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pubmed-article:20955343pubmed:dateCreated2010-12-24lld:pubmed
pubmed-article:20955343pubmed:abstractTextEngineered skin substitutes (ESSs) comprising both keratinocytes and fibroblasts can afford many advantages over the use of autologous keratinocyte grafts for the treatment of full-thickness and partial-thickness burns. In this study, we investigated the efficacy of a novel ESS containing both genetically altered fibroblasts that express the immunosuppressive factor indoleamine 2,3-dioxygenase (IDO) and primary keratinocytes from a nonautologous source to confer immune protection of xenogeneic cells cultured in a bilayer ESS. The results show that engraftment of IDO expressing skin substitutes on the back of rats significantly improves healing progression over 7 days compared with both nontreated and non-IDO-expressing skin substitutes (p<0.001). Immuno-staining of CD3 and CD31 suggests that IDO-expressing skin substitutes significantly suppress T cell infiltration (p<0.001) and improve neovascularization by four-fold (12.6±1.2 vs. 3.0±1.0 vessel-like structure/high power field), respectively. In conclusion, we found that IDO expression can improve the efficacy of nonautologous ESS for the purpose of wound healing by mitigating T-cell infiltration as well as promoting vascularization of the graft.lld:pubmed
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pubmed-article:20955343pubmed:authorpubmed-author:GhaharyAzizAlld:pubmed
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pubmed-article:20955343pubmed:copyrightInfo© 2010 by the Wound Healing Society.lld:pubmed
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pubmed-article:20955343pubmed:volume18lld:pubmed
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pubmed-article:20955343pubmed:pagination614-23lld:pubmed
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pubmed-article:20955343pubmed:articleTitleLocal expression of indoleamine 2,3-dioxygenase suppresses T-cell-mediated rejection of an engineered bilayer skin substitute.lld:pubmed
pubmed-article:20955343pubmed:affiliationBurn and Wound Healing Research Laboratory, Department of Surgery, Immunity and Infection Research Centre, University of British Columbia, Vancouver, British Columbia, Canada.lld:pubmed
pubmed-article:20955343pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:20955343pubmed:publicationTypeResearch Support, Non-U.S. Gov'tlld:pubmed