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生物聚合 3D 打印植入式支架作为急性术后疼痛管理的一种潜在辅助治疗方法。

Biopolymeric 3D printed implantable scaffolds as a potential adjuvant treatment for acute post-operative pain management.

机构信息

School of Pharmacy, Queen's University Belfast, Belfast, UK.

Janssen Pharmaceutica, Oral Solids Development (OSD) Research & Development Department, Beerse, Belgium.

出版信息

Expert Opin Drug Deliv. 2024 Nov;21(11):1651-1663. doi: 10.1080/17425247.2024.2336492. Epub 2024 Mar 30.

DOI:10.1080/17425247.2024.2336492
PMID:38555481
Abstract

BACKGROUND

Pain is characterized as a major symptom induced by tissue damage occurring from surgical procedures, whose potency is being experienced subjectively, while current pain relief strategies are not always efficient in providing individualized treatment. 3D printed implantable devices hold the potential to offer a precise and customized medicinal approach, targeting both tissue engineering and drug delivery.

RESEARCH DESIGN AND METHODS

Polycaprolactone (PCL) and PCL - chitosan (CS) composite scaffolds loaded with procaine (PRC) were fabricated by bioprinting. Geometrical features including dimensions, pattern, and infill of the scaffolds were mathematically optimized and digitally determined, aiming at developing structurally uniform 3D printed models. Printability studies based on thermal imaging of the bioprinting system were performed, and physicochemical, surface, and mechanical attributes of the extruded scaffolds were evaluated. The release rate of PRC was examined at different time intervals up to 1 week.

RESULTS

Physicochemical stability and mechanical integrity of the scaffolds were studied, while in vitro drug release studies revealed that CS contributes to the sustained release dynamic of PRC.

CONCLUSIONS

The printing extrusion process was capable of developing implantable devices for a local and sustained delivery of PRC as a 7-day adjuvant regimen in post-operative pain management.

摘要

背景

疼痛是手术引起的组织损伤所导致的主要症状,其强度是主观感受的,而目前的止痛策略并不总是能有效地提供个体化治疗。3D 打印植入式设备有可能提供精确和定制的药物治疗方法,针对组织工程和药物输送。

研究设计与方法

聚己内酯(PCL)和 PCL-壳聚糖(CS)复合支架负载普鲁卡因(PRC)通过生物打印制造。支架的几何特征,包括尺寸、图案和填充,进行了数学优化和数字确定,旨在开发结构均匀的 3D 打印模型。基于生物打印系统的热成像进行了打印性能研究,并评估了挤出支架的物理化学、表面和机械性能。在长达 1 周的不同时间间隔内检查了 PRC 的释放率。

结果

研究了支架的物理化学稳定性和机械完整性,而体外药物释放研究表明 CS 有助于 PRC 的持续释放动力学。

结论

打印挤出过程能够开发出用于局部和持续输送 PRC 的植入式设备,作为术后疼痛管理的 7 天辅助治疗方案。

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