SIBS triblock copolymers in cardiac surgery: <i>in vitro</i> and <i>in vivo</i> studies in comparison with ePTFE

Implantation of polymeric heart valves can solve the problems of existing valve substitutes – mechanical and biological. Objective: to comprehensively assess the hemocompatibility of styrene-isobutylene-styrene (SIBS) triblock copolymer, synthesized by controlled cationic polymerization in compariso...

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Main Authors: M. A. Rezvova, E. A. Ovcharenko, P. A. Nikishev, S. V. Kostyuk, L. V. Antonova, T. N. Akent’eva, T. V. Glushkova, Y. G. Velikanova, D. K. Shishkova, E. O. Krivkina, K. Yu. Klyshnikov, Yu. A. Kudryavtseva, L. S. Barbarash
Format: Article
Language:Russian
Published: Federal Research Center of Transplantology and Artificial Organs named after V.I.Shumakov 2020-02-01
Series:Vestnik Transplantologii i Iskusstvennyh Organov
Subjects:
Online Access:https://journal.transpl.ru/vtio/article/view/1108
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author M. A. Rezvova
E. A. Ovcharenko
P. A. Nikishev
S. V. Kostyuk
L. V. Antonova
T. N. Akent’eva
T. V. Glushkova
Y. G. Velikanova
D. K. Shishkova
E. O. Krivkina
K. Yu. Klyshnikov
Yu. A. Kudryavtseva
L. S. Barbarash
author_facet M. A. Rezvova
E. A. Ovcharenko
P. A. Nikishev
S. V. Kostyuk
L. V. Antonova
T. N. Akent’eva
T. V. Glushkova
Y. G. Velikanova
D. K. Shishkova
E. O. Krivkina
K. Yu. Klyshnikov
Yu. A. Kudryavtseva
L. S. Barbarash
author_sort M. A. Rezvova
collection DOAJ
description Implantation of polymeric heart valves can solve the problems of existing valve substitutes – mechanical and biological. Objective: to comprehensively assess the hemocompatibility of styrene-isobutylene-styrene (SIBS) triblock copolymer, synthesized by controlled cationic polymerization in comparison with expanded polytetrafluoroethylene (ePTFE) used in clinical practice. Materials and methods. SIBS-based films were made by polymer solution casting method; in vitro biocompatibility assessment was performed using cell cultures, determining cell viability, cell adhesion and proliferation; tendency of materials to calcify was determined through in vitro accelerated calcification; in vivo biocompatibility assessment was performed by subcutaneous implantation of rat samples; hemocompatibility was determined ex vivo by assessing the degree of hemolysis, aggregation, and platelet adhesion. Results. The molecular weight of synthesized polymer was 33,000 g/mol with a polydispersity index of 1.3. When studying cell adhesion, no significant differences (p = 0.20) between the properties of the SIBS polymer (588 cells/mm2) and the properties of culture plastics (732 cells/mm2) were discovered. Cell adhesion for the ePTFE material was 212 cells/mm2. Percentage of dead cells on SIBS and ePTFE samples was 4.40 and 4.72% (p = 0.93), respectively, for culture plastic – 1.16% (p &lt; 0.05). Cell proliferation on the ePTFE surface (0.10%) was significantly lower (p &lt; 0.05) than for the same parameters for SIBS and culture plastic (62.04 and 44.00%). Implantation results (60 days) showed the formation of fibrous capsules with average thicknesses of 42 μm (ePTFE) and 58 μm (SIBS). Calcium content in the explanted samples was 0.39 mg/g (SIBS), 1.25 mg/g (ePTFE) and 93.79 mg/g (GA-xenopericardium) (p &lt; 0.05). Hemolysis level of red blood cells after contact with SIBS was 0.35%, ePTFE – 0.40%, which is below positive control (p &lt; 0.05). Maximum platelet aggregation of intact platelet-rich blood plasma was 8.60%, in contact with SIBS polymer – 18.11%, with ePTFE – 22.74%. Conclusion. In terms of hemocompatibility properties, the investigated SIBS polymer is not inferior to ePTFE and can be used as a basis for development of polymeric prosthetic heart valves.
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spelling doaj.art-ca5e8330600845c2bcdc6660c7335d1e2023-03-13T10:37:26ZrusFederal Research Center of Transplantology and Artificial Organs named after V.I.ShumakovVestnik Transplantologii i Iskusstvennyh Organov1995-11912020-02-01214678010.15825/1995-1191-2019-4-67-80827SIBS triblock copolymers in cardiac surgery: <i>in vitro</i> and <i>in vivo</i> studies in comparison with ePTFEM. A. Rezvova0E. A. Ovcharenko1P. A. Nikishev2S. V. Kostyuk3L. V. Antonova4T. N. Akent’eva5T. V. Glushkova6Y. G. Velikanova7D. K. Shishkova8E. O. Krivkina9K. Yu. Klyshnikov10Yu. A. Kudryavtseva11L. S. Barbarash12Research Institute for Complex Issues of Cardiovascular DiseasesResearch Institute for Complex Issues of Cardiovascular DiseasesResearch Institute for Physical Chemical Problems; Faculty of Chemistry, Belarusian State UniversityResearch Institute for Physical Chemical Problems; Faculty of Chemistry, Belarusian State University; Institute of Regenerative Medicine, Sechenov First Moscow State Medical UniversityResearch Institute for Complex Issues of Cardiovascular DiseasesResearch Institute for Complex Issues of Cardiovascular DiseasesResearch Institute for Complex Issues of Cardiovascular DiseasesResearch Institute for Complex Issues of Cardiovascular DiseasesResearch Institute for Complex Issues of Cardiovascular DiseasesResearch Institute for Complex Issues of Cardiovascular DiseasesResearch Institute for Complex Issues of Cardiovascular DiseasesResearch Institute for Complex Issues of Cardiovascular DiseasesResearch Institute for Complex Issues of Cardiovascular DiseasesImplantation of polymeric heart valves can solve the problems of existing valve substitutes – mechanical and biological. Objective: to comprehensively assess the hemocompatibility of styrene-isobutylene-styrene (SIBS) triblock copolymer, synthesized by controlled cationic polymerization in comparison with expanded polytetrafluoroethylene (ePTFE) used in clinical practice. Materials and methods. SIBS-based films were made by polymer solution casting method; in vitro biocompatibility assessment was performed using cell cultures, determining cell viability, cell adhesion and proliferation; tendency of materials to calcify was determined through in vitro accelerated calcification; in vivo biocompatibility assessment was performed by subcutaneous implantation of rat samples; hemocompatibility was determined ex vivo by assessing the degree of hemolysis, aggregation, and platelet adhesion. Results. The molecular weight of synthesized polymer was 33,000 g/mol with a polydispersity index of 1.3. When studying cell adhesion, no significant differences (p = 0.20) between the properties of the SIBS polymer (588 cells/mm2) and the properties of culture plastics (732 cells/mm2) were discovered. Cell adhesion for the ePTFE material was 212 cells/mm2. Percentage of dead cells on SIBS and ePTFE samples was 4.40 and 4.72% (p = 0.93), respectively, for culture plastic – 1.16% (p &lt; 0.05). Cell proliferation on the ePTFE surface (0.10%) was significantly lower (p &lt; 0.05) than for the same parameters for SIBS and culture plastic (62.04 and 44.00%). Implantation results (60 days) showed the formation of fibrous capsules with average thicknesses of 42 μm (ePTFE) and 58 μm (SIBS). Calcium content in the explanted samples was 0.39 mg/g (SIBS), 1.25 mg/g (ePTFE) and 93.79 mg/g (GA-xenopericardium) (p &lt; 0.05). Hemolysis level of red blood cells after contact with SIBS was 0.35%, ePTFE – 0.40%, which is below positive control (p &lt; 0.05). Maximum platelet aggregation of intact platelet-rich blood plasma was 8.60%, in contact with SIBS polymer – 18.11%, with ePTFE – 22.74%. Conclusion. In terms of hemocompatibility properties, the investigated SIBS polymer is not inferior to ePTFE and can be used as a basis for development of polymeric prosthetic heart valves.https://journal.transpl.ru/vtio/article/view/1108polymeric heart valve prosthesespoly(styrene‑b‑isobutylene‑b‑styrene)polytetrafluoroethylenehemocompatibility
spellingShingle M. A. Rezvova
E. A. Ovcharenko
P. A. Nikishev
S. V. Kostyuk
L. V. Antonova
T. N. Akent’eva
T. V. Glushkova
Y. G. Velikanova
D. K. Shishkova
E. O. Krivkina
K. Yu. Klyshnikov
Yu. A. Kudryavtseva
L. S. Barbarash
SIBS triblock copolymers in cardiac surgery: <i>in vitro</i> and <i>in vivo</i> studies in comparison with ePTFE
Vestnik Transplantologii i Iskusstvennyh Organov
polymeric heart valve prostheses
poly(styrene‑b‑isobutylene‑b‑styrene)
polytetrafluoroethylene
hemocompatibility
title SIBS triblock copolymers in cardiac surgery: <i>in vitro</i> and <i>in vivo</i> studies in comparison with ePTFE
title_full SIBS triblock copolymers in cardiac surgery: <i>in vitro</i> and <i>in vivo</i> studies in comparison with ePTFE
title_fullStr SIBS triblock copolymers in cardiac surgery: <i>in vitro</i> and <i>in vivo</i> studies in comparison with ePTFE
title_full_unstemmed SIBS triblock copolymers in cardiac surgery: <i>in vitro</i> and <i>in vivo</i> studies in comparison with ePTFE
title_short SIBS triblock copolymers in cardiac surgery: <i>in vitro</i> and <i>in vivo</i> studies in comparison with ePTFE
title_sort sibs triblock copolymers in cardiac surgery i in vitro i and i in vivo i studies in comparison with eptfe
topic polymeric heart valve prostheses
poly(styrene‑b‑isobutylene‑b‑styrene)
polytetrafluoroethylene
hemocompatibility
url https://journal.transpl.ru/vtio/article/view/1108
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