Freier Thomas, Kunze Carmen, Nischan Claudia, Kramer Sven, Sternberg Katrin, Sass Marko, Hopt Ullrich T, Schmitz Klaus-Peter
Institute for Biomedical Engineering, University of Rostock, Germany.
Biomaterials. 2002 Jul;23(13):2649-57. doi: 10.1016/s0142-9612(01)00405-7.
For the development of a resorbable gastrointestinal patch, the in vitro degradation of solution-cast films of poly(3-hydroxybutyrate) (PHB), modifications of PHB expected to influence its degradation time, as well a poly(L-lactide) (PLLA) was examined. The molecular weight of pure PHB decreased by one-half after 1 year in buffer solution (pH 7.4, 37 degrees C). Acceleration in molecular weight decrease was observed by blending with atactic PHB, whereas no influence was found with low-molecular weight PHB. Leaching of a water-soluble additive led to a slight acceleration of PHB degradability. In contrast, a deceleration in degradation rate was observed with the addition of a hydrophobic plasticizer. In vitro tests indicated an accelerating effect of pancreatin on PHB degradation, whereas PLLA degradation remained essentially uninfluenced. In comparison to simple hydrolysis, the degradation rate of PHB was accelerated about threefold. From the in vitro results, a PHB/atactic PHB blend was selected for repair of a bowel defect in Wistar rats. A patch film was fabricated by a dipping/leaching method. Twenty-six weeks post-implantation, material remnants were found in only one of four animals. The bowel defects were closed in all cases. It could be assessed that the patch material resists the intestinal secretions for a sufficiently long time but that it finally degrades completely.
为了开发一种可吸收的胃肠道贴片,研究了聚(3-羟基丁酸酯)(PHB)溶液浇铸膜的体外降解、预期会影响其降解时间的PHB改性以及聚(L-丙交酯)(PLLA)。纯PHB在缓冲溶液(pH 7.4,37℃)中放置1年后,分子量降低了一半。与无规立构PHB共混可加速分子量降低,而低分子量PHB则无影响。水溶性添加剂的浸出导致PHB降解性略有加速。相反,添加疏水性增塑剂会导致降解速率减慢。体外试验表明胰蛋白酶对PHB降解有加速作用,而PLLA降解基本不受影响。与简单水解相比,PHB的降解速率加快了约三倍。根据体外实验结果,选择了PHB/无规立构PHB共混物用于修复Wistar大鼠的肠缺损。通过浸渍/浸出法制备了贴片膜。植入26周后,在四只动物中只有一只发现了材料残余物。所有病例的肠缺损均已闭合。可以评估,贴片材料能在足够长的时间内抵抗肠道分泌物,但最终会完全降解。