266f Novel in-Situ Hybrid Hydrogels of Hyaluronic Acid, Cellulose Derivatives, and Dextran to Prevent Peritoneal Adhesions

Taichi Ito1, Christopher B. Highly2, Evangelia Bellas2, Yoon Yeo2, Iain P. Fraser3, Robert Langer2, and Daniel S. Kohane4. (1) Chemical & Biomedical Engineering, Massachusetts Institute of Technology, E25-328, 45 Carleton St., Cambridge, MA 02142, (2) Chemical & Biomedical Engineering, Massachusetts Institute of Technology, E25-328, 45 Carleton St., Cambridge, MA 02142, (3) Laboratory of Developmental Immunology, Children Department of Pediatrics, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, (4) Pediatric Intensive Care Unit, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114

A postoperative peritoneal adhesion causes pelvic pain, bowel obstruction and fertility. We synthesized many polymers such as hydrazide-modified hyaluronic acid (HA-ADH), hydrazide-modified carboxymethyl dextran (CMD-ADH), aldehyde-modified dextran (DEX-ALD), aldehyde-modified carboxymethylcellulose (CMC-ALD), aldehyde-modified hydroxypropylmethyl cellulose (HPMC-ALD), and aldehyde-modified methyl cellulose (MC-ALD). These above polymers formed hydrogels quickly by mixing hydrazide polymers with aldehyde polymers. Various combinations of different polysaccharides can make the design of the hydrogels properties such as swelling and degradation. Besides, these hydrogels showed good biocompatibility in mice peritoneum for 3weeks in vivo. Finally these hybrid hydrogels were tested using a rabbit sidewall defect-bowel abrasion model.