[en] Introduction: Drug-eluting sutures represent the next generation of surgical sutures since they fulfill their mechanical functions but also deliver the drug in their vicinity after implantation. These implants are produced by a variety of manufacturing processes. Drug-eluting sutures represent the next generation of surgical sutures since they fulfill their mechanical functions but also deliver the drug in their vicinity after implantation. These implants are produced by a variety of manufacturing processes. Two general approaches can be followed: (i) the ones that add the API into the material during the manufacturing process of the suture and (ii) the ones that load the API to an already manufactured suture. Areas covered: This review provides an overview of the current manufacturing processes for drug- eluting suture production and discusses their benefits and drawbacks depending on the type of drugs. The mechanical properties and the drug delivery profile of drug-eluting sutures are highlighted since these implants must fulfill both criteria. Expert opinion: For limited drug contents, melt extrusion and electrospinning are the emerging processes since the drug is added during the suture manufacture process. Advantageously, the drug release profile can be tuned by controlling the processing parameters specific to each process and the composition of the drug-containing polymer. If high drug content is targeted, the coating or grafting of a drug layer on a pre-manufactured suture allows for preservation of the tensile strength requirements of the suture.
Research Center/Unit :
CESAM Complex and Entangled Systems from Atoms to Materials (CESAM) Center for Education and Research on Macromolecules (CERM)
Disciplines :
Chemistry Materials science & engineering
Author, co-author :
Champeau, Mathilde; University of Liège - ULiège > Complex and Entangled Systems from Atoms to Materials (CESAM), Center for Education and Research on Macromolecules (CERM)
Thomassin, Jean-Michel ; University of Liège - ULiège > Complex and Entangled Systems from Atoms to Materials (CESAM), Center for Education and Research on Macromolecules (CERM)
Tasaing, Thierry; University of Bordeaux, CNRS, Institute of Molecular Sciences, Talence, France
Jérôme, Christine ; University of Liège - ULiège > Complex and Entangled Systems from Atoms to Materials (CESAM), Center for Education and Research on Macromolecules (CERM)
Language :
English
Title :
Current manufacturing processes of drug-eluting sutures
Publication date :
2017
Journal title :
Expert Opinion on Drug Delivery
ISSN :
1742-5247
eISSN :
1744-7593
Publisher :
Taylor & Francis, United Kingdom
Pages :
1-11
Peer reviewed :
Peer Reviewed verified by ORBi
Funders :
The Intrnational Doctoral School IDS-Funmat Conseil Général d'Aquitaine F.R.S.-FNRS - Fonds de la Recherche Scientifique
Siepmann J, Siegel RA, Rathbone MJ., Fundamentals and applications of controlled release drug delivery. Newyork:Springer US; 2012.
Dennis C, Sethu S, Nayak S, et al. Suture materials - current and emerging trends. J Biomed Mater Res. 2016;104(6):1544–1559.
Zhukovskii VA. Problems and prospects for development and production of surgical suture materials. Fibre Chem. 2008;40(3):208–216.
Champeau M, Thomassin J-M, Tassaing T, et al. Drug loading of sutures by supercritical CO2 impregnation: effect of polymer/drug interactions and thermal transitions. Macromol Mater Eng. 2015;300(6):596–610.
Weinstein RD, Muske KR, Martin SA, et al. Liquid and supercritical carbon dioxide-assisted implantation of ketoprofen into biodegradable sutures. Ind Eng Chem Res. 2010;49(16):7281–7286.
Lee JE, Park S, Park M, et al. Surgical suture assembled with polymeric drug-delivery sheet for sustained, local pain relief. Acta Biomaterialia. 2013;9(9):8318–8327.
Catanzano O, Acierno S, Russo P, et al. Melt-spun bioactive sutures containing nanohybrids for local delivery of anti-inflammatory drugs. Mater Sci Eng C. 2014;43:300–309.
Zurita R, Puiggalí J, Rodríguez-Galán A. Loading and release of ibuprofen in multi- and monofilament surgical sutures. Macromol Biosci. 2006;6(9):767–775.
Scaffaro R, Botta L, Sanfilippo M, et al. Combining in the melt physical and biological properties of poly(caprolactone) and chlorhexidine to obtain antimicrobial surgical monofilaments. Appl Microbiol Biotechnol. 2013;97(1):99–109.
Zurita R, Puiggalí J, Rodríguez-Galán A. Triclosan release from coated polyglycolide threads. Macromol Biosci. 2006;6(1):58–69.
Gupta B, Jain R, Singh H. Preparation of antimicrobial sutures by preirradiation grafting onto polypropylene monofilament. Polym Adv Technol. 2008;19(12):1698–1703.
Luu YK, Kim K, Hsiao BS, et al. Development of a nanostructured DNA delivery scaffold via electrospinning of PLGA and PLA-PEG block copolymers. J Control Release. 2003;89(2):341–353.
Gupta B, Revagade N, Hilborn J. Poly(lactic acid) fiber: an overview. Prog Polymer Sci (Oxford). 2007;32(4):455–482.
Williamson MR, Chang H-I, Coombes AGA. Gravity spun polycaprolactone fibres: controlling release of a hydrophilic macromolecule (ovalbumin) and a lipophilic drug (progesterone). Biomaterials. 2004;25(20):5053–5060.
Denkbaş EB, Seyyal M, Pişkin E. Implantable 5-fluorouracil loaded chitosan scaffolds prepared by wet spinning. J Memb Sci. 2000;172(1–2):33–38.
Zamani M, Prabhakaran MP, Ramakrishna S. Advances in drug delivery via electrospun and electrosprayed nanomaterials. Int J Nanomed. 2013;8:2997–3017.
Chou S-F, Carson D, Woodrow KA. Current strategies for sustaining drug release from electrospun nanofibers. J Control Release. 2015;220(Part B):584–591.
Luo CJ, Stoyanov SD, Stride E, et al. Electrospinning versus fibre production methods: from specifics to technological convergence. Chem Soc Rev. 2012;41(13):4708–4735.
Weldon CB, Tsui JH, Shankarappa SA, et al. Electrospun drug-eluting sutures for local anesthesia. J Control Release. 2012;161(3):903–909.
Hu W, Huang ZM, Liu XY. Development of braided drug-loaded nanofiber sutures. Nanotechnology. 2010;21(31):315104.
Padmakumar S, Joseph J, Neppalli MH, et al. Electrospun polymeric core-sheath yarns as drug eluting surgical sutures. ACS Appl Mater Interfaces. 2016;8(11):6925–6934.
Han F, Jia X, Dai D, et al. Performance of a multilayered small-diameter vascular scaffold dual-loaded with VEGF and PDGF. Biomaterials. 2013;34(30):7302–7313.
Kim K, Luu YK, Chang C, et al. Incorporation and controlled release of a hydrophilic antibiotic using poly(lactide-co-glycolide)-based electrospun nanofibrous scaffolds. J Control Release. 2004;98(1):47–56.
He CL, Huang ZM, Han XJ. Fabrication of drug-loaded electrospun aligned fibrous threads for suture applications. J Biomed Mater Res. 2009;89(1):80–95.
Liu H, Leonas KK, Zhao Y. Antimicrobial properties and release profile of ampicillin from electrospun poly(ε-caprolactone) nanofiber yarns. J Eng Fibers Fabr. 2010;5(4):10–19.
Blakney AK, Krogstad EA, Jiang YH, et al. Delivery of multipurpose prevention drug combinations from electrospun nanofibers using composite microarchitectures. Int J Nanomed. 2014;9(1):2967–2978.
Meinel AJ, Germershaus O, Luhmann T, et al. Electrospun matrices for localized drug delivery: current technologies and selected biomedical applications. Eur J Pharmaceutics Biopharmaceutics. 2012;81(1):1–13.
Kenawy ER, Bowlin GL, Mansfield K, et al. Release of tetracycline hydrochloride from electrospun poly(ethylene-co-vinylacetate), poly(lactic acid), and a blend. J Control Release. 2002;81(1–2):57–64.
Yu D, Zhu L, White K, et al. Electrospun nanofiber-based drug delivery systems. Health. 2009;1(2):67–75.
Jiang H, Hu Y, Li Y, et al. A facile technique to prepare biodegradable coaxial electrospun nanofibers for controlled release of bioactive agents. J Control Release. 2005;108(2–3):237–243.
FDA. ICH Guidance Document. Chapter 4-Limits of residual solvents. Guidance for Industry, Q3C impurities: redisual solvents. Services USDoHaH, Food and Drug Administration (FDA); Rockville:2003.
Perale G, Casalini T, Barri V, et al. Lidocaine release from polycaprolactone threads. J Appl Polym Sci. 2010;117(6):3610–3614.
Nagy ZK, Balogh A, Drávavölgyi G, et al. Solvent-free melt electrospinning for preparation of fast dissolving drug delivery system and comparison with solvent-based electrospun and melt extruded systems. J Pharm Sci. 2013;102(2):508–517.
Bölgen N, Vargel I, Korkusuz P, et al. In vivo performance of antibiotic embedded electrospun PCL membranes for prevention of abdominal adhesions. J Biomed Mater Res Part B Appl Biomater. 2007;81(2):530–543.
Guillaume O, Lavigne JP, Lefranc O, et al. New antibiotic-eluting mesh used for soft tissue reinforcement. Acta Biomaterialia. 2011;7(9):3390–3397.
Ethicon. 2016. Available from:http://www.ethicon.com/
Ming X, Rothenburger S, Yang D. In vitro antibacterial efficacy of MONOCRYL plus antibacterial suture (poliglecaprone 25 with triclosan). Surg Infect (Larchmt). 2007;8(2):201–207.
Thimour-Bergström L, Roman-Emanuel C, Scherstén H, et al. Triclosan-coated sutures reduce surgical site infection after open vein harvesting in coronary artery bypass grafting patients: a randomized controlled trial. Eur J Cardio-Thoracic Surg. 2013;44(5):931–938.
Nakamura T, Kashimura N, Noji T, et al. Triclosan-coated sutures reduce the incidence of wound infections and the costs after colorectal surgery: a randomized controlled trial. Surgery. 2013;153(4):576–583.
Wang L, Chen D, Sun J. Layer-by-layer deposition of polymeric microgel films on surgical sutures for loading and release of ibuprofen. Langmuir. 2009;25(14):7990–7994.
Elsner JJ, Zilberman M. Antibiotic-eluting bioresorbable composite fibers for wound healing applications: microstructure, drug delivery and mechanical properties. Acta Biomaterialia. 2009;5(8):2872–2883.
Lee DH, Kwon TY, Kim KH, et al. Anti-inflammatory drug releasing absorbable surgical sutures using poly(lactic-co-glycolic acid) particle carriers. Polym Bull. 2014;71(8):1933–1946.
Wu DQ, Cui HC, Zhu J, et al. Novel amino acid based nanogel conjugated suture for antibacterial application. J Mater Chem B. 2016;4(15):2606–2613.
Boedeker BH, Haynes DH, Kline MD, inventors;WO1996016643A1, assignee. Drug releasing surgical implant or dressing material. 1996.
Chen X, Hou D, Wang L, et al. Antibacterial surgical silk sutures using a high-performance slow-release carrier coating system. ACS Appl Mater Interfaces. 2015;7(40):22394–22403.
Chen X, Hou D, Tang X, et al. Quantitative physical and handling characteristics of novel antibacterial braided silk suture materials. J Mech Behav Biomed Mater. 2015;50:160–170.
García-Vargas M, González-Chomón C, Magariños B, et al. Acrylic polymer-grafted polypropylene sutures for covalent immobilization or reversible adsorption of vancomycin. Int J Pharm. 2014;461(1–2):286–295.
Contreras-García A, Alvarez-Lorenzo C, Taboada C, et al. Stimuli-responsive networks grafted onto polypropylene for the sustained delivery of NSAIDs. Acta Biomaterialia. 2011;7(3):996–1008.
Zhukovskii VA, Khokhlova VA, Korovicheva SY. Surgical suture materials with antimicrobial properties. Fibre Chem. 2007;39(2):136–143.
Jain R, Gupta B, Anjum N, et al. Preparation of antimicrobial sutures by preirradiation grafting of acrylonitrile onto polypropylene monofilament. II. Mechanical, physical, and thermal characteristics. J Appl Polym Sci. 2004;93(3):1224–1229.
Saxena S, Ray AR, Kapil A, et al. Development of a new polypropylene-based suture: plasma grafting, surface treatment, characterization, and biocompatibility studies. Macromol Biosci. 2011;11(3):373–382.
Singh H, Tyagi PK. Radiation induced grafting of methacrylic acid onto silk for the immobilization of antimicrobial drug for sustained delivery. Die Angewandte Makromolekulare Chemie. 1989;172(1):87–102.
Blanco MG, Franco L, Puiggalí J, et al. Incorporation of triclosan into polydioxanone monofilaments and evaluation of the corresponding release. J Appl Polym Sci. 2009;114(6):3440–3451.
Champeau M, Thomassin JM, Tassaing T, et al. Drug loading of polymer implants by supercritical CO2 assisted impregnation: A review. J Control Release. 2015;209(0):248–259.
Sugiura K, Ogawa S, Tabata I, et al. Impregnation of tranilast to the poly(lactic acid) fiber with supercritical carbon dioxide and the release behavior of tranilast. Sen’i Gakkaishi. 2005;61(6):159–165.
Geiger BC, Nelson MT, Munj HR, et al. Dual drug release from CO2 infused nanofibers via hydrophobic and hydrophilic interactions. J Appl Polym Sci. 2015;132:38.
Pharmacopeia US. USP 37-NF 32. U. S. Pharmacopeial Convention. United States Pharmacopeial convention, Rockville. 2014.