小口径多面体低聚倍半硅氧烷纳米复合材料心血管移植物:孔隙率对结构、血液相容性和机械性能的影响。

Small calibre polyhedral oligomeric silsesquioxane nanocomposite cardiovascular grafts: influence of porosity on the structure, haemocompatibility and mechanical properties.

机构信息

Centre for Nanotechnology and Regenerative Medicine, University College London, London, UK.

出版信息

Acta Biomater. 2011 Nov;7(11):3857-67. doi: 10.1016/j.actbio.2011.06.051. Epub 2011 Jul 2.

Abstract

There is a significant worldwide demand for a small calibre vascular graft for use as a bypass or replacement conduit. An important feature in determining the success of a graft is the wall structure, which includes porosity, pore size and pore interconnectivity, as these play a crucial role in determining the long-term patency of a bypass graft. In this study we fabricate a small diameter (<5mm) vascular graft from polyhedral oligomeric silsesquioxane-poly(carbonate urea)urethane (POSS-PCU) via an extrusion, phase inversion method using an automated, custom built machine. Through the dispersion of a porogen, sodium bicarbonate (NaHCO(3)), in controlled concentrations (0-55%) we were able to produce grafts with well-defined pore morphologies. The impact of NaHCO(3) concentration on the structure of the graft wall and its influence on the mechanical and haemocompatibility properties are evaluated here. Scanning electron microscopy and mercury porosimetry were used to characterise graft structure. Atomic force microscopy elucidated any changes in surface morphology. The addition of NaHCO(3) improved the pore interconnectivity and increasing the concentration of NaHCO(3) led to grafts with rougher surfaces and larger pore sizes. The ultimate tensile strength and suture retention decreased with increasing concentrations of NaHCO(3), while graft compliance increased. To evaluate haemocompatibility platelets and peripheral blood mononuclear cells (PBMC) were incubated on a range of different graft samples. Platelet adhesion, PBMC surface receptor expression (CD14, CD86, CD69 and HLA-DR) and cytokine release (PF4, IL-1β, IL-6, IL-10, TNFα) were all measured. Increasing numbers of platelets adhered to grafts produced with no NaHCO(3), which exhibited a smooth surface morphology, and PBMC adherent on these grafts expressed higher levels of CD14 and CD86. Whilst the different graft samples induced varying levels of cytokine secretion in vitro, no distinct pattern suggesting a non-trivial relationship was observed.

摘要

全世界对小口径血管移植物的需求很大,这种移植物可作为旁路或替代导管使用。决定移植物成功的一个重要特征是壁结构,包括多孔性、孔径和孔连通性,因为这些因素在决定旁路移植物的长期通畅性方面起着至关重要的作用。在这项研究中,我们通过挤出相转化方法,使用自动化定制机器,由八面体低聚倍半硅氧烷-聚(碳酸酯尿素)聚氨酯(POSS-PCU)制备小直径(<5mm)血管移植物。通过在受控浓度(0-55%)下分散致孔剂碳酸氢钠(NaHCO(3)),我们能够生产出具有明确定义的孔形态的移植物。本文评估了 NaHCO(3)浓度对移植物壁结构的影响及其对机械和血液相容性特性的影响。扫描电子显微镜和压汞法用于表征移植物结构。原子力显微镜阐明了表面形貌的任何变化。添加 NaHCO(3)提高了孔连通性,增加 NaHCO(3)浓度会导致移植物表面更粗糙,孔径更大。随着 NaHCO(3)浓度的增加,最大拉伸强度和缝线保持力降低,而移植物顺应性增加。为了评估血液相容性,将血小板和外周血单核细胞(PBMC)孵育在一系列不同的移植物样本上。测量血小板黏附、PBMC 表面受体表达(CD14、CD86、CD69 和 HLA-DR)和细胞因子释放(PF4、IL-1β、IL-6、IL-10、TNFα)。无 NaHCO(3)的移植物上黏附的血小板数量增加,这些移植物表现出光滑的表面形貌,黏附在这些移植物上的 PBMC 表达更高水平的 CD14 和 CD86。虽然不同的移植物样本在体外诱导了不同水平的细胞因子分泌,但没有观察到明显的模式表明存在非平凡关系。

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