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受生物启发的超亲水性两性离子聚合物涂层可对抗血管导管的血栓形成和感染。

Bioinspired super-hydrophilic zwitterionic polymer armor combats thrombosis and infection of vascular catheters.

作者信息

Ke You, Meng Haotian, Du Zeyu, Zhang Wentai, Ma Qing, Huang Yuting, Cui Linxian, Lei Yifeng, Yang Zhilu

机构信息

Dongguan Key Laboratory of Smart Biomaterials and Regenerative Medicine, The Tenth Affiliated Hospital, Southern Medical University, Dongguan, Guangdong, 523000, China.

School of Materials Science and Engineering, Key Lab of Advanced Technology for Materials of Education Ministry, Southwest Jiaotong University, Chengdu, Sichuan, 610031, China.

出版信息

Bioact Mater. 2024 Apr 25;37:493-504. doi: 10.1016/j.bioactmat.2024.04.002. eCollection 2024 Jul.

Abstract

Thrombosis and infection are two major complications associated with central venous catheters (CVCs), which significantly contribute to morbidity and mortality. Antifouling coating strategies currently represent an efficient approach for addressing such complications. However, existing antifouling coatings have limitations in terms of both duration and effectiveness. Herein, we propose a durable zwitterionic polymer armor for catheters. This armor is realized by pre-coating with a robust phenol-polyamine film inspired by insect sclerotization, followed by grafting of poly-2-methacryloyloxyethyl phosphorylcholine (pMPC) via radical polymerization. The resulting pMPC coating armor exhibits super-hydrophilicity, thereby forming a highly hydrated shell that effectively prevents bacterial adhesion and inhibits the adsorption and activation of fibrinogen and platelets . In practical applications, the armored catheters significantly reduced inflammation and prevented biofilm formation in a rat subcutaneous infection model, as well as inhibited thrombus formation in a rabbit jugular vein model. Overall, our robust zwitterionic polymer coating presents a promising solution for reducing infections and thrombosis associated with vascular catheters.

摘要

血栓形成和感染是与中心静脉导管(CVC)相关的两大主要并发症,它们是导致发病和死亡的重要因素。防污涂层策略目前是解决此类并发症的一种有效方法。然而,现有的防污涂层在持续时间和有效性方面都存在局限性。在此,我们提出一种用于导管的耐用两性离子聚合物防护层。这种防护层是通过预先涂覆一种受昆虫硬化启发的坚固酚醛 - 多胺膜来实现的,随后通过自由基聚合接枝聚 - 2 - 甲基丙烯酰氧基乙基磷酰胆碱(pMPC)。所得的pMPC涂层防护层具有超亲水性,从而形成一个高度水合的外壳,有效防止细菌粘附,并抑制纤维蛋白原和血小板的吸附与活化。在实际应用中,带防护层的导管在大鼠皮下感染模型中显著减轻了炎症并防止了生物膜形成,同时在兔颈静脉模型中抑制了血栓形成。总体而言,我们坚固的两性离子聚合物涂层为减少与血管导管相关的感染和血栓形成提供了一个有前景的解决方案。

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