Intravenous injections of soluble drag-reducing polymers reduce foreign body reaction to implants

ASAIO J. 2009 Sep-Oct;55(5):503-8. doi: 10.1097/MAT.0b013e3181b1840f.

Abstract

We tested whether soluble viscoelastic drag-reducing polymers (DRPs), which modify blood flow in the macro- and microcirculation, affect host response to implanted biomaterials and control biodegradation and tissue ingrowth processes. Porous poly(L-lactate) (PLLA) implants, which are naturally hydrolyzed by foreign body giant cells, were used to evaluate differences in host response. Intravenous DRPs, high-molecular weight poly(ethylene oxide) (PEO) or poly(mannose) (PMNN), were given biweekly at 0.3-0.4 nM in saline (equivalent volumes of saline in controls) to rats with subcutaneous PLLA implants. After 7 weeks, there was no difference in weight gain or behavior between control and DRP-injected groups. Implanted PLLA scaffolds in controls were almost totally degraded and replaced by giant cell granulomas. On the contrary, PEO- or PMNN-treated animals retained a significant part of the implanted scaffold (p < 0.0001 vs. controls). The foreign body reaction was markedly decreased, and there was an increase in well-oriented collagen deposition within the implanted scaffold area in the animals treated with DRPs. The DRP-mediated effects observed in this study potentially reflect alteration in inflammatory events in response to implanted bioengineered materials, and, thus, warrant further investigation.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Animals
  • Collagen / drug effects
  • Foreign-Body Reaction / etiology
  • Foreign-Body Reaction / prevention & control*
  • Inflammation / prevention & control
  • Lactic Acid / adverse effects
  • Male
  • Mannans / therapeutic use*
  • Polyesters
  • Polyethylene Glycols / therapeutic use*
  • Polymers / adverse effects
  • Prostheses and Implants / adverse effects*
  • Rats
  • Rats, Sprague-Dawley
  • Surface-Active Agents / therapeutic use*

Substances

  • Mannans
  • Polyesters
  • Polymers
  • Surface-Active Agents
  • polymannose
  • Lactic Acid
  • Polyethylene Glycols
  • poly(lactide)
  • Collagen