CELL SUSPENSION AND USE THEREOF
The present invention provides for methods and devices suitable for producing a transplantable cellular suspension of living tissue suitable for promoting tissue regeneration in an epithelium-related procedure, as well as compositions produced therefrom. The cellular suspension can include viable and functioning cells at various stages of differentiation, including undifferentiated/progenitor cells and differentiated cells, as well as those in between. In certain embodiments, the cellular suspension can be subjected to a stress to induce a heat shock response therein, or be exposed to an exogenously supplied agent such as heat shock protein or a fragment thereof, hyaluronic acid, platelet-enriched plasma, and/or growth factors. The cellular suspension can be applied directly to a patient's recipient site for in vivo regeneration, or be cultured or seeded to a matrix for in vitro growth/regeneration.
1 - 49 . (canceled)
50 . A method for treating a chronic wound in skin of a patient, comprising:
preparing an autologous cell suspension without in vitro culturing; and
administering the cell suspension to the chronic wound of the patient to promote tissue regeneration at the chronic wound.
51 . The method of claim 50 , wherein the chronic wound is a chronic ulcer.
52 . The method of claim 51 , wherein the chronic ulcer is a diabetic ulcer.
53 . The method of claim 51 , wherein the chronic ulcer is at least one selected from the group consisting of a venous ulcer, an arterial ulcer, and a mixed arterio-venous ulcer.
54 . The method of claim 50 , wherein the chronic wound is at least one selected from the group consisting of a neuropathic ulcer and a pressure sore.
55 . The method of claim 50 , wherein preparing the autologous cell suspension comprises obtaining a skin tissue sample from the patient, collecting a population of cells from the skin tissue sample, and mixing the population of cells with a nutrient solution to create the autologous cell suspension.
56 . The method of claim 55 , wherein collecting the population of cells comprises exposing the skin tissue sample to an enzyme to dissociate cellular layers in the skin tissue sample.
57 . The method of claim 56 , wherein the enzyme comprises trypsin or trypsin-EDTA.
58 . The method of claim 56 , wherein the enzyme comprises at least one selected from the group consisting of dispase, collagenase, thermolysin, pronase, hyaluronidase, elastase, papain, and pancreatin.
59 . The method of claim 55 , wherein collecting the population of cells comprises performing at least one selected from the group consisting of: scraping, mincing, cutting, perfusing, and grinding.
60 . The method of claim 55 , wherein the population of cells comprises viable cells from an epidermal layer and a dermal layer from the skin tissue sample.
61 . The method of claim 60 , wherein the population of cells comprises keratinocytes, melanocytes, and fibroblasts.
62 . The method of claim 55 , wherein the nutrient solution comprises at least one of Hartmann's solution and physiological saline.
63 . The method of claim 55 , wherein preparing the cell suspension further comprises exposing the population of cells to at least one exogenous agent.
64 . The method of claim 63 , wherein the at least one exogenous agent comprises platelet-enriched plasma.
65 . The method of claim 63 , wherein the at least one exogenous agent comprises at least one selected from the group consisting of: hyaluronic acid, heat shock proteins, growth factors, cytokines, and adipose stem cells.
66 . The method of claim 65 , wherein the heat shock proteins comprise at least one selected from the group consisting HSP90 and HSP90α.
67 . The method of claim 65 , wherein the growth factors comprise at least one selected from the group consisting of angiopoietins, epidermal growth factor, transforming growth factor-α, transforming growth factor-β, hepatocyte growth factor, vascular endothelial growth factor, platelet derived growth factor, fibroblast growth factor 1, fibroblast growth factor 2, insulin-like growth factor 1, insulin-like growth factor 2, connective tissue growth factor, and keratinocyte growth factor.
68 . The method of claim 50 , wherein administering the cell suspension is performed peri-operatively.
69 . The method of claim 50 , wherein administering the cell suspension comprise at least one selected from the group consisting of spraying, dripping, spreading, pipetting, painting, and injecting the cell suspension.