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A recombinant human hyaluronidase sustained release gel for the treatment of post-surgical edema.

Identifieur interne : 001864 ( PubMed/Corpus ); précédent : 001863; suivant : 001865

A recombinant human hyaluronidase sustained release gel for the treatment of post-surgical edema.

Auteurs : Tara Nekoroski ; Rudolph D. Paladini ; Daniel N. Sauder ; Gregory I. Frost ; Gilbert-A Keller

Source :

RBID : pubmed:24168080

English descriptors

Abstract

Edema commonly accompanies surgical procedures and when excessive, can adversely affect surgical outcomes. The skin extracellular matrix, including one of its primary components, hyaluronan (HA), is a significant barrier to effective drainage of accumulated edematous fluid. Recombinant human hyaluronidase (rHuPH20) is a human hyaluronidase that acts transiently and locally to depolymerize HA. A non-liposomal gel formulation that provides a sustained release of rHuPH20 was tested in vivo in a preclinical murine model of acquired lymphedema.

DOI: 10.1111/ijd.12304
PubMed: 24168080

Links to Exploration step

pubmed:24168080

Le document en format XML

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<title xml:lang="en">A recombinant human hyaluronidase sustained release gel for the treatment of post-surgical edema.</title>
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<name sortKey="Nekoroski, Tara" sort="Nekoroski, Tara" uniqKey="Nekoroski T" first="Tara" last="Nekoroski">Tara Nekoroski</name>
<affiliation>
<nlm:affiliation>Halozyme Therapeutics Inc., San Diego, CA, USA.</nlm:affiliation>
</affiliation>
</author>
<author>
<name sortKey="Paladini, Rudolph D" sort="Paladini, Rudolph D" uniqKey="Paladini R" first="Rudolph D" last="Paladini">Rudolph D. Paladini</name>
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<author>
<name sortKey="Sauder, Daniel N" sort="Sauder, Daniel N" uniqKey="Sauder D" first="Daniel N" last="Sauder">Daniel N. Sauder</name>
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<author>
<name sortKey="Frost, Gregory I" sort="Frost, Gregory I" uniqKey="Frost G" first="Gregory I" last="Frost">Gregory I. Frost</name>
</author>
<author>
<name sortKey="Keller, Gilbert A" sort="Keller, Gilbert A" uniqKey="Keller G" first="Gilbert-A" last="Keller">Gilbert-A Keller</name>
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<name sortKey="Frost, Gregory I" sort="Frost, Gregory I" uniqKey="Frost G" first="Gregory I" last="Frost">Gregory I. Frost</name>
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<title level="j">International journal of dermatology</title>
<idno type="eISSN">1365-4632</idno>
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<term>Analysis of Variance</term>
<term>Animals</term>
<term>Delayed-Action Preparations (therapeutic use)</term>
<term>Disease Models, Animal</term>
<term>Hyaluronoglucosaminidase (therapeutic use)</term>
<term>Injections, Intralesional</term>
<term>Lymphedema (drug therapy)</term>
<term>Lymphedema (etiology)</term>
<term>Mice</term>
<term>Postoperative Care</term>
<term>Postoperative Complications (diagnosis)</term>
<term>Postoperative Complications (drug therapy)</term>
<term>Preoperative Care</term>
<term>Random Allocation</term>
<term>Recombination, Genetic</term>
<term>Reference Values</term>
<term>Time Factors</term>
<term>Treatment Outcome</term>
<term>Wound Healing (drug effects)</term>
<term>Wound Healing (physiology)</term>
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<term>Delayed-Action Preparations</term>
<term>Hyaluronoglucosaminidase</term>
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<term>Postoperative Complications</term>
</keywords>
<keywords scheme="MESH" qualifier="drug effects" xml:lang="en">
<term>Wound Healing</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en">
<term>Lymphedema</term>
<term>Postoperative Complications</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Wound Healing</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Analysis of Variance</term>
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<term>Disease Models, Animal</term>
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<term>Mice</term>
<term>Postoperative Care</term>
<term>Preoperative Care</term>
<term>Random Allocation</term>
<term>Recombination, Genetic</term>
<term>Reference Values</term>
<term>Time Factors</term>
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<div type="abstract" xml:lang="en">Edema commonly accompanies surgical procedures and when excessive, can adversely affect surgical outcomes. The skin extracellular matrix, including one of its primary components, hyaluronan (HA), is a significant barrier to effective drainage of accumulated edematous fluid. Recombinant human hyaluronidase (rHuPH20) is a human hyaluronidase that acts transiently and locally to depolymerize HA. A non-liposomal gel formulation that provides a sustained release of rHuPH20 was tested in vivo in a preclinical murine model of acquired lymphedema.</div>
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<ISSN IssnType="Electronic">1365-4632</ISSN>
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<Volume>53</Volume>
<Issue>6</Issue>
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<Month>Jun</Month>
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<Title>International journal of dermatology</Title>
<ISOAbbreviation>Int. J. Dermatol.</ISOAbbreviation>
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<ArticleTitle>A recombinant human hyaluronidase sustained release gel for the treatment of post-surgical edema.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Edema commonly accompanies surgical procedures and when excessive, can adversely affect surgical outcomes. The skin extracellular matrix, including one of its primary components, hyaluronan (HA), is a significant barrier to effective drainage of accumulated edematous fluid. Recombinant human hyaluronidase (rHuPH20) is a human hyaluronidase that acts transiently and locally to depolymerize HA. A non-liposomal gel formulation that provides a sustained release of rHuPH20 was tested in vivo in a preclinical murine model of acquired lymphedema.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Lymphedemic mice were injected 24 hours before surgery, and at 2 and 12 days following surgery with rHuPH20 sustained release gel (PH20 SR gel). Quantitative assessment of treatment response indicated that a single dose of PH20 SR gel resulted in accelerated resolution and reduced severity of post-surgical edema as compared to the gel vehicle (control).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Statistically significant enzymatic degradation of HA was demonstrated up to 5 mm from the injection site, and histological analysis confirmed removal of HA up to 72 hours following PH20 SR gel administration.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">These results demonstrate sustained hyaluronidase enzymatic activity that promotes diffusion of accumulated post-surgical edematous fluid, suggesting that PH20 SR gel may be a useful adjuvant in promoting postoperative edema resolution.</AbstractText>
<CopyrightInformation>© 2013 The International Society of Dermatology.</CopyrightInformation>
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