Bioprosthetic tissue with reduced calcification
A treatment for bioprosthetic tissue used in implants or for assembled bioprosthetic heart valves to reduce in vivo calcification. The method includes applying a calcification mitigant such as a capping agent or an antioxidant to the tissue to specifically inhibit oxidation in tissue. Also, the method can be used to inhibit oxidation in dehydrated tissue. The capping agent suppresses the formation of binding sites in the tissue that are exposed or generated by the oxidation and otherwise would, upon implant, attract calcium, phosphate, immunogenic factors, or other precursors to calcification. In one method, tissue leaflets in assembled bioprosthetic heart valves are pretreated with an aldehyde capping agent prior to dehydration and sterilization.
1. A packaged bioprosthetic device comprising:
an at least partially cross-linked pericardial tissue comprising functional groups that have been blocked, removed or altered by reacting the functional groups with capping agents, wherein the functional groups are one or both of aldehyde groups and carboxylic acid groups; and
a packaging storing the at least partially cross-linked biological tissue without a liquid preservative solution.
2. The packaged bioprosthetic device of claim 1 , wherein the bioprosthetic device is a bioprosthetic heart valve comprising a stent coupled to leaflets made from the at least partially cross-linked biological tissue.
3. The packaged bioprosthetic device of claim 1 , wherein the biological tissue is at least partially cross-linked with glutaraldehyde or other aldehyde-containing agents.
4. The packaged bioprosthetic device of claim 1 , wherein the at least a portion of the functional groups are blocked, removed or altered by exposing the at least partially cross-linked biological tissue to a reducing agent.
5. The packaged bioprosthetic device of claim 1 , wherein the at least partially cross-linked biological tissue comprises glycerol.
6. The packaged bioprosthetic device of claim 5 , wherein the at least partially cross-linked biological tissue and the packaging is sterilized by ethylene oxide, gamma irradiation or electron beam irradiation.
7. The packaged bioprosthetic device of claim 1 , wherein the at least partially cross-linked biological tissue is at least partially dehydrated.
8. The packaged bioprosthetic device of claim 7 , wherein the at least partially cross-linked biological tissue and the packaging is sterilized by ethylene oxide, gamma irradiation or electron beam irradiation.
9. The packaged bioprosthetic device of claim 1 , wherein the capping agent is one or more selected from the group consisting of: an amine, an alkyl amine, an amino alcohol, an ethanolamine, an amino acid, a lysine, a hydroxylysine, an amino sulfonate, a taurine, an amino sulfate, a dextran sulfate, a chondroitin sulfate, a hydrophilic multifunctional polymer, a polyvinyl alcohol, a polyethyleneimine, a hydrophobic multifunctional polymer, an α-dicarbonyl, a methylglyoxal, a 3-deoxyglucose, a glyoxal, a hydrazide, an adipic hydrazide, a heparin, a mono-epoxy alkane, a di-epoxy alkane, and a polyepoxyalkane.
10. The packaged bioprosthetic device of claim 9 , wherein the functional groups have been reacted with a reducing agent.
11. The packaged bioprosthetic device of claim 10 , wherein the reducing agent is selected from the group consisting of: a sodium borohydride and a sodium cyanoborohydride.
12. The packaged bioprosthetic device of claim 11 , wherein the bioprosthetic tissue comprises glycerol.
13. The packaged bioprosthetic device of claim 1 , wherein the biological tissue is at least partially cross-linked with glutaraldehyde or an aldehyde-containing agent.
14. The packaged bioprosthetic device of claim 1 , wherein the capping agent is one or more selected from the group consisting of: an amine, an alkyl amine, an amino alcohol, an ethanolamine, an amino acid, a lysine, a hydroxylysine, an amino sulfonate, a taurine, an amino sulfate, a dextran sulfate, a chondroitin sulfate, a hydrophilic multifunctional polymer, a polyvinyl alcohol, a polyethyleneimine, a hydrophobic multifunctional polymer, an α-dicarbonyl, a methylglyoxal, a 3-deoxyglucose, a glyoxal, a hydrazide, an adipic hydrazide, a heparin, a mono-epoxy alkane, a di-epoxy alkane, and a polyepoxyalkane.
15. The packaged bioprosthetic device of claim 1 , wherein the functional groups have been reacted with a reducing agent.
16. The packaged bioprosthetic device of claim 15 , wherein the reducing agent is selected from the group consisting of: a sodium borohydride and a sodium cyanoborohydride.
17. The packaged bioprosthetic device of claim 16 , wherein the bioprosthetic tissue comprises glycerol.