Evidence map›Paper›PMID 38834902›Full record

ArticleTissue engineering and regenerative medicine2024

Efficacy and Safety Evaluation of Tacrolimus-Eluting Stent in a Porcine Coronary Artery Model.

Dae Sung Park, Mi Hyang Na, Myung Ho Jeong, Doo Sun Sim, Yu Jeong Jin, Hae Jin Kee, Mun Ki Kim, Jeong Ha Kim, Young Joon Hong, Kyung Hoon Cho and 5 more

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Article in Tissue engineering and regenerative medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Dae Sung Park *The Korea Cardiovascular Stent Research Institute, Chonnam National University, Gwangju, Korea.ORCID 0000-0002-9948-7546
Mi Hyang Na *The Korea Cardiovascular Stent Research Institute, Chonnam National University, Gwangju, Korea.
Myung Ho Jeong *The Korea Cardiovascular Stent Research Institute, Chonnam National University, Gwangju, Korea. myungho@chollian.net.
Doo Sun Sim *The Korea Cardiovascular Stent Research Institute, Chonnam National University, Gwangju, Korea. true1021@naver.com.
Yu Jeong JinThe Korea Cardiovascular Stent Research Institute, Chonnam National University, Gwangju, Korea.
Hae Jin KeeThe Cardiovascular Convergence Research Center of Chonnam National University Hospital Designated by Korea Ministry of Health and Welfare, Gwangju, Korea.
Mun Ki KimThe Korea Cardiovascular Stent Research Institute, Chonnam National University, Gwangju, Korea.
Jeong Ha KimThe Korea Cardiovascular Stent Research Institute, Chonnam National University, Gwangju, Korea.
Young Joon HongThe Korea Cardiovascular Stent Research Institute, Chonnam National University, Gwangju, Korea.
Kyung Hoon ChoThe Korea Cardiovascular Stent Research Institute, Chonnam National University, Gwangju, Korea.
Dae Young HyunThe Korea Cardiovascular Stent Research Institute, Chonnam National University, Gwangju, Korea.
Seok OhThe Korea Cardiovascular Stent Research Institute, Chonnam National University, Gwangju, Korea.
Kyung Seob LimFuturistic Animal Resource & Research Center, Korea Research Institute of Bioscience and Biotechnology, Ochang, Korea.
Dae-Heung ByeonCGBio Co. Ltd., Seoul, Korea.
Jeong Hun KimDepartment of Cardiovascular Medicine, Chonnam National University Hospital, Gwangju, Korea.

Funding

Korea Medical Device Development Fund 1711195494Korea Medical Device Development Fund RS-2020-KD000005Yuhan 2019-3804
6 · The paper itself

Abstract

backgroundA drug-eluting stent (DES) is a highly beneficial medical device used to widen or unblock narrowed blood vessels. However, the drugs released by the implantation of DES may hinder the re-endothelialization process, increasing the risk of late thrombosis. We have developed a tacrolimus-eluting stent (TES) that as acts as a potent antiproliferative and immunosuppressive agent, enhancing endothelial regeneration. In addition, we assessed the safety and efficacy of TES through both in vitro and in vivo tests.

methodsTacrolimus and Poly(lactic-co-glycolic acid) (PLGA) were applied to the metal stent using electrospinning equipment. The surface morphology of the stent was examined before and after coating using a scanning electron microscope (SEM) and energy dispersive X-rays (EDX). The drug release test was conducted through high-performance liquid chromatography (HPLC). Cell proliferation and migration assays were performed using smooth muscle cells (SMC). The stent was then inserted into the porcine coronary artery and monitored for a duration of 4 weeks.

resultsSEM analysis confirmed that the coating surface was uniform. Furthermore, EDX analysis showed that the surface was coated with both polymer and drug components. The HPCL analysis of TCL at a wavelength of 215 nm revealed that the drug was continuously released over a period of 4 weeks. Smooth muscle cell migration was significantly decreased in the tacrolimus group (54.1% ± 11.90%) compared to the non-treated group (90.1% ± 4.86%). In animal experiments, the stenosis rate was significantly reduced in the TES group (29.6% ± 7.93%) compared to the bare metal stent group (41.3% ± 10.18%). Additionally, the fibrin score was found to be lower in the TES group compared to the group treated with a sirolimus-eluting stent (SES).

conclusionSimilar to SES, TES reduces neointimal proliferation in a porcine coronary artery model, specifically decreasing the fibrins score. Therefore, tacrolimus could be considered a promising drug for reducing restenosis and thrombosis.

Indexed as

Cell ProliferationCoronary VesselsDrug-Eluting StentsTacrolimusAnimalsCell MovementMyocytes, Smooth MusclePolylactic Acid-Polyglycolic Acid CopolymerSwinePolylactic Acid-Polyglycolic Acid CopolymerTacrolimusDrug-eluting stentPorcine coronary artery modelTacrolimus

Identifiers

PMID38834902
PMCPMC11187055

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.