用于冠状动脉支架的电纺生物可吸收聚合物膜。

IF 4.3 3区 工程技术 Q1 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Frontiers in Bioengineering and Biotechnology Pub Date : 2024-08-21 eCollection Date: 2024-01-01 DOI:10.3389/fbioe.2024.1440181
Maria A Rezvova, Evgeny A Ovcharenko, Kirill Yu Klyshnikov, Tatiana V Glushkova, Alexander E Kostyunin, Daria K Shishkova, Vera G Matveeva, Elena A Velikanova, Amin R Shabaev, Yulia A Kudryavtseva
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引用次数: 0

摘要

经皮冠状动脉介入治疗是动脉粥样硬化性冠状动脉病变的常见治疗方法,但偶尔也会导致穿孔,从而增加死亡率。涂有生物可吸收聚合物膜的支架可为封堵冠状动脉穿孔提供有效的解决方案。此外,这种涂层还能有效减轻血管腔内的新内膜增生,并矫正有症状的动脉瘤。本研究对聚己内酯、聚二噁烷酮、聚乳酸-共己内酯和聚乳酸-共聚乙二醇通过电纺丝制造的聚合物膜进行了研究。在单轴拉伸测试中,所有材料似乎都超过了理论推导出的支架部署所需的伸长阈值,但聚二氧杂蒽酮膜在实验性球囊扩张过程中会发生崩解。体外血液相容性测试显示,聚乳酸-共聚己内酯膜与其他受评聚合物相比,血栓形成率更高,而聚乳酸-共聚乙二醇样本在植入大鼠腹主动脉后的第一天内就失效了。PCL 膜在渗透性测试中表现出明显的漏水现象。对机械测试、生物和血液兼容性以及生物降解动力学的综合评估表明,基于聚乳酸-共己内酯和聚二氧杂环戊烯的膜和混合物比其他聚合物组更具优势。这些研究结果为在大型实验动物中进行支架配置的临床前研究奠定了基础框架,同时也强调了在密切模拟临床使用的条件下进行进一步研究是得出明确结论的当务之急。
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Electrospun bioresorbable polymer membranes for coronary artery stents.

Percutaneous coronary intervention, a common treatment for atherosclerotic coronary artery lesions, occasionally results in perforations associated with increased mortality rates. Stents coated with a bioresorbable polymer membrane may offer an effective solution for sealing coronary artery perforations. Additionally, such coatings could be effective in mitigating neointimal hyperplasia within the vascular lumen and correcting symptomatic aneurysms. This study examines polymer membranes fabricated by electrospinning of polycaprolactone, polydioxanone, polylactide-co-caprolactone, and polylactide-co-glycolide. In uniaxial tensile tests, all the materials appear to surpass theoretically derived elongation thresholds necessary for stent deployment, albeit polydioxanone membranes are found to disintegrate during the experimental balloon expansion. As revealed by in vitro hemocompatibility testing, polylactide-co-caprolactone membranes exhibit higher thrombogenicity compared to other evaluated polymers, while polylactide-co-glycolide samples fail within the first day post-implantation into the abdominal aorta in rats. The PCL membrane exhibited significant water leakage in the permeability test. Comprehensive evaluation of mechanical testing, bio- and hemocompatibility, as well as biodegradation dynamics shows the advantage of membranes based on and the mixture of polylactide-co-caprolactone and polydioxanone over other polymer groups. These findings lay a foundational framework for conducting preclinical studies on stent configurations in large laboratory animals, emphasizing that further investigations under conditions closely mimicking clinical use are imperative for making definitive conclusions.

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来源期刊
Frontiers in Bioengineering and Biotechnology
Frontiers in Bioengineering and Biotechnology Chemical Engineering-Bioengineering
CiteScore
8.30
自引率
5.30%
发文量
2270
审稿时长
12 weeks
期刊介绍: The translation of new discoveries in medicine to clinical routine has never been easy. During the second half of the last century, thanks to the progress in chemistry, biochemistry and pharmacology, we have seen the development and the application of a large number of drugs and devices aimed at the treatment of symptoms, blocking unwanted pathways and, in the case of infectious diseases, fighting the micro-organisms responsible. However, we are facing, today, a dramatic change in the therapeutic approach to pathologies and diseases. Indeed, the challenge of the present and the next decade is to fully restore the physiological status of the diseased organism and to completely regenerate tissue and organs when they are so seriously affected that treatments cannot be limited to the repression of symptoms or to the repair of damage. This is being made possible thanks to the major developments made in basic cell and molecular biology, including stem cell science, growth factor delivery, gene isolation and transfection, the advances in bioengineering and nanotechnology, including development of new biomaterials, biofabrication technologies and use of bioreactors, and the big improvements in diagnostic tools and imaging of cells, tissues and organs. In today`s world, an enhancement of communication between multidisciplinary experts, together with the promotion of joint projects and close collaborations among scientists, engineers, industry people, regulatory agencies and physicians are absolute requirements for the success of any attempt to develop and clinically apply a new biological therapy or an innovative device involving the collective use of biomaterials, cells and/or bioactive molecules. “Frontiers in Bioengineering and Biotechnology” aspires to be a forum for all people involved in the process by bridging the gap too often existing between a discovery in the basic sciences and its clinical application.
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