Abstract
The long-term survival of biomaterial implants is often hampered by surgery-induced inflammation that can lead to graft failure. Considering that most corneas receiving grafts are either pathological or inflamed before implantation, the risk of rejection is heightened. Here, we show that bioengineered, fully synthetic, and robust corneal implants can be manufactured from a collagen analog (collagen-like peptide-polyethylene glycol hybrid, CLP-PEG) and inflammation-suppressing polymeric 2-methacryloyloxyethyl phosphorylcholine (MPC) when stabilized with the triazine-based crosslinker 4-(4,6-Dimethoxy-1,3,5-triazin-2-yl)-4-methylmorpholinium chloride. The resulting CLP-PEG-MPC implants led to reduced corneal swelling, haze, and neovascularization in comparison to CLP-PEG only implants when grafted into a mini-pig cornea alkali burn model of inflammation over 12 months. Implants incorporating MPC allowed for faster nerve regeneration and recovery of corneal sensation. CLP-PEG-MPC implants appear to be at a more advanced stage of regeneration than the CLP-PEG only implants, as evidenced by the presence of higher amounts of cornea-specific type V collagen, and a corresponding decrease in the presence of extracellular vesicles and exosomes in the corneal stroma, in keeping with the amounts present in healthy, unoperated corneas.
| Original language | English |
|---|---|
| Article number | 608 |
| Journal | Communications biology |
| Volume | 4 |
| DOIs | |
| Publication status | Published - May 2021 |
| Publication type | A1 Journal article-refereed |
Funding
The GLP mini-pig study (AB16-07) was funded by a DBT-Vinnova Indo-Swedish strategic cooperative grant DNR 2013-04645, and conducted by Adlego AB. Funding for dendritic cell studies, data analyses was from CIHR grant 391487 to M.G. and I.B., Fonds de recherche en ophtalmologie de l’Université de Montréal (FROUM) to M.G. and SL, and a Caroline Durand Foundation Research Chair for Cellular Therapy in the Eye to M.G. F.C.S. was supported by a doctoral studentship from the Natural Sciences and Engineering Research Council of Canada (NSERC). K.M.M. and P.L. are funded by Programme Grant MR/S037829/1 from the U.K. Medical Research Council. M.G-A. acknowledges funding from ISCIII (ICI19/00006), co-funded by ERDF/ESF, “A way to make Europe”/“Investing in your future”). M.G. holds the Tier 1 Canada Research Chair for Biomaterials and Stem Cells in Ophthalmology.
Publication forum classification
- Publication forum level 1
ASJC Scopus subject areas
- Medicine (miscellaneous)
- General Biochemistry,Genetics and Molecular Biology
- General Agricultural and Biological Sciences