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

Abstract:

: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.

journal_name

Toxicol Pathol

journal_title

Toxicologic pathology

authors

Sasaki M,Miyazaki Y,Takahashi T

doi

10.1080/01926230390204360

subject

Has Abstract

pub_date

2003-05-01 00:00:00

pages

321-5

issue

3

eissn

0192-6233

issn

1533-1601

pii

JYVE4P3D9D7NN9DK

journal_volume

31

pub_type

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