Influence of MMP inhibitor GM6001 loading of fibre coated polypropylene meshes on wound healing: Implications for hernia repair.

Abstract

Polypropylene meshes are standard for hernia repair. Matrix metalloproteinases play a central role in inflammation. To reduce the inflammatory response and improve remodelling with an associated reduction of hernia recurrence, we modified polypropylene meshes by nanofibre coating and saturation with the broad-spectrum matrix metalloproteinase inhibitor GM6001. The aim was to modulate the inflammatory reaction, increase collagen deposition and improve mesh biointegration. Polypropylene meshes were surface-modified with star-configured NCO-sP(EO -stat-PO) and covered with electrospun nanofibres (polypropylene-nano) and GM6001 (polypropylene-nano-GM). In a hernia model, defects were reconstructed with one of the meshes. Inflammation, neovascularization, bio-integration, proliferation and apoptosis were assessed histologically, collagen content and gelatinases biochemically. Mesh surface modification resulted in higher inflammatory response compared to polypropylene. Pro-inflammatory matrix metalloproteinase-9 paralleled findings while GM6001 reduced matrix metalloproteinase-9 significantly. Significantly increased matrix metalloproteinase-2 beneficial for remodelling was noted with polypropylene-nano-meshes. Increased vascular endothelial growth factor, neo-vascularization and collagen content were measured in polypropylene-nano-meshes compared to polypropylene. GM6001 significantly reduced myofibroblasts. This effect ended after d14 due to engineering limitations with release of maximal GM6001 loading. Nanofibre-coating of polypropylene-meshes confers better tissue vascularization to the cost of increased inflammation. This phenomenon can be only partially compensated by GM6001. Future research will enable higher GM6001 uptake in nano-coated meshes and may alter mesh biointegration in a more pronounced way.

• Authors: Gabriele Böhm, Jürgen Groll, Karl-Heinz Heffels, Nicole Heussen, Peter Ink, Hamid Patrick Alizai, Ulf Peter Neumann, Reinhild Schnabel, Ursula Mirastschijski
• Journal: Journal of biomaterials applications (J Biomater Appl) Vol. 32 Issue 10 Pg. 1343-1359 (05 2018) ISSN: 1530-8022 [Electronic] England
• PMID: 29466900 (Publication Type: Journal Article)

Chemical References

• Coated Materials, Biocompatible
• Dipeptides
• Matrix Metalloproteinase Inhibitors
• N-(2(R)-2-(hydroxamidocarbonylmethyl)-4-methylpentanoyl)-L-tryptophan methylamide
• Polypropylenes
• Polylactic Acid-Polyglycolic Acid Copolymer
• Collagen
• Matrix Metalloproteinase 2
• Matrix Metalloproteinase 9

Topics

• Abdominal Wall (surgery)
• Animals
• Coated Materials, Biocompatible (chemistry)
• Collagen (analysis, metabolism)
• Dipeptides (administration & dosage, pharmacology, therapeutic use)
• Drug Delivery Systems
• Hernia
• Herniorrhaphy (methods)
• Male
• Matrix Metalloproteinase 2 (analysis, metabolism)
• Matrix Metalloproteinase 9 (analysis, metabolism)
• Matrix Metalloproteinase Inhibitors (administration & dosage, pharmacology, therapeutic use)
• Nanofibers (chemistry, ultrastructure)
• Neovascularization, Physiologic (drug effects)
• Polylactic Acid-Polyglycolic Acid Copolymer (chemistry)
• Polypropylenes (chemistry)
• Rats, Sprague-Dawley
• Surgical Mesh
• Wound Healing (drug effects)