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A TEMPOL and rapamycin loaded nanofiber-covered stent favors endothelialization and mitigates neointimal hyperplasia and local inflammation.

作者信息

Wang Rui, Lu Jian, Yin Jiasheng, Chen Han, Liu Hongmei, Xu Fei, Zang Tongtong, Xu Rende, Li Chenguang, Wu Yizhe, Wu Qilin, Fei Xiang, Zhu Meifang, Shen Li, Ge Junbo

机构信息

Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, National Clinical Research Center for Interventional Medicine, Shanghai, China.

Research Unit of Cardiovascular Techniques and Devices, Chinese Academy of Medical Sciences, Shanghai, China.

出版信息

Bioact Mater. 2022 May 11;19:666-677. doi: 10.1016/j.bioactmat.2022.04.033. eCollection 2023 Jan.


DOI:10.1016/j.bioactmat.2022.04.033
PMID:35600979
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9114161/
Abstract

An increased level of reactive oxygen species (ROS) plays a major role in endothelial dysfunction and vascular smooth muscle cell (VSMC) proliferation during in-stent thrombosis and restenosis after coronary artery stenting. Herein, we report an electrospun core-shell nanofiber coloaded with 4-hydroxy-2,2,6,6-tetramethylpiperidine 1-oxyl (TEMPOL) and rapamycin (RAPA) that correspondingly serves as an ROS scavenger and VSMC inhibitor. This system has the potential to improve the biocompatibility of current drug-eluting stent (DES) coatings with the long-term and continuous release of TEMPOL and rapamycin. Moreover, the RAPA/TEMPOL-loaded membrane selectively inhibited the proliferation of VSMCs while sparing endothelial cells (ECs). This membrane demonstrated superior ROS-scavenging, anti-inflammatory and antithrombogenic effects in ECs. In addition, the membrane could maintain the contractile phenotype and mitigate platelet-derived growth factor BB (PDGF-BB)-induced proliferation of VSMCs. results further revealed that the RAPA/TEMPOL-loaded covered stents promoted rapid restoration of vascular endothelium compared with DES and persistently impeded inflammation and neointimal hyperplasia in porcine models.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26cc/9114161/c6114c8c0d6f/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26cc/9114161/c98c77d68ed5/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26cc/9114161/270d8b4182c4/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26cc/9114161/ec64b230ab1c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26cc/9114161/95f68b2a19bd/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26cc/9114161/f719257de4d4/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26cc/9114161/e99c99979cbe/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26cc/9114161/774dfcd2ba78/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26cc/9114161/c6114c8c0d6f/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26cc/9114161/c98c77d68ed5/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26cc/9114161/270d8b4182c4/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26cc/9114161/ec64b230ab1c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26cc/9114161/95f68b2a19bd/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26cc/9114161/f719257de4d4/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26cc/9114161/e99c99979cbe/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26cc/9114161/774dfcd2ba78/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26cc/9114161/c6114c8c0d6f/gr7.jpg

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本文引用的文献

[1]
New Forms of Electrospun Nanofibers Applied in Cardiovascular Field.

Front Cardiovasc Med. 2022-1-21

[2]
A tough nitric oxide-eluting hydrogel coating suppresses neointimal hyperplasia on vascular stent.

Nat Commun. 2021-12-6

[3]
Association Between Stent Implantation and Progression of Nontarget Lesions in a Rabbit Model of Atherosclerosis.

Circ Cardiovasc Interv. 2021-11

[4]
The effect of hypoxia-mimicking responses on improving the regeneration of artificial vascular grafts.

Biomaterials. 2021-4

[5]
Coronary stent CD31-mimetic coating favours endothelialization and reduces local inflammation and neointimal development in vivo.

Eur Heart J. 2021-5-7

[6]
Comparison of Endothelial Barrier Functional Recovery After Implantation of a Novel Biodegradable-Polymer Sirolimus-Eluting Stent in Comparison to Durable- and Biodegradable-Polymer Everolimus-Eluting Stents.

Cardiovasc Revasc Med. 2021-3

[7]
Bioclickable and mussel adhesive peptide mimics for engineering vascular stent surfaces.

Proc Natl Acad Sci U S A. 2020-6-29

[8]
Endothelium-Mimicking Multifunctional Coating Modified Cardiovascular Stents via a Stepwise Metal-Catechol-(Amine) Surface Engineering Strategy.

Research (Wash D C). 2020-4-24

[9]
In Vitro and In Vivo Comparison Study of Electrospun PLA and PLA/PVA/SA Fiber Membranes for Wound Healing.

Polymers (Basel). 2020-4-6

[10]
Burden of Cardiovascular Diseases in China, 1990-2016: Findings From the 2016 Global Burden of Disease Study.

JAMA Cardiol. 2019-4-1

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