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Collagen scaffold: a treatment for simulated maternal birth injury in the rat model.

AbstractOBJECTIVE:
We sought to determine the impact of a collagen scaffold on the healing response after simulated birth injury in a rodent model.
STUDY DESIGN:
A total of 52 virgin animals were divided into the following groups: control (n = 18), injured untreated (n = 18), and injured treated with porcine small intestinal submucosa (SIS) (n = 16). Histopathology, immunofluorescence of collagens, and vaginal mechanical properties were used to assess the impact of injury and the subsequent healing response.
RESULTS:
Collagen I/V decreased by 44% after birth injury relative to the controls (P = .001). Birth injury resulted in inferior mechanical properties of the vagina with a decrease of 38% in the tangent modulus and 44% in the tensile strength. SIS improved the collagen I/V and I/III ratios by 28% and 46%, respectively, paralleling the trend in the mechanical properties.
CONCLUSION:
Simulated birth injury negatively affected vaginal biochemical and biomechanical properties long term. SIS treatment mitigated the impact of birth injury by enhancing tissue quality.
AuthorsMarianna Alperin, Andrew Feola, Leslie Meyn, Robert Duerr, Steven Abramowitch, Pamela Moalli
JournalAmerican journal of obstetrics and gynecology (Am J Obstet Gynecol) Vol. 202 Issue 6 Pg. 589.e1-8 (Jun 2010) ISSN: 1097-6868 [Electronic] United States
PMID20510960 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
CopyrightCopyright 2010 Mosby, Inc. All rights reserved.
Chemical References
  • Biocompatible Materials
  • Collagen
Topics
  • Animals
  • Biocompatible Materials
  • Collagen (metabolism, therapeutic use)
  • Disease Models, Animal
  • Female
  • Fluorescent Antibody Technique
  • Rats
  • Rats, Long-Evans
  • Stress, Mechanical
  • Tissue Scaffolds
  • Vagina (injuries)
  • Wound Healing (physiology)

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