Decellularization combined with enzymatic removal of N-linked glycans and residual DNA reduces inflammatory response and improves performance of porcine xenogeneic pulmonary heart valves in an ovine in vivo model
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RAMM, Robert, GOECKE, Tobias, THEODORIDIS, Karolina, HOEFFLER, Klaus, SARIKOUCH, Samir, FINDEISEN, Katja, CIUBOTARU, Anatol, CEBOTARI, Serghei, TUDORACHE, Igor, HAVERICH, Axel, HILFIKER, Andres. Decellularization combined with enzymatic removal of N-linked glycans and residual DNA reduces inflammatory response and improves performance of porcine xenogeneic pulmonary heart valves in an ovine in vivo model. In: Xenotransplantation , 2020, nr. 2(27), p. 0. ISSN 0908-665X. DOI: https://doi.org/10.1111/xen.12571
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Xenotransplantation
Numărul 2(27) / 2020 / ISSN 0908-665X /ISSNe 1399-3089

Decellularization combined with enzymatic removal of N-linked glycans and residual DNA reduces inflammatory response and improves performance of porcine xenogeneic pulmonary heart valves in an ovine in vivo model

DOI:https://doi.org/10.1111/xen.12571

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Ramm Robert1, Goecke Tobias1, Theodoridis Karolina1, Hoeffler Klaus2, Sarikouch Samir2, Findeisen Katja1, Ciubotaru Anatol23, Cebotari Serghei1, Tudorache Igor1, Haverich Axel1, Hilfiker Andres1
 
1 Leibniz Research Laboratories for Biotechnology and Artificial Organs (LEBAO), Department of Cardiothoracic, Transplantation and Vascular Surgery, Hannover Medical School,
2 Hannover Medical School,
3 ”Nicolae Testemițanu” State University of Medicine and Pharmacy
 
 
Disponibil în IBN: 15 octombrie 2020


Rezumat

Background: Limited availability of decellularized allogeneic heart valve substitutes restricts the clinical application thereof. Decellularized xenogeneic valves might constitute an attractive alternative; however, increased immunological hurdles have to be overcome. This study aims for the in vivo effect in sheep of decellularized porcine pulmonary heart valves (dpPHV) enzymatically treated for N-glycan and DNA removal. Methods: dpPHV generated by nine different decelluarization methods were characterized in respect of DNA, hydroxyproline, GAGs, and SDS content. Orthotopic implantation in sheep for six months of five groups of dpPHV (n = 3 each; 3 different decellularization protocols w/o PNGase F and DNase I treatment) allowed the analysis of function and immunological reaction in the ovine host. Allogenic doPHV implantations (n = 3) from a previous study served as control. Results: Among the decellularization procedures, Triton X-100 & SDS as well as trypsin & Triton X-100 resulted in highly efficient removal of cellular components, while the extracellular matrix remained intact. In vivo, the functional performance of dpPHV was comparable to that of allogeneic controls. Removal of N-linked glycans and DNA by enzymatic PNGase F and DNase I treatment had positive effects on the clinical performance of Triton X-100 & SDS dpPHV, whereas this treatment of trypsin & Triton X-100 dpPHV induced the lowest degree of inflammation of all tested xenogeneic implants. Conclusion: Functional xenogeneic heart valve substitutes with a low immunologic load can be produced by decellularization combined with enzymatic removal of DNA and partial deglycosylation of dpPHV.

Cuvinte-cheie
decellularization, heart valves, large animal study, PNGase F, xenotransplantation