Silver Nanofunctionalized Stent after Radiofrequency Ablation Suppresses Tissue Hyperplasia and Bacterial Growth

Intraductal radiofrequency (RF) ablation combined with placement of a self-expandable metal stent (SEMS) for malignant biliary obstruction has risks such as stent- and heat-induced biliary sludge and restenosis. Here, we investigated the efficacy of a silver nanoparticles (AgNPs)-coated SEMS to inhi...

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Main Authors: Yubeen Park, Dong-Sung Won, Ga-Hyun Bae, Dae Sung Ryu, Jeon Min Kang, Ji Won Kim, Song Hee Kim, Chu Hui Zeng, Wooram Park, Sang Soo Lee, Jung-Hoon Park
Format: Article
Language:English
Published: MDPI AG 2022-02-01
Series:Pharmaceutics
Subjects:
Online Access:https://www.mdpi.com/1999-4923/14/2/412
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author Yubeen Park
Dong-Sung Won
Ga-Hyun Bae
Dae Sung Ryu
Jeon Min Kang
Ji Won Kim
Song Hee Kim
Chu Hui Zeng
Wooram Park
Sang Soo Lee
Jung-Hoon Park
author_facet Yubeen Park
Dong-Sung Won
Ga-Hyun Bae
Dae Sung Ryu
Jeon Min Kang
Ji Won Kim
Song Hee Kim
Chu Hui Zeng
Wooram Park
Sang Soo Lee
Jung-Hoon Park
author_sort Yubeen Park
collection DOAJ
description Intraductal radiofrequency (RF) ablation combined with placement of a self-expandable metal stent (SEMS) for malignant biliary obstruction has risks such as stent- and heat-induced biliary sludge and restenosis. Here, we investigated the efficacy of a silver nanoparticles (AgNPs)-coated SEMS to inhibit tissue hyperplasia and bacterial growth caused by RF ablation with stent placement in the rabbit bile duct. The release behavior and antibacterial effects of AgNPs-coated SEMSs were evaluated. Then, SEMSs were successfully placed in all rabbits immediately after RF ablation. Ag ions were rapidly released at the beginning and then showed a gradual release behavior. The AgNPs-coated SEMS significantly inhibited bacterial activity compared to the uncoated SEMS (<i>p</i> < 0.05). Cholangiography and histological examination confirmed that the level of tissue hyperplasia was significantly lower in the AgNPs group than in the control group (all <i>p</i> < 0.05). Immunohistochemistry analyses revealed that TUNEL-, HSP 70-, and α-SMA-positive areas were significantly lower in the AgNPs group than in the control group (all <i>p</i> < 0.05). Intraductal RF ablation combined with nanofunctionalized stent placement represents a promising new approach for suppressing thermal damage as well as stent-induced tissue hyperplasia and bacterial growth.
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spelling doaj.art-5f1b49ceefb04ad5b012b6be344e26342023-11-23T21:38:55ZengMDPI AGPharmaceutics1999-49232022-02-0114241210.3390/pharmaceutics14020412Silver Nanofunctionalized Stent after Radiofrequency Ablation Suppresses Tissue Hyperplasia and Bacterial GrowthYubeen Park0Dong-Sung Won1Ga-Hyun Bae2Dae Sung Ryu3Jeon Min Kang4Ji Won Kim5Song Hee Kim6Chu Hui Zeng7Wooram Park8Sang Soo Lee9Jung-Hoon Park10Biomedical Engineering Research Center, Asan Medical Center, Asan Institute for Life Science, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, KoreaBiomedical Engineering Research Center, Asan Medical Center, Asan Institute for Life Science, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, KoreaDepartment of Biomedical-Chemical Engineering, The Catholic University of Korea, 43 Jibong-ro, Bucheon 14662, KoreaBiomedical Engineering Research Center, Asan Medical Center, Asan Institute for Life Science, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, KoreaBiomedical Engineering Research Center, Asan Medical Center, Asan Institute for Life Science, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, KoreaBiomedical Engineering Research Center, Asan Medical Center, Asan Institute for Life Science, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, KoreaBiomedical Engineering Research Center, Asan Medical Center, Asan Institute for Life Science, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, KoreaBiomedical Engineering Research Center, Asan Medical Center, Asan Institute for Life Science, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, KoreaDepartment of Biomedical-Chemical Engineering, The Catholic University of Korea, 43 Jibong-ro, Bucheon 14662, KoreaAsan Medical Center, Department of Gastroenterology, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, KoreaBiomedical Engineering Research Center, Asan Medical Center, Asan Institute for Life Science, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, KoreaIntraductal radiofrequency (RF) ablation combined with placement of a self-expandable metal stent (SEMS) for malignant biliary obstruction has risks such as stent- and heat-induced biliary sludge and restenosis. Here, we investigated the efficacy of a silver nanoparticles (AgNPs)-coated SEMS to inhibit tissue hyperplasia and bacterial growth caused by RF ablation with stent placement in the rabbit bile duct. The release behavior and antibacterial effects of AgNPs-coated SEMSs were evaluated. Then, SEMSs were successfully placed in all rabbits immediately after RF ablation. Ag ions were rapidly released at the beginning and then showed a gradual release behavior. The AgNPs-coated SEMS significantly inhibited bacterial activity compared to the uncoated SEMS (<i>p</i> < 0.05). Cholangiography and histological examination confirmed that the level of tissue hyperplasia was significantly lower in the AgNPs group than in the control group (all <i>p</i> < 0.05). Immunohistochemistry analyses revealed that TUNEL-, HSP 70-, and α-SMA-positive areas were significantly lower in the AgNPs group than in the control group (all <i>p</i> < 0.05). Intraductal RF ablation combined with nanofunctionalized stent placement represents a promising new approach for suppressing thermal damage as well as stent-induced tissue hyperplasia and bacterial growth.https://www.mdpi.com/1999-4923/14/2/412malignant biliary obstruction (MBO)radiofrequency (RF) ablationsilver nanoparticle (AgNP)self-expandable metal stent (SEMS)tissue hyperplasiaantibacterial effect
spellingShingle Yubeen Park
Dong-Sung Won
Ga-Hyun Bae
Dae Sung Ryu
Jeon Min Kang
Ji Won Kim
Song Hee Kim
Chu Hui Zeng
Wooram Park
Sang Soo Lee
Jung-Hoon Park
Silver Nanofunctionalized Stent after Radiofrequency Ablation Suppresses Tissue Hyperplasia and Bacterial Growth
Pharmaceutics
malignant biliary obstruction (MBO)
radiofrequency (RF) ablation
silver nanoparticle (AgNP)
self-expandable metal stent (SEMS)
tissue hyperplasia
antibacterial effect
title Silver Nanofunctionalized Stent after Radiofrequency Ablation Suppresses Tissue Hyperplasia and Bacterial Growth
title_full Silver Nanofunctionalized Stent after Radiofrequency Ablation Suppresses Tissue Hyperplasia and Bacterial Growth
title_fullStr Silver Nanofunctionalized Stent after Radiofrequency Ablation Suppresses Tissue Hyperplasia and Bacterial Growth
title_full_unstemmed Silver Nanofunctionalized Stent after Radiofrequency Ablation Suppresses Tissue Hyperplasia and Bacterial Growth
title_short Silver Nanofunctionalized Stent after Radiofrequency Ablation Suppresses Tissue Hyperplasia and Bacterial Growth
title_sort silver nanofunctionalized stent after radiofrequency ablation suppresses tissue hyperplasia and bacterial growth
topic malignant biliary obstruction (MBO)
radiofrequency (RF) ablation
silver nanoparticle (AgNP)
self-expandable metal stent (SEMS)
tissue hyperplasia
antibacterial effect
url https://www.mdpi.com/1999-4923/14/2/412
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