Advanced shear-thinning hydrogel for aneurysm repair
New hydrogel features enhanced capabilities for treating aneurysms and halting their progression
image: The standard non-invasive treatment for patients with aneurysms is to insert a stent graft, a mesh-lined tube, into the affected blood vessel to shore up its walls and block blood flow to the aneurysm. The method is not foolproof, however, because leaks can occur between the stent graft and the endothelial wall, allowing blood to feed once again into the aneurysm. The TIBI scientists developed a novel embolic agent for AAA that would not only improve its effectiveness against endoleaks but would also suppress further progression of aneurysm growth.
Credit: Terasaki Institute for Biomedical Innovation
(LOS ANGELES) March 26, 2024 – A novel, injectable shear-thinning hydrogel for treating abdominal aortic aneurysms (AAA) has been developed by scientists at the Terasaki Institute for Biomedical Innovation (TIBI). This hydrogel not only demonstrates increased effectiveness at sealing off blood flow to AAAs, but also stops the growth of the aneurysms themselves.
Aneurysms, which can occur in blood vessels in many areas of the body, are due to atherosclerosis (plaque buildup in the vessels), infections or other inflammatory diseases and risk factors. Chronic inflammation from these conditions causes endothelial cells, which form the lining inside the blood vessels, to secrete excessive levels of enzymes called matrix metalloproteinases (MMPs). These MMPs degrade fibers in the vessel walls, and the weakened areas can balloon outward, with possible fatal rupture. Aneurysms in the aorta, the body’s largest artery, is the second most common aortic disease and the ninth leading cause of death worldwide.
Aneurysm patients who are feeling pain or other symptoms, or whose aneurysms are growing at accelerated rates are advised to seek treatment, and minimally invasive treatments are especially recommended for those with comorbidities or vulnerabilities to open surgical procedures.
The standard non-invasive treatment for patients with aneurysms is to insert a stent graft, a mesh-lined tube, into the affected blood vessel to shore up its walls and block blood flow to the aneurysm. The method is not foolproof, however, because leaks can occur between the stent graft and the endothelial wall, allowing blood to feed once again into the aneurysm.
To counteract these so-called endoleaks, blocking or embolic agents are applied to the aneurysm site. However, these commercial agents can be costly, difficult to handle, and ineffective against endoleaks, necessitating repeat treatment procedures.
The TIBI scientists developed a novel embolic agent for AAA that would not only improve its effectiveness against endoleaks but would also suppress further progression of aneurysm growth. As outlined in their paper in Advanced Functional Materials, they began by formulating a gelatin-based shear-thinning hydrogel, an injectable gel that quickly self-solidifies after injection, which contained silicate nanoplatelets to enhance cohesion and blood clotting capabilities.
They then introduced a new component, doxycycline (DOX), which is FDA approved for its ability to remove dysfunctional endothelial cells and to inactivate any secreted MMPs. These effects by DOX are facilitated both by its ability for quick burst release for rapid removal of endothelial cells and sustained release for longer-term MMP inhibition. The TIBI scientists demonstrated this two-step process through animal experiments using their new hydrogel in samples of pig aorta.
In separate experiments, the scientists were also able to determine that the addition of doxycycline resulted in a hydrogel with even greater injectability, cohesion, and embolic strength, exhibiting a 33% reduction in clotting time. Additionally, when using their new hydrogel, they achieved successful embolization in a benchtop endoleak model and showed that DOX affects the expression of several proteins involved in endothelial cell function, blood vessel formation, and blood coagulation.
These findings open exciting possibilities to adapt the new DOX hydrogel to treat aneurysms in different locations in the body, as well as to develop further experiments to test their long-term safety and efficacy.
“The work here represents a significant advancement in the treatment of aneurysms,” said Ali Khademhosseinini, Ph.D., TIBI’s Director and CEO. “It is our hope that this work can be expanded into further tests and clinical trials so that we may bring this technology to the patients.”
Authors: Fatemeh Zehtabi, Ankit Gangrade, Kaylee Tseng, Reihaneh Haghniaz, Reza Abbasgholizadeh, Hossein Montazerian, Danial Khorsandi, Jamal Bahari, Amir Ahari, Neda Mohaghegh, Negar Hosseinzadeh Kouchehbaghi, Kalpana Mandal, Marvin Mecwan, Ahmad Rashad, Natan Roberto de Barros, Youngjoo Byun, Menekse Ermis, Han-Jun Kim, Ali Khademhosseini
The authors acknowledge funding from the National Institutes of Health (HL140951, HL137193, CA257558, DK130566). The authors acknowledge the support of the Natural Sciences and Engineering Research Council of Canada (NSERC), [funding reference number PDF 546263-2020]. ME acknowledges The Scientific and Technological Research Council of Turkiye (TUBITAK) for 2219 International Postdoctoral Research Fellowship Program. H-J.K. would like to acknowledge the Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education (RS-2023-00240729). This research was supported by the MSIT (Ministry of Science and ICT), Korea under the ITRC (Information Technology Research Center) support program (IITP-2023- RS-2023-00258971) supervised by the IITP (Institute for Information & Communications Technology Planning & Evaluation). This research was also supported by a Korea University Grant (KU S-FRG; K2319831). This work was supported by the National Research Foundation (NRF) of Korea (2019R1A6A1A03031807).
COI: Ali Khademhosseini is the Co-founder of a start-up, Obsidio, Inc., which is based on shear-thinning embolic materials. Now Obsidio is a part of Boston Scientific
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About the Terasaki Institute for Biomedical Innovation
The Terasaki Institute for Biomedical Innovation is accelerating the pace of translational research by supporting the world’s leading scientists with an open, entrepreneurial environment for bioengineering new materials, biological models, and advanced technologies to address critical challenges to the health of the planet and its people. The Institute’s worldwide collaborations with academic, clinical, and entrepreneurial partners provide a rich foundation for translating innovations to the real world.
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