TISSUE REACTIONS DURING THE DEGRADATION OF POLYLACTIDE IMPLANTS IN THE BODY



Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Tissue reactions, accompanying the degradation processes of polylactide (PLA) implants after their placement into the subcutaneous tissue, were studied by the methods of light microscopy in 6 month-old Wag rats (n=24) weighing 180-200 g. It was found that PLА implants became encapsulated by connective tissue. If the implant or its fragment had sharp margins that damaged the tissues, a thick capsule was formed with a distinct inflammatory infiltration and the sclerosis of the surrounding tissues. If the implant had no sharp margins, the capsule was thin, and the activity of inflammation was minimal. In all cases, the giant cells of foreign body type were present in the capsule and next to it. Gradually, during 6 months, the activity of inflammatory process subsided. Inflammation sharply increased 12 months after the implantation, when, as a result of effect of enzymes released by phagocytes and deformation by a capsule, PLA implants were either fragmented or is liquified. PLA-based materials are not totally biodegradable, and may persist in the body for a long time.

Full Text

Restricted Access

About the authors

I. V. Maiborodin

Institute of Chemical Biology and Fundamental Medicine

Email: imai@mail.ru

I. V. Kuznetsova

Institute of Chemical Biology and Fundamental Medicine

E. A. Beregovoy

Institute of Chemical Biology and Fundamental Medicine

A. I. Shevela

Institute of Chemical Biology and Fundamental Medicine

M. I. Barannik

Institute of Chemical Biology and Fundamental Medicine

A. A. Manayev

Institute of Chemical Biology and Fundamental Medicine

V. I. Maiborodina

Institute of Chemical Biology and Fundamental Medicine

References

  1. Добрякова О. Б. и Ковынцев Н. Н. Аугментационная маммопластика силиконовыми эндопротезами. М., МОК ЦЕНТР, 2000.
  2. Майбородин И. В., Егоров Д. В., Родишева Т. М. и др. Изменения тканей и регионарных лимфатических узлов крыс при хроническом воспалительном процессе в условиях применения интерлейкина-2. Морфология, 2011, т. 139, вып. 1, с. 43–48.
  3. Майбородин И. В., Шевела А. И., Матвеева В. А. и др. Морфологические изменения тканей после имплантации упругих пластинчатых инородных тел в эксперименте. Морфология, 2012, т. 141, вып. 2, с. 54–60.
  4. Alst van M., Eenink M. J., Kruft M. A. and Tuil van R. ABC’s of bioabsorption: application of lactide based polymers in fully resorbable cardiovascular stents. EuroIntervention, 2009, v. 5, Suppl. F, p. F23–F27.
  5. Baeke J. L. Breast deformity caused by anatomical or teardrop implant rotation. Plast. Reconstr. Surg., 2002, v. 109, № 7, p. 2555–2564.
  6. Coleman D. J., Sharpe D. T., Naylor I. L. et al. The role of the contractile fibroblast in the capsules around tissue expanders and implants. Br. J. Plast. Surg., 1993, v. 46, № 7, p. 547–556.
  7. Fredriksson M. I., Gustafsson A. K., Bergstrom K. G. and Asman B. E. Constitutionally hyperreactive neutrophils in periodontitis. J. Periodontol., 2003, v. 74, № 2, p. 219–224.
  8. Heidemann W., Jeschkeit S., Ruffieux K. et al. Degradation of poly(D,L)lactide implants with or without addition of calciumphosphates in vivo. Biomaterials, 2001, v. 22, № 17, p. 2371–2381.
  9. Jorquera F., Gounot N., Lopez R. et al. Tolerance, reliability and efficiency of inflatable breast implants after breast reconstruction. Retrospective study of 101 consecutive cases. Ann. Chir. Plast. Esthet., 2000, v. 45, № 2, p. 90–96.
  10. Kanzler M. H. Basic mechanisms in the healing cutaneous wound. J. Dermatol. Surg. Oncol., 1986, v. 12, № 11, p. 1156– 1164.
  11. Leiggener C. S., Curtis R., Müller A. A. et al. Influence of copolymer composition of polylactide implants on cranial bone regeneration. Biomaterials, 2006, v. 27, № 2, p. 202–207.
  12. McLean A. L., Talmor M., Harper A. et al. Expression of cyclooxygenase-2 in the periprosthetic capsule surrounding a silicone shell implant in the rat. Ann. Plast. Surg., 2002, v. 48, № 3, p. 292–297.
  13. Niu C., Wang Z., Zuo G. et al. Poly(Lactide-co-glycolide) ultrasonographic microbubbles carrying Sudan black for preoperative and intraoperative localization of lymph nodes. Clin. Breast Cancer, 2012, v. 12, № 3, p. 199–206.
  14. Raghoebar G. M., Liem R. S., Bos R. R. et al. Resorbable screws for fixation of autologous bone grafts. Clin. Oral Implants Res., 2006, v. 17, № 3, p. 288–293.
  15. Sena P., Manfredini G., Barbieri C. et al. Application of poly-Llactide screws in flat foot surgery: histological and radiological aspects of bio-absorption of degradable devices. Histol. Histopathol., 2012, v. 27, № 4, p. 485–496.
  16. Shi X., Wang Y., Ren L. et al. Novel mesoporous silica-based antibiotic releasing scaffold for bone repair. Acta Biomater., 2009, v. 5, № 5, p. 1697–1707.
  17. Sinha B., Mukherjee B. and Pattnaik G. Poly-lactide-co-glycolide nanoparticles containing voriconazole for pulmonary delivery: in vitro and in vivo study. Nanomedicine, 2013, v. 9, № 1, p. 94–104.
  18. Stockheim M., Most-Ehrlein S., Rothschenk H. J. and Wirbel R. Cartilage damage caused by a dislocated resorbable interference screw of poly(L-lactide) 46 months after anterior cruciate ligament reconstruction. Z. Orthop. Unfall., 2010, v. 148, № 1, p. 44–48.
  19. Walton M. and Cotton N. J. Long-term in vivo degradation of poly-L-lactide (PLLA) in bone. J. Biomater. Appl., 2007, v. 21, № 4, p. 395–411.
  20. Yang Y., Laporte de L., Zelivyanskaya M. L. et al. Multiple channel bridges for spinal cord injury: cellular characterization of host response. Tissue Eng. Part A, 2009, v. 15, № 11, p. 3283– 3295.

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2013 Eco-Vector



СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: № 0110212 от 08.02.1993.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies