Suitability of placental tissues for wound care and surgical applications: inherent properties
Research has demonstrated that placental tissue has a number of properties that make it an attractive option for use in the management of wounds and in compromised surgical sites. Placental tissue is:
Anti-inflammatory
Causing a shift to an anti-inflammatory phenotype, which promotes healing. Mechanisms involved include suppression of key pro-inflammatory cytokines eg, IL-1α and -β and TNF-α; presence of matrix metalloproteinase inhibitors and high expression of anti-inflammatory cytokines such as IL-10
Anti-scarring
Stimulating tissue reconstruction rather than scar tissue formation with the downregulation of TGF-β and its receptor on fibroblasts
Anti-adhesive
Preventing adhesion formation due to the control of inflammation and rapid tissue healing
Anti-microbial
Preventing infections by acting as a physical barrier to bacteria and producing antimicrobial peptides, eg, β-defensins
Pro-angiogenic
Promoting healing by promoting endothelial cell migration and proliferation and increasing capillary density due to presence of growth factors (VEGF, bFGF)
- Banerjee J, Dhall S. Therapeutic benefits of treating chronic diabetic wounds with placental membrane allografts. In: Bagchi D, Das A, Roy S, eds. Wound Healing, Tissue Repair and Regeneration. Academic Press, Cambridge, MA, USA 2020:323–335.
- Dhall S, Coksaygan T, Hoffman T, et al. Viable cryopreserved umbilical tissue (vCUT) reduces post-operative adhesions in a rabbit abdominal adhesion model. Bioact Mater. 2018;4:97–106.
- Duan-Arnold Y, Uveges TE, Gyurdieva A, Johnson A, Danilkovitch A. Angiogenic potential of cryopreserved amniotic membrane is enhanced through retention of all tissue components in their native state. Adv Wound Care (New Rochelle). 2015;4(9):513–522.
- Duan-Arnold Y, Gyurdieva, Johnson A, Uveges TE, Jacobstein DA, Danilkovitch A. Retention of endogenous viable cells enhances the ani-inflammatory activity of cryopreserved amnion. Adv Wound Care (New Rochelle). 2015;4(9):523–533.
- Mao Y, Singh-Varma A, Hoffman T, Dhall S, Danilkovitch A, Kohn J. The effect of cryopreserved human placental tissues on biofilm formation of wound-associated pathogens. J Funct Biomater. 2018;9(1):E3.
- Nikjaed H, Habibollah P, Jorjani M, Ahmadiani A, Ghanavi J, Seifalian AM. Properties of the amniotic membrane for potential use in tissue engineering. Eur Cell Mater. 2008;15:88–99.
- Silini AR, Cargnoni A, Magatti M, Pianta S, Parolini O. The long path of human placenta and its derivatives, in regeneration medicine. Front Bioeng Biotechnol. 2015;3:162.
- Witherel CE, Yu T, Concannon M, Dampier W, Spiller KL. Immunomodulatory effects of human cryopreserved viable amniotic membrane in a pro-inflammatory environment in vitro. Cell Mol Bioeng. 2017;10(5):451–462.