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一种新型支架血流室系统显示生物可吸收镁支架的血栓形成性降低。

A novel stent flow chamber system demonstrates reduced thrombogenicity of bioresorbable magnesium scaffolds.

机构信息

Institute of Clinical Chemistry and Laboratory Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

German Centre of Cardiovascular Research (DZHK), Partner Site Hamburg, Luebeck, Kiel, Hamburg, Germany.

出版信息

Sci Rep. 2024 Nov 4;14(1):26691. doi: 10.1038/s41598-024-77266-0.

Abstract

Coronary artery disease (CAD) is characterized by narrowing and subsequent blockade of coronary arteries, and imposes a significant health and economic burden. Stent and scaffold devices are introduced in advanced CAD to improve vascular stability and restore blood flow. Although in vitro flow systems like the Chandler loop have been developed to enhance the understanding of interactions between device materials, their coatings, and vascular cells, imaging-based in vitro analysis of device performance is limited. In this study, we established a novel stent flow chamber system designed to assess the thrombogenicity of bioresorbable magnesium scaffold (RMS) and stent materials in vitro. Additionally, we compared the thrombogenicity - an important clinical parameter in stent performance - of the Magmaris-316 L stainless steel stent with its predecessors, Magmaris RMS and a prototype of the third-generation RMS (DREAMS 3G). Analysis of platelet adhesion and coverage of the different devices under flow conditions demonstrated that the Magmaris RMS exhibits reduced thrombogenicity compared to the Magmaris-316 L stainless steel stent. Moreover, thrombogenicity of the DREAMS 3G prototype, composed of BIOmag material, is further decreased compared to its predecessors. The observed reduction in thrombogenicity of the DREAMS 3G prototype in vitro suggests additional improvements in clinical safety and efficacy, highlighting its promise for treating CAD. Future research on this prototype may thus open avenues for analyzing other blood components and patient-derived endothelial cells. In line with the 3R principles, this approach may also help reduce the need for animal testing.

摘要

冠状动脉疾病(CAD)的特征为冠状动脉变窄和随后的阻塞,并对健康和经济造成重大负担。在晚期 CAD 中引入支架和支架设备,以改善血管稳定性并恢复血流。虽然已经开发出体外流动系统,如 Chandler 环,以增强对设备材料、其涂层和血管细胞之间相互作用的理解,但基于成像的设备性能体外分析受到限制。在这项研究中,我们建立了一种新型的支架流动室系统,旨在评估生物可吸收镁支架(RMS)和支架材料的体外血栓形成性。此外,我们比较了 Magmaris-316L 不锈钢支架及其前体 Magmaris RMS 和第三代 RMS(DREAMS 3G)原型的血栓形成性-支架性能的一个重要临床参数。在流动条件下对不同设备的血小板黏附和覆盖的分析表明,与 Magmaris-316L 不锈钢支架相比,Magmaris RMS 的血栓形成性降低。此外,由 BIOmag 材料构成的 DREAMS 3G 原型的血栓形成性进一步降低。与前代相比,DREAMS 3G 原型在体外观察到的血栓形成性降低表明其在临床安全性和疗效方面的进一步改善,突出了其在治疗 CAD 方面的应用前景。对该原型的进一步研究可能为分析其他血液成分和患者来源的内皮细胞开辟途径。与 3R 原则一致,这种方法也可能有助于减少对动物试验的需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c48a/11535548/43603d93a0b7/41598_2024_77266_Fig1_HTML.jpg

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