Markeson D.,Stem Cell Research Laboratory |
Markeson D.,University of Oxford |
Markeson D.,University College London |
Pleat J.M.,Stoke Mandeville Hospital |
And 5 more authors.
Journal of Tissue Engineering and Regenerative Medicine | Year: 2015
The treatment of full thickness skin loss, which can be extensive in the case of large burns, continues to represent a challenging clinical entity. This is due to an on-going inability to produce a suitable tissue engineered substrate that can satisfactorily replicate the epidermal and dermal in vivo niches to fulfil both aesthetic and functional demands. The current gold standard treatment of autologous skin grafting is inadequate because of poor textural durability, scarring and associated contracture, and because of a paucity of donor sites in larger burns. Tissue engineering has seen exponential growth in recent years with a number of 'off-the-shelf' dermal and epidermal substitutes now available. Each has its own limitations. In this review, we examine normal wound repair in relation to stem/progenitor cells that are intimately involved in this process within the dermal niche. Endothelial precursors, in particular, are examined closely and their phenotype, morphology and enrichment from multiple sources are described in an attempt to provide some clarity regarding the controversy surrounding their classification and role in vasculogenesis. We also review the role of the next generation of cellularized scaffolds and smart biomaterials that attempt to improve the revascularisation of artificial grafts, the rate of wound healing and the final cosmetic and functional outcome. © 2013 John Wiley & Sons, Ltd.
Schreml S.,University of Regensburg |
Meier R.J.,University of Regensburg |
Kirschbaum M.,Fraunhofer Institute for Biomedical Engineering |
Kong S.C.,Copenhagen University |
And 18 more authors.
Theranostics | Year: 2014
Wound repair is a quiescent mechanism to restore barriers in multicellular organisms upon injury. In chronic wounds, however, this program prematurely stalls. It is known that patterns of extracellular signals within the wound fluid are crucial to healing. Extracellular pH (pHe) is precisely regulated and potentially important in signaling within wounds due to its diverse cellular effects. Additionally, sufficient oxygenation is a prerequisite for cell proliferation and protein synthesis during tissue repair. It was, however, impossible to study these parameters in vivo due to the lack of imaging tools. Here, we present luminescent biocompatible sensor foils for dual imaging of pHe and oxygenation in vivo. To visualize pHe and oxygen, we used time-domain dual lifetime referencing (tdDLR) and luminescence lifetime imaging (LLI), respectively. With these dual sensors, we discovered centripetally increasing pHe-gradients on human chronic wound surfaces. In a therapeutic approach, we identify pHe-gradients as pivotal governors of cell proliferation and migration, and show that these pHe-gradients disrupt epidermal barrier repair, thus wound closure. Parallel oxygen imaging also revealed marked hypoxia, albeit with no correlating oxygen partial pressure (pO2)-gradient. This highlights the distinct role of pHe-gradients in perturbed healing. We also found that pHe-gradients on chronic wounds of humans are predominantly generated via centrifugally increasing pHe-regulatory Na+/H+-exchanger-1 (NHE1)-expression. We show that the modification of pHe on chronic wound surfaces poses a promising strategy to improve healing. The study has broad implications for cell science where spatial pHe-variations play key roles, e.g. in tumor growth. Furthermore, the novel dual sensors presented herein can be used to visualize pHe and oxygenation in various biomedical fields. © Ivyspring International Publisher.
Onnby L.,Lund University |
Svensson C.,Lund University |
Mbundi L.,University of Brighton |
Mbundi L.,Blond McIndoe Research Foundation |
And 4 more authors.
Science of the Total Environment | Year: 2014
The generation and development of effective adsorption materials for arsenic removal are urgently needed due to acute arsenic contamination of water sources in many regions around the world. In the search for these new adsorbents, the application of nanomaterials or nanocomposites, and especially the use of nanoparticles (NPs), has proven increasingly attractive. While the adsorptive performance of a range of nanocomposite and nanomaterial-based systems has been extensively reviewed in previously-published literature, the stability of these systems in terms of NP release, i.e. the ability of the nanomaterial or nanocomposite to retain incorporated NPs, is less well understood. Here we examine the performance of nanocomposites comprised of aluminium oxide nanoparticles (AluNPs) incorporated in macroporous polyacrylamide-based cryogels (. n-Alu-cryo, where n indicates the percentage of AluNPs in the polymer material (. n=. 0-6%, w/v)) for As(V) adsorption, and evaluate AluNP leakage before and after the use of these materials. A range of techniques is utilised and assessed (SEM, TEM, mass weight change, PIXE and in vitro toxicity studies). The 4-Alu-cryo nanocomposite was shown to be optimal for minimising AluNP losses while maximising As(V) removal. From the same nanocomposite we were further able to show that NP losses were not detectable at the AluNP concentrations used in the study. Toxicity tests revealed that no cytotoxic effects could be observed. The cryogel-AluNPs composites were not only effective in As(V) removal but also in immobilising the AluNPs. More challenging flow-through conditions for the evaluation of NP leakage could be included as a next step in a continued study assessing particle loss and subsequent toxicity.© 2013 Elsevier B.V.
Nzakizwanayo J.,University of Brighton |
Hanin A.,Alimentary Pharmabiotic Center |
Alves D.R.,University of Brighton |
Alves D.R.,Blond McIndoe Research Foundation |
And 12 more authors.
Antimicrobial Agents and Chemotherapy | Year: 2016
Proteus mirabilis forms dense crystalline biofilms on catheter surfaces that occlude urine flow, leading to serious clinical complications in long-term catheterized patients, but there are presently no truly effective approaches to control catheter blockage by this organism. This study evaluated the potential for bacteriophage therapy to control P. mirabilis infection and prevent catheter blockage. Representative in vitro models of the catheterized urinary tract, simulating a complete closed drainage system as used in clinical practice, were employed to evaluate the performance of phage therapy in preventing blockage. Models mimicking either an established infection or early colonization of the catheterized urinary tract were treated with a single dose of a 3-phage cocktail, and the impact on time taken for catheters to block, as well as levels of crystalline biofilm formation, was measured. In models of established infection, phage treatment significantly increased time taken for catheters to block (∼ 3-fold) compared to untreated controls. However, in models simulating early-stage infection, phage treatment eradicated P. mirabilis and prevented blockage entirely. Analysis of catheters from models of established infection 10 h after phage application demonstrated that phage significantly reduced crystalline biofilm formation but did not significantly reduce the level of planktonic cells in the residual bladder urine. Taken together, these results show that bacteriophage constitute a promising strategy for the prevention of catheter blockage but that methods to deliver phage in sufficient numbers and within a key therapeutic window (early infection) will also be important to the successful application of phage to this problem. Copyright © 2016, American Society for Microbiology. All Rights Reserved.
Lenihan C.,Blond McIndoe Research Foundation |
Lenihan C.,Barts Cancer Institute |
Rogers C.,Blond McIndoe Research Foundation |
Rogers C.,University of Sussex |
And 4 more authors.
Cytotherapy | Year: 2014
Background aims: The use of cultured epithelial keratinocytes in the treatment of burns and skin graft donor sites is well established in clinical practice. The most widely used culture method for clinical use was originally developed by Rheinwald and Green 40 years ago. This system uses irradiated mouse dermal fibroblasts as a feeder cell layer to promote keratinocyte growth, a process that is costly and labor-intensive for health care providers. The medium formulation contains several components of animal origin, which pose further safety risks for patients. Improvements and simplification in the culturing process would lead to clear advantages: improved safety through reduction of xenobiotic components and reduction in cost for health care providers by dispensing with feeder cells. Methods: We compared the Rheinwald and Green method to culture in three commercially available, feeder-free media systems with defined/absent components of animal origin. Results: During the isolation process, short incubation times in high-strength trypsin resulted in increased numbers of liberated keratinocyte stem cells compared with longer incubation times. All three commercially available media tested in this study could support the expansion of keratinocytes, with phenotypes comparable to cells expanded using the established Rheinwald and Green method. Growth rates varied, with two of the media displaying comparable growth rates, whereas the third was significantly slower. Discussion.: Our study demonstrates the suitability of such feeder-free media systems in clinical use. It further outlines a range of techniques to evaluate keratinocyte phenotype when assessing the suitability of cells for clinical application. © 2014 International Society for Cellular Therapy.