pH effect on the synthesis, shear properties, and homogeneity of iron-crosslinked hyaluronic acid-based gel/adhesion barrier†
Corresponding Author
Irada Isayeva
Division of Chemistry and Materials Science (DCMS)/Office of Science and Engineering Laboratories (OSEL)/Center for Devices and Radiological Health (CDRH)/Food and Dug Administration (FDA), Silver Spring, Maryland 20903
Division of Chemistry and Materials Science (DCMS)/Office of Science and Engineering Laboratories (OSEL)/Center for Devices and Radiological Health (CDRH)/Food and Dug Administration (FDA), Silver Spring, Maryland 20903Search for more papers by this authorSrilekha Sarkar Das
Division of Chemistry and Materials Science (DCMS)/Office of Science and Engineering Laboratories (OSEL)/Center for Devices and Radiological Health (CDRH)/Food and Dug Administration (FDA), Silver Spring, Maryland 20903
Search for more papers by this authorAndrew Chang
Gemstone Program, University of Maryland, College Park, Maryland, 20742
Search for more papers by this authorJacqueline DeFoe
Department of Chemistry, University of Chicago, Chicago, Illinois 60637
Search for more papers by this authorHoan-My Do Luu
Division of Chemistry and Materials Science (DCMS)/Office of Science and Engineering Laboratories (OSEL)/Center for Devices and Radiological Health (CDRH)/Food and Dug Administration (FDA), Silver Spring, Maryland 20903
Search for more papers by this authorKatherine Vorvolakos
Division of Chemistry and Materials Science (DCMS)/Office of Science and Engineering Laboratories (OSEL)/Center for Devices and Radiological Health (CDRH)/Food and Dug Administration (FDA), Silver Spring, Maryland 20903
Search for more papers by this authorDinesh Patwardhan
Division of Chemistry and Materials Science (DCMS)/Office of Science and Engineering Laboratories (OSEL)/Center for Devices and Radiological Health (CDRH)/Food and Dug Administration (FDA), Silver Spring, Maryland 20903
Search for more papers by this authorJoyce Whang
Division of Reproductive, Abdominal and Radiological Devices (DRARD), Office of Device Evaluation (ODE)/CDRH/FDA, Silver Spring, Maryland 20903
Search for more papers by this authorSteven Pollack
Division of Chemistry and Materials Science (DCMS)/Office of Science and Engineering Laboratories (OSEL)/Center for Devices and Radiological Health (CDRH)/Food and Dug Administration (FDA), Silver Spring, Maryland 20903
Search for more papers by this authorCorresponding Author
Irada Isayeva
Division of Chemistry and Materials Science (DCMS)/Office of Science and Engineering Laboratories (OSEL)/Center for Devices and Radiological Health (CDRH)/Food and Dug Administration (FDA), Silver Spring, Maryland 20903
Division of Chemistry and Materials Science (DCMS)/Office of Science and Engineering Laboratories (OSEL)/Center for Devices and Radiological Health (CDRH)/Food and Dug Administration (FDA), Silver Spring, Maryland 20903Search for more papers by this authorSrilekha Sarkar Das
Division of Chemistry and Materials Science (DCMS)/Office of Science and Engineering Laboratories (OSEL)/Center for Devices and Radiological Health (CDRH)/Food and Dug Administration (FDA), Silver Spring, Maryland 20903
Search for more papers by this authorAndrew Chang
Gemstone Program, University of Maryland, College Park, Maryland, 20742
Search for more papers by this authorJacqueline DeFoe
Department of Chemistry, University of Chicago, Chicago, Illinois 60637
Search for more papers by this authorHoan-My Do Luu
Division of Chemistry and Materials Science (DCMS)/Office of Science and Engineering Laboratories (OSEL)/Center for Devices and Radiological Health (CDRH)/Food and Dug Administration (FDA), Silver Spring, Maryland 20903
Search for more papers by this authorKatherine Vorvolakos
Division of Chemistry and Materials Science (DCMS)/Office of Science and Engineering Laboratories (OSEL)/Center for Devices and Radiological Health (CDRH)/Food and Dug Administration (FDA), Silver Spring, Maryland 20903
Search for more papers by this authorDinesh Patwardhan
Division of Chemistry and Materials Science (DCMS)/Office of Science and Engineering Laboratories (OSEL)/Center for Devices and Radiological Health (CDRH)/Food and Dug Administration (FDA), Silver Spring, Maryland 20903
Search for more papers by this authorJoyce Whang
Division of Reproductive, Abdominal and Radiological Devices (DRARD), Office of Device Evaluation (ODE)/CDRH/FDA, Silver Spring, Maryland 20903
Search for more papers by this authorSteven Pollack
Division of Chemistry and Materials Science (DCMS)/Office of Science and Engineering Laboratories (OSEL)/Center for Devices and Radiological Health (CDRH)/Food and Dug Administration (FDA), Silver Spring, Maryland 20903
Search for more papers by this authorDisclaimer: The mention of commercial products, their source, or their use in connection with material reported herein is not to be construed as either an actual or implied endorsement of the US Food and Drug Administration.
Abstract
Iron-crosslinked hyaluronic acid hydrogel (FeHA) has been used to reduce postsurgical adhesions in patients undergoing open, gynecological surgery. The performance of FeHA gel as an adhesion barrier device is influenced by many factors, including the physicochemical gel properties, which, in turn, depend on the chemistry and conditions of the device manufacturing. In this work, we demonstrate the effect of reaction pH on rheology and homogeneity of FeHA gels formulated in house and also compare the viscoelastic properties of FeHA gels with that of uncrosslinked HA solution of similar HA concentration and ionic strength. Dynamic mechanical analyses provide evidence that the reaction of HA with Fe(III) ions leads to the formation of “weak” gels. The viscoelastic properties and homogeneity of FeHA gels vary depending on the pH at which crosslinking was initiated. When solution pH, at the start of crosslinking, varied between 1.5 and 3, the low-shear rate viscosity of FeHA varied between 10,000 and 40,000 cPoise (10–40 Pa s). The highest steady-state shear viscosity and viscoelasticity were measured when pH was around 2.6, which is similar to the pH-dependent viscoelasticity of pure HA solution. Initiating HA crosslinking at pH ≤ 3 led to relatively homogenous solutions, while crosslinking higher pH > 3 caused instantaneous gel precipitation and inhomogeneities. Sensitivity of FeHA gel properties to small variations in reaction pH clearly supports the need for a tight manufacturing control during medical device fabrication. © 2010 Wiley Periodicals, Inc.* J Biomed Mater Res Part B: Appl Biomater, 2010.
REFERENCES
- 1 Kuo JW. Practical Aspects of Hyaluronan Based Medical Products. Boca Raton: CRC; 2006.
- 2 Lapcik LJ, Lapcik L, De Smedt S, Demeester J, Chabrecek P. Hyaluronan: Preparation, structure, properties, and applications. Chem Rev 1998; 98: 2663–2684.
- 3 Shah CB, Barnett SM. Hyaluronic-Acid Gels. ACS Symp Ser 1992; 480: 116–130.
- 4
Garg HG,
Hales CA.
Chemistry and Biology of Hyaluronan.
Amsterdam:
Elsevier;
2004.
10.1016/B978-008044382-9/50043-1 Google Scholar
- 5 Laurent UBG, Reed RK. Turnover of hyaluronan in the tissues. Adv Drug Deliv Rev 1991; 7: 237–256.
- 6
Lepperdinger G,
Fehrer C,
Reitinger S,
Hari GG,
Charles AH,
M.D. Biodegradation of Hyaluronan. Chemistry and Biology of Hyaluronan.
Oxford:
Elsevier;
2004. pp
71–82.
10.1016/B978-008044382-9/50035-2 Google Scholar
- 7 Barbucci R, Rappuoli R, Borzacchiello A, Ambrosio L. Synthesis, chemical and rheological characterization of new hyaluronic acid-based hydrogels. J Biomater Sci-Polym Ed 2000; 11: 383–399.
- 8 Balazs EA, Hari GG, Charles AH. Viscoelastic Properties of Hyaluronan and Its Therapeutic Use. Chemistry and Biology of Hyaluronan. Oxford: Elsevier; 2004. pp 415–455.
- 9 Balazs EA, Hascall VC. Matrix Biology I. Hyaluronan: Structure, Metabolism, Biological Activities, Therapeutic Applications. Edgewater, NJ: Matrix Biology Institute; 2005.
- 10 EP Goldberg, editor. Tissue-Protective Solutions and Films for Adhesion Prevention. New York: Springer; 1997. 269 p.
- 11
DiZerega GS.
Pelvic Surgery: Adhesion Formation and Prevention.
New York:
Springer;
1997.
10.1007/978-1-4612-1864-7 Google Scholar
- 12
Miller RJ,
Avila LZ,
Hari GG,
Charles AH.
Medicinal Uses of Modified Hyaluronate. Chemistry and Biology of Hyaluronan.
Oxford:
Elsevier;
2004. pp
505–528.
10.1016/B978-008044382-9/50054-6 Google Scholar
- 13 Yeo Y, Highley CB, Bellas E, Ito T, Marini R, Langer R, Kohane DS. In situ cross-linkable hyaluronic acid hydrogels prevent post-operative abdominal adhesions in a rabbit model. Biomaterials 2006; 27: 4698–4705.
- 14 Grainger DA, Meyer WR, Decherney AH, Diamond MP. The use of hyaluronic-acid polymers to reduce postoperative adhesions. J Gynecol Surg 1991; 7: 97–101.
- 15 Zhang GBM, NJ. United States Surgical Corporation (Norwalk, CT), assignee. Hyaluronic acid anti-adhesion barrier, United States, 2003.
- 16 Pressato DMT, IT. Pavesio, Alessandra (Padova, IT), Callegaro, Lanfranco (Vicenza, IT); Fidia Advanced Biopolymers, S.r.l. (Brindisi, IT), assignee. Biomaterials for preventing post-surgical adhesions comprised of hyaluronic acid derivatives, United States, 2004.
- 17 Huang JWS, NJ, Johns, Douglas B. (Milford, NJ), Kronenthal, Richard L. (Fair Lawn, NJ); Lifecore Biomedical, Inc. (Chaska, MN), assignee. Ionically crosslinked carboxyl-containing polysaccharides for adhesion prevention, United States, 1996.
- 18 Johns DB, Rodgers KE, Donahue WD, Kiorpes TC, diZerega GS. Reduction of adhesion formation by postoperative administration of ionically cross-linked hyaluronic acid. Fertil Steril 1997; 68: 37–42.
- 19 Tang CL, Jayne DG, Seow-Choen FA, Ng YY, Eu KW, Mustapha N. A randomized controlled trial of 0.5% ferric hyaluronate gel (Intergel) in the prevention of adhesions following abdominal surgery. Ann Surg 2006; 243: 449–455.
- 20
Hardingham T.
Solution properties of hyaluronan. In:
GG Hari,
AH Charles, editors.
Chemistry and Biology of Hyaluronan.
Oxford:
Elsevier;
2004. pp
1–19.
10.1016/B978-008044382-9/50032-7 Google Scholar
- 21
Hardingham T.
Properties of hyaluronan in aqueous solution. In:
EA Balazs,
VC Hascall, editors.
Hyaluronan: Structure, Metabolism, Biological Activities, Therapeutic Applications.
Edgewater, NJ:
Matrix Biology Institute;
2004. pp
1–17.
10.1016/B978-008044382-9/50032-7 Google Scholar
- 22 Gibbs DA, Merrill EW, Smith KA, Balazs EA. Rheology of hyaluronic acid. Biopolymers 1968; 6: 777–791.
- 23 Cowman MK, Matsuoka S. Experimental approaches to hyaluronan structure. Carbohydr Res 2005; 340: 791–809.
- 24 Merce ALR, Carrera LCM, Romanholi LKS, Recio MAL. Aqueous and solid complexes of iron(III) with hyaluronic acid potentiometric titrations and infrared spectroscopy studies. J Inorg Biochem 2002; 89: 212–218.
- 25 Sipos P, St Pierre TG, Tombacz E, Webb J. Rod-like iron(III) oxyhydroxide particles in iron(III)-polysaccharide solutions. J Inorg Biochem 1995; 58: 129–138.
- 26 Sipos P, Berkesi O, Tombacz E, St Pierre TG, Webb J. Formation of spherical iron(III) oxyhydroxide nanoparticles sterically stabilized by chitosan in aqueous solutions. J Inorg Biochem 2003; 95: 55–63.
- 27 Aiedeh K, Taha MO. Synthesis of iron-crosslinked chitosan succinate and iron-crosslinked hydroxamated chitosan succinate and their in vitro evaluation as potential matrix materials for oral theophylline sustained-release beads. Eur J Pharm Sci 2001; 13: 159–168.
- 28 Marlin DS, Mascharak PK. Coordination of carboxamido nitrogen to tervalent iron: Insight into a new chapter of iron chemistry. Chem Soc Rev 2000; 29: 69–74.
- 29 Bhatia SC, Ravi N. A Mossbauer study of the interaction of chitosan and D-glucosamine with iron and its relevance to other metalloenzymes. Biomacromolecules 2003; 4: 723–727.
- 30 Jones F, Colfen H, Antonietti M. Iron oxyhydroxide colloids stabilized with polysaccharides. Colloid Polym Sci 2000; 278: 491–501.
- 31 Nesterova MV, Walton SA, Webb J. Nanoscale iron(III) oxyhydroxy aggregates formed in the presence of functional water-soluble polymers: Models for iron(III) biomineralisation processes. Journal of Inorganic Biochemistry 2000; 79: 109–118.
- 32 Somsook E, Hinsin D, Buakhrong P, Teanchai R, Mophan N, Pohmakotr M, Shiowatana J. Interactions between iron(III) and sucrose, dextran, or starch in complexes. Carbohydrate Polym 2005; 61: 281–287.
- 33 Nieto JM, Penichecovas C, Delbosque J. Preparation and characterization of a chitosan-Fe(III) complex. Carbohydr Polym 1992; 18: 221–224.
- 34 Barnes HA, Hutton JF, Walters K. An Introduction to Rheology. Amsterdam: Elsevier; 1996.
- 35 Kavanagh GM, Ross-Murphy SB. Rheological characterisation of polymer gels. Prog Polym Sci 1998; 23: 533–562.
- 36 Cotton F, Wilkinson G. Advanced Inorganic Chemistry. New York: Wiley; 1988.
- 37 Ferry JD. Viscoelastic Properties of Polymers. New York: Wiley; 1980.
- 38 De Smedt SC, Dekeyser P, Ribitsch V, Lauwers A, Demeester J. Viscoelastic and transient network properties of hyaluronic-acid as a function of the concentration. Biorheology 1993; 30: 31–41.
- 39 Yanaki T, Yamaguchi T. Temporary network formation of hyaluronate under a physiological condition. I. Molecular-weight dependence. Biopolymers 1990; 30: 415–425.
- 40 Krause WE, Bellomo EG, Colby RH. Rheology of sodium hyaluronate under physiological conditions. Biomacromolecules 2001; 2: 65–69.
- 41 Fraser JRE, Laurent TC, Laurent UBG. Hyaluronan: Its nature, distribution, functions and turnover. J Intern Med 1997; 242: 27–33.
- 42 Ambrosio L, Borzacchiello A, Netti PA, Nicolais L. Rheological study on hyaluronic acid and its derivative solutions. J Macromol Sci-Pure Appl Chem A 1999; 36: 991–1000.
- 43 Rodd AB, Davis CR, Dunstan DE, Forrest BA, Boger DV. Rheological characterisation of ‘weak gel’ carrageenan stabilised milks. Food Hydrocolloids 2000; 14: 445–454.
- 44 Chronakis IS, Kasapis S. A rheological study on the application of carbohydrate-protein incompatibility to the development of low fat commercial spreads. Carbohydr Polym 1995; 28: 367–373.
- 45
Morris E,
Richardson R,
Whittaker L.
Rheology and gelation of deacylated gellan polysaccharide with Na+ as the sole counterion.
Phys Chem Ind Appl Gellan Gum
1999;
119:
109–115.
10.1007/3-540-48349-7_16 Google Scholar
- 46 Feeney M, Casadei MA, Matricardi P. Carboxymethyl derivative of scleroglucan: A novel thermosensitive hydrogel forming polysaccharide for drug delivery applications. J Mater Sci-Mater Med 2009; 20: 1081–1087.
- 47 Vorvolakos K, Isayeva IS, Luu H-MD, Patwardhan DV, K PS. Ionically crosslinked hyaluronic acid: Wetting, lubrication properties and viscoelasticity (to be submitted).