Skip to main content

A Novel Skin Substitute Biomaterial to Treat Full-Thickness Wounds in a Burns Emergency Care

  • Conference paper
  • First Online:
Biodefence

Abstract

A novel porcine collagen-based paste dermal substitute to treat full-thickness wounds has been investigated. A thin split-thickness skin graft or autologous cultured keratinocytes have been combined with dermal replacement biomaterial and applied to full-thickness wounds in a porcine wound chamber preclinical experimental model. The data obtained suggest that: (1) dermal substitute biomaterials may improve wound re-epithelialisation when combined with cultured autologous keratinocytes and (2) porcine collagen paste is able to support split-thickness skin graft survival as well as autologous cultured keratinocyte proliferation. These results demonstrate that the novel porcine collagen paste has a potential as a dermal substitute to treat acute full-thickness wounds and an application for the burns emergency care treatment.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. MacNeil S (2007) Progress and opportunities for tissue-engineered skin. Nature 445(7130):874–880

    Article  PubMed  CAS  Google Scholar 

  2. Wood FM, Kolybaba ML, Allen P (2006) The use of cultured epithelial autograft in the treatment of major burn injuries: a critical review of the literature. Burns 32(4):395–401

    Article  PubMed  CAS  Google Scholar 

  3. Atiyeh BS, Costagliola M (2007) Cultured epithelial autograft (CEA) in burn treatment: three decades later. Burns 33(4):405–413

    Article  PubMed  Google Scholar 

  4. Chakrabarty KH, Dawson RA, Harris P, Layton C, Babu M, Gould L, Phillips J, Leigh I, Green C, Freedlander E, Mac NS (1999) Development of autologous human dermal-epidermal composites based on sterilized human allodermis for clinical use. Br J Dermatol 141(5):811–823

    Article  PubMed  CAS  Google Scholar 

  5. Boyce ST, Kagan RJ, Yakuboff KP, Meyer NA, Rieman MT, Greenhalgh DG, Warden GD (2002) Cultured skin substitutes reduce donor skin harvesting for closure of excised, full-thickness burns. Ann Surg 235(2):269–279

    Article  PubMed  Google Scholar 

  6. Bannasch H, Momeni A, Knam F, Stark GB, Fohn M (2005) Tissue engineering of skin substitutes. Panminerva Med 47(1):53–60

    PubMed  CAS  Google Scholar 

  7. Wood FM, Kolybaba ML, Allen P (2006) The use of cultured epithelial autograft in the treatment of major burn wounds: eleven years of clinical experience. Burns 32(5):538–544

    Article  PubMed  CAS  Google Scholar 

  8. Burke JF, Yannas IV, Quinby WC Jr, Bondoc CC, Jung WK (1981) Successful use of a physiologically acceptable artificial skin in the treatment of extensive burn injury. Ann Surg 194(4):413–428

    Article  PubMed  CAS  Google Scholar 

  9. Hansen SL, Voigt DW, Wiebelhaus P, Paul CN (2001) Using skin replacement products to treat burns and wounds. Adv Skin Wound Care 14(1):37–44

    Article  PubMed  CAS  Google Scholar 

  10. Jones I, Currie L, Martin R (2002) A guide to biological skin substitutes. Br J Plast Surg 55(3):185–193

    Article  PubMed  CAS  Google Scholar 

  11. Supp DM, Boyce ST (2005) Engineered skin substitutes: practices and potentials. Clin Dermatol 23(4):403–412

    Article  PubMed  Google Scholar 

  12. Anthony ET, Syed M, Myers S, Moir G, Navsaria H (2006) The development of novel dermal matrices for cutaneous wound repair. Drug Discov Today: Ther Strateg 3(1):81–86

    Article  Google Scholar 

  13. Bar-Meir E, Mendes D, Winkler E (2006) Skin substitutes. Isr Med Assoc J 8(3):188–191

    PubMed  Google Scholar 

  14. Ehrenreich M, Ruszczak Z (2006) Update on tissue-engineered biological dressings. Tissue Eng 12(9):2407–2424

    Article  PubMed  CAS  Google Scholar 

  15. Shevchenko RV, Sibbons PD, Sharpe JR, James SE (2008) Use of a novel porcine collagen paste as a dermal substitute in full-thickness wounds. Wound Repair Regen 16(2):198–207

    Article  PubMed  Google Scholar 

  16. Kangesu T, Navsaria HA, Manek S, Shurey CB, Jones CR, Fryer PR, Leigh IM, Green CJ (1993) A porcine model using skin graft chambers for studies on cultured keratinocytes. Br J Plast Surg 46(5):393–400

    Article  PubMed  CAS  Google Scholar 

  17. Papini R (2004) Management of burn injuries of various depths. BMJ 329(7458):158–160

    Article  PubMed  Google Scholar 

  18. Cubison TC, Pape SA, Parkhouse N (2006) Evidence for the link between healing time and the development of hypertrophic scars (HTS) in paediatric burns due to scald injury. Burns 32(8):992–999

    Article  PubMed  Google Scholar 

  19. Orgill DP, Butler C, Regan JF, Barlow MS, Yannas IV, Compton CC (1998) Vascularized collagen-glycosaminoglycan matrix provides a dermal substrate and improves take of cultured epithelial autografts. Plast Reconstr Surg 102(2):423–429

    Article  PubMed  CAS  Google Scholar 

  20. Currie LJ, Martin R, Sharpe JR, James SE (2003) A comparison of keratinocyte cell sprays with and without fibrin glue. Burns 29(7):677–685

    Article  PubMed  Google Scholar 

  21. Micali G, Lacarrubba F, Bongu A, West DP (2001) The skin barrier. In: Frenkel RK, Woodley DT (eds) The biology of the skin. The Parthenon Publishing Group, London, pp 219–232

    Google Scholar 

  22. Woodley DT, Chen M (2001) The basement membrane zone. In: Frenkel RK, Woodley DT (eds) The biology of the skin. The Parthenon Publishing Group, London, pp 133–152

    Google Scholar 

  23. Boyce ST, Kagan RJ, Greenhalgh DG, Warner P, Yakuboff KP, Palmieri T, Warden GD (2006) Cultured skin substitutes reduce requirements for harvesting of skin autograft for closure of excised, full-thickness burns. J Trauma 60(4):821–829

    PubMed  Google Scholar 

  24. Rheinwald JG, Green H (1975) Serial cultivation of strains of human epidermal keratinocytes: the formation of keratinizing colonies from single cells. Cell 6(3):331–343

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgments

We would like to thank the Blond McIndoe Research Foundation and the Mark Hanna Fellowship for funding this research; staff at the Blond McIndoe Research Foundation, Northwick Park Institute for Medical Research and the University of Brighton for their support; Ms. C. Gray at NPIMR for technical operative assistance, and Dr P. Sibbons for providing the Permacol® Injectable material used in this study.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to R. V. Shevchenko .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2011 Springer Science+Business Media B.V.

About this paper

Cite this paper

Shevchenko, R.V., Sibbons, P.D., Sharpe, J.R., James, S.E. (2011). A Novel Skin Substitute Biomaterial to Treat Full-Thickness Wounds in a Burns Emergency Care. In: Mikhalovsky, S., Khajibaev, A. (eds) Biodefence. NATO Science for Peace and Security Series A: Chemistry and Biology. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-0217-2_25

Download citation

Publish with us

Policies and ethics