AMINO AMSA-Indonesia EAMSC 2016 | Page 47

A decellularization protocol generally begins with lysis of the cell membrane using physical treatments or ionic solutions, followed by separation of cellular components from the ECM using enzymatic treatments, solubilization of cytoplasmic and nuclear cellular components using detergents, and finally removal of cellular debris from the tissue. These steps can be coupled with mechanical agitation to increase their effectiveness. Following decellularization, all residual chemicals must be removed to avoid an adverse host tissue response to the chemical. The mechanisms of physical, enzymatic, and chemical decellularization for a whole organ are reviewed in Table 1. The latest breakthrough for human heart construction is using induced pluripotent stem cells (iPSCs) for recelluleriz ][ۈ XZ\