Decellularized small intestine for burn wound treatment: a tissue engineering paradigm shift?

Introduction: Burn injuries are a significant global health issue, causing approximately 11 million injuries and 180,000 fatalities each year (1). Beyond physical trauma, burn injuries lead to complications such as infections and sepsis. Burn scars can also diminish quality of life by affecting joint mobility and daily activities (2,3). Conventional dressings and autografts have limitations, necessitating novel treatment strategies (4). Decellularized xenografts, particularly from porcine small intestine (SI), offer a promising alternative due to their content of growth factors and structural proteins essential for wound healing (5,6). Preserving these bioactive molecules while ensuring cost-effectiveness requires carefully designed decellularization processes. This study investigates a new decellularization protocol aimed at creating a safe and highly preserved extracellular matrix (ECM) from porcine SI for optimal functional wound dressing. Conclusion: Our results indicate that the protocol implemented effectively preserves essential ECM components and structure while removing cellular contaminants. The material demonstrates anisotropic preserved mechanical properties, adequate swelling capacity, and WTVR similar to skin. The treated samples present biocompatibility, as they do not hinder human fibroblast metabolic activity. This innovative strategy presents a promising approach to produce preserved ECM that could be further process to become a solution for wound healing and tissue regeneration, particularly in challenging cases like burns. Future research will focus on enhancing its antibacterial and anti-inflammatory properties to further improve its efficacy as a dressing for challenging wounds.