E. Pokorna et al., Y chromosome and vimentin used to trace the fate of allogeneic keratinocytes delivered to the wound by the recombined human/pig skin, FOL BIOL, 47(4), 2001, pp. 128-134
RHPS, composed of confluent allogeneic keratinocytes cultured on cell-free
pig dermis, stimulates wound healing when applied with the keratinocyte lay
er facing the wound. So far it has not been clarified whether the confluent
keratinocytes implanted 'upside-down' can 'take' or only stimulate healing
by producing growth factors. Confluent male keratinocytes were grafted ont
o donor sites of three female patients. Biopsies were taken on days 4, 6 an
d 9 after grafting. The fate of donor cells was followed in paraffin sectio
ns by FISH for the Y chromosome and by persisting expression of vimentin ta
ken as a marker of cultured keratinocytes. Histological evaluation was comp
lemented by detection of keratin 10 and involucrin. All three donor sites h
ealed within one week. On day 4 the early neoepidermis was multilayered but
disordered after transplantation. A large proportion of cells were apparen
tly of donor origin as indicated by the presence of Y chromosomes, irregula
r morphology, expression of vimentin in the bottom and upper layers of the
neoepidermis, and by irregular expression of involucrin and keratin 10 only
in the central layer of the neoepidermis. From day 6 onwards, the new epid
ermis acquired an ordered stratification. Involucrin and keratin 10 renewed
normal distribution in suprabasal layers. Concomitantly, vimentin expressi
on was decreasing. The Y chromosome was still found on day 6 but not on day
9. We concluded that confluent allogeneic keratinocytes temporarily 'take'
to the wound and contribute to rapid wound closure, being replaced by the
patient's epidermal cells after about one week.