Mechanical barriers and transforming growth factor beta inhibitor on epidural fibrosis in a rabbit laminectomy model

Abstract Background TGF-β has been described as a mediator of fibrosis and scarring. Several studies achieved reduction in experimental scarring through the inhibition of TGF-β. Fibroblasts have been defined as the cell population originating fibrosis, blocking fibroblast invasion may impair epidura...

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Main Authors: Juan N. Albiñana-Cunningham, Purificación Ripalda-Cemboráin, Tania Labiano, José I. Echeveste, Froilán Granero-Moltó, Matías Alfonso-Olmos
Format: Article
Language:English
Published: BMC 2018-04-01
Series:Journal of Orthopaedic Surgery and Research
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13018-018-0781-6
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author Juan N. Albiñana-Cunningham
Purificación Ripalda-Cemboráin
Tania Labiano
José I. Echeveste
Froilán Granero-Moltó
Matías Alfonso-Olmos
author_facet Juan N. Albiñana-Cunningham
Purificación Ripalda-Cemboráin
Tania Labiano
José I. Echeveste
Froilán Granero-Moltó
Matías Alfonso-Olmos
author_sort Juan N. Albiñana-Cunningham
collection DOAJ
description Abstract Background TGF-β has been described as a mediator of fibrosis and scarring. Several studies achieved reduction in experimental scarring through the inhibition of TGF-β. Fibroblasts have been defined as the cell population originating fibrosis, blocking fibroblast invasion may impair epidural fibrosis appearance. For this purpose, biocompatible materials used as mechanical barriers and a TGF-β inhibitor peptide were evaluated in the reduction of epidural fibrosis. Methods A L6 laminectomy was performed in 40 New Zealand white rabbits. Divided into four groups, each rabbit was assigned to receive either collagen sponge scaffold (CS group), gelatin-based gel (GCP group), P144® (iTGFβ group), or left untreated (control group). Four weeks after surgery, cell density, collagen content, and new bone formation of the scar area were determined by histomorphometry. Two experienced pathologists scored dura mater adhesion, scar density, and inflammatory infiltrate in a blinded manner. Results In all groups, laminectomy site was filled with fibrous tissue and the dura mater presented adhesions. Only GCP group presented a significant reduction in collagen content and scar density. Conclusion GCP treatment reduces epidural fibrosis although did not prevent dura mater adhesion completely.
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spelling doaj.art-e2ec2593af474ac180e4fdcb00030d822022-12-22T04:21:16ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2018-04-011311710.1186/s13018-018-0781-6Mechanical barriers and transforming growth factor beta inhibitor on epidural fibrosis in a rabbit laminectomy modelJuan N. Albiñana-Cunningham0Purificación Ripalda-Cemboráin1Tania Labiano2José I. Echeveste3Froilán Granero-Moltó4Matías Alfonso-Olmos5Orthopaedic Surgery and Traumatology Department, Clínica Universidad de NavarraOrthopaedic Surgery and Traumatology Department, Clínica Universidad de NavarraPathology Department, Complejo Hospitalario de NavarraPathology Department, Clínica Universidad de NavarraOrthopaedic Surgery and Traumatology Department, Clínica Universidad de NavarraOrthopaedic Surgery and Traumatology Department, Clínica Universidad de NavarraAbstract Background TGF-β has been described as a mediator of fibrosis and scarring. Several studies achieved reduction in experimental scarring through the inhibition of TGF-β. Fibroblasts have been defined as the cell population originating fibrosis, blocking fibroblast invasion may impair epidural fibrosis appearance. For this purpose, biocompatible materials used as mechanical barriers and a TGF-β inhibitor peptide were evaluated in the reduction of epidural fibrosis. Methods A L6 laminectomy was performed in 40 New Zealand white rabbits. Divided into four groups, each rabbit was assigned to receive either collagen sponge scaffold (CS group), gelatin-based gel (GCP group), P144® (iTGFβ group), or left untreated (control group). Four weeks after surgery, cell density, collagen content, and new bone formation of the scar area were determined by histomorphometry. Two experienced pathologists scored dura mater adhesion, scar density, and inflammatory infiltrate in a blinded manner. Results In all groups, laminectomy site was filled with fibrous tissue and the dura mater presented adhesions. Only GCP group presented a significant reduction in collagen content and scar density. Conclusion GCP treatment reduces epidural fibrosis although did not prevent dura mater adhesion completely.http://link.springer.com/article/10.1186/s13018-018-0781-6Epidural fibrosisLaminectomyTGF-βBiomaterials
spellingShingle Juan N. Albiñana-Cunningham
Purificación Ripalda-Cemboráin
Tania Labiano
José I. Echeveste
Froilán Granero-Moltó
Matías Alfonso-Olmos
Mechanical barriers and transforming growth factor beta inhibitor on epidural fibrosis in a rabbit laminectomy model
Journal of Orthopaedic Surgery and Research
Epidural fibrosis
Laminectomy
TGF-β
Biomaterials
title Mechanical barriers and transforming growth factor beta inhibitor on epidural fibrosis in a rabbit laminectomy model
title_full Mechanical barriers and transforming growth factor beta inhibitor on epidural fibrosis in a rabbit laminectomy model
title_fullStr Mechanical barriers and transforming growth factor beta inhibitor on epidural fibrosis in a rabbit laminectomy model
title_full_unstemmed Mechanical barriers and transforming growth factor beta inhibitor on epidural fibrosis in a rabbit laminectomy model
title_short Mechanical barriers and transforming growth factor beta inhibitor on epidural fibrosis in a rabbit laminectomy model
title_sort mechanical barriers and transforming growth factor beta inhibitor on epidural fibrosis in a rabbit laminectomy model
topic Epidural fibrosis
Laminectomy
TGF-β
Biomaterials
url http://link.springer.com/article/10.1186/s13018-018-0781-6
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