Développement et validation des matériaux métalliques pour stents cardiovasculaires biodégradables par dépôt électrolytique

Les stents coronariens métalliques dégradables émergent comme une alternative possible aux stents permanents fabriqués à partir de métaux résistants à la corrosion comme l'acier inoxydable 316L. Le fer pur est un candidat intéressant pour les stents dégradables en termes de propriétés mécaniques, de dégradation et de biocompatibilité. Ce projet est le premier à étudier la faisabilité d’utiliser l'électroformage pour produire le fer comme matériau structural dans les stents dégradables. Dans ce projet, un processus de dépôt électrolytique a d’abord été développé. Les couches de fer produites ont une microstructure fine, une limite élastique élevée ainsi qu’une résistance à la traction ayant des valeurs comparables à celles de l'acier inoxydable 316L. Un traitement thermique de recuit à 550 ˚C pendant 1 h a produit une recristallisation dans le fer et a amélioré sa ductilité de 8 à 18 %. Des tests de corrosion par polarisation potentiodynamique et par immersion statique et dynamique ont permis l’étude de la dégradation du fer électroformé en solution de Hank. Il a été montré que le fer électrodéposé se corrode plus rapidement que le fer Armco ® déjà implanté comme stents biodégradables. L'effet de la densité de courant en tant que paramètre de l'électroformage sur la microstructure et la dégradation de fer a aussi été étudié. L’étude de diffraction d'électrons rétrodiffusés (EBSD) a montré que différentes microstructures, y compris la taille des grains et la texture, peuvent être produites à différentes densités de courant de 1 à 10 A dm-2. Le plus haut taux de dégradation a été obtenu pour le fer fabriqué à 5 A dm-2, car celui-ci possède la plus petite taille de grains et ceux-ci sont équiaxes avec des orientations aléatoires qui présentent un plus grand volume de joints de grains entraînant un taux de dégradation plus rapide. Enfin, le procédé d’électroformage a été appliqué avec succès pour la fabrication de mini-tubes de fer. Les mini-tubes de fer ont été électroformés sur les échantillons cylindriques d’étain qui ont été décollés par fusion du substrat après le processus. Les mini-tubes ont ensuite été utilisés pour la fabrication de stents de fer par découpe au laser. Les stents de fer ont montré une taille moyenne des grains de 5 µm après recuit et décapage à l'acide. Cette taille du grain est plus fine que celle généralement obtenue pour des stents SS 316L et pourrait fournir des propriétés mécaniques élevées et une dégradation ciblée pour les stents de fer électroformés.Degradable metallic coronary stents have emerged as possible alternatives for permanent stents fabricated from corrosion-resistant metals such as 316L stainless steel (316L SS). Pure iron has shown to be an interesting candidate for degradable stents in terms of mechanical properties, degradation and biocompatibility. This project is the first to investigate the feasibility of using electroforming process for production of iron for degradable stents where the material is used for a load-bearing application. In this project, firstly, an electroforming process was developed. The produced iron foils showed a fine microstructure and high yield and tensile strength were also obtained comparable to those of 316L SS. Annealing at 550˚C for 1h induced recrystallization in iron and improved its ductility from 8 to 18%. The investigation of the degradation of electroformed iron in Hank’s solution using potentiodynamic polarization, static immersion and dynamic degradation tests showed that it corrodes faster than Armco® iron previously investigated for degradable stents. The effect of current density as an electroforming parameter on the microstructure and thereby the degradation of iron was also studied. Electron backscatter diffraction (EBSD) showed that different microstructures including grain size and texture were produced at different current densities from 1-10 A dm-2. The highest degradation rate was obtained for iron fabricated at 5 A dm-2 since it possesses small grain size and equiaxed grains with random orientations providing more grain boundary volume can be held responsible for its faster degradation rate compared to the other iron samples. Finally, the electroforming process was successfully applied for the fabrication of iron tubes. Iron tubes were electroformed on Sn cylinders which were separated from them by melting after the process. The tubes were then used for the fabrication of iron stents by laser-cutting. Iron stents fabricated from electroformed tubes demonstrated an average grain size of 5 µm after annealing and acid-pickling. This grain size is finer than what usually obtained for 316L SS stents and could potentially provide high mechanical properties and targeted degradation for electroformed iron stents

Antibacterial Effect of Hydroalcoholic Extract of Punica granatum Linn. Petal on Common Oral Microorganisms

Objectives. This study aimed to assess the effect of hydroalcoholic extract of Punica granatum Linn. (P. granatum) petal on Streptococcus sanguinis, Streptococcus mutans, Streptococcus salivarius, Streptococcus sobrinus, and Enterococcus faecalis. Materials and Methods. In this in vitro study, P. granatum extract was prepared using powdered petals and water-ethanol solvent. Antibacterial effect of the extract, chlorhexidine (CHX), and ampicillin was evaluated on brain heart infusion agar (BHIA) using the cup-plate method. By assessing the diameter of the growth inhibition zone, the minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) of the extract were determined for the above-mentioned bacteria. Results. Hydroalcoholic extract of P. granatum petal had inhibitory effects on the proliferation of all five bacterial strains with maximum effect on S. mutans with MIC and MBC of 3.9 mg/mL. The largest growth inhibition zone diameter belonged to S. sanguinis and the smallest to E. faecalis. Ampicillin and CHX had the greatest inhibitory effect on S. sanguinis. Conclusions. Hydroalcoholic extract of P. granatum had a significant antibacterial effect on common oral bacterial pathogens with maximum effect on S. mutans, which is the main microorganism responsible for dental plaque and caries

Biodegradable Metals for Cardiovascular Stent Application: Interests and New Opportunities

During the last decade, biodegradable metallic stents have been developed and investigated as alternatives for the currently-used permanent cardiovascular stents. Degradable metallic materials could potentially replace corrosion-resistant metals currently used for stent application as it has been shown that the role of stenting is temporary and limited to a period of 6–12 months after implantation during which arterial remodeling and healing occur. Although corrosion is generally considered as a failure in metallurgy, the corrodibility of certain metals can be an advantage for their application as degradable implants. The candidate materials for such application should have mechanical properties ideally close to those of 316L stainless steel which is the gold standard material for stent application in order to provide mechanical support to diseased arteries. Non-toxicity of the metal itself and its degradation products is another requirement as the material is absorbed by blood and cells. Based on the mentioned requirements, iron-based and magnesium-based alloys have been the investigated candidates for biodegradable stents. This article reviews the recent developments in the design and evaluation of metallic materials for biodegradable stents. It also introduces the new metallurgical processes which could be applied for the production of metallic biodegradable stents and their effect on the properties of the produced metals

Antibacterial Effect of Hydroalcoholic Extract of Punica granatum

Objectives. This study aimed to assess the effect of hydroalcoholic extract of Punica granatum Linn. (P. granatum) petal on Streptococcus sanguinis, Streptococcus mutans, Streptococcus salivarius, Streptococcus sobrinus, and Enterococcus faecalis. Materials and Methods. In this in vitro study, P. granatum extract was prepared using powdered petals and water-ethanol solvent. Antibacterial effect of the extract, chlorhexidine (CHX), and ampicillin was evaluated on brain heart infusion agar (BHIA) using the cup-plate method. By assessing the diameter of the growth inhibition zone, the minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) of the extract were determined for the above-mentioned bacteria. Results. Hydroalcoholic extract of P. granatum petal had inhibitory effects on the proliferation of all five bacterial strains with maximum effect on S. mutans with MIC and MBC of 3.9 mg/mL. The largest growth inhibition zone diameter belonged to S. sanguinis and the smallest to E. faecalis. Ampicillin and CHX had the greatest inhibitory effect on S. sanguinis. Conclusions. Hydroalcoholic extract of P. granatum had a significant antibacterial effect on common oral bacterial pathogens with maximum effect on S. mutans, which is the main microorganism responsible for dental plaque and caries

Comparison of Components of Metabolic Syndrome among Metabolically Obese Normal Weight, Metabolically Benign Normal Weight, and Metabolically Abnormal Obese Iranian Children and Adolescents in Ahvaz

Background: Metabolically obese normal-weight (MONW) children and adolescents are characterized by body mass index (BMI) lower than +1SD with metabolic disorders such as hyperglycemia, hypertriglyceridemia, and/or hypertension. This study wants to determineprevalence of MONW, metabolically benign normal weight (MBNW), metabolically abnormality obese (MAO) and comparethe components of metabolic syndrome (MetS) in some Iranian normal-weight children and adolescents in Ahvaz, Iran. Methods: This cross-sectional study was conducted on 1124 boys and 1128 girls, aged 10–18 y, Ahvaz, Khuzestan.Participants were selected from 6 health centers in Ahvaz by a multistage cluster random sampling method. The Mets was defined according to the modified Adult Treatment Panel III (ATP III). Anthropometric measurements and blood pressure were measured according to standard protocols. Fasting blood samples were collected for biochemical assessment. Results: MetS prevalence in normal weight group was 5.4% and 1.45% in  boys and girls, respectively (P = 0.001) showing a significant difference. Triglyceride abnormality percentages (MBNW = 23.9%, MAO = 88.8%, MONW = 91%) and high density lipoprotein (MBNW = 19.2%, MAO = 73.8% and MONW = 67.2%) were higher than other MetS components in these groups. Conclusions: Since BMI in children and adolescents with metabolically obese-normal weight is normal‚ the continuous measurements and treatment of MetS components especially in boys are important from public health view. The components mean of MetS was higher in MONW and MAO individuals compared with MBNW

Effect of Weight Loss on Aerobic Capacity in Patients with Severe Obesity Before and After Bariatric Surgery

Severe obesity has been associated with adverse effects on physical capacity. In a prospective study, the aerobic capacity of severely obese patients was measured in order to observe the physiological response to weight loss from bariatric surgery. Sixty-five consecutive patients (40.4 +/- 8.4 years old; 93.8% female; body mass index = 49.4 +/- 5.4 kg/m(2)) were evaluated before bariatric surgery and then 6 and 12 months after surgery. Aerobic capacity was assessed with a scientific treadmill to measure maximal oxygen consumption (VO(2max)), heart rate, blood pressure, time on the treadmill, and distance walked (modified Bruce test). For the three observational periods, VO(2max) was 25.4 +/- 9.3, 29.8 +/- 8.1, and 36.7 +/- 8.3 ml/kg/min; time on the treadmill was 5.4 +/- 1.4, 6.4 +/- 1.6, and 8.8 +/- 1.0 min; and distance walked was 401.8 +/- 139.1, 513.4 +/- 159.9, and 690.5 +/- 76.2 m. For these variables, significant results (p = 0.0000) were observed for the two postoperative periods in relation to the preoperative period. Severely obese individuals increased their aerobic capacity after successful bariatric surgery. The data also suggests that a positive and progressive relationship between weight loss and improvement in fitness as a moderate loss of weight 6 months after surgery already showed some benefit and an additional reduction in weight was associated with a better performance in the aerobic capacity tests at the 12-month follow-up.FAPESP Fundacao de Amparo a Pesquisa do Estado de Sao Paul

Synthesis and X-ray crystal structure of a Molybdenum(VI) Schiff base complex:Design of a new catalytic system for sustainable olefin epoxidation

A targeted new dioxo molybdenum(VI) ONO Schiff base complex was prepared for catalyzing epoxidation of olefins in water. This complex was characterized by FT-IR, NMR, UV–Vis, and X-ray crystallography techniques. DFT calculations are additionally performed to find ground and transition states for finding electronic structure and UV–Vis assignment. Afterward, a new protocol was defined for sustainable catalytic epoxidation of olefin in water using this complex as a green catalyst, and also remarkable results are obtained, such as turn over number up to 1400.</p

Induction of CD4+CD25+FOXP3+ regulatory T cells by mesenchymal stem cells is associated with modulation of ubiquitination factors and TSDR demethylation

Abstract Background Mesenchymal stem cells (MSCs) are known for their ability to induce the conversion of conventional T cells (Tconvs) into induced regulatory T cells (iTregs) in specific inflammatory contexts. Stable Foxp3 expression plays a major role in the phenotypic and functional stability of iTregs. However, how MSCs induce stable Foxp3 expression remains unknown. Methods We first investigated the role of cell–cell contact and cytokine secretion by bone marrow-derived MSCs (BM-MSCs) on the induction, stability, and suppressive functions of Tregs under various experimental conditions that lead to Foxp3 generation by flow cytometry and ELISA respectively. Second, we studied the effect of MSCs on TRAF6, GRAIL, USP7, STUB1, and UBC13 mRNA expression in CD4+ T cells in correlation with the suppressive function of iTregs by real-time PCR; also, we investigated Foxp3 Treg-specific demethylated region (TSDR) methylation in correlation with Foxp3 stability by the high-resolution melting technique. Third, we studied the effect of ex-vivo-expanded BM-MSCs on the induction of transplant tolerance in a model of fully allogeneic skin transplantation. We further analyzed the cytokine secretion patterns in grafted mice as well as the mRNA expression of ubiquitination genes in CD4+ T cells collected from the spleens of protected mice. Results We found that in-vitro MSC-induced Tregs express high mRNA levels of ubiquitination genes such as TRAF6, GRAIL, and USP7 and low levels of STUB1. Moreover, they have enhanced TSDR demethylation. Infusion of MSCs in a murine model of allogeneic skin transplantation prolonged allograft survival. When CD4+ T cells were harvested from the spleens of grafted mice, we observed that mRNA expression of the Foxp3 gene was elevated. Furthermore, Foxp3 mRNA expression was associated with increased TRAF6, GRAIL, UBC13, and USP7 and decreased STUB1 mRNA levels compared with the levels observed in vitro. Conclusions Our data suggest a possible ubiquitination mechanism by which MSCs convert Tconvs to suppressive and stable iTregs