Evaluation of vaginal reconstruction using biological patches from different tissue sources

Objective To evaluate the effectiveness of biological patches derived from different tissue sources for vaginal reconstruction. Methods Large animal models of vaginal agenesis were established using Bama miniature pigs through surgical removal of vaginal tissue. Small intestinal submucosa (SIS) and...

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Main Authors: Zhang lin, Tian Yanpeng, Xiao Yanlai, Li Zhongkang, Liu Yibin, Zhang Mingle, Zhang Jingkun, Meng Li, Dai Jianwu, Huang Xianghua
Format: Article
Language:zho
Published: Lanzhou University Press 2025-03-01
Series:生物医学转化
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Online Access:http://swyxzh.ijournals.cn/swyxzh/article/html/20250114?st=article_issue
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author Zhang lin
Tian Yanpeng
Xiao Yanlai
Li Zhongkang
Liu Yibin
Zhang Mingle
Zhang Jingkun
Meng Li
Dai Jianwu
Huang Xianghua
author_facet Zhang lin
Tian Yanpeng
Xiao Yanlai
Li Zhongkang
Liu Yibin
Zhang Mingle
Zhang Jingkun
Meng Li
Dai Jianwu
Huang Xianghua
author_sort Zhang lin
collection DOAJ
description Objective To evaluate the effectiveness of biological patches derived from different tissue sources for vaginal reconstruction. Methods Large animal models of vaginal agenesis were established using Bama miniature pigs through surgical removal of vaginal tissue. Small intestinal submucosa (SIS) and acellular bladder matrix (ABM) were used for vaginal reconstruction. Three months postoperatively, the reconstructed vaginal tissues were surgically removed and evaluated for tissue structure and function using histopathological staining and organ bath assays. Results Three months after reconstruction, both SIS and ABM achieved anatomical reconstruction of the vagina. Histological and functional analyses revealed that the tissue structures of SIS-and ABM-reconstructed vaginas resembled normal vaginal tissue and expressed vaginal-specific molecular markers, including CK14, α-actin, HSP47, ER, and CD31. However, the SIS-reconstructed group exhibited a thinner vaginal epithelial layer compared to the ABM-reconstructed group, indicating that ABM may provide better reconstruction outcomes. Additionally, PAS staining and organ bath assays confirmed that the reconstructed vaginal epithelial cells were capable of synthesizing glycogen and exhibited contractile and relaxant responses to corresponding drugs. These results indicated that both SIS and ABM could achieve vaginal reconstruction in terms of gross anatomy, tissue structure, and function. Conclusion Bama miniature pigs can serve as suitable large animal models for vaginal tissue regeneration and reconstruction. Both SIS and ABM can achieve anatomical, histological, and functional vaginal reconstruction, with ABM potentially offering better outcomes than SIS.
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spelling doaj-art-c4119ce7ac884f78ba004d53cd9dd3aa2025-08-20T01:55:10ZzhoLanzhou University Press生物医学转化2096-89652025-03-0161879210.12287/j.issn.2096-8965.20250113Evaluation of vaginal reconstruction using biological patches from different tissue sourcesZhang lin0Tian Yanpeng1Xiao Yanlai2Li Zhongkang3Liu Yibin4Zhang Mingle5Zhang Jingkun6Meng Li7Dai Jianwu8Huang Xianghua9The Second Hospital of Hebei Medical University, Shijiazhuang 050000 , Hebei, ChinaThe First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052 , Henan, ChinaThe Second Hospital of Hebei Medical University, Shijiazhuang 050000 , Hebei, China ; The Third Hospital of Hebei Medical University, Shijiazhuang 050000 , Hebei, ChinaThe Second Hospital of Hebei Medical University, Shijiazhuang 050000 , Hebei, ChinaThe Second Hospital of Hebei Medical University, Shijiazhuang 050000 , Hebei, ChinaThe Second Hospital of Hebei Medical University, Shijiazhuang 050000 , Hebei, ChinaThe Second Hospital of Hebei Medical University, Shijiazhuang 050000 , Hebei, ChinaThe Second Hospital of Hebei Medical University, Shijiazhuang 050000 , Hebei, ChinaInstitute of Genetics and Developmental Biology, Chinese Academy of Sciences, Beijing 100101 , ChinaThe Second Hospital of Hebei Medical University, Shijiazhuang 050000 , Hebei, ChinaObjective To evaluate the effectiveness of biological patches derived from different tissue sources for vaginal reconstruction. Methods Large animal models of vaginal agenesis were established using Bama miniature pigs through surgical removal of vaginal tissue. Small intestinal submucosa (SIS) and acellular bladder matrix (ABM) were used for vaginal reconstruction. Three months postoperatively, the reconstructed vaginal tissues were surgically removed and evaluated for tissue structure and function using histopathological staining and organ bath assays. Results Three months after reconstruction, both SIS and ABM achieved anatomical reconstruction of the vagina. Histological and functional analyses revealed that the tissue structures of SIS-and ABM-reconstructed vaginas resembled normal vaginal tissue and expressed vaginal-specific molecular markers, including CK14, α-actin, HSP47, ER, and CD31. However, the SIS-reconstructed group exhibited a thinner vaginal epithelial layer compared to the ABM-reconstructed group, indicating that ABM may provide better reconstruction outcomes. Additionally, PAS staining and organ bath assays confirmed that the reconstructed vaginal epithelial cells were capable of synthesizing glycogen and exhibited contractile and relaxant responses to corresponding drugs. These results indicated that both SIS and ABM could achieve vaginal reconstruction in terms of gross anatomy, tissue structure, and function. Conclusion Bama miniature pigs can serve as suitable large animal models for vaginal tissue regeneration and reconstruction. Both SIS and ABM can achieve anatomical, histological, and functional vaginal reconstruction, with ABM potentially offering better outcomes than SIS.http://swyxzh.ijournals.cn/swyxzh/article/html/20250114?st=article_issuemrkh syndromebiological patchesbama miniature pigsvaginal reconstructiontissue engineering
spellingShingle Zhang lin
Tian Yanpeng
Xiao Yanlai
Li Zhongkang
Liu Yibin
Zhang Mingle
Zhang Jingkun
Meng Li
Dai Jianwu
Huang Xianghua
Evaluation of vaginal reconstruction using biological patches from different tissue sources
生物医学转化
mrkh syndrome
biological patches
bama miniature pigs
vaginal reconstruction
tissue engineering
title Evaluation of vaginal reconstruction using biological patches from different tissue sources
title_full Evaluation of vaginal reconstruction using biological patches from different tissue sources
title_fullStr Evaluation of vaginal reconstruction using biological patches from different tissue sources
title_full_unstemmed Evaluation of vaginal reconstruction using biological patches from different tissue sources
title_short Evaluation of vaginal reconstruction using biological patches from different tissue sources
title_sort evaluation of vaginal reconstruction using biological patches from different tissue sources
topic mrkh syndrome
biological patches
bama miniature pigs
vaginal reconstruction
tissue engineering
url http://swyxzh.ijournals.cn/swyxzh/article/html/20250114?st=article_issue
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AT tianyanpeng evaluationofvaginalreconstructionusingbiologicalpatchesfromdifferenttissuesources
AT xiaoyanlai evaluationofvaginalreconstructionusingbiologicalpatchesfromdifferenttissuesources
AT lizhongkang evaluationofvaginalreconstructionusingbiologicalpatchesfromdifferenttissuesources
AT liuyibin evaluationofvaginalreconstructionusingbiologicalpatchesfromdifferenttissuesources
AT zhangmingle evaluationofvaginalreconstructionusingbiologicalpatchesfromdifferenttissuesources
AT zhangjingkun evaluationofvaginalreconstructionusingbiologicalpatchesfromdifferenttissuesources
AT mengli evaluationofvaginalreconstructionusingbiologicalpatchesfromdifferenttissuesources
AT daijianwu evaluationofvaginalreconstructionusingbiologicalpatchesfromdifferenttissuesources
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