Table 1.
Current strategies to target the fibrotic phase of the FBR.
Inhibiting Compound | FBR Pathway Target | Implant Material | Implant Model | Species | Study Length (In Vivo) | References |
---|---|---|---|---|---|---|
Prolyl-4-hydroxylase inhibitors | Collagen synthesis | N/A | Intraocular implants | Human | 19 months | [192,193,195,199,200] |
Col1 siRNA (Nanofiber scaffold-mediated RNA interference) | Collagen synthesis | siRNA–poly(caprolactone-co-ethylethylene phosphate) nanofibers | Posterior dorsal areas | Rat | 4 weeks | [195] |
Rapamycin (mTOR) siRNA | Type I collagen synthesis | Poly(ethylene glycol) (PEG)-based hydrogel coatings | Subcutaneous siRNA-releasing device implantation | Mice | 2 weeks | [199] |
Halofuginone | Type I collagen synthesis | Silicone discs | Subcutaneous implantation | Rat | 3 months | [201] |
Relaxin, BMP-7, hepatocyte growth factor, SMAD7 | TGF-β | Mock biosensors | Subcutaneous implantation | Rat | 55 days | [192,193,202] |
Pirfenidone | TGF-β and Collagen synthesis | Smooth and textured silicone implants | Submammary implantation | Rat | 8 weeks | [193] |
Masitinib | Tyrosine-kinase | Polyester fiber model | Subcutaneous implantation | Mice | 4 weeks | [203] |
Antisense oligonucleotides, cAMP, TNF | CCN2 | polyether-polyurethane sponges | Subcutaneous implantation | Mice | 14 days | [204,205] |
Monoclonal antibodies specific for MMPs and TIMP-1 | Pharmacological inhibition of MMP-1,-8,-13, and -18 | In vitro human monocyte assay | In vitro | Human | In vitro | [206] |
Pravastatin | Neovascularization and AMPK/mTOR pathway | Medical-grade Polyetheretherketone (SP) | Subcutaneous implantation | Mice | 4 weeks | [207] |
VEGF | Neovascularization | Commercial glucose sensors | Subcutaneous implantation | Mice | 10 days | [208] |