Li Yanqi, An Siyu, Deng Chengliang, Xiao Shune
Department of Burns and Plastic Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi 563000, China.
The Collaborative Innovation Center of Tissue Damage Repair and Regeneration Medicine of Zunyi Medical University, Zunyi 563000, China.
Pharmaceutics. 2023 Aug 30;15(9):2249. doi: 10.3390/pharmaceutics15092249.
Human acellular amniotic membrane (HAAM) has emerged as a promising tool in the field of regenerative medicine, particularly for wound healing and tissue regeneration. HAAM provides a natural biological scaffold with low immunogenicity and good anti-infective and anti-scarring results. Despite its potential, the clinic application of HAAM faces challenges, particularly with respect to the preparation methods and its low mechanical strength. This review provides a comprehensive overview of HAAM, covering its preparation, sterilization, preclinical research, and clinical applications. This review also discusses promising decellularization and sterilization methods, such as Supercritical Carbon Dioxide (SC-CO), and the need for further research into the regenerative mechanisms of HAAM. In addition, we discuss the potential of HAAM as a skin dressing and cell delivery system in preclinical research and clinical applications. Both the safety and effectiveness of HAAM have been validated by extensive research, which provides a robust foundation for its clinical application.
人脱细胞羊膜(HAAM)已成为再生医学领域一种有前景的工具,特别是在伤口愈合和组织再生方面。HAAM提供了一种具有低免疫原性以及良好抗感染和抗瘢痕形成效果的天然生物支架。尽管具有潜力,但HAAM的临床应用面临挑战,特别是在制备方法及其低机械强度方面。本综述全面概述了HAAM,涵盖其制备、灭菌、临床前研究和临床应用。本综述还讨论了有前景的去细胞化和灭菌方法,如超临界二氧化碳(SC-CO),以及对HAAM再生机制进行进一步研究的必要性。此外,我们讨论了HAAM在临床前研究和临床应用中作为皮肤敷料和细胞递送系统的潜力。HAAM的安全性和有效性均已通过广泛研究得到验证,这为其临床应用提供了坚实的基础。