J Korean Soc Plast Reconstr Surg.
2000 Jul;27(4):367-371.
Attachment and Growth of Cultured Fibroblasts on Chitosan Sponge
- Affiliations
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- 1Department of Reconstructive Plastic Surgery, College of Medicine, Seoul National University.
- 2Department of Dermatology, College of Medicine, Seoul National University.
- 3Biomaterials Research Center, Korea Institute of Science and Technology.
Abstract
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Closure of large skin wounds with split-thickness skin graft requires extensive harvesting
of autologous skin. The limitation of available donor areas has sought various kinds of skin
equivalents for coverage of skin defects. Concept of living skin equivalent using fibroblast
and keratinocyte is the most promising one. For seeking ideal artificial skin, we conducted
a research of new dermal alternative using chitosan. Fibroblast scattered on chitosan and
chitosan-collagen sponge polymers were cultured for 3 weeks and chitosan and chitosan-collagen
sponge polymers were grafted on the back of 250 gm Sprague-Dawley rat. There was statistically
significant difference in fibroblast attachment as well as fibroblast proliferation between
chitosan and chitosan-collagen sponge. Four weeks after grafting, the grafted area was examined.
In the area of chitosan sponge graft, there was no clinical sign of inflammation. However, mild
inflammatory infiltration and a few multinucleated giant cells were observed. In contrast,
chitosan-collagen sponge grafted area showed no foreign body reaction clinically and histologically.
In conclusion, concomitant use of chitosan and collagen resulted in better fibroblast attachment
and proliferation and minimal immunologic reaction than chitosan sponge.