Abstract:Objective: To compare the histological, immunological, and biomechanical characteristics of decellularized porcine aortic valve scaffold created by 3 different decellularization protocols and to search for a more suitable technique for creating aeellular tissue-engineered cardiac valve conduit. Methods: Porcine aortic valve leaflets and whole aortic roots were deeellularized by 3 different protocols. Decellularization procedure in group Ⅰ involved treatment with 0.01% trypsin, 1% Triton, and nuclease for 24 h; that in group Ⅱ involved treatment with 0.01% trypsin (8 h), 1% DCA, and nuclease for 24 h; and that in group Ⅲ involved treatment with 1% DCA and nuclease for 32 h. All the treatments were conducted during continuous shaking at 37℃. Porcine aortic valve leaflets and whole aortic roots treated with PBS were taken as control. The deeellularization efficiencies of each protocol were assessed by H-E staining, scanning electron microscopy, and transmission electron microscopy. The biomechanical features of the acellular valve matrices were examined by stress-strain tests and tensile strength tests. The immunogenicity and inflarfimatory responses of the decellularized matrices, valve leaflets, and aortic wall were investigated by subcutaneous implantation of them in rats. Results: The native ceils in porcine aortic valve leaflets and aortic roots were completely removed in group Ⅱ , which was superior to group Ⅰ and Ⅲ. The values of elasticity modulus and ultimate tensile strength (UTS) of groupⅡ were greater than those in group Ⅰ ([5.77±0. 951 MPa vs [4.15±1.13] MPa and [7.82± 1.51] MPa vs [4.65±0.85] MPa, respectively; P〈0.05). The extension ratios at 1.5 MPa and at rupture in group Ⅱ were less than those in group Ⅰ ([0.33±0.04] vs [-0.41±0. 091 and [-0.45±0. 021 vs [-0.60±0. 06]; P〈0.05), but the extension ratio at rupture was similar to that of fresh porcine aortic valves ( [0.45±0.02] vs ([-0.46±0.03]). Histological analysis showed only slight inflammatory responses in grouplland the host cells grew into the matrix, rebuilding the acellular matrices gradually. Conclusion: Decellularization using 8-hour pretreatment with 0. 01% trypsin, followed by 24 hours incubation with 1% DCA plus nuclease is effective and convenient; it not only removes the cells but also decreases the immunogenicity of the aortic valve matrices, making the product an excellent material for tissue-engineered cardiac valve conduit.