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离子束处理聚氨酯植入物的异物反应。

Foreign Body Reaction to Ion-Beam-Treated Polyurethane Implant.

作者信息

Chudinov Vyacheslav S, Shardakov Igor N, Litvinov Valery V, Solodnikov Sergey Y, Chudinova Elena Y, Kondyurina Irina V, Kondyurin Alexey V

机构信息

Institute of Continuous Media Mechanics, Ural Branch, Russian Academy of Sciences, Perm 614013, Russia.

Therapeutic Faculty, Perm State Medical University, Perm 614990, Russia.

出版信息

Materials (Basel). 2024 Aug 2;17(15):3833. doi: 10.3390/ma17153833.

Abstract

All artificial materials used for implantation into an organism cause a foreign body reaction. This is an obstacle for a number of medical technologies. In this work, we investigated the effect of high-energy ion bombardment on polyurethane for medical purposes and the reaction of body tissues to its insertion into the mouse organism. An analysis of the cellular response and shell thickness near the implant showed a decrease in the foreign body reaction for implants treated with high-energy ions compared to untreated implants. The decrease in the reaction is associated with the activation of the polyurethane surface due to the formation on the surface layer of condensed aromatic clusters with unbonded valences on the carbon atoms at the edges of such clusters and the covalent attachment of the organism's own proteins to the activated surface of the implant. Thus, immune cells do not identify the implant surface coated with its own proteins as a foreign body. The deactivation of free valences at the edges of aromatic structures due to the storage of the treated implant before surgery reduces surface activity and partially restores the foreign body response. For the greatest effect in eliminating a foreign body reaction, it is recommended to perform the operation immediately after treating the implant with high-energy ions, with minimal contact of the treated surface with any materials.

摘要

所有用于植入生物体的人工材料都会引发异物反应。这对许多医疗技术来说都是一个障碍。在这项工作中,我们研究了高能离子轰击对医用聚氨酯的影响以及身体组织对其植入小鼠体内的反应。对植入物附近的细胞反应和外壳厚度的分析表明,与未处理的植入物相比,经高能离子处理的植入物的异物反应有所降低。反应的降低与聚氨酯表面的活化有关,这是由于在表面层形成了带有未键合价态的稠合芳香族簇,这些簇的边缘碳原子上存在未键合价态,并且生物体自身的蛋白质共价附着在植入物的活化表面上。因此,免疫细胞不会将涂有自身蛋白质的植入物表面识别为异物。由于在手术前对处理过的植入物进行储存,芳香结构边缘的自由价态失活,降低了表面活性并部分恢复了异物反应。为了在消除异物反应方面取得最大效果,建议在对植入物进行高能离子处理后立即进行手术,使处理过的表面与任何材料的接触最小化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66c5/11313228/26c73de7c72a/materials-17-03833-g001.jpg

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