Aj. Kuijpers et al., In vivo compatibility and degradation of crosslinked gelatin gels incorporated in knitted Dacron, J BIOMED MR, 51(1), 2000, pp. 136-145
Gelatin gels were applied to porous Dacron meshes with the aim of using the
se gels for local drug delivery. in this article, the biocompatibility and
degradation of gelatin gels with different crosslink densities applied in D
acron were studied in vivo by subcutaneous implantation in rats. Dacron dis
cs were treated with carbon dioxide gas plasma to improve hydrophilicity, a
nd subsequently impregnated with gelatin type B. The gelatin samples were c
rosslinked to different extents using various amounts of water-soluble carb
odiimide (EDC) and N-hydroxysuccinimide (NHS). After 6 h, 2, 5, and 10 days
, and 3, 6: and 10 weeks of postimplantation, the tissue reactions and biod
egradation were studied by light microscopy. The early reaction of macropha
ges and polymorphonuclear cells to crosslinked gelatin was similar to or mi
lder than Dacron. Giant cell formation was predominantly aimed at Dacron fi
bers and was markedly reduced in the presence of a crosslinked gelatin coat
ing. At week 10 of implantation, the crosslinked gelatin gels were still pr
esent in the Dacron matrix. The gelatin degradation was less for samples wi
th the highest crosslink density. The gelatin gel with the lowest crosslink
density showed clear cellular ingrowth, starting after 6 weeks of implanta
tion. The intermediate and high crosslinked gelatin gels showed little or n
o ingrowth. In these gels, giant cells were involved in the phagocytosis of
gelatin parts at week 10. Application of carbodiimide crosslinked gelatin
gels in Dacron is suitable for medical applications because of the good bio
compatibility of the gels and the possibility of adapting the degradation r
ate of gelatin to a specific application. (C) 2000 John Wiley & Sons, inc.
J Biomed Mater Res, 51, 136-115, 2000.