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Surface Modification of Polymers For Biomedical Applications
Surface Modification of Polymers For Biomedical Applications
biomedical applications
P Alves, P Ferreira and M H Gil
Chemical Engineering Department, University of Coimbra, Portugal
O
ne of the more frequent, expensive
and serious problems facing human Outlines
healthcare is the loss or failure of
organs or tissues. It is in providing solutions l A large number of different materials are used in a wide range of biomedical
to such problems that coating technologies applications for which biocompatibility is essential. In order to combine this with
have much to offer. The medical need for the desired bulk structural properties, it is frequently desirable to apply some form
tissue and organ substitutes can arise from of coating or other surface modification.
trauma, infections, inherited or age-related l Factors involved in the interactions between the body and implants are discussed.
diseases and organ failure.1 The process of cell attachment to surfaces is complex and takes place in several
The theme of biomaterials embraces a stages. Depending on the application, this attachment may be essential or highly
wide range of materials and their undesirable.
applications. Polymers have been l Surface modification may be based on physical methods such as flame treatment,
extensively used as coatings in biomedical corona discharge, UV radiation exposure or laser ablation. Chemical methods include
devices and in the devices themselves, such etching, surface oxidation, hydrolysis, chemical grafting and surface coating. Various
as catheters, heart valves and dialysis aspects and applications of these technologies are considered.
membranes. Many of these polymers were l Surface modification is a very important aspect of the creation of medically viable
originally developed for industrial polymeric and non-polymeric biomaterials and thus the use of coating techniques in
applications but were then adapted for use the creation of biomaterials has been growing over recent decades as they can
as biomaterials, based on their favourable improve the application properties of materials in end uses ranging from catheters
characteristics.2 to endoprostheses and cardiac valves.
The performance of a material in a
biological environment is mainly mediated commonly used as implants, as coatings Surface modification aims to tailor the
by its surface properties and by the and as bulk materials. Their surface surface characteristics of a material for a
combination of physical and mechanical chemical properties are a major factor in specific application without detrimentally
properties required for a specific determining the adhesion of proteins in ‘in affecting the bulk properties. This approach
application, often achieved by appropriate vivo’ systems. This behaviour is directly provides a basis for increasing the success
coating treatments. Among the surface related to the subsequent cellular of implant applications by increasing their
properties that can be achieved by the interactions with the coating/polymer and, service lifetime.
judicious use of coatings, and of utmost therefore, to the material’s
importance with respect to the biocompatibility.
performance, are surface chemical Also, it has to be recognised that if the Surfaces and cell adhesion
structure (such as inherent hydrophilicity), coating is inappropriately chosen,
the presence of functional groups on the When a biomaterial is implanted in a living
pathological microorganisms may easily
surface, (that could initiate organism, several types of interactions are
adhere to the surfaces, causing infection.
interaction/reaction with biological established between the host tissue and the
The incidence of such infections varies
systems, in biological media) and the material and, more specifically, with its
from 1% for hip prostheses up to 100% for
surface morphology (the distribution and surface. These interactions, although
urinary tract catheters and up to 50% in
abundance of specified classified as being normal, may lead, if not
aortic vascular graft infections.4
hydrophilic/hydrophobic regions and the properly controlled, to a failure of the
An infection involves three major steps. implant and in the worst case scenario to
presence of crystalline/amorphous phases) These are microbial adhesion, microbial
and the overall surface topography.3 the host’s death.
proliferation and the formation of a
In order to understand, predict and avoid
bacterial film. To overcome this problem,
such effects, it is important to remember
Factors affecting the choice the surface modification (coating and
that it is not only the effect of the implant
surface deactivation) of the material
of materials on the host’s tissues that should be
substrate has, in the recent past, been one
considered. Another very important factor
of the more widely used and studied
Many polymers, such as the polyolefins, the involved in this tissue-coated biomaterial
approaches to resolving biofouling issues.
polysiloxanes and the polyurethanes are interface is the effect of the host on the
Enhancing biocompatibility
Biofilm formation occurs through several proliferation. Finally, cells begin to Surface modifications
consecutive stages (see Figure 3), starting accumulate in multilayer clusters and to
with the attachment of bacteria to the produce an extracellular matrix (mainly In biomaterials, the surface and bulk
surface, followed by cell-cell adhesion and composed of polysaccharidic species), properties of the coated devices are
Other applications of UV in the field Table 2: Common research areas and applications of plasma treatment in biomaterials, adapted from
reference 39
Despite the main application of UV
radiation in the biomaterial field being Areas Applications
targeted towards the modification of
Blood-containing surfaces Vascular grafts, catheters, stents, heart valves,
surfaces, in some cases, such as in the
membranes (haemodialysis), filters (blood cell
improvement of biocompatibility and
separation)
haemocompatibility, UV irradiation can be
also used to modify the bulk properties and Non-fouling surfaces Intraocular lenses, contact lenses, wound healing,
catheters, biosensors
composition of the material. Moreover,
cross-linked materials and cell Tissue engineering and cell culture Cell growth, antibody production, essays, vascular
immobilisation systems,32,33 anti-fouling grafts
surfaces34 and bio-scaffolds for tissue Sterilisation of surgical tools and devices Cutting tools of surgeons, tweezers
engineering35,36 can be prepared by UV Biosensors Biomolecules immobilised on surfaces
irradiation-based techniques. Barrier coatings Drug-release, gas-exchange membranes, device
protection, corrosion protection, reduction of leaching
(many of these involving the correct use of additives
and plasticisers)