Introdução: Apesar de bons resultados descritos na literatura, o substituto ideal para a utilização como remendo no fechamento arterial ainda não existe. Por este motivo, ainda há espaço para a busca por remendo que seja biocompatível, e que apresente facilidade de manuseio e resultados satisfatórios. Avaliamos remendos arteriais de silicone (polidimetilsiloxano com reforço em poliéster - PDMSr) em comparação com remendos arteriais de PTFEe. Objetivo: O objetivo deste trabalho é comparar, em modelo experimental, em coelhos, os resultados de remendos arteriais feitos em PDMSr com remendos de PTFEe. Materiais e Método: A amostra foi definida em 10 animais que completassem todas as etapas da pesquisa em cada grupo. Os animais foram submetidos à laparotomia mediana e abertura longitudinal da aorta de aproximadamente 8mm, realizando-se o seu fechamento com remendo do grupo selecionado, seguido do fechamento por planos. Os animais foram mantidos em biotério até o 60º PO, quando, então, realizou-se arteriografia de controle, e análise macro e microscópica de peça. Resultados: Para se atingir a amostra desejada, foram necessários 12 procedimentos no grupo PDMSr e 16 no grupo PTFEe. Ocorreram 2 óbitos no grupo PDMSr e 6 no grupo PTFEe. Apesar do número maior de óbitos no grupo PTFEe não houve diferença estatística na sobrevida entre os grupos. Um animal do grupo PDMSr apresentou monoparesia em pata posterior direita e um animal do grupo PTFEe apresentou hérnia incisional. Não houve diferença estatística nas complicações entre os grupos. O tempo operatório foi estatisticamente maior no grupo PTFEe quando comparamos todos os animais, fato que não se repetiu quando excluímos os animais que faleceram. O peso e o tempo operatório foram estatisticamente maiores nos animais que morreram. Todos os animais que chegaram ao final do tempo de estudo apresentavam aorta patente. Na análise macroscópica da peça, houve, estatisticamente, maior reação tecidual periprótese no grupo PTFEe. A microscopia eletrônica de varredura evidenciou cobertura de todo o remendo de PDMSr por tecido similar ao endotélio, enquanto, nos remendos de PTFEe, o crescimento limitou-se às bordas da linha de sutura e ilhas isoladas no seu centro. Conclusão: O material estudado apresentou resultados comparáveis ao do PTFEe, porém com menor reação tecidual local e maior proliferação celular para a luz do vaso. Apesar de novos estudos serem necessários, inclusive para avaliação de uso em humanos, o presente estudo apresenta resultados promissores que encorajam a continuidade de sua pesquisa / Introduction: Although good results are reported for various materials for use as patches for arterial closure, as yet none of these is ideal. Therefore, research is continuing into development of a patch that is biocompatible and provides ease of handling, while having satisfactory outcomes. A new silicone arterial patch (polydimethylsiloxane reinforced with polyester fabric, PDMSr) was compared with patches made of expanded polytetrafluoroethylene (ePTFE). Objective: To compare the outcomes between arterial patches made of PDMSr with those made of ePTFE, in an experimental rabbit model. Materials and Method: Rabbits were placed in two groups, and received either PDMSr or ePTFE arterial patches (PDMSr group and ePTFE group, respectively). The animals underwent laparotomy and longitudinal opening of the aorta, which was then closed with the selected patch, followed by suture of all layers. The animals were kept in their cages until the 60th postoperative day, when arteriography, removal of the aorta, and macroscopic and optic and scanning electron microscopic analyzes of the aorta were performed. Ten rabbits from each group that had completed all stages of the research were included in analyses. Results: Twelve procedures were performed in the PDMSr group and 16 in the ePTFE group. There were 2 deaths in the PDMSr group and 6 in the ePTFE group. Despite the higher number of deaths in the ePTFE group, there was no statistical difference in survival rate between the groups. One animal in the PDMSr group developed monoparesis in its right hind paw and 1 animal in the ePTFE group had an incisional hernia. There was no statistical difference in complications between the groups. The operative time was significantly longer in the ePTFE group when all animals were included in analysis, but not when animals that died were excluded. Body weight was significantly greater and operative time was significantly longer in animals that died. Postsurgical aortic patency in the survival animals was 100% in both groups by arteriography. Macroscopically, tissue reaction around the prosthesis was greater in the ePTFE group (statistically significant). Microscopically, the PDMSr patches were entirely covered with a cellular endothelium-like tissue, while tissue growth on the ePTFE patches was limited to the edges of the suture line and to isolated central islands. Conclusion: The two materials showed comparable outcomes; however, PDMSr showed cellular proliferation to the entire graft, and less local inflammatory reaction compared with ePTFE. Although further studies are required, including assessment in humans, the results of the present study indicate that PDMSr shows promise as an arterial patch material

CHARLES UNIVERSITY FACULTY OF PHARMACY IN HRADEC KRÁLOVÉ DEPARTMENT OF PHARMACEUTICAL TECHNOLOGY Author: Vlastimil Barák Title of Diploma thesis The influence of formulation factors on the characteristics of terbinafine loaded nanoparticles Supervisor: PharmDr. Eva Šnejdrová, Ph.D. Consultant: Mgr. Juraj Martiška The diploma thesis is focused on biodegradable polymer nanoparticles loaded by terbinafine based on the copolymer of glycolic and lactic acid branched on polyacrylic acid. The nanoprecipitation method was employed, and the influence of formulation factors on nanoparticle characteristics was studied. The following formulation factors were the concentration of the polymer, the amount of terbinafine, and the concentration of surfactant. Nanoparticles of 120 nm to 300 nm were obtained depending on the preparation conditions. The nanoparticle polydispersity was in all cases from 0.080 to 0.230. The prepared nanoparticles were stable, as evidenced by zeta potential values above 38 mV. A positive zeta potential is desirable for dermal and mucosal adhesion in the topical and ocular application of nanoparticles with terbinafine. The amount of polymer used to form nanoparticles has the greatest effect on particle size. With increasing polyester concentration in the internal phase, the size of the...

Dans le contexte de développement durable actuel, les matériaux biosourcés et biodégradables commencent à prendre une place importante d’un point de vue économique et écologique. L’objectif de remplacer les polyoléfines utilisées actuellement dans des domaines clés tels que l’emballage et l’automobile est cependant difficile car les matériaux « verts » sont rarement aussi performants. Ils présentent en général des lacunes au niveau de leurs propriétés mécaniques et sont sensibles à des dégradations qui limitent leur durée de vie. Le poly(butylène succinate) est un polyester connu depuis longtemps mais qui regagne de l’intérêt grâce à son potentiel biosourcé et biodégradable ainsi que ses propriétés mécaniques proches de celles des polyoléfines. Néanmoins, sa rigidité est encore trop faible et sa sensibilité importante à l’hydrolyse limite son utilisation dans le temps, même dans des conditions standards de température et d’humidité. Des améliorations de la stabilité du PBS sont possibles et plusieurs solutions ont été envisagées. L’intérêt s’est porté sur la modification de la balance hydrophile/hydrophobe du PBS par l’ajout d’un comonomère ramifié très hydrophobe, le Pripol 1009 ou possédant un cycle aromatique, l’acide téréphtalique. L’addition de charges dans le matériau peut également s’avérer efficace pour neutraliser les fins de chaines acides catalysant la dégradation, en utilisant du carbonate de calcium, ou pour limiter la perméabilité du matériau, par incorporation de talc. Dans l’optique de moduler les propriétés mécaniques du PBS, la voie de modification la plus fructueuse est le mélange par incorporation de charges minérales, comme le carbonate de calcium ou le talc, ou le mélange avec d’autres polyesters possédant une rigidité plus importante, tels que le poly(acide lactique) ou le poly(butylène téréphtalate). Les mélanges doivent présenter une bonne compatibilité et être mis en œuvre à des températures convenables pour limiter la dégradation du PBS et conserver la ductilité du matériau final, comme c’est le cas des mélanges PBS/PLA. Des combinaisons ont également été envisagées entre les différentes solutions efficaces pour améliorer à la fois les propriétés mécaniques et la stabilité face à l’hydrolyse chimique. / Within the frame of sustainable development, biobased and biodegradable polymers are going to play an important role according to economic and environmental perspectives. The polyolefins currently used in packaging and automotive industries will be replaced by biomaterials. The poly(butylene succinate), an “old” aliphatic polyester, has recently regained interest thanks to its biobased and biodegradable potential and mechanical properties similar to polyolefins. However, this polyester is very sensitive to degradation even at mild ambient conditions and, even though its flexibility is comparable to polyethylene or polypropylene, its modulus is too low. Some modifications of the chemical structure were considered to improve the long-term use of PBS. The synthesis of random copolymers using long-chain fatty acid Pripol 1009 or terephthalic acid allows to reduce significantly the hydrolysis rate and properties are maintained during a longer time. The incorporation of fillers like calcium carbonate and talc also enhance the PBS stability. The addition of calcium carbonate neutralizes carboxyl terminal group, which play an autocatalytic role in the hydrolytic degradation. High aspect ratio of talc increases the gas and liquid diffusion path, reducing permeability and providing better barrier properties to the material. In order to improve Young’s modulus, formulating blends with mineral fillers like calcium carbonate and talc, or with more rigid polyesters like polylactic acid or poly(butylene terephthalate) are efficient. The most interesting results are obtained by using calcium carbonate and polylactic acid, which allow the preservation of PBS’s flexibility. Processing parameters should be maximized to limit the degradation of PBS. Combinations of the most interesting solutions were investigated and lead to materials which fulfill the required specifications.

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