An Injectable Decellularized Muscle Matrix for Skeletal Muscle Tissue Engineering and its Mitogenic Properties Jessica A. DeQuach1, Joy E. Lin1, Cynthia Cam1, Diane Hu1 and Karen L. Christman1 1 Department of Bioengineering, University of California, San Diego, La Jolla, CA 92092-0412 Tel: 858-534-9628 E-mail: christman@bioeng.ucsd.edu Summary: Decellularized skeletal muscle matrix is able to self-assemble to form a threedimensional scaffold in situ and when injected into a hindlimb ischemia model is able to promote increased neovascularization and muscle cell recruitment when compared to injectable collagen scaffolds. We have additionally studied in vitro effects of the skeletal muscle matrix as a mitogen for cellular proliferation of skeletal myoblasts. Skeletal muscle injury and other intrinsic myopathies may lead to significant damage that prevents complete regeneration of function. The current clinical approach is to use autologous tissue transfer, or muscle flaps, however the tissue frequently does not transplant well. Using tissue engineering approaches, scaffolds can be placed at the injury site to replace the biological tissue through native cell recruitment. However, many scaffolds do not contain the same complex components that are found in the native tissue, and may be difficult to store and transport. Thus, we have developed a liquid form of skeletal muscle matrix that is derived from decellularized porcine leg muscle, which can be injected to form a fibrous and porous scaffold to fill a defect and may be an off-the-shelf treatment. Our objective was to assess whether the skeletal muscle matrix acts as a mitogen for cellular proliferation of skeletal myoblasts in vitro and to use this material in a hindlimb wound rat model to determine the regenerative effects over time. Skeletal muscle matrix was extracted from porcine leg, and decellularized using detergents. The matrix was then lyophilized and milled to form a powder that was then digested enzymatically to form liquid matrix, further processing by re-lyophilizing the sample allows for long-term storage so that water can be added at a later time to resuspend at a physiological pH. Mass spectroscopy was used to determine protein content and found many collagen types, other fibrous proteins and proteoglycans, and a Blyscan assay detected glycosaminoglycans. Thus, our processed matrix retains components found in native skeletal muscle. Femoral artery resection to create a hind limb wound region in Sprague Dawley rats. One week post injury, 150 μL of 6 mg/ml skeletal muscle matrix or 6 mg/ml of collagen I were injected into the location of muscle injury. Leg muscle was collected, sectioned and stained with H&E to determine major tissue morphology. Immunohistochemistry was used to quantify arteriole formation and muscle cell recruitment. Results demonstrated that arteriole density was greater in the skeletal muscle matrix injection region when compared to collagen. Additionally, more proliferating muscle cells were recruited to the skeletal muscle matrix scaffolds in comparison to the collagen scaffold. Mitogenic properties of skeletal muscle matrix was assessed via dosing the culture medium of C2C12 with skeletal muscle matrix, collagen or pepsin and compared to cells cultured without additives. A picogreen assay was used to quantify double stranded DNA content, which should correlate to cell proliferation. The skeletal muscle matrix, when added into the media demonstrates a mitogenic effect on skeletal myoblasts with a 1.42 fold increase in proliferation compared to growth media (p = 0.03) and a 1.67 fold increase compared with collagen (p = 0.0006) at day 7. Thus we demonstrate that the decellularized skeletal muscle matrix is able to form a scaffold in situ that recruits arteriole formation and muscle cell infiltration, and the matrix fragments are able to affect proliferation of muscle cells in vitro as a mitogenic factor.