Platelet adhesion onto polyether-urethane urea derivatives: effect of cytoskeleton proteins of the platelet

In-vitro model for the ultrastructural study of the formation of thrombi in human platelets

Platelets are cell fragments with dynamic properties involved in clot formation after tissue damage. Platelet activation causes a change in shape, secretion of intracellular granules and aggregation with each other through the cytoskeleton components and biochemical changes. Platelet adhesion, considered as the major event in haemostasis, has been studied in several in-vitro and in-vivo models to evaluate the feasible thrombogenicity of some materials, the dynamics of specific receptors, as well as the effect of different buffers and inhibitors in this process. In spite of the numerous reports about platelet activation, to date there is no information available about the fine structure of the platelet-platelet and platelet-substrate interactions. In the present report we describe an in-vitro system that allows the visualization of these interactions: platelets are adhered to an inert substrate, and interactions with suspended platelets as a process to initiate the formation of thrombi was followed by ultramicrotomy and transmission electron microscopy.

Synthesis and nonthrombogenicity of fluoroalkyl polyetherurethanes

New polyetherurethanes carrying fluoroalkyl substituents in the side chains were synthesized from N,N-di(hydroxyethyl)heptadecafluorooctyl-sulfonamide (a chain extender), 4,4'-disocyanatodiphenylmethane, and poly(tetramethylene glycol). Various kinds of polyetherurethanes having different tensile properties were prepared by changing the content of fluoroalkyl chain extender or the molecular weight of poly(tetramethylene glycol). The surface of a film made from the fluoroalkyl polyetherurethane was strongly water-repulsive. The in vitro thrombus formation on the fluoroalkyl polyetherurethanes was reduced by increasing the content of chain extender for the same molecular weight of poly(tetramethylene glycol). Protein adsorption, platelet adhesion, and platelet activation on the fluoroalkyl polyetherurethanes were also investigated.

Non-thrombogenicity by novel surface modification methods

Three novel methods, recently developed by us, for the synthesis of non-thrombogenetic materials were reviewed. The first was the utilization of poly(vinyl sulfonate) as a heparinoid and a newly synthesized polymerizable-thrombin-inhibitor. The chemicals were grafted onto the surfaces of materials. The second was the use of thrombin-substrate-analog peptide. The immobilized peptide was decomposed by blood coagulation factors and inhibited thrombus formation on the surface. The third method was the enhancement of endothelialization by immobilization of bio-signal molecules. The immobilized biosignals remarkably accelerated the growth of endothelial cells.

Synthesis and antithrombogenicity of heparinized polyurethanes with intervening spacer chains of various kinds

Heparin was immobilized to polyetherurethaneurea membrane by covalent or ionic bondings with intervening spacer chains having different lengths and different terminal functional groups. The amount of immobilization of heparin and the release rate of immobilized heparin were controlled by the nature and the mode of bonding of spacer chains. The heparinized polyetherurethaneurea membranes became more in vitro antithrombogenic and suppressed more strongly the adhesion and activation of platelets, as the amount of immobilization increased. It was also shown that the membrane to which the low-molecular-weight fraction of heparin was immobilized was less stimulating to platelets.

Platelet adhesion on to polyamide microcapsules coated with lipid bilayer membrane

Polyamide microcapsules with diameters of 3-4 microns were coated with lipid bilayer membrane and their interaction with canine platelets was investigated. Platelet adhesion on to the microcapsules was significantly suppressed by the lipid-coating. Coating with dimyristoylphosphatidylcholine (liquid-crystalline state) reduced platelet adhesion on to the microcapsules to a greater extent than that with dipalmitoylphosphatidylcholine (gel state) at 37 degrees C. The surface properties of the microcapsule in adsorption of plasma proteins were also changed by lipid coating. The amount of gamma-globulin and fibrinogen adsorbed on to the microcapsule was slightly decreased by lipid coating, while the amount of adsorbed albumin was increased. Platelet adhesion on to the lipid-coated microcapsules was suppressed most strongly in the presence of gamma-globulin. Apparently platelet adhesion on to the polyamide microcapsules is controlled by the nature of lipid membrane and gamma-globulin adsorbed on to the microcapsules.

Attachment and growth of fibroblast cells on polypeptide derivatives

Attachment and growth of mouse fibroblast cells on polypeptide derivatives with different wettabilities were studied in the presence or absence of serum proteins. In the presence of serum, a peak level of cell attachment was observed for substrates with a contact angle of around 70 degrees. However, no relationship was found between cell attachment and water contact angle of the substrate in the absence of serum. Ca2+ -dependent cell attachment was observed on hydrophobic polypeptides in the absence of serum proteins. This suggests that Ca2+ -dependent membrane proteins function as mediators for cell attachment to hydrophobic polypeptides. In the presence of serum proteins, it was found that cell attachment is affected by the metabolism, Ca2+, and the cytoskeleton of the cell. Cell growth rate on hydrophilic polypeptide substrates was higher than that on intermediate or hydrophobic polypeptide substrates. This demonstrates that the strong interaction between cells and substrates will be unfavorable for a dewebbing process during mitosis.

Attachment and proliferation of fibroblast cells on polyetherurethane urea derivatives

Interactions of novel polyetherurethane urea derivatives with fibroblast cells as well as with plasma proteins were investigated. Fibronectin, which is a cell adhesion protein, was found to be very active in attaching fibroblast cells onto a heparinized polyetherurethane urea: its activity was found to be strongly dependent on the surface properties of the material. Fibronectin was easily adsorbed by the heparinized polyetherurethane urea, but the degree of its adsorption to the material in competition with other proteins was so low that cell attachment to polyetherurethane ureas was decreased by heparinization. Different degrees of cell attachment onto different materials due to different adsorptivities of plasma proteins were considered. Proliferation of fibroblast cells was suppressed on cationic polyetherurethane urea but unaffected on other derivatives of polyetherurethane urea. Since specific suppression of cell proliferation was not observed on the heparinized polyetherurethane urea, the latter material was expected to be useful as a long-term antithrombogenic material in vivo.