PMID- 31692126 OWN - NLM STAT- MEDLINE DCOM- 20210608 LR - 20210608 IS - 1399-3089 (Electronic) IS - 0908-665X (Linking) VI - 27 IP - 2 DP - 2020 Mar TI - Decellularized pig pulmonary heart valves-Depletion of nucleic acids measured by proviral PERV pol. PG - e12565 LID - 10.1111/xen.12565 [doi] AB - BACKGROUND: Decellularized human pulmonary heart valve (dhHV) scaffolds have been shown to be the gold standard especially for younger, adolescent patients. However, human heart valves are limited in availability. Xenogeneic decellularized pig heart valves (dpHV) may serve as alternative. METHODS: The efficacy of DNA reduction processes upon decellularization of heart valves from German Landrace pigs was analyzed by measurements of remaining nucleic acids including proviral porcine endogenous retrovirus (PERV) sequences. Porcine pulmonary heart valves (pPHV) were decellularized by three different protocols and further treated with DNaseI or Benzonase, at varying incubation times. DNA isolated from valve associated muscle (m), valve cusp (c), and pulmonary artery (pa) was monitored by PCR and qRT-PCR using GAPDH and the PERV polymerase (pol) for read-out. RESULTS: Decellularization of pPHV led to a significant reduction of DNA (>99%) which could be further significantly increased for (m) and (pa) by nuclease treatment, reducing proviral PERV pol from approximately 5 x 10(7) to 5 x 10(3) copies/mg in nuclease treated tissues. CONCLUSIONS: Both nucleases demonstrated comparable activities. But DNaseI revealed to be less consistent for PERV, especially at muscular tissue. Noteworthy, remaining proviral sequences are still detectable by PCR; however, due to the absence of the cellular replication machinery the production of infectious particles is not expected. Decellularization and nuclease treatment of pPHV is an efficient procedure to reduce the DNA content including PERV, thus represents a valuable option to increase virus safety independently from the source animal background. CI - (c) 2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. FAU - Godehardt, Antonia W AU - Godehardt AW AD - Division of Medical Biotechnology, Paul-Ehrlich-Institut, Langen, Germany. FAU - Ramm, Robert AU - Ramm R AUID- ORCID: 0000-0002-8556-116X AD - Leibniz Research Laboratories for Biotechnology and Artificial Organs (LEBAO), Hannover Medical School, Hannover, Germany. FAU - Gulich, Barbara AU - Gulich B AD - Division of Medical Biotechnology, Paul-Ehrlich-Institut, Langen, Germany. FAU - Tonjes, Ralf R AU - Tonjes RR AUID- ORCID: 0000-0001-8727-1935 AD - Division of Medical Biotechnology, Paul-Ehrlich-Institut, Langen, Germany. FAU - Hilfiker, Andres AU - Hilfiker A AD - Leibniz Research Laboratories for Biotechnology and Artificial Organs (LEBAO), Hannover Medical School, Hannover, Germany. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20191106 PL - Denmark TA - Xenotransplantation JT - Xenotransplantation JID - 9438793 RN - 0 (Nucleic Acids) SB - IM MH - Animals MH - Bioprosthesis/adverse effects MH - Cell Line MH - Endogenous Retroviruses/*pathogenicity MH - Heart Valve Prosthesis/*virology MH - Heart Valves/*pathology MH - Nucleic Acids/*metabolism MH - Proviruses/*pathogenicity MH - Swine MH - Transplantation, Heterologous/adverse effects OTO - NOTNLM OT - PERV OT - virus safety OT - xenogeneic decellularized heart valve EDAT- 2019/11/07 06:00 MHDA- 2021/06/09 06:00 CRDT- 2019/11/07 06:00 PHST- 2019/06/19 00:00 [received] PHST- 2019/10/04 00:00 [revised] PHST- 2019/10/13 00:00 [accepted] PHST- 2019/11/07 06:00 [pubmed] PHST- 2021/06/09 06:00 [medline] PHST- 2019/11/07 06:00 [entrez] AID - 10.1111/xen.12565 [doi] PST - ppublish SO - Xenotransplantation. 2020 Mar;27(2):e12565. doi: 10.1111/xen.12565. Epub 2019 Nov 6.