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载阿司匹林的静电纺聚己内酯管状支架:预防血栓形成的潜在小直径血管移植物。

Aspirin-loaded electrospun poly(ε-caprolactone) tubular scaffolds: potential small-diameter vascular grafts for thrombosis prevention.

机构信息

Department of Industrial Engineering, University of Rome "Tor Vergata", INSTM Research Unit Roma Tor Vergata, Via del Politecnico 1, 00133, Rome, Italy.

出版信息

J Mater Sci Mater Med. 2013 Feb;24(2):523-32. doi: 10.1007/s10856-012-4803-3. Epub 2012 Nov 8.

Abstract

Thrombosis is the main cause of failure of small-diameter synthetic vascular grafts when used for by-pass procedures. The development of bioresorbable vascular scaffolds with localized and sustained intra-luminal antithrombotic drug release could be considered a desirable improvement towards a valuable solution for this relevant clinical need. For this aim, we present the fabrication and characterization of aspirin-loaded electrospun poly(ε-caprolactone) tubular scaffolds as a vascular drug-delivery graft. Three different drug concentrations were considered (i.e., 1, 5 or 10 % w/w). Although a fibrous structure was clearly observed for all the collected scaffolds, aspirin content was directly implied in the final microstructure leading to a bimodal fiber diameter distribution and fused fibers at crossing-points (5 or 10 % w/w). Mechanical response highlighted a direct relationship for modulus and stress at break with the aspirin content, while the elongation at break was not remarkably different for the investigated cases. The temporal drug release was strongly dependent from the amount of loaded aspirin, reaching a steady state release after about 50 h. Finally, the adhesion assay confirmed the capability of the electrospun scaffolds to reduce platelet adhesion/aggregation onto aspirin loaded polymeric fibers. Aspirin-loaded electrospun tubular scaffold could represent a feasible candidate to develop a novel bioresorbable drug-releasing graft for small-diameter vessel replacements.

摘要

血栓形成是小直径合成血管移植物在旁路手术中失败的主要原因。具有局部和持续腔内抗血栓药物释放的生物可吸收血管支架的发展可以被认为是朝着解决这一相关临床需求的有价值解决方案的理想改进。为此,我们提出了载阿司匹林的静电纺聚(ε-己内酯)管状支架的制备和表征,作为一种血管药物输送移植物。考虑了三种不同的药物浓度(即 1%、5%或 10%w/w)。尽管所有收集的支架都明显观察到纤维状结构,但阿司匹林含量直接影响最终的微观结构,导致双峰纤维直径分布和在交叉点融合的纤维(5%或 10%w/w)。力学响应表明,模量和断裂应力与阿司匹林含量呈直接关系,而断裂伸长率在研究案例中没有明显差异。药物释放的时间依赖性强烈依赖于负载的阿司匹林的量,大约 50 小时后达到稳定的释放状态。最后,黏附试验证实了静电纺丝支架能够减少血小板在负载阿司匹林的聚合物纤维上的黏附和聚集。载阿司匹林的静电纺管状支架可能是开发用于小直径血管置换的新型生物可吸收药物释放移植物的可行候选物。

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