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Controlled release of curcumin from curcumin-loaded nanomicelles to prevent peritendinous adhesion during Achilles tendon healing in rats

Authors Zhang W, Li X, Comes Franchini M, Xu K, Locatelli E, Martin R, Monaco I, Li Y, Cui S

Received 8 January 2016

Accepted for publication 28 February 2016

Published 22 June 2016 Volume 2016:11 Pages 2873—2881

DOI https://doi.org/10.2147/IJN.S103867

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 4

Editor who approved publication: Professor Carlos Rinaldi


Weizhong Zhang,1 Xuanyi Li,2 Mauro Comes Franchini,3 Ke Xu,1 Erica Locatelli,3 Robert C Martin,2 Ilaria Monaco,3 Yan Li,2 Shusen Cui1

1Department of Hand Surgery, China-Japan Union Hospital, Jilin University, Changchun, People’s Republic of China; 2Division of Surgical Oncology, Department of Surgery, University of Louisville School of Medicine, Louisville, KY, USA; 3Department of Industrial Chemistry “Toso Montanari”, University of Bologna, Bologna, Italy

Abstract: We introduced curcumin-loaded nanomicelles into a tendon-healing model to evaluate their effects on tendon healing and adhesion. Three groups consisting of 36 rats underwent rupture and repair of the Achilles tendon. The treatment group received an injection of curcumin-loaded nanomicelles (gold nanorods [GNRs]-1/ curcumin in polymeric nanomicelles [curc@PMs] at a dosage of 0.44 mg curcumin/kg in 0.1 mL saline) into the surgical site and exposed to laser postoperatively at weeks 1, 2, and 3, for three times 10 seconds each, on the surgical site in the rats that underwent tendon rupture and repair, while the other two groups received 0.44 mg curcumin/kg in 0.1 mL saline and 0.1 mL of saline, respectively. The specimens were harvested at 4 weeks and subjected to biomechanical and histological evaluation. The scoring results of tendon adhesion indicated that GNRs-1/curc@PMs group was in the lowest grade of peritendinous adhesions compared to the other groups. Histological assessment further confirmed the preventive effect of GNRs-1/curc@PMs on tendon adhesion. These findings indicated greater tendon strength with less adhesion in the group treated with GNRs-1/curc@PMs combined with laser exposure, and that nanoparticle-based therapy may be applied to prevent adhesion in clinical patients.

Keywords: nanorods, peritendinous adhesion, curcumin

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