Stacchino C, Bona G, Bonetti F, Rinaldi S, Della Ciana L, Grignani A
Sorin Biomedica Cardio S.p.A., Saluggia, Italy.
J Heart Valve Dis. 1998 Mar;7(2):190-4.
Glutaraldehyde cross-linked bovine pericardium was post-treated with homocysteic acid in order to bond unreacted glutaraldehyde groups, and preserved in aldehyde-free solution to reduce the toxicity and calcification potential of the tanned tissue. The study aim was to verify the efficacy and preservation of chemical and mechanical properties of pericardial tissue treated in this way.
Detoxification efficacy was tested by measuring free aldehyde groups and by in vitro cultivation of human endothelial cells on pericardial samples. Material stability tests included mechanical characterization, shrink temperature measurement, pronase digestion resistance and amino acid analysis after acid hydrolysis. The effect of treatment on fatigue resistance was evaluated by monitoring changes in permeability and compliance caused by 15 x 10(6) cycles of pulsatile stress.
Detoxified samples showed negligible glutaraldehyde residues and significantly improved endothelial cell proliferation compared with conventionally treated samples. Chemical and mechanical properties were similar in detoxified and glutaraldehyde-treated samples. Tissue fatigue behavior was not modified by homocysteic acid treatment.
Homocysteic acid treatment effectively reduces toxicity but does not affect the stability of glutaraldehyde cross-linked pericardium.
戊二醛交联牛心包经同型半胱氨酸后处理,以结合未反应的戊二醛基团,并保存在无醛溶液中,以降低鞣制组织的毒性和钙化潜能。本研究旨在验证以此方式处理的心包组织化学和力学性能的有效性及保存情况。
通过测量游离醛基团以及在心包样本上进行人内皮细胞的体外培养来测试解毒效果。材料稳定性测试包括力学特性表征、收缩温度测量、抗胰蛋白酶消化能力以及酸水解后的氨基酸分析。通过监测由15×10⁶次脉动应力循环引起的渗透性和顺应性变化来评估处理对耐疲劳性的影响。
与传统处理的样本相比,解毒后的样本显示出可忽略不计的戊二醛残留,且内皮细胞增殖显著改善。解毒样本和戊二醛处理样本的化学和力学性能相似。同型半胱氨酸处理未改变组织的疲劳行为。
同型半胱氨酸处理有效降低毒性,但不影响戊二醛交联心包的稳定性。