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A drug-free cardiovascular stent functionalized with tailored collagen supports in-situ healing of vascular tissues.

Haoshuang Wu | Li Yang | Rifang Luo | Li Li | Tiantian Zheng | Kaiyang Huang | Yumei Qin | Xia Yang | Xingdong Zhang | Yunbing Wang
Nature communications | 2024

Drug-eluting stent implantation suppresses the excessive proliferation of smooth muscle cells to reduce in-stent restenosis. However, the efficacy of drug-eluting stents remains limited due to delayed reendothelialization, impaired intimal remodeling, and potentially increased late restenosis. Here, we show that a drug-free coating formulation functionalized with tailored recombinant humanized type III collagen exerts one-produces-multi effects in response to injured tissue following stent implantation. We demonstrate that the one-produces-multi coating possesses anticoagulation, anti-inflammatory, and intimal hyperplasia suppression properties. We perform transcriptome analysis to indicate that the drug-free coating favors the endothelialization process and induces the conversion of smooth muscle cells to a contractile phenotype. We find that compared to drug-eluting stents, our drug-free stent reduces in-stent restenosis in rabbit and porcine models and improves vascular neointimal healing in a rabbit model. Collectively, the one-produces-multi drug-free system represents a promising strategy for the next-generation of stents.

Pubmed ID: 38272886

Research resources used in this publication

None found

Antibodies used in this publication

None found

Associated grants

  • Agency: National Natural Science Foundation of China (National Science Foundation of China),
    Id: 32101107
  • Agency: National Natural Science Foundation of China (National Science Foundation of China),
    Id: 32371427

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NCBI Genome (tool)

RRID:SCR_002474

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