Wpływ estrogenów na stężenie N-terminalnego propeptydu kolagenu typu I w płynie uzyskanym z przestrzennych hodowli ludzkich fibroblastów powięzi łonowo-cewkowej prowadzonych na siatkach polipropylenowych stosowanych w uroginekologii operacyjnej

Abstract

Objectives: Polypropylene meshes are widely used for surgical treatment of stress urinary incontinence(SUI) and pelvic organ prolapse (POP). Synthesis and deposition of collagen induced by an inserted implant arelargely controlled by oestrogens. The aim of the study was to assess the rate of collagen type I (Col I) synthesisby pubo-cervical fascia (PCF) fibroblasts cultured with mono- or multifilament polypropylene meshes in thepresence of oestrogens. Material and Methods: Specimens of PCF were obtained during a surgical procedure from a 56-year-old womansuffering from SUI and POP. Fibroblasts were cultured with mono- or multifilament meshes and exposed to17β-oestradiol, oestriol or phytoestrogen daidzein. The cultures were run for 216 hrs and the media were replaced every 72 hrs. Procollagen type 1 N-terminal propeptide (PINP), a marker of Col I biosynthesis, was assessedin culture media by radioimmunoassay. Results: The biosynthesis of Col I was more abundant in the presence of monofilament than multifilamentmeshes. Fibroblasts exposed to oestriol or daidzein produced more Col I than those treated with oestradiol,regardless of the mesh applied. In the presence of monofilament mesh the rate of Col I synthesis induced byoestriol and daidzein increased persistently until the end of the experiment, whereas the peak concentration ofPINP in cultures treated with oestradiol was observed between 72 hrs and 144 hrs. In the presence of multifilamentmesh the rate of Col I production dropped after 144 hrs in all cultures. Conclusions: PCF fibroblasts produce more Col I when cultured on monofilament than on multifilamentmesh. This process may be enhanced by oestriol and phytoestrogens