PEER-REVIEWED PUBLICATION

2026

Pyriphenone modification of glutaraldehyde pretreated bovine pericardium mitigates advanced glycation end products, calcification, and platelet adhesion

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Zakharchenko A, Toomey NT, et al.

Acta Biomaterialia

The Children’s Hospital of Philadelphia, University of Pennsylvania School of Medicine, Columbia University

RESEARCH SUMMARY
This study developed and evaluated Pyriphenone, a vitamin B6-derived photo-responsive molecule designed to improve the durability of glutaraldehyde-pretreated bovine pericardium used in bioprosthetic heart valves. The authors synthesized Pyriphenone by reacting pyridoxamine with benzophenone chemistry, then used ethanol and UV exposure to covalently attach it to bovine pericardium. Pyriphenone attachment was stable during 28-day incubation under physiological conditions and did not significantly change collagen thermal denaturation temperature, tissue thickness, collagen alignment, or biaxial mechanical behaviour. In vitro testing showed that Pyriphenone-modified bovine pericardium had reduced advanced glycation end-product formation, reduced glucose uptake, reduced bovine serum albumin infiltration, and improved resistance to oxidative degradation compared with unmodified tissue. In vivo juvenile rat subdermal implantation showed that Pyriphenone modification strongly reduced AGE staining, serum albumin accumulation, and calcification relative to unmodified bovine pericardium. Ex vivo Chandler loop blood-material interaction testing further showed reduced platelet and white blood cell adhesion on Pyriphenone-modified tissue. Overall, the study supports Pyriphenone modification as a multifunctional pretreatment strategy for bioprosthetic valve biomaterials that may address calcific degeneration, non-calcific AGE/serum protein-associated degeneration, and early blood-material interactions.
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CELLSCALE INSTRUMENT USED

BioTester

Biaxial mechanical testing was performed using a commercial CellScale BioTester to determine whether ethanol, UV exposure, and Pyriphenone modification altered the mechanical properties of glutaraldehyde-fixed bovine pericardium. The study tested six groups: unmodified bovine pericardium with and without UV exposure, ethanol-incubated bovine pericardium with and without UV exposure, and ethanol-incubated bovine pericardium followed by Pyriphenone treatment with and without UV exposure. Each group included six samples, for a total of 36 biaxial test specimens. Samples were cut to 10 mm × 10 mm, with visible collagen fibers aligned to one specimen axis and to the BioTester x-axis. Sample thickness was measured with a digital caliper, then specimens were mounted using four sets of BioRake tines with an effective test region of 7 mm × 7 mm. Four fiducial markers were placed in the central one-third of each sample for non-contact strain measurement. Samples were submerged in deionized water, preloaded to 10 mN, preconditioned for 10 equibiaxial cycles to an 800 mN target peak force, and then characterized under seven biaxial force ratios: 1:1, 1:0.75, 1:0.50, 1:0.25, 0.75:1, 0.50:1, and 0.25:1. Each ratio used 10 loading/unloading cycles with a 20 second cycle duration, while images and load-cell forces were recorded at 5 Hz. The BioTester results showed no significant changes in stretch along the fiber direction, stretch across the fiber direction, or anisotropy ratio across modification groups, supporting the conclusion that Pyriphenone modification did not measurably compromise biaxial tissue mechanics.
AUTHORS

Andrey Zakharchenko, Nikia T. Toomey, Ivan Alferiev, Alexis Martinez, Devin Laurence, Oksana Horyn, Alireza Mohammad Karim, Arianna Adamo, Hajime Takano, Chandrasekaran Nagaswami, Stanley J. Stachelek, Giovanni Ferrari, Robert J. Levy.

PUBLICATION DETAILS
JOURNAL

Acta Biomaterialia

YEAR

2026

INSTITUTIONS

The Children’s Hospital of Philadelphia, University of Pennsylvania School of Medicine, Columbia University

COUNTRIES

United States

INSTRUMENT USED

BioTester

TESTING METHODS

Biaxial Testing

RESEARCH APPLICATIONS

ECM & Decellularized Matrix MechanicsHeart Valve Tissue Engineering & MechanicsMaterial Fatigue and DurabilityScaffold Mechanical Testing

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