Theoretical analysis of in vivo macrophage adhesion and foreign body gaint cell formation on polydimethylsiloxane, low density polyethylene, and polyetherurethanes
Abstract
Quantitative description of foreign body giant cell (FBGC) formation on implanted polymer surfaces as a function of time can conceivably correlate cell adhesion with polymer properties and possibly predict the behavior of the polymer in vivo. In the present study, the formation of FBGCs on various biomedical polymers was quantified by two parameters: the density of adherent macrophages present initially that participate in FBGC formation (d 0) and the rate constant for cell fusion (k); both kinetic parameters were used to calculate the time‐dependent FBGC density (d fc). The materials used were: three Pellethane poly(etherurethanes) (PEUs) varying in weight percent of hard segment, one poly(etherurethane urea) (PEUU), and NHLBI‐DTB primary reference materials: low density polyethylene (LDPE), silica‐free polydimethylsiloxane (PDMS). The results indicated that up to 5 weeks of implantation, FBGCs were formed from the fusion of one population of adherent macrophages present by 3 days post‐implantation. Furthermore, only a small fraction (<8%) of this initial adherent macrophage population participated in FBGC formation. Based on the results of previous studies and the current study, it was concluded that increase in PEU hard segment weight percent, surface hardness and hydrophobicity increased total protein adsorption and effectively increased d 0 and d fc. No further correlations between the material properties of all polymers and the cell kinetics can be made at this time. However, this study demonstrated that macrophage adhesion and FBGC formation can be quantified with the cell fusion model, and are modulated by various polymer properties. © 1994 John Wiley & Sons, Inc.
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The soft segment of polyether polyurethanes is known to undergo degradation.
“The soft segment of polyether polyurethanes is known to undergo degradation.[86–98]”
From Foreign body reaction to biomaterials (2008) · cites this paper as [87]
There is an in vivo correlation between macrophage and foreign body giant cell adhesion and environmental stress cracking on the surface of the material.
“In this study and others, we clearly identified the in vivo correlation between macrophage and FBGC adhesion and environmental stress cracking on the surface of the material.[86, 87]”
From Foreign body reaction to biomaterials (2008) · cites this paper as [87]
As the foreign body response progresses, frustrated phagocytosis from activated macrophages leads to fusion into foreign body giant cells that attempt to further break down the implant.
“As the FBR progresses, frustrated phagocytosis from activated macrophages will lead to the fusion of macrophages into foreign body giant cells (FBGCs) that attempt to further breakdown the implant.73,94,97–98”
From Biocompatible Materials for Continuous Glucose Monitoring Devices (2013) · cites this paper as [98]
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Self-citation
- Authors
- Kao, W. J., Zhao, Q. H., Hiltner, A., & Anderson, J. M.
- Affiliations
- Case Western Reserve University (US)
- Corresponding author
- Anderson, James M.
- Venue
- Journal of Biomedical Materials Research
- Publisher
- Wiley
- Published
- 1994-01
- Volume
- 28
- Issue
- 1
- Pages
- 73-79
- ISSN
- 0021-9304 (ISSN-L)
- 1097-4636
- OpenAlex
- W1976230888
- Cited by
- 85
- References
- 26
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 2 · 2021: 1 · 2019: 3 · 2018: 2 · 2017: 3 · 2016: 2 · 2015: 3 · 2014: 4 · 2013: 3
- FWCI
- 3.34
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Biomedical Materials Research (publishedVersion)
- PubMed (publishedVersion)
- The HKU Scholars Hub (University of Hong Kong) (submittedVersion)
- Funders
- National Institutes of Health (2r01hl025239-19)
- National Heart, Lung, and Blood Institute (HL25239, R01HL047300, HL47300, HL 33849)
- Topics
- Physical Sciences › Materials Science › Surfaces, Coatings and Films › Polymer Surface Interaction Studies
- Health Sciences › Medicine › Surgery › Tissue Engineering and Regenerative Medicine
- Health Sciences › Medicine › Surgery › Orthopaedic implants and arthroplasty
- Keywords
- macrophage adhesion, polydimethylsiloxane, low-density polyethylene, hard segment content, surface hardness, surface hydrophobicity, protein adsorption, biocompatibility
- MeSH terms
- Adsorption, Animals, Biocompatible Materials, Cell Adhesion, Cell Fusion, Dimethylpolysiloxanes, Female, Foreign-Body Reaction, Kinetics, Macrophages, Models, Biological, Polyethylenes, Polyurethanes, Proteins, Surface Properties, Giant Cells, Foreign-Body, Rats, Sprague-Dawley, Prostheses and Implants, Rats
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