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               822                                                                                  Tissue Engineering


               biodegradable extracellular matrix materials, when used  TABLE III Ligands Used for Chemisorption of Protein
               deliberately, must be such that the cell-generated matrix  to Surfaces
               has sufficient time to form and the mechanical integrity                          Type of primary
               of the tissue is maintained at all times. In the end, there   Ligand                surface
               are no foreign materials left in the patient to cause adverse
               long-termimmunereactionsorharborbacterialinfections.  Silanating reagents       Glass, silicon
                                                                    Alkane thiols              Gold
                                                                    Carboxylic acids           Alumina
                 2. Optimization of Surface Chemistry               Sulfonyl halides,          Synthetic polymers a
                                                                     carbonyldiimidazole, succinimidyl
               Cells do not usually directly attach to artificial substrates,
                                                                     chloroformate, succimidyl esters
               but rather to extracellular matrix proteins which are
                                                                      a Dacron and PTFE require chemical treatment in order to
               physically adsorbed (i.e., by virtue of hydrophobic and
                                                                    create free alcohol and carboxylic groups prior to derivatization.
               electrostatic interactions) or chemically attached (i.e.,
               via covalent bonds) to the surface. Many polymers are
                                                                 processes are available depending on the type of surface
               highly hydrophobic and do not favor protein adsorption.
                                                                 to be modified (Table III). The first step involves using
               Increasing substrate wettability to a certain point (water
                                                                 a reactive chemical that bonds to the surface and has a
                                   ◦
                              ◦
               contact angle of 60 to 80 ), such as by using ionized gas,
                                                                 free functional group that easily reacts with free thiol, hy-
               increases protein adsorption and is commonly used for
                                                                 droxyl, carboxyl, or amine groups on proteins. This step
               preparing tissue-culture-grade polystyrene Petri dishes.
                                                                 often requires harsh chemical conditions, while the sec-
               This process only modifies the surface of the material,
                                                                 ond step, which involves conjugation of the protein, can be
               and thus minimally affects its bulk mechanical properties.
                                                                 done under physiological conditions. This approach is also
               Highly hydrophilic surfaces are also not favorable to
                                                                 suitabletograftsmalladhesivepeptides(e.g.,RGD)which
               protein adsorption. In addition, if negatively charged,
                                                                 otherwise would not stably bind to surfaces by physisorp-
               they may cause repulsive electrostatic interactions with
                                                                 tion  (Table  IV).  Furthermore,  physisorption  sometimes
               the cells, the latter of which usually display a negative
                                                                 leads to unexpected changes in protein activity, probably
               surface charge due to the presence of negative sialic
                                                                 due to denaturation on the surface. For example, adsorbed
               acid residues on their surface glycocalyx. Conversely,
                                                                 fibrinogen activates and binds to platelets, unlike solution-
               coating surfaces with positively charged materials, such
                                                                 phase fibrinogen in normal plasma or blood.
               as poly-L-lysine, has been used to promote cell adhesion
               to the surface. Physisorption of proteins for which cells
               do not express any adhesion receptor, such as albumin, is  TABLE IV Compounds Used to Promote or Prevent
               also commonly used to prevent cell adhesion.          Cell Adhesion to Surfaces
                 Physisorbed proteins are not stably bound and can be
                                                                           Pro-adhesive         Anti-adhesive
               displaced by other proteins. This especially occurs in com-
               plex media such as plasma, where fibrinogen physisorp-  Extracellular matrix proteins  Polyethylene glycol
               tion may occur within seconds, following by displacement  Collagen              Albumin
               of more slowly diffusible but “stickier” proteins (this is  Fibronectin         Polyvinyl alcohol
               sometimes called the Vroman effect). When the surface is  Vitronectin           Cellulose acetate
               transferred to a different medium after protein coating, the  Laminin           Agarose
               type and amount of physisorbed proteins will change until                       Sulfonate residues
               reaching equilibrium with the proteins in solution above  Adhesive peptide sequences a
               the surface. The time scale for desorption can extend over  RGD (from collagen)
               several hours, thus physisorption can be useful to control  YIGSR, IKVAV (from laminin)
               the initial attachment of cells at the time of seeding. Over  REDV (endothelial-specific)
               a period of several days of culture, however, virtually all  Adhesion molecules
               cells will have secreted significant quantities of their own  Intercellular adhesion
               extracellular matrix onto the substrate, and the initial sur-  molecule-1 (ICAM-1)
               face properties of the material often become irrelevant.  Vascular cell adhesion
                 Because physisorption is notoriously nonselective, co-  molecule-1 (VCAM–1)
               valent modification of substrates or chemisorption is used  Platelet cell adhesion
                                                                        molecule-1 (PCAM-1)
               if it is necessary to provide more control over the type,
                                                                      Sialyl Lewis X
               density, and distribution of adhesive protein on the sur-
               face of the material. For this purpose, several chemical  a  Single-letter amino acid abbreviations.
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