Serpelloni Stefano, Williams Michael Ellis, Caserta Sergio, Sharma Shashank, Rahimi Maham, Taraballi Francesca
Center for Musculoskeletal Regeneration, Houston Methodist Academic Institute, Houston, Texas 77030-2707, United States.
Department of Electronics, Information and Bioengineering (DEIB), Politecnico di Milano, Milan 20133, Italy.
ACS Omega. 2024 Feb 28;9(10):11701-11717. doi: 10.1021/acsomega.3c08113. eCollection 2024 Mar 12.
As the population ages, the number of vascular surgery procedures performed increases. Older adults often have multiple comorbidities, such as diabetes and hypertension, that increase the risk of complications from vascular surgery including vascular graft infection (VGI). VGI is a serious complication with significant morbidity, mortality, and healthcare costs. Here, we aimed to develop a nanofibrous chitosan-based coating for vascular grafts loaded with different concentrations of the vancomycin antibiotic vancomycin (VAN). Blending chitosan with poly(vinyl alcohol) or poly(ethylene oxide) copolymers improved solubility and ease of spinning. Thermal gravimetric analysis and Fourier transform infrared spectroscopy confirmed the presence of VAN in the nanofibrous membranes. Kinetics of VAN release from the nanofibrous mats were evaluated using high-performance liquid chromatography, showing a burst followed by sustained release over 24 h. To achieve longer sustained release, a poly(lactic--glycolic acid) coating was applied, resulting in extended release of up to 7 days. Biocompatibility assessment using human umbilical vein endothelial cells demonstrated successful attachment and viability of the nanofiber patches. Our study provides insights into the development of a drug delivery system for vascular grafts aimed at preventing infection during implantation, highlighting the potential of electrospinning as a promising technique in the field of vascular surgery.
随着人口老龄化,血管外科手术的数量不断增加。老年人通常患有多种合并症,如糖尿病和高血压,这增加了血管外科手术并发症的风险,包括血管移植物感染(VGI)。VGI是一种严重的并发症,具有较高的发病率、死亡率和医疗成本。在此,我们旨在开发一种基于纳米纤维壳聚糖的血管移植物涂层,该涂层负载不同浓度的万古霉素抗生素万古霉素(VAN)。将壳聚糖与聚乙烯醇或聚环氧乙烷共聚物混合可提高溶解性和纺丝的便利性。热重分析和傅里叶变换红外光谱证实了纳米纤维膜中存在VAN。使用高效液相色谱法评估了VAN从纳米纤维垫中的释放动力学,结果显示先是有一个突释,随后在24小时内持续释放。为了实现更长时间的持续释放,应用了聚乳酸-乙醇酸涂层,导致释放延长至7天。使用人脐静脉内皮细胞进行的生物相容性评估表明,纳米纤维贴片成功附着且具有活力。我们的研究为开发用于血管移植物的药物递送系统以防止植入期间感染提供了见解,突出了静电纺丝作为血管外科领域一种有前景技术的潜力。