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Friday 31 January 2014

New engineered skin grafts with lymphatic and blood capillaries

Almost 11 million people go through severe burns that heal slowly and cause deep wounds and lifelong scars. During surgery for grafting of functional full-thickness skin to reduce the scarring, only a very limited area of skin can be removed from the individual patient, since it can create new wounds. Apart from conventional skin grafting, a skin graft can also be engineered in the lab which firstly is composed of the patient's cells and secondly is very similar to natural human skin.
Rsearchers at the University Children's Hospital Zurich and the University of Zurich have engineered skin cells for the very first time containing blood and lymphatic capillaries. They have managed to isolate all the necessary types of skin cells from human skin tissue and engineering a skin graft that is similar to full-thickness skin.
Conventional complex skin grafts do not have any blood or lymphatic capillaries, pigmentation, sebaceous glands, hair follicles or nerves. The researchers have been engineering dermo-epidermal skin grafts for some time, but now, they have succeeded in constructing a more complex organ.


This development has given a several times booze to Regenerative medicine and molecular tissue biology.  Wound healing can be hampered by a Tissue Fluid that is secreted by the wound and accumulates in a cavity on skin’s surface. The researchers managed to isolated lymphatic capillary cells from the human dermis. Together with the blood capillaries, that were also engineered, this guarantees rapid, efficient vesicular supply of the skin graft. This lead to three major findings:

The individual lymphatic cells spontaneously arranged themselves into lymphatic capillaries with all the characteristics of lymphatic vessels. During pre-clinical trials, all, human lymphatic as well as blood capillaries connected with those of animals. These lymphatic capillaries were capable of collecting and transporting tissue fluid; hence they were functional. Ernst Reichmann, Head of the Tissue Biology Research Unit, claims that skin grafts with lymphatic and blood capillaries will, in future, both prevent the accumulation of tissue fluid and ensure rapid blood supply of the graft." This could markedly improve the healing process and the typical organ structure of this type of skin graft.