抗粘连可吸收载吲哚美辛/布比卡因纳米纤维修复肌腱断裂:体外和体内研究。

Anti-Adhesive Resorbable Indomethacin/Bupivacaine-Eluting Nanofibers for Tendon Rupture Repair: In Vitro and In Vivo Studies.

机构信息

Department of Orthopedic Surgery, Bone and Joint Research Center, Chang Gung Memorial Hospital-Linkou, Taoyuan 33305, Taiwan.

Division of Cardiology, Department of Internal Medicine, Chang Gung Memorial Hospital-Linkou, Chang Gung University College of Medicine, Taoyuan 33305, Taiwan.

出版信息

Int J Mol Sci. 2023 Nov 12;24(22):16235. doi: 10.3390/ijms242216235.

Abstract

The treatment and surgical repair of torn Achilles tendons seldom return the wounded tendon to its original elasticity and stiffness. This study explored the in vitro and in vivo simultaneous release of indomethacin and bupivacaine from electrospun polylactide-polyglycolide composite membranes for their capacity to repair torn Achilles tendons. These membranes were fabricated by mixing polylactide-polyglycolide/indomethacin, polylactide-polyglycolide/collagen, and polylactide-polyglycolide/bupivacaine with 1,1,1,3,3,3-hexafluoro-2-propanol into sandwich-structured composites. Subsequently, the in vitro pharmaceutic release rates over 30 days were determined, and the in vivo release behavior and effectiveness of the loaded drugs were assessed using an animal surgical model. High concentrations of indomethacin and bupivacaine were released for over four weeks. The released pharmaceutics resulted in complete recovery of rat tendons, and the nanofibrous composite membranes exhibited exceptional mechanical strength. Additionally, the anti-adhesion capacity of the developed membrane was confirmed. Using the electrospinning technique developed in this study, we plan on manufacturing degradable composite membranes for tendon healing, which can deliver sustained pharmaceutical release and provide a collagenous habitat.

摘要

治疗和手术修复撕裂的跟腱很少能使受伤的跟腱恢复到原来的弹性和硬度。本研究探索了从电纺聚乳酸-聚乙二醇复合膜中同时体外和体内释放吲哚美辛和布比卡因,以评估其修复撕裂的跟腱的能力。这些膜是通过将聚乳酸-聚乙二醇/吲哚美辛、聚乳酸-聚乙二醇/胶原和聚乳酸-聚乙二醇/布比卡因与 1,1,1,3,3,3-六氟-2-丙醇混合到夹层结构复合材料中制成的。随后,测定了 30 天内的体外药物释放率,并使用动物手术模型评估了负载药物的体内释放行为和效果。高浓度的吲哚美辛和布比卡因释放超过四周。释放的药物使大鼠的肌腱完全恢复,纳米纤维复合膜表现出优异的机械强度。此外,还证实了开发的膜具有抗粘连能力。使用本研究中开发的静电纺丝技术,我们计划制造用于肌腱愈合的可降解复合膜,可实现持续的药物释放并提供胶原状的栖息地。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4b5/10671766/121f2511d732/ijms-24-16235-g001.jpg

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