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Einleitung Müssen im Verlauf einer kardiovaskulären Erkrankung geschädigte Gefäßabschnitte ersetzt werden, stehen den Gefäßchirurgen neben organischen Eigen– oder Fremdmaterial hauptsächlich die Kunststoffe Polytetraflourethylen (PTFE) und Polyethylen-terephtalat (PET, Polyester, Dacron®) zum Gefäßersatz zur Verfügung. Im Zusammenhang mit diesen künstlichen Ersatzmaterialien kommt es allerdings häufig zu Komplikationen. Diese sind besonders nach Rekonstruktion kleiner Gefäße durch die Thrombogenität ihrer Oberflächen und eine übersteigerte Intimahyperplasie bedingt. Ursächlich für einen Misserfolg können außerdem eine ungenügende Dichtigkeit und eine Infektion des Gefäßersatzes sein. Diese Arbeit beschäftigt sich mit der Weiterentwicklung einer "multifunktionellen“ Silikon–beschichteten und Medikamenten-freisetzenden Gefäßprothese, bei der die Oberflächeneigenschaften optimiert wurden. Material und Methoden Herstellung der Prothesen: Gewirkte Polyesterprothesen wurden maschinell mit Silikon beschichtet. Mit Hilfe einer neuen Beschichtungsmaschine wurden die Prothesen zusätzlich von innen mit Silikon betropft. Durch einen nass–chemischen Prozess wurden in einem zweiten Schritt verschiedene Stoffe kovalent an die Oberfläche des Silikons gebunden (Polyvinylpyrrolidon, Polyvinylalkohol, Phosphorylcholin, eine amphotere Oberfläche, Silber und die Kombination von Silber und PVA). Außerdem wurde das Medikament Paclitaxel (Taxol®) in die Silikonmatrix eingebracht. Untersuchung der Eigenschaften: Es wurde die Dichtigkeit nach Beschichtung und zusätzlich der Wasserverlust nach Einstich mit Kanülen und Venenverweilkanülen untersucht und mit dem herkömmlicher Prothesen verglichen (eine PTFE -, eine mit Kollagen beschichtete und eine 3-schichtige PTFE-Polymer – Prothese (Rapidax)). Zusätzlich wurden die antiinfektiösen Eigenschaften der verschiedenen Oberflächen (Silber, amphotere Oberfläche, Kollagen- und Silikon-beschichtete Polyesterprothesen) auf den Prothesen, der Einfluss der an die Prothese gebundenen Moleküle auf die Thrombogenität und die Elution von Paclitaxel, einem Medikament zur Unterdrückung der Intimahyperplasie, untersucht. Ergebnisse Herstellung der Prothesen. Die Umstellung des Beschichtungsvorgangs mit einer 3. Beschichtung von innen konnte realisiert werden. Untersuchung der Eigenschaften: Dichtigkeit: Bei der Untersuchung des Wasserverlustss nach Einstich von Kanülen und Venenverweilkanülen zeigten sich die geringsten Verlustraten bei der Rapidax®-Prothese und die höchsten bei der PTFE–Prothese. Die Silikon–beschichtete und die herkömmliche PET–Prothese erzielten insgesamt ähnliche Ergebnisse Oberflächenthrombogenität: Durch die Beschichtung mit Silikon konnte im Vergleich zur reinen Polyesterprothese und gegenüber den herkömmlichen Prothesen (Dacron®-Gelatine und PTFE) in allen Versuchen eine geringere Gerinnungsaktivierung für die Silikonprothese festgestellt werden. Die zusätzliche Oberflächenmodifizierung von Silikon- und Silberprothesen mit PVA erbrachte niedrigere Gerinnungswerte als die alleinigen Oberflächen. Die antiinfektiöse Oberfläche: Die mit Silber modifizierte Silikon-beschichtete Prothese konnte das bakterielle Wachstum komplett inhibieren. Die amphotere Oberfläche hingegen konnte das bakterielle Wachstum im Vergleich zur reinen Silikonoberfläche nur leicht hemmen. Medikamentenelution: Paclitaxel konnte im Kreislaufmodell und auch im statischen Versuchsaufbau über einen Zeitraum von bis zu 21 Tagen im Humanalbumin nachgewiesen werden. Diskussion Durch die Beschichtung mit Silikon wird eine primäre Dichtigkeit erreicht. Außerdem konnten nun die Prothesen durch die Umstellung des Herstellungsverfahrens in besserer Qualität und schneller hergestellt werden. Es konnte nachgewiesen werden, dass die Eigenschaften der einzelnen Moleküle in der Kombinationsprothese erhalten bleiben: so konnte die Thrombogenität der antiinfektiösen Silberprothese durch das PVA aufgehoben werden. Die Elution des Paclitaxels war unabhängig von der Oberflächenbeschichtung. Alternativ können auch andere Moleküle und Medikamente verwendet werden. Ziel ist nun die Testung dieser Prothese zunächst im Tierversuch und auf lange Sicht in einer klinischen Studie. Insbesondere bietet sich eine vergleichende Studie mit herkömmlichen Prothesen im Dialyseeinsatz an, da die Silikonprothese hinsichtlich der Dichtigkeit besonders bei Venenverweilkanülen mittleren Durchmessers gegenüber PTFE– und einer Polyester-Prothese überzeugen konnte. / Abstract Background: To replace affected blood vessels surgeons might use synthetic prostheses made of polytetraflourethylen (PTFE) and polyethylenterephtalat (PET, Polyester, Dacron®) instead of autologous veins. There are some common complications in conjunction with these prostheses. Major complications are infections, a deficient density, the thrombogenicity of the artificial surfaces and especially after reconstruction of smaller blood vessels the development of intima hyperplasia. The current dissertation describes the improvement of a "multifunctional" silicone-coated and drug-eluting vascular graft. Methods: Fabrication of prostheses: Knitted polyester-prostheses were coated with silicone. The former coating with silicone which was only from outside was completed with an extra coating at the inner side of the prosthesis. For this process we developed a special machine. The coating was followed by a modification with different molecules such as polyvinylpyrrolidone (PVP), polyvinylalcohole (PVA), phosphorylcholine (PC), an amphoteric surface, silver and a combination of silver and PVA. In another processes we inserted the drug paclitaxel in the matrix of the silicone. Analysis of characteristics: We analysed the density, the anti-infectious qualities of the prostheses, the influence of bonded molecules on the thrombogenicity and the drug-elution of paclitaxel. Density: We tested the average leakage and the leakage after puncture with canulas and indwelling venous catheters of the coated prostheses and three conventionally used vascular grafts (one PTFE, one collagen-coated and one prosthesis made of PTFE and another polymer (Rapidax)). Thrombogenicity of surfaces: We analysed the INR, Quick, PTT and fibrinogen after the contact of blood with the different surfaces. Furthermore we determined the amount of fibrinogen adhered platelets and platelet aggregates via FACS and the presence of coagulation activators (fragments of prothrombin F1+ F2) and of fibrinolysis (D-Dimeres) via ELISA (Enzyme-Linked Immunosorbend Assay). Infectivity: We analysed the effectivity of silver and of an amphotere surface on silicone catheters and on silicone prostheses against S. aureus. In an in-vitro experiment we incubated different catheters with a bacterial suspension and quantified the adherent bacteria. In a second experiment we incubated different coated prostheses with a S.aureus xen29 strain and determined the luminescence of the adhered bacteria. Drug elution: In static and dynamic experimental set-ups we detected the concentration of paclitaxel eluted from a prostheses via an Immuno-Assay (Fa. Cardax Pharmaceuticals, Hawaii, USA). This drug should inhibit the intima hyperplasia. Results: Production of prostheses: We realized the restructering of the coating process. Thereby we could save time and silicone. In addition we achieved a constant layer of silicone at the inside of the prostheses. Analysis of characteristics: Density: After puncturing the prostheses with canulas and indwelling venous catheters the Rapidax-prosthesis achieved the lowest and the PTFE the highest leakage. The silicone-coated and the collagen-coated prostheses achieved comparable results with advantages for the silicone-prosthesis. Thrombogenicity: The silicone-coated prostheses caused a lower activation of coagulation than the commonly used vascular grafts (Dacron-Gelatine or PTFE). The modification with PVA could additionally decrease the activation of silicone and silver. Infectivity: The silver-coated catheters and prostheses could completely inhibit the growth of bacteria. The highest growth was detected on the collagen-prostheses. The amphotere surface could achieve a low inhibation. Drug elution: It was possible to detect paclitaxel in the static as well as in the dynamic experimental set-up until the 21th day. Discussion: The coating with silicone could achieve a complete density of the prostheses. Furthermore we now have the ability to produce silicone-coated grafts in a better quality and in a shorter period of time. We could demonstrate that the individual characteristics of the different molecules persist in the combination with other molecules. The coating with PVA for example made it possible to compensate the higher activation of coagulation. Alternatively we could also coat the prostheses with other molecules or drugs. Our ambition is to test the silicone-prostheses in an animal experiment and in a clinical survey. Because of the good results in the density experiment it is conceivable to test our prostheses in conjunction with dialysis.

Made available in DSpace on 2014-06-12T15:54:33Z (GMT). No. of bitstreams: 2 arquivo4922_1.pdf: 2350753 bytes, checksum: 6f3d3de384154b6467e73089c613aff1 (MD5) license.txt: 1748 bytes, checksum: 8a4605be74aa9ea9d79846c1fba20a33 (MD5) Previous issue date: 2002 / A Natureza é uma fonte de substâncias bioativas e pericarpo de Punica granatum Linn. (romã) tem sido usado em medicina popular. Proteínas hemaglutinantes (lectinas) interagem seletivamente e reversivelmente com carboidratos e glicoconjugados. O objetivo deste trabalho foi o isolamento da lectina de pericarpo de P. granatum (PgPeL) e sua imobilização para produzir uma matriz de afinidade. Extrato de pericarpo de Punica granatum foi submetido a precipitação com sulfato de amônio e as frações obtidas foram avaliadas quanto a seus efeitos sobre aglutinação de eritrócitos (tipos humanos e de coelho). A fração sobrenadante 60% (SF60) mais ativa foi usada para avaliar a especificidade da lectina (carboidratos e glicoproteínas), a estabilidade térmica da proteína (30 a 100°C, 30 min ou 100°C, 60 min), o efeito de íons (Ca2+ e Mg2+) e pH (valores de 6,5 a 8,0) sobre a atividade hemaglutinante. PgPeL obtida após cromatografia da SF60 em coluna de Sepharose CL-6B (purificação de 10 vezes) foi imobilizada em Dacron ferromagnetizado (FMD); PgPeL-FMD foi aplicada para o isolamento de fetuína e ovoalbumina. SF60 aglutinou todos os eritrócitos humanos (título de 512-1) mas o melhor resultado foi obtido com células de coelho (título de 2048-1). A atividade de PgPeL não foi estimulada por íons divalentes e foi inibida por frutose, manose, caseína, fetuína, ovoalbumina como também por tiroglobulina. A mais alta atividade lectínica (pH 7,5) foi totalmente perdida em pH 8,0. PgPel foi ativa (título de 4-1) após aquecimento a 100°C. PgPeL imobilizada (87%) foi capaz de ligar fetuína (160 μg), mas ovoalbumina não foi retida. PgPeL-FMD pode ser usada para purificação de glicoproteínas sendo um método simples e rápido

Made available in DSpace on 2014-06-12T15:53:07Z (GMT). No. of bitstreams: 2 arquivo5100_1.pdf: 1414667 bytes, checksum: adaa042e8a901926ad1151535e3a2641 (MD5) license.txt: 1748 bytes, checksum: 8a4605be74aa9ea9d79846c1fba20a33 (MD5) Previous issue date: 2004 / Uma sulfatase (EC 3.1.6.1.), heparina específica, foi identificada no fígado do molusco Aplysia cervina, largamente encontrado na costa nordestina do Brasil. Esta enzima foi purificada por precipitações sucessivas com sulfato de amônio e acetona e por cromatografia de afinidade em Heparina-Sepharose CL-6B. Algumas das propriedades físico-químicas e cinéticas desta preparação purificada 89,7 vezes (rendimento de 5,37%) foram investigadas usando o p-nitrofenil sulfato (pNFS) como substrato. Seus valores ótimos de pH e temperatura foram 5,0 e 45oC, respectivamente. Ela reteve mais de 90% de sua atividade quando incubada por 15 minutos a 45ºC enquanto que perdeu 60% a 55ºC. Seu Km foi igual a 3,71 ± 0,41 mM. Sua atividade foi estimulada por MgCl2, CaCl2 e FeCl2 e inibida por Na2S2O3, Na2SO4, KCl, C6H5Na3O7 (citrato de sódio), HgCl2, Na2HPO4 e NaH2PO4. Heparina de baixa massa molecular competiu com o pNFS pelo centro ativo da enzima mais do que a de massa molecular elevada. Esta enzima foi covalentemente imobilizada ao Dacron e a uma rede semi-interpenetrada de polisiloxano e álcool polivinílico (POS/PVA), ambos magnetizados, resultando em derivados com atividade específica e retenção de 3,17 unidades/mg proteína, 1,85 unidades/mg proteína, 36,5% e 21,23%, respectivamente. Estas preparações foram removidas facilmente da mistura de reação por um campo magnético e foram reutilizadas diversas vezes sem perda de suas atividades. Elas foram mais termoresistentes do que a enzima solúvel e apresentaram o mesmo pH ótimo, temperatura ótima e Km aparente. O derivado sintetizado com o Dacron ferromagnético apresentou uma vida útil mais elevada do que aquele em POS/PVA. O MgCl2, CaCl2 e EDTA ativaram ambos os derivados de sulfatase insolúveis em água enquanto que Na2HPO4 e NaH2PO4 e a heparina inibiram. A ação pelos outros íons variou de acordo com o suporte

The effect of process conditions, temperature, time and rate of temperature rise, on the exhaustion of disperse dye on polyester yarn under High-Temperature dyeing conditions was investigated. Two ply spun type Dacron 54 polyester yarn was dyed with Disperse Red 60 in 0.5 g/l dye bath concentration using an Ahiba Texomat Dyeing Apparatus under High-Temperature Dyeing conditions. The dyeing process design used, consists of three levels of dyeing temperature (105°C, 120°C, 135°C), four levels of holding time (0 min, 15 min, 30 min, 60 min) and two levels of rate of temperature rise (1ºC/min, 3°C/min). After the dyeing process, the dye concentration in the yarn was obtained through extraction and measured spectrophotometrically. A factorial analysis of variance (ANOVA) test was used to determine whether or not significant differences existed among dyeing process conditions in regard to the dye uptake of the yarn. If significant differences existed, which parameter of process conditions (temperature, time, rate of temperature rise or their interactions) was responsible. The results of this study indicated that a three-way interaction of temperature, time, and rate of temperature rise was responsible for the differences in dye uptake of the yarn. The dye uptake of the yarn increased by increasing dyeing temperature from 105°C to 120°C for all levels of holding time and rate of temperature rise. However, increasing dyeing temperature from 120°C to 135°C, did not increase dye uptake of the yarn. The dye uptake of the yarn increased by increasing holding time from zero to 15 minutes for dyeing temperature of 120°C. However, increasing holding time from 15 to 60 minutes, did not increase dye uptake of the yarn. At the dyeing temperature of 120°C, a slower rate of temperature rise resulted in greater dye uptake of the yarn. It can be concluded that high temperature dyeing of polyester yarn at 120°C for 15 minutes with a rate of temperature rise of 1°C/min was the optimum dyeing process in achieving full exhaustion. / Master of Science

The effect of carrier concentration and dye type on carrier and dye uptake of Dacron type 54 yarn was determined. Disperse Red 60 and Disperse Yellow 54 dyes were used. 0-phenyl phenol was used with six different concentrations of this carrier (0, 1, 2, 3, 4 and 5 gm/l). Spun Dacron type 54 polyester yarn of 490 denier weighing ten grams was obtained. Dyeing was done using the Ahiba Texomat dyeing machine. The standard composite curves and equations were established for both dyes as well as the carrier. The dye in the yarn was extracted with dimethyl formamide as a solvent using the Fisher Shaking Water Bath. To measure the dye and carrier uptake of the polyester yarn, the extraction and dye bath solutions were analyzed spectrophotometrically. A two-way factorial Analysis of Variance (ANOVA) was used to test the hypotheses. The first null hypothesis indicating that there will be no difference in the uptake of disperse dye by polyester fiber due to initial carrier concentration was rejected. The second null hypothesis indicating that there will be no difference in the uptake of disperse dye by the polyester fiber due to dye type was also rejected. The third and fourth null hypotheses of no difference in the carrier uptake of polyester fiber due to initial carrier concentration and dye type respectively were likewise rejected. The results of this study indicated that both carrier concentration and dye type as well as their interaction have a significant effect on dye and carrier uptake of the polyester yarn. / Master of Science

"The stiffness of scaffolds used in surgical ventricular restoration may play an important role in the degree to which they facilitate regeneration of functional cardiac tissue. The stiffness of the scaffold influences the phenotype of cells which are present in it as well as their ability to deform the scaffold. The goal of this study was to evaluate in vitro methods to characterize and alter the stiffness of new scaffold materials. Membrane inflation testing, an in vitro mechanical testing method, was evaluated in this study because of its ease of use and the similar mode of loading which it shares with scaffolds implanted in vivo. The structural stiffness of two scaffold materials, urinary bladder matrix and Dacron, were determined in vivo and using membrane inflation testing. Despite higher tensions and lower area stretch ratios for scaffolds tested using membrane testing, similar changes in structural stiffness between the two materials were found for both methods (5.6 ± 3.3 fold in vivo, 5.0 ± 1.0 in vitro). This finding demonstrated that membrane inflation testing is a useful in vitro method for measuring changes in structural stiffness between scaffold materials with a level of sensitivity similar to that which is measured in vivo. Membrane inflation testing was used to assess the effectiveness of altering scaffold stiffness through exposure to various cell culture conditions. Incubation of a biological membrane in cell culture media resulted in a drastic decrease in the elastic modulus from its initial value (3.55 ± 0.52 MPa) after 2 weeks (1.79 ± 0.30 MPa), 4 weeks (1.04 ± 0.09 MPa), and 10 weeks (0.014 ± 0.01 MPa). When fibroblasts were cultured on the scaffolds for 10 weeks an increase in elastic modulus (0.134 ± 0.05 MPa) over scaffolds incubated in culture media for the same amount of time was observed. The increase in elastic modulus due to the presence of fibroblasts was accompanied by an increase in the percentage of collagen in the samples (54.1 ± 5.1 % without fibroblasts, 83.2 ± 5.1 % with fibroblasts). Contrary to expectation, addition of ascorbic acid to the media to increase production of collagen by the fibroblasts resulted in a decrease in elastic modulus (0.030 ± 0.01 MPa) compared to scaffolds cultured with fibroblasts in standard media and a decrease in the amount of enzymatically degraded collagen (40.8 ± 4.7 % without ascorbic acid, 21.1 ± 3.3 % with ascorbic acid). Regeneration of cardiac tissue after a myocardial infarction is a complicated process which is influenced by a myriad of different factors. Future studies investigating the exact role which substrate stiffness has on regeneration will be essential to the development of improved cardiac scaffolds. Characterization of the stiffness of these scaffolds by membrane inflation and manipulation through exposure to cell culture conditions are powerful approaches to facilitate future studies."

Os stents são dispositivos intravasculares implantados com o objetivo de dilatar ou fixar a placa de colesterol contra a parede arterial. O objetivo avaliar dois tipos de stents de aço inoxidável, um recoberto com poliéster (dacron) e outro não recoberto, implantados na aorta infra-renal de suínos jovens, foram avaliados por morfometria digital para medir o espessamento intimal. Foi realizado um estudo experimental randomizado, separados em dois grupos(stents não revestidos e revestidos com dacron) e duas fases (I e II). Oito stents recobertos com dacron e oito stents de aço inoxidável (30mm de extensão e 8 mm de diâmetro), não revestidos, foram implantados através de abordagem retroperitoneal na aorta infrarenal normal de 16 suínos normolipêmicos. Para a passagem do sistema de implante, foi necessário uma pequena arteriotomia na aorta distal (fase I). Após quatro semanas, a aorta com os stents foram removidas em monoblocos (fase II). Os valores de hematimetria e do lipidograma foram coletados nas duas fases e não apresentaram alterações que pudessem influenciar o estudo. Amostras de tecido dos sítios de fixação (proximal e distal) dos stents foram retiradas, confeccionadas lâminas, que foram coradas pelas técnicas de hematoxilina e eosina de Verhoeff e enviadas para análise morfométrica digital. A camada intima distal não apresentou diferença estatística significativa. A camada média proximal das porções proximal e da porção distal não apresentaram diferença entre os grupos. Os dois tipos de stents apresentaram 100% de perviedade, boa biocompatibilidade e boa incorporação a parede aórtica de suínos normolipêmicos. A camada íntima proximal do grupo de stents revestidos com dacron apresentou espessura maior do que os stents não revestidos, mas com significância estatísitica limítrofe. / Stents are intravascular devices implanted with the objective of dilating or fixing the cholesterol plate against the arterial wall. To evaluate, by digital morphometry, the intimal thickening after the placement of two different kinds of stents: polyester covered stainless steel stents (Dacron) and non-covered stents implanted in young pigs’ infrarenal aortas. The stents were made at the Biotransformation Laboratory of Federal University of Rio Grande do Sul. The experiment was performed at the Biotério of University of Caxias do Sul, carried out on two separate groups of pigs. Eight polyester-covered stainless steel stents (Dacron) and eight stainless steel stents (30-mm long, 8-mm diameter) were deployed through extraperitoneal approach in the normal infrarenal aorta of 16 normolipemic pigs. To allow the passage of the delivery system, a small arteriotomy was performed (phase I). After four weeks, the aorta with the stent was removed en bloc. (phase II). The values of the hematimetric and lipid analysis did not show any changes that could influence the study. Tissue samples of the fixing sites (proximal and distal) of the stents were taken. Microscope slices were prepared and submitted to Verhoeff’s hematoxilin and eosin techniques and sent to morphometric analysis.The intima immediately proximal to the device was thicker in the group of covered stents with marginal significance. The distal intimal layer, proximal medial layer of the proximal portion and distal portion did not present statistical difference between the two groups. Patency was 100% in both groups of these normolipemic pigs. After four weeks the intimal layer immediately proximal to the covered stents was ticker when compared to uncovered stents, but this had a borderline significance. The intimal layer distal to covered stents and the media proximal or distal to the devices had similar morphometric features when covered and uncovered stents where compared.

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