Effect of exogenous embryonic fibroblasts on ratio of collagens types I and III in tissues of mouse paraprosthetic capsule

At present, the use of synthetic prostheses is an obligatory condition of surgical treatment of extensive and giant ventral hernias. We have carried out a comparative investigation of the dynamics of the collagen Type I to Type III ratio in the mouse paraprosthetic region upon use of the implants Esphyl (polyethylene), Ecophlon (polytetrafluorethylene), and Uniflex (polyvinylidenfluoride) with or without single and twofold introduction of cultured fibroblasts into paraprosthetic region at different time periods. Use of staining with Sirius Red and polarization microscopy revealed that, at a short time period (10 days after endoprosthesis implantation), the fibroblast introduction and the multiplicity of their introduction do not affect the collagen type ratio. At later time periods (30–60 days after the endoprosthesis implantation), the collagen type I ratio increased with use of all materials. At all steps of the experiment, the collagen type I/III ratio was the highest in the case of use of the Uniflex endoprosthesis. The exogenous fibroblasts accelerate the increase in the collagen type I/III ratio to a greater degree during twofold than upon single introduction.