Methods in Molecular Biology (2022) 2436: 167–182
DOI 10.1007/7651_2021_431
© Springer Science+Business Media, LLC 2021
Published online: 10 September 2021
Bioreactor-Based De-epithelialization of Long-Segment
Tracheal Grafts
Alba E. Marin-Araujo, Siba Haykal, and Golnaz Karoubi
Abstract
Tissue engineering techniques to generate a graft ex vivo is an exciting field of research. In particular, the
use of biological scaffolds has shown to be promising in a clinical setting. In this approach, decellularized
donor scaffolds are obtained following detergent-based enzymatic treatment to remove donor cells and
subsequently repopulated with recipient specific cells. Herein, we describe our bioreactor-based partial
decellularization approach to generate hybrid tracheal grafts. Using a short detergent-based treatment with
sodium dodecyl sulfate (SDS), we remove the epithelium and maintain the structural integrity of the donor
grafts by keeping the cartilage alive. The following will be a step-by-step description of the bioreactor
system setup and partial decellularization protocol to obtain a de-epithelialized tracheal graft.
Key words Biological scaffolds, Double-chamber perfusion bioreactor, Partial decellularization,
Tissue engineering, Tracheal de-epithelialization
1
Introduction
Tracheal transplantation using a tissue engineered graft is a
promising alternative for treatment of extensive tracheal injury.
The ultimate goal of tracheal tissue engineering is the generation
of a functional construct to replace damaged upper airways. While
synthetic grafts can provide structural integrity, recapitulation of
the ECM components and architecture is challenging. An ideal
approach allows for preservation of the extracellular matrix
(ECM) which provides important biochemical cues required to
support cellular function and maintains adequate biomechanical
support [1, 2]. Thus, decellularization and recellularization of
biological tracheal scaffolds is an exciting and promising area of
research. While the specific details of each protocol are dependent
on the tissue or organ of interest, the vast majority of decellulariza-
tion protocols require a combination of physical, enzymatic,
and/or chemical treatments [1]. In the trachea, fully decellularized
scaffolds have come across challenges with stenosis due to
Siba Haykal and Golnaz Karoubi are co-senior authors.
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