Characterization of nanostructured ureteral stent with gradient degradation in a porcine model

Xiaoqing Wang,1 Hongli Shan,2 Jixue Wang,1 Yuchuan Hou,1 Jianxun Ding,3 Qihui Chen,1 Jingjing Guan,1 Chunxi Wang,1 Xuesi Chen31Department of Urology, the First Hospital of Jilin University, 2Department of Clinical Laboratory, the First Hospital of Jilin University, 3Key Laboratory of Polymer Ecomate...

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Autores principales: Wang XQ, Shan HL, Wang JX, Hou YC, Ding JX, Chen QH, Guan JJ, Wang CX, Chen XS
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Publicado: Dove Medical Press 2015
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spelling oai:doaj.org-article:0c3c82efe88340dcb40ebb8e4c9ca82e2021-12-02T06:33:29ZCharacterization of nanostructured ureteral stent with gradient degradation in a porcine model1178-2013https://doaj.org/article/0c3c82efe88340dcb40ebb8e4c9ca82e2015-04-01T00:00:00Zhttp://www.dovepress.com/characterization-of-nanostructured-ureteral-stent-with-gradient-degrad-peer-reviewed-article-IJNhttps://doaj.org/toc/1178-2013Xiaoqing Wang,1 Hongli Shan,2 Jixue Wang,1 Yuchuan Hou,1 Jianxun Ding,3 Qihui Chen,1 Jingjing Guan,1 Chunxi Wang,1 Xuesi Chen31Department of Urology, the First Hospital of Jilin University, 2Department of Clinical Laboratory, the First Hospital of Jilin University, 3Key Laboratory of Polymer Ecomaterials, Changchun Institute of Applied Chemistry, Chinese Academy of Sciences, Changchun, People’s Republic of ChinaAbstract: A tubular poly(ε-caprolactone) (PCL)/poly(lactide-co-glycolide) (PLGA) ureteral stent composed of nanofibers with micropores was fabricated by double-needle electrospinning. The stent was ureteroscopically inserted into six Changbai pigs, and the commercial polyurethane Shagong® stent was inserted into four pigs as control. Intravenous pyelography revealed that the PCL/PLGA stent gradually degraded from the distal end to proximal terminal, and all stents were completely degraded at 10 weeks post-insertion. No significant difference was observed in hydronephrosis severity between the two groups. The levels of serum creatinine and urine pH remained similar throughout the study in the two groups, but the number of white blood cells in the urine was significantly higher in the Shagong® stent group. On Day 70, histological evaluation indicated equivalent histological severity scores in the middle and distal ureter sections and bladder in the two groups. However, the PCL/PLGA stent-implanted pigs had significantly lower mean severity scores in the kidney and proximal ureter sites. These data revealed that the PCL/PLGA stent degraded in a controlled manner, did not induce obstruction, and had a lower urothelial impact in comparison to the Shagong® stent, indicating that the stent exhibited great potential for clinical application.Keywords: nanocomposites, polyesters, poly(ε-caprolactone), poly(lactide-co-glycolide), hydronephrosis severityWang XQShan HLWang JXHou YCDing JXChen QHGuan JJWang CXChen XSDove Medical PressarticleMedicine (General)R5-920ENInternational Journal of Nanomedicine, Vol 2015, Iss default, Pp 3055-3064 (2015)
institution DOAJ
collection DOAJ
language EN
topic Medicine (General)
R5-920
spellingShingle Medicine (General)
R5-920
Wang XQ
Shan HL
Wang JX
Hou YC
Ding JX
Chen QH
Guan JJ
Wang CX
Chen XS
Characterization of nanostructured ureteral stent with gradient degradation in a porcine model
description Xiaoqing Wang,1 Hongli Shan,2 Jixue Wang,1 Yuchuan Hou,1 Jianxun Ding,3 Qihui Chen,1 Jingjing Guan,1 Chunxi Wang,1 Xuesi Chen31Department of Urology, the First Hospital of Jilin University, 2Department of Clinical Laboratory, the First Hospital of Jilin University, 3Key Laboratory of Polymer Ecomaterials, Changchun Institute of Applied Chemistry, Chinese Academy of Sciences, Changchun, People’s Republic of ChinaAbstract: A tubular poly(ε-caprolactone) (PCL)/poly(lactide-co-glycolide) (PLGA) ureteral stent composed of nanofibers with micropores was fabricated by double-needle electrospinning. The stent was ureteroscopically inserted into six Changbai pigs, and the commercial polyurethane Shagong® stent was inserted into four pigs as control. Intravenous pyelography revealed that the PCL/PLGA stent gradually degraded from the distal end to proximal terminal, and all stents were completely degraded at 10 weeks post-insertion. No significant difference was observed in hydronephrosis severity between the two groups. The levels of serum creatinine and urine pH remained similar throughout the study in the two groups, but the number of white blood cells in the urine was significantly higher in the Shagong® stent group. On Day 70, histological evaluation indicated equivalent histological severity scores in the middle and distal ureter sections and bladder in the two groups. However, the PCL/PLGA stent-implanted pigs had significantly lower mean severity scores in the kidney and proximal ureter sites. These data revealed that the PCL/PLGA stent degraded in a controlled manner, did not induce obstruction, and had a lower urothelial impact in comparison to the Shagong® stent, indicating that the stent exhibited great potential for clinical application.Keywords: nanocomposites, polyesters, poly(ε-caprolactone), poly(lactide-co-glycolide), hydronephrosis severity
format article
author Wang XQ
Shan HL
Wang JX
Hou YC
Ding JX
Chen QH
Guan JJ
Wang CX
Chen XS
author_facet Wang XQ
Shan HL
Wang JX
Hou YC
Ding JX
Chen QH
Guan JJ
Wang CX
Chen XS
author_sort Wang XQ
title Characterization of nanostructured ureteral stent with gradient degradation in a porcine model
title_short Characterization of nanostructured ureteral stent with gradient degradation in a porcine model
title_full Characterization of nanostructured ureteral stent with gradient degradation in a porcine model
title_fullStr Characterization of nanostructured ureteral stent with gradient degradation in a porcine model
title_full_unstemmed Characterization of nanostructured ureteral stent with gradient degradation in a porcine model
title_sort characterization of nanostructured ureteral stent with gradient degradation in a porcine model
publisher Dove Medical Press
publishDate 2015
url https://doaj.org/article/0c3c82efe88340dcb40ebb8e4c9ca82e
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