| Resorbable polymers, or  plastics that break down in the body's aqueous environment, have been in use  for some time. Their value has been demonstrated in a number of applications,  including tissue-engineered scaffolds, suture materials, and other wound  closure devices. These materials generally break down as water hydrolyzes the  bonds that form the plastic until they are eventually completely absorbed.
 A new resorbable polymer  may have the potential to replace existing materials used in medical device  manufacturing. Cheaply made, the material can be tailored to degrade over wide  range of timeframes, which may make it suitable for many applications. Recently,  a relatively commonplace material has been adapted to fit into the hydrolyzable  family of polymers, according to the University of Illinois at  Urbana-Champaign. Polyurea are a type of material commonly found in paints,  caulking, and certain glues. Interestingly, their current uses are often a  result of their stability in the aqueous environment and their resistance to  being broken down. New research, however, by University of Illinois engineers  has changed how these polymers may be used. The newly developed form of  polyurea material is different because it contains hindered urea bonds,  according to a recent study published by the team in the Journal of the American  Chemical Society. The bonds are composed of 1-tert-butyl-1-ethylurea, and they  are highly dynamic, which means that water can access and attack the bonds. The  material can be configured into linear polymers or cross-linked gels, both of  which are resorbable over time. The simplicity of the reaction process makes  the manufacture of these materials very low in cost, because synthesis only  consists of mixing bulky multifunctional amines and isocyanates, according to  the press release. The precursor materials are very cheap and easily obtained,  and the reactions can be performed at ambient conditions. There are no harmful  byproducts created during the processing, and the copolymer composition, which  affects the degradation rate, can be easily changed. Additionally, the polymer,  once it is synthesized, can be broken down in as little as a few days.
 While resorbable materials  are not a recent addition to the medical device landscape, their uses continue  to increase.
 Vascular grafts, particularly ones composed of artificial materials like Teflon  or poly-tetrafluoroethylene (ePTFE), have long been fraught with  limitations. Researchers at Northwestern University's college of engineering  have announced a new polymer that may improve the success of synthetic vascular  grafts by reducing one of the key contributors to failure: oxidative stress.
 Blood vessels involved in  vascular grafting and other vascular interventions are often subject to  atherosclerosis and restenosis, or a closing off of the grafted vessel over  time. Eventually this leads to a failure of the graft or vessel, and the  patient is back where they started. Both of these conditions have been  associated with oxidative stress that develops during the healing cycle. When a  synthetic graft is implanted, this is further complicated by the body's natural  inflammatory response to implanted materials, which in itself can contribute to  oxidative stress. The team came up with a novel approach: make  antioxidants part of the material you are implanting. If antioxidants are  released by your implant, then perhaps it can reduce oxidative stresses in the  local areas where it is implanted. This, in turn, may increase biocompatibility  and reduce the types of complications previously seen with grafting procedures.
 “In the past, people have  added antioxidant vitamins to a polymer and blended it in. That can affect the  mechanical properties of the material and limit how much antioxidant you can  add, so it doesn't work well. What we are doing is different. We are building a  material that is already inherently, intrinsically antioxidant," said Professor  Guillermo Ameer, a researcher in the department of biomedical engineering at  Northwestern's McCormick School of Engineering and Applied Science and  professor of surgery at the Feinberg School of Medicine.  Specifically, the team are using a newly  synthesized material that contains antioxidants in its very structure. This  material is called poly (1,8-octanediol-co-citrate-co-ascorbate) (POCA), a  flexible elastomeric plastic that is partially made from citric acid and  ascorbate. Ascorbate is also better known as vitamin C, a potent anti-oxidant.  Like most degradable polymers, POCA releases degradation products. Unlike most  degradable polymers, however, POCA releases degradation products that reduce  oxidative stresses and appear to be beneficial.
 In vitro testing from  Ameer's study showed that antioxidants were being released into the culture  medium. Antioxidant activity was even present after the polymer had completely  degraded. When cultured with endothelial cells, the cells that line the  interior of blood vessels, there were no apparent negative effects, and the  cells were able to grow on the POCA material. When these same cells were exposed  to added oxidative stress, the polymer and its degradation products reduced the  oxidative cell death that would normally be seen.
 In vivo POCA also led to  some interesting outcomes when coated on an expanded ePTFE graft. This  preliminary testing led to decreased intimal hyperplasia when compared to an  uncoated ePTFE graft. Intimal hyperplasia in many cases is associated with  restenosis of vessels that have been repaired.
 The new biomaterial may  find applications outside of vascular grafting, such as in creating scaffolds  for tissue engineering, coating and manufacturing safer medical devices,  promoting healing in regenerative medicine, and protecting cells, genes, and  viruses during drug delivery.
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