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              Biomaterials, Synthetic Synthesis, Fabrication, and Applications                            175

              and structure both play important roles in determining the  between the molecules. These naturally increase with age
              properties of the natural polymeric phase whether it is used  leading to a less flexible material as someone gets older.
              alone or in a composite form.                       Elastin is used in situations where a highly elastic fiber
                                                                is needed such as in ligaments and blood vessels (Table II).
                                                                The polypeptide chain of elastin contains high levels of
              A. Natural Polymers
                                                                both glycine and alanine, is flexible and easily extended.
              The key to the mechanical properties of fibrous materials  Topreventinfiniteextensionthepeptidesequencecontains
              (collagen, silks, chitin and cellulose are all natural exam-  frequent lysine side chains that can be involved in cross-
              ples and polyethylene and nylon are examples of synthetic  links that allow the fibers to “snap-back” on removal of
              polymers) lies in their structure, in particular the extent  tension. Elastin is only ever found as fine fibers and is usu-
              of their crystallinity. Crystallinity equates with material  ally found in association with collagen and glycosamino-
              rigidity, hardness and toughness, Table I. For crystalline  glycans. The hydrophobic character of the protein (95%
              polymers to form they must have great regularity of chain  of the amino acids have nonpolar side chains) leads to wa-
              structure and be linear in form. The presence of more  ter becoming more ordered and the polymer less ordered
              than one stereo-isomeric form of the polymer can cause  when fibers of the material are stretched.
              problems in structural alignment for synthetic polymers  Carbohydrate-based natural polymers include gly-
              but this is not a problem in natural polymers. Collagen or  cosaminoglycans (polysaccharides containing amino
              cellulose as only one stereo-isomer is utilized in the build-  acids formerly known as mucopolysaccharides), proteo-
              ing of these structures. When the level of crystallinity is  glycans (covalently bonded complexes of protein and
              less than 20%, the crystalline regions act as cross-links  glycosaminoglycan in which the polysaccharide is the
              in an amorphous polymer network with materials be-  dominant feature) and protein–polysaccharide complexes
              ing mechanically similar to cross-linked rubbers. Above  where a complex is held together through noncovalent
              40% crystallinity the materials become quite rigid and the  linkages. Important examples are the chondroitin sulfates
              mechanical properties of the polymers are largely time-  and keratan sulfates of connective tissue, the dermatan
              independent. The behavior of drawn fibers, such as those  sulfates of skin and hyaluronic acid. All are polymers of
              producedfromsyntheticpolymersmaybefurtherdifferent  repeating disaccharide units in which one of the sugars
              from the bulk material as the regions of amorphous char-  is either N-acetylglucosamine or N-acetylgalactosamine.
              acter are greatly extended and aligned perpendicular to  Examples are given in Table II. A major function of this
              the stress direction. In general, the Young’s modulus (the  group of molecules is the formation of a matrix to support
              stress–strain curve) of a bulk crystallized polymer is two  and surround the protein components of skin and connec-
              to three orders of magnitude greater than that of an amor-  tive tissue. A schematic view of the proteoglycan complex
              phouspolymersuchasrubberandthemodulusoforiented,  in cartilage used to bind to collagen in a strong network
              crystalline fibers is another order of magnitude greater  is shown in Fig. 1. The filamentous structure contains at
              still.                                            its heart a single molecule of hyaluronic acid to which is
                Collagen is a prime example of an important crystalline  attached via noncovalent interactions proteins known as
              polymer in mammals and is found in both rigid (e.g.,  “core” proteins. These in turn have chondroitin sulfate and
              bone) and pliant materials (e.g., tendon, skin and cartilage)
              (Table II). Each collagen chain is ca. 1000 amino acids
              in length and is dominated by a 338 contiguous repeat-
              ing triplet sequence in which every third amino acid is
              glycine. Proline and hydroxyproline together account for
              about 20% of the total amino acids. The structure of col-
              lagen is based on the helical arrangement of three non-
              coaxial, helical polypeptides, stabilized by inter-chain and
              intra-chain hydrogen bonds with all the glycines facing the
              centerofthetriplehelix.Individualcollagenmoleculesare
              ca. 280 nm in length and 1.5 nm in width with adjacent
              molecules being transposed in position relative to one an-
              other by one quarter of their length in the axial direction.
              Collagen is the protein used in tissues where strength or
              toughness is required. In addition to the effect of its intrin-
              sic chemical structure on the observed mechanical proper-  FIGURE 1 A schematic view of the proteoglycan complex in
              ties, part of its toughness arises from specific cross-links  cartilage used to bind to collagen in a strong network.
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