Polyvinylpyrrolidone–Alginate Film Barriers for Abdominal Surgery: Anti-Adhesion Effect in Murine Model

Surgical operations on the peritoneum are often associated with the formation of adhesions, which can interfere with the normal functioning of the internal organs. The effectiveness of existing barrier materials is relatively low. In this work, the effectiveness of soluble alginate–polyvinylpyrrolid...

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Main Authors: Anna A. Forysenkova, Mariya V. Konovalova, Inna V. Fadeeva, Olga S. Antonova, Olga D. Kotsareva, Tatiana K. Slonskaya, Julietta V. Rau, Elena V. Svirshchevskaya
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Materials
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Online Access:https://www.mdpi.com/1996-1944/16/16/5532
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author Anna A. Forysenkova
Mariya V. Konovalova
Inna V. Fadeeva
Olga S. Antonova
Olga D. Kotsareva
Tatiana K. Slonskaya
Julietta V. Rau
Elena V. Svirshchevskaya
author_facet Anna A. Forysenkova
Mariya V. Konovalova
Inna V. Fadeeva
Olga S. Antonova
Olga D. Kotsareva
Tatiana K. Slonskaya
Julietta V. Rau
Elena V. Svirshchevskaya
author_sort Anna A. Forysenkova
collection DOAJ
description Surgical operations on the peritoneum are often associated with the formation of adhesions, which can interfere with the normal functioning of the internal organs. The effectiveness of existing barrier materials is relatively low. In this work, the effectiveness of soluble alginate–polyvinylpyrrolidone (PVP-Alg) and non-soluble Ca ion cross-linked (PVP-Alg-Ca) films in preventing these adhesions was evaluated. Experiments in vivo were performed on mice via mechanical injury to the adjacent peritoneum wall and the caecum, followed by the application of PVP-Alg or PVP-Alg-Ca films to the injured area. After 7 days, samples from the peritoneal wall and caecum were analyzed using histology and quantitative polymerase chain reaction (qPCR). It was shown that the expression of genes responsible for adhesion formation in the caecum in the PVP-Alg group was comparable to that in the control group, while in the PVP-Alg-Ca group, it increased by 5–10 times. These results were consistent with the histology: in the PVP-Alg group, the adhesions did not form, while in the PVP-Alg-Ca group, the adhesions corresponded to five points on the adhesion scale. Therefore, the formation of intraperitoneal adhesions can be effectively prevented by non-crosslinked, biodegradable PVP-Alg films, whereas cross-linked, not biodegradable PVP-Alg-Ca films cause inflammation and adhesion formation.
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spelling doaj.art-88f86c616ff948f192787f338ab484552023-11-19T01:58:52ZengMDPI AGMaterials1996-19442023-08-011616553210.3390/ma16165532Polyvinylpyrrolidone–Alginate Film Barriers for Abdominal Surgery: Anti-Adhesion Effect in Murine ModelAnna A. Forysenkova0Mariya V. Konovalova1Inna V. Fadeeva2Olga S. Antonova3Olga D. Kotsareva4Tatiana K. Slonskaya5Julietta V. Rau6Elena V. Svirshchevskaya7Baikov Institute of Metallurgy and Material Science RAS, Leninsky Av., Build. 49, 119334 Moscow, RussiaShemyakin-Ovchinnikov Institute of Bioorganic Chemistry RAS, Miklukho-Maclay Str., Build. 16/10b, 117997 Moscow, RussiaBaikov Institute of Metallurgy and Material Science RAS, Leninsky Av., Build. 49, 119334 Moscow, RussiaBaikov Institute of Metallurgy and Material Science RAS, Leninsky Av., Build. 49, 119334 Moscow, RussiaShemyakin-Ovchinnikov Institute of Bioorganic Chemistry RAS, Miklukho-Maclay Str., Build. 16/10b, 117997 Moscow, RussiaDepartment of Analytical, Physical and Colloid Chemistry, I.M. Sechenov First Moscow State Medical University, Trubetskaya Str., Build. 8/2, 119991 Moscow, RussiaDepartment of Analytical, Physical and Colloid Chemistry, I.M. Sechenov First Moscow State Medical University, Trubetskaya Str., Build. 8/2, 119991 Moscow, RussiaShemyakin-Ovchinnikov Institute of Bioorganic Chemistry RAS, Miklukho-Maclay Str., Build. 16/10b, 117997 Moscow, RussiaSurgical operations on the peritoneum are often associated with the formation of adhesions, which can interfere with the normal functioning of the internal organs. The effectiveness of existing barrier materials is relatively low. In this work, the effectiveness of soluble alginate–polyvinylpyrrolidone (PVP-Alg) and non-soluble Ca ion cross-linked (PVP-Alg-Ca) films in preventing these adhesions was evaluated. Experiments in vivo were performed on mice via mechanical injury to the adjacent peritoneum wall and the caecum, followed by the application of PVP-Alg or PVP-Alg-Ca films to the injured area. After 7 days, samples from the peritoneal wall and caecum were analyzed using histology and quantitative polymerase chain reaction (qPCR). It was shown that the expression of genes responsible for adhesion formation in the caecum in the PVP-Alg group was comparable to that in the control group, while in the PVP-Alg-Ca group, it increased by 5–10 times. These results were consistent with the histology: in the PVP-Alg group, the adhesions did not form, while in the PVP-Alg-Ca group, the adhesions corresponded to five points on the adhesion scale. Therefore, the formation of intraperitoneal adhesions can be effectively prevented by non-crosslinked, biodegradable PVP-Alg films, whereas cross-linked, not biodegradable PVP-Alg-Ca films cause inflammation and adhesion formation.https://www.mdpi.com/1996-1944/16/16/5532polyvinylpyrrolidonealginateanti-adhesion materialsperitoneal surgerygene expression
spellingShingle Anna A. Forysenkova
Mariya V. Konovalova
Inna V. Fadeeva
Olga S. Antonova
Olga D. Kotsareva
Tatiana K. Slonskaya
Julietta V. Rau
Elena V. Svirshchevskaya
Polyvinylpyrrolidone–Alginate Film Barriers for Abdominal Surgery: Anti-Adhesion Effect in Murine Model
Materials
polyvinylpyrrolidone
alginate
anti-adhesion materials
peritoneal surgery
gene expression
title Polyvinylpyrrolidone–Alginate Film Barriers for Abdominal Surgery: Anti-Adhesion Effect in Murine Model
title_full Polyvinylpyrrolidone–Alginate Film Barriers for Abdominal Surgery: Anti-Adhesion Effect in Murine Model
title_fullStr Polyvinylpyrrolidone–Alginate Film Barriers for Abdominal Surgery: Anti-Adhesion Effect in Murine Model
title_full_unstemmed Polyvinylpyrrolidone–Alginate Film Barriers for Abdominal Surgery: Anti-Adhesion Effect in Murine Model
title_short Polyvinylpyrrolidone–Alginate Film Barriers for Abdominal Surgery: Anti-Adhesion Effect in Murine Model
title_sort polyvinylpyrrolidone alginate film barriers for abdominal surgery anti adhesion effect in murine model
topic polyvinylpyrrolidone
alginate
anti-adhesion materials
peritoneal surgery
gene expression
url https://www.mdpi.com/1996-1944/16/16/5532
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