Bioactivity and composition of a preserved connective tissue matrix derived from human placental tissue

Joseph Irvin, Carina Danchik, Joseph Rall, Annie Babcock, Matthew Pine, Devin Barnaby, Joseph Pathakamuri, Daniel Kuebler, Joseph Irvin, Carina Danchik, Joseph Rall, Annie Babcock, Matthew Pine, Devin Barnaby, Joseph Pathakamuri, Daniel Kuebler

Abstract

There are a wide variety of extracellular matrices that can be used for regenerative purposes. Placental tissue-based matrices are quickly becoming an attractive option given the availability of the tissue source and the wide variety of bioactive molecules knows to exist in unprocessed placental tissues. As fresh placental tissues are seldom an option at the point of care, we examined both the composition and bioactivity of a commercially packaged flowable placental connective tissue matrix (FPTM) (BioECM® , Skye Biologics, Inc.) that was preserved by the proprietary HydraTek® process. The FPTM contained significant amounts of collagen and various growth factors such as bFGF, EGF, PDGF, KGF, and PIGF. In addition, it contained high levels of tissue inhibitors of metalloproteinases (TIMP-1 and 2) and molecules known to modulate the immune response including TGF-β and IL-4. In terms of its bioactivity, the FPTM displayed the ability (1) to suppress INF-γ secretion in activated T-cells nearly fourfold over control media, (2) to inhibit methicillin resistant Staphylococcus aureus (MRSA) and Staphylococcus saprophyticus proliferation, (3) to increase the migration of adipose-derived stem cells (ASCs) nearly threefold over control media and (4) to adhere to ASCs in culture. When ASCs were exposed to FPTM in culture, the cells maintained healthy morphology and showed no significant changes in the expression of five genes involved in tissue growth and repair as compared to culture in standard growth media. © 2018 The Authors Journal of Biomedical Materials Research Part B: Applied Biomaterials Published by Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater, 106B: 2731-2740, 2018.

Keywords: adipose-derived stromal/stem cells; connective tissue; extracellular matrix; growth factors; placenta.

© 2018 The Authors Journal of Biomedical Materials Research Part B: Applied Biomaterials Published by Wiley Periodicals, Inc.

Figures

Figure 1
Figure 1
INF‐gamma secretion following Dynabead T cell activation in the presence or absence of 20% FPTM. INF‐gamma secretion was significantly inhibited by the addition of the placental product. INF‐gamma secretion was consistently reduced across five different lots of FPTM (A–E). The 20% FPTM bar refers to the mean value of the five different lots tested.
Figure 2
Figure 2
ASCs in culture bind to the placental connective tissue in FPTM product. (a) ASCs in control media. (b) ASCs in media supplemented with 10% FPTM. Scale bar = 100 μm.
Figure 3
Figure 3
Changes in gene expression in ASCs cultured in control media versus 10% FPTM supplemented media. The addition of FPTM did not significantly alter the expression of any of the genes tested although the majority of the genes displayed a slight increase in expression levels.
Figure 4
Figure 4
The migratory capacity of ASCs was up‐regulated significantly by the addition of 20% FPTM. The addition of FPTM samples from four different lots (S1–S4) consistently upregulated cell migration nearly threefold over baseline. The 20% FPTM bar refers to the mean value of the four different lots tested.
Figure 5
Figure 5
(a) Effect of FPTM on the growth of MRSA. (b) Effect of FPTM on the growth of Sa.ccharomyces saprophyticus. The relative growth was determined following 10 h at 37°C in nutrient media or nutrient media supplemented with various percentages of FPTM. The FPTM inhibits the growth of both bacterial strains.

References

    1. Keane TJ, Swinehart IT, Badylak SF. Methods of tissue decellularization used for preparation of biologic scaffolds and in vivo relevance. Methods 2015;84:25–34.
    1. Reing JE, Zhang L, Myers‐Irvin J, Cordero KE, Freytes DO, Heber‐Katz E, Bedelbaeva K, McIntosh D, Dewilde A, Braunhut SJ, Badylak SF. Degradation products of extracellular matrix affect cell migration and proliferation. Tissue Eng A 2009;15(3):605–614.
    1. Sicari BM, Dziki JL, Siu BF, Medberry CJ, Dearth CL, Badylak SF. The promotion of a constructive macrophage phenotype by solubilized extracellular matrix. Biomaterials 2014;35(30):8605–8512.
    1. Zantop T, Gilbert TW, Yoder MC, Badylak SF. Extracellular matrix scaffolds are repopulated by bone marrow‐derived cells in a mouse model of achilles tendon reconstruction. J Orthop Res 2006;24(6):1299–1309.
    1. Niknejad H, Peirovi H, Jorjani M, Ahmadiani A, Ghanavi J, Seifalian AM. Properties of the amniotic membrane for potential use in tissue engineering. Eur Cell Mater 2008;15:88–99.
    1. Uhlrich S, Tiollier J, Chirouze V, Tardy M, Tayot J‐L. Biochemical and biological characterization of a crude growth factor extract (EAP) from human term‐placental tissue. Trophoblast Res 1992;6:19–37.
    1. Russo A, Bonci P, Bonci P. The effects of different preservation processes on the total protein and growth factor content in a new biological product developed from human amniotic membrane. Cell Tissue Bank 2012;13(2):353–361.
    1. Lopez‐Valladares MJ, Teresa Rodriguez‐Ares M, Tourino R, Gude F, Teresa Silva M, Couceiro J. Donor age and gestational age influence on growth factor levels in human amniotic membrane. Acta Ophthalmol 2010;88(6):e211–e216.
    1. Li W, He H, Kawakita T, Espana EM, Tseng SC. Amniotic membrane induces apoptosis of interferon‐gamma activated macrophages in vitro. Exp Eye Res 2006;82(2):282–292.
    1. Ueta M, Kweon M‐N, Sano Y, Sotozono C, Yamada J, Koizumi N, Kiyono H, Kinoshita S. Immunosuppressive properties of human amniotic membrane for mixed lymphocyte reaction. Clin Exp Immunol 2002;129(3):464–470.
    1. Hori J, Wang M, Kamiya K, Takahashi H, Sakuragawa N. Immunological characteristics of amniotic epithelium. Cornea 2006;25:S53–S58.
    1. Faulk WP, Matthews R, Stevens PJ, Bennett JP, Burgos H, Hsi BL. Human amnion as an adjunct in wound healing. Lancet 1980;1(8179):1156–1158.
    1. Gomes JA, Romano A, Santos MS, Dua HS. Amniotic membrane use in ophthalmology. Curr Opin Ophthalmol 2005;16(4):233–240.
    1. Mermet I, Pottier N, Sainthillier JM, Malugani C, Cairey‐Remonnay S, Maddens S, Riethmuller D, Tiberghien P, Humbert P, Aubin F. Use of amniotic membrane transplantation in the treatment of venous leg ulcers. Wound Repair Regen 2007;15(4):459–464.
    1. Demirkan F, Colakoglu N, Herek O, Erkula G. The use of amniotic membrane in flexor tendon repair: An experimental model. Arch Orthop Trauma Surg 2002;122(7):396–399.
    1. Jin CZ, Park SR, Choi BH, Lee KY, Kang CK, Min BH. Human amniotic membrane as a delivery matrix for articular cartilage repair. Tissue Eng 2007;13(4):693–702.
    1. Cargnoni A, Di Marcello M, Campagnol M, Nassuato C, Albertini A, Parolini O. Amniotic membrane patching promotes ischemic rat heart repair. Cell Transplant 2009;18:1147–1159.
    1. Sant'Anna LB, Cargnoni A, Ressel L, Vanosi G, Parolini O. Amniotic membrane application reduces liver fibrosis in a bile duct ligation rat model. Cell Transplant 2011;20(3):441–453.
    1. Manuelpillai U, Moodley Y, Borlongan CV, Parolini O. Amniotic membrane and amniotic cells: Potential therapeutic tools to combat tissue inflammation and fibrosis? Placenta 2011;32(Suppl 4):S320–S325.
    1. Koob TJ, Rennert R, Zabek N, Massee M, Lim JJ, Temenoff JS, Li WW, Gurtner G. Biological properties of dehydrated human amnion/chorion composite graft: Implications for chronic wound healing. Int Wound J 2013;10(5):493–500.
    1. Koob TJ, Lim JJ, Zabek N, Massee M. Cytokines in single layer amnion allografts compared to multilayer amnion/chorion allografts for wound healing. J Biomed Mater Res B Appl Biomater 2015;103(5):1133–1140.
    1. Badylak SF, Freytes DO, Gilbert TW. Extracellular matrix as a biological scaffold material: Structure and function. Acta Biomater 2009;5(1):1–13.
    1. Kesting MR, Wolff K, Hohlweg‐Majert B, Steinstraesser L. The role of allogenic amniotic membrane in burn treatment. J Burn Care Res 2008;29:907–916.
    1. Branski LK, Kulp G, Jeschke MG, Norbury WB, Herndon DN. Amniotic membrane as wound coverage: The effects of irradiation and different processing methods on growth factor content. J Srug Res 2007;137:339.
    1. McLaughlin M, Gagnet P, Cunningham E, Yeager R, D'Amico M, Guski K, Scarpone M, Kuebler D. Allogeneic platelet releasate preparations derived via a novel rapid thrombin activation process promote growth and increased BMP‐2 and BMP‐4 expression in human adipose‐derived stem cells. Stem Cells Int 2016;2016:7183734.
    1. Amable PR, Teixeira MVT, Carias RBV, Granjeiro JM, Borojevic R. Identification of appropriate reference genes for human mesenchymal cells during expansion and differentiation. PLoS One;8:e73792.
    1. Sarker SD, Nahar L, Kumarasamy Y, Microtitre plate‐based antibacterial assay incorporating resazurin as an indicator of cell growth, and its application in the in vitro antibacterial screening of phytochemicals. Methods 2007;42:321–324.
    1. Mariscal A, Lopez‐Gigosos RM, Carnero‐Varo M, Fernandez‐Crehuet J. Fluorescent assay based on resazurin for detection of activity of disinfectants against bacterial biofilm. Appl Microbiol Biotechnol 2009;82:773–783.
    1. Campbell J. High‐throughput assessment of bacterial growth inhibition by optical density measurements. Curr Protoc Chem Biol 2011;3:100115.
    1. Halaburt JT, Uldbjerg N, Helmig R, Ohlsson K. The concentration of collagen and collagenolytic activity in the amnion and the chorion. Eur J Obstet Gynecol Reprod Biol 1989;31:75–82.
    1. Cleal L, Aldea T, Chau YY. Fifty shades of white: Understanding heterogeneity in white adipose stem cells. Adipocyte 2017;6(3):205–216.
    1. van Harmelen V, Skurk T, Röhrig K, Lee Y‐M, Halbleib M, Aprath‐Husmann I, Hauner H. Effect of BMI and age on adipose tissue cellularity and differentiation capacity in women. Int J Obes Relat Metab Disord 2003;27:889–895.
    1. Badylak SF. The extracellular matrix as a scaffold for tissue reconstruction. Semin Cell Dev Biol 2002;13(5):377–383.
    1. Kugelberg E. Biological scaffolds modulate immune cells. Nat Rev Immunol 2016;16:276–277.
    1. Diegelmann RF, Evans MC. Wound healing: An overview of acute, fibrotic and delayed healing. Front Biosci 2004;9:283–289.
    1. Werber B, Martin E. A prospective study of 20 foot and ankle wounds treated with cryopreserved amniotic membrane and fluid allograft. J Foot Ankle Surg 2013;52(5):615–621.
    1. Riordan NH, George BA, Chandler TB, McKenna RW. Case report of non‐healing surgical wound treated with dehydrated human amniotic membrane. J Transl Med 2015;13:242.
    1. Zelen CM, Poka A, Andrews J. Prospective, randomized, blinded, comparative study of injectable micronized dehydrated amniotic/chorionic membrane allograft for plantar fasciitis–a feasibility study. Foot Ankle Int 2013;34(10):1332–1339.
    1. Lullove E. A flowable placental tissue matrix allograft in lower extremity injuries: A pilot study. Cureus 2015;7(6):e275.
    1. Lullove EJ. Use of a dehydrated amniotic membrane allograft in the treatment of lower extremity wounds: A retrospective cohort study. Wounds 2017;29(11):346–351.
    1. Tejwani SG, Chen J, Funahashi TT, Love R, Maletis GB. Revision risk after allograft anterior cruciate ligament reconstruction: Association with graft processing techniques, patient characteristics, and graft type. Am J Sports Med 2015;43:2696–2705.
    1. Werner S, Grose R. Regulation of wound healing by growth factors and cytokines. Physiol Rev 2003;83:835–870.
    1. Li X, Su G, Wang J, Zhou Z, Li L, Liu L, Guan M, Zhang Q, Wang H. Exogenous bFGF promotes articular cartilage repair via up‐regulation of multiple growth factors. Osteoarthr Cartil 2013;21(10):1567–1575.
    1. Kim WJ, Gittes GK, Longaker MT. Signal transduction in wound healing. Arch Pharm Res 1998;21(5):487–495.
    1. Caley MP, Martins VL, O'Toole EA. Metalloproteinases and wound healing. Adv Wound Care (New Rochelle) 2015;4(4):225–234.
    1. Davis ME, Gumucio JP, Sugg KB, Bedi A, Mendias CL. MMP inhibition as a potential method to augment the healing of skeletal muscle and tendon extracellular matrix. J Appl Physiol (1985) 2013;115(6):884–891.
    1. Muller M, Trocme C, Lardy B, Morel F, Halimi S, Benhamou PY. Matrix metalloproteinases and diabetic foot ulcers: The ratio of MMP‐1 to TIMP‐1 is a predictor of wound healing. Diabet Med 2008;25(4):419–426.
    1. Murata M, Yudoh K, Masuko K. The potential role of vascular endothelial growth factor (VEGF) in cartilage: How the angiogenic factor could be involved in the pathogenesis of osteoarthritis? Osteoarthr Cartil 2008;16(3):279–286.
    1. Salmon‐Ehr V, Ramont L, Godeau G, Birembaut P, Guenounou M, Bernard P, Maquart FX. Implication of interleukin‐4 in wound healing. Lab Invest 2000;80:1337–1343.
    1. Sanjabi S, Zenewicz LA, Kamanaka M, Flavell RA. Anti‐inflammatory and pro‐inflammatory roles of TGF‐beta, IL‐10, and IL‐22 in immunity and autoimmunity. Curr Opin Pharmacol 2009;9(4):447–453.
    1. Penn JW, Grobbelaar AO, Rolfe KJ. The role of the TGF‐β family in wound healing, burns and scarring: A review. Int J Burns Trauma 2012;2(1):18–28.
    1. Lin F‐C, Young HA. The talented interferon‐gamma. Adv Biosci Biotechnol 2013;4(7):6–13.
    1. Larkin J, 3rd , Ahmed CM, Wilson TD, Johnson HM. Regulation of interferon gamma signaling by suppressors of cytokine signaling and regulatory T cells. Front Immunol 2013;4:469.
    1. Mariotti J, Foley J, Ryan K, Buxhoeveden N, Kapoor V, Amarnath S, Fowler DH. Graft rejection as a Th1‐type process amenable to regulation by donor Th2‐type cells through an interleukin‐4/STAT6 pathway. Blood 2008;112(12):4765–4775.
    1. Bach FH, Ferran C, Candinas D, Miyatake T, Koyamada N, Mark W, Hechenleitner P, Hancock WW. Accommodation of xenografts: Expression of “protective genes” in endothelial and smooth muscle cells. Transplant Proc 1997;29:56–58.
    1. Clements JN. Treatment of rheumatoid arthritis: A review of recommendations and emerging therapy. Formulary 2011;46:532–545.
    1. Maral T, Borman H, Arslan H, Demirhan B, Akinbingol G, Haberal M. Effectiveness of human amnion preserved long‐term in glycerol as a temporary biological dressing. Burns 1999;25:625–635.
    1. Singh R, Chacharkar MP. Dried gamma‐irradiated amniotic membrane as dressing in burn wound care. J Tissue Viability 2011;20:49–54.
    1. Chen AF, Wessel CB, Rao N. Staphylococcus aureus screening and decolonization in orthopaedic surgery and reduction of surgical site infections. Clin Orthop Relat Res 2013;471:2383–2399.
    1. Kelley M, Weber DJ, Dooley KE, Rutala WA. Healthcare associated methicillin resistant Staphylococcus aureus . Semin Infect Control 2001;1:157–171.
    1. Koob TJ, Lim JJ, Massee M, Zabek N, Rennert R, Gurtner G, Li WW. Angiogenic properties of dehydrated human amnion/chorion allografts: Therapeutic potential for soft tissue repair and regeneration. Vasc Cell 2014;6:10.
    1. Massee M, Chinn K, Lim JJ, Godwin L, Young CS, Koob TJ. Type I and II diabetic adipose‐derived stem cells respond in vitro to dehydrated human amnion/chorion membrane allograft treatment by increasing proliferation, migration, and altering cytokine secretion. Adv Wound Care (New Rochelle) 2016;5(2):43–54.
    1. Maan ZN, Rennert RC, Koob TJ, Januszyk M, Li WW, Gurtner GC. Cell recruitment by amnion chorion grafts promotes neovascularization. J Surg Res 2015;193(2):953–962.
    1. Rustad KC, Gurtner GC. Mesenchymal stem cells home to sites of injury and inflammation. Adv Wound Care 2012;1:147–152.
    1. Maxson S, Lopez EA, Yoo D, Danilkovitch‐Miagkova A, LeRoux MA. Concise review: Role of mesenchymal stem cells in wound repair. Stem Cells Transl Med 2012;1:142–149.
    1. Sasaki M, Abe R, Fujita Y, Ando S, Inokuma D, Shimizu H. Mesenchymal stem cells are recruited into wounded skin and contribute to wound repair by transdifferentiation into multiple skin cell type. J Immunol 2008;180(4):2581–2587.
    1. Wan M, Li C, Zhen G, Jiao K, He W, Jia X, Wang W, Shi C, Xing Q, Chen Y‐F, Jan De Beur S, Yu B, Cao X. Injury‐activated transforming growth factor beta controls mobilization of mesenchymal stem cells for tissue remodeling. Stem Cells 2012;30(11):2498–2511.
    1. Mishima Y, Lotz M. Chemotaxis of human articular chondrocytes and mesenchymal stem cells. J Orthop Res 2008;26:1407–1412.
    1. Ponte AL, Marais E, Gallay N, Langonné A, Delorme B, Hérault O, Charbord P, Domenech J. The in vitro migration capacity of human bone marrow mesenchymal stem cells: Comparison of chemokine and growth factor chemotactic activities. Stem Cells 2007;25(7):1737–1745.
    1. Loeser RF. Integrins and chondrocyte–matrix interactions in articular cartilage. Matrix Biol 2014;39:11–16.
    1. Docheva D, Popov C, Alberton P, Aszodi A. Integrin signaling in skeletal development and function. Birth Defects Res C 2014;102:13–36.

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