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실험동물 창상 모델에서 겐타마이신 함유 콜라겐 스폰지의 생체적합성 평가

Evaluation for Biocompatibility of Gentamicin-collagen Sponge on the Experimental Animal Wound Model

  • 심사 : 2015.10.17
  • 발행 : 2015.10.30

초록

본 연구의 목적은 겐타마이신 함유 스폰지인 겐타콜과 콜라템프를 랫드 근육내 이식 후 생체적합성을 비교하는 것이다. SD 랫드 66 마리를 네 그룹으로 나누었다; (1) 대퇴사두근에 무처치한 군 (대조군, 6 마리), (2) 대퇴사두근에 겐타마이신 액을 주사한 군 (겐타마이신 군, 6 마리), (3) 대퇴사두근에 콜라템프를 이식한 군 (콜라템프 군, 27마리), (4) 대퇴사두근에 겐타콜을 이식한 군 (겐타콜 군, 27 마리). 겐타콜과 콜라템프 이식 한근육 내 겐타마이신 농도는 시간이 지남에 따라 점차 감소하였다. 혈액 내에 겐타마이신 농도는 측정되지 않았다. 조직학적으로 겐타마이신액을 주사 후 근육 내에 다형핵백혈구, 림프구, 대식세포를 포함하는 염증세포가 중등도에서 심하게 침윤되었고, 경도에서 중등도의 근육내 부종이 관찰되었다. 그러나, 이러한 국소 자극의 조직학적 변화는 콜라템프와 겐타콜 군에서는 현저히 감소하였다. 이상의 결과, 겐타콜은 콜라템프와 비교하였을 때에 전신적인 영향을 미치지 않으며 국소자극의 정도가 유사하였고, 생체이용성이 유사하여 좋은 생체적합성을 가지는 것으로 생각된다.

The objective of this study was to compare the biocompatibility for local irritation and bioavailability of $Gentacol^{TM}$ and $Collatamp^{TM}$, after single intramuscular loading in rats. Sixty-six male Sprague-Dawley rats were divided into 4 groups; (1) any test materials were not applied into the quadriceps muscles (control group, N = 6), (2) Gentamicin was injected into the quadriceps muscles (Gentamicin group, N = 6), (3) Collatamp was applied into the quadriceps muscles (Collatamp group, N = 27), and (4) Gentacol was applied into the quadriceps muscles (Gentacol group, N = 27). The concentration of gentamicin in muscles was gradually decreased with time after loaded in the both $Gentacol^{TM}$ and $Collatamp^{TM}$ loaded regions. No detectable gentamicin was observed in the plasma of $Gentacol^{TM}$ and $Collatamp^{TM}$ loaded rats. Histologically, moderate to severe inflammatory cell infiltrations including PMN, lymphoid cells and macrophages were observed with slight to moderate edematous changes of muscle fibers after intramuscular injection of gentamicin. However, these histopathological changes of gentamicin injection induced local irritations were dramatically decreases after intramuscular loading of $Collatamp^{TM}$ and $Gentacol^{TM}$. These results suggest $Gentacol^{TM}$ may show favorable local bioavailability and induce only slight local irritations as comparable as $Collatamp^{TM}$ without systemic exposures in the condition of this experiment.

키워드

참고문헌

  1. Abdelbary G, El-Gendy N. Niosome-encapsulated gentamicin for ophthalmic controlled delivery. AAPS PharmSciTech 2008; 9: 740-747. https://doi.org/10.1208/s12249-008-9105-1
  2. Cabanes A, Reig F, Garcia-Anton JM, Arboix M. Evaluation of free and liposome-encapsulated gentamycin for intramuscular sustained release in rabbits. Res Vet Sci 1998; 64: 213-217. https://doi.org/10.1016/S0034-5288(98)90128-X
  3. Friberg O, Svedjeholm R, Soderquist B, Granfeldt H, Vikerfors T, Kallman J. Local gentamicin reduces sternal wound infections after cardiac surgery: a randomized controlled trial. Ann Thorac Surg 2005; 79: 153-162. https://doi.org/10.1016/j.athoracsur.2004.06.043
  4. Hayes G, Moens N, Gibson T. A review of local antibiotic implants and applications to veterinary orthopaedic surgery. Vet Comp Orthop Traumatol 2013; 26: 251-259. https://doi.org/10.3415/VCOT-12-05-0065
  5. Hwang MR, Kim JO, Lee JH, Kim YI, Kim JH, Chang SW, Jin SG, Kim JA, Lyoo WS, Han SS, Ku SK, Yong CS, Choi HG. Gentamicin-loaded wound dressing with polyvinyl alcohol/dextran hydrogel: gel characterization and in vivo healing evaluation. AAPS PharmSciTech 2010; 11: 1092-1103. https://doi.org/10.1208/s12249-010-9474-0
  6. Lee HS, Cho HR, Yang KJ, Shin HD, Park BR, Jang HJ, Cho KW, Kim HD, Ku SK. Local irritation test of 3 types of ${\beta}$-glucan after subcutaneous injection in rats. Lab Anim Res 2006; 22: 339-342.
  7. Lovering AM, Sunderland J. Impact of soaking gentamicincontaining collagen implants on potential antimicrobial efficacy. Int J Surg 2012; 10: S2-4.
  8. Megoulas NC, Koupparis MA. Development and validation of a novel LC/ELSD method for the quantitation of gentamicin sulfate components in pharmaceuticals. J Pharm Biomed Anal 2004; 36: 73-79. https://doi.org/10.1016/j.jpba.2004.05.018
  9. Reynolds LF, Mailman TL, McMillan DD. Gentamicin in neonates at risk for sepsis - peak serum concentrations are not necessary. Paediatr Child Health 2012; 17: 310-312.
  10. Robert M, Melanie J. Gentamicin: a great way to start. Aust Prescr 2010; 33: 134-135. https://doi.org/10.18773/austprescr.2010.062
  11. Rubinstein A. Intranasal administration of gentamicin in human subjects. Antimicrob Agents Chemother 1983; 23: 778-779. https://doi.org/10.1128/AAC.23.5.778
  12. Rutten HJ, Nijhuis PH. Prevention of wound infection in elective colorectal surgery by local application of gentamicincontaining collagen sponge. Eur J Surg 1997; 578: 31-35.
  13. Simpson JA, Peacock J, Maxwell-Armstrong C. Use of a gentamicin-impregnated collagen sheet (Collatamp$^{(R)}$) following implantation of a sacral nerve stimulator for faecal incontinence. Colorectal Dis 2012; 14: e200-202. https://doi.org/10.1111/j.1463-1318.2011.02886.x
  14. Singisetti KK, Ashcroft GP. Intramedullary delivery of Collatamp in long bone infections: a simple innovative technique. Ann R Coll Surg Engl 2009; 91: 437.
  15. Stemberger A, Grimm H, Bader F, Rahn HD, Ascherl R. Local treatment of bone and soft tissue infections with the collagen-gentamicin sponge. Eur J Surg Suppl 1997; 578: 17-26.
  16. Sundin DP, Sandoval R, Molitoris BA. Gentamicin inhibits renal protein and phospholipid metabolism in rats: implications involving intracellular trafficking. J Am Soc Nephrol 2001; 12: 114-123.

피인용 문헌

  1. An Overview of the Use of Equine Collagen as Emerging Material for Biomedical Applications vol.11, pp.4, 2015, https://doi.org/10.3390/jfb11040079