| Literature DB >> 28773799 |
Angela Amoresano1, Luca De Stefano2, Ilaria Rea3, Federica Pane4, Leila Birolo5, Fabrizio Schonauer6.
Abstract
The recent scandal of poly implant prostheses (PIP), which were found in some cases to be made of non-medical grade silicone (as reported by the European Scientific Committee on Emerging and Newly Identified Health Risks), had a great social impact. Thousands of patients asked for implant removal with significant costs for public health care systems. We analysed, by a multidisciplinary approach, sixteen different breast implants after explantation by using several analytical and structural techniques, such as Fourier Transform infrared spectroscopy (FT-IR), mass spectrometry equipped by ion coupled plasma (ICP-MS), gas-chromatography (GC-MS), and tensile testing. Traces of organic (fatty acid) and inorganic (Fe, Cr, Pt, Na, and other metals) substances were found in all samples, and, even if these values are under danger threshold levels, our study results highlight the possibility of bioaccumulation and tissue contamination, implying the need for continuous medical surveillance and monitoring of material aging.Entities:
Keywords: breast implants; materials science; organic and inorganic contamination
Year: 2016 PMID: 28773799 PMCID: PMC5510735 DOI: 10.3390/ma9080678
Source DB: PubMed Journal: Materials (Basel) ISSN: 1996-1944 Impact factor: 3.623
Figure 1Digital images of breast prostheses, for example. On the left, a never-implanted sample having a white translucent colour; on the right, a six-month explanted sample with a dark yellow colour.
Figure 2(a) FT-IR spectra of silicone gels extracted from all samples; (b) FT-IR analysis of silicone gel extracted from PIP I (PIP II completely overlaps to PIP I) and a never-implanted prosthesis, as a reference of “pure” PDMS material.
Results of mechanical tests for all samples: Young’s modulus; stress at break; strain at break.
| Breast Sample | MODULUS (MPa) | STRAIN AT BREAK (%) | STRESS AT BREAK (MPa) |
|---|---|---|---|
| Mentor 1 | 1.07 | 465 | 2.7 |
| Mentor 2 | 1.26 | 686 | 7.3 |
| Mentor 3 | 1.15 | 545 | 4.5 |
| Mentor 4 | 1.37 | 776 | 8.75 |
| Pip 1 | 0.94 | 282 | 2.08 |
| Pip 2 | 0.7 | 204 | 1.6 |
| Mcghan 1 | 1.12 | 510 | 5.12 |
| Mcghan 2 | 0.97 | 347 | 2.8 |
| Eurosilicon 1 | 0.77 | 292 | 1.97 |
| Eurosilicon 2 | 1.03 | 313 | 4.2 |
| Silimed 1 | 0.94 | 531 | 4.41 |
| Silimed 2 | 1.36 | 404 | 3.6 |
| Sebin 1 | 0.95 | 320 | 2.45 |
| Sebin 2 | 1.12 | 431 | 3.18 |
| Cox 1 | 1.06 | 435 | 2.18 |
| Cox 2 | 0.86 | 395 | 1.08 |
| AVG | 1.04 | 433 | 3.6 |
Figure 3Scheme of sample preparation for proteomics analysis.
(a)
| Breast Implant | Li (μg/L) | Mn (μg/L) | Fe (μg/L) | Co (μg/L) | Mo (μg/L) | Sb (μg/L) | Pt (μg/L) |
|---|---|---|---|---|---|---|---|
| Mentor 1 | <1.0 | 2.9 ± 0.3 | 15 ± 5 | 0.67 ± 0.06 | 0.6 ± 0.3 | 1.70 ± 0.1 | 9 ± 4 |
| Mentor 2 | <1.0 | 2.1 ± 0.8 | <0.716 | 0.55 ± 0.10 | 0.53 ± 0.04 | 1.55 ± 0.03 | 55 ± 7 |
| Mentor 3 | 3 ± 1 | 2.1 ± 0.7 | <0.716 | 0.63 ± 0.02 | 0.56 ± 0.02 | 1.62 ± 0.15 | 23 ± 10 |
| Mentor 4 | <1.0 | 2.7 ± 0.7 | 4 ± 2 | 0.66 ± 0.06 | 0.57 ± 0.14 | 1.88 ± 0.13 | 4.7 ± 0.8 |
| Pip 1 | 5 ± 3 | 2.6 ± 0.6 | 11 ± 7 | 0.64 ± 0.07 | 0.54 ± 0.09 | 1.78 ± 0.16 | 0.8 ± 0.3 |
| Pip 2 | 6.6 ± 0.5 | 1.9 ± 0.3 | <0.716 | 0.55 ± 0.17 | 0.64 ± 0.12 | 1.48 ± 0.04 | 1.2 ± 0.2 |
| Mcghan 1 | 6 ± 3 | 1.6 ± 0.2 | <0.716 | 0.51 ± 0.15 | 0.30 ± 0.02 | 1.52 ± 0.16 | 50 ± 9 |
| Mcghan 2 | 5 ± 3 | 2.9 ± 0.3 | 8 ± 4 | 0.67 ± 0.01 | 0.55 ± 0.16 | 1.9 ± 0.3 | 22 ± 8 |
| Eurosilicon 1 | 9.8 ± 0.1 | 2.1 ± 0.4 | <0.716 | 0.53 ± 0.11 | 0.59 ± 0.16 | 1.5 ± 0.2 | 32 ± 5 |
| Eurosilicon 2 | 5.8 ± 0.1 | 2.6 ± 0.4 | <0.716 | 0.83 ± 0.18 | 0.51 ± 0.10 | 1.6 ± 0.2 | 21 ± 1 |
| Silimed 1 | 6 ± 3 | 1.7 ± 0.5 | <0.716 | 0.68 ± 0.08 | 0.55 ± 0.05 | 1.54 ± 0.19 | 1.4 ± 0.2 |
| Silimed 2 | 7.1 ± 0.3 | 2.7 ± 0.5 | <0.716 | 0.75 ± 0.04 | 0.50 ± 0.02 | 1.61 ± 0.11 | 2.4 ± 0.4 |
| Sebin 1 | 14 ± 9 | 2.7 ± 0.8 | <0.716 | 0.54 ± 0.03 | 0.5 ± 0.2 | 1.9 ± 0.2 | <0.406 |
| Sebin 2 | 8.7 ± 0.1 | 3.1 ± 0.3 | <0.716 | 0.44 ± 0.10 | 0.69 ± 0.13 | 1.5 ± 0.2 | 27 ± 9 |
| Cox 1 | 2.3 ± 0.1 | 2.4 ± 0.7 | <0.716 | 0.62 ± 0.06 | 0.6 ± 0.2 | 1.63 ± 0.12 | 1.3 ± 0.2 |
| Cox 2 | <1.0 | 1.6 ± 0.2 | <0.716 | 0.61 ± 0.09 | 0.43 ± 0.11 | 1.2 ± 0.2 | 3.3 ± 0.2 |
| AVG | 6.6 | 2.3 | 9.5 | 0.62 | 0.54 | 1.6 | 17 |
(b)
| Breast Implant | B (μg/L) | Si (μg/L) | P (μg/L) | Cr (μg/L) | Fe (μg/L) | Ni (μg/L) | Zn (μg/L) | Ge (μg/L) |
|---|---|---|---|---|---|---|---|---|
| Mentor 1 | 41 ± 10 | 441 ± 23 | 31 ± 2 | 97 ± 3 | 15 ± 5 | 45 ± 1 | 46 ± 2 | 11 ± 6 |
| Mentor 2 | 0.95 ± 0.50 | 397 ± 13 | 27 ± 5 | 85 ± 3 | <0.716 | 38.7 ± 0.7 | 47 ± 2 | 6.0 ± 0.9 |
| Mentor 3 | <0.5 | 285 ± 8 | 31 ± 1 | 86.0 ± 0.9 | <0.716 | 37.6 ± 1.7 | 45.7 ± 0.9 | <0.652 |
| Mentor 4 | <0.5 | 238 ± 8 | 27 ± 4 | 93 ± 2 | 4 ± 2 | 43.4 ± 1.4 | 46.1 ± 0.8 | <0.652 |
| Pip 1 | 19 ± 9 | 539 ± 10 | 31 ± 7 | 96 ± 3 | 11 ± 7 | 42.8 ± 1.5 | 48 ± 2 | 18 ± 6 |
| Pip 2 | 23 ± 6 | 529 ± 8 | 25 ± 4 | 85 ± 5 | <0.716 | 38 ± 2 | 48.5 ± 0.7 | 28 ± 5 |
| Mcghan 1 | <0.5 | 319 ± 7 | 27 ± 4 | 80 ± 2 | <0.716 | 37.2 ± 1.0 | 45 ± 2 | <0.652 |
| Mcghan 2 | <0.5 | 294 ± 2 | 35 ± 2 | 94 ± 2 | 8 ± 4 | 40.4 ± 1.7 | 46.4 ± 1.2 | <0.652 |
| Eurosilicon 1 | <0.5 | 280 ± 3 | 24 ± 3 | 82 ± 4 | <0.716 | 37.1 ± 1.7 | 45 ± 2 | <0.652 |
| Eurosilicon 2 | <0.5 | 298 ± 3 | 21 ± 3 | 88 ± 4 | <0.716 | 43.1 ± 1.1 | 49 ± 2 | <0.652 |
| Silimed 1 | <0.5 | 208 ± 4 | 28 ± 5 | 85 ± 1 | <0.716 | 36.9 ± 1.1 | 43.6 ± 1.3 | <0.652 |
| Silimed 2 | <0.5 | 267 ± 5 | 19 ± 3 | 91 ± 2 | <0.716 | 35.1 ± 0.7 | 41 ± 1 | <0.652 |
| Sebin 1 | <0.5 | 346 ± 4 | 24 ± 4 | 89 ± 3 | <0.716 | 40 ± 2 | 47 ± 2 | <0.652 |
| Sebin 2 | <0.5 | 406 ± 2 | 32 ± 1 | 82 ± 4 | <0.716 | 44 ± 1 | 49 ± 3 | <0.652 |
| Cox 1 | <0.5 | 209 ± 1 | 31 ± 4 | 90.0 ± 0.4 | <0.716 | 39 ± 2 | 44.5 ± 0.2 | <0.652 |
| Cox 2 | <0.5 | 216 ± 5 | 25 ± 4 | 74 ± 2 | <0.716 | 32.1 ± 0.8 | 42.9 ± 1.6 | <0.652 |
| AVG | 21 | 329 | 27 | 87 | 9 | 39 | 46 | 16 |
(a)
| Organic Substances | M 1 | M 2 | Mc 1 | Mc 2 | E 1 | C 1 | P 2 | S 1 |
|---|---|---|---|---|---|---|---|---|
| 1-Chlorodecane (%) | – | – | 0.1 | 0.4 | 1.1 | – | – | – |
| 1-Chlorotetradecane (%) | – | – | – | – | 0.2 | – | – | |
| Octadecenoic Acid (%) | – | – | – | – | – | – | 0.01 | 0.04 |
| Palmitic acid (%) | 0.5 | – | – | – | – | – | – | – |
| Oleic acid (%) | – | 0.1 | – | – | – | – | 0.1 | – |
| Stearic acid (%) | – | – | – | – | – | 0.3 | 1.7 | 0.1 |
(b)
| Cyclic Siloxanes | M1 | M2 | M3 | M4 | P1 | P2 | Mc1 | Mc2 | E1 | E2 | Si1 | Si2 | Se1 | Se2 | C1 | C2 | AVG |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C6 | 20.2 | 50.8 | 50.6 | – | – | 53.5 | 47.5 | 11.8 | 15.2 | 14.5 | – | – | – | – | – | – | 33 |
| C8 | 24.3 | 23.8 | 22.1 | – | – | 24.1 | 20.9 | 26.8 | 25.1 | 21.6 | – | – | 18.8 | 21.8 | – | – | 23 |
| C10 | 9.6 | 6.9 | 6.4 | – | 12.3 | 7.3 | 6.1 | 12.5 | 11.3 | 14.1 | – | – | 19.2 | 12.2 | – | – | 11 |
| C12 | 2.7 | 1.6 | 1.4 | – | 7.2 | 1.7 | 1.4 | 7.2 | 7.3 | 9.3 | – | – | 8.8 | 7.8 | – | – | 5 |
| C14 | 1.5 | 0.6 | 0.5 | 6.9 | 3.4 | 0.6 | 0.6 | 1.6 | 1.5 | 1.8 | 3.1 | 4.2 | 2.8 | 3.8 | 7.5 | 2.5 | 2.7 |
| C16 | 0.6 | 0.3 | 0.2 | 2.9 | 2.1 | 0.2 | 0.1 | 0.5 | 0.2 | 0.4 | 0.7 | 0.5 | 1.6 | 1.9 | 4.6 | 1.4 | 1.1 |
| C18 | 0.6 | – | – | 2.1 | 1.4 | – | 0.1 | – | – | – | 0.2 | 0.6 | 0.9 | 0.6 | 2.4 | 1.2 | 1 |
| C20 | 0.4 | – | – | 1.8 | 0.9 | – | 0.4 | – | – | – | 0.2 | 0.4 | 0.5 | 0.7 | 2.2 | 0.9 | 0.8 |
| C22 | 0.4 | – | – | 0.5 | 0.7 | – | – | – | – | – | 0.1 | 0.2 | 0.2 | 0.8 | 1.7 | 0.6 | 0.6 |
| C24 | – | – | – | 0.9 | 0.6 | – | – | – | – | – | 0.05 | 0.1 | – | – | 1.2 | 0.3 | 0.52 |
| C26 | – | – | – | 0.5 | 0.5 | – | – | – | – | – | 0.1 | 0.3 | – | – | 0.8 | 0.03 | 0.37 |
| C28 | – | – | – | 0.1 | 0.4 | – | – | – | – | – | 0.02 | 0.07 | – | – | 0.7 | 0.02 | 0.22 |
| C30 | – | – | – | 0.5 | 0.3 | – | – | – | – | – | – | – | – | – | 0.4 | 0.01 | 0.3 |
| C32 | – | – | – | 0.03 | 0.2 | – | – | – | – | – | – | – | – | – | 0.3 | 0.02 | 0.14 |
| C34 | – | – | – | – | 0.1 | – | – | – | – | – | – | – | – | – | – | – | 0.1 |
| C36 | – | – | – | – | 0.1 | – | – | – | – | – | – | – | – | – | – | – | 0.1 |
| C38 | – | – | – | – | 0.1 | – | – | – | – | – | – | – | – | – | – | – | 0.1 |
(c)
| Linear Siloxanes | M1 | M2 | M3 | M4 | P1 | P2 | Mc1 | Mc2 | E1 | E2 | Si1 | Si2 | Se1 | Se2 | C1 | C2 | AVG |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C10 | 2.0 | 1.3 | 1.4 | – | – | 0.8 | 1.9 | 2.2 | 1.9 | 1.7 | – | – | – | – | – | – | 1.7 |
| C12 | 4.3 | 2.3 | 2.3 | 1.4 | – | 1.6 | 3.1 | 5.4 | 5.3 | 4.3 | 23.1 | 19.1 | 4.1 | 3.8 | 0.6 | 21.7 | 7.2 |
| C14 | 5.3 | 2.5 | 2.8 | 2.3 | 7.3 | 1.9 | 3.4 | 3.3 | 3.1 | 5.1 | 22.6 | 20.3 | 6.7 | 9.7 | 5.1 | 20.9 | 7.7 |
| C16 | 5.4 | 2.1 | 2.5 | 2.8 | 7.9 | 1.8 | 3.2 | 6.9 | 6.5 | 7.5 | 17.1 | 15.2 | 8.3 | 7.3 | 8.8 | 15.5 | 7.4 |
| C18 | 5.3 | 1.7 | 2.2 | 2.5 | 7.4 | 1.6 | 2.7 | 5.9 | 5.6 | 6.5 | 11.3 | 10.4 | 7.6 | 5.6 | 11.7 | 10.1 | 6.1 |
| C20 | 4.6 | 1.1 | 1.4 | 2.2 | 5.9 | 1.1 | 1.8 | 3.9 | 4.2 | 3.3 | 8.2 | 6.2 | 6.1 | 3.1 | 13.2 | 7.2 | 4.6 |
| C22 | 3.2 | 0.6 | 0.8 | 1.4 | 4.3 | 0.6 | 1.0 | 2.4 | 2.7 | 1.7 | 5.6 | 6.4 | 4.1 | 5.1 | 11.3 | 4.9 | 3.6 |
| C24 | 2.2 | 0.3 | 0.4 | 0.8 | 3.5 | 0.4 | 0.5 | 1.3 | 1.6 | 1.1 | 3.2 | 2.1 | 2.8 | 1.8 | 7.4 | 3.1 | 2.0 |
| C26 | 1.5 | 0.2 | 0.2 | 0.4 | 3.2 | 0.2 | 0.3 | 0.7 | 0.9 | 0.7 | 1.5 | 2.5 | 2.1 | 2.6 | 4.1 | 1.6 | 1.4 |
| C28 | 0.8 | – | 0.1 | 0.2 | 2.7 | 0.1 | 0.2 | 0.4 | 0.5 | 0.5 | 0.6 | 1.6 | 1.1 | 1.9 | 2.1 | 0.7 | 0.9 |
| C30 | 0.4 | – | – | 0.1 | 2.2 | – | 0.1 | 0.2 | 0.3 | 0.3 | 0.2 | 1.2 | 0.6 | 1.6 | 1.1 | 0.2 | 0.6 |
| C32 | – | – | – | 1.4 | 1.6 | – | – | – | – | – | 0.2 | 0.4 | – | – | 0.7 | 0.2 | 0.7 |
| C34 | – | – | – | 2.3 | 1.3 | – | – | – | – | – | 0.05 | 0.05 | – | – | 0.5 | 0.04 | 0.7 |
| C36 | – | – | – | 2.8 | 0.9 | – | – | – | – | – | – | – | – | – | 0.6 | 0.1 | 1.1 |
| C38 | – | – | – | – | 0.7 | – | – | – | – | – | – | – | – | – | – | – | 0.7 |
| C40 | – | – | – | – | 0.6 | – | – | – | – | – | – | – | – | – | – | – | 0.6 |
| C42 | – | – | – | – | 0.5 | – | – | – | – | – | – | – | – | – | – | – | 0.5 |
| C44 | – | – | – | – | 0.4 | – | – | – | – | – | – | – | – | – | – | – | 0.4 |
| C46 | – | – | – | – | 0.3 | – | – | – | – | – | – | – | – | – | – | – | 0.3 |