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Related Concept Videos

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Nitric oxide (NO), an inorganic gas, acts as a potent second messenger in most animal and plant tissues. NO diffuses out of the cells that produce it and enters the neighboring cells to generate a downstream response. NO synthase (NOS) catalyzes NO production by the deamination of the amino acid arginine. There are three isoforms of NOS. Endothelial cells have endothelial NOS (eNOS), nerve and muscle cells have neuronal NOS (nNOS), and macrophages produce inducible NOS (iNOS) upon exposure to...
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Related Experiment Video

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Basic science review: nitric oxide--releasing prosthetic materials.

Vinit N Varu1, Nick D Tsihlis, Melina R Kibbe

  • 1Division of Vascular Surgery, Northwestern University, Chicago, IL 60611, USA.

Vascular and Endovascular Surgery
|September 19, 2008
PubMed
Summary

Nitric oxide (NO)-releasing prosthetic devices can prevent blood clot formation, improving cardiovascular treatments. This review explores NO-releasing materials and their clinical applications to enhance medical device performance.

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Published on: February 16, 2022

Area of Science:

  • Biomaterials Science
  • Cardiovascular Medicine
  • Medical Device Engineering

Background:

  • Prosthetic devices in contact with blood, such as vascular grafts, stents, sensors, and catheters, often fail due to thrombus formation.
  • Systemic anticoagulation used to prevent device malfunction carries risks of serious complications.
  • Native blood vessels are thromboresistant due to nitric oxide (NO) produced by the endothelium.

Purpose of the Study:

  • To review NO-releasing materials designed to prevent prosthetic device thrombosis.
  • To examine the clinical applications of these NO-releasing prosthetics for cardiovascular disease treatment.

Main Methods:

  • Review of literature on NO-releasing materials.
  • Categorization of NO donors into diazeniumdiolates and S-nitrosothiols.
  • Analysis of clinical applications and potential of NO-releasing prosthetics.

Main Results:

  • Various NO-releasing materials have been developed using diazeniumdiolates and S-nitrosothiols.
  • Local NO delivery to prosthetic surfaces shows potential to inhibit thrombus formation.
  • These materials offer a promising strategy to improve the hemocompatibility of cardiovascular devices.

Conclusions:

  • NO-releasing materials represent a significant advancement in preventing prosthetic thrombosis.
  • Local NO delivery can mitigate the risks associated with systemic anticoagulation.
  • Further clinical evaluation of these NO-releasing prosthetics is warranted for widespread adoption.