Flow induced stability of pluronic hydrogels: Injectable and unencapsulated nucleus pulposus replacement.

Abstract:

:Poloxamers, or pluronics, have been proposed as biomimetic substitutes for physiological gels. Concern regarding their ability to resist swelling under fluid flows has impeded their implementation. Using a combination of techniques including cryo-TEM and rapid X-ray imaging, we found that rapid flow rates stabilized the gels against dissolution. Energy balance calculations confirmed that disentanglement of individual micelles was not possible at time scales faster than the reptation time when the system response was that of a solid which dissipated the hydrodynamic force field via cooperative deformation. In-vivo tests were performed where the hydrogel was injected as a substitute for the nucleus pulposus following discectomy in dogs. The results indicated that the gel was still present after 3 months, and radiographs indicated that compression of the disc space was prevented despite the gel being exposed to constant perfusion. STATEMENT OF SIGNIFICANCE: This paper demonstrates a highly unexpected result and counter intuitive result, namely the inverse dependence of the dissociation rate of a physical hydrogel on the flow velocity of the liquid medium. Using cryo-electron microscopy we demonstrate that the gel responds like deformable solid in high flow rates, with minimal dissociation. Since these gels are thermoreversible, they were injected into dogs, where we show that they were a viable alternative to the nucleus pulposus, without dissolution in physiological fluid flows for at least three months.

journal_name

Acta Biomater

journal_title

Acta biomaterialia

authors

Li J,Marmorat C,Vasilyev G,Jiang J,Koifman N,Guo Y,Talmon I,Zussman E,Gersappe D,Davis R,Rafailovich M

doi

10.1016/j.actbio.2019.07.021

subject

Has Abstract

pub_date

2019-09-15 00:00:00

pages

295-302

eissn

1742-7061

issn

1878-7568

pii

S1742-7061(19)30501-X

journal_volume

96

pub_type

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