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Small Intestinal Submucosa Wound Matrix
» Small Intestinal Submucosa Wound Matrix is a biologically derived, collagen-based wound care product, translucent and off-white in color. It is obtained from the small intestinal submucosa layer of the domestic pig (Sus scrofa L.). This layer has been mechanically separated from the adjoining layers of the intestine to remove the serosal, mucosal, and muscular elements. The isolated submucosa is chemically cleaned, decellularized, freeze-dried, and terminally sterilized. Small Intestinal Submucosa Wound Matrix also undergoes a viral inactivation; the inactivation method is validated using parvovirus, reovirus, pseudorabies virus, and leukemia retrovirus as the test viruses. By dried weight, Small Intestinal Submucosa Wound Matrix consists of about 70 percent protein, about 20 percent carbohydrate, and about 7 percent lipid. The protein component is primarily collagen type I (approximately 90 percent), with minor amounts of elastin and collagen type III, collagen type IV, and collagen type VI. In addition to these components, additional extracellular matrix components, such as glycosaminoglycans and basic fibroblast growth factor, are also retained.
Packaging and storage
Package in single-use, peel-open pouches that are gas permeable for sterilization purposes. Store under clean, dry conditions at 25
Labeling
The package is labeled to indicate the dimensions of the enclosed Small Intestinal Submucosa Wound Matrix, the expiry date, required storage conditions, and the lot number. The label indicates that the Wound Matrix is sterile if the package is intact, and that the Wound Matrix is designed for single patient, one-time use.
USP Reference standards
USP Endotoxin RS
USP Authentic visual references
USP Cultured Rat Pheochromocytoma Reference Photomicrographs. These photomicrographs represent examples of normal and differentiated rat pheochromocytoma cells and are used to assist in ascertaining bioactivity.
Bacterial endotoxins
Sterility
Fibroblast growth factor-2 content
Sterile PBS solution
Prepare a sterile solution that contains 8065.0 mg and 200.0 mg of sodium chloride and potassium chloride, respectively, per L of 0.01 M sodium phosphate buffer, pH 7.4.
Test solution
Obtain a 1-cm2 sample of Small Intestinal Submucosa Wound Matrix, weigh, and submerge in 400 µL of Sterile PBS solution. Pulverize the tissue for 90 seconds using a tissue grinder, intermittently checking to be sure the tissue remains immersed in the Sterile PBS solution and becomes homogenized. Centrifuge at 12,000 × g for 5 minutes at 4
Procedure
Examine duplicate aliquots of the Test solution by a suitably sensitive ELISA method:1 the analysis is considered valid if the ELISA kit generates a linear standard curve with the square of the correlation coefficient (r2) not less than 0.95, and if the duplicate aliquots of the Test solution yield results that are within 20% of each other. The average content of fibroblast growth factor-2 is not less than 10,000 pg per g of Small Intestinal Submucosa Wound Matrix.
Glycosaminoglycan content
1,9-Dimethylmethylene blue solution
Mix 95 mL of 0.1 M hydrochloric acid in 500 mL of water. Add 16 mg of 1,9-dimethylmethylene blue, 3.04 g of aminoacetic acid, and 2.37 g of sodium chloride. Dilute with water to 1 L, and adjust to a pH of 3.0 using sterile solutions of either 1.0 M sodium hydroxide or 1.0 M hydrochloric acid. Store in low-actinic glassware.
Sterile PBS solution
Prepare as directed under Fibroblast growth factor-2 content.
Proteinase K solution
Prepare a solution of Tritirachium album proteinase K in water having an activity of 600 units per mL.
Stock heparin standard solution
Prepare a solution containing 1 mg of heparin per mL of water.
Heparin standard curve solutions
Using the Stock heparin standard solution, prepare three solutions containing 20 µg per mL, 50 µg per mL, and 100 µg per mL of heparin, respectively.
Blank solution
Use water.
Test solution
Prepare test samples in duplicate. Accurately weigh about 25 mg of Small Intestinal Submucosa Wound Matrix and cut into small pieces (roughly 2 mm × 2 mm). Transfer to a 1.5-mL microcentrifuge tube, and add 180 µL of Sterile PBS solution and 20 µL of Proteinase K solution. Mix, and incubate the sample at 56
Collagen control solution
Accurately weigh about 25 mg of a bovine collagen, type I, that contains less than 1 µg of glycosaminoglycan per mg. Transfer to a 1.5-mL microcentrifuge tube, and add 180 µL of Sterile PBS solution and 20 µL of Proteinase K solution. Mix, and incubate the sample at 56
Procedure (see Spectrophotometry and Light-Scattering
Metabolic activity assessment
Dulbecco's modified Eagle's tissue culture medium
Prepare a solution that contains the components included in the following Table 1:
Table 1
MTT reagent
Use a suitable solution of 3-(4,5-dimethylthiazol-2yl)-2,5-diphenyl tetrazolium bromide.2
Detergent reagent
Use a suitable sodium dodecyl sulfate detergent solution.3
Procedure
Remove three 12-mm diameter circular sections of Small Intestinal Submucosa Wound Matrix, using the appropriate size biopsy punch. Immerse each section into individual wells of a 12-well cell culture plate (dimension of each well is about 22 to 23 mm in diameter and about 17 to 18 mm in depth), each containing 1 mL of Dulbecco's modified Eagle's tissue culture medium. Prepare a positive control by harvesting a full-thickness section of porcine jejunum immediately following slaughter. Rinse the section of jejunum in 37
Bioactivity
[noteAseptic cell culture techniques should be employed throughout the performance of this test. ]
Modified RPMI-1640 culture medium
Prepare a sterile solution that contains the components included in the following Table 2:
Table 2
Penicillinstreptomycin solution
Prepare a suitable buffered solution containing 10,000 USP Penicillin Units of penicillin per mL and 10 mg of streptomycin per mL.4
PC12 cell line culture medium
Mix 420 mL of Modified RPMI-1640 culture medium, 50 mL of horse serum,5 25 mL of fetal bovine serum,6 and 5 mL of Penicillinstreptomycin solution. Sterilize by passing through a 0.22-µm filter.
Sterile PBS solution
Prepare as directed under Fibroblast growth factor-2 content.
Rat tail collagen solution
Prepare a suspension containing 0.2 mg per mg of rat tail collagen, type I, in sterile water.
Cell culture apparatus
Prepare by adding a sufficient volume of Rat tail collagen solution to completely cover the bottom of each well of a 12-well cell culture plate (dimension of each well is about 22 to 23 mm in diameter and about 17 to 18 mm in depth). Incubate under sterile conditions for 2 hours at 37
PC12 cells
Use cultured rat pheochromocytoma cells (ATCC CRL-1721).
Cultivation of PC12 cells
Starting from a frozen culture, prewarm PC12 cell line culture medium to 37
Cell feeding
At the end of 3 days, the cells will need to be fed for optimal growth. To feed the cells, remove a flask of cells from the incubator, tightening the cap in the process. Examine the T-75 flask under the microscope and check for microbial contamination and confluency. If there is microbial contamination, then discard the flask. If the cells appear confluent, follow the instructions below for perpetuating the PC12 cell line (see Culture perpetuation). Otherwise, harvest the cells from the flask by pipeting the contents of the flask across the bottom of the flask several times. Transfer the cell suspension to a sterile 50-mL centrifuge tube. Centrifuge the cells at 200 × g for 5 minutes at 37
Culture perpetuation
To perpetuate a line of PC12 cells for culture, examine under the microscope a T-75 flask containing cells and check for microbial contamination and confluency. If there is microbial contamination, discard the flask and use another. If the cells do not appear confluent, then follow the instructions above for feeding the PC12 cell line (see Cell feeding), beginning with Otherwise, harvest the cells from the flask by pipeting the contents of the flask across the bottom of the flask several times. If the cells are confluent and there is no contamination, harvest the cells from the flask by pipeting the contents of the flask across the bottom of the flask several times to loosen up the cells from their attachment to the bottom of the flask and to break up cell clusters. Check under the microscope prior to proceeding to ensure that most of the cells have detached from the plastic. Transfer the cell suspension to a sterile 50-mL centrifuge tube, and centrifuge the cells at 200 × g for 5 minutes at 37
Positive control solution
Prepare a solution containing about 10 ng of fibroblast growth factor-2 per mL of PC12 cell line culture medium.
Negative control solution
Use PC12 cell line culture medium.
Test solution
Immerse 70 cm2 of Small Intestinal Submucosa Wound Matrix in sterile water for 5 minutes. Remove the Small Intestinal Submucosa Wound Matrix, and blot excess water using sterile gauze. Weigh the rehydrated Small Intestinal Submucosa Wound Matrix to the nearest 0.1 g and add Modified RPMI-1640 culture medium at a ratio of 7.5 mL of Modified RPMI-1640 culture medium for each 1.0 g of Small Intestinal Submucosa Wound Matrix. Incubate for 24 hours at 37
Procedure
Harvest a flask of confluent PC12 cells by centrifuging at 200 × g for 5 minutes. Remove the supernatant by aspiration, and resuspend the pellet to obtain a concentration of about 1 × 106 cells per mL of PC12 cell line culture medium. Add to each of three wells of the Cell culture apparatus 1.0 mL of Negative control solution. To a second set of three wells add to each 1.0 mL of Positive control solution, and to a third set of three wells add to each 1.0 mL of Test solution. Add to each well about 20,000 cells, mix by gentle rocking, and incubate for 48 hours at 37
1
A suitably sensitive ELISA test kit for the quantitation can be obtained from R&D Systems Inc., 614 McKinley Place N.E., Minneapolis, MN (www.bioscience.org/company/r&d.htm); product number DFB50.
2
A suitable solution of 3-(4,5-dimethylthiazol-2yl)-2,5-diphenyl tetrazolium bromide can be obtained from American Type Culture Collection, P.O. Box 1549, Manassas, VA (www.atcc.org).
3
A suitable sodium dodecyl sulfate detergent reagent can be obtained from American Type Culture Collection, P.O. Box 1549, Manassas, VA (www.atcc.org).
4
A suitable buffered solution containing 10,000 USP Penicillin Units of penicillin per mL and 10 mg streptomycin per mL can be obtained from Sigma-Aldrich Corp., St. Louis, MO (www.sigma-aldrich.com).
5
A suitable horse serum can be obtained from American Type Culture Collection, P.O. Box 1549, Manassas, VA (www.atcc.org).
6
A suitable fetal bovine serum can be obtained from American Type Culture Collection, P.O. Box 1549, Manassas, VA (www.atcc.org).
Auxiliary Information
Please check for your question in the FAQs before contacting USP.
USP35NF30 Page 5043
Pharmacopeial Forum: Volume No. 30(5) Page 1652
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