In situ forming hydrogel composed of hyaluronate and polygalacturonic acid for prevention of peridural fibrosis

J Mater Sci Mater Med. 2015 Apr;26(4):168. doi: 10.1007/s10856-015-5478-3. Epub 2015 Mar 20.

Abstract

Hyaluronic acid-based hydrogels can reduce postoperative adhesion. However, the long-term application of hyaluronic acid is limited by tissue mediated enzymatic degradation. To overcome this limitation, we developed a polygalacturonic acid and hyaluronate composite hydrogel by Schiff's base crosslinking reaction. The polygalacturonic acid and hyaluronate composite hydrogels had short gelation time (less than 15 s) and degraded by less than 50 % in the presence of hyaluronidase for 7 days. Cell adhesion and migration assays showed polygalacturonic acid and hyaluronate composite hydrogels prevented fibroblasts from adhesion and infiltration into the hydrogels. Compared to hyaluronate hydrogels and commercial Medishield™ gels, polygalacturonic acid and hyaluronate composite hydrogel was not totally degraded in vivo after 4 weeks. In the rat laminectomy model, polygalacturonic acid and hyaluronate composite hydrogel also had better adhesion grade and smaller mean area of fibrous tissue formation over the saline control and hyaluronate hydrogel groups. Polygalacturonic acid and hyaluronate composite hydrogel is a system that can be easy to use due to its in situ cross-linkable property and potentially promising for adhesion prevention in spine surgeries.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adjuvants, Immunologic / administration & dosage
  • Animals
  • Compressive Strength
  • Dura Mater / drug effects*
  • Dura Mater / pathology*
  • Hardness
  • Hyaluronic Acid / administration & dosage*
  • Hydrogels / administration & dosage*
  • Male
  • Pectins / administration & dosage*
  • Rats
  • Rats, Sprague-Dawley
  • Tissue Adhesions / pathology
  • Tissue Adhesions / prevention & control*
  • Treatment Outcome

Substances

  • Adjuvants, Immunologic
  • Hydrogels
  • Pectins
  • Hyaluronic Acid
  • polygalacturonic acid