自然科学版
陕西师范大学学报(自然科学版)
生物检测方法与材料专题
磷脂聚合物涂层对聚丙烯膜氧合器血液相容性的影响
PDF下载 ()
史珂慧1,王彦兵2,刘雯雁1,张欢1,高菊林1,宫永宽3*,蒋红利1*
(1 西安交通大学第一附属医院 肾脏病医院血液净化科,陕西 西安 710061;2 西安工程大学 纺织科学与工程学院,功能性纺织材料及制品教育部重点实验室,陕西 西安 710048;3 西北大学 化学与材料科学学院,合成与天然功能分子教育部重点实验室,陕西 西安 710127)
宫永宽,男,教授,博士生导师,研究方向为生物医用高分子材料合成及应用。E-mail: gongyk@nwu.edu.cn 蒋红利,女,教授,博士生导师,研究方向为慢性肾脏疾病与血液净化。E-mail: j92106@sina.com
摘要:
通过将3种仿细胞膜结构磷脂聚合物PMBT、PMLT、PMNC分别涂敷在聚丙烯(polypropylene,PP)膜表面,研究聚合物涂层的稳定性及其对PP膜氧合器血液相容性的影响。动态接触角测量显示:3种聚合物涂层PP膜在不同温度和浓度的乙醇溶液中长时间浸泡,其动态接触角无明显变化。体外蛋白质吸附实验表明:与无涂层PP膜相比,PMBT、PMLT和PMNC聚合物涂层PP膜对牛血清白蛋白和纤维蛋白原的吸附均显著下降。动物体外循环开始后,无涂层组的血小板、白细胞计数及纤维蛋白原浓度较体外循环前明显降低,同时β血小板球蛋白、白介素8、凝血酶-抗凝血酶复合物、补体片段5a和凝血酶原片段F1+2的浓度明显升高,而PMBT、PMLT和PMNC聚合物涂层组的上述指标较体外循环前均没有明显变化,3种聚合物涂层组之间亦无统计学差异。体外循环120 min后,无涂层组氧合器有明显凝血现象,而3种聚合物涂层组氧合器均未发生凝血。上述结果提示,PMBT、PMLT和PMNC聚合物涂层不仅具有优异的稳定性,而且能够显著提高PP膜氧合器的血液相容性。该结果为磷脂聚合物涂层医疗耗材的进一步转化应用提供了客观的实验依据。
关键词:
膜材料;表面改性;血液相容性;磷脂聚合物;聚丙烯膜;氧合器
收稿日期:
2021-09-28
中图分类号:
R654.1
文献标识码:
A
文章编号:
1672-4291(2022)01-0097-11
基金项目:
国家自然科学基金(81870507);陕西省自然科学基础研究计划(2021JQ-665)
Doi:
10.15983/j.cnki.jsnu.2022001
Effect of phospholipid polymer coatings on blood compatibility of polypropylene membrane oxygenators
SHI Kehui1, WANG Yanbing2, LIU Wenyan1, ZHANG Huan1, GAO Julin1, GONG Yongkuan3*, JIANG Hongli1*
(1 Dialysis Department of Nephrology Hospital, First Affiliated Hospital of Xi′an Jiaotong University, Xi′an 710061, Shaanxi, China;2 Key Laboratory of Functional Textile Material and Product of Ministry of Education, School of Textile Science and Engineering, Xi′an Polytechnic University, Xi′an 710048, Shaanxi, China;3 Key Laboratory of Synthetic and Natural Functional Molecule Chemistry of Ministry of Education, College of Chemistry and Materials Science, Northwest University, Xi′an 710127, Shaanxi, China)
Abstract:
Three cell membrane mimetic phospholipid polymers, PMBT, PMLT and PMNC were coated on the surface of polypropylene (PP) membrane respectively, and the stability of polymer coatings and their effects on the blood compatibility of PP membrane oxygenator were studied. The dynamic contact angle measurement showed that no significant change was found in the dynamic contact angles of the three polymer coated PP membranes before and after being immersed in ethanol solution of different concentrations at different temperatures for a long time.In vitro protein adsorption experiments exhibited that the adsorption of bovine serum albumin and fibrinogen (FIB) on PMBT, PMLT and PMNC polymer coated PP membranes decreased significantly compared with that of the uncoated PP membrane. After the beginning of animal extracorporeal circulation (ECC), platelet count, leukocyte count and FIB concentration in the uncoated group decreased significantly,while the concentrations of β-thromboglobulin, interleukin-8, thrombin antithrombin complex, complement fragment 5a and prothrombin fragment F1+2 increased markedly. However, the above parameters in PMBT, PMLT and PMNC polymer coated groups did not change obviously during ECC and there was no significant difference among the three polymer coated groups. After 120 min of ECC, the oxygenator in the uncoated group displayed obvious coagulation, while the oxygenators in the three polymer coated groups showed no coagulation. These results suggest that PMBT, PMLT and PMNC polymer coatings not only possess excellent stability, but also significantly improve the blood compatibility of PP membrane oxygenator which provide an objective experimental basis for the further transformation and application of phospholipid polymer coating medical consumables.
KeyWords:
membrane materials; surface modification; blood compatibility; phospholipid polymer; polypropylene membrane; oxygenator