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Rezvova MA, Klyshnikov KY, Gritskevich AA, Ovcharenko EA. Polymeric Heart Valves Will Displace Mechanical and Tissue Heart Valves: A New Era for the Medical Devices. Int J Mol Sci 2023; 24:ijms24043963. [PMID: 36835389 PMCID: PMC9967268 DOI: 10.3390/ijms24043963] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2022] [Revised: 02/12/2023] [Accepted: 02/14/2023] [Indexed: 02/18/2023] Open
Abstract
The development of a novel artificial heart valve with outstanding durability and safety has remained a challenge since the first mechanical heart valve entered the market 65 years ago. Recent progress in high-molecular compounds opened new horizons in overcoming major drawbacks of mechanical and tissue heart valves (dysfunction and failure, tissue degradation, calcification, high immunogenic potential, and high risk of thrombosis), providing new insights into the development of an ideal artificial heart valve. Polymeric heart valves can best mimic the tissue-level mechanical behavior of the native valves. This review summarizes the evolution of polymeric heart valves and the state-of-the-art approaches to their development, fabrication, and manufacturing. The review discusses the biocompatibility and durability testing of previously investigated polymeric materials and presents the most recent developments, including the first human clinical trials of LifePolymer. New promising functional polymers, nanocomposite biomaterials, and valve designs are discussed in terms of their potential application in the development of an ideal polymeric heart valve. The superiority and inferiority of nanocomposite and hybrid materials to non-modified polymers are reported. The review proposes several concepts potentially suitable to address the above-mentioned challenges arising in the R&D of polymeric heart valves from the properties, structure, and surface of polymeric materials. Additive manufacturing, nanotechnology, anisotropy control, machine learning, and advanced modeling tools have given the green light to set new directions for polymeric heart valves.
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Affiliation(s)
- Maria A. Rezvova
- Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia
| | - Kirill Y. Klyshnikov
- Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia
| | | | - Evgeny A. Ovcharenko
- Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia
- Correspondence:
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Hassan S, Najabat Ali M, Ghafoor B. An appraisal of polymers of DES technology and their impact on drug release kinetics. INT J POLYM MATER PO 2022. [DOI: 10.1080/00914037.2022.2090941] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Affiliation(s)
- Sadia Hassan
- Department of Biomedical Engineering and Sciences, School of Mechanical and Manufacturing Engineering, National University of Sciences and Technology, Islamabad, Pakistan
| | - Murtaza Najabat Ali
- Department of Biomedical Engineering and Sciences, School of Mechanical and Manufacturing Engineering, National University of Sciences and Technology, Islamabad, Pakistan
| | - Bakhtawar Ghafoor
- Department of Biomedical Engineering and Sciences, School of Mechanical and Manufacturing Engineering, National University of Sciences and Technology, Islamabad, Pakistan
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Rezvova MA, Nikishau PA, Makarevich MI, Glushkova TV, Klyshnikov KY, Akentieva TN, Efimova OS, Nikitin AP, Malysheva VY, Matveeva VG, Senokosova EA, Khanova MY, Danilov VV, Russakov DM, Ismagilov ZR, Kostjuk SV, Ovcharenko EA. Biomaterials Based on Carbon Nanotube Nanocomposites of Poly(styrene- b-isobutylene- b-styrene): The Effect of Nanotube Content on the Mechanical Properties, Biocompatibility and Hemocompatibility. NANOMATERIALS 2022; 12:nano12050733. [PMID: 35269222 PMCID: PMC8911977 DOI: 10.3390/nano12050733] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/21/2022] [Revised: 02/18/2022] [Accepted: 02/19/2022] [Indexed: 01/27/2023]
Abstract
Nanocomposites based on poly(styrene-block-isobutylene-block-styrene) (SIBS) and single-walled carbon nanotubes (CNTs) were prepared and characterized in terms of tensile strength as well as bio- and hemocompatibility. It was shown that modification of CNTs using dodecylamine (DDA), featured by a long non-polar alkane chain, provided much better dispersion of nanotubes in SIBS as compared to unmodified CNTs. As a result of such modification, the tensile strength of the nanocomposite based on SIBS with low molecular weight (Mn = 40,000 g mol-1) containing 4% of functionalized CNTs was increased up to 5.51 ± 0.50 MPa in comparison with composites with unmodified CNTs (3.81 ± 0.11 MPa). However, the addition of CNTs had no significant effect on SIBS with high molecular weight (Mn~70,000 g mol-1) with ultimate tensile stress of pure polymer of 11.62 MPa and 14.45 MPa in case of its modification with 1 wt% of CNT-DDA. Enhanced biocompatibility of nanocomposites as compared to neat SIBS has been demonstrated in experiment with EA.hy 926 cells. However, the platelet aggregation observed at high CNT concentrations can cause thrombosis. Therefore, SIBS with higher molecular weight (Mn~70,000 g mol-1) reinforced by 1-2 wt% of CNTs is the most promising material for the development of cardiovascular implants such as heart valve prostheses.
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Affiliation(s)
- Maria A. Rezvova
- Department of Experimental Medicine, Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia; (T.V.G.); (K.Y.K.); (T.N.A.); (V.G.M.); (E.A.S.); (M.Y.K.); (E.A.O.)
- Correspondence:
| | - Pavel A. Nikishau
- Research Institute for Physical Chemical Problems, Belarusian State University, 220006 Minsk, Belarus; (P.A.N.); (M.I.M.); (S.V.K.)
| | - Miraslau I. Makarevich
- Research Institute for Physical Chemical Problems, Belarusian State University, 220006 Minsk, Belarus; (P.A.N.); (M.I.M.); (S.V.K.)
- Department of Chemistry, Belarusian State University, 220006 Minsk, Belarus
| | - Tatiana V. Glushkova
- Department of Experimental Medicine, Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia; (T.V.G.); (K.Y.K.); (T.N.A.); (V.G.M.); (E.A.S.); (M.Y.K.); (E.A.O.)
| | - Kirill Yu. Klyshnikov
- Department of Experimental Medicine, Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia; (T.V.G.); (K.Y.K.); (T.N.A.); (V.G.M.); (E.A.S.); (M.Y.K.); (E.A.O.)
| | - Tatiana N. Akentieva
- Department of Experimental Medicine, Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia; (T.V.G.); (K.Y.K.); (T.N.A.); (V.G.M.); (E.A.S.); (M.Y.K.); (E.A.O.)
| | - Olga S. Efimova
- Institute of Coal Chemistry and Material Science, Federal Research Center of Coal and Coal Chemistry SB RAS, 650000 Kemerovo, Russia; (O.S.E.); (A.P.N.); (V.Y.M.); (Z.R.I.)
| | - Andrey P. Nikitin
- Institute of Coal Chemistry and Material Science, Federal Research Center of Coal and Coal Chemistry SB RAS, 650000 Kemerovo, Russia; (O.S.E.); (A.P.N.); (V.Y.M.); (Z.R.I.)
| | - Valentina Yu. Malysheva
- Institute of Coal Chemistry and Material Science, Federal Research Center of Coal and Coal Chemistry SB RAS, 650000 Kemerovo, Russia; (O.S.E.); (A.P.N.); (V.Y.M.); (Z.R.I.)
| | - Vera G. Matveeva
- Department of Experimental Medicine, Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia; (T.V.G.); (K.Y.K.); (T.N.A.); (V.G.M.); (E.A.S.); (M.Y.K.); (E.A.O.)
| | - Evgeniia A. Senokosova
- Department of Experimental Medicine, Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia; (T.V.G.); (K.Y.K.); (T.N.A.); (V.G.M.); (E.A.S.); (M.Y.K.); (E.A.O.)
| | - Mariam Yu. Khanova
- Department of Experimental Medicine, Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia; (T.V.G.); (K.Y.K.); (T.N.A.); (V.G.M.); (E.A.S.); (M.Y.K.); (E.A.O.)
| | - Viacheslav V. Danilov
- Research Laboratory for Processing and Analysis of Big Data, Tomsk Polytechnic University, 634050 Tomsk, Russia;
| | - Dmitry M. Russakov
- Institute of Fundamental Sciences, Kemerovo State University, 650000 Kemerovo, Russia;
| | - Zinfer R. Ismagilov
- Institute of Coal Chemistry and Material Science, Federal Research Center of Coal and Coal Chemistry SB RAS, 650000 Kemerovo, Russia; (O.S.E.); (A.P.N.); (V.Y.M.); (Z.R.I.)
| | - Sergei V. Kostjuk
- Research Institute for Physical Chemical Problems, Belarusian State University, 220006 Minsk, Belarus; (P.A.N.); (M.I.M.); (S.V.K.)
- Department of Chemistry, Belarusian State University, 220006 Minsk, Belarus
- Institute for Regenerative Medicine, Sechenov First Moscow State Medical University, 119991 Moscow, Russia
| | - Evgeny A. Ovcharenko
- Department of Experimental Medicine, Research Institute for Complex Issues of Cardiovascular Diseases, 650002 Kemerovo, Russia; (T.V.G.); (K.Y.K.); (T.N.A.); (V.G.M.); (E.A.S.); (M.Y.K.); (E.A.O.)
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任 义, 黄 若, 王 存, 马 亚, 李 晓. [Advantages and challenges of carbon nanotubes as bone repair materials]. ZHONGGUO XIU FU CHONG JIAN WAI KE ZA ZHI = ZHONGGUO XIUFU CHONGJIAN WAIKE ZAZHI = CHINESE JOURNAL OF REPARATIVE AND RECONSTRUCTIVE SURGERY 2021; 35:271-277. [PMID: 33719233 PMCID: PMC8171765 DOI: 10.7507/1002-1892.202009073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 09/15/2020] [Revised: 12/28/2020] [Indexed: 11/03/2022]
Abstract
With the in-depth research on bone repair process, and the progress in bone repair materials preparation and characterization, a variety of artificial bone substitutes have been fully developed in the treatment of bone related diseases such as bone defects. However, the current various natural or synthetic biomaterials are still unable to achieve the structure and properties of natural bone. Carbon nanotubes (CNTs) have provided a new direction for the development of new materials in the field of bone repair due to their excellent structural stability, mechanical properties, and functional group modifiability. Moreover, CNTs and their composites have broad prospects in the design of bone repair materials and as drug delivery carriers. This paper describes the advantages of CNTs related to bone tissue regeneration from the aspects of morphology, chemistry, mechanics, electromagnetism, and biosafety, as well as the application of CNTs in drug delivery carriers and reinforcement components of scaffold materials. In addition, the potential problems and prospects of CNTs in bone regenerative medicine are discussed.
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Affiliation(s)
- 义行 任
- 保定市第四中心医院骨科（河北保定 072350）Department of Orthopedics, the Fourth Central Hospital of Baoding City, Baoding Hebei, 072350, P.R.China
| | - 若愚 黄
- 保定市第四中心医院骨科（河北保定 072350）Department of Orthopedics, the Fourth Central Hospital of Baoding City, Baoding Hebei, 072350, P.R.China
| | - 存阳 王
- 保定市第四中心医院骨科（河北保定 072350）Department of Orthopedics, the Fourth Central Hospital of Baoding City, Baoding Hebei, 072350, P.R.China
| | - 亚洁 马
- 保定市第四中心医院骨科（河北保定 072350）Department of Orthopedics, the Fourth Central Hospital of Baoding City, Baoding Hebei, 072350, P.R.China
| | - 晓明 李
- 保定市第四中心医院骨科（河北保定 072350）Department of Orthopedics, the Fourth Central Hospital of Baoding City, Baoding Hebei, 072350, P.R.China
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