title: [Design and biological evaluation of poly-lactic-co-glycolic acid (PLGA) mesh/collagen-chitosan hybrid scaffold (CCS) as a dermal substitute].
abstract: OBJECTIVE
  To design and construct a kind of dermal regeneration template with mesh, and to preliminarily evaluate its biological characteristics.
  
  
  METHODS
  PLGA mesh was integrated into CCS with freeze-drying method for constructing PLGA mesh/CCS composite (PCCS). The micromorphologies and mechanical properties among PLGA mesh, CCS, and PCCS were compared. PCCS and CCS was respectively implanted into subcutaneous tissue of SD rats (PCCS and CCS groups, 9 rats in each group). The tissue samples were collected at post operation week (POW) 1, 2, and 4 for histopathological and immunohistochemical observation. Protein levels of CD68, MPO, IL-1beta, IL-10 were examined by Western blot, with expression of gray value. Data were processed with one-way analysis of variance and t test.
  
  
  RESULTS
  Three-dimensional porous structure of PCCS was similar to that of CCS. Mechanical property of PLGA mesh and PCCS was respectively (3.07 +/- 0.10), (3.26 +/- 0.15) MPa, and they were higher than that of CCS [(0.42 +/- 0.21) MPa, F = 592.3, P < 0.0001)]. The scaffolds were filled with newly formed tissue in PCCS group at POW 2, while those in CCS group were observed at POW 4. A large accumulation of macrophages was observed in both groups, especially at POW 2, and more macrophage infiltration was observed in CCS group. The protein level of IL-10 in PCCS group at POW 2 was obviously higher than that in CCS group, while the protein levels of CD68, MPO, IL-1beta were significantly decreased as compared with those in CCS group (with t value from -4.06 to 2.89, P < 0.05 or P < 0.01).
  
  
  CONCLUSIONS
  PCCS has excellent mechanical property with appropriate three-dimensional porous structure. Meanwhile, it can rapidly induce formation of new tissue and vascularization, and it has a prospect of serving as a dermal substitute.
authors: Department of Burns, Second Affiliated Hospital of Zhejiang University College of Medicine, Hangzhou 310009, China.
authors: Xin-Gang
authors: XG
authors: Wang
authors: Chuan-Gang
authors: CG
authors: You
authors: Hua-Feng
authors: HF
authors: Sun
authors: Xin-Lei
authors: XL
authors: Hu
authors: Chun-Mao
authors: CM
authors: Han
authors: Li-Ping
authors: LP
authors: Zhang
authors: Yu-Rong
authors: YR
authors: Zheng
authors: Qi-Yin
authors: QY
authors: Li