Shanghai Frontiers Science Center of Advanced Textiles, College of Textiles, Donghua University, Shanghai 201620, China.
Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 201620, China.
J Control Release. 2024 Aug;372:251-264. doi: 10.1016/j.jconrel.2024.06.046. Epub 2024 Jun 24.
Drug-loaded porous membranes have been deemed to be effective physicochemical barriers to separate postoperative adhesion-prone tissues in tendon healing. However, cell viability and subsequent tissue regeneration might be severely interfered with the unrestricted release and the locally excessive concentration of anti-inflammatory drugs. Herein, we report a double-layered membrane with sustained and uni-directional drug delivery features to prevent peritendinous adhesion without hampering the healing outcome. A vortex-assisted electrospinning system in combination with ibuprofen (IBU)-in-water emulsion was utilized to fabricate IBU-loaded poly-ʟ-lactic-acid (PLLA) fiber bundle membrane (PFB-IBU) as the anti-adhesion layer. The resultant highly porous structure, oleophilic and hydrophobic nature of PLLA fibers enabled in situ loading of IBU with a concentration gradient across the membrane thickness. Aligned collagen nanofibers were further deposited at the low IBU concentration side of the membrane for regulating cell growth and achieving uni-directional release of IBU. Drug release kinetics showed that the release amount of IBU from the high concentration side reached 79.32% at 14 d, while it was only 0.35% at the collagen side. Therefore, fibroblast proliferation at the high concentration side was successfully inhibited without affecting the oriented growth of tendon-derived stem cells at the other side. In vivo evaluation of the rat Achilles adhesion model confirmed the successful peritendinous anti-adhesion of our double-layered membrane, in that the macrophage recruitment, the inflammatory factor secretion and the deposition of pathological adhesion markers such as α-SMA and COL-III were all inhibited, which greatly improved the peritendinous fibrosis and restored the motor function of tendon.
载药多孔膜被认为是一种有效的物理化学屏障,可以将术后易粘连的组织分离,从而促进肌腱愈合。然而,抗炎药物的无限制释放和局部过高浓度会严重干扰细胞活力和随后的组织再生。在此,我们报告了一种具有持续和单向药物输送功能的双层膜,可防止肌腱周围粘连,同时不影响愈合效果。我们利用涡旋辅助静电纺丝系统结合布洛芬(IBU)-水乳液,制备了载有 IBU 的聚 L-乳酸(PLLA)纤维束膜(PFB-IBU)作为防粘连层。所得 PLLA 纤维具有高度多孔结构、亲油性和疏水性,能够在膜厚度方向上原位加载 IBU,并形成浓度梯度。进一步在膜的低 IBU 浓度侧沉积取向胶原纳米纤维,以调节细胞生长并实现 IBU 的单向释放。药物释放动力学表明,IBU 从高浓度侧的释放量在 14 天达到 79.32%,而在胶原侧仅为 0.35%。因此,成功抑制了高浓度侧成纤维细胞的增殖,而不会影响另一侧肌腱衍生干细胞的定向生长。大鼠跟腱粘连模型的体内评价证实了我们双层膜的成功腱周防粘连效果,即巨噬细胞募集、炎症因子分泌以及病理性粘连标志物 α-SMA 和 COL-III 的沉积均受到抑制,从而大大改善了腱周纤维化并恢复了肌腱的运动功能。
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