과 적절한 고정과정이 필요하다. 본 연구에서는 소심낭을 sodium dodecyl sulfate (SDS)와 N-lauroylsarcosinate를 이용하여 무세포화하고, 알파-갈락토시다아제를 처리한 뒤, 이를 다양한 방법으로 고정함으로써 조직손상과 면역반응을 최소화할 수 있는 효과적인 우심낭 보존 방법에 대해 알아보고자 하였다. 대상 및 방법: 우심낭으로부터 이종 이식 보철편을 채취한 뒤 SDS와 N-lauroylsarcosinate를 이용하여 무세포화 하였고, 알파-갈락토시다아제를 처리하였다. 이 두 가지 군에 대하여 각기 다른 조건 즉 glutaraldehyde (GA), l-ethyl-3-(3-dimethylaminopropyl)-carbodiimide (EDC)/Nhydroxysuccinamide (NHS)의 처리를 달리하여 고정하였다. 이후 각 군들의 물리적 성상, 인장강도, 열 안정성 검사, 세포독성 검사, 프로나아제 저항 시험과 Pronase-Ninhydrin 시험, 투과도와 유순도 검사, purpald 검사 등을 시행하였으며, H&E 염색과 DNA 정량, 알파-갈 항원결정인자 염색 등도 함께 시행하였다. 결과: GA 단독 고정군은 EDC/NHS 고정군에 비해 물리적인 성상과 열안정성에서 더 우수하였고, EDC/NHS와 GA의 이중 고정군은 EDC/NHS 고정군에 비해 물리적인 성상과 열안정성에서 더 우수하였으며, GA단독 고정군과 비교해서 열안정성에서 더 우수하였다. 프로나아제 저항 시험과 Pronase-Ninhydrin 시험을 통해 알아본 crosslinking 정도는, GA 고정 군과 EDC/NHS의 이중 고정군이 EDC/NHS 고정군에 비해 높은 것으로 관찰되었다. EDC/NHS와 GA의 이중 고정군은 GA 고정군에 비해 투과도와 유순도가 다소 증가하였으나, GA 고정군에 비해 인장강도가 높고 세포 독성이 감소하는 것으로 관찰되었다. 결론: GA와 EDC/NHS의 이중고정을 통해서, GA단독 고정의 독성을 줄이면서 효과적인 crosslinking을 시행할 수 있음을 확인하였다. 향후 생체내 시험을 통해서 GA와 EDC/NHS의 이중고정이 석회화의 감소와 조직부전에 어떠한 영향을 미치는지 추가적인 연구와 검증이 필요하다.

Keywords

References

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