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Phosphorylcholine- and cation-bearing copolymer coating with superior antibiofilm and antithrombotic properties for blood-contacting devices

Year: 2020

Journal: J. Mat. Chem. B, Volume 8, SEP 28, page 8433–8443

Authors: Zhang, Fanjun; Yang, Li; Hu, Cheng; Li, Linhua; Wang, Jingyu; Luo, Rifang; Wang, Yunbing

Organizations: National Key Research and Development Program [2016YFC1102200, 2017YFC1104200]; Interdisciplinary innovation cultivation project of Sichuan University [0900904153015]; China Postdoctoral Science FoundationChina Postdoctoral Science Foundation [2018T110976]; 111 Project (The Program of Introducing Talents of Discipline to Universities) [B16033]; Sichuan Science and Technology Major Project [2018SZDZX0011]

Nosocomial infections resulting from bacterial attachment on blood-contacting medical devices, as well as biofilm and thrombus formation caused by fibrin crosslinking and platelet accumulation/activation are a major health concern and may lead to severe morbidity and mortality. Therefore, there is an urgent need to develop facile and efficient surface coatings with both antibiofilm and antithrombotic properties to prevent medical-device associated infections as well as thrombus formation. In this study, the copolymers containing quaternary ammonium (QA) and phosphorylcholine (PC) groups were synthesized through traditional free-radical copolymerization. The cationic group of QA provides bactericidal properties, and the cell membrane-mimicking group of PC provides antithrombotic and antifouling properties. Long-term stability of the copolymer coating was achievedviasimple dip coating. X-ray photoelectron spectroscopy and water contact angle measurement demonstrated that the QA and PC groups possessed inversion properties once in contact with water allowing for long-term stability. Scanning electron microscopy and confocal laser scanning microscopy demonstrated that the copolymer coating could maintain antibiofilm properties for one week in a nutrient-rich environment. Furthermore, the copolymer coating significantly decreased platelet adhesion/activation and did not cause hemolysis. Theex vivoblood circulation showed no thrombus formation which confirmed the excellent antithrombotic property of the copolymer coating. Such coatings that maintain high cell viability and exhibit both antibiofilm and antithrombotic properties present potential applications for blood-contacting devices.