Ontology highlight
ABSTRACT: Objectives
Endoscopic submucosal dissection (ESD), a preferential approach for early oesophageal neoplasms, inevitably results in oesophageal strictures in patients. Clinical use of glucocorticoids through submucosal injection is beneficial for inhibiting oesophageal stricture following injury; however, it also has limitations, such as dose loss and perforation. Hence, alternatives to glucocorticoid therapy should be developed.Methods
A novel porous composite scaffold, ChCo-TAMS, composed of chitosan, collagen-I and triamcinolone acetonide (TA) loaded into poly (lactic-co-glycolic) acid (PLGA) microspheres (TAMS), was successfully constructed and subjected to biological testing to ameliorate oesophageal ESD-related stenosis.Results
The synthesized biomaterials displayed unique properties in inhibiting the activation of macrophages, chemokine-mediated cell recruitment and fibrogenesis of fibroblasts. Further application of the scaffolds in the rat dermal defect and porcine oesophageal ESD model showed that these novel scaffolds played a robust role in inhibiting wound contracture and oesophageal ESD strictures.Conclusions
The developed composite scaffolds provide a promising clinical medical device for the prevention of post-operative oesophageal stricture.
SUBMITTER: Ni W
PROVIDER: S-EPMC7941226 | biostudies-literature | 2021 Mar
REPOSITORIES: biostudies-literature

Ni Wenkai W Lin Shengli S Bian Saiyan S Xiao Mingbing M Wang Yongjun Y Yang Yumin Y Lu Cuihua C Zheng Wenjie W Zheng Wenjie W Zhou Pinghong P
Cell proliferation 20210204 3
<h4>Objectives</h4>Endoscopic submucosal dissection (ESD), a preferential approach for early oesophageal neoplasms, inevitably results in oesophageal strictures in patients. Clinical use of glucocorticoids through submucosal injection is beneficial for inhibiting oesophageal stricture following injury; however, it also has limitations, such as dose loss and perforation. Hence, alternatives to glucocorticoid therapy should be developed.<h4>Methods</h4>A novel porous composite scaffold, ChCo-TAMS, ...[more]