The use of skin explants in Brazil: A scoping review of applications, methodologies and research trends

The ex vivo Human Organotypic Skin Explant Culture (hOSEC) model utilises skin fragments, mainly obtained from plastic surgery procedures, as the primary source of material. The model is used for testing that requires human tissue, and as the basis for various research models. The objectives of the current study were to review, analyse and summarise the published literature on the use of ex vivo human skin explants in experimental studies in Brazil. The literature search was conducted within three databases, using terms related to explants and study location combined with defined eligibility criteria. Sixteen studies were considered eligible for further detailed analysis in the review. The geographical location of these studies was concentrated in the South-Eastern region of Brazil, and demonstrated a prevalence of explants obtained during plastic surgery procedures. Five main focus areas were identified in the studies, namely: disease pathology, cellular ageing, pharmacological testing of cosmetic ingredients, wound healing, and cell culture optimisation - with pathology-focused models being the most common. Despite the search strategy being capable of identifying the diverse characteristics of the studies, the research protocols used in the studies were heterogeneous. This is an intrinsic limitation of the published literature in general, which prevents direct comparisons and hinders reproducibility. Human skin explants were shown to represent versatile tools, with potential for expansion into other areas. The creation and dissemination of standardised methodologies and guidelines for human skin explant-based research are essential. This information, as well as the promotion of the use of such models, will contribute to a reduction in the use of animals in experiments.