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      Fundamental in vitro 3D human skin equivalent tool development for assessing biological safety and biocompatibility – towards alternative for animal experiments

      research-article
      1 , 2 , 3 , 4 , 1 , 5 , 3 , 3 , 3 , 1 , 2 , 3 , 1 , 5 , * , ** , , 2 , 3 , * , **
      4open
      EDP Sciences
      3D, Actin, Animal model, Biocompatibility, Biomaterials, Collagen, Culture, Dermal, Dermatoblasts, Development, ECM, Electron microscopy, Extracellular matrix, Effectiveness, Engineering, Epidermal, Equivalent, Fibroblasts, Flg, Human skin equivalent, HSE, Inv, iPSC, Keratinocytes, KGF, Lam, Layer, Lor, Maturation, Medium, Microenvironment, Organoid, NHDF, NHEK, Pharmacotoxicity, Proliferation, Regenerative medicine, SE, Signaling, TEM, Tissue engineering, Wound healing

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          Abstract

          Nowadays, human skin constructs (HSCs) are required for biomaterials, pharmaceuticals and cosmetics in vitro testing and for the development of complex skin wound therapeutics. In vitro three-dimensional (3D) dermal-epidermal based interfollicular, full-thickness, human skin equivalent (HSE) was here developed, recapitulating skin morphogenesis, epidermal differentiation, ultra-structure, tissue architecture, and barrier function properties of human skin. Different 3D cell culture conditions were tested to optimize HSE maturation, using various commercially available serum/animal component-free and/or fully defined media, and air-liquid interface (ALI) culture. Optimized culture conditions allowed the production of HSE by culturing normal human dermal fibroblasts (NHDFs) for 5–7 days in CELLnTEC-Prime Fibroblast (CnT-PR-F) medium and then culturing normal human epidermal keratinocytes (NHEKs) for 3 days in CELLnTEC-Prime Epithelial culture (CnT-PR) medium on them. Co-culture was then submerged overnight in CELLnTEC-Prime-3D barrier (CnT-PR-3D) medium to stimulate cell-cell contact formation and finally placed at ALI for 15–20 days using CnT-PR-3D medium. Histological analysis revealed uniform distribution of NHDFs in the dermal layer and their typical elongated morphology with filopodia. Epidermal compartment showed a multi-layered structure, consisting of stratum basale, spinosum, granulosum, and corneum. NHDFs and keratinocytes of basal layer were positive for the proliferation marker Kiel 67 (Ki-67) demonstrating their active state of proliferation. The presence of typical epidermal tissue proteins (keratins, laminins, filaggrin, loricin, involucrin, and β-tubulin) at their correct anatomical position was verified by immunohistochemistry (IHC). Moreover, transmission electron microscopy (TEM) analyses revealed basement membrane with lamina lucida, lamina densa, hemidesmosomes and anchoring fibers. The epidermal layers showed abundant intracellular keratin filaments, desmosomes, and tight junction between keratinocytes. Scanning electron microscopy (SEM) analyses showed the interwoven network of collagen fibers with embedded NHDFs and adjacent stratified epidermis up to the stratum corneum similar to native human skin. HSE physiological static contact angle confirmed the barrier function. The developed HSE represents a fundamental in vitro tool to assess biocompatibility of biomaterials, pharmacotoxicity, safety and effectiveness of cosmetics, as well as to investigate skin biology, skin disease pathogenesis, wound healing, and skin infection.

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          Most cited references89

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          Serial cultivation of strains of human epidermal keratinocytes: the formation of keratinizing colonies from single cells.

          Human diploid epidermis epidermal cells have been successfully grown in serial culture. To initiate colony formation, they require the presence of fibroblasts, but proliferation of fibroblasts must be controlled so that the epidermal cell population is not overgrown. Both conditions can be achieved by the use of lethally irradiated 3T3 cells at the correct density. When trypsinized human skin cells are plated together with the 3T3 cells, the growth of the human fibroblasts is largely suppressed, but epidermal cells grow from single cells into colonies. Each colony consists of keratinocytes ultimately forming a stratified squamous epithelium in which the dividing cells are confined to the lowest layer(s). Hydrocortisone is added to the medium, since in secondary and subsequent subcultures it makes the colony morphology more oderly and distinctive, and maintains proliferation at a slightly greater rate. Under these culture conditions, it is possible to isolate keratinocyte clones free of viable fibroblasts. Like human diploid fibroblasts, human diploid keratinocytes appear to have a finite culture lifetime. For 7 strains studied, the culture lifetime ranged from 20-50 cell generations. The plating efficiency of the epidermal cells taken directly from skin was usually 0.1-1.0%. On subsequent transfer of the cultures initiated from newborns, the plating efficiency rose to 10% or higher, but was most often in the range of 1-5% and dropped sharply toward the end of their culture life. The plating efficiency and culture lifetime were lower for keratinocytes of older persons.
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            Taking cell-matrix adhesions to the third dimension.

            Adhesions between fibroblastic cells and extracellular matrix have been studied extensively in vitro, but little is known about their in vivo counterparts. Here, we characterized the composition and function of adhesions in three-dimensional (3D) matrices derived from tissues or cell culture. "3D-matrix adhesions" differ from focal and fibrillar adhesions characterized on 2D substrates in their content of alpha5beta1 and alphavbeta3 integrins, paxillin, other cytoskeletal components, and tyrosine phosphorylation of focal adhesion kinase (FAK). Relative to 2D substrates, 3D-matrix interactions also display enhanced cell biological activities and narrowed integrin usage. These distinctive in vivo 3D-matrix adhesions differ in structure, localization, and function from classically described in vitro adhesions, and as such they may be more biologically relevant to living organisms.
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              Reconstruction of damaged corneas by transplantation of autologous limbal epithelial cells.

              Stevens-Johnson syndrome, ocular pemphigoid, and thermal or chemical burns can cause scarring and opacification of the cornea and loss of vision. Transplantation of epithelial cells from the limbus of the contralateral cornea can restore useful vision. However, this procedure requires a large limbal graft from the healthy eye and is not possible in patients who have bilateral lesions. We took specimens of limbal epithelial cells from the healthy contralateral eyes of six patients with severe unilateral corneal disease. The epithelial cells were cultured and expanded on amniotic membrane. The amniotic membrane, together with the sheet of limbal epithelial cells, was transplanted to the denuded corneal surface of the damaged eye after superficial keratectomy to remove fibrovascular ingrowth. The mean (+/-SD) follow-up period was 15+/-2 months. Complete reepithelialization of the corneal surface occurred within two to four days of transplantation in all six eyes receiving transplants. By one month, the ocular surface was covered with corneal epithelium, and the clarity of the cornea was improved. In five of the six eyes receiving transplants (83 percent), the mean visual acuity improved from 20/112 to 20/45. In one patient with a chemical burn who had total opacification of the cornea, the acuity improved from the ability to count fingers at 40 cm to 20/200. No patient had recurrent neovascularization or inflammation in the transplanted area during the follow-up period. Transplantation of autologous limbal epithelial cells cultured on amniotic membrane is a simple and effective method of reconstructing the corneal surface and restoring useful vision in patients with unilateral deficiency of limbal epithelial cells.
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                Author and article information

                Journal
                fopen
                https://www.4open-sciences.org
                4open
                4open
                EDP Sciences
                2557-0250
                15 February 2021
                15 February 2021
                2021
                : 4
                : ( publisher-idID: fopen/2021/01 )
                : 1
                Affiliations
                [1 ] Department of Mechanical and Aerospace Engineering (DIMEAS), Politecnico di Torino, , 10129 Turin, Italy,
                [2 ] Universitätsklinikum Knappschaftskrankenhaus Bochum, Department of Surgery, Hospital of the RUHR-University, , 44892 Bochum, Germany,
                [3 ] Department of Experimental Surgery, Centre for Clinical Research, RUHR-University, , 44801 Bochum, Germany,
                [4 ] Institute of Pathology, RUHR University, , 44789 Bochum, Germany,
                [5 ] Interuniversity Centre for the Promotion of the 3Rs Principles in Teaching and Research, Centro 3R, , 56122 Pisa, Italy,
                Author notes
                [**]

                These authors have contributed equally to this work and share senior authorship.

                Author information
                https://orcid.org/0000-0001-9738-2305
                Article
                fopen200025
                10.1051/fopen/2021001
                607b481d-1489-4b15-963b-7eeaaf3de367
                © A. Idrees et al., Published by EDP Sciences, 2021

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 17 December 2020
                : 03 February 2021
                Page count
                Figures: 13, Tables: 4, Equations: 0, References: 89, Pages: 21
                Funding
                Funded by: This work was supported by the European Union’s Horizon 2020 research and innovation program under the Marie Sklodowska-Curie Grant Agreement No. 643050 (HyMedPoly Project).
                Categories
                Life Sciences - Medicine
                Research Article
                Custom metadata
                4open 2021, 4, 1
                2021
                2021
                2021
                yes

                Medicine,Chemistry,Physics,Mathematics,Materials science,Life sciences
                Actin,Effectiveness,Dermal,Biocompatibility,Engineering,KGF,iPSC,Epidermal,Tissue engineering,Equivalent,Microenvironment,3D,Fibroblasts,Wound healing,Biomaterials,Flg,NHDF,NHEK,Organoid,Human skin equivalent,Pharmacotoxicity,Proliferation,Keratinocytes,HSE,Regenerative medicine,SE,Culture,Inv,Lor,Maturation,Animal model,Development,Signaling,Collagen,ECM,Layer,Electron microscopy,TEM,Dermatoblasts,Extracellular matrix,Medium,Lam

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