体外应用血栓弹性成像评估内皮糖萼激发表面的血液凝固。

In vitro models Pub Date : 2021-10-29 eCollection Date: 2022-02-01 DOI:10.1007/s44164-021-00001-w
Yanyi Zang, Jessi R Vlcek, Jamie Cuchiaro, Ketul C Popat, Christine S Olver, Matt J Kipper, Melissa M Reynolds
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引用次数: 0

摘要

目的:目前的血液接触材料尚未被证明在临床上有效地减少血液凝固而不引起额外的副作用。我们开发了一种内皮糖萼启发的仿生表面,结合了纳米形貌、肝素呈现和一氧化氮(NO)释放特征。由此产生的修饰表面已经显示出利用富含血小板的血浆减少不利的血液物质相互作用的希望。本研究测定了改性表面对人体全血的降凝作用。此外,还对浸出多糖的效果和改性表面的化学修饰进行了评价。方法:用折射率法检测培养液中浸出的多糖,以确定这些修饰表面对凝血观察的潜在影响。利用衰减全反射-傅里叶变换红外光谱(ATR-FTIR)检测改性表面上亚硝化过程对多糖的化学修饰。使用血栓弹性成像(TEG)测量凝块形成参数,TEG是一种评估全血凝固的临床相关技术。结果:在肝素化聚电解质多层包覆二氧化钛纳米管阵列表面(TiO2NT + PEM)培养液中未检测到多糖;然而,在释放NO的TiO2NT + PEM表面(TiO2NT + PEM + NO)孵育液中,在亚硝化过程后和全部NO释放后均检测到多糖。亚硝基叔丁基改变了巯基壳聚糖和肝素的结构。所有含肝素的表面都显示出减缓或抑制血栓形成的作用。结论:本研究首次使用临床相关参数评估这些内皮糖萼激发表面,并提出这些修饰表面对抑制血栓形成的潜在影响。补充资料:在线版本包含补充资料,提供地址:10.1007/s44164-021-00001-w。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Ex vivo evaluation of blood coagulation on endothelial glycocalyx-inspired surfaces using thromboelastography.

Purpose: Present blood-contacting materials have not yet demonstrated to be effective in reducing blood coagulation without causing additional side effects clinically. We have developed an endothelial glycocalyx-inspired biomimetic surface that combines nanotopography, heparin presentation, and nitric oxide (NO)-releasing features. The resulting modified surfaces have already shown promise in reducing unfavorable blood-material interactions using platelet-rich plasma. In this study, the efficacy of modified surfaces for reducing coagulation of human whole blood was measured. In addition, the effects of leached polysaccharides and chemical modification of the modified surfaces were evaluated.

Methods: Leached polysaccharides in the incubation solution were detected by a refractive index method to determine the potential influences of these modified surfaces on the blood coagulation observation. Chemical modifications by the nitrosation process on the polysaccharides in the modified surfaces were detected using attenuated total reflectance-Fourier transform infrared spectroscopy (ATR-FTIR). Clot formation parameters were measured using thromboelastography (TEG), a clinically relevant technique to evaluate whole blood coagulation.

Results: No polysaccharides were detected in the heparinized polyelectrolyte multilayer-coated titania nanotube array surface (TiO2NT + PEM) incubation solution; however, polysaccharides were detected from NO-releasing TiO2NT + PEM surface (TiO2NT + PEM + NO) incubation solution both after the nitrosation process and after all NO was released. The structures of thiolated chitosan and heparin were altered by t-butyl nitrite. All heparin-containing surfaces were shown to slow or inhibit clot formation.

Conclusion: This study is the first to evaluate these endothelial glycocalyx-inspired surfaces using clinically relevant parameters, as well as proposing potential influences of these modified surfaces on the inhibition of clot formation.

Supplementary information: The online version contains supplementary material available at 10.1007/s44164-021-00001-w.

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