In
this study, we used tissue templating technology to direct human
dermal fibroblasts to biofabricate large-area tissues that closely
emulate the natural dermis. This technology also allowed the new tissues
to promote their own release from the template surface, thus facilitating
their recovery as self-sustained, scaffold-free dermal equivalents
solely comprising human cells and their own extracellular matrix.
The structure and composition of these dermal self-lifting autogenous
tissue equivalents (SLATEs) were evaluated in detail and were shown
to closely correlate to normal tissue function. Specifically, dermal
SLATEs were shown to be composed of a dense collagen-based matrix
interwoven with dermal-characteristic elastic fibers. In addition,
the mechanical properties of these tissues (i.e., robustness, elastic
modulus, and resistance to contraction and enzymatic degradation)
were comparable to those of the natural human dermis. Furthermore,
dermal SLATEs were capable of constituting tissues with a higher-order
complexity by serving as a substrate to support the growth of keratinocytes
into stratified epithelia with distinct layers of differentiation.
This work thus illustrates the great potential of tissue templating
technologies and how these can pave the way for the biofabrication
of easily retrievable, scaffold-free human skin tissues with a structure,
composition, and function suitable for both clinical and nonclinical
applications.