In vivo vocal fold augmentation using an injectable polyethylene glycol hydrogel based on click chemistry

Autor: Choung-Soo Kim, Sangkee Choi, Heebeom Koo, Hyunsu Choi, Soonmin Kwon, Eunha Kim, Changhee Park, Sung Won Kim
Rok vydání: 2021
Předmět:
Zdroj: Biomaterials Science. 9:108-115
ISSN: 2047-4849
2047-4830
DOI: 10.1039/d0bm01155j
Popis: It is important to focus on urgent needs in clinics and develop optimal materials. For successful augmentation of vocal folds, the ideal filler should be injectable through a syringe, and should stably maintain its volume for a long time without toxicity. To achieve these criteria, a click chemistry-based PEG (polyethylene glycol) hydrogel was developed and applied for vocal fold augmentation in vivo. The PEG hydrogel enables fast gelation in vivo after injection and provides long-term stability. Azide- and dibenzocyclooctyne (DBCO)-modified 4-arm PEG were cross-linked by chemical conjugation via click chemistry and yielded gelation within several minutes. After subcutaneous injection into mice and rats, the PEG hydrogel showed higher stability after 1 month compared to the traditionally used calcium hydroxyapatite–carboxymethyl cellulose (CaHA-CMC) filler. In rabbit models with vocal fold paralysis, the PEG hydrogel stably fixed the paralyzed vocal fold in 4 months and minimized the glottic gap. It was an improved therapeutic result compared to CaHA-CMC, demonstrating the potential of a click chemistry-based PEG hydrogel for vocal fold therapy.
Databáze: OpenAIRE