Anti-Scar Effects of Micropatterned Hydrogel after Glaucoma Drainage Device Implantation

Excessive fibrosis is the primary factor for the failure of glaucoma drainage device (GDD) implantation. Thus, strategies to suppress scar formation in GDD implantation are crucial. Although it is known that in implanted medical devices, microscale modification of the implant surface can modulate ce...

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Main Authors: Yiling Han, Qiangwang Geng, Aimeng Dong, Menglu Jiang, Jingyi Ma, Wulian Song, Pan Fan, Yuanyuan Li, Jiawen Gao, Fenghua Zhang, Jinsong Leng, Huiping Yuan
Format: Article
Language:English
Published: American Association for the Advancement of Science (AAAS) 2025-01-01
Series:Research
Online Access:https://spj.science.org/doi/10.34133/research.0561
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author Yiling Han
Qiangwang Geng
Aimeng Dong
Menglu Jiang
Jingyi Ma
Wulian Song
Pan Fan
Yuanyuan Li
Jiawen Gao
Fenghua Zhang
Jinsong Leng
Huiping Yuan
author_facet Yiling Han
Qiangwang Geng
Aimeng Dong
Menglu Jiang
Jingyi Ma
Wulian Song
Pan Fan
Yuanyuan Li
Jiawen Gao
Fenghua Zhang
Jinsong Leng
Huiping Yuan
author_sort Yiling Han
collection DOAJ
description Excessive fibrosis is the primary factor for the failure of glaucoma drainage device (GDD) implantation. Thus, strategies to suppress scar formation in GDD implantation are crucial. Although it is known that in implanted medical devices, microscale modification of the implant surface can modulate cell behavior and reduce the incidence of fibrosis, in the field of ophthalmic implants, especially the modification and effects of hydrogel micropatterns have rarely been reported. Here, we designed the patterned gelatin/acrylamide double network hydrogel and developed an innovative GDD with micropattern to suppress inflammatory and fibroblast activation after GDD implantation. Pattern topography suppressed F-actin expression and mitigated actin-dependent nuclear migration of myocardin-related transcription factor A (MRTF-A) during the proliferative phase after GDD implantation. Ultimately, the expression of α-smooth muscle actin (α-SMA), a key fibrosis-related gene product, was suppressed. Moreover, the modified GDD effectively controlled intraocular pressure (IOP), mitigated fibrous formation, and remodeled extracellular matrix (ECM) collagen distribution in vivo. Therefore, the novel GDD with surface patterning interventions provides a promising strategy to inhibit scar formation after GDD implantation and raise the efficacy of GDD implantation.
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publishDate 2025-01-01
publisher American Association for the Advancement of Science (AAAS)
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spelling doaj-art-5aedff0a9ab24468a0398cee62ae2a192025-01-22T08:01:16ZengAmerican Association for the Advancement of Science (AAAS)Research2639-52742025-01-01810.34133/research.0561Anti-Scar Effects of Micropatterned Hydrogel after Glaucoma Drainage Device ImplantationYiling Han0Qiangwang Geng1Aimeng Dong2Menglu Jiang3Jingyi Ma4Wulian Song5Pan Fan6Yuanyuan Li7Jiawen Gao8Fenghua Zhang9Jinsong Leng10Huiping Yuan11Department of Ophthalmology, The Future Medicine Laboratory, The Second Affiliated Hospital of Harbin Medical University, Harbin 150086, People’s Republic of China.Centre for Composite Materials and Structures, Harbin Institute of Technology (HIT), Harbin 150080, People’s Republic of China.Department of Ophthalmology, The Future Medicine Laboratory, The Second Affiliated Hospital of Harbin Medical University, Harbin 150086, People’s Republic of China.Department of Ophthalmology, The Future Medicine Laboratory, The Second Affiliated Hospital of Harbin Medical University, Harbin 150086, People’s Republic of China.Department of Ophthalmology, The Future Medicine Laboratory, The Second Affiliated Hospital of Harbin Medical University, Harbin 150086, People’s Republic of China.Department of Ophthalmology, The Future Medicine Laboratory, The Second Affiliated Hospital of Harbin Medical University, Harbin 150086, People’s Republic of China.Department of Ophthalmology, The Future Medicine Laboratory, The Second Affiliated Hospital of Harbin Medical University, Harbin 150086, People’s Republic of China.Department of Ophthalmology, The Future Medicine Laboratory, The Second Affiliated Hospital of Harbin Medical University, Harbin 150086, People’s Republic of China.Department of Ophthalmology, The Future Medicine Laboratory, The Second Affiliated Hospital of Harbin Medical University, Harbin 150086, People’s Republic of China.Centre for Composite Materials and Structures, Harbin Institute of Technology (HIT), Harbin 150080, People’s Republic of China.Centre for Composite Materials and Structures, Harbin Institute of Technology (HIT), Harbin 150080, People’s Republic of China.Department of Ophthalmology, The Future Medicine Laboratory, The Second Affiliated Hospital of Harbin Medical University, Harbin 150086, People’s Republic of China.Excessive fibrosis is the primary factor for the failure of glaucoma drainage device (GDD) implantation. Thus, strategies to suppress scar formation in GDD implantation are crucial. Although it is known that in implanted medical devices, microscale modification of the implant surface can modulate cell behavior and reduce the incidence of fibrosis, in the field of ophthalmic implants, especially the modification and effects of hydrogel micropatterns have rarely been reported. Here, we designed the patterned gelatin/acrylamide double network hydrogel and developed an innovative GDD with micropattern to suppress inflammatory and fibroblast activation after GDD implantation. Pattern topography suppressed F-actin expression and mitigated actin-dependent nuclear migration of myocardin-related transcription factor A (MRTF-A) during the proliferative phase after GDD implantation. Ultimately, the expression of α-smooth muscle actin (α-SMA), a key fibrosis-related gene product, was suppressed. Moreover, the modified GDD effectively controlled intraocular pressure (IOP), mitigated fibrous formation, and remodeled extracellular matrix (ECM) collagen distribution in vivo. Therefore, the novel GDD with surface patterning interventions provides a promising strategy to inhibit scar formation after GDD implantation and raise the efficacy of GDD implantation.https://spj.science.org/doi/10.34133/research.0561
spellingShingle Yiling Han
Qiangwang Geng
Aimeng Dong
Menglu Jiang
Jingyi Ma
Wulian Song
Pan Fan
Yuanyuan Li
Jiawen Gao
Fenghua Zhang
Jinsong Leng
Huiping Yuan
Anti-Scar Effects of Micropatterned Hydrogel after Glaucoma Drainage Device Implantation
Research
title Anti-Scar Effects of Micropatterned Hydrogel after Glaucoma Drainage Device Implantation
title_full Anti-Scar Effects of Micropatterned Hydrogel after Glaucoma Drainage Device Implantation
title_fullStr Anti-Scar Effects of Micropatterned Hydrogel after Glaucoma Drainage Device Implantation
title_full_unstemmed Anti-Scar Effects of Micropatterned Hydrogel after Glaucoma Drainage Device Implantation
title_short Anti-Scar Effects of Micropatterned Hydrogel after Glaucoma Drainage Device Implantation
title_sort anti scar effects of micropatterned hydrogel after glaucoma drainage device implantation
url https://spj.science.org/doi/10.34133/research.0561
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