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Camicia A, Foppiani JA, Raska O, Hernandez Alvarez A, Lee D, Taritsa IC, Schuster KA, Wan R, Neradová S, Lin GJ, Lee TC, Molitor M, Zikan M, Lin SJ. From Case Reports to Molecular Insight: Examining the Outcomes and Underlying Mechanisms of Squamous Cell Carcinoma in Breast Implant Patients-A Systematic Review. Int J Mol Sci 2024; 25:2872. [PMID: 38474119 PMCID: PMC10932080 DOI: 10.3390/ijms25052872] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2024] [Revised: 02/26/2024] [Accepted: 02/27/2024] [Indexed: 03/14/2024] Open
Abstract
There is extensive coverage in the existing literature on implant-associated lymphomas like anaplastic large-cell lymphoma, but breast implant-associated squamous cell carcinoma (BIA-SCC) has received limited scholarly attention since its first case in 1992. Thus, this study aims to conduct a qualitative synthesis focused on the underexplored association between breast implants and BIA-SCC. A systematic review was conducted utilizing the PubMed, Web of Science, and Cochrane databases to identify all currently reported cases of BIA-SCC. Additionally, a literature review was performed to identify potential biochemical mechanisms that could lead to BIA-SCC. Studies were vetted for quality using the NIH quality assessment tool. From an initial pool of 246 papers, 11 met the quality criteria for inclusion, examining a total of 14 patients aged between 40 and 81 years. BIA-SCC was found in a diverse range of implants, including those with smooth and textured surfaces, as well as those filled with saline and silicone. The condition notably manifested a proclivity for aggressive clinical progression, as evidenced by a mortality rate approximating 21.4% within a post-diagnostic interval of six months. Our literature review reveals that chronic inflammation, driven by various external factors such as pathogens and implants, can initiate carcinogenesis through epigenetic modifications and immune system alterations. This includes effects from exosomes and macrophage polarization, showcasing potential pathways for the pathogenesis of BIA-SCC. The study highlights the pressing need for further investigation into BIA-SCC, a subject hitherto inadequately addressed in the academic sphere. This necessitates the urgency for early screening and intervention to improve postoperative outcomes. While the review is confined by its reliance on case reports and series, it serves as a valuable reference for future research endeavors.
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Affiliation(s)
- Alexandra Camicia
- Faculty of Medicine and Surgery, Campus Bio-Medico University of Rome, 00128 Rome, Italy;
| | - Jose A. Foppiani
- Division of Plastic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA; (J.A.F.); (A.H.A.); (D.L.); (I.C.T.); (K.A.S.); (S.J.L.)
- Institute of Pathological Physiology, First Faculty of Medicine, Charles University, 12108 Praha, Czech Republic; (S.N.); (M.M.); (M.Z.)
| | - Otakar Raska
- Institute of Pathological Physiology, First Faculty of Medicine, Charles University, 12108 Praha, Czech Republic; (S.N.); (M.M.); (M.Z.)
| | - Angelica Hernandez Alvarez
- Division of Plastic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA; (J.A.F.); (A.H.A.); (D.L.); (I.C.T.); (K.A.S.); (S.J.L.)
| | - Daniela Lee
- Division of Plastic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA; (J.A.F.); (A.H.A.); (D.L.); (I.C.T.); (K.A.S.); (S.J.L.)
| | - Iulianna C. Taritsa
- Division of Plastic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA; (J.A.F.); (A.H.A.); (D.L.); (I.C.T.); (K.A.S.); (S.J.L.)
| | - Kirsten A. Schuster
- Division of Plastic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA; (J.A.F.); (A.H.A.); (D.L.); (I.C.T.); (K.A.S.); (S.J.L.)
| | - Rou Wan
- Mayo Clinic, Rochester, MN 55902, USA;
| | - Sylva Neradová
- Institute of Pathological Physiology, First Faculty of Medicine, Charles University, 12108 Praha, Czech Republic; (S.N.); (M.M.); (M.Z.)
| | - Gavin J. Lin
- Nobles and Greenough School, Dedham, MA 02026, USA
| | | | - Martin Molitor
- Institute of Pathological Physiology, First Faculty of Medicine, Charles University, 12108 Praha, Czech Republic; (S.N.); (M.M.); (M.Z.)
- Department of Plastic Surgery, Bulovka University Hospital, 46401 Praha, Czech Republic
| | - Michal Zikan
- Institute of Pathological Physiology, First Faculty of Medicine, Charles University, 12108 Praha, Czech Republic; (S.N.); (M.M.); (M.Z.)
- Department of Obstetrics and Gynecology, Bulovka University Hospital, 46401 Praha, Czech Republic
| | - Samuel J. Lin
- Division of Plastic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA; (J.A.F.); (A.H.A.); (D.L.); (I.C.T.); (K.A.S.); (S.J.L.)
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Nistorescu S, Icriverzi M, Florian P, Bonciu A, Marascu V, Dumitrescu N, Pircalabioru GG, Rusen L, Mocanu A, Roseanu A, Cimpean A, Grama F, Dinca V, Cristian DA. Mitigation of Cellular and Bacterial Adhesion on Laser Modified Poly (2-Methacryloyloxyethyl Phosphorylcholine)/Polydimethylsiloxane Surface. NANOMATERIALS (BASEL, SWITZERLAND) 2022; 13:nano13010064. [PMID: 36615974 PMCID: PMC9824587 DOI: 10.3390/nano13010064] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/16/2022] [Revised: 12/19/2022] [Accepted: 12/20/2022] [Indexed: 05/12/2023]
Abstract
Nowadays, using polymers with specific characteristics to coat the surface of a device to prevent undesired biological responses can represent an optimal strategy for developing new and more efficient implants for biomedical applications. Among them, zwitterionic phosphorylcholine-based polymers are of interest due to their properties to resist cell and bacterial adhesion. In this work, the Matrix-Assisted Laser Evaporation (MAPLE) technique was investigated as a new approach for functionalising Polydimethylsiloxane (PDMS) surfaces with zwitterionic poly(2-Methacryloyloxyethyl-Phosphorylcholine) (pMPC) polymer. Evaluation of the physical-chemical properties of the new coatings revealed that the technique proposed has the advantage of achieving uniform and homogeneous stable moderate hydrophilic pMPC thin layers onto hydrophobic PDMS without any pre-treatment, therefore avoiding the major disadvantage of hydrophobicity recovery. The capacity of modified PDMS surfaces to reduce bacterial adhesion and biofilm formation was tested for Gram-positive bacteria, Staphylococcus aureus (S. aureus), and Gram-negative bacteria, Escherichia coli (E. coli). Cell adhesion, proliferation and morphology of human THP-1 differentiated macrophages and human normal CCD-1070Sk fibroblasts on the different surfaces were also assessed. Biological in vitro investigation revealed a significantly reduced adherence on PDMS-pMPC of both E. coli (from 29 × 10 6 to 3 × 102 CFU/mL) and S. aureus (from 29 × 106 to 3 × 102 CFU/mL) bacterial strains. Additionally, coated surfaces induced a significant inhibition of biofilm formation, an effect observed mainly for E. coli. Moreover, the pMPC coatings improved the capacity of PDMS to reduce the adhesion and proliferation of human macrophages by 50% and of human fibroblast by 40% compared to unmodified scaffold, circumventing undesired cell responses such as inflammation and fibrosis. All these highlighted the potential for the new PDMS-pMPC interfaces obtained by MAPLE to be used in the biomedical field to design new PDMS-based implants exhibiting long-term hydrophilic profile stability and better mitigating foreign body response and microbial infection.
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Affiliation(s)
- Simona Nistorescu
- National Institute for Laser, Plasma and Radiation Physics, 077125 Magurele, Romania
- Faculty of Biology, University of Bucharest, 050095 Bucharest, Romania
| | - Madalina Icriverzi
- Institute for Biochemistry of Romanian Academy, 060031 Bucharest, Romania
| | - Paula Florian
- Institute for Biochemistry of Romanian Academy, 060031 Bucharest, Romania
| | - Anca Bonciu
- National Institute for Laser, Plasma and Radiation Physics, 077125 Magurele, Romania
| | - Valentina Marascu
- National Institute for Laser, Plasma and Radiation Physics, 077125 Magurele, Romania
| | - Nicoleta Dumitrescu
- National Institute for Laser, Plasma and Radiation Physics, 077125 Magurele, Romania
| | | | - Laurentiu Rusen
- National Institute for Laser, Plasma and Radiation Physics, 077125 Magurele, Romania
| | - Alexandra Mocanu
- Faculty of Chemical Engineering and Biotechnologies, University Politehnica of Bucharest, 011061 Bucharest, Romania
| | - Anca Roseanu
- Institute for Biochemistry of Romanian Academy, 060031 Bucharest, Romania
| | - Anisoara Cimpean
- Faculty of Biology, University of Bucharest, 050095 Bucharest, Romania
| | - Florin Grama
- Surgical Department, “Carol Davila” University of Medicine and Pharmacy, 030171 Bucharest, Romania
- Correspondence: (F.G.); (V.D.); Tel.: +40-214574414 (V.D.)
| | - Valentina Dinca
- National Institute for Laser, Plasma and Radiation Physics, 077125 Magurele, Romania
- Correspondence: (F.G.); (V.D.); Tel.: +40-214574414 (V.D.)
| | - Daniel A. Cristian
- Surgical Department, “Carol Davila” University of Medicine and Pharmacy, 030171 Bucharest, Romania
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Cornejo-Bravo JM, Palomino K, Palomino-Vizcaino G, Pérez-Landeros OM, Curiel-Alvarez M, Valdez-Salas B, Bucio E, Magaña H. Poly( N-vinylcaprolactam) and Salicylic Acid Polymeric Prodrug Grafted onto Medical Silicone to Obtain a Novel Thermo- and pH-Responsive Drug Delivery System for Potential Medical Devices. MATERIALS 2021; 14:ma14051065. [PMID: 33668741 PMCID: PMC7956192 DOI: 10.3390/ma14051065] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/30/2021] [Revised: 02/19/2021] [Accepted: 02/22/2021] [Indexed: 12/14/2022]
Abstract
New medical devices with anti-inflammatory properties are critical to prevent inflammatory processes and infections in medical/surgical procedures. In this work, we present a novel functionalization of silicone for medical use with a polymeric prodrug and a thermosensitive polymer, by graft polymerization (gamma rays), for the localized release of salicylic acid, an analgesic, and anti-inflammatory drug. Silicone rubber (SR) films were functionalized in two stages using graft polymerization from ionizing radiation (60Co). The first stage was grafting poly(N-vinylcaprolactam) (PNVCL), a thermo-sensitive polymer, onto SR to obtain SR-g-PNVCL. In the second stage, poly(2-methacryloyloxy-benzoic acid) (P2MBA), a polymeric prodrug, was grafted to obtain (SR-g-PNVCL)-g-P2MBA. The degree of functionalization depended on the concentrations of monomers and the irradiation dose. The films were characterized by attenuated total reflectance Fourier-transform infrared spectroscopy (ATR-FTIR), scanning electron microscopy/energy-dispersive X-ray spectrometry (SEM–EDX), thermogravimetric analysis (TGA), and contact angle. An upper critical solution temperature (UCST) of the films was demonstrated by the swelling degree as a temperature function. (SR-g-PNVCL)-g-P2MBA films demonstrated hydrolysis-mediated drug release from the polymeric prodrug, pH, and temperature sensitivity. GC–MS confirmed the presence of the drug (salicylic acid), after polymer hydrolysis. The concentration of the drug in the release media was quantified by HPLC. Cytocompatibility and thermo-/pH sensitivity of functionalized medical silicone were demonstrated in cancer and non-cancer cells.
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Affiliation(s)
- José M. Cornejo-Bravo
- Faculty of Chemical Sciences and Engineering, Autonomous University of Baja California, University Boulevard No. 14418, Otay Mesa, Tijuana 22390, Mexico; (J.M.C.-B.); (K.P.)
| | - Kenia Palomino
- Faculty of Chemical Sciences and Engineering, Autonomous University of Baja California, University Boulevard No. 14418, Otay Mesa, Tijuana 22390, Mexico; (J.M.C.-B.); (K.P.)
| | - Giovanni Palomino-Vizcaino
- Faculty of Health Sciences, Autonomous University of Baja California, University Boulevard No. 1000, Tijuana 22260, Mexico;
| | - Oscar M. Pérez-Landeros
- Institute of Engineering, Autonomous University of Baja California, Benito Juárez Boulevard, Mexicali 21280, Mexico; (O.M.P.-L.); (M.C.-A.); (B.V.-S.)
| | - Mario Curiel-Alvarez
- Institute of Engineering, Autonomous University of Baja California, Benito Juárez Boulevard, Mexicali 21280, Mexico; (O.M.P.-L.); (M.C.-A.); (B.V.-S.)
| | - Benjamín Valdez-Salas
- Institute of Engineering, Autonomous University of Baja California, Benito Juárez Boulevard, Mexicali 21280, Mexico; (O.M.P.-L.); (M.C.-A.); (B.V.-S.)
| | - Emilio Bucio
- Department of Radiation Chemistry and Radiochemistry, Institute of Nuclear Science, National Autonomous University of Mexico, Mexico City 04510, Mexico;
| | - Héctor Magaña
- Faculty of Chemical Sciences and Engineering, Autonomous University of Baja California, University Boulevard No. 14418, Otay Mesa, Tijuana 22390, Mexico; (J.M.C.-B.); (K.P.)
- Correspondence:
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