3D implant of copolyamide associated with thermoplastic elastomer (PCTPE) for tracheal repair in rabbits (Oryctolagus cuniculus): preliminary study
DOI:
https://doi.org/10.1590/1809-6891v25e-76225EAbstract
Large segmental tracheal defects can pose a serious clinical challenge owing to the
lack of suitable substitutes for reconstructive surgery. Polymeric biomaterials are widely used
in medicine. However, the implantation of biomaterials triggers a series of biological events,
and material biocompatibility is of paramount importance in regenerative medicine. The
objective of this study was to evaluate the use of a copolyamide associated with thermoplastic
elastomer (PCTPE) in 3D-printed prostheses for repairing partial tracheal defects in rabbits.
Sixteen male New Zealand White rabbits were used, and partial tracheal defects were created
in the ventral region from the 4th to the 8th tracheal ring. The animals were subdivided into
groups (n=4) based on the time of euthanasia, scheduled at seven days (G7), 15 days (G15), 30
days (G30), and 60 days (G60). Histopathological analysis with hematoxylin and eosin staining
revealed that the 3D implant of PCTPE exhibited a foreign body reaction, and inflammation
persisted for up to 60 days. Histochemistry with picrosirius red revealed a tendency for a
greater amount of type I collagen to accumulate in the early stages of inflammation, whereas
type III collagen was predominant in later evaluation periods. These findings suggest an
exacerbated and inadequate tissue-material interface reaction and perpetuation of the
inflammatory process.
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References
Gao B, Jing H, Gao M, Wang S, Fu W, Zhang X, He X, Zheng J. Long segmental tracheal reconstruction in rabbits with peddicled Tissue-engineered trachea based on a 3D printed scaffold. Acta Biomaterialia. 2019; 97(1):177–186. https://doi.org/10.1016/j.actbio.2019.07.043
Tappa, K., e Jammalamadaka, U. (2018) Novel biomaterials used in medical 3D printing techniques. Journal of Functional Biomaterials, 9(1). https://doi.org/10.3390/jfb9010017
Pires ALR, Bierhals ACK, Moraes AM. Biomateriais: tipos, aplicações e mercado. Química Nova. 2015; 38(7):957–971. https://doi.org/10.5935/0100-4042.20150094
De Risi FR, Noordermeer JWM. Effect of Methacrylate Co-Agents on Peroxide Cured PP/EPDM Thermoplastic Vulcanizates. Rubber Chemistry and Technology. 2007; 80(1):80–83. https://doi.org/10.5254/1.3548170
Przybytek A, Kucinska-Lipka J, Janik H. Thermoplastic elastomer filaments and their application in 3D printing. Elastomery. 2016; 20(4):32–39. https://doi.org/10.1016/B978-0-12-818311-3.00012-4
Lim KHA, Loo ZY, Goldie SJ, Adams JW, McMenamin PG. Use of 3D printed models in medical education: A randomized control trial comparing 3D prints versus cadaveric materials for learning external cardiac anatomy. Anatomical Sciences Education. 2016; 9(3):213–221. https://doi.org/10.1002/ase.1573
Tappin SW. Canine tracheal collapse. Journal of Small Animal Practice. 2016; 57(1):9–17. https://doi.org/10.1111/jsap.12436
Jung SY, Lee SJ Kim HY, Park HS, Wang Z, Kim HJ, Yoo JJ, Chung SM, Kim HS. 3D printed polyurethane prosthesis for partial tracheal reconstruction: a pilot animal study Biofabrication. 2016; 8(4):045015. https://doi.org/10.1088/1758-5090/8/4/045015
Bedoya SAO, Conceição LG, Viloria MIV, Loures FH, Valente FL, Amorim RL, Silva FF. Caracterização de colágenos tipos I e III no estroma do carcinoma de células escamosas cutâneo em cães. Arquivos Brasileiros de Medicina Veterinária e Zootecnia. 2016; 68(1):147–154. https://doi.org/10.1590/1678-4162-8484
Grillo HC. The history of tracheal surgery. Chest Surgery Clinic. 2003; 13(2):175–189. https://doi.org/10.1016/s1052-3359(03)00002-4
Zhang H, Fu W, Xu Z. Re-epithelialization: a key element in tracheal tissue engineering. Regenerative Medicine. 2015; 10(8):1005–1023. https://doi.org/10.2217/rme.15.68
Townsend JM, Ott LM, Salash JR, Fung KM, Easley JT, Seim HB 3rd, Johnson JK, Weatherly RA, Detamore MS. Reinforced Electrospun Polycaprolactone Nanofibers for Tracheal Repair in an In Vivo Ovine Model. Tissue Engineering. Part A. 2018; 24(17–18):1301−1308. https://doi.org/10.1089/ten.TEA.2017.0437
Kang Y, Wang C, Qiao Y, Gu J, Zhang H, Peijs T, Kong J, Zhang G, Shi X. Tissue-Engineered Trachea Consisting of Electrospun Patterned sc-PLA/GO-g-IL Fibrous Membranes with Antibacterial Property and 3D-Printed Skeletons with Elasticity. Biomacromolecules. 2019; 20(4):1765−1776. https://doi.org/10.1021/acs.biomac.9b00160
Park HS, Lee JS, Jungb H, Kim DY, Kim SW, Sultan MT, Park CH. An omentum-cultured 3D-printed artificial trachea: in vivo bioreactor. Artificial Cells, Nanomedicine, and Biotecnology. 2018; 46(3):1131–1140. https://doi.org/10.1080/21691401.2018.1533844
Hench LL. Biomaterials. Science. 1980; 208(4446):826–831. https://doi.org/10.1126/science.6246576
Anderson JM, Rodriguez A, Chang DT. Foreign body reaction to biomaterials. Seminars in Immunology. 2008; 20:86-100. https://doi.org/10.1016;j.smim.2007.11.004
Williams DF. On the mechanisms of biocompatibility. Biomaterials. 2008; 29(20):2941–2953. https://doi.org/10.1016/j.biomaterials.2008.04.023
Williams DF. Biocompatibility Pathways: Biomaterials-Induced Sterile Inflammation, Mechanotransduction, and Principles of Biocompatibility Control. ACS Biomaterials Science & Engineering. 2016; 3(1): 2–35. https://doi.org/10.1021/acsbiomaterials.6b006
Gaissert HA, Grillo HC, Wright CD, Donahue DM, Wain JC, Mathisen DJ. Complication of benign tracheobronchial strictures by self-expanding metal stents. The Journal of Thoracic and Cardiovascular Surgery. 2003; 126(3):744–747. https://doi.org/10.1016/s0022-5223(03)00361-1
Delaere P, Raemdonck DV. Tracheal Replacement. Journal of Thoracic Desease. 2016; 8(2):186–196. https://doi.org/10.3978/j.issn.2072-1439.2016.01.85
Li D, Yin Z, Liu Y, Feng S, Liu Y, Lu F, Xu Y, Min P, Hou M, Li K, He, A, Zhang W, Liu W, Zhang Y, Zhou G, Cao Y. Regeneration of trachea graft with cartilage support, vascularization, and epithelization. Acta Biomaterialia. 2019; 89: 206-216. https://doi.org/10.1016/j.actbio.2019.03.003
Chang JW, Park SA, Park J.K, Choi, JW, Kim YS, Shin YS, Kim CH. Tissue-Engineered Tracheal Reconstruction Using Three-Dimensionally Printed Artificial Tracheal Graft: Preliminary Report. Artificial Organs. 2014 38(6):95–105. https://doi.org/10.1111/aor.12310
Han Y, Li X, Zhang Y, Han Y, Chang F, Ding J.. Mesenchymal Stem Cells for Regenerative Medicine. Cells. 2019; 8(8): 1-32. https://doi.org/10.3390/cells8080886
Mendonça RJ, Coutinho-Netto, J. Aspectos celulares da cicatrização. Anais Brasileiros de Dermatologia. 2009, 84(3):257-262. https://doi.org/10.1590/S0365-05962009000300007
Branski RC, Rosen CA, Verdolini K, Hebda PA. Biochemical markers associated with acute vocal fold wound healing: a rabbit model. Journal of Voice. 2005; 19(2):283–289. https://doi.org/10.1016/j.jvoice.2004.04.003
Shimizu T. Role of macrophage migration inhibitory factor (MIF) in the skin. Journal of Dermatological Science. 2005; 37(2):65–73. https://doi.org/10.1016/j.jdermsci.2004.08.007
Mendonça AC, Ferreira AS, Barbieri CH, Thomazine JA, Mazzer N. Efeitos do ultrassom pulsado de baixa intensidade sobre a cicatrização por segunda intenção de lesões cutâneas totais em ratos. 2006; Acta Orthopedic Brasileira. 2006; 14(3):152–157. https://doi.org/10.1590/S1413-78522006000300007
Alves A, Gritsch K, Sirieix C, Drevon-Gaillot E, Bayon Y, Clermont G, Boutrand JP, Grosgogeat. Computerized histomorphometric study of the splenic collagen polymorphism: A control-tissue for polarization microscopy. Microscopy Research and Technique. 2015; 78(10):900–907. https://doi.org/10.1002/jemt.22553
Varghese SS, Sarojini SB, George GB, Vinod S, Mathew P, Babu A, Sebastian J. Evaluation and Comparison of the Biopathology of Collagen and Inflammation in the Extracellular Matrix of Oral Epithelial Dysplasias and Inflammatory Fibrous Hyperplasia Using Picrosirius Red Stain and Polarising Microscopy: A Preliminary Study. Journal of Cancer Prevention. 2015; 20(4):275–80. https://doi.org/10.15430/JCP.2015.20.4.275
Berry DB, Sullins KE. Effects of topical application of antimicrobials and bandaging on healing and granulation tissue formation in wounds of the distal aspect of the limbs in horses. American Journal of Veterinary Research. 2003; 64(1):88–92. https://doi.org/10.2460/ajvr.2003.64.88
Dayan D, Hiss Y, Hirshberg A, Bubis JJ, Wolman M. Are the polarization colors of picrosirius red-stained collagen determined only by the diameter of the fibers? Histochemistry. 1989; 93(1):27–29. https://doi.org/10.1007/BF00266843
Morales-Nebreda LI, Rogel MR, Eisenberg JL, Hamill KJ, Soberanes S, Nigdelioglu R, Chi M, ChoT, Radigan KA, Ridge KM, Misharin AV, Woychek A, Hopkinson S, Perlman H, Mutlu GM, Pardo A, Selman M, Jones JCR, Budinger GRS. Lung-Specific Loss of α3 Laminin Worsens Bleomycin-Induced Pulmonary Fibrosis. American Journal of Respiratory Cell and Molecular Biology. 2015; 52(4):503–512. https://doi.org/10.1165/rcmb.2014-0057oc
Reis JGC Takiya CM; Carvalho AL; Mota RS; De-Ary-Pires B; Ary Pires-Neto M; Ary-Pires R. Myofibroblast persistence and collagen type I accumulation in the human stenotic trachea. Head Neck. 2011; 34(9): 0–0. https://doi.org/10.1002/hed.21915
Jahshan F, Ammar AA, Ertracht O, Eisenbach N, Daoud A, Sela E, Atar S, Zussman E, Fichtman B, Harel A, Gruber M. Local Delivery of Mometasone Furoate from an Eluting Endotracheal Tube Reduces Airway Morbidity Following Long-Term Animal Intubation. ACS Applied Bio Materials. 2021; 4(5):4131–4139. https://doi.org/10.1021/acsabm.0c01526
Haykal S, Salna M, Waddell TK, Hofer SO. Advances in Tracheal Reconstruction. Plastic and Reconstructive Surgery-Global Open. 2014; 2(7):1–11. https://doi.org/10.1097/GOX.0000000000000097
Brand-Saberi BEM, Schafer T. Trachea: Anatomy and Physiology. Thoracic Surgery Clinics. 2014; 24(1):1–5. https://doi.org/10.1016/j.thorsurg.2013.09.004
García SR, Deprez M, Lebrigand K, Cavard A, Paquet A, Arguel M-J, Magnone V, Truchi M, Caballero I, Leroy S, Marquette C-H, Marcet B, Barbry P, Zaragosi, L.-E. Novel dynamics of human mucociliary differentiation revealed by single-cell RNA sequencing of nasal epithelial cultures. Development. 2019; 146:1-17. https://doi.org/10.1242/dev.177428
Kim WS, Chang JW, Jang WS, Seo YJ, Kang ML, Sung HJ, Kim DH, Kim JM, Park JH, Ban MJ, Na G, Shin SH, Byeon HK, Koh YW, Kim SH, Baik HK, Choi EC. Tracheal reconstruction with a free vascularized myofascial flap: preclinical investigation in a porcine model to human clinical application. Scientific Reports. 2017; 7:10022. https://doi.org/10.1038/s41598-017-10733-z
Arif U, Haider S, Haider A, Khan N, Alghyamah AA, Jamila N, Khan MI, Almasry WA, Kang I. Biocompatible Polymers and their Potential Biomedical Applications: A Review. Current Pharmaceutical Design. 2019; 25 (34):3608-3619. https://doi.org/10.2174/1381612825999191011105148
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