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Modulation of Macrophage Phenotype, Maturation, and Graft Integration through Chondroitin Sulfate Cross-Linking to Decellularized Cornea

  • Juhi Chakraborty
    Juhi Chakraborty
    Regenerative Engineering Laboratory, Department of Textile Technology, Indian Institute of Technology Delhi, New Delhi 110016, India
  • Subhadeep Roy
    Subhadeep Roy
    Regenerative Engineering Laboratory, Department of Textile Technology, Indian Institute of Technology Delhi, New Delhi 110016, India
  • Sumit Murab
    Sumit Murab
    Regenerative Engineering Laboratory, Department of Textile Technology, Indian Institute of Technology Delhi, New Delhi 110016, India
    More by Sumit Murab
  • Raghav Ravani
    Raghav Ravani
    Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi 110016, India
  • Kulwinder Kaur
    Kulwinder Kaur
    Regenerative Engineering Laboratory, Department of Textile Technology, Indian Institute of Technology Delhi, New Delhi 110016, India
  • Saranya Devi
    Saranya Devi
    Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi 110016, India
    More by Saranya Devi
  • Divya Singh
    Divya Singh
    Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi 110016, India
    More by Divya Singh
  • Shubhangini Sharma
    Shubhangini Sharma
    Stem Cell Facility, All India Institute of Medical Sciences, New Delhi 110016, India
  • Sujata Mohanty
    Sujata Mohanty
    Stem Cell Facility, All India Institute of Medical Sciences, New Delhi 110016, India
  • Amit Kumar Dinda
    Amit Kumar Dinda
    Department of Pathology, All India Institute of Medical Sciences, New Delhi 110016, India
  • Radhika Tandon
    Radhika Tandon
    Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi 110016, India
  • , and 
  • Sourabh Ghosh*
    Sourabh Ghosh
    Regenerative Engineering Laboratory, Department of Textile Technology, Indian Institute of Technology Delhi, New Delhi 110016, India
    *E-mail: [email protected]
Cite this: ACS Biomater. Sci. Eng. 2019, 5, 1, 165–179
Publication Date (Web):May 1, 2018
https://doi.org/10.1021/acsbiomaterials.8b00251
Copyright © 2018 American Chemical Society

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    Abstract

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    Decellularized corneas obtained from other species have gained intense popularity in the field of tissue engineering due to its role to serve as an alternative to the limited availability of high-quality donor tissues. However, the decellularized cornea is found to evoke an immune response inspite of the removal of the cellular contents and antigens due to the distortion of the collagen fibrils that exposes certain antigenic sites, which often lead to graft rejection. Therefore, in this study we tested the hypothesis that cross-linking the decellularized corneas with chondroitin sulfate may help in restoring the distorted conformationation changes of fibrous matrix and thus help in reducing the occurrence of graft rejection. Cross-linking of the decellularized cornea with oxidized chondroitin sulfate was validated by ATR-FTIR analysis. An in vitro immune response study involving healthy monocytes and differentiated macrophages with their surface marker analysis by pHrodo red, Lysotracker red, ER tracker, and CD63, LAMP-2 antibodies confirmed that the cross-linked decellularized matrices elicited the least immune response compared to the decellularized ones. We implanted three sets of corneal scaffolds obtained from goat, i.e., native, decellularized, and decellularized corneas conjugated with chondroitin sulfate into the rabbit stroma. Histology analysis, three months after implantation into the rabbit corneal stromal region, confirmed the restoration of the collagen fibril conformation and the migration of cells to the implanted constructs, affirming proper graft integration. Hence we conclude that the chondroitin sulfate cross-linked decellularized corneal matrix may serve as an efficient alternative to the allograft and human cadaveric corneas.

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    The Supporting Information is available free of charge on the ACS Publications website at DOI: 10.1021/acsbiomaterials.8b00251.

    • Total GAG and DNA content of NC and DC, covalent cross-linking of collagen type I with chondroitin sulfate, tridimensional shape analysis of monocytes, and macrophages cultured in the designated corneal matrices (PDF)

    • Video S1, surgery video (ZIP)

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