20(S)-Ginsenoside Rg3-loaded electrospun membranes to prevent postoperative peritoneal adhesion
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20(S)-Ginsenoside Rg3-loaded electrospun membranes to prevent postoperative peritoneal adhesion Renna Qiu 1 & Jian Li 2 & Denghua Sun 1 & Hongjun Li 1 & Feng Qian 1 & Lizhe Wang 3
# Springer Science+Business Media, LLC, part of Springer Nature 2019
Abstract Postoperative peritoneal adhesions are one of the most common surgical complications. In this study, we developed a 20(S)ginsenoside Rg3-loaded methoxy poly (ethylene glycol)-block-poly(L-lactide-co-glycolide) (mPEG-b-PLGA) electrospun membrane (PEM/Rg3) that could not only serve as a physical barrier, but also as a drug delivery system that releases 20(S)ginsenoside Rg3 constantly to prevent postoperative peritoneal adhesions. The characteristics of PEM/Rg3, including scanning electron microscopy, water contact angle, and mechanical analyses, were assessed. Degradation and drug release assays of PEM/ Rg3 were performed. The anti-adhesion efficacy of PEM/Rg3 was evaluated in an abdomen-cecum mouse model. The adhesion scores, adhesion areas, hematoxylin and eosin (H&E) staining, immunofluorescence, and western blotting were assessed. The 20(S)-ginsenoside Rg3 loaded mPEG-b-PLGA electrospun fibers were successfully fabricated. The fibers were smooth, with no obvious drug crystals. PEM/Rg3 membranes were biodegradable and could be degraded gradually to release 20(S)-Ginsenoside Rg3 constantly from the membranes. The animal study showed that PEM/Rg3 exhibited an excellent adhesion prevention ability when compared with the control group, the PEM group, and polylactic acid (PLA) commercial membrane (Surgiwrap™) group. Immunofluorescence and western blotting studies showed that PEM/Rg3 inhibited the expressions of interleukin 1 (IL-1), interleukin 6 (IL-6), and reactive oxygen species modulator-1 (ROMO1). The 20(S)-ginsenoside Rg3-loaded mPEG-b-PLGA electrospun membranes exhibited satisfactory anti-adhesion efficacy by inhibiting inflammatory responses and oxidative stress. This composite represents a promising strategy to prevent postoperative peritoneal adhesions. Keywords Electrospun membrane . 20(S)-ginsenoside Rg3 . Anti-adhesion . Peritoneal adhesions
1 Introduction Postoperative abdominal adhesions are a common complication in patients after surgery. These adhesions often lead to various pathologies, such as chronic pain (Malec-Milewska et al. 2013), intestinal obstruction (Tokita et al. 2011), and * Hongjun Li [email protected] * Feng Qian [email protected] * Lizhe Wang [email protected] 1
China-Japan Union Hospital of Jilin University, No. 126 Xiantai Street, Changchun 130033, Jilin, China
2
Department of Pathology, The Second Hospital of Jilin University, No. 218 Ziqiang Street, Changchun 130041, Jilin, China
3
The First Hospital of Jilin University, No. 71 Xinmin Street, Changchun 130021, Jilin, China
female infertility (Lo et al. 2010). At the physiological level, mechanical damage, infection, and foreign body reaction during surgical procedures can promote the excess production of reactive oxygen species (ROS), leading to oxidative stress (S
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