SURFACE PROPERTIES ON BIOCOMPATIBILITY A PRESENTATION BY: APAR WASTI SONIKA KOIRALA BIOCOMPATIBILITY Ability of a material to perform with an appropriate host response in a specific application. D. Williams. Due to the wide scope of 1st definition he tried to narrow it down to specific subgroups: - Biocompatibility of long term implant devices ability of the device to perform its intended function, with the desired degree of incorporation in the host, without eliciting any undesirable local or systemic effects in that host. - Biocompatibility of short term implant devices the ability of the device to carry out its intended function within flowing blood, with minimal interaction between device and blood that adversely affects device performance, and without inducing uncontrolled activation of cellular or plasma protein cascades. - Biocompatibility of tissue engineering products ability to perform as a substrate that will support the appropriate cellular activity, including the facilitation of molecular and mechanical signalling systems, in order to optimise tissue regeneration, without eliciting any undesirable effects in those cells, or inducing any undesirable local or systemic responses in the eventual host. BIOMATERIALS AND HUMAN BODY INTERACTIONS Commonly used biomaterials are mostly hydrophobic and have high affinity to a wide variety of proteins. After implantation, biomaterials are covered with a layer of plasma proteins like albumin, fibrinogen, IgG etc. Due to hydrophobic interactions, the conformation of these proteins are altered. Their hydrophobic domains get exposed and they become adherent to hydrophobic surface of biomaterial. These protein:biomaterial interactions prompt the exposure of hidden protein structures and sequences that serve as receptor sites for inflammatory cells, which then initiate the foreign body reactions. Fig: Altered conformation of protein to expose hydrophobic domains due to protein:biomaterial interaction SURFACE PROPERTIES AND BIOCOMPATIBILITY It is widely documented that polymer surface properties can affect the amounts and types of bound proteins, as well as the conformation, orientation or binding strength of the adsorbed protein. Wettability and bio compatibility Hydrophobicity and hydrophilicity of a material has great role to play in determining its biocompatibility. Biomaterial surface with moderate hydrophilicity improved cell growth and higher biocompatibility. Cell adhesion can deacrease as the material becomes very hydrophilic. Surface Roughness And Bio compatibility The point to be noted in case of surface topography is that its influence may vary on the site on which the material is used. For example: For osteointegration, it is an advantage that the surface of the implant is porous. It is however also well known that porosity will increase the surface roughness, which is associated with an enlarged risk on bacterial adhesion. Surface functional groups and bio compatibility Substantial research efforts have been placed on studying the influence of surface functionality in the cellular response to biomaterials. Surface chemical functionality affects adsorbed protein and subsequent protein:cell interactions. Hydrophilic functionality provides low interfacial free energy resulting in reduced protein adsorption, cell adhesion, and blood compatibility. The most common functionalities investigated with relation to biomaterial interactions are the carboxyl (-COOH), hydroxyl (-OH), amino (-NH2), and methyl (-CH3) groups. Examples: Carboxyl (-COOH) hydrophilic, negatively charge Preferentially interacts with fibronectin and albumin Enhances fibronectin adsorption and exposure of cell adhesive domains related to focal adhesion and cell growth Increases nanoparticle uptake Attenuates inflammatory responses and reduces fibrotic capsule formation in vivo Methyl (-CH3) hydrophobic, neutral charge Tightly binds fibrinogen leading to platelet accumulation Binds IgG more tightly than other surface functional groups Leads to thick fibrotic capsule formation and high recruitment of inflammatory cells in vivo Increased leukocyte adhesion and phagocyte migration Fig: Deposition of fibrotic tissue around the implant( drug delivery implant) SURFACE INTERACTIONS: IN VIVO vs. IN VITRO Despite a significant body of in vitro results, there are very few works which had focused on the effects of surface functional groups in vivo. Early results (in vitro) have shown that surface functionality prompts different extents of acute inflammatory responses in the order: -NH2 > CH3 -CFx > -OH > siloxyl group. Implants are often surrounded by thick layer of collagenous fibrotic tissue a few days (weeks) after implantation which serve as diffusion barrier. Results using SAMs on gold have shown that implants coated with -COOH and -OH functionality produce thinner fibrous capsules than -CH3 functionality (in vitro) Same results were observed when microspheres coated with COOH were introduced in vivo. However, significantly increased fibrous capsule formation was found surrounding implants with -OH functionality . Hence, more in vivo studies are needed to define the interactions between surface functionality and host responses. CONCLUSION More research is needed to know exactly how surface properties and surface functionalities effect the biocompatibility. In general, micro and nanoparticles with a hydrophilic shell show decreased protein adsorption and increased circulation time . Surface roughness is also key factor involving biocompatibility as surface to volume ratio has deep impact on biocompatibilty. With all these things in mind a better and durable device can be made by modifying the surface properties of materials THANK YOU! GRACIAS! DHANYABAAD!