Cited by 165Polymer Surface Interaction StudiesNitric Oxide and Endothelin EffectsHydrogels: synthesis, properties, applications

Long-term nitric oxide release and elevated temperature stability with S-nitroso-N-acetylpenicillamine (SNAP)-doped Elast-eon E2As polymer

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Brisbois, Elizabeth J., Handa, Hitesh, Major, Terry C., Bartlett, Robert H., Meyerhoff, Mark E.·2013·Biomaterials

Abstract

Nitric oxide (NO) is known to be a potent inhibitor of platelet activation and adhesion. Healthy endothelial cells that line the inner walls of all blood vessels exhibit a NO flux of 0.5-4 × 10(-10) mol cm(-2) min(-1) that helps prevent thrombosis. Materials with a NO flux that is equivalent to this level are expected to exhibit similar anti-thrombotic properties. In this study, five biomedical grade polymers doped with S-nitroso-N-acetylpenicillamine (SNAP) were investigated for their potential to control the release of NO from the SNAP within the polymers, and further control the release of SNAP itself. SNAP in the Elast-eon E2As polymer creates an inexpensive, homogeneous coating that can locally deliver NO (via thermal and photochemical reactions) as well slowly release SNAP. Furthermore, SNAP is surprisingly stable in the E2As polymer, retaining 82% of the initial SNAP after 2 months storage at 37 °C. The E2As polymer containing SNAP was coated on the walls of extracorporeal circulation (ECC) circuits and exposed to 4 h blood flow in a rabbit model of extracorporeal circulation to examine the effects on platelet count, platelet function, clot area, and fibrinogen adsorption. After 4 h, platelet count was preserved at 100 ± 7% of baseline for the SNAP/E2As coated loops, compared to 60 ± 6% for E2As control circuits (n = 4). The SNAP/E2As coating also reduced the thrombus area when compared to the control (2.3 ± 0.6 and 3.4 ± 1.1 pixels/cm(2), respectively). The results suggest that the new SNAP/E2As coating has potential to improve the thromboresistance of intravascular catheters, grafts, and other blood-contacting medical devices, and exhibits excellent storage stability compared to previously reported NO release polymeric materials.

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Authors
Brisbois, E. J., Handa, H., Major, T. C., Bartlett, R. H., & Meyerhoff, M. E.
Affiliations
University of Michigan (US)
Corresponding author
Meyerhoff, Mark E.
Venue
Biomaterials
Publisher
Elsevier BV
Published
2013-09
Volume
34
Issue
28
Pages
6957-6966
ISSN
0142-9612 (ISSN-L)
OpenAlex
W2075453630
Cited by
165
References
6
Citations by year
2026: 8 · 2025: 12 · 2024: 11 · 2023: 18 · 2022: 13 · 2021: 16 · 2020: 11 · 2019: 20 · 2018: 12 · 2017: 13 · 2016: 11 · 2015: 13 · 2014: 5 · 2013: 1
FWCI
3.96
Type
journal article
Language
en
Open access
Locations
  • Biomaterials (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institutes of Health (EB-004527, K25HL111213)
Topics
  • Physical Sciences › Materials Science › Surfaces, Coatings and Films › Polymer Surface Interaction Studies
  • Health Sciences › Medicine › Physiology › Nitric Oxide and Endothelin Effects
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Medicine › Hydrogels: synthesis, properties, applications
Keywords
nitric oxide release, S-nitroso-N-acetylpenicillamine, SNAP, extracorporeal circuit, thromboresistance, platelet activation, platelet count, thrombus formation, fibrinogen adsorption, blood-contacting devices, storage stability
MeSH terms
Animals, Nitric Oxide, Platelet Aggregation, Polymers, Rabbits, Temperature, S-Nitroso-N-Acetylpenicillamine

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