Review Article

Application of Bladder Acellular Matrix in Urinary Bladder Regeneration: The State of the Art and Future Directions

Table 1

Agents used in urinary bladder acellular matrix preparation.

TreatmentMain roleExampleAdvantagesDisadvantages

MechanicalForceRemoval of tissue layersScrapping with the use of the scalpelSome tissues like bladder and intestinal submucosa have natural planes of dissection and therefore mechanical force can be used to delaminate the tissue layersNot all tissues can be mechanically treated, because it can disturb the ECM structure

PhysicalTemperature Cell membrane lysisFreezing cyclesEffective when combined with full decellularization protocolApplied alone, would not remove cells completely
PressureHydrostatic pressureEffective for tissues which do not have densely organized ECM, such as liver and lungsUsed alone, would not completely remove the cells

ChemicalAcids and alkalisProtein denaturation,
solubilisation of cells elements, initial nucleic acid infraction
Acetic acid,
peracetic acid,
hydrochloric acid,
sulphuric acid,
paracetic acid ammonium hydroxide,
sodium azide,
sodium deoxycholate
EffectiveNot selective,
possible alternation of ECM constituents: collagen, GAG, growth factors
Hypertonic/hypotonic solutions Cell disruption by the osmotic shock, disruption of DNA-protein interactionTris/HClEfficientDo not effectively remove the cellular residues
Ionic/nonionic detergentsDestroy DNA-protein interactions, lipids, and lipoproteinsTriton X-100
SDS
Effective, destroy lipid-lipid and lipid-protein interaction but keep protein-protein interactionsPossible protein denaturation, loss of GAGs, laminin, and fibronectin
solventsDehydratation
cells lysis
lipids removal
Alcohol,
glycerol,
acetone
EffectivePossible ECM constituent destruction

EnzymaticEnzymesCells rupture
destruction of peptide bonds
destruction of nucleic acids
Trypsin,
DNase/RNase
Targets the residues of nucleic acidsMay remain in the tissue with unknown amount and intensify the immune response of the host tissues

ECM: extracellular matrix; SDS: sodium dodecyl sulphate; GAGs: glycosaminoglycans.