PMID- 23545290 OWN - NLM STAT- MEDLINE DCOM- 20131022 LR - 20141120 IS - 1878-5905 (Electronic) IS - 0142-9612 (Linking) VI - 34 IP - 20 DP - 2013 Jul TI - Functional recovery of urethra by plasmid DNA-loaded injectable agent for the treatment of urinary incontinence. PG - 4766-76 LID - S0142-9612(13)00355-4 [pii] LID - 10.1016/j.biomaterials.2013.03.045 [doi] AB - Stress urinary incontinence (SUI) is an embarrassing problem affecting a large number of women and interfering with their quality of life. The injury or weakness of urethral supporting tissues by childbirth and aging has been considered as key factors in the development of the SUI. In this study, plasmid DNA (pDNA; encoding for bFGF) complex-loaded poly(DL-lactic-co-glycolic acid) (PLGA)/Pluronic F127 mixture dispersed with polycaprolactone (PCL) microspheres was prepared as an injectable bioactive bulking agent that may provide bulking effect (by PCL microspheres) and allow stimulation of the defect tissues around urethra (by synthesis of bFGF from cells or tissues transfected by the pDNA complex) for the effective treatment of SUI. From in vitro experiments, the pDNA complex incorporated in the bulking agent was released in a sustained manner over 84 days (>/=80% of the initial loading amount). The pDNA complex was effectively transfected into fibroblasts and the cells were continuously producing the target protein, bFGF. From the in vivo study using hairless mice and Sprague-Dawley rats, it was confirmed that the pDNA complex released from the bulking agent is transfected into surrounding cells/tissue, and the cells/tissues synthesize sufficient bFGF to regenerate smooth muscle with biological function around the urethra. Basis on these results, the pDNA (encoding for bFGF) complex-loaded PLGA/Pluronic F127 mixture dispersed with PCL microspheres can be a promising bioactive bulking agent system for the fundamental cure of SUI. CI - Copyright (c) 2013 Elsevier Ltd. All rights reserved. FAU - Choi, Soo Jung AU - Choi SJ AD - Department of Advanced Materials, Hannam University, Yuseong Gu, Daejeon, Republic of Korea. FAU - Oh, Se Heang AU - Oh SH FAU - Kim, In Gul AU - Kim IG FAU - Chun, So Young AU - Chun SY FAU - Lee, Ji Youl AU - Lee JY FAU - Lee, Jin Ho AU - Lee JH LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130329 PL - Netherlands TA - Biomaterials JT - Biomaterials JID - 8100316 RN - 103107-01-3 (Fibroblast Growth Factor 2) RN - 9007-49-2 (DNA) SB - IM MH - Animals MH - DNA/*metabolism MH - Disease Models, Animal MH - Female MH - Fibroblast Growth Factor 2/metabolism MH - Humans MH - In Vitro Techniques MH - Injections MH - Mice MH - Muscle Contraction MH - Particle Size MH - Plasmids/*metabolism MH - Prosthesis Implantation MH - Rats MH - Rats, Sprague-Dawley MH - *Recovery of Function MH - Static Electricity MH - Subcutaneous Tissue/pathology MH - Urethra/pathology/*physiopathology MH - Urinary Incontinence/pathology/*physiopathology/*therapy MH - Urodynamics EDAT- 2013/04/03 06:00 MHDA- 2013/10/23 06:00 CRDT- 2013/04/03 06:00 PHST- 2013/02/28 00:00 [received] PHST- 2013/03/15 00:00 [accepted] PHST- 2013/04/03 06:00 [entrez] PHST- 2013/04/03 06:00 [pubmed] PHST- 2013/10/23 06:00 [medline] AID - S0142-9612(13)00355-4 [pii] AID - 10.1016/j.biomaterials.2013.03.045 [doi] PST - ppublish SO - Biomaterials. 2013 Jul;34(20):4766-76. doi: 10.1016/j.biomaterials.2013.03.045. Epub 2013 Mar 29.