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Chemical activation and changes in surface morphology of poly(ε-caprolactone) modulate VEGF responsiveness of human
Thilo Storm1, Katharina Wulf, Michael Teske
1Institute for Biomedical Engineering, Rostock University Medical Center, Friedrich-Barnewitz-Str. 4, 18119, Rostock, Germany, thilostorm@gmail.com.
Insights
Improving cardiovascular implants requires better endothelialization. Plasma-activated poly(ε-caprolactone) (PCL) with VEGF stimulation significantly enhances endothelial cell adhesion and proliferation, crucial for healing after stenting.
Area of Science:
- Biomaterials Science
- Cardiovascular Engineering
- Cell Biology
Background:
- Coronary heart disease patients undergoing percutaneous transluminal coronary angioplasty (PTCA) with stenting face post-operative complications like restenosis and thrombosis.
- Effective re-endothelialization is critical for wound healing after cardiovascular implant surgery.
- There is a need for advanced biomaterials that promote endothelial cell adhesion and functional recovery post-stenting.
Purpose of the Study:
- To systematically evaluate chemical polymer modifications for improved endothelialization.
- To investigate poly(ε-caprolactone) (PCL) and its activated forms, surface morphology, and matrix protein precoating effects on endothelialization.
- To assess the impact of Vascular Endothelial Growth Factor (VEGF) on endothelial cell proliferation on modified PCL surfaces.
Main Methods:
- Chemical modification and plasma activation of poly(ε-caprolactone) (PCL) surfaces.
- In vitro characterization of endothelial cell responses using human umbilical vein endothelial cells (HUVECs) for viability and adhesion assays.
- Application of VEGF as a stimulus to promote endothelial cell proliferation on polymer surfaces.
Main Results:
- Plasma chemical activation of PCL surfaces significantly impacts endothelial cell adhesion and viability.
- Surface morphology and precoating with matrix proteins influence endothelialization.
- VEGF stimulation effectively boosts endothelial cell proliferation on modified PCL, particularly on plasma-activated surfaces.
Conclusions:
- Plasma chemical activation of PCL, combined with VEGF stimulation, represents a promising strategy to enhance in vitro endothelialization.
- This study contributes novel insights into optimizing polymer surface properties for improved cardiovascular implant performance.
- The findings support the development of advanced biomaterials for better post-stenting healing and reduced complications.
Abstract:
The high degree of clinical routine in percutaneous transluminal coronary angioplasty (PTCA) with and without stenting has not changed the fact that a large number of coronary heart disease patients are still affected by post-operative complications such as restenosis and thrombosis. Because re-endothelialization is the crucial aspect of wound healing after cardiovascular implant surgery, there is a need for modern biomaterials to aid endothelial cells in their adhesion and functional recovery post-stenting. This study systematically examines the potential of numerous chemical polymer modifications with regard to endothelialization. Poly(ε-caprolactone) (PCL) and its chemically activated forms are investigated in detail, as well as the impact of polymer surface morphology and precoating with matrix protein. Human umbilical vein endothelial cells (HUVECs) are used to characterize endothelial cell responses in terms of in vitro viability and adhesion. As a potential component in drug eluting implants, VEGF is applied as stimulus to boost endothelial cell proliferation on the polymer. In conclusion, plasma chemical activation of PCL combined with VEGF stimulation best enhances in vitro endothelialization. Examining the impact of morphological, chemical and biological modifications of PCL, this study makes an important new contribution towards the existing body of work on polymer endothelialization.
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