Abstract
In regard to evaluating tissue banking methods used to preserve or otherwise treat (process) soft allograft tissue, current tests may not be sufficiently sensitive to detect potential damage inflicted before, during, and after processing. Using controlled parameters, we aim to examine the sensitivity of specific biomechanical, electrical, and biological tests in detecting mild damage to collagen. Fresh porcine pulmonary heart valves were treated with an enzyme, collagenase, and incubated using various times. Controls received no incubation. All valves were cryopreserved and stored at −135 °C until being rewarmed for evaluation using biomechanical, permeability, and cell viability tests. Statistically significant time dependent changes in leaflet ultimate stress, (p = 0.006), permeability (p = 0.01), and viability (p ≤ 0.02, four different days of culture) were found between heart valves subjected to 0–15 min of collagenase treatment (ANOVA). However, no statistical significance was found between the tensile modulus of treated and untreated valves (p = 0.07). Furthermore, the trends of decreasing and increasing ultimate stress and viability, respectively, were somewhat inconsistent across treatment times. These results suggest that permeability tests may offer a sensitive, quantitative assay to complement traditional biomechanical and viability tests in evaluating processing methods used for soft tissue allografts, or when making changes to current validated methods. Multiple test evaluation may also offer insight into the mechanism of potential tissue damage such as, as is the case here, reduced collagen content and increased tissue porosity.
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Acknowledgments
This research was supported by a Grant from the Scientific and Technical Affairs Committee of the American Association of Tissue Banks (to KGMB and AL-J) and National Institutes of Health Grants DE021134, DE018741, and AR055775 to HY, and a National Institutes of Health F31 predoctoral fellowship DE023486 to GJW.
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KGMB is an owner and employee of Tissue Testing Technologies, ZC, EDG, and LHC are employees of Tissue Testing Technologies. None of the other authors of this paper have any potential conflicts of interest that might be construed as affecting the conduct or reporting of the work presented.
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Hepfer, R.G., Brockbank, K.G.M., Chen, Z. et al. Comparison and evaluation of biomechanical, electrical, and biological methods for assessment of damage to tissue collagen. Cell Tissue Bank 17, 531–539 (2016). https://doi.org/10.1007/s10561-016-9560-y
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DOI: https://doi.org/10.1007/s10561-016-9560-y