Hylan G-F 20 induces delayed foreign body inflammation in guinea pigs and rabbits

被引:21
作者
Sasaki, M [1 ]
Miyazaki, Y [1 ]
Takahashi, T [1 ]
机构
[1] Seikagaku Corp, Cent Res Labs, Higashiyamato, Tokyo 2070021, Japan
关键词
hylan; hyaluronan; foreign body inflammation; biocompatibility;
D O I
10.1080/01926230390204360
中图分类号
R36 [病理学];
学科分类号
100104 ;
摘要
Recent clinical evidence suggests that hylan, a modified hyaluronan, and related products potentially elicit foreign body granulomatous inflammation in human soft tissue. We investigated the biocompatibility of hylan G-F 20 (Synvisc) for up to 28 days after intradermal injection in guinea pigs and intramuscular injection in rabbits. Compared to saline and unmodified hyaluronan, hylan induced definitive macroscopic changes in guinea pigs by day 14 or later and in rabbits by 28 days after injection. Histologically, at the injection sites, there was severe granulomatous inflammation in guinea pigs and acute inflammation with minimal infiltration of macrophages and foreign body giant cells in rabbits. Furthermore, specific antibodies against hylan were demonstrated in guinea pigs by passive cutaneous anaphylaxis, and substantial deposits of IgG on hylan were evident by immunohistochemistry. The present results contradict previous reports on biocompatibility of hylan and suggest that hylan may potentially induce similar unfavorable reactions in humans.
引用
收藏
页码:321 / 325
页数:5
相关论文
共 29 条
[21]   Multicentre, prospective, open study to evaluate the safety and efficacy of hylan G-F 20 in knee osteoarthritis subjects presenting with pain following arthroscopic meniscectomy [J].
Huskin, J. P. ;
Vandekerckhove, B. ;
Delince, P. ;
Verdonk, R. ;
Dubuc, J. -E. ;
Willems, S. ;
Hardy, P. ;
Blanco, F. J. ;
Charrois, O. ;
Handelberg, F. .
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 2008, 16 (08) :747-752
[22]   The evaluation of efficacy and tolerability of Hylan G-F 20 in bilateral thumb base osteoarthritis: 6 months follow-up [J].
F. Figen Ayhan ;
Nilgün Üstün .
Clinical Rheumatology, 2009, 28 :535-541
[23]   The evaluation of efficacy and tolerability of Hylan G-F 20 in bilateral thumb base osteoarthritis: 6 months follow-up [J].
Ayhan, F. Figen ;
Ustun, Nilgun .
CLINICAL RHEUMATOLOGY, 2009, 28 (05) :535-541
[24]   Multicentre, prospective, open study to evaluate the safety and efficacy of hylan G-F 20 in knee osteoarthritis subjects presenting with pain following arthroscopic meniscectomy [J].
J. P. Huskin ;
B. Vandekerckhove ;
P. Delincé ;
R. Verdonk ;
J.-E. Dubuc ;
S. Willems ;
P. Hardy ;
F. J. Blanco ;
O. Charrois ;
F. Handelberg .
Knee Surgery, Sports Traumatology, Arthroscopy, 2008, 16 :747-752
[25]   A randomized, single-blind comparison of the efficacy and tolerability of hylan G-F 20 and triamcinolone hexacetonide in patients with osteoarthritis of the knee [J].
Caborn, D ;
Rush, J ;
Lanzer, W ;
Parenti, D ;
Murray, C .
JOURNAL OF RHEUMATOLOGY, 2004, 31 (02) :333-343
[26]   Intra-articular administration of hylan G-F 20 in patients with symptomatic hip osteoarthritis: tolerability and effectiveness in a large cohort study in clinical practice [J].
Migliore, Alberto ;
Tormenta, Sandro ;
Massafra, Umberto ;
Bizzi, Emanuele ;
Lannessi, Francesca ;
Alimonti, Andrea ;
Granata, Mauro .
CURRENT MEDICAL RESEARCH AND OPINION, 2008, 24 (05) :1309-1316
[27]   Effects of Hylan G-F 20 supplementation on cartilage preservation detected by magnetic resonance imaging in osteoarthritis of the knee: a two-year single-blind clinical trial [J].
Wang, Yuanyuan ;
Hall, Stephen ;
Hanna, Fahad ;
Wluka, Anita ;
Grant, Gail ;
Marks, Paul ;
Feletar, Marie ;
Cicuttini, Flavia M. .
BMC MUSCULOSKELETAL DISORDERS, 2011, 12
[28]   Effects of Hylan G-F 20 supplementation on cartilage preservation detected by magnetic resonance imaging in osteoarthritis of the knee: a two-year single-blind clinical trial [J].
Yuanyuan Wang ;
Stephen Hall ;
Fahad Hanna ;
Anita E Wluka ;
Gail Grant ;
Paul Marks ;
Marie Feletar ;
Flavia M Cicuttini .
BMC Musculoskeletal Disorders, 12
[29]   Prospective, multi-centre, randomised evaluation of the safety and efficacy of five dosing regimens of viscosupplementation with hylan G-F 20 in patients with symptomatic tibio-femoral osteoarthritis: a pilot study [J].
Conrozier, T. ;
Jerosch, J. ;
Beks, P. ;
Kemper, F. ;
Euller-Ziegler, L. ;
Bailleul, F. ;
Chevalier, X. .
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, 2009, 129 (03) :417-423