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Perpendicular implantation of porcine trachea extracellular matrix for enhanced xenogeneic scaffold surface epithelialization in a canine model
https://kagawa-u.repo.nii.ac.jp/records/2000009
https://kagawa-u.repo.nii.ac.jp/records/2000009c864b5ac-78fc-4310-b70c-10f883a267ee
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本文 (665 KB)
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内容の要旨 (98 KB)
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審査の結果の要旨 (113 KB)
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Item type | 学位論文 / Thesis or Dissertation(1) | |||||||||||
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公開日 | 2023-07-12 | |||||||||||
タイトル | ||||||||||||
タイトル | Perpendicular implantation of porcine trachea extracellular matrix for enhanced xenogeneic scaffold surface epithelialization in a canine model | |||||||||||
言語 | en | |||||||||||
言語 | ||||||||||||
言語 | eng | |||||||||||
資源タイプ | ||||||||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_db06 | |||||||||||
資源タイプ | doctoral thesis | |||||||||||
アクセス権 | ||||||||||||
アクセス権 | open access | |||||||||||
アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||||||||
著者 |
加藤, 歩
× 加藤, 歩
WEKO
4127
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抄録 | ||||||||||||
内容記述タイプ | Abstract | |||||||||||
内容記述 | Objective: The availability of clinically applied medical materials in thoracic surgery remains insufficient, especially materials for treating tracheal defects. Herein, the potential of porcine extracellular matrix (P-ECM) as a new airway reconstruction material was explored by xenotransplanting it into a canine trachea. | |||||||||||
言語 | en | |||||||||||
抄録 | ||||||||||||
内容記述タイプ | Abstract | |||||||||||
内容記述 | Methods: P-ECM was first transplanted into the buttocks of Narc Beagle dogs (n = 3) and its overall immuno-induced effects were evaluated. Subsequently, nine dogs underwent surgery to create a tracheal defect that was 1 × 2 cm. In group A, the P-ECM was implanted parallel to the tracheal axis (n = 3), whereas in group B the P-ECM was implanted perpendicular to the tracheal axis (n = 6). The grafts were periodically observed by bronchoscopy and evaluated postoperatively at 1 and 3 months through macroscopic and microscopic examinations. Immunosuppressants were not administered. Statistical evaluation was performed for Bronchoscopic stenosis rate, graft epithelialization rate, shrinkage rate and ECM live-implantation rate. | |||||||||||
言語 | en | |||||||||||
抄録 | ||||||||||||
内容記述タイプ | Abstract | |||||||||||
内容記述 | Results: No sign of P-ECM rejection was observed after its implantation in the buttocks. Bronchoscopic findings showed no improvement concerning stenosis in group A until 3 months after surgery; epithelialization of the graft site was not evident, and the ECM site appeared scarred and faded. In contrast, stenosis gradually improved in group B, with continuous epithelium within the host tissues and P-ECM. Histologically, the graft site contracted longitudinally and no epithelialization was observed in group A, whereas full epithelialization was observed on the P-ECM in group B. No sign of cartilage regeneration was confirmed in both groups. No statistically significant differences were found in bronchoscopic stenosis rate, shrinkage rate and ECM live-implantation rate, but graft epithelialization rate showed a statistically significant difference (G-A; sporadic (25%) 3, vs. G-B; full covered (100%) 3; p = 0.047). | |||||||||||
言語 | en | |||||||||||
抄録 | ||||||||||||
内容記述タイプ | Abstract | |||||||||||
内容記述 | Conclusions: P-ECM can support full re-epithelialization without chondrocyte regeneration, with perpendicular implantation facilitating epithelialization of the ECM. Our results showed that our decellularized tracheal matrix holds clinical potential as a biological xenogeneic material for airway defect repair. | |||||||||||
言語 | en | |||||||||||
学位名 | ||||||||||||
言語 | ja | |||||||||||
学位名 | 博士(医学) | |||||||||||
学位授与機関 | ||||||||||||
学位授与機関識別子Scheme | kakenhi | |||||||||||
学位授与機関識別子 | 16201 | |||||||||||
言語 | ja | |||||||||||
学位授与機関名 | 香川大学 | |||||||||||
言語 | en | |||||||||||
学位授与機関名 | Kagawa University | |||||||||||
学位授与年月日 | ||||||||||||
学位授与年月日 | 2023-06-26 | |||||||||||
学位授与番号 | ||||||||||||
学位授与番号 | 甲第839号 | |||||||||||
権利 | ||||||||||||
言語 | en | |||||||||||
権利情報 | © 2023 katou, Go, Otsuki, Yokota, Soo, Misaki, Yajima and Yokomise. | |||||||||||
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識別子タイプ | PMID | |||||||||||
関連識別子 | 36713663 | |||||||||||
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関連タイプ | isVersionOf | |||||||||||
識別子タイプ | DOI | |||||||||||
関連識別子 | https://doi.org/10.3389/fsurg.2022.1089403 | |||||||||||
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関連タイプ | hasVersion | |||||||||||
識別子タイプ | URI | |||||||||||
関連識別子 | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9877415/ | |||||||||||
助成情報 | ||||||||||||
助成機関識別子タイプ | Crossref Funder | |||||||||||
助成機関識別子 | https://doi.org/10.13039/501100001691 | |||||||||||
助成機関名 | 日本学術振興会 | |||||||||||
言語 | ja | |||||||||||
助成機関名 | Japan Society for the Promotion of Science | |||||||||||
言語 | en | |||||||||||
研究課題番号URI | https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-18K08786/ | |||||||||||
研究課題番号 | 18K08786 | |||||||||||
研究課題名 | 非抗原性ブタ気管細胞外マトリックスを用いた異種気道手術材料の開発 | |||||||||||
言語 | ja | |||||||||||
研究課題名 | Development of heterologous airway surgical material using non-antigenic porcine tracheal extracellular matrix | |||||||||||
言語 | en | |||||||||||
著者版フラグ | ||||||||||||
出版タイプ | P | |||||||||||
出版タイプResource | http://purl.org/coar/version/c_fa2ee174bc00049f | |||||||||||
キーワード | ||||||||||||
言語 | en | |||||||||||
主題Scheme | Other | |||||||||||
主題 | airway defect repair | |||||||||||
キーワード | ||||||||||||
言語 | en | |||||||||||
主題Scheme | Other | |||||||||||
主題 | extracellular matrix | |||||||||||
キーワード | ||||||||||||
言語 | en | |||||||||||
主題Scheme | Other | |||||||||||
主題 | biomaterial | |||||||||||
キーワード | ||||||||||||
言語 | en | |||||||||||
主題Scheme | Other | |||||||||||
主題 | porcine trachea | |||||||||||
キーワード | ||||||||||||
言語 | en | |||||||||||
主題Scheme | Other | |||||||||||
主題 | tracheal regeneration |