巴马香猪皮肤比较生物学特性及其无细胞真皮的研究
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摘要
为寻找人类皮肤研究合适的动物模型,科学家们研究了多种动物的皮肤,发现猪的皮肤在解剖、生理等方面与人类皮肤最为接近。但由于普通商品猪遗传背景不清晰,个体差异大,生长速度快,不适于用作实验动物。巴马香猪是我国独特的小型猪种之一,体型小,操作容易,遗传稳定,个体差异小,是一种理想的实验动物。但其缺乏与人的比较医学生物学系统基础资料,制约了巴马香猪在医学生物学中的应用。
     无细胞真皮作为一种有效的临床用生物材料,具有重要的临床应用价值。但国内目前仅有人无细胞真皮产品面世,且价格昂贵。随着国家人体器官移植技术临床应用管理暂行规定的正式实施,人组织器官的应用将面临来源、伦理、法律等一系列问题,而且还具有传染HIV、HBV等血液传播性疾病的危险。因此,以标准化实验用小型猪无细胞真皮替代人无细胞真皮具有良好的应用前景。
     为了推广巴马香猪在医学生物学中的应用,评估巴马香猪作为人皮肤模型动物在创伤修复领域的应用价值,同时为了开发巴马香猪皮肤来源的异种移植生物材料,本课题从比较医学的角度,对巴马香猪与人皮肤对比进行了组织学结构、免疫组化反应特点、超微结构、皮肤胶原蛋白理化特性等的系统研究;同时,制备了巴马香猪无细胞真皮,与人无细胞真皮对比进行了安全性有效性评价,以期利用巴马香猪无细胞真皮替代人无细胞真皮而应用于创伤修复领域,为其产品研发形成基础,同时也进一步比较巴马香猪皮肤与人皮肤在应用特性方面的相似性。全文主要结果及结论如下:
     1.本课题对巴马香猪皮肤的组织学结构、免疫组化反应特点、超微结构、胶原蛋白理化特性等进行了系统研究,发现巴马香猪的皮肤结构除汗腺结构与人不同外,其它结构及其特点与人极为相似。其4月龄小型猪皮肤发育程度最接近于成人皮肤,各层厚度及结构都与成人皮肤相似。上述研究结果表明,巴马香猪可作为研究人类皮肤的模型动物。
     巴马香猪在皮肤厚度、分层、真表皮的高低起伏的连接方式、发达的浅表血管系统以及皮肤的超微结构都与人类皮肤相似;皮肤中所含细胞种类和成纤维细胞、血管内皮朗格罕细胞、肥大细胞的密度也与人类皮肤相近;具有与人类Ⅰ型胶原、Ⅲ型胶原、层粘连蛋白、纤维连接蛋白、中间丝相关蛋白相似的抗原决定簇,可与抗人血清发生交叉反应,且分布特点与人类皮肤相似;真皮中主要的胞外基质构成成分-Ⅰ型胶原的结构及理化特性也几乎与人类Ⅰ型胶原相同。但巴马香猪皮肤中的汗腺为顶泌汗腺,而人类皮肤中主要为外泌汗腺;另外,巴马香猪皮肤中的色素细胞在身体的不同部位差异很大;巴马香猪皮肤缺乏与抗人CD34、ICAM-1、S-100等抗体对应的抗原决定簇。
     2.优化了无细胞真皮的制备方法,制备了巴马香猪无细胞真皮,对其与人无细胞真皮对比进行了生物学特性与安全性有效性评价研究。对巴马香猪与人无细胞真皮对比进行了胞外基质的种类和分布、微生物学检测、致敏实验、淋巴细胞增殖实验、细胞毒性实验、组织学相容性实验、单纯无细胞真皮移植实验以及结合大鼠自体皮的复合移植实验等实验研究。实验结果表明,巴马香猪无细胞真皮与人无细胞真皮的形态结构、抗原性、生物相容性、血管化速度及动物实验效果无显著差异,显示巴马香猪无细胞真皮可望替代人无细胞真皮应用于创伤修复领域。
     经0.25%胰酶4℃处理过夜,0.5%Triton X-100室温振荡处理12h制备而成的巴马香猪无细胞真皮,具有如下特点:成功去除了引起强烈免疫排斥反应的表皮和细胞成分,完整保留了基底膜,与抗原性有关的胞外基质结蛋白和波形蛋白也得到有效的去除;保留了Ⅰ型胶原、Ⅲ型胶原、Ⅳ型胶原、纤维连接蛋白等与细胞粘附、生长相关的胞外基质;具有与人无细胞真皮相似的无菌、无致敏反应、生物相容性好、抗原性低、血管化速度快等优良的生物学特性;将其与大鼠自体刃厚皮复合植入大鼠创面后,巴马香猪无细胞真皮与人无细胞真皮组的移植皮片存活率、创面收缩率相似,且与大鼠同种无细胞真皮组的移植皮片存活率和创面收缩率无明显差异,未引发明显的免疫排斥反应。表明巴马香猪无细胞真皮可望替代人无细胞真皮应用于创伤修复领域。
The skin of domestic animals has been investigated extensively in order to find a suitable experimental model to be used in research studies on human skin.Of all the animals examined pig skin is more similar to human skin anatomically and physiologically.But the domestic pig is not suitable for the biomedicine research for its unsharp genetic background,great individual difference and fast growth velocity.Bama miniature pig,one distinct breed of miniature pigs in China,is an ideal animal model for its high inbreeding degree,genetic stability,small body size.However basic research data of Bama miniature pig is absent,so its application in biomedicine is limited.
     Acellular dermal matrix used as dermal substitute provides to splite-thickness skin grafts and to cultured epidermal autografts.A thick demal bed at the recepient site inhibits and hypertrophic scar formation of split-tickness skin grafts.The clinic applicationable product of acellular dermal matrix was only originated from human by now.But with the enforcement of laws and regulations about human organ transplantation,the use of tissue or organs originated from human may face the problems of source limitations,ethical issues,law restriction and the risk of infection of HIV or HBV.So utlizing pig acellular dermal matrix as the substitute of human acellular dermal matrix into clinical use will be a potential solution in the future.
     To accumulate for Bama miniature pig as animal model used in study on human skin and form research basis for Bama minipig acellular dermal matrix in order to utilize it into xeno-transplant in clinical use,skin samples from Bama miniature pigs and human were excised and the morphology,ultrastructre,immnohistochemistry and physico-chemical property of collagen typeⅠextracted from Bama miniature pig skin were studied.Resemblance and disparity between Bama miniature pig skin and human skin were found and described.Then Bama miniature pig acellular dermal matrix was prepared.Its bionomics,safe and efficacy were studied compared to human acellular dermal matrix.The results and conclusions are summarized as follows:
     1.Bama miniature pig skin were strikingly similar to human skin except it posesses apocrine glands instead of eccrine sweat glands in human skin.4 months Bama miniature pig skin was the most similar to human skin because all layers thickness were similar between Bama miniature pig skin and human skin.Our results indicated that Bama miniature pigs could be used as model for study on human skin,it also could be used as materials to prepare dermal substitute in wound repair.
     The layer,the layer thickness,the heterogeneity of basal keratinocytes,the dermal-epidermal interface consisted of undulant downgrowths that interdigitated with dermal papillae,the structure and distribution of extracellular matrix,the network of vertically oriented capillary loops that extend into each dermal papilla emanate orom the superficial vascular plexus,were strikingly similar to that seen in humans.The ultrastructure and density of langerhans cell,fibroblast,vascular endothelial cell,mast cell were similar between Bama miniature pig skin and those of human.The reactivity and postive location of the Bama miniature pig skin with anti-human sera to lamilin,fibronectin,filaggrin,collagenⅠ,collagenⅢ,keratin were consistent with human skin.The HPLC chromatograph,UV spectroscopy, amino acids composition,electrophoresis of collgen typeⅠextracted from Bama miniature pig skin showed remarkable similarity to those of human collgen typeⅠ.A significant difference between Bama miniature pig and human was that Bama miniature pig possesses apocrine glands instead of the eccrine sweat glands in human skin.Melanocytes were the next-most prevalent cell type found in human skin,but in Bama miniature pig skin, melanocytes density were various on different areas.Another differences were that Bama miniature pig skin could not react with anti-human sera to CD34,ICAM-1,S-100.
     2.Bama miniature pig acellular dermal matrix was prepared and the method of preparing was improved.There was no significant difference between Bama miniature pig acellular dermal matrix and human acellular dermal matrix in their histologic structure, antigenicity,biocompatibility,vascularization and efficacy.Our results indicated that Bama miniature pig acellular dermal matrix may be an ideal substitute of human acellular dermal matrix in wound repair.
     Bama miniature pig acellular dermal matrix treated by 0.25 typsin at 4℃for one night,then treated by 0.5%triton X-100 succussed at room temperature for 12h had no epithelial components and dermal cell components,which could evoke an immune reaction when it is implanted.The prepared acellular dermal matrix remain several extracellular matrix may support cell attachment and proliferation,such as elastic fibre,collagenⅠ,collagneⅢ,collagenⅣ,fibronectin.It exhibited three important properties like human acellular dermal matrix:well biocompatibility,low antigenicity,vapid vascularization.After transplanted to rat's full thickness skin defects in combination with autologous thin split-thickness skin graft(STSG),Bama miniature pig acellular dermal matrix could significantly raise the rate of autologous thin STSG survival and significantly decreace the rate of wound contraction vs only transplant autologous thin STSG group.The effects were not significantly difference between Bama miniature pig acellular dermal matrix and human acellular dermal matrix.So it would be an ideal dermal substitute of human acellular dermal matrix for clinical use.
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