Evidence map›Paper›PMID 41068084›Full record

ArticleBDJ open2025

In vitro and in vivo biocompatibility of a porcine cholecystic extracellular matrix (CECM) membrane for tissue regeneration.

Betcy Thomas, Thomas George Velliavettil, Kanakarajan V Pratheesh, Mekha Grace Varghese, Rani Shine Raju, Yogesh Bharat Dalvi, Sukumaran Anil, Nibu Varghese, Avneesh Chopra, Nebu George Thomas

Abstract read
In one paragraph

Article in BDJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Betcy ThomasDepartment of Periodontology, Pushpagiri College of Dental Sciences, Thiruvalla, Kerala, India.
Thomas George VelliavettilDepartment of Periodontology, Pushpagiri College of Dental Sciences, Thiruvalla, Kerala, India.
Kanakarajan V PratheeshExperimental Pathology, Biomedical Technology Wing, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India.
Mekha Grace VarghesePushpagiri Research Centre, Pushpagiri Institute of Medical Science and Research Centre, Pushpagiri Medical Society, Thiruvalla, Kerala, India.
Rani Shine RajuPushpagiri Research Centre, Pushpagiri Institute of Medical Science and Research Centre, Pushpagiri Medical Society, Thiruvalla, Kerala, India.
Yogesh Bharat DalviPushpagiri Research Centre, Pushpagiri Institute of Medical Science and Research Centre, Pushpagiri Medical Society, Thiruvalla, Kerala, India.ORCID http://orcid.org/0000-0001-7683-3146
Sukumaran AnilDepartment of Dentistry, Oral Health Institute, Hamad Medical Corporation, Doha, Qatar.ORCID http://orcid.org/0000-0002-6440-8780
Nibu VarghesePushpagiri Research Centre, Pushpagiri Institute of Medical Science and Research Centre, Pushpagiri Medical Society, Thiruvalla, Kerala, India.
Avneesh Chopra *Department of Conservative Dentistry and Periodontology, Medizinische Hochschule Brandenburg (MHB) Theodor Fontane, Brandenburg an der Havel, Germany. avneesh.chopra@charite.de.ORCID http://orcid.org/0000-0001-7706-3577
Nebu George Thomas *Department of Periodontology, Pushpagiri College of Dental Sciences, Thiruvalla, Kerala, India. nebugt@gmail.com.ORCID http://orcid.org/0000-0001-8679-7783

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeriodontal disease affects 3.5 billion people globally, resulting in annual treatment costs exceeding $54 billion. Guided tissue regeneration (GTR) membranes are essential for periodontal therapy, but commercially available options often suffer from limitations, including high cost, limited accessibility in resource-limited settings, and suboptimal mechanical properties. This study aimed to develop and characterize a novel porcine cholecystic extracellular matrix (CECM)-based GTR membrane and comprehensively evaluate its physicochemical properties, cytocompatibility, and in vivo biocompatibility compared to the commercially available Healiguide® membrane.

methodsCECM membranes were fabricated through systematic decellularization, lyophilization, and ethylene oxide (ETO) sterilization of porcine gallbladders. Surface characterization was performed using scanning electron microscopy (SEM) with quantitative pore analysis, and biochemical composition was assessed via Fourier Transform Infrared Spectroscopy (FTIR). MTT assays were performed on L929 fibroblast cells to evaluate cytocompatibility. Wound healing capacity was assessed using scratch assays monitored over 72 h. In vivo biocompatibility was evaluated through subcutaneous implantation in Sprague-Dawley rats, with histological analysis performed at 1, 2, 3, and 4 weeks post-implantation.

resultsSEM analysis revealed that CECM membranes exhibited a heterogeneous, multilayered structure with larger average pore sizes compared to Healiguide® (18.2 ± 4.6 µm vs. 12.5 ± 3.2 µm, p < 0.05), facilitating enhanced cellular infiltration. FTIR confirmed the preserved integrity of collagen in both membranes, with CECM showing an enhanced glycoprotein content indicative of retained bioactive components. Cytocompatibility assessment demonstrated excellent cell viability for CECM, showing 97.4 ± 1.6%, 94.2 ± 1.8%, and 90.8 ± 1.4% viability at 20, 50, and 100 µg/mL CECM extracts, respectively. The scratch assay demonstrated superior wound healing capacity for CECM, with significantly enhanced wound closure at 72 h compared to Healiguide® (89.7 ± 6.1% vs. 79.4 ± 5.8%, p < 0.05). Subcutaneous implantation studies confirmed excellent in vivo biocompatibility, with CECM showing lower initial inflammatory response (inflammation score: 2.3 ± 0.5 vs 2.8 ± 0.6 at week 1, p < 0.05), enhanced vascularization (12.3 ± 2.1 vs 9.7 ± 1.8 vessels/hpf at week 3, p < 0.05), and superior tissue integration compared to commercial controls.

conclusionThe porcine CECM membrane demonstrated favorable physicochemical properties, excellent cytocompatibility, enhanced wound healing potential, and superior tissue integration characteristics compared to commercial GTR membranes. These preliminary findings provide a strong scientific foundation supporting the development of the GTR membrane for periodontal regenerative therapy.

Identifiers

PMID41068084
PMCPMC12511280

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.