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Optimal heparin surface concentration and antithrombin binding capacity as evaluated with human non-anticoagulated blood in vitro
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Oncology, Radiology and Clinical Immunology, Clinical Immunology. (Kaskadsystem och biomaterial)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Oncology, Radiology and Clinical Immunology, Clinical Immunology. (Kaskadsystem och biomaterial)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Oncology, Radiology and Clinical Immunology, Clinical Immunology. (Kaskadsystem och biomaterial)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Oncology, Radiology and Clinical Immunology, Clinical Immunology. (Kaskadsystem och biomaterial)
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2003 (English)In: Journal of Biomedical Materials Research, ISSN 0021-9304, E-ISSN 1097-4636, Vol. 67, no 2, p. 458-466Article in journal (Refereed) Published
Abstract [en]

Contact between blood and a biomaterial surface takes place in many applications and is known to activate the coagulation and complement systems. Heparin surface coatings have been shown to reduce blood activation upon contact with artificial surfaces. To establish the optimal heparin surface concentration, blood was incubated in a tubing loop model at 37 degrees C. The tubing was coated with different surface concentrations of heparin and rotated at three different velocities. We demonstrate that the blood compatibility of a surface with regard to coagulation, complement, and platelet activation can be improved by increasing the heparin surface concentration in the 6-12 pmol antithrombin/cm2 concentration interval. The binding of factor H is not influenced by the increased heparin surface concentration, suggesting that this factor is not the primary regulator of complement on heparin surfaces. In addition, the heparin coating has no effect on the complement activation that occurs on gas surfaces in extracorporeal circuits.

Place, publisher, year, edition, pages
2003. Vol. 67, no 2, p. 458-466
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-90378DOI: 10.1002/jbm.a.10104PubMedID: 14566786OAI: oai:DiVA.org:uu-90378DiVA, id: diva2:162709
Available from: 2003-04-24 Created: 2003-04-24 Last updated: 2017-12-14Bibliographically approved
In thesis
1. Complement Activation Triggered by Biomaterial Surfaces: Mechanisms and Regulation
Open this publication in new window or tab >>Complement Activation Triggered by Biomaterial Surfaces: Mechanisms and Regulation
2003 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Today there are a vast number of medical devices in temporary or permanent contact with human tissues. Blood-biomaterial contact is known to trigger the complement system and results in generation of fluid phase anaphylatoxins C3a and C5a, and surface-bound C3b and iC3b. All these products together are able to attract and activate leukocytes and trigger release of inflammatory mediators leading to a systemic inflammation indirectly causing hemostatic problems and even organ failure. The aim of this study was to identify how complement is triggered on a biomaterial surface and to find ways to regulate this activation.

The finding that complement activation on biomaterials can be divided into initiation and amplification will facilitate regulation of complement activation biomaterial surfaces. This concept is also compatible with the two techniques to regulate complement activation on a surface.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2003. p. 45
Series
Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 0282-7476 ; 1253
Keywords
Immunology, Biomaterials, Biocompatibility, Blood, Complement, Immunologi
National Category
Immunology in the medical area
Research subject
Clinical Immunology
Identifiers
urn:nbn:se:uu:diva-3410 (URN)91-554-5610-3 (ISBN)
Public defence
2003-05-20, Rudbeckssalen, Rudbeck Laboratory, Uppsala, 09:15
Opponent
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Available from: 2003-04-24 Created: 2003-04-24 Last updated: 2022-03-11Bibliographically approved

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