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Updated: Jun 10, 2026

Immobilization of Multi-biocatalysts in Alginate Beads for Cofactor Regeneration and Improved Reusability
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Reuse of the ReCell Enzyme Does Not Decrease the Density of Spray Cell Suspension While Significantly Reducing Costs.

Derek M Culnan1,2, Alexandria Gudeman2, Jay Coates3

  • 1Mississippi Burn, Hand, and Reconstruction Center, Mississippi Baptist Medical Center, Jackson, MS, United States.

Journal of Burn Care & Research : Official Publication of the American Burn Association
|June 9, 2026
PubMed
Summary
This summary is machine-generated.

Repeatedly using the enzyme from one Spray Cell Suspension (SCS) kit for skin grafting significantly reduces costs without impacting cell yield or graft outcomes. This cost-effective method saves hospitals substantial amounts.

Keywords:
burnsdecreasing costsskin graftingspray cell suspension

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Area of Science:

  • Regenerative Medicine
  • Biotechnology
  • Dermatology

Background:

  • Spray Cell Suspension (SCS) is a common method for skin grafting.
  • The high cost of specialized kits for SCS presents a significant financial burden.
  • Exploring cost-effective alternatives for SCS preparation is crucial for widespread adoption.

Purpose of the Study:

  • To evaluate the feasibility and cost-effectiveness of repeatedly using the enzyme from a single ReCell kit for Spray Cell Suspension (SCS).
  • To assess the impact of repeated enzyme use on cell counts, graft outcomes, and hospital charges.
  • To determine if enzyme reuse affects the quality and efficacy of SCS in skin grafting.

Main Methods:

  • One ReCell kit enzyme was reused across multiple skin grafting surgeries (9 surgeries, 6 patients).
  • Cell dosage was meticulously counted, and clinical outcomes were tracked.
  • Statistical analyses (linear regression, ANOVA, Student's T-test) were employed to assess cell density and differences in enzyme use.

Main Results:

  • No significant decrease in cell density was observed with repeated enzyme use (up to 14 biopsies).
  • Clinical outcomes showed 95% wound closure within 7-21 days, with no compromise due to enzyme reuse.
  • The reuse of one enzyme prevented the purchase of 19 ReCell kits, saving approximately $130,625 in one month.

Conclusions:

  • Repeated use of the SCS enzyme is a safe, feasible, and cost-effective strategy for augmenting skin grafting.
  • This approach significantly reduces hospital expenditures without compromising therapeutic efficacy.
  • Enzyme reuse offers a practical solution to the high cost associated with SCS preparation.