Casarin Martina, Todesco Martina, Sandrin Deborah, Romanato Filippo, Bagno Andrea, Morlacco Alessandro, Dal Moro Fabrizio
Department of Surgery, Oncology and Gastroenterology, Giustiniani 2, 35128 Padua, Italy.
L.i.f.e.L.a.b. Program, Consorzio per la Ricerca Sanitaria (CORIS), Veneto Region, Via N. Giustiniani 2, 35128 Padua, Italy.
J Funct Biomater. 2022 Nov 5;13(4):222. doi: 10.3390/jfb13040222.
Among the urinary tract's malignancies, bladder cancer is the most frequent one: it is at the tenth position of most common cancers worldwide. Currently, the gold standard therapy consists of radical cystectomy, which results in the need to create a urinary diversion using a bowel segment from the patient. Nevertheless, due to several complications associated with bowel resection and anastomosis, which significantly affect patient quality of life, it is becoming extremely important to find an alternative solution. In our recent work, we proposed the decellularized porcine small intestinal submucosa (SIS) as a candidate material for urinary conduit substitution. In the present study, we create SIS-based hybrid membranes that are obtained by coupling decellularized SIS with two commercially available polycarbonate urethanes (Chronoflex AR and Chronoflex AR-LT) to improve SIS mechanical resistance and impermeability. We evaluated the hybrid membranes by means of immunofluorescence, two-photon microscopy, FTIR analysis, and mechanical and cytocompatibility tests. The realization of hybrid membranes did not deteriorate SIS composition, but the presence of polymers ameliorates the mechanical behavior of the hybrid constructs. Moreover, the cytocompatibility tests demonstrated a significant increase in cell growth compared to decellularized SIS alone. In light of the present results, the hybrid membrane-based urinary conduit can be a suitable candidate to realize a urinary diversion in place of an autologous intestinal segment. Further efforts will be performed in order to create a cylindrical-shaped hybrid membrane and to study its hydraulic behavior.
在泌尿系统恶性肿瘤中,膀胱癌最为常见:它在全球最常见癌症中排名第十。目前,金标准疗法是根治性膀胱切除术,这导致需要使用患者的一段肠段来进行尿液改道。然而,由于与肠切除和吻合相关的多种并发症会显著影响患者的生活质量,因此寻找替代解决方案变得极为重要。在我们最近的工作中,我们提出将去细胞猪小肠黏膜下层(SIS)作为尿液导管替代的候选材料。在本研究中,我们制备了基于SIS的混合膜,其通过将去细胞SIS与两种市售聚碳酸酯聚氨酯(Chronoflex AR和Chronoflex AR-LT)结合而获得,以提高SIS的机械抗性和不透性。我们通过免疫荧光、双光子显微镜、傅里叶变换红外光谱分析以及机械和细胞相容性测试对混合膜进行了评估。混合膜的制备并未破坏SIS的成分,但聚合物的存在改善了混合构建体的机械性能。此外,细胞相容性测试表明,与单独的去细胞SIS相比,细胞生长显著增加。鉴于目前的结果,基于混合膜的尿液导管可能是替代自体肠段实现尿液改道的合适候选材料。将进一步努力制备圆柱形混合膜并研究其水力行为。