聚丙烯植入后血液中hs-CRP水平及组织形态计量学参数的变化

Changes in the Level of hs-CRP in the Blood and Morphometric Parameters of Tissues Following Implantation of Polypropylene.

作者信息

Eisenach Igor A, Lapii Galina A, Uzyumova Alexandra K, Lushnikova Elena L, Ovchinnikov Victor S, Solovieva Anastasia O, Oorzhak Orlan V, Kuznetsov Alexey V

机构信息

Institute of Molecular Pathology and Pathomorphology, Federal Research Center for Fundamental and Translational Medicine, Novosibirsk 630117, Russia.

Research Institute of Clinical and Experimental Lymрhology-Branch of the Institute of Cytology and Genetics, Siberian Branch of Russian Academy of Sciences, Novosibirsk 630060, Russia.

出版信息

Int J Mol Sci. 2025 Feb 7;26(4):1419. doi: 10.3390/ijms26041419.

Abstract

In recent decades, the use of polypropylene meshes has been the gold standard in the surgical treatment of muscular corset failure. However, the reasons behind the low percentage of complications and recurrences remain controversial. Tissue hyperreactivity and the immune response to polypropylene may be contributing factors. Measurements of the level of hs-CRP (highly sensitive C-reactive protein) in the blood and morphometric studies of tissues around the implant were carried out for three months after the installation of polypropylene implants in 53 laboratory rats. The research results confirmed the good biocompatibility of polypropylene and the formation of full-fledged connective tissue around polypropylene three months after the installation of the material. The level of hs-CRP in the blood increased slightly, without significant differences, but in some animals, there was a sharp increase in this indicator at 3 months. Such results may indicate the development of hyperreactivity to the implantation of a synthetic material and, with other accompanying factors, lead to the development of complications both at the local tissue and general immune levels.

摘要

近几十年来,聚丙烯网片的使用一直是治疗肌肉束腰失败的外科手术的金标准。然而,并发症和复发率低背后的原因仍存在争议。组织高反应性和对聚丙烯的免疫反应可能是促成因素。在53只实验大鼠植入聚丙烯植入物后三个月,对血液中的hs-CRP(高敏C反应蛋白)水平进行了测量,并对植入物周围组织进行了形态计量学研究。研究结果证实了聚丙烯具有良好的生物相容性,并且在材料植入三个月后,聚丙烯周围形成了成熟的结缔组织。血液中的hs-CRP水平略有升高,无显著差异,但在一些动物中,该指标在3个月时急剧上升。这些结果可能表明对合成材料植入产生了高反应性,并在其他伴随因素的作用下,导致局部组织和全身免疫水平出现并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2bc/11855658/8ba57bc3dbd1/ijms-26-01419-g001.jpg

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