Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
26
pubmed:dateCreated
2009-7-21
pubmed:abstractText
Injection of a bulking material into the ventricular wall has been proposed as a therapy to prevent progressive adverse remodeling due to high wall stresses that develop after myocardial infarction. Our objective was to design, synthesize and characterize a biodegradable, thermoresponsive hydrogel for this application based on copolymerization of N-isopropylacrylamide (NIPAAm), acrylic acid (AAc) and hydroxyethyl methacrylate-poly(trimethylene carbonate) (HEMAPTMC). By evaluating a range of monomer ratios, poly(NIPAAm-co-AAc-co-HEMAPTMC) at a feed ratio of 86/4/10 was shown to be ideal since it formed a hydrogel at 37 degrees C, and gradually became soluble over a 5 month period in vitro through hydrolytic cleavage of the PTMC residues. HEMAPTMC, copolymer and degradation product chemical structures were verified by NMR. No degradation product cytotoxicity was observed in vitro. In a rat chronic infarction model, the infarcted left ventricular (LV) wall was injected with the hydrogel or phosphate buffered saline (PBS). In the PBS group, LV cavity area increased and contractility decreased at 8 wk (p<0.05 versus pre-injection), while in the hydrogel group both parameters were preserved during this period. Tissue ingrowth was observed in the hydrogel injected area and a thicker LV wall and higher capillary density were found for the hydrogel versus PBS group. Smooth muscle cells with contractile phenotype were also identified in the hydrogel injected LV wall. The designed poly(NIPAAm-co-AAc-co-HEMAPTMC) hydrogel of this report may thus offer an attractive biomaterial-centered treatment option for ischemic cardiomyopathy.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
1878-5905
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
30
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
4357-68
pubmed:dateRevised
2011-9-5
pubmed:meshHeading
pubmed-meshheading:19487021-Animals, pubmed-meshheading:19487021-Biocompatible Materials, pubmed-meshheading:19487021-Calmodulin-Binding Proteins, pubmed-meshheading:19487021-Cell Death, pubmed-meshheading:19487021-Chronic Disease, pubmed-meshheading:19487021-Disease Models, Animal, pubmed-meshheading:19487021-Female, pubmed-meshheading:19487021-Heart Function Tests, pubmed-meshheading:19487021-Hydrogel, pubmed-meshheading:19487021-Immunohistochemistry, pubmed-meshheading:19487021-Injections, pubmed-meshheading:19487021-Magnetic Resonance Spectroscopy, pubmed-meshheading:19487021-Materials Testing, pubmed-meshheading:19487021-Myocardial Infarction, pubmed-meshheading:19487021-Myocytes, Smooth Muscle, pubmed-meshheading:19487021-Rats, pubmed-meshheading:19487021-Solutions, pubmed-meshheading:19487021-Temperature
pubmed:year
2009
pubmed:articleTitle
Synthesis, characterization and therapeutic efficacy of a biodegradable, thermoresponsive hydrogel designed for application in chronic infarcted myocardium.
pubmed:affiliation
Department of Surgery, University of Pittsburgh, Pittsburgh, PA 15219, USA.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't, Research Support, N.I.H., Extramural