Organotypic cultures of autologous hair follicle keratinocytes for the treatment of recurrent leg ulcers.

Abstract:

:Our purpose was to evaluate, in an open study, the efficacy of epidermal equivalents (EEs), a tissue-engineered epidermis prepared from autologous hair follicle keratinocytes, for the treatment of recurrent leg ulcers (n = 50). To generate EEs, keratinocytes expanded from the outer root sheaths of plucked anagen hair follicles were seeded on cell culture inserts at air-liquid interface. The total culture time was 5 to 6 weeks. Three days after the procedure, 95% of EEs adhered to the wound bed. After 8 weeks, 70% of the total wound surface was re-epithelialized and 32% of the ulcers were healed. After applying the EEs, a major relief of wound pain was noticed by the patients. EEs were applied in ambulatory patients without surgical facilities. Because 92% of the cases included in this study presented a recurrence of their ulcers after a split-thickness skin graft, we consider these ulcers as difficult to treat and propose the EEs as an alternative effective treatment of recurrent leg ulcers.

journal_name

J Am Acad Dermatol

authors

Limat A,French LE,Blal L,Saurat JH,Hunziker T,Salomon D

doi

10.1067/mjd.2003.69

subject

Has Abstract

pub_date

2003-02-01 00:00:00

pages

207-14

issue

2

eissn

0190-9622

issn

1097-6787

pii

S0190-9622(02)61473-2

journal_volume

48

pub_type

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