Tissue Engineering and Wound Healing: A Short Case Study
By Emmet Tobin
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About this ebook
This eBook aims to provide a summary of the guiding themes along with some simple methodologies in (i) Tissue engineering and regenerative medicine and (ii) factors that influence the re-epithelial and tissue regeneration in wound healing. Tissue engineering involves the application of biological and engineering principles to achieve the repair, regeneration or replacement of failing or damaged organs. This dissertation examines the role of the extracellular matrix proteins, collagen and fibronectin along with transforming growth factor ß-3 (TGF ß-3) in skin tissue engineering and wound repair. The biological mechanisms associated with the ‘taking of grafts’ and normal wound healing is examined. Experimental studies investigated the role of transforming growth factor ß-3 on cell behaviour in combination with extracellular matrix patterns of collagen and fibronectin. Differences in the cell behaviour ‘in vitro’ can be attributed to the interaction of different protein-specific integrins during cell-cell and cell-matrix attachment.
Detachment studies of protein treated surfaces and cells illustrated the variation in detachment times of collagen and fibronectin and TGF- β-3 treated culture flasks.
The use of skin substitutes is still not widespread and lacks a ‘one-step process’. Various short comings were identified such as high costs; susceptibility to infection and long lead times which all diminish the effectiveness of skin replacements.
Cell guidance and behaviour directly impact upon the healing mechanisms and scarring profiles in skin tissue. With a deeper understanding of Cellular communication, the immune system, wound repair, and current skin equivalents we can develop skin substitutes to better mimic native tissue and also optimise conditions for favourable wound closure and scar resolution.
Emmet Tobin
A graduate of the University of Bradford, West Yorkshire and Waterford Institute of Technology. With over 10 years experience in both the Medical Device and Pharmaceutical Industries, I am extremely passionate about validation and endorsing its importance to the future growth of companies.My professional experience includes working as a device, development, and validation engineer. I have worked extensively on projects including equipment FATs, commissioning and validation, new product development and production transfers. I effectively bring the requirements of Design, Regulatory, Quality, Validation and Production together to provide technical and robust solutions. My approach is ethical, quality based, hands-on, and thorough. Validation is my key skill with a sharp awareness of Time, Cost and Quality, while delivering new products to meet business and customer needs.
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Book preview
Tissue Engineering and Wound Healing - Emmet Tobin
TISSUE ENGINEERING
AND
WOUND HEALING
A SHORT CASE STUDY
Emmet Tobin
Copyright © 2016 Emmet Tobin
All rights reserved.
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Ebook formatting by www.ebooklaunch.com
Contents
Overview
Introduction
Aims & Objectives
Selected Methodology
Skin
The Epidermis
Keratinocytes
Keratin
Keratinisation
The Dermis
Skin Circulation
Hypodermis
Basal Membrane
Pigmentation
Scar Tissue
Skin and Age
Regeneration
Role of Fibroblasts
Cornified cell envelope -Stratum Corneum
Collagen
Biosynthesis of Collagen
Extracellular Modification
Reactions of Collagen biosynthesis
Fibronectin
Cell Communication
Stages of signalling
Growth Factors
Wound Healing
Tissue engineering of Skin
Current Skin Substitutes
Justifying tissue engineering Substrates
Characteristics of Substrate Materials
Graft Performance
Dermal Equivalents
Keratinocyte Sheets
Current Methods
Quality control
Wound Management
Scaffolds
Scaffold Manufacture
Scaffolds as a 3D structure
Materials of Scaffolds
PGA
PLA
PLGA
Non-synthetic Materials
Hydrophobicity
Epicel - Cultured Keratinocyte sheets
Safety Considerations
Integra
Apligraf
Summary of Experiments
Results
Conclusion
Overview
Tissue engineering involves the principles of repair, regeneration and replacement of failing or damaged organs. This study examines current skin substitutes on the market along with the biological mechanisms associated with the ‘taking of grafts’ and normal wound healing. Furthermore, the role of transforming growth factor ß-3 (TGF ß-3) on cell behaviour was investigated in combination with extracellular matrix patterns of collagen and fibronectin.
It is well documented that integrins alpha1 beta 1 and alpha 2 beta 1 are collagen binding integrins. Differences in the cell response in vitro can be attributed to the interaction of different protein-specific integrins. Alpha beta v 6 integrin is epithelial specific and binds to fibronectin. Experiments found that cells aligned better to fibronectin patterns exhibiting longer mean lengths than cells seeded on collagen treated surfaces.
Cell signalling molecules influence cell surface interactions with one another and various ECM proteins. Cell guidance and behaviour can therefore impact upon the healing mechanisms and scarring profiles in skin tissue. By Understanding the biological reasons behind these interactions, skin substitutes can be engineered better to mimic native tissue.
Introduction
This case study investigated the field of tissue engineering (T.E.), it focuses on identifying the structural and physiological interactions of skin and how they relate to skin substitutes and wound repair by natural or artificially engineered means. In addition, an experimental study of novel patterning techniques using extracellular matrix proteins collagen and fibronectin to investigate the impact upon Keratinocyte cell guidance and elongation. TGF ß-3 was added to cell lines to better understand the role of growth factors in skin regeneration. Experiments involving TGF ß-3 examined the impact upon cell alignment, elongation and the attachment/detachment response.
It can be concluded that there is need to develop skin substitutes that consist of a ‘one-step process’ in order to reduce recovery time and the amount of specialised clinical care. Experimental findings illustrate the change in behaviour of cells in contact with fibronectin and collagen and the response of cells to TGF ß-3. It was observed that cells aligned better and exhibited marginally higher mean lengths to fibronectin patterns compared to the collagen patterns. TFG ß-3 caused additional elongation when added to the media.
This eBook documents a two tiered approach with both a theoretical and experimental dimension to it. Its primary focus is on skin engineering and wound repair. As this project