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Setting up a Tissue Bank in India: The Tata Memorial Hospital Experience

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Abstract

In India, the procurement of tissues for transplantation is governed by the Transplantation of Human Organs Act, 1994. However, although this law exists, it is primarily applied to organ transplantation and rules and regulations that are specific to tissue banking have yet to be developed.

The Tata Memorial Hospital (TMH) Tissue Bank was started in 1988 as part of an International Atomic Energy Agency (IAEA) programme to promote the use of ionising radiation for the sterilisation of biological tissues. It represents the Government of India within this project and was the first such facility in the country. It is registered with the Health Services Maharashtra State and provides lyophilised amnion, dura mater, skin and bone that have been terminally sterilised with exposure to 25 kGy of gamma radiation from a Cobalt 60 source. These are obtained either from cadavers or live donors.

To date the TMH Tissue Bank has provided 6328 allografts for use as biological dressings or in various reconstructive procedures.

The TMH Tissue Bank has helped initiate a Tissue Bank at the Defence Laboratory (DL), Jodhpur. At present these are the only two Banks in the country using radiation for terminal sterilisation of banked tissues.

The availability of safe, clinically useful and cost effective grafts have resulted in changes in surgical treatment with a concomitant increase in demand for grafts and an interest in developing more tissue banks. The availability of donor tissue however, continues to be a major limitation.

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References

  • Bapat CV and Kothary PM (1974) Preliminary report on acceleration on wound healing by amnion membrane graft. Indian J Med Res 62(9): 1342-1346

    Google Scholar 

  • Boyne PJ (1968) Review of the literature on cryopreservation of bone. Cryobiology 4: 341-357

    Google Scholar 

  • Buck B, Malinin T and Brown M (1989) Bone Transplantation and human immunodeficiency virus: An estimate of risk acquired immnodeficiency syndrome (AIDS). Clin Orthop 240: 129-134

    Google Scholar 

  • Burwell RG, Gowland G and Dexter F (1963) Studies in the transplantation of bone: VI. Further observations concerning the antigenicity of homologous cortical and cancellous bone. J Bone Joint Surg Br 45: 597-608

    Google Scholar 

  • Conrad EU, Ericksen DP, Tencer AF et al. (1993) The effects of freeze-drying and rehydration on cancellous bone. Clin Orthop 290: 279-284

    Google Scholar 

  • Conrad EU, Gretch DR, Obermeyer KR et al. (1995) Transmission of the Hepatitis-C virus by tissue transplantation. J Bone Joint Surg 77A(2): 214-224

    Google Scholar 

  • Conway B and Tomford WW (1992) Radiosensitivity of human immunodeficiency virus type 1. Clin Infect Diseases 14: 978-979

    Google Scholar 

  • Conway B, Tomford W, Mankin HJ, Hirsch MS and Schooley RT (1991a) Radiosensitivity of HIV-1: Potential application to sterilisation of bone allografts. AIDS 5(5): 608-609

    Google Scholar 

  • Conway B, Tomford W, Mankin H, Hirsch MS, Shooley RT (1991b) Radiosensitivity of HIV-1. Potential application to sterilisation of bone allografts. AIDS 5: 608-609

    Google Scholar 

  • Currey JD, Foreman J, Laketic I et al. (1997) Effects of ionising radiation on the mechanical properties of human bone. J Orthop Res 15: 111-117

    Google Scholar 

  • Dhall K (1984) Amnion graft for treatment of congenital absence of the vagina. Brit J Obstet Gynaecol 91: 279-282

    Google Scholar 

  • Diringer H and Braig H (1989) Infectivity of conventional viruses in dura mater. Lancet 1: 439-440

    Google Scholar 

  • Dixit R (2002) Times of India, 24 Jan

  • Dziedzic-Goclawska A and Stachowicz W (1997) Sterilisation of tissue allografts. In: Phillips GO, von Versen R, Strong DM and Nather A (eds) Advances in Tissue Banking, Vol 1, pp 261-321, World Scientific, Singapore

    Google Scholar 

  • Fideler BM, Vangsness CT, Moore T, Zhiliang Li and Rasheed S (1994) Effects of gamma irradiation on the human immunodefi-ciency virus. J Bone Joint Surg 76A(7): 1032-1035

    Google Scholar 

  • Gadre C (2002) Organ Donation Newsletter, Year 1, February, Issue 2

  • Gajiwala K and Lobo Gajiwala A (2003a) Evaluation of lyophilised, gamma-irradiated amnion as a biological dressing. Cell and Tissue Banking (to be published)

  • Gajiwala K and Lobo Gajiwala A (2003b) Use of banked tissue in plastic surgery. Cell and Tissue Banking 4: 141-146

    Google Scholar 

  • Godette GA, Kopta JA and Egle DM (1996) Biomechanical effects of gamma irradiation on fresh frozen allografts in vivo. Orthopedics 19: 649-653

    Google Scholar 

  • Hamer AJ, Stockley I, Elson RA (1999) Changes in allograft bone irradiated at different temperatures. J Bone Joint Surg (Br) 81-B: 342-344

    Google Scholar 

  • Hamer AJ, Strachan JR, Black MM et al. (1996) Biomechanical properties of cortical allograft bone using a new method of bone strength measurement: A comparison of fresh, fresh-frozen and irradiated bone. J Bone joint Surg (Br) 78: 363-368

    Google Scholar 

  • Hernigou Ph, Gras G, Marinello G and Dormont D (2000) Influence of irradiation on the risk of transmission of HIV in bone grafts obtained from appropriately screened donors and followed by radiation sterilisation. Cell Tissue Banking 1: 279-289

    Google Scholar 

  • IAEA (1970) Sterilisation and preservation of biological tissues by ionising radiation, International Atomic Energy Agency, Vienna

    Google Scholar 

  • IAEA (1973) The radiation sterilisation of medical and biological materials, Technical Report Series No. 149, International Atomic Energy Agency, Vienna

    Google Scholar 

  • Jerosch J, Granrath M, Clahsen H et al. (1994) Effects of various rehydration periods on the stability and water content of bone transplants following freeze-drying, gamma sterilization and lipid extraction [article in German]. Z Orthop Ihre Grenzgeb 132: 335-341

    Google Scholar 

  • Kamdar S (2002) Times of India, 20 June

  • Kang JS and Kim NH (1995) The biomechanical properties of deep freezing and freeze drying bones and their biomechanical changes after in-vivo allograft. Yonsei Med J 36: 332-335

    Google Scholar 

  • Kearney JN and Lomas RJ (1997) The osteoinductive properties of demineralised bone matrix grafts. In: Phillips GO, von Versen R, Strong DM and Nather A (eds) Advances in Tissue Banking, Vol 1, pp 43-71, World Scientific, Singapore

    Google Scholar 

  • Khadtale A (1997) Evaluation of freeze-dried, irradiated bone allografts in sinus lift procedure for implants. M.D.S. (Oral and Maxillofacial Surgery) Dissertation, Mumbai University

  • Kumar A, Singh R, Chouhan US and Chacharkar MP (2003) Radiation processed amniotic membrane in the treatment of nonhealing ulcers of different etiologies. Cell Tissue Banking (to be published)

  • Kumar A, Singh, R, Dass P, Chauhan US and Pawan K (2000) Microbiological studies and applications of radiation sterilised human amniotic membrane. NAC 2000, Mumbai, March 2000, 189-191

  • Lobo Gajiwala A, Agarwal M, Puri A, D'lima C and Dugal A (2003a) Reconstructing tumour defects: Lyophilised, irradiated bone allografts. Cell and Tissue Banking 4: 109-118

    Google Scholar 

  • Lobo Gajiwala A and Shah A (2003) Clinical evaluation of freezedried dura mater allograft as a collagen based barrier in periodontal osseous defects. Cell and Tissue Banking 4: 101-107

    Google Scholar 

  • Lobo Gajiwala A and Sharma V (2003) Use of irradiated amnion as a biological dressing in the treatment of radiation induced ulcers. Cell and Tissue Banking 4: 147-150

    Google Scholar 

  • Lobo Gajiwala A, Trivdei V and Deshpande S (2003b) The use of irradiated allografts in posterior spinal fusion for healed tubercular kyphosis in children. Cell and Tissue Banking 4: 119-123

    Google Scholar 

  • Martin LS, Mcdougal JS and Loskoski SL (1985) Disinfection and inactivation of the human T-lymphotrophic virus type III/ lymphadenopathy-associated virus. J Infect Dis 152: 400-403

    Google Scholar 

  • Mathur K, Gill SS, Dhillon MS and Nagi ON (1994) Role of formalin preserved allograft in fresh fractures with communition. Contemp Ortho 28(4): 338-345

    Google Scholar 

  • Mc Dougal JS, Martin LS, Cart SP et al. (1985) Thermal inactivation of the acquired immunodeficiency syndrome virus human T-lymphotrophic virus III/antihemophilic factor. J Clin Invest 76: 875-877

    Google Scholar 

  • Mehta JB (1995) Eye Donation and Eye Banking in India, 2nd edition, Bhaichand M. Mehta Charitable Trust, Mumbai, pp 16-21, 35-40

    Google Scholar 

  • Mellonig JT, Prewett AB and Moyer MP (1992) HIV inactivation in a bone allograft. J Periodontal 63(12): 979-983

    Google Scholar 

  • Nagi ON, Dhillon MS, Reddy VRM and Mathur K (1997) Comparison of formalin preserved bone allograft in the form of a paste and as bone chips in fresh femoral fractures with comminution. Singapore Med J. 38: 62-67

    Google Scholar 

  • Parekh S (1990) Clinical evaluation of freeze-dried dura mater as a gingival graft material. M.D.S. (Periodontics) Dissertation, Mumbai University

  • Parulkar D (1998) A comparative evaluation of soft tissue wound healing after third molar surgery with and without the use of a bone allograft. M.D.S. (Oral and Maxillofacial Surgery) Dissertation, Mumbai University

  • Patel S (2001) Comparative evaluation of guided tissue regeneration with the use of collagen based barrier, freeze-dried duramater allograft (FDDMA), for mandibular class II furcation defects: A comparative controlled clinical study. M.D.S. (Periodontics) Dissertation, Gujarat University

  • Pelker RR, Friedlaender GE, Markham TC et al. (1984) Effects of freezing and freeze-drying on the biomechanical properties of rat bone. J Orthop Res 1: 405-411

    Google Scholar 

  • Pelker RR, Mckay J Jr., Troiano N et al. (1989) Allograft incorporation: A biochemical evaluation in a rat model. J Orthop Res 7: 585-589

    Google Scholar 

  • Prewett A, O'Leary R and Harrell J (1991) Kinetic evaluation of the penetration of ethanol solutions containing virucidal agents through mid-diaphyseal cortical bone, Osteotech Tech Rept. Shrewsbury, NJ, Osteotech Inc.

    Google Scholar 

  • Pruss A, Kao M, Gohs U, Koscielny J, von Versen R and Pauli G (2002) Effect of gamma irradiation on human cortical bone transplants contaminated with enveloped and non-enveloped viruses. Biologicals 30: 125-133

    Google Scholar 

  • Ramani PS (1989) Posterior Lumbar Interbody Fusion, Associated Personnel Services Publication, pp 133-135

  • Ramkumar P (1998) Medivision, April 19, p. 15

  • Resnick L, Veren K, Salahuddin Z, Tondreau S and Markham P (1986) Stability and inactivation of HTLV-III/LAV under clinical and laboratory environments. JAMA 255(14): 1887-1891

    Google Scholar 

  • Roushdy HM, El-Bazza ZE, Abu-Shady MR, Shihab A and El-Hifnawi HMN (1999) Radiation sterilisation off human amniotic membranes applicable in wound treatment and plastic surgery. Egypt J Biomed Sci 4: 183-194

    Google Scholar 

  • Scarborough NL, White EM, Hughes JV et al. (1995) Allograft safety: Viral inactivation with bone demineralisation. Contemp Orthop 31: 1-4

    Google Scholar 

  • Simonds RJ, Scott D, Holmberg R, Hurwitz T, Coleman S, Bottenfield L, Conley J, Kohlenberg S, Castro K, Dahan B, Schable C, Rayfield M and Rogers M (1992) Transmission of human immunodeficiency virus type 1 from a seronegative organ and tissue donor. N Engl J Med (Mar 12), 726-732

  • Singh P (2002) What ails cadaveric transplant programs in India: Perspectives of a transplant coordinator. Progr Transplantation. 12(1): 49-51

    Google Scholar 

  • Singh R, Gupta P, Kumar P, Kumar A and Chacharkar MP (2003) Properties of air dried radiation processed amniotic membranes under different storage conditions. Cell Tissue Banking 4: 95-100

    Google Scholar 

  • Sinha R (1990) Amniotic membrane in the treatment of burn injury. Indian J Surg (January) 11-17

  • Spire B, Barre-Sinoussi F and Dormont D et al. (1985) Inactivation of lymphadenopathy-associated virus by heat, gamma rays, and ultraviolet light. Lancet 1: 188-189

    Google Scholar 

  • Sridhar MS, Bansal AK and Rao GN (2002) Multilayered amniotic membrane transplantation for partial thickness scleral thinning following pterygium surgery. Eye 16: 639-642

    Google Scholar 

  • Sridhar MS, Bansal AK, Virender SS and Rao GN (2001) Amniotic membrane transplantation in acute chemical and thermal injury. Am J Ophthalmol 130: 134-137

    Google Scholar 

  • Sridhar MS, Virender SS, Bansal AK and Rao GN (2000) Amniotic membrane transplantation in the management of shield ulcers of vernal keratoconjunctivitis. Ophthalmology 108: 1218-1222

    Google Scholar 

  • Subrahmanyam M (1994) Honey-impregnated gauze versus amniotic membrane in the treatment of burns. Burns 20(4): 331-333

    Google Scholar 

  • Subrahmanyam M (1995) Amniotic membrane as a cover for microskin grafts. Brit J Plast Surg 48: 477-478

    Google Scholar 

  • Tomford WW (1999) Bone banking: Update on methods and materials. Orthop Clin Am 30(4): 565-570

    Google Scholar 

  • Triantafyllou N, Sotiropoulous E and Triantafyllou JN (1975) The mechanical properties of lyophilised and irradiated bone grafts. Acta Orthop Belg 41(Suppl 1): 35-44

    Google Scholar 

  • Urist MR, Dowell TA, Hay PH et al. (1968) Inductive substrates for bone formation. Clin Orthop 59: 59-96

    Google Scholar 

  • Vishwakarma GK and Khare AK (1986) Amniotic arthroplasty for tuberculosis of the hip: A preliminary clinical study. J Bone Joint Surg 68B(1): 68-74

    Google Scholar 

  • Voggenreiter G, Ascheri R, Blumel G et al. (1994) Effects of preservation and sterilization on cortical bone grafts: A scanning electron microscopic study. Arch Orthop Trauma Surg 113: 294-296

    Google Scholar 

  • Yim CJ (1999) Biology of demineralised bone and its clinical use. In: Phillips GO, von Versen R, Strong DM and Nather A (eds) Advances in Tissue Banking, Vol 3, pp 87-111, World Scientific, Singapore

    Google Scholar 

  • Yousof N (1999) Quality system for the radiation sterilisation of tissue grafts. In: Phillips GO, Strong DM, von Versen R and Nather A (eds) Advances in Tissue Banking, Vol 3, pp 257-281, World Scientific, Singapore

    Google Scholar 

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Gajiwala, A. Setting up a Tissue Bank in India: The Tata Memorial Hospital Experience. Cell Tissue Banking 4, 193–201 (2003). https://doi.org/10.1023/B:CATB.0000007026.00604.97

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