Shear stress effects on bacterial adhesion, leukocyte adhesion, and leukocyte oxidative capacity on a

M S Shive1, S M Hasan, J M Anderson

  • 1Department of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio 44106, USA.

Insights

Bacterial adhesion to cardiovascular biomaterials decreases with higher shear stress. Polymorphonuclear leukocytes (PMNs) cannot adhere in high shear zones, but their superoxide release function remains unaffected by shear stress exposure.

Area of Science:

  • Biomaterials Science
  • Infectious Diseases
  • Immunology

Background:

  • Infection of implanted cardiovascular biomaterials remains a clinical challenge despite host defenses.
  • Understanding pathogen and host cell interactions with biomaterials under physiological conditions is crucial.

Purpose of the Study:

  • To investigate the adhesion of Staphylococcus epidermidis and polymorphonuclear leukocytes (PMNs) to polyetherurethane urea (PEUU-A') under shear stress.
  • To assess the impact of shear stress and PEUU-A' exposure on PMN superoxide release capacity.

Main Methods:

  • Utilized a rotating disk system to simulate blood flow conditions (0-17.5 dynes/cm²).
  • Quantified bacterial and PMN adhesion to PEUU-A' over time (up to 6 hours).
  • Measured superoxide release from PMNs after exposure to PEUU-A' under shear stress.

Main Results:

  • Bacterial adhesion decreased linearly with increasing shear stress in phosphate-buffered saline (PBS) but showed no shear dependence in human serum.
  • PMN adhesion decreased sharply with increasing shear stress.
  • PMN superoxide release was not significantly affected by shear stress or PEUU-A' exposure.

Conclusions:

  • High shear stress conditions may limit leukocyte adhesion to biomaterials, potentially allowing bacteria to remain adhered.
  • Exposure to PEUU-A' and physiological shear stress does not impair PMN oxidative burst response.

Related Concept Videos