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Ishihara K. Biomimetic materials based on zwitterionic polymers toward human-friendly medical devices. SCIENCE AND TECHNOLOGY OF ADVANCED MATERIALS 2022; 23:498-524. [PMID: 36117516 PMCID: PMC9481090 DOI: 10.1080/14686996.2022.2119883] [Citation(s) in RCA: 14] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/11/2022] [Revised: 08/26/2022] [Accepted: 08/28/2022] [Indexed: 06/01/2023]
Abstract
This review summarizes recent research on the design of polymer material systems based on biomimetic concepts and reports on the medical devices that implement these systems. Biomolecules such as proteins, nucleic acids, and phospholipids, present in living organisms, play important roles in biological activities. These molecules are characterized by heterogenic nature with hydrophilicity and hydrophobicity, and a balance of positive and negative charges, which provide unique reaction fields, interfaces, and functionality. Incorporating these molecules into artificial systems is expected to advance material science considerably. This approach to material design is exceptionally practical for medical devices that are in contact with living organisms. Here, it is focused on zwitterionic polymers with intramolecularly balanced charges and introduce examples of their applications in medical devices. Their unique properties make these polymers potential surface modification materials to enhance the performance and safety of conventional medical devices. This review discusses these devices; moreover, new surface technologies have been summarized for developing human-friendly medical devices using zwitterionic polymers in the cardiovascular, cerebrovascular, orthopedic, and ophthalmology fields.
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Affiliation(s)
- Kazuhiko Ishihara
- Division of Materials and Manufacturing Science, Graduate School of Engineering, Osaka University, Osaka, Japan
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Park K, Kim S, Jo Y, Park J, Kim I, Hwang S, Lee Y, Kim SY, Seo J. Lubricant skin on diverse biomaterials with complex shapes via polydopamine-mediated surface functionalization for biomedical applications. Bioact Mater 2022; 25:555-568. [PMID: 37056251 PMCID: PMC10088055 DOI: 10.1016/j.bioactmat.2022.07.019] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Revised: 07/08/2022] [Accepted: 07/17/2022] [Indexed: 12/28/2022] Open
Abstract
Implantable biomedical devices require an anti-biofouling, mechanically robust, low friction surface for a prolonged lifespan and improved performance. However, there exist no methods that could provide uniform and effective coatings for medical devices with complex shapes and materials to prevent immune-related side effects and thrombosis when they encounter biological tissues. Here, we report a lubricant skin (L-skin), a coating method based on the application of thin layers of bio-adhesive and lubricant-swellable perfluoropolymer that impart anti-biofouling, frictionless, robust, and heat-mediated self-healing properties. We demonstrate biocompatible, mechanically robust, and sterilization-safe L-skin in applications of bioprinting, microfluidics, catheter, and long and narrow medical tubing. We envision that diverse applications of L-skin improve device longevity, as well as anti-biofouling attributes in biomedical devices with complex shapes and material compositions.
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Affiliation(s)
- Kijun Park
- School of Electronic and Electronic Engineering, Yonsei University, Seoul, 03722, Republic of Korea
| | - Seunghoi Kim
- Center for Biomaterials, Biomedical Research Institute, Korea Institute of Science and Technologies, Seoul, 02792, Republic of Korea
| | - Yejin Jo
- School of Electronic and Electronic Engineering, Yonsei University, Seoul, 03722, Republic of Korea
| | - Jae Park
- School of Electronic and Electronic Engineering, Yonsei University, Seoul, 03722, Republic of Korea
| | - Inwoo Kim
- Center for Theragnosis, Biomedical Research Institute, Korea Institute of Science and Technologies, Seoul, 02792, Republic of Korea
| | - Sooyoung Hwang
- School of Electronic and Electronic Engineering, Yonsei University, Seoul, 03722, Republic of Korea
| | - Yeontaek Lee
- School of Electronic and Electronic Engineering, Yonsei University, Seoul, 03722, Republic of Korea
| | - So Yeon Kim
- Center for Theragnosis, Biomedical Research Institute, Korea Institute of Science and Technologies, Seoul, 02792, Republic of Korea
| | - Jungmok Seo
- School of Electronic and Electronic Engineering, Yonsei University, Seoul, 03722, Republic of Korea
- Corresponding author.
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Wang W, Teng Y, Xue JJ, Cai HK, Pan YB, Ye XN, Mao XL, Li SW. Nanotechnology in Kidney and Islet Transplantation: An Ongoing, Promising Field. Front Immunol 2022; 13:846032. [PMID: 35464482 PMCID: PMC9024121 DOI: 10.3389/fimmu.2022.846032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2021] [Accepted: 03/08/2022] [Indexed: 11/21/2022] Open
Abstract
Organ transplantation has evolved rapidly in recent years as a reliable option for patients with end-stage organ failure. However, organ shortage, surgical risks, acute and chronic rejection reactions and long-term immunosuppressive drug applications and their inevitable side effects remain extremely challenging problems. The application of nanotechnology in medicine has proven highly successful and has unique advantages for diagnosing and treating diseases compared to conventional methods. The combination of nanotechnology and transplantation brings a new direction of thinking to transplantation medicine. In this article, we provide an overview of the application and progress of nanotechnology in kidney and islet transplantation, including nanotechnology for renal pre-transplantation preservation, artificial biological islets, organ imaging and drug delivery.
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Affiliation(s)
- Wei Wang
- Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, China
| | - Ya Teng
- Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, China
| | - Ji-Ji Xue
- Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, China
| | - Hong-Kai Cai
- Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, China
| | - Yu-Biao Pan
- Taizhou Hospital of Zhejiang Province, Zhejiang University, Linhai, China
| | - Xing-Nan Ye
- Taizhou Hospital of Zhejiang Province, Shaoxing University, Linhai, China
| | - Xin-Li Mao
- Key Laboratory of Minimally Invasive Techniques and Rapid Rehabilitation of Digestive System Tumor of Zhejiang Province, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, China
- Department of Gastroenterology, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, China
- Institute of Digestive Disease, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, China
- *Correspondence: Xin-Li Mao, ; Shao-Wei Li,
| | - Shao-Wei Li
- Key Laboratory of Minimally Invasive Techniques and Rapid Rehabilitation of Digestive System Tumor of Zhejiang Province, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, China
- Department of Gastroenterology, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, China
- Institute of Digestive Disease, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, China
- *Correspondence: Xin-Li Mao, ; Shao-Wei Li,
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Hassan MM, Fowler IJ. Thermal, mechanical, and rheological properties of micro-fibrillated cellulose-reinforced starch foams crosslinked with polysiloxane-based cross-linking agents. Int J Biol Macromol 2022; 205:55-65. [PMID: 35149099 DOI: 10.1016/j.ijbiomac.2022.02.017] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2021] [Revised: 01/05/2022] [Accepted: 02/05/2022] [Indexed: 11/16/2022]
Abstract
The disposal of non-degradable plastic packaging and plastic pollution are widespread environmental problems. The development of a fully biodegradable alternative foam packaging with excellent water barrier properties from polysaccharides is quite challenging. In this work, micro-fibrillated cellulose fiber-reinforced starch foams (MFC-SFs) were developed by crosslinking with two poly(siloxane)-based crosslinking agents that enhanced their strength and water barrier properties. The polysiloxane crosslinking agents studied were a cationic trimethylsiloxy-terminated poly(aminoethyl aminopropyl methyl siloxane)-co-poly(dimethylsiloxane) or PAEAPS-co-PDMS, and a non-ionic siloxy-terminated poly(dimethylsiloxane) or TMS-t-PDMS. The applied dosage of polysiloxane crosslinking agents was varied from 1.33 to 5.32% to achieve the optimum strength and moisture barrier properties. The results show that the tensile strength increased from 1.78 MPa for the control to 2.76 MPa for the MFC-SF crosslinked with 5.32% PAEAPS-co-PDMS. The corresponding tensile strength for the MFC-SF crosslinked with TMS-t-PDMS was 2.53 MPa, which is still considerably higher than the control MFC-SF. The water absorption also decreased from 326.8% for the control to 102.5% and 79.8% for the MFC-SFs crosslinked with 5.32% PAEAPS-co-PDMS and TMS-t-PDMS respectively. The crosslinking of MFC-SFs with TMS-t-PDMS provided better hydrophobicity compared to the crosslinking with PAEAPS-co-PDMS. The developed packaging could be a promising alternative to non-degradable foam packaging.
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Affiliation(s)
- Mohammad Mahbubul Hassan
- Bioproduct and Fiber Technology Team, Lincoln Research Centre, AgResearch Limited, 1365 Springs Road, Lincoln, Canterbury 7647, New Zealand..
| | - Ian J Fowler
- Bioproduct and Fiber Technology Team, Lincoln Research Centre, AgResearch Limited, 1365 Springs Road, Lincoln, Canterbury 7647, New Zealand
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Kharbikar BN, Chendke GS, Desai TA. Modulating the foreign body response of implants for diabetes treatment. Adv Drug Deliv Rev 2021; 174:87-113. [PMID: 33484736 PMCID: PMC8217111 DOI: 10.1016/j.addr.2021.01.011] [Citation(s) in RCA: 37] [Impact Index Per Article: 12.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2020] [Revised: 12/30/2020] [Accepted: 01/10/2021] [Indexed: 02/06/2023]
Abstract
Diabetes Mellitus is a group of diseases characterized by high blood glucose levels due to patients' inability to produce sufficient insulin. Current interventions often require implants that can detect and correct high blood glucose levels with minimal patient intervention. However, these implantable technologies have not reached their full potential in vivo due to the foreign body response and subsequent development of fibrosis. Therefore, for long-term function of implants, modulating the initial immune response is crucial in preventing the activation and progression of the immune cascade. This review discusses the different molecular mechanisms and cellular interactions involved in the activation and progression of foreign body response (FBR) and fibrosis, specifically for implants used in diabetes. We also highlight the various strategies and techniques that have been used for immunomodulation and prevention of fibrosis. We investigate how these general strategies have been applied to implants used for the treatment of diabetes, offering insights on how these devices can be further modified to circumvent FBR and fibrosis.
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Affiliation(s)
- Bhushan N Kharbikar
- Department of Bioengineering and Therapeutic Sciences, University of California, San Francisco, San Francisco, CA 94143, USA
| | - Gauree S Chendke
- University of California Berkeley - University of California San Francisco Graduate Program in Bioengineering, San Francisco, CA 94143, USA
| | - Tejal A Desai
- Department of Bioengineering and Therapeutic Sciences, University of California, San Francisco, San Francisco, CA 94143, USA; University of California Berkeley - University of California San Francisco Graduate Program in Bioengineering, San Francisco, CA 94143, USA; Department of Bioengineering, University of California, Berkeley, CA 94720, USA.
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Gomes AD, de Oliveira AAR, Houmard M, Nunes EHM. Gamma sterilization of collagen/hydroxyapatite composites: Validation and radiation effects. Appl Radiat Isot 2021; 174:109758. [PMID: 33962117 DOI: 10.1016/j.apradiso.2021.109758] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2020] [Revised: 02/06/2021] [Accepted: 04/26/2021] [Indexed: 11/30/2022]
Abstract
In this work, gamma sterilization was validated, and the impact of this sterilization process on collagen/hydroxyapatite (Col/HAp) composites was investigated. It has been already recognized that the improper sterilization of healthcare products may lead to infection and mortality/morbidity issues in patients. Gamma sterilization has emerged as a promising sterilization method because it shows advantages such as low cost, a small increase in temperature of irradiated materials, and no production of toxic residues. Moreover, gamma rays can reach the products even when contained in sealed packages. The dose of gamma radiation applied in this study ranged from 17.5 to 50 kGy. The studied samples were examined by X-ray diffraction (XRD), Fourier transform infrared spectroscopy (FTIR), thermogravimetry (TG), and differential scanning calorimetry (DSC). No apparent effect of gamma radiation on HAp was observed even when doses as high as 50 kGy were applied. On the other hand, Col was greatly affected by gamma radiation, displaying cross-linking and degradation after sterilization. These structural changes may alter Col's properties, which could, in turn, impact its medical use. As a consequence, it is strongly recommended that the irradiation dose used to sterilize the Col/HAp composites shall be kept as low as possible to mitigate the structural changes induced in Col. It was noticed that a radiation dose of 17.5 kGy was sufficient to sterilize the examined samples because a sterility assurance level (SAL) below 10-6 was detected. Although dramatic structural changes were observed in Col when this dose was applied, the sterilized samples showed no toxicity to human mesenchymal stem cells. Based on these results, we established a VDMax of 17.5 kGy for Col/HAp-based healthcare products.
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Affiliation(s)
- Anderson D Gomes
- JHS Biomaterials, Rua Ouro Branco 345, Novo Alvorada, Sabará, Minas Gerais, CEP, 34650-120, Brazil; Universidade Federal de Minas Gerais, Escola de Engenharia, Departamento de Engenharia Metalúrgica e de Materiais, Bloco 2, Sala 2233, Avenida Presidente Antônio Carlos 6627, Pampulha, Belo Horizonte, Minas Gerais, CEP, 31270-901, Brazil.
| | - Agda A R de Oliveira
- JHS Biomaterials, Rua Ouro Branco 345, Novo Alvorada, Sabará, Minas Gerais, CEP, 34650-120, Brazil
| | - Manuel Houmard
- Universidade Federal de Minas Gerais, Escola de Engenharia, Departamento de Engenharia Química, Bloco 2, Sala 5212, Avenida Presidente Antônio Carlos 6627, Pampulha, Belo Horizonte, Minas Gerais, CEP, 31270-901, Brazil
| | - Eduardo H M Nunes
- Universidade Federal de Minas Gerais, Escola de Engenharia, Departamento de Engenharia Metalúrgica e de Materiais, Bloco 2, Sala 2233, Avenida Presidente Antônio Carlos 6627, Pampulha, Belo Horizonte, Minas Gerais, CEP, 31270-901, Brazil.
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Ghosh A, Vallam Thodi F, Sengupta S, Kannan S, Krishnan L, Bhattacharya E. Effective clearance of uremic toxins using functionalised silicon Nanoporous membranes. Biomed Microdevices 2021; 23:4. [PMID: 33415531 DOI: 10.1007/s10544-020-00539-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/26/2020] [Indexed: 12/24/2022]
Abstract
In-house fabricated silicon nanoporous membranes (SNMs), functionalized for efficient clearance of uremic toxins, can lead to compact and portable dialysis systems. Efficacy of 15 nm thick SNMs, with average pore diameter of 8 nm, was tested for dialysis of two uremic toxins - urea and creatinine using custom made teflon apparatus of 2, 10 and 30 ml. The apparatus consisted of two reservoirs, with the cis containing the uremic fluid, and the trans containing the dialysate. Peristalsis was found to enhance the clearance rate by a factor of four as compared to unstirred condition. Functionalisation of the SNMs reduced protein binding, and surface binding of urea from 23% to negligible values. A lateral array of nine SNMs and a new design for the dialysis apparatus, increased the clearance rate by a factor of twelve from that of the single SNM. The arrays cleared about 42% of urea and 48% of creatinine from 30 ml of diluted serum samples, in 15 min. Periodic replacement of the trans fluid cleared about 81% of high concentration uremic toxins from the cis reservoir in 45 mins. The SNM arrays are stable, reproducible, and with the superior clearance rates for urea and creatinine, they have the potential to be used as membranes for portable hemodialysers.
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Affiliation(s)
- Ananya Ghosh
- Department of Electrical Engineering, Indian Institute of Technology-Madras, Chennai, 600036, India
| | - Fidal Vallam Thodi
- Centre for NEMS and Nanophotonics, Indian Institute of Technology-Madras, Chennai, 600036, India
| | - Sudeshna Sengupta
- Centre for NEMS and Nanophotonics, Indian Institute of Technology-Madras, Chennai, 600036, India
| | - Sivasundari Kannan
- Department of Electrical Engineering, Indian Institute of Technology-Madras, Chennai, 600036, India
| | - Lalitha Krishnan
- Centre for NEMS and Nanophotonics, Indian Institute of Technology-Madras, Chennai, 600036, India
| | - Enakshi Bhattacharya
- Department of Electrical Engineering, Indian Institute of Technology-Madras, Chennai, 600036, India. .,Centre for NEMS and Nanophotonics, Indian Institute of Technology-Madras, Chennai, 600036, India.
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Ishihara K. Blood-Compatible Surfaces with Phosphorylcholine-Based Polymers for Cardiovascular Medical Devices. LANGMUIR : THE ACS JOURNAL OF SURFACES AND COLLOIDS 2019; 35:1778-1787. [PMID: 30056709 DOI: 10.1021/acs.langmuir.8b01565] [Citation(s) in RCA: 100] [Impact Index Per Article: 20.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
For the acquisition of blood-compatible materials, various hydrophilic polymers for surface modification have been examined. Among them, polymers with a representative phospholipid polar group, the phosphorylcholine (PC) group, are a successful example. These polymers were designed from inspiration of the cell membrane surface and provide protein adsorption resistance even following contact with plasma. This important property is based on the unique hydration state of water molecules surrounding hydrated polymer; in other words, water molecules weakly interact with the polymers and maintain their favorable cluster structure through hydrogen bonding. These polymers are not only hydrophilic, but also electrically neutral, important characteristics which make hydrogen bonding with water molecules less likely to occur and avoid hydrophobic interactions. Phosphorylcholine groups and other zwitterionic structures are significant as hydrophilic functional groups meeting these important requirements. In this review, blood compatibility of a polymer having a PC group is introduced in relation to its hydration structure, followed by a description of the applications of this polymer to cardiovascular medical devices.
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Affiliation(s)
- Kazuhiko Ishihara
- Department of Materials Engineering , The University of Tokyo , 7-3-1 Hongo , Bunkyo-ku, Tokyo 113-8656 , Japan
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Salani M, Roy S, Fissell WH. Innovations in Wearable and Implantable Artificial Kidneys. Am J Kidney Dis 2018; 72:745-751. [PMID: 30146422 DOI: 10.1053/j.ajkd.2018.06.005] [Citation(s) in RCA: 46] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2017] [Accepted: 06/04/2018] [Indexed: 11/11/2022]
Abstract
More than 2 million people worldwide receive treatment for end-stage renal disease (ESRD). Current modalities of renal replacement therapy include in-center hemodialysis, peritoneal dialysis, home hemodialysis, and kidney transplantation. Patient survival has gradually increased during the past 2 decades and efforts continue to improve mortality and quality of life for patients with ESRD. Developments in sorbent technology, nanotechnology, and cell culture techniques provide promise for new innovations in ESRD management. New modalities currently in testing include wearable (WAKs) and implantable artificial kidneys (IAKs). The automated WAK (AWAK) and WAK are devices that have undergone small trials in humans. Additional study is needed before regulatory approval, coverage decisions, and widespread clinical implementation. The IAK is a biohybrid combining artificial filters and living cells currently in preclinical testing. These portable devices reduce the need for large quantities of water and continuous electrical supply. This could lower some barriers to home dialysis, making self-care renal replacement therapy more accessible and desirable. If widely successful, these devices could reduce the need to build and staff dialysis facilities, thus lowering health care costs associated with dialysis. The potential advantages and shortcomings of the AWAK, WAK, and IAK are described here.
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Affiliation(s)
- Megha Salani
- Nephrology and Hypertension, Vanderbilt University Medical Center, Nashville, TN
| | - Shuvo Roy
- Bioengineering and Therapeutic Sciences, University of California, San Francisco, CA
| | - William H Fissell
- Nephrology and Hypertension, Vanderbilt University Medical Center, Nashville, TN.
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