Organ Culture Techniques

器官培养技术
  • 文章类型: Journal Article
    传统上,雄性小鼠减数分裂是使用描述性方法进行研究的,例如组织学切片和扩散或挤压技术,这允许在野生型或转基因小鼠中观察固定的细胞。对于这些研究,男性的牺牲和睾丸的提取需要获得的材料的研究。其他体内功能研究包括静脉内或腹膜内药物的给药,或暴露于诱变剂或DNA损伤的发生器,为了研究它们对减数分裂进程的影响。然而,在这些研究中,在承认动物福利时,暴露时间或药物浓度是需要考虑的重要限制因素。最近,已经提出了几种方法来提供替代方法,这些方法允许精母细胞的体外研究,同时大大减少了动物的使用。在这里,我们重新审视并验证了用于减数分裂研究的生精小管片段的器官型培养的最佳技术。该技术是一种可靠的方法,可用于开发功能研究,以保留生精小管的组织学结构,程序的目标同质性(在不同的研究条件下使用相同的动物),并允许损害动物福利的程序。因此,这种方法非常适合减数分裂和精子发生的研究,虽然它支持3R的原则用于动物研究。
    Male mouse meiosis has been traditionally studied using descriptive methods like histological sections and spreading or squashing techniques, which allow the observation of fixed meiocytes in either wildtype or genetically modified mice. For these studies, the sacrifice of the males and the extraction of the testicles are required to obtain the material of study. Other functional in vivo studies include the administration of intravenous or intraperitoneal drugs, or the exposure to mutagenic agents or generators of DNA damage, in order to study their impact on meiosis progression. However, in these studies, the exposure times or drug concentration are important limitations to consider when acknowledging animal welfare. Recently, several approaches have been proposed to offer alternative methodologies that allow the in vitro study of spermatocytes with a considerable reduction in the use of animals. Here we revisit and validate an optimal technique of organotypic culture of fragments of seminiferous tubules for meiotic studies. This technique is a trustable methodology to develop functional studies that preserve the histological configuration of the seminiferous tubule, aim homogeneity of the procedures (the use of the same animal for different study conditions), and allow procedures that would compromise the animal welfare. Therefore, this methodology is highly recommendable for the study of meiosis and spermatogenesis, while it supports the principle of 3R\'s for animal research.
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  • 文章类型: Journal Article
    缺乏概括年龄和疾病相关特征的人脑实验模型。迫切需要模拟不同细胞类型之间复杂的分子和细胞相互作用的人类特异性工具,以评估潜在的疾病机制和测试疗法。在这里,我们提出了一种适应的离体器官切片培养方法,该方法使用在气液界面上培养的人类死后脑组织来研究脑白质。我们评估了这些人类死后脑切片是否概括了体内神经病理学,以及它们是否适合于病理生理学,实验和临床前治疗的发展目的,特别是关于脑白质营养不良。从对照中获得人类死后脑组织和脑脊液,精神病和脑白质营养不良的捐献者.切片培养长达六周,在有或没有人脑脊液的培养基中。人类死后器官型脑切片培养物至少在体外保持存活六周,并保持了组织结构和(神经)细胞类型的多样性。补充脑脊液可以改善切片恢复。患者来源的器官型切片培养物概括并维持已知的体内神经病理学。培养物还显示了对溶血卵磷脂诱导的离体脱髓鞘的生理性多细胞反应,表明它们适合研究损伤后的内在修复机制。切片培养物适用于各种实验研究,作为多电极神经元记录。最后,培养物显示基因治疗载体成功的细胞类型依赖性转导.这些人类死后器官型脑切片培养物代表了一种适应的离体模型,适用于脑部疾病机制的多方面研究。促进从人类离体到体内的翻译。该模型还允许评估潜在的治疗方案,包括基因治疗应用。因此,人类死后脑切片培养是临床前研究中研究活体人体组织中各种脑疾病的病理机制的宝贵工具。
    Human brain experimental models recapitulating age- and disease-related characteristics are lacking. There is urgent need for human-specific tools that model the complex molecular and cellular interplay between different cell types to assess underlying disease mechanisms and test therapies. Here we present an adapted ex vivo organotypic slice culture method using human post-mortem brain tissue cultured at an air-liquid interface to also study brain white matter. We assessed whether these human post-mortem brain slices recapitulate the in vivo neuropathology and if they are suitable for pathophysiological, experimental and pre-clinical treatment development purposes, specifically regarding leukodystrophies. Human post-mortem brain tissue and cerebrospinal fluid were obtained from control, psychiatric and leukodystrophy donors. Slices were cultured up to six weeks, in culture medium with or without human cerebrospinal fluid. Human post-mortem organotypic brain slice cultures remained viable for at least six weeks ex vivo and maintained tissue structure and diversity of (neural) cell types. Supplementation with cerebrospinal fluid could improve slice recovery. Patient-derived organotypic slice cultures recapitulated and maintained known in vivo neuropathology. The cultures also showed physiologic multicellular responses to lysolecithin-induced demyelination ex vivo, indicating their suitability to study intrinsic repair mechanisms upon injury. The slice cultures were applicable for various experimental studies, as multi-electrode neuronal recordings. Finally, the cultures showed successful cell-type dependent transduction with gene therapy vectors. These human post-mortem organotypic brain slice cultures represent an adapted ex vivo model suitable for multifaceted studies of brain disease mechanisms, boosting translation from human ex vivo to in vivo. This model also allows for assessing potential treatment options, including gene therapy applications. Human post-mortem brain slice cultures are thus a valuable tool in preclinical research to study the pathomechanisms of a wide variety of brain diseases in living human tissue.
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  • 文章类型: Journal Article
    背景:用于保存和储存人供体角膜的两种主要方法(器官培养和低温)在移植前被全球采用用于角膜保存。低温是一种低温储存,在器官培养时减慢细胞代谢,在28-37°C下进行的角膜培养,保持活跃的角膜代谢。研究人员,直到现在,刚刚研究了器官培养在操纵和破坏组织后对人类角膜的影响。
    目的:当前工作的目的是优化分析程序,该程序可用于发现能够预测组织健康状况的生物标志物。第一次,这项研究提出了对器官培养培养基的初步代谢组学研究,而无需操纵和破坏仍可用于移植的有价值的人体组织。
    方法:特别是,本研究提出了一种调查培养基变化的方法,在20天的储存期内,在有和没有人类供体角膜的情况下。开发了一种使用UHPLC-QTOF的非靶向代谢组学方法,以深入研究代谢物和代谢途径的差异以及培养基内角膜存在的影响。
    结果:从这种初步的代谢组学方法中出现了一些化合物表达的差异,特别是在培养基中,在角膜存在但也不存在的情况下保持10天和20天。共注释了173个代谢物,并通过途径分析富集了36个途径。
    结论:结果揭示了一种有价值的非靶向代谢组学方法,可应用于器官培养代谢组学。
    BACKGROUND: Two main approaches (organ culture and hypothermia) for the preservation and storage of human donor corneas are globally adopted for corneal preservation before the transplant. Hypothermia is a hypothermic storage which slows down cellular metabolism while organ culture, a corneal culture performed at 28-37 °C, maintains an active corneal metabolism. Researchers, till now, have just studied the impact of organ culture on human cornea after manipulating and disrupting tissues.
    OBJECTIVE: The aim of the current work was to optimize an analytical procedure which can be useful for discovering biomarkers capable of predicting tissue health status. For the first time, this research proposed a preliminary metabolomics study on medium for organ culture without manipulating and disrupting the valuable human tissues which could be still used for transplantation.
    METHODS: In particular, the present research proposed a method for investigating changes in the medium, over a storage period of 20 days, in presence and absence of a human donor cornea. An untargeted metabolomics approach using UHPLC-QTOF was developed to deeply investigate the differences on metabolites and metabolic pathways and the influence of the presence of the cornea inside the medium.
    RESULTS: Differences in the expression of some compounds emerged from this preliminary metabolomics approach, in particular in medium maintained for 10 and 20 days in presence but also in the absence of cornea. A total of 173 metabolites have been annotated and 36 pathways were enriched by pathway analysis.
    CONCLUSIONS: The results revealed a valuable untargeted metabolomics approach which can be applied in organ culture metabolomics.
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  • 文章类型: Journal Article
    生殖过程是动态的,涉及广泛的形态重塑和细胞间相互作用。器官的实时成像增强了我们对生物过程如何实时发生的理解。切片培养是一种器官培养,其中从器官中收集厚切片并培养几天。切片培养是一种有用且易于实施的技术,用于以细胞分辨率对生殖事件进行实时成像。在这里,我们描述了在切片培养上进行实时成像的管道,以可视化小鼠胚胎阴茎中尿道闭合的过程作为原理的证明。结合基因报告小鼠,核污渍,和暴露实验,我们证明了在生殖器官上进行切片培养的可行性。我们还提供了逐步的方案和故障排除指南,以促进在其他生殖器官中采用带有实时成像的切片培养。最后,我们讨论了在生殖科学中使用切片培养可以实现的潜在效用和实验。
    Reproductive processes are dynamic and involve extensive morphological remodeling and cell-cell interactions. Live imaging of organs enhances our understanding of how biological processes occur in real time. Slice culture is a type of organ culture where thick slices are collected from an organ and cultured for several days. Slice culture is a useful and easy-to-implement technique for live imaging of reproductive events at cellular resolution. Here we describe a pipeline of live imaging on slice culture to visualize the process of urethra closure in mouse embryonic penis as a proof of principle. In combination with genetic reporter mice, nuclear stains, and exposure experiments, we demonstrate the feasibility of slice culture on a reproductive organ. We also provide a step-by-step protocol and troubleshooting guide to facilitate the adoption of slice culture with live imaging in other reproductive organs. Lastly, we discuss potential utilities and experiments that could be implemented with slice culture in reproductive sciences.
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  • 文章类型: Journal Article
    目的:比较使用脱水和标准器官培养储存的供体角膜进行深板层角膜移植术(DALK)的结果。
    方法:前瞻性,随机化,在意大利进行的单中心试验PARTICIPANTS:择期DALK的圆锥角膜成年患者(≥18岁)方法:采用标准DALK技术成功进行1型气泡气压解剖的患者,在术中随机接受脱水(n=30)或标准器官培养保存供体角膜(30).
    方法:主要研究结果是手术后12个月的最佳眼镜矫正视力(BSCVA)。次要结果是屈光散光(RA),内皮细胞密度(ECD)和并发症发生率。
    结果:术后logMARBSCVA在两个时间点(6个月时的平均差=0.030[95CI:-0.53-0.10]p=0.471)和12个月时=-0.013[95CI:-0.10-0.08]p=0.764)两组之间无显著差异。在所有时间点,术后RA和ECD均未观察到两组之间的显着差异。在DALK之后的前3天,器官培养角膜组10例(33%)和脱水角膜组29例(97%)存在上皮缺损。在两组的所有病例(100%)中,在第7天实现了完全的上皮再形成。
    结论:该研究提供的证据表明,使用脱水角膜并不劣于使用标准器官培养供体角膜进行DALK。角膜组织脱水是一种可行的解决方案,可以长期保存角膜并避免浪费未使用的角膜。
    OBJECTIVE: To compare the outcomes of deep anterior lamellar keratoplasty (DALK) using dehydrated versus standard organ culture-stored donor corneas for eyes with keratoconus.
    METHODS: Prospective, randomized, single-center trial conducted in Italy.
    METHODS: Adult patients (age ≥ 18 years) with keratoconus scheduled for elective DALK.
    METHODS: Patients undergoing successful type 1 bubble pneumatic dissection using a standard DALK technique were randomized during surgery to receive either dehydrated (n = 30) or standard organ culture-stored (n = 30) donor corneas.
    METHODS: The primary study outcome was best spectacle-corrected visual acuity (BSCVA) 12 months after surgery. Secondary outcomes were refractive astigmatism (RA), endothelial cell density (ECD), and complication rates.
    RESULTS: Postoperative BSCVA did not significantly differ between groups at both time points: mean difference at 6 months was 0.030 logarithm of the minimum angle of resolution (logMAR; 95% confidence interval [CI], -0.53 to 0.10 logMAR; P = 0.471) and at 12 months was -0.013 logMAR (95% CI, -0.10 to 0.08 logMAR; P = 0.764). No significant differences between groups were observed in terms of postoperative RA and ECD at all time points. In the first 3 days after DALK, an epithelial defect was present in 10 patients (33%) in the organ culture cornea group and in 29 patients (97%) in the dehydrated cornea group. Complete re-epithelialization was achieved by day 7 in all patients (100%) in both groups.
    CONCLUSIONS: The study provides evidence that the use of dehydrated corneas is noninferior to the use of standard organ culture donor corneas for DALK. Corneal tissue dehydration represents a viable solution that can allow long-term cornea preservation and avoid wastage of unused corneas.
    BACKGROUND: The author(s) have no proprietary or commercial interest in any materials discussed in this article.
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  • 文章类型: Journal Article
    肿瘤生物学的精确模型和个体肿瘤的药物反应的预测需要新的技术来离体生长肿瘤组织以在原位维持肿瘤生长特征。只包含肿瘤细胞的模型,没有肿瘤的间质成分,对于许多目的来说是次优的,并且通常是有问题的,因为细胞经过广泛的培养和选择。因此,(人)肿瘤的直接培养对于基础肿瘤生物学和诊断目的具有相当大的意义。已经提出了微流体技术来准确地模拟组织生长的生理条件。大多数公开的系统在所谓的芯片上器官(OoC)培养物中从单个细胞类型构建组织。我们在这里描述了一种用于生长肿瘤标本的新型OoC装置。薄的肿瘤切片在微流控芯片中生长,该芯片允许精确控制体外培养条件。OoC装置的性能被广泛验证,用于预测人乳腺癌患者来源的异种移植物(PDX)肿瘤材料中的治疗反应。该系统适合于来自手术或活检的原发性肿瘤材料。除了使用该模型来预测和评估治疗反应,该模型还可用于人类癌症的机理研究,如克隆进化或免疫反应,或验证新的或再利用的(癌症)药物。双/ond芯片癌症(CoC)设备被设计用于培养肿瘤切片和研究肿瘤生长和药物反应的方面。这里,我们描述了使用Bi/ondCoC设备建立肿瘤切片培养并进行体外药物反应评估的逐步过程.©2023作者。WileyPeriodicalsLLC出版的当前协议。基本方案1:使用微流控芯片上癌症平台建立乳腺癌肿瘤切片培养,用于离体化学疗法测试基本方案2:基于组织学和免疫组织化学的肿瘤组织结构分析,细胞增殖,细胞死亡。
    Accurate models for tumor biology and prediction of drug responses of individual tumors require novel technology to grow tumor tissue ex vivo to maintain tumor growth characteristics in situ. Models containing only tumor cells, without the stromal components of the tumor, are suboptimal for many purposes and are generally problematic because the cells are passed through extensive culture and selection. Therefore, direct culture of (human) tumors is of considerable interest for basic tumor biology and diagnostic purposes. Microfluidic technologies have been proposed to accurately mimic physiological conditions for tissue growth. Most published systems build tissues from individual cell types in so-called Organ-on-Chip (OoC) cultures. We here describe a novel OoC device for growing tumor specimens. Thin tumor slices are grown in a microfluidic \'chip\' that allows precisely controlled in vitro culture conditions. The performance of the OoC device was extensively validated for predicting therapeutic responses in human breast cancer patient-derived xenograft (PDX) tumor material. The system is amenable to primary tumor material from surgery or biopsies. In addition to using the model to predict and evaluate therapeutic responses, the model can also be used for mechanistic studies of human cancers, such as clonal evolution or immune responses, or to validate new or repurposed (cancer) drugs. The Bi/ond Cancer-on-Chip (CoC) device is designed to culture tumor slices and investigate aspects of tumor growth and drug responses. Here, we describe the step-by-step process of setting up tumor slice cultures using a Bi/ond CoC device and performing in vitro drug response evaluation. © 2023 The Authors. Current Protocols published by Wiley Periodicals LLC. Basic Protocol 1: Establishment of breast cancer tumor slice culture using a microfluidic cancer-on-chip platform for chemotherapy testing ex vivo Basic Protocol 2: Histology and immunohistochemistry-based analysis of tumor tissue architecture, cell proliferation, and cell death.
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  • 文章类型: Journal Article
    脑组织的离体切片培养可以维持中枢神经系统(CNS)的细胞结构,这样可以彻底了解与体内环境非常相似的培养系统中多个相互连接的细胞的功能。此外,在正常和病理条件下,脑组织的切片培养有利于跟踪神经元和神经胶质之间的复杂连接,这在体外细胞系中是不可能的。这里,我们描述了从小鼠小脑制备离体切片培养物的方法,以及研究西尼罗河病毒感染对小脑细胞的影响的方案。
    Ex vivo slice cultures of the brain tissue can maintain the cytoarchitecture of the central nervous system (CNS), which allows a thorough understanding of the functions of multiple interconnected cells in a culture system that closely resembles the in vivo environment. Additionally, slice cultures of the brain tissue are advantageous in tracking complex connectivity between neurons and glia both under normal and pathologic conditions, which is not possible in in vitro cell lines. Here, we describe the method of preparing ex vivo slice culture from the mouse cerebellum and the protocol of studying the effects of West Nile virus infection on cerebellar cells.
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  • 文章类型: Journal Article
    以超分辨率评估组织中的蛋白质分布通常是复杂且限制性的。这里,我们描述了小鼠脑器官型切片培养物的免疫染色和扩增显微镜成像方案。我们详细介绍了Imris分析工作流程,以分析稳态可塑性过程中超分辨率的AMPA受体的表面与细胞内分布。我们已经优化了脑器官切片培养的方案,并在急性脑切片中进行了测试。该方案适用于研究多种可塑性范例下的蛋白质分布。有关此协议的使用和执行的完整详细信息,请参阅Bissen等人。(2021年)。
    Assessing protein distribution with super-resolution in tissue is often complicated and restrictive. Here, we describe a protocol for immunostaining and expansion microscopy imaging of mouse brain organotypic slice cultures. We detail an Imaris analysis workflow to analyze the surface vs intracellular distribution of AMPA receptors at super-resolution during homeostatic plasticity. We have optimized the protocol for brain organotypic slice culture and tested in acute brain slices. This protocol is suitable to study protein distribution under multiple plasticity paradigms. For complete details on the use and execution of this protocol, please refer to Bissen et al. (2021).
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  • 文章类型: Journal Article
    呼吸道病毒每年都会在人类中引起轻度至重度疾病,构成重大公共卫生问题。在生理相关模型中表征发病机理对于开发有效的疫苗和治疗剂至关重要。这里,我们表明,来自人类原发性或肺肿瘤组织的肺类器官保持了原始组织的细胞组成和特征。此外,我们表明,这些器官维持病毒复制与特定的感染病灶形成,它们激活干扰素相关和促炎基因的表达,负责介导强大的先天免疫反应。一起,我们表明,三维(3D)肺类器官构成了模型疾病的相关平台,并使药物筛选的发展成为可能。重要性三维(3D)人类肺类器官反映了肺的天然细胞组成及其生理特性。人类3D肺类器官提供理想的条件,例如及时获得大量和高度生理相关性,以重新评估和预测呼吸道病原体和以肺为主要入口的病原体的疾病暴发。人类肺类器官可用于基础研究和诊断环境,作为早期预警细胞培养系统,也可作为感染性疾病建模和药物开发的相关平台。它们可用于表征病原体和分析感染的影响,例如,免疫学参数,例如干扰素相关和促炎基因在癌症中的表达。在我们的研究中,我们发现,与健康组织相比,癌源性肺类器官对甲型流感病毒感染更敏感,并显示先天免疫反应降低.
    Respiratory viruses cause mild to severe diseases in humans every year, constituting a major public health problem. Characterizing the pathogenesis in physiologically relevant models is crucial for developing efficient vaccines and therapeutics. Here, we show that lung organoids derived from human primary or lung tumor tissue maintain the cellular composition and characteristics of the original tissue. Moreover, we show that these organoids sustain viral replication with particular infection foci formation, and they activate the expression of interferon-associated and proinflammatory genes responsible for mediating a robust innate immune response. All together, we show that three-dimensional (3D) lung organoids constitute a relevant platform to model diseases and enable the development of drug screenings. IMPORTANCE Three-dimensional (3D) human lung organoids reflect the native cell composition of the lung as well as its physiological properties. Human 3D lung organoids offer ideal conditions, such as timely availability in large quantities and high physiological relevance for reassessment and prediction of disease outbreaks of respiratory pathogens and pathogens that use the lung as a primary entry portal. Human lung organoids can be used in basic research and diagnostic settings as early warning cell culture systems and also serve as a relevant platform for modeling infectious diseases and drug development. They can be used to characterize pathogens and analyze the influence of infection on, for example, immunological parameters, such as the expression of interferon-associated and proinflammatory genes in the context of cancer. In our study, we found that cancer-derived lung organoids were more sensitive to influenza A virus infection than those derived from healthy tissue and demonstrated a decreased innate immune response.
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  • 文章类型: Journal Article
    严重急性呼吸系统综合症冠状病毒2(SARS-CoV-2)通过角膜移植物传播的风险正在进行辩论,并导致角膜采购受到严格限制,导致眼银行活动大幅减少。这项研究的目的是专门评估人角膜感染SARS-CoV-2的能力,并促进其体外复制。并通过检测诊断为2019年冠状病毒病(COVID-19)的供体和未受影响的供体的角膜中的SARS-CoV-2RNA来评估角膜污染的现实生活风险。
    为了评估人角膜被SARS-CoV-2感染的能力,SARS-CoV-2受体血管紧张素转换酶2(ACE-2)和激活剂TMPRSS2和组织蛋白酶B和L在未受影响的供体的眼表组织中的表达模式通过免疫组织化学(角膜=10,78±11岁,40%女性)和qPCR(n=5角膜,80±12岁,40%女性)。此外,5个新鲜切除的角膜(80±12年,40%的女性)用高浓度的SARS-CoV-2溶液(106中位数组织培养感染剂量(TCID50)/mL)离体感染。从组织和培养基中提取病毒RNA,并在感染后30分钟(H0)和24小时(H24)通过逆转录定量PCR(RT-qPCR)(病毒RNA拷贝)定量。为了评估SARS-CoV-2角膜污染的风险,通过RT-qPCR(Ct值)在来自14名诊断为COVID-19(74±10年,29%的女性)和26名健康捐赠者(79±13岁,57%女性),并且仅在来自2个眼库的133个连续未受影响的供体的器官培养基中(73±13年,29%女性)。受体和激活剂的表达在蛋白质和mRNA水平上在样品之间是可变的。根据免疫组织化学结果,ACE-2主要位于周围角膜最浅表上皮细胞,角膜缘,和结膜,而TMPRSS2主要在球结膜的所有层中表达。从感染后30分钟到24小时,在中央角膜中观察到IP4RNA序列(RdRp病毒基因)的总链和正链显着增加(1.1×108[95%CI:6.4×107至2.4×108]至3.0×109[1.4×109至5.3×109],p=0.0039和2.2×107[1.4×107到3.6×107]到5.1×107[2.9×107到7.5×107],p=0.0117,分别)和角膜巩膜边缘(4.5×109[2.7×109至9.6×109]至3.9×1010[2.6×1010至4.4×1010],p=0.0039和3.1×108[1.2×108到5.3×108]到7.8×108[3.9×108到9.9×108],分别为p=0.0391)。离体角膜中的病毒RNA拷贝在一个供体与另一个供体之间高度可变。最后,在28个被诊断为COVID-19的供体角膜中,有3个(11%)检测到病毒RNA。来自159个未受影响的供体的所有样品对于SARS-CoV-2RNA是阴性的。这项研究的主要局限性在于样本量有限,由于获得被诊断为COVID-19的供体的机会有限,并且伴随着从未受影响的供体获得角膜的减少。
    在这项研究中,我们观察到SARS-CoV-2受体和激活剂在人眼表的表达,以及在实验感染新鲜切除的人角膜后24小时病毒RNA拷贝的可变增加。我们还发现病毒RNA仅在非常有限百分比的鼻咽PCR阳性的供体中。诊断为COVID-19的供体阳性率低,这让人们质疑供体选择算法的实用性。
    AgencedelaBiomedecine,PFS-20-011https://www。agence-biomedecine。fr/.
    The risk of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) transmission through corneal graft is an ongoing debate and leads to strict restrictions in corneas procurement, leading to a major decrease in eye banking activity. The aims of this study are to specifically assess the capacity of human cornea to be infected by SARS-CoV-2 and promote its replication ex vivo, and to evaluate the real-life risk of corneal contamination by detecting SARS-CoV-2 RNA in corneas retrieved in donors diagnosed with Coronavirus Disease 2019 (COVID-19) and nonaffected donors.
    To assess the capacity of human cornea to be infected by SARS-CoV-2, the expression pattern of SARS-CoV-2 receptor angiotensin-converting enzyme 2 (ACE-2) and activators TMPRSS2 and Cathepsins B and L in ocular surface tissues from nonaffected donors was explored by immunohistochemistry (n = 10 corneas, 78 ± 11 years, 40% female) and qPCR (n = 5 corneas, 80 ± 12 years, 40% female). Additionally, 5 freshly excised corneas (80 ± 12 years, 40% female) were infected ex vivo with highly concentrated SARS-CoV-2 solution (106 median tissue culture infectious dose (TCID50)/mL). Viral RNA was extracted from tissues and culture media and quantified by reverse transcription quantitative PCR (RT-qPCR) (viral RNA copies) 30 minutes (H0) and 24 hours (H24) after infection. To assess the risk of corneal contamination by SARS-CoV-2, viral RNA was tested by RT-qPCR (Ct value) in both corneas and organ culture media from 14 donors diagnosed with COVID-19 (74 ± 10 years, 29% female) and 26 healthy donors (79 ± 13 years, 57% female), and in organ culture media only from 133 consecutive nonaffected donors from 2 eye banks (73 ± 13 years, 29% female). The expression of receptor and activators was variable among samples at both protein and mRNA level. Based on immunohistochemistry findings, ACE-2 was localized mainly in the most superficial epithelial cells of peripheral cornea, limbus, and conjunctiva, whereas TMPRSS2 was mostly expressed in all layers of bulbar conjunctiva. A significant increase in total and positive strands of IP4 RNA sequence (RdRp viral gene) was observed from 30 minutes to 24 hours postinfection in central cornea (1.1 × 108 [95% CI: 6.4 × 107 to 2.4 × 108] to 3.0 × 109 [1.4 × 109 to 5.3 × 109], p = 0.0039 and 2.2 × 107 [1.4 × 107 to 3.6 × 107] to 5.1 × 107 [2.9 × 107 to 7.5 × 107], p = 0.0117, respectively) and in corneoscleral rim (4.5 × 109 [2.7 × 109 to 9.6 × 109] to 3.9 × 1010 [2.6 × 1010 to 4.4 × 1010], p = 0.0039 and 3.1 × 108 [1.2 × 108 to 5.3 × 108] to 7.8 × 108 [3.9 × 108 to 9.9 × 108], p = 0.0391, respectively). Viral RNA copies in ex vivo corneas were highly variable from one donor to another. Finally, viral RNA was detected in 3 out of 28 corneas (11%) from donors diagnosed with COVID-19. All samples from the 159 nonaffected donors were negative for SARS-CoV-2 RNA. The main limitation of this study relates to the limited sample size, due to limited access to donors diagnosed with COVID-19 and concomitant decrease in the procurement corneas from nonaffected donors.
    In this study, we observed the expression of SARS-CoV-2 receptors and activators at the human ocular surface and a variable increase in viral RNA copies 24 hours after experimental infection of freshly excised human corneas. We also found viral RNA only in a very limited percentage of donors with positive nasopharyngeal PCR. The low rate of positivity in donors diagnosed with COVID-19 calls into question the utility of donor selection algorithms.
    Agence de la Biomédecine, PFS-20-011 https://www.agence-biomedecine.fr/.
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