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Biochemical Indicators of Implantation Success of Tissue-Engineered Oral Mucosa.
[severe combined immunodeficiency]
Real-time
(
RT
)
determination
of
the
health
of
in
vitro
tissue-engineered
constructs
prior
to
grafting
is
essential
for
prediction
of
success
of
the
implanted
tissue-engineered
graft
.
In
addition
,
the
US
Food
and
Drug
Administration
requires
specific
release
criteria
in
RT
prior
to
the
release
of
tissue-engineered
devices
for
human
use
.
In
principle
,
assessing
the
viability
and
functionality
of
the
cellular
component
can
be
achieved
by
quantifying
the
secretion
of
growth
factors
and
chemokines
of
tissue-engineered
constructs
.
Ex
vivo-produced
oral
mucosa
equivalents
(
EVPOMEs
)
were
fabricated
under
thermally
stressed
conditions
at
43
°
C
for
24
h
to
create
a
functionally
compromised
EVPOME
.
We
used
microchannel
enzyme-linked
immunosorbent
assay
to
evaluate
the
functionality
of
the
cellular
component
,
oral
keratinocytes
,
of
stressed
and
unstressed
EVPOMEs
by
measuring
the
release
of
vascular
endothelial
growth
factor
(
VEGF
)
,
interleukin-
8
(
IL
-
8
)
,
human
β-defensin
1
(
hBD-
1
)
,
and
tissue
inhibitor
of
metalloproteinase
1
and
2
(
TIMP-
1
and
-
2
)
into
the
spent
medium
,
which
was
collected
on
the
same
day
prior
to
graft
implantation
into
severe
combined
immunodeficiency
mice
.
Implanted
EVPOMEs
'
histology
on
the
seventh
postimplantation
day
was
used
to
correlate
outcomes
of
grafting
to
secreted
amounts
of
IL
-
8
,
hBD-
1
,
VEGF
,
TIMP-
1
,
and
TIMP-
2
from
corresponding
EVPOMEs
.
Our
findings
showed
that
significantly
higher
levels
of
IL
-
8
,
hBD-
1
,
and
TIMP-
2
were
secreted
from
controls
than
from
thermally
stressed
EVPOMEs
.
We
also
found
a
direct
correlation
between
secreted
VEGF
and
IL
-
8
and
blood
vessel
counts
of
implanted
EVPOMEs
.
We
concluded
that
measuring
the
constitutive
release
of
these
factors
can
be
used
as
noninvasive
predictors
of
healthy
tissue-engineered
EVPOMEs
in
RT
,
prior
to
their
implantation
.
Diseases
Validation
Diseases presenting
"growth factors"
symptom
achondroplasia
alexander disease
aromatase deficiency
cholangiocarcinoma
dentin dysplasia
dentinogenesis imperfecta
dystrophic epidermolysis bullosa
kallmann syndrome
oligodontia
oral submucous fibrosis
primary effusion lymphoma
scrub typhus
severe combined immunodeficiency
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