A sterilization method for human decellularized vaginal matrices

Abstract Vaginal reconstruction is necessary for various congenital and acquired conditions, including vaginal aplasia, trauma, tumors, and gender incongruency. Current surgical and non-surgical treatments often result in significant complications. Decellularized vaginal matrices (DVMs) from human t...

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Main Authors: Jayson Sueters, Leonie de Boer, Freek Groenman, Judith A. F. Huirne, Theo H. Smit, Sebastian A. J. Zaat
Format: Article
Language:English
Published: Nature Portfolio 2024-12-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-024-82409-4
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author Jayson Sueters
Leonie de Boer
Freek Groenman
Judith A. F. Huirne
Theo H. Smit
Sebastian A. J. Zaat
author_facet Jayson Sueters
Leonie de Boer
Freek Groenman
Judith A. F. Huirne
Theo H. Smit
Sebastian A. J. Zaat
author_sort Jayson Sueters
collection DOAJ
description Abstract Vaginal reconstruction is necessary for various congenital and acquired conditions, including vaginal aplasia, trauma, tumors, and gender incongruency. Current surgical and non-surgical treatments often result in significant complications. Decellularized vaginal matrices (DVMs) from human tissue offer a promising alternative, but require effective sterilization to ensure safety and functionality. This study aimed to develop a sterilization method for decellularized human vaginal wall scaffolds. Based on our previously implemented decellularization technique with minor modifications, we designed and examined three sterilization methods consisting of (i) chemical decellularization, (ii) decellularization with additional peracetic acid/hydrogen peroxide (PAA/H2O2); (iii) decellularization with antibiotic and antimycotic (AAE) based treatment. Sterilization efficacy was evaluated through controlled contamination with common vaginal microbes and sterility testing subsequent to each sterilization method. The extracellular matrix (ECM) structure was assessed via histological staining. Decellularization alone reduced some added bacterial contaminants but did not achieve complete sterilization. PAA/H2O2-sterilization resulted in severe ECM damage, rendering it unsuitable. The AAE-treatment demonstrated effective sterilization without compromising the ECM structure. Combined decellularization and AAE-based treatment forms a viable sterilization method for human vaginal wall tissue, maintaining ECM integrity and achieving effective micro-organism elimination. This method holds potential for clinical application in vaginal transplantation.
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spelling doaj-art-fe1dcf90556f496d914dcdc7adeee76b2025-01-05T12:28:08ZengNature PortfolioScientific Reports2045-23222024-12-0114111410.1038/s41598-024-82409-4A sterilization method for human decellularized vaginal matricesJayson Sueters0Leonie de Boer1Freek Groenman2Judith A. F. Huirne3Theo H. Smit4Sebastian A. J. Zaat5Department of Gynaecology, Amsterdam UMC – Location VUmcDepartment of Medical Microbiology and Infection Prevention, Amsterdam UMC – Location AMCDepartment of Obstetrics and Gynecology, Amsterdam Reproduction and Development, Amsterdam UMC – Location VUmcDepartment of Gynaecology, Amsterdam UMC – Location VUmcDepartment of Gynaecology, Amsterdam UMC – Location VUmcDepartment of Medical Microbiology and Infection Prevention, Amsterdam UMC – Location AMCAbstract Vaginal reconstruction is necessary for various congenital and acquired conditions, including vaginal aplasia, trauma, tumors, and gender incongruency. Current surgical and non-surgical treatments often result in significant complications. Decellularized vaginal matrices (DVMs) from human tissue offer a promising alternative, but require effective sterilization to ensure safety and functionality. This study aimed to develop a sterilization method for decellularized human vaginal wall scaffolds. Based on our previously implemented decellularization technique with minor modifications, we designed and examined three sterilization methods consisting of (i) chemical decellularization, (ii) decellularization with additional peracetic acid/hydrogen peroxide (PAA/H2O2); (iii) decellularization with antibiotic and antimycotic (AAE) based treatment. Sterilization efficacy was evaluated through controlled contamination with common vaginal microbes and sterility testing subsequent to each sterilization method. The extracellular matrix (ECM) structure was assessed via histological staining. Decellularization alone reduced some added bacterial contaminants but did not achieve complete sterilization. PAA/H2O2-sterilization resulted in severe ECM damage, rendering it unsuitable. The AAE-treatment demonstrated effective sterilization without compromising the ECM structure. Combined decellularization and AAE-based treatment forms a viable sterilization method for human vaginal wall tissue, maintaining ECM integrity and achieving effective micro-organism elimination. This method holds potential for clinical application in vaginal transplantation.https://doi.org/10.1038/s41598-024-82409-4DecellularizationSterilization methodVaginaHuman acellular matrix
spellingShingle Jayson Sueters
Leonie de Boer
Freek Groenman
Judith A. F. Huirne
Theo H. Smit
Sebastian A. J. Zaat
A sterilization method for human decellularized vaginal matrices
Scientific Reports
Decellularization
Sterilization method
Vagina
Human acellular matrix
title A sterilization method for human decellularized vaginal matrices
title_full A sterilization method for human decellularized vaginal matrices
title_fullStr A sterilization method for human decellularized vaginal matrices
title_full_unstemmed A sterilization method for human decellularized vaginal matrices
title_short A sterilization method for human decellularized vaginal matrices
title_sort sterilization method for human decellularized vaginal matrices
topic Decellularization
Sterilization method
Vagina
Human acellular matrix
url https://doi.org/10.1038/s41598-024-82409-4
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