Evaluation of the Safety of Neauvia Stimulate Injectable Product in Patients with Autoimmune Thyroid Diseases Based on Histopathological Examinations and Retrospective Analysis of Medical Records

• Published in: Gels 2023-05, Vol.9 (6), p.440
• Main Authors: Kubik, Paweł, Gallo, Daniela, Tanda, Maria Laura, Jankau, Jerzy, Rauso, Raffaele, Gruszczyński, Wojciech, Pawłowska, Aleksandra, Chrapczyński, Paweł, Malinowski, Maciej, Grzanka, Dariusz, Smolińska, Marta, Antosik, Paulina, Piesiaków, Maria-Luiza, Łukasik, Bartłomiej, Pawłowska-Kubik, Agnieszka, Stabile, Giorgio, Guida, Stefania, Kodłubański, Łukasz, Decates, Tom, Zerbinati, Nicola
• Format: Article
• Language: English
• Subjects: Antibodies; Antigens; Autoimmune diseases; autoimmunity; Biocompatibility; Calcium; Care and treatment; Complications and side effects; Contraindications; Crosslinking; Disease; Extracellular matrix; Fillers; Foreign bodies; Hyaluronic acid; hyaluronic acid fillers; Hydroxyapatite; Hypothyroidism; Immune system; Infiltration; Lymphocytes; Medical records; Medical research; Neauvia Stimulate injectable product; NGel; Patients; Polyethylene glycol; Polyols; Reduction; Rheology; Risk analysis; Safety and security measures; Signs and symptoms; thyroid; Thyroid diseases; Thyroid gland
• ISSN: 2310-2861; 2310-2861
• DOI: 10.3390/gels9060440

The aim of this study was to test the effect of hyaluronic acid cross-linked with polyethylene glycol containing micronized portions of calcium hydroxyapatite (Neauvia Stimulate) on both local tissue and systemic consequences, which are crucial from the perspective of long-term safety, in patients suffering from Hashimoto's disease. This most common autoimmune disease is a frequently mentioned contraindication to the use of fillers based on hyaluronic acid as well as biostimulants based on calcium hydroxyapatite. Broad-spectrum aspects of histopathology were analyzed to identify key features of inflammatory infiltration before the procedure and 5, 21, and 150 days after the procedure. A statistically significant effect on the reduction of the intensity of the inflammatory infiltration in the tissue in relation to the state before the procedure was demonstrated, combined with a reduction in the occurrence of both antigen-recognizing (CD4) and cytotoxic (CD8) T lymphocytes. With complete statistical certainty, it was demonstrated that the treatment with Neauvia Stimulate had no effect on the levels of these antibodies. All this corresponds with the risk analysis that showed no alarming symptoms during the time of observation. The choice of hyaluronic acid fillers cross-linked with polyethylene glycol should be considered justified and safe in the case of patients suffering from Hashimoto's disease.