Wacker, Max, Kiesswetter, Viktoria, Slottosch, Ingo, Awad, George, Paunel-Goerguelue, Adnana, Varghese, Sam, Klopfleisch, Maurice, Kupitz, Dennis, Klemm, Dieter, Nietzsche, Sandor, Petzold-Welcke, Katrin, Kramer, Friederike, Wippermann, Jens, Veluswamy, Priya and Scherner, Maximilian (2020). In vitro hemo- and cytocompatibility of bacterial nanocelluose small diameter vascular grafts: Impact of fabrication and surface characteristics. PLoS One, 15 (6). SAN FRANCISCO: PUBLIC LIBRARY SCIENCE. ISSN 1932-6203

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Abstract

Objective There is an increasing need for small diameter vascular grafts with superior host hemo- and cytocompatibilities, such as low activation of platelets and leukocytes. Therefore, we aimed to investigate whether the preparation of bacterial nanocellulose grafts with different inner surfaces has an impact on in vitro host cytocompatibility. Methods We have synthesized five different grafts in a bioreactor, namely open interface surface (OIS), inverted (INV), partially air dried (PAD), surface formed in air contact (SAC) and standard (STD) that were characterized by a different surface roughness. The grafts (length 55 mm, inner diameter 5 mm) were attached to heparinized polyvinyl chloride tubes, loaded with human blood and rotated at 37 degrees C for 4 hours. Then, blood was analyzed for frequencies of cellular fractions, oxidative products, soluble complement and thrombin factors. The results were compared to clinically approved grafts made of polyethylene terephthalate and expanded polytetrafluoroethylene. Additionally, blood platelets were labelled with(111)Indium-oxine to visualize the distribution of adherent platelets in the loop by scintigraphy. Results SAC nanocellulose grafts with the lowest surface roughness exhibited superior performance with 65% leukocyte and >90% thrombocyte loss. Of note, SAC nanocellulose grafts showed lowest radioactivity with scintigraphy analyses, indicating reduced platelet adhesion. Although the levels of reactive oxygen species and cell free DNA did not differ significantly, the levels of thrombin-antithrombin complexes were lowest in SAC grafts. However, all nanocellulose grafts exhibited enhanced complement activation. Conclusion The systematic variation of the inner surfaces of BNC vascular grafts significantly improves biocompatibility. Especially, SAC grafts exhibited the lowest loss of platelets as well as leukocytes and additionally significantly diminished activation of the coagulation system. Further animal studies are needed to study in vivo biocompatibilities.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Wacker, MaxUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kiesswetter, ViktoriaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Slottosch, IngoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Awad, GeorgeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Paunel-Goerguelue, AdnanaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Varghese, SamUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Klopfleisch, MauriceUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kupitz, DennisUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Klemm, DieterUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Nietzsche, SandorUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Petzold-Welcke, KatrinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kramer, FriederikeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wippermann, JensUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Veluswamy, PriyaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Scherner, MaximilianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-329200
DOI: 10.1371/journal.pone.0235168
Journal or Publication Title: PLoS One
Volume: 15
Number: 6
Date: 2020
Publisher: PUBLIC LIBRARY SCIENCE
Place of Publication: SAN FRANCISCO
ISSN: 1932-6203
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
COMPLEMENT ACTIVATION; PLATELET ACTIVATION; PROTEIN ADSORPTION; CELLULOSE; BIOMATERIAL; ROUGHNESS; TITANIUM; POLYMER; DACRONMultiple languages
Multidisciplinary SciencesMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/32920

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