For several decades, plasma processing has been employed in the areas of food processing, manufacturing, and agriculture. Plasma processing has also been recognized as greatly beneficial in the field of tissue engineering for the modification of biomaterials. Polyethylene terephthalate (PET) has been employed as a vascular graft material but fails in small diameter applications. In this work, a multifaceted approach combining electrospinning to produce nano- and microscale fibers from PET blended with polybutylene terephthalate (PBT) added for flexibility and plasma modification for enhancing the surface chemistry is demonstrated to be an efficient approach to increase the biocompatibility as evidenced by enhanced fibroblast growth. The analysis of the surface chemistry shows an increase in oxygenated surface functionality, while the bulk analysis shows no significant changes. Thus, an efficient methodology for producing PET/PBT-based grafts that are easily modified with low-temperature plasma and show enhanced biocompatibility for vascular tissue engineering applications is reported.
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Coating small-diameter ePTFE vascular grafts with tunable poly(diol- co -citrate- co -ascorbate) elastomers to reduce neointimal hyperplasia
Lack of long-term patency has hindered the clinical use of small-diameter prosthetic vascular grafts with the majority of these failures due to the development of neointimal hyperplasia. Previous studies by our laboratory revealed that small-diameter expanded polytetrafluoroethylene (ePTFE) grafts coated with antioxidant elastomers are a promising localized therapy to inhibit neointimal hyperplasia. This work is focused on the development of poly(diol- co -citrate- co -ascorbate) (POCA) elastomers with tunable properties for coating ePTFE vascular grafts. A bioactive POCA elastomer (@20 : 20 : 8, [citrate] : [diol] : [ascorbate]) coating was applied on a 1.5 mm diameter ePTFE vascular graft as the most promising therapeutic candidate for reducing neointimal hyperplasia. Surface ascorbate density on the POCA elastomer was increased to 67.5 ± 7.3 ng mg −1 cm −2 . The mechanical, antioxidant, biodegradable, and biocompatible properties of POCA demonstrated desirable performance for in vivo use, inhibiting human aortic smooth muscle cell proliferation, while supporting human aortic endothelial cells. POCA elastomer coating number was adjusted by a modified spin-coating method to prepare small-diameter ePTFE vascular grafts similar to natural vessels. A significant reduction in neointimal hyperplasia was observed after implanting POCA-coated ePTFE vascular grafts in a guinea pig aortic interposition bypass graft model. POCA elastomer thus offers a new avenue that shows promise for use in vascular engineering to improve long-term patency rates by coating small-diameter ePTFE vascular grafts.
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- Award ID(s):
- 1921835
- PAR ID:
- 10287942
- Date Published:
- Journal Name:
- Biomaterials Science
- Volume:
- 9
- Issue:
- 15
- ISSN:
- 2047-4830
- Page Range / eLocation ID:
- 5160 to 5174
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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