Sikora-Jasinska Malgorzata, Morath Lea M, Kwesiga Maria P, Plank Margaret E, Nelson Alexia L, Oliver Alexander A, Bocks Martin L, Guillory Roger J, Goldman Jeremy
Department of Biomedical Engineering, Michigan Technological University, USA.
Department of Biomedical Engineering and Physiology, Mayo Clinic Graduate School of Biomedical Sciences, USA.
Bioact Mater. 2021 Nov 18;14:262-271. doi: 10.1016/j.bioactmat.2021.11.005. eCollection 2022 Aug.
Biodegradable stents have tremendous theoretical potential as an alternative to bare metal stents and drug-eluting stents for the treatment of obstructive coronary artery disease. Any bioresorbable or biodegradable scaffold material needs to possess optimal mechanical properties and uniform degradation behavior that avoids local and systemic toxicity. Recently, molybdenum (Mo) has been investigated as a potential novel biodegradable material for this purpose. With its proven moderate degradation rate and excellent mechanical properties, Mo may represent an ideal source material for clinical cardiac and vascular applications. The present study was performed to evaluate the mechanical performance of metallic Mo and the biodegradation properties . The results demonstrated favorable mechanical behavior and a uniform degradation profile as desired for a new generation ultra-thin degradable endovascular stent material. Moreover, Mo implants in mouse arteries avoided the typical cellular response that contributes to restenosis. There was minimal neointimal hyperplasia over 6 months, an absence of excessive smooth muscle cell (SMC) proliferation or inflammation near the implant, and avoidance of significant harm to regenerating endothelial cells (EC). Qualitative inspection of kidney sections showed a potentially pathological remodeling of kidney Bowman's capsule and glomeruli, indicative of impaired filtering function and development of kidney disease, although quantifications of these morphological changes were not statistically significant. Together, the results suggest that the products of Mo corrosion may exert beneficial or inert effects on the activities of inflammatory and arterial cells, while exerting potentially toxic effects in the kidneys that warrant further investigation.
作为治疗阻塞性冠状动脉疾病的裸金属支架和药物洗脱支架的替代品,可生物降解支架具有巨大的理论潜力。任何生物可吸收或可生物降解的支架材料都需要具备最佳的机械性能和均匀的降解行为,以避免局部和全身毒性。最近,钼(Mo)已被研究作为一种潜在的新型可生物降解材料用于此目的。凭借其已被证实的适度降解速率和优异的机械性能,钼可能代表临床心脏和血管应用的理想原材料。本研究旨在评估金属钼的机械性能和生物降解特性。结果表明,作为新一代超薄可降解血管内支架材料,钼具有良好的机械性能和理想的均匀降解特性。此外,钼植入小鼠动脉可避免导致再狭窄的典型细胞反应。在6个月内,内膜增生极少,植入物附近没有过度的平滑肌细胞(SMC)增殖或炎症,并且避免了对再生内皮细胞(EC)的重大损害。对肾脏切片的定性检查显示肾小囊和肾小球可能存在病理性重塑,表明过滤功能受损和肾脏疾病的发展,尽管这些形态学变化的量化在统计学上并不显著。总之,结果表明钼腐蚀产物可能对炎症细胞和动脉细胞的活动产生有益或惰性影响,而在肾脏中可能产生潜在毒性作用,这值得进一步研究。
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