Breast Implant-Associated Immunological Disorders.

Tytuł:: Breast Implant-Associated Immunological Disorders.
Autorzy:: Suh LJ; Department of Surgery, Indiana Center for Regenerative Medicine and Engineering, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
Khan I; Department of Surgery, Indiana Center for Regenerative Medicine and Engineering, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
Kelley-Patteson C; Meridian Plastic Surgeons, Indianapolis, IN 46290, USA.
Mohan G; Department of Surgery, Indiana Center for Regenerative Medicine and Engineering, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
Hassanein AH; Department of Surgery, Indiana Center for Regenerative Medicine and Engineering, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
Sinha M; Department of Surgery, Indiana Center for Regenerative Medicine and Engineering, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
Źródło:: Journal of immunology research [J Immunol Res] 2022 May 04; Vol. 2022, pp. 8536149. Date of Electronic Publication: 2022 May 04 (Print Publication: 2022).
Typ publikacji:: Journal Article; Review
Język:: English
Imprint Name(s):: Original Publication: Cairo, Egypt : Hindawi Publishing Corporation, [2014]-
MeSH Terms:: Arthritis, Rheumatoid*/etiology
Autoimmune Diseases*/chemically induced
Autoimmune Diseases*/etiology
Breast Implantation*/adverse effects
Breast Implants*/adverse effects
Humans ; Silicones/adverse effects
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Grant Information:: R21 AI171932 United States AI NIAID NIH HHS
Substance Nomenclature:: 0 (Silicones)
Entry Date(s):: Date Created: 20220516 Date Completed: 20220519 Latest Revision: 20230916
Update Code:: 20240105
PubMed Central ID:: PMC9095406
DOI:: 10.1155/2022/8536149
PMID:: 35571560
: Czasopismo naukowe

Pełny tekst

Background: Breast implants are commonly placed postbreast cancer reconstruction, cosmetic augmentation, and gender-affirming surgery. Breast implant illness (BII) is a systemic complication associated with breast implants. Patients with BII may experience autoimmune symptoms including fatigue, difficulty concentrating, hair loss, weight change, and depression. BII is poorly understood, and the etiology is unknown. The purpose of this literature review is to characterize BII autoimmune disorders and determine possible causes for its etiology.
Methods: The PubMed, Google Scholar, Embase, Web of Science, and OVID databases were interrogated from 2010 to 2020 using a query strategy including search term combinations of "implants," "breast implant illness," "autoimmune," and "systemic illness."
Results: BII includes a spectrum of autoimmune symptoms such as fatigue, myalgias/arthralgias, dry eyes/mouth, and rash. A review of epidemiological studies in the past ten years exhibited evidence affirming an association between breast implants and autoimmune diseases. The most commonly recognized were Sjogren's syndrome, rheumatoid arthritis, systemic sclerosis, chronic fatigue syndrome, and Raynaud's syndrome. Explantation resulted in alleviation of symptoms in over 50% of patients, strengthening the hypothesis linking breast implants to BII. Studies have shown that silicone is a biologically inert material and unlikely to be the cause of these symptoms. This is supported by the fact that increased risk of autoimmune disease was also reported in patients with other implantable biomaterials such as orthopedic implants. Recent studies shed light on a possible role of bacterial biofilm and subsequent host-pathogen interactions as a confounding factor to this problem.
Conclusion: BII could be dependent on biofilm infection and the microenvironment around the implants. The true pathophysiology behind these complaints must be further investigated so that alternative treatment regimens other than explantation can be developed. Translational significance of these studies is not limited to breast implants but extends to other implants as well.
Competing Interests: The authors declare no competing interests.
(Copyright © 2022 Lily J. Suh et al.)

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