Kim Song-Yi, Aryal Susmita, Yun Wan Su, Kim Woo Cheol, Moon Suk-Bae, Chae Gi-Bong, Key Jaehong, Kim Seongyup
Department of Surgery, Chungnam National University Sejong Hospital, Sejong, Korea.
Department of Biomedical Engineering, Yonsei University, Wonju, Korea.
Biomed Eng Lett. 2023 Apr 29;13(3):505-514. doi: 10.1007/s13534-023-00282-y. eCollection 2023 Aug.
The aim of this study is to investigate the potential impact of catheterization on intimal hyperplasia and explore the efficacy of Paclitaxel loaded PLGA nanoparticles (PTX-NPs) in preventing stenosis at the site of venous injury. Under general anesthesia, Central Venous Catheters were inserted into the rat's right internal jugular veins (IJV) using the cut-down technique. Twenty bare catheters (C) and twenty PTX-NPs coated catheters (P) were assigned to one of four groups (C2, C4, P2, or P4) based on catheter type and expected survival time. 2 or 4 weeks after surgery, IJVs were completely harvested by formalin fixation and gelatin infusion and slides were stained with H&E (Haematoxylin and Eosin) and Masson's technique. The P2 (Paclitaxel coating, 2 weeks) group showed the most proliferation among the four groups and the P4 (Paclitaxel coating, 4 weeks) showed a tendency to decrease proliferation. Additionally, the lumen size in the P4 group was about 6% smaller than in the P2 group, and there was a lower prevalence of stenotic grade in the P4 group. Our study suggests that PTX-NPs coated catheters may be effective in preventing venous stenosis if the intended usage is prolonged, rather than for a short-term period.
Schematic representation of catheter functionalization and coating of PTX-NPs on Catheter.
The online version contains supplementary material available at 10.1007/s13534-023-00282-y.
本研究的目的是调查导管插入术对内膜增生的潜在影响,并探索载有紫杉醇的聚乳酸-羟基乙酸共聚物纳米颗粒(PTX-NPs)在预防静脉损伤部位狭窄方面的疗效。在全身麻醉下,采用切开法将中心静脉导管插入大鼠右颈内静脉(IJV)。根据导管类型和预期存活时间,将20根裸导管(C)和20根PTX-NPs涂层导管(P)分配到四组(C2、C4、P2或P4)之一。术后2或4周,通过福尔马林固定和明胶灌注完全采集IJV,并将切片用苏木精和伊红(H&E)染色以及采用马松氏染色法。P2组(紫杉醇涂层,2周)在四组中显示出最明显的增殖,而P4组(紫杉醇涂层,4周)显示出增殖有减少的趋势。此外,P4组的管腔尺寸比P2组小约6%,且P4组狭窄分级的发生率较低。我们的研究表明,如果预期使用时间延长而非短期使用,PTX-NPs涂层导管可能对预防静脉狭窄有效。
导管功能化及PTX-NPs在导管上涂层的示意图。
在线版本包含可在10.1007/s13534-023-00282-y获取的补充材料。