Thermosensitive hydrogels deliver bioactive protein to the vaginal wall.

The pathophysiology and natural history of pelvic organ prolapse (POP) are poorly understood. Consequently, our approaches to treatment of POP are limited. Alterations in the extracellular matrix components of pelvic support ligaments and vaginal tissue, including collagen and elastin, have been ass...

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Main Authors: Meadow M Good, T Ignacio Montoya, Haolin Shi, Jun Zhou, YiHui Huang, Liping Tang, Jesus F Acevedo, R Ann Word
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2017-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC5657977?pdf=render
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author Meadow M Good
T Ignacio Montoya
Haolin Shi
Jun Zhou
YiHui Huang
Liping Tang
Jesus F Acevedo
R Ann Word
author_facet Meadow M Good
T Ignacio Montoya
Haolin Shi
Jun Zhou
YiHui Huang
Liping Tang
Jesus F Acevedo
R Ann Word
author_sort Meadow M Good
collection DOAJ
description The pathophysiology and natural history of pelvic organ prolapse (POP) are poorly understood. Consequently, our approaches to treatment of POP are limited. Alterations in the extracellular matrix components of pelvic support ligaments and vaginal tissue, including collagen and elastin, have been associated with the development of POP in animals and women. Prior studies have shown the protease MMP-9, a key player of ECM degradation, is upregulated in vaginal tissues from both mice and women with POP. On the other hand, fibulin-5, an elastogenic organizer, has been found to inhibit MMP-9 in the vaginal wall. Hence, we hypothesized that prolonged release of fibulin-5 may delay progression of POP. To test the hypothesis, oligo (ethylene glycol)-based thermosensitive hydrogels were fabricated, characterized and then used to deliver fibulin-5 to the vaginal wall and inhibit MMP-9 activity. The results indicate that hydrogels are cell and tissue compatible. The hydrogels also prolong the ½ life of fibulin-5 in cultured vaginal fibroblasts and in the vaginal wall in vivo. Finally, fibulin-5-containing hydrogels resulted in incorporation of fibulin-5 into the vaginal matrix and inhibition of MMP-9 for several weeks after injection. These results support the idea of fibulin-5 releasing hydrogel being developed as a new treatment for POP.
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spelling doaj.art-3e8aea7098bf43e3966f20652a0e68512022-12-22T00:01:30ZengPublic Library of Science (PLoS)PLoS ONE1932-62032017-01-011210e018626810.1371/journal.pone.0186268Thermosensitive hydrogels deliver bioactive protein to the vaginal wall.Meadow M GoodT Ignacio MontoyaHaolin ShiJun ZhouYiHui HuangLiping TangJesus F AcevedoR Ann WordThe pathophysiology and natural history of pelvic organ prolapse (POP) are poorly understood. Consequently, our approaches to treatment of POP are limited. Alterations in the extracellular matrix components of pelvic support ligaments and vaginal tissue, including collagen and elastin, have been associated with the development of POP in animals and women. Prior studies have shown the protease MMP-9, a key player of ECM degradation, is upregulated in vaginal tissues from both mice and women with POP. On the other hand, fibulin-5, an elastogenic organizer, has been found to inhibit MMP-9 in the vaginal wall. Hence, we hypothesized that prolonged release of fibulin-5 may delay progression of POP. To test the hypothesis, oligo (ethylene glycol)-based thermosensitive hydrogels were fabricated, characterized and then used to deliver fibulin-5 to the vaginal wall and inhibit MMP-9 activity. The results indicate that hydrogels are cell and tissue compatible. The hydrogels also prolong the ½ life of fibulin-5 in cultured vaginal fibroblasts and in the vaginal wall in vivo. Finally, fibulin-5-containing hydrogels resulted in incorporation of fibulin-5 into the vaginal matrix and inhibition of MMP-9 for several weeks after injection. These results support the idea of fibulin-5 releasing hydrogel being developed as a new treatment for POP.http://europepmc.org/articles/PMC5657977?pdf=render
spellingShingle Meadow M Good
T Ignacio Montoya
Haolin Shi
Jun Zhou
YiHui Huang
Liping Tang
Jesus F Acevedo
R Ann Word
Thermosensitive hydrogels deliver bioactive protein to the vaginal wall.
PLoS ONE
title Thermosensitive hydrogels deliver bioactive protein to the vaginal wall.
title_full Thermosensitive hydrogels deliver bioactive protein to the vaginal wall.
title_fullStr Thermosensitive hydrogels deliver bioactive protein to the vaginal wall.
title_full_unstemmed Thermosensitive hydrogels deliver bioactive protein to the vaginal wall.
title_short Thermosensitive hydrogels deliver bioactive protein to the vaginal wall.
title_sort thermosensitive hydrogels deliver bioactive protein to the vaginal wall
url http://europepmc.org/articles/PMC5657977?pdf=render
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