The local damage and systemic inflammation induced by a biodegradable polydioxanone stent implanted in the rabbit trachea decreases markedly with stent degradation

Biodegradable tracheal stents have been developed to overcome the limitations of metallic and removable stents in benign airway disease. This study evaluated the local and systemic inflammatory response induced by a biodegradable polydioxanone tracheal stent in a rabbit model. Twenty-one rabbits wer...

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Detalles Bibliográficos
Autores: Serrano-Casorran, Carolina, Rodriguez-Zapater, Sergio, Rodriguez-Panadero, Francisco, Gomez, Raquel, Bonastre, Cristina, Guirola, Jose Andres, Rodriguez, Jose, Gregorio, Miguel Angel de
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2026
País:España
Institución:Universitat de Lleida (UdL)
Repositorio:Repositori Obert UdL
OAI Identifier:oai:dnet:.___________::eb435dbb29554001fb0f5ff3c443aec6
Acceso en línea:https://doi.org/10.3390/ijms27031309
https://hdl.handle.net/10459.1/469907
Access Level:acceso abierto
Palabra clave:Absorbable implants
Stents
Polydioxanone
Tracheal stenosis
Descripción
Sumario:Biodegradable tracheal stents have been developed to overcome the limitations of metallic and removable stents in benign airway disease. This study evaluated the local and systemic inflammatory response induced by a biodegradable polydioxanone tracheal stent in a rabbit model. Twenty-one rabbits were assigned to three follow-up groups (30, 60, and 90 days). In each group, six animals received a tracheal stent, and one served as a sham control. Clinical status and respiratory symptoms were monitored, and serial peripheral blood interleukin-8 (IL-8) levels were measured. At the end of follow-up, tracheoscopy, IL-8 quantification in tracheal lavage, and necropsy were performed. No deaths or severe respiratory symptoms occurred. Tracheoscopic findings were significantly less severe after stent degradation, with reduced congestion (p = 0.030), inflammation (p = 0.003), and secretions (p = 0.030). Two granulomas and two cases of stenosis were identified. Mean IL-8 expression in tracheal lavage (relative quantification, RQ) was 14,129 ± 3007 when the stent was present and 426 ± 100 after degradation (p = 0.003). Blood IL-8 expression increased significantly on day 1 compared with baseline (p = 0.022) and subsequently decreased (p = 0.034). Inflammatory and structural alterations induced by a polydioxanone tracheal stent decrease after stent degradation.