重庆大学生物工程学院,血管植入物开发国家地方联合工程实验室与“生物流变科学与技术”教育部重点实验室,重庆 400044
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重庆市自然科学基金资助项目(cstc2019jcyj-zdxmX0009,cstc2019jcyj-msxmX0307)
Bioengineering College of Chongqing University, State and Local Joint Engineering Laboratory for Vascular Implants and Key Laboratory of Biorheological Science and Technology (Chongqing University), Ministry of Education, Chongqing 400044, China
This work was supported by grants from the Natural Science Foundation Project of CQ CSTC (cstc2019jcyj-zdxmX0009, cstc2019jcyj-msxmX0307)
动脉粥样硬化作为一种主要的心血管疾病,威胁着全世界人类的健康. 全降解聚合物血管内支架是由生物可降解的高分子聚合物材料制作的用于治疗动脉粥样硬化病变变窄管腔的血管支架. 它克服了金属药物洗脱支架引起的慢性局部炎症反应、血管生理舒缩功能缺失和晚期支架内血栓形成以及未来可能在同一位置再次植入支架的缺陷. 但全降解聚合物支架由于各级降解产物的刺激引起炎症反应以及支架植入部位力学微环境的变化,从而引起支架内再狭窄和血栓形成,结合力生长因子(mechano growth factor, MGF)对力学刺激敏感的特性,MGF可能对心血管支架植入引起的局部力学变化作出响应. 因此本文对全降解聚合物支架植入后支架的降解特性与力学微环境变化引起的再狭窄、血栓形成等不良反应,以及MGF在其中的作用和研究进展进行了综述,以期为临床冠脉介入支架治疗提供参考.
Atherosclerosis, as a major cardiovascular disease, threatens the health of humans worldwide. Currently, drug-eluting stent implantation is the most effective treatment to enlarge the lumen of an artery narrowed by an atherosclerotic lesion. However, drug-eluting stent implantation has several disadvantages, including the onset of late stent thrombosis, neo-atherosclerosis, and local inflammation caused by the presence of a foreign body. To overcome these limitations, bioresorbable scaffolds have been developed for use as transient scaffolds for blood vessels. Fully bioresorbable polymer intravascular scaffolds are made of high biodegradable molecular polymers. At the same time, because of the stimulation of degradation products at all levels and the changes in the mechanical microenvironment of the stent implantation site, the full degradable polymer stents can cause the inflammatory response, the in-stent restenosis and thromboembolism. We combine mechanical growth factor (MGF) with local mechanics changes caused by bioresorbable scaffolds. Therefore, this paper reviews the effect between the degradation characteristics and the mechanical microenvironmental changes of fully polymer bioresorbable scaffolds implantation, as well as the research progress of MGF in cardiovascular diseases, in order to provide references for the clinical intervention of fully bioresorbable polymer intravascular scaffolds therapy.
尹铁英,李焰红,黄玉华,王贵学.全降解聚合物血管内支架植入后的力学微环境变化与MGF*[J].生物化学与生物物理进展,2020,47(12):1261-1272
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