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用于聚合物心脏瓣膜应用的硅聚氨酯的性能表征与生物相容性评估。

Performance characterization and biocompatibility assessment of silicone polyurethanes for polymer heart valve applications.

作者信息

Liu Bixuan, Liu Zhihua, Wei Haiyang, Meng Yana, Hou Qianwen, Wang Aili, Zhang Yongkai, Han Enhui, Hu Shengshou, Zhou Jianye

机构信息

State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College Beijing 100037 China

School of Materials Science and Engineering, Beijing Institute of Technology Beijing 100081 China

出版信息

RSC Adv. 2024 Apr 3;14(16):10858-10873. doi: 10.1039/d4ra00183d.

Abstract

Silicone polyurethanes have gained widespread application in the biomedical field due to their excellent biocompatibility. This study comprehensively investigates four silicone polyurethane materials suitable for polymer heart valves, each exhibiting distinct chemical compositions and structural characteristics, leading to significant differences, particularly in mechanical performance and biocompatibility. Surface analysis reveals an elevated surface silicon element content in all materials compared to the bulk, indicating a migration of silicon elements towards the surface, providing a structural basis for enhancing biological stability and biocompatibility. However, higher silicon content leads to a decrease in mechanical performance, potentially resulting in mechanical failure and rupture in artificial heart valves. Concerning biocompatibility, an increase in silicone content diminishes the material's adsorption capability for cells and proteins, consequently improving its biocompatibility and biological stability. In summary, while high silicone content leads to a reduction in mechanical performance, the formation of a "silicon protective layer" on the material surface mitigates cell and protein adsorption, thereby enhancing biocompatibility and biological stability. Through comprehensive testing of the four silicone polyurethane materials, this study aims to provide insightful perspectives and methods for selecting materials suitable for polymer heart valves. Additionally, the thorough performance exploration of these materials serves as a crucial reference for the performance assessment and biocompatibility research of polymeric artificial heart valve materials.

摘要

由于具有优异的生物相容性,硅聚氨酯在生物医学领域得到了广泛应用。本研究全面考察了四种适用于聚合物心脏瓣膜的硅聚氨酯材料,每种材料都具有独特的化学成分和结构特征,导致了显著差异,尤其是在机械性能和生物相容性方面。表面分析表明,与本体相比,所有材料的表面硅元素含量均有所升高,这表明硅元素向表面迁移,为增强生物稳定性和生物相容性提供了结构基础。然而,较高的硅含量会导致机械性能下降,可能导致人工心脏瓣膜出现机械故障和破裂。关于生物相容性,硅含量的增加会降低材料对细胞和蛋白质的吸附能力,从而提高其生物相容性和生物稳定性。总之,虽然高硅含量会导致机械性能下降,但材料表面形成的“硅保护层”可减轻细胞和蛋白质吸附,从而增强生物相容性和生物稳定性。通过对这四种硅聚氨酯材料的全面测试,本研究旨在为选择适用于聚合物心脏瓣膜的材料提供有见地的观点和方法。此外,对这些材料的深入性能探索为聚合物人工心脏瓣膜材料的性能评估和生物相容性研究提供了关键参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/47d2/10989511/378f41a7c712/d4ra00183d-f1.jpg

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