A murine model of radiation-induced capsule-tissue reactions around smooth silicone implants

作者:Kim Jae Bong; Jeon Hyeon Jun; Lee Jeong Woo; Choi Kang Young; Chung Ho Yun; Cho Byung Chae; Park Shin Hyung; Park Min Hee; Bae Jae Sung; Yang Jung Dug*
来源:Journal of Plastic Surgery and Hand Surgery, 2018, 52(4): 217-224.
DOI:10.1080/2000656X.2018.1444617

摘要

As the availability of breast reconstruction using implants is becoming widespread and many implant recipients undergo radiation therapy, there is an increasing interest in understanding the potential complications associated with capsule-tissue interactions in response to irradiation. Accordingly, our medical institution designed an animal experiment to investigate the effects of irradiation on capsular contracture. A total of 40 mice (C57BL6) were divided into four groups according to whether or not they received irradiation and the time from implantation to irradiation. After each mouse received a specially-fabricated, 1.5cm semi-spherical silicone implant inserted into the area below the panniculus carnosus, half of the mice were irradiated using singe administration of a 10Gy dose of radiation (6MeV). Subsequently, data from gross inspection, histological analysis and immunohistochemical analysis were obtained at one and three months postoperatively and analyzed. Changes that occurred near the capsule led to the phenomenon of contracture subsequent to encapsulation. Our findings suggest that the inflammation reaction occurring near the implant becomes aggravated by 'radiation toxicity' and creates an environment conducive to capsular contracture. The present study demonstrated the process by which the complication of capsular contracture may occur during the treatment of human breast cancer via radiotherapy. These findings may serve as the basis for research and development of future treatments of capsular contracture.

  • 出版日期2018