Supplementation of organ culture medium with dextran is not required in pre-stripped human donor tissue for DMEK surgery

To assess corneal endothelial cell (CEC) quantity and quality in eye-bank prepared lamellar grafts for Descemet Membrane Endothelial Keratoplasty (DMEK) from organ cultured donor corneas that have not undergone de-swelling by media supplementation with dextran. Prior to graft preparation, corneas th...

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Veröffentlicht in:Cell and tissue banking 2019-06, Vol.20 (2), p.193-200
Hauptverfasser: Salla, Sabine, Kruse, Friedrich E., Walter, Peter, Menzel-Severing, Johannes
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Walter, Peter
Menzel-Severing, Johannes
description To assess corneal endothelial cell (CEC) quantity and quality in eye-bank prepared lamellar grafts for Descemet Membrane Endothelial Keratoplasty (DMEK) from organ cultured donor corneas that have not undergone de-swelling by media supplementation with dextran. Prior to graft preparation, corneas that had not undergone de-swelling (n = 30) were placed into fresh storage medium without dextran (KMI). Corneas in the control group (n = 30) were placed in dehydration medium containing 5% dextran (KMII). Subtotal stripping of Descemet’s membrane (DM) was performed manually. Following graft preparation, 10 corneas of each group were cultured further in their respective medium for 24 h, 72 h, or 120 h, respectively. Before and after DM stripping, as well as at the end of culture, CEC numbers were obtained. At the end of culture, CEC morphology was graded using a scoring system and CEC metabolism was assessed by detection of adenosine triphosphate. At 24 h after DM stripping, mean CEC counts (in cells/mm 2 ) were 2204 in corneas stored in KMII, and 2391 in corneas stored in KMI ( p  = 0.003). This corresponds to a mean relative CEC loss of 12.4% with dextran versus 9.7% without dextran ( p  = 0.04). At 72 h, CEC counts were 1946 in KMII, and 2289 in KMI ( p  = 0.004). This corresponds to CEC loss of 23% with dextran versus 14% without dextran ( p  = 0.009). At 120 h, CEC counts were 2047 in KMII, and 2230 in KMI ( p  = 0.14). This corresponds to CEC loss of 22.7% with dextran versus 17.2% without dextran ( p  = 0.14). Also, at 120 h after DM stripping, 6/10 corneas fell below a threshold of 2000 cells/mm 2 if stored in medium containing dextran, versus 1/9 corneas if stored without dextran ( p  = 0.003). Morphological assessment of CEC quality revealed equal scores for cell polymorphism (median = 1), granulation (median = 0) and segmentation (median = 1) in all groups. Lower ATP/protein ratios were observed in corneas stored in medium without dextran at 24 h ( p  
doi_str_mv 10.1007/s10561-019-09757-8
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Prior to graft preparation, corneas that had not undergone de-swelling (n = 30) were placed into fresh storage medium without dextran (KMI). Corneas in the control group (n = 30) were placed in dehydration medium containing 5% dextran (KMII). Subtotal stripping of Descemet’s membrane (DM) was performed manually. Following graft preparation, 10 corneas of each group were cultured further in their respective medium for 24 h, 72 h, or 120 h, respectively. Before and after DM stripping, as well as at the end of culture, CEC numbers were obtained. At the end of culture, CEC morphology was graded using a scoring system and CEC metabolism was assessed by detection of adenosine triphosphate. At 24 h after DM stripping, mean CEC counts (in cells/mm 2 ) were 2204 in corneas stored in KMII, and 2391 in corneas stored in KMI ( p  = 0.003). This corresponds to a mean relative CEC loss of 12.4% with dextran versus 9.7% without dextran ( p  = 0.04). At 72 h, CEC counts were 1946 in KMII, and 2289 in KMI ( p  = 0.004). This corresponds to CEC loss of 23% with dextran versus 14% without dextran ( p  = 0.009). At 120 h, CEC counts were 2047 in KMII, and 2230 in KMI ( p  = 0.14). This corresponds to CEC loss of 22.7% with dextran versus 17.2% without dextran ( p  = 0.14). Also, at 120 h after DM stripping, 6/10 corneas fell below a threshold of 2000 cells/mm 2 if stored in medium containing dextran, versus 1/9 corneas if stored without dextran ( p  = 0.003). Morphological assessment of CEC quality revealed equal scores for cell polymorphism (median = 1), granulation (median = 0) and segmentation (median = 1) in all groups. Lower ATP/protein ratios were observed in corneas stored in medium without dextran at 24 h ( p  &lt; 0.001), 72 h ( p  &lt; 0.001), and 120 h ( p  = 0.02). Abandoning the use of dextran in corneas destined for DMEK surgery leads to increased CEC counts and thereby serves to reduce tissue loss.</description><identifier>ISSN: 1389-9333</identifier><identifier>EISSN: 1573-6814</identifier><identifier>DOI: 10.1007/s10561-019-09757-8</identifier><identifier>PMID: 30798407</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Adenosine triphosphate ; ATP ; Biomedical and Life Sciences ; Biomedicine ; Cell Biology ; Cell culture ; Cornea ; Cornea - cytology ; Cornea - surgery ; Corneal transplantation ; Culture media ; Culture Media - chemistry ; Dehydration ; Descemet Stripping Endothelial Keratoplasty - methods ; Dextran ; Dextrans - pharmacology ; Endothelial cells ; Endothelial Cells - cytology ; Eye surgery ; Grafting ; Grafts ; Granulation ; Humans ; Life Sciences ; Metabolism ; Morphology ; Ophthalmology ; Organ culture ; Organ Culture Techniques - methods ; Polymorphism ; Proteins ; Segmentation ; Supplements ; Surgery ; Tissue Banks ; Tissues ; Transplant Surgery ; Transplants &amp; implants</subject><ispartof>Cell and tissue banking, 2019-06, Vol.20 (2), p.193-200</ispartof><rights>Springer Nature B.V. 2019</rights><rights>Cell and Tissue Banking is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c419t-cfbcd3cdda64f7a03975c3d8d10294cbce6c0749616d3ac6bfc59c79b1b8c53c3</citedby><cites>FETCH-LOGICAL-c419t-cfbcd3cdda64f7a03975c3d8d10294cbce6c0749616d3ac6bfc59c79b1b8c53c3</cites><orcidid>0000-0001-8194-1037</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10561-019-09757-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10561-019-09757-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30798407$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Salla, Sabine</creatorcontrib><creatorcontrib>Kruse, Friedrich E.</creatorcontrib><creatorcontrib>Walter, Peter</creatorcontrib><creatorcontrib>Menzel-Severing, Johannes</creatorcontrib><title>Supplementation of organ culture medium with dextran is not required in pre-stripped human donor tissue for DMEK surgery</title><title>Cell and tissue banking</title><addtitle>Cell Tissue Bank</addtitle><addtitle>Cell Tissue Bank</addtitle><description>To assess corneal endothelial cell (CEC) quantity and quality in eye-bank prepared lamellar grafts for Descemet Membrane Endothelial Keratoplasty (DMEK) from organ cultured donor corneas that have not undergone de-swelling by media supplementation with dextran. Prior to graft preparation, corneas that had not undergone de-swelling (n = 30) were placed into fresh storage medium without dextran (KMI). Corneas in the control group (n = 30) were placed in dehydration medium containing 5% dextran (KMII). Subtotal stripping of Descemet’s membrane (DM) was performed manually. Following graft preparation, 10 corneas of each group were cultured further in their respective medium for 24 h, 72 h, or 120 h, respectively. Before and after DM stripping, as well as at the end of culture, CEC numbers were obtained. At the end of culture, CEC morphology was graded using a scoring system and CEC metabolism was assessed by detection of adenosine triphosphate. At 24 h after DM stripping, mean CEC counts (in cells/mm 2 ) were 2204 in corneas stored in KMII, and 2391 in corneas stored in KMI ( p  = 0.003). This corresponds to a mean relative CEC loss of 12.4% with dextran versus 9.7% without dextran ( p  = 0.04). At 72 h, CEC counts were 1946 in KMII, and 2289 in KMI ( p  = 0.004). This corresponds to CEC loss of 23% with dextran versus 14% without dextran ( p  = 0.009). At 120 h, CEC counts were 2047 in KMII, and 2230 in KMI ( p  = 0.14). This corresponds to CEC loss of 22.7% with dextran versus 17.2% without dextran ( p  = 0.14). Also, at 120 h after DM stripping, 6/10 corneas fell below a threshold of 2000 cells/mm 2 if stored in medium containing dextran, versus 1/9 corneas if stored without dextran ( p  = 0.003). Morphological assessment of CEC quality revealed equal scores for cell polymorphism (median = 1), granulation (median = 0) and segmentation (median = 1) in all groups. Lower ATP/protein ratios were observed in corneas stored in medium without dextran at 24 h ( p  &lt; 0.001), 72 h ( p  &lt; 0.001), and 120 h ( p  = 0.02). Abandoning the use of dextran in corneas destined for DMEK surgery leads to increased CEC counts and thereby serves to reduce tissue loss.</description><subject>Adenosine triphosphate</subject><subject>ATP</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Cell Biology</subject><subject>Cell culture</subject><subject>Cornea</subject><subject>Cornea - cytology</subject><subject>Cornea - surgery</subject><subject>Corneal transplantation</subject><subject>Culture media</subject><subject>Culture Media - chemistry</subject><subject>Dehydration</subject><subject>Descemet Stripping Endothelial Keratoplasty - methods</subject><subject>Dextran</subject><subject>Dextrans - pharmacology</subject><subject>Endothelial cells</subject><subject>Endothelial Cells - cytology</subject><subject>Eye surgery</subject><subject>Grafting</subject><subject>Grafts</subject><subject>Granulation</subject><subject>Humans</subject><subject>Life Sciences</subject><subject>Metabolism</subject><subject>Morphology</subject><subject>Ophthalmology</subject><subject>Organ culture</subject><subject>Organ Culture Techniques - methods</subject><subject>Polymorphism</subject><subject>Proteins</subject><subject>Segmentation</subject><subject>Supplements</subject><subject>Surgery</subject><subject>Tissue Banks</subject><subject>Tissues</subject><subject>Transplant Surgery</subject><subject>Transplants &amp; 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Kruse, Friedrich E. ; Walter, Peter ; Menzel-Severing, Johannes</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c419t-cfbcd3cdda64f7a03975c3d8d10294cbce6c0749616d3ac6bfc59c79b1b8c53c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adenosine triphosphate</topic><topic>ATP</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Cell Biology</topic><topic>Cell culture</topic><topic>Cornea</topic><topic>Cornea - cytology</topic><topic>Cornea - surgery</topic><topic>Corneal transplantation</topic><topic>Culture media</topic><topic>Culture Media - chemistry</topic><topic>Dehydration</topic><topic>Descemet Stripping Endothelial Keratoplasty - methods</topic><topic>Dextran</topic><topic>Dextrans - pharmacology</topic><topic>Endothelial cells</topic><topic>Endothelial Cells - cytology</topic><topic>Eye surgery</topic><topic>Grafting</topic><topic>Grafts</topic><topic>Granulation</topic><topic>Humans</topic><topic>Life Sciences</topic><topic>Metabolism</topic><topic>Morphology</topic><topic>Ophthalmology</topic><topic>Organ culture</topic><topic>Organ Culture Techniques - methods</topic><topic>Polymorphism</topic><topic>Proteins</topic><topic>Segmentation</topic><topic>Supplements</topic><topic>Surgery</topic><topic>Tissue Banks</topic><topic>Tissues</topic><topic>Transplant Surgery</topic><topic>Transplants &amp; 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Prior to graft preparation, corneas that had not undergone de-swelling (n = 30) were placed into fresh storage medium without dextran (KMI). Corneas in the control group (n = 30) were placed in dehydration medium containing 5% dextran (KMII). Subtotal stripping of Descemet’s membrane (DM) was performed manually. Following graft preparation, 10 corneas of each group were cultured further in their respective medium for 24 h, 72 h, or 120 h, respectively. Before and after DM stripping, as well as at the end of culture, CEC numbers were obtained. At the end of culture, CEC morphology was graded using a scoring system and CEC metabolism was assessed by detection of adenosine triphosphate. At 24 h after DM stripping, mean CEC counts (in cells/mm 2 ) were 2204 in corneas stored in KMII, and 2391 in corneas stored in KMI ( p  = 0.003). This corresponds to a mean relative CEC loss of 12.4% with dextran versus 9.7% without dextran ( p  = 0.04). At 72 h, CEC counts were 1946 in KMII, and 2289 in KMI ( p  = 0.004). This corresponds to CEC loss of 23% with dextran versus 14% without dextran ( p  = 0.009). At 120 h, CEC counts were 2047 in KMII, and 2230 in KMI ( p  = 0.14). This corresponds to CEC loss of 22.7% with dextran versus 17.2% without dextran ( p  = 0.14). Also, at 120 h after DM stripping, 6/10 corneas fell below a threshold of 2000 cells/mm 2 if stored in medium containing dextran, versus 1/9 corneas if stored without dextran ( p  = 0.003). Morphological assessment of CEC quality revealed equal scores for cell polymorphism (median = 1), granulation (median = 0) and segmentation (median = 1) in all groups. Lower ATP/protein ratios were observed in corneas stored in medium without dextran at 24 h ( p  &lt; 0.001), 72 h ( p  &lt; 0.001), and 120 h ( p  = 0.02). Abandoning the use of dextran in corneas destined for DMEK surgery leads to increased CEC counts and thereby serves to reduce tissue loss.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>30798407</pmid><doi>10.1007/s10561-019-09757-8</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-8194-1037</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adenosine triphosphate
ATP
Biomedical and Life Sciences
Biomedicine
Cell Biology
Cell culture
Cornea
Cornea - cytology
Cornea - surgery
Corneal transplantation
Culture media
Culture Media - chemistry
Dehydration
Descemet Stripping Endothelial Keratoplasty - methods
Dextran
Dextrans - pharmacology
Endothelial cells
Endothelial Cells - cytology
Eye surgery
Grafting
Grafts
Granulation
Humans
Life Sciences
Metabolism
Morphology
Ophthalmology
Organ culture
Organ Culture Techniques - methods
Polymorphism
Proteins
Segmentation
Supplements
Surgery
Tissue Banks
Tissues
Transplant Surgery
Transplants & implants
title Supplementation of organ culture medium with dextran is not required in pre-stripped human donor tissue for DMEK surgery
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