The skin equivalent serves as a model of skin that will be used to gain a better understanding of the basic mechanisms of graft rejection and to amplify skin in vitro for the treatment of burn victims. The skin equivalent is constructed by adding a suspension of epidermal cells to the surface of a collagen lattice formed by combining fibroblasts with type I collagen, serum, and tissue culture medium. Two strains of mice, DBA/2J mice which carry the H-2d haplotype, and CBA/J mice which carry the H-2k haplotype, will be used to examine the role of fibroblasts and keratinocytes in provoking an immune response. Skin equivalents that contain isogeneic fibroblasts and keratinocytes, allogeneic fibroblasts and isogeneic keratinocytes, isogeneic fibroblasts and allogeneic keratinocytes, or allogeneic fibroblasts and keratinocytes will be grafted to CBA/2J mice. Grafts will be removed at time intervals ranging from five days to two months after surgery and frozen for cryosectioning followed by staining with antibodies to the surface antigens of B cells, T helper cells, T suppressor cells, and T suppressor-cytotoxic cells. The time course and relative number of inflammatory cells per square micrometer will be compared among the four types of grafts to differentiate between the role of allogeneic fibroblasts and allogeneic keratinocytes in graft rejection. Concurrent studies with patients at the Regional Burn Center at Miami Valley Hospital will be carried out to determine whether skin equivalents containing allogeneic fibroblasts and a patient's own epidermal cells provides a viable method for expanding the surface area of skin which can be covered from the limited skin available in an extensively burned individual. The main focus of the clinical phase of this project will be the construction and application of lattices that approach the size of conventional meshed graphs. To demonstrate the clinical usefulness of the skin equivalent, it will also be necessary to document histologically the integration and long-term fate of the grafts.
Graeter, L J; Hull, B E (1996) Characterization of label-retaining cells in the epidermis of a human skin equivalent. Cell Prolif 29:679-88 |
Harriger, M D; Hull, B E (1994) Characterization of ultraviolet radiation-induced damage to keratinocytes in a skin equivalent in vitro. Arch Dermatol Res 286:319-24 |
Wang, H M; Hull, B E; Organisciak, D T (1994) Long term effects of diaminophenoxypentane in the rat retina: protection against light damage. Curr Eye Res 13:655-60 |
Harriger, M D; Hull, B E (1992) Cornification and basement membrane formation in a bilayered human skin equivalent maintained at an air-liquid interface. J Burn Care Rehabil 13:187-93 |
Hull, B E; Finley, R K; Miller, S F (1990) Coverage of full-thickness burns with bilayered skin equivalents: a preliminary clinical trial. Surgery 107:496-502 |
Lerner-Tung, M B; Hull, B E (1990) The role of IA antigen+ epidermal cells in rejection of rat skin equivalent grafts. Transplantation 49:1181-4 |