PMMA人工晶状体的等离子体改性研究
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摘要
聚甲基丙烯酸甲酯(PMMA)人工晶状体是临床应用最广泛的用于白内障手术时植入人体的材料,在人体水环境下,对其生物相容性要求很高,与此同时,透光率也是衡量人工晶状体的一个重要指标。但PMMA是一类极性极小的疏水性树脂,植入眼内,表面炎性细胞的黏附比亲水的水凝胶多,并且它和角膜上皮细胞的接触会导致角膜上皮细胞的永久损伤。本文报道了等离子体作用下,在PMMA人工晶状体表面化学键合不同物质,以提高其生物相容性,降低其在紫外光范围的透光率,并对其相应性质进行了表征。
     (1)CF_4及CF_4/O2等离子体改善PMMA性质研究
     进行了CF_4等离子体PMMA表面处理,讨论了等离子体辉光放电的时间、功率及压强对PMMA表面性能的影响。通过衰减全反射红外光谱(ATR-FTIR)、X射线光电子能谱(XPS)表征分析可知,通过CF_4等离子体处理,PMMA表面键合了含氟基团,并以C-F_x的形式存在:接触角测定(CA)得出材料表面的疏水性急剧增加,从而可减少各种亲水性细胞的黏附,进而防止血栓。
     进行了CF_4/O_2混合气体等离子体PMMA表面处理,讨论等离子体辉光放电的时间、功率及压强对PMMA表面各种性能的影响。通过ATR-FTIR、XPS表征分析可知,PMMA表面键合了含氟和含氧基团:通过CA测定得出,修饰材料表面的亲水性增加。
     进一步通过血小板黏附的扫描电镜观察(SEM)证明了CF_4及CF_4/O_2等离子体处理均可改善PMMA表面的生物相容性,由此得出,防止血小板在材料表面黏附主要是由于等离子体处理后PMMA表面键合了含氟基团;紫外可见近红外光谱(UV-Vis)表征分析可得出,CF_4及CF_4/O_2等离子体处理均可极大地降低PMMA材料在紫外范围内的透光率,而且CF_4/O_2修饰的紫外光隔离效率高于CF_4修饰的PMMA材料。
     (2)聚乙二醇(PEG)及肝素(Hp)对PMMA改性研究
     利用等离子体技术,在PMMA表面进一步接枝大分子物质。实验中,以PMMA为基体,将等离子体预处理后的PMMA分别放入PEG和Hp溶液中浸泡,真空干燥后分别进行Ar等离子体处理,引发物理吸附的PEG和Hp接枝于PMMA表面;进一步将接枝PEG的PMMA材料浸泡于Hp溶液中,再Ar等离子体引发Hp接枝于PEG-PMMA表面。通过ATR-FTIR、XPS表征分析可知,PEG和H_p键合在PMMA表面;CA测定可知,其表面结合的PEG和Hp增强了PMMA表面的亲水性,其亲水性强弱顺序为:PEG-PMMA>PEG-lip-PMMA>Hp-PMMA;血小板黏附的显微镜观察(OM)可知,等离子体预处理过的PMMA表面,尽管亲水性较好,但是与未处理的PMMA相比,其表面的生物相容性没有明显改善,而键合了PEG和Hp的PMMA表面的生物相容性得到了明显的改善,这可能是由于等离子体处理后的表面活性基团存在的时间较短的缘故;扫描电镜(SEM)观察可知,多步的等离子体处理方式并未对PMMA表面形貌产生影响;由UV-Vis可知,处理后的样品在可紫外范围内透光率明显降低。
     (3)壳聚糖(CS)及聚乙烯吡咯烷酮(PVP)对PMMA改性研究
     将PMMA浸泡在CS的HAc溶液中,真空干燥后Ar等离子体处理引发反应,将CS化学结合在PMMA表面;将PMMA浸泡在PVP溶液中,真空干燥后Ar等离子体处理引发反应,使PVP化学键合于PMMA表面。
     通过ATR-FHR、XPS表征分析可知,CS、PVP已键合在PMMA表面;CA测定得出,CS-PMMA、PVP-PMMA材料表面的亲水性明显提高,并且PVP-PMMA>CS-PMMA;血小板黏附的SEM表明,键合的CS、PVP改善了其PMMA表面的生物相容性。进一步推知,修饰后其表面生物相容性的改善是由于CS和PVP分子中的生物活性基团-NH_2,因此对其作用机理做了进一步探讨。
Poly methyl methacrylate (PMMA) intraocular lens (IOL) is widely used in cataract surgery. Inwater environment of our body, the standard of biocompatibility is really high. At the same time,transmittance is another important guide line to estimate IOL. But PMMA is hydrophobic colophonywith low polarity. When PMMA IOL was implanted in eyes, adhesion of imflammation cells is morethan hydrogel. And the contact with cornea epithelia will lead to permanent damnification of corneaepithelia. In this article, different chamical materials were linked with PMMA by plasma treatment.The biocompatibility increased and ultraviolet transmittance decreased remarkablely for themodified PMMA.
     (1) CF_4 and CF4/O_2 plasma modification on PMMA surface
     The PMMA surface were treated by CF_4 plasma, investigated the effect of time, power andpressure in plasma treatment. The results of ATR-FTIR and XPS analysis indicate thatfluorin-contained groups with C-F_X existed on the modified CF4-PMMA surface. Hydrophobility ofthe CF_4-PMMA surface increased by CA measurement. The amount of blood platelet adhesived onthe CF_4-PMMA surface decreased. The ultraviolet transmittance of the CF_(4-)PMMA reducedremarkably.
     The PMMA surface were treated by CF_4/O_2 plasma, investigated the effect of time, power andpressure in plasma treatment. The results of ATR-FTIR and XPS analysis indicate thatfluorin-contained groups and oxygen-contained groups existed on the modified CF_4/O_2-PMMAsurface. Hydrophobility of the CF_4/O_2-PMMA surface increased by CA measurement and thehydropilicity of CF-4/O_2-PMMA is more than that of CF_4-PMMA. The amount of blood plateletadhesived on the CF_4/O_2-PMMA surface decreased. The ultraviolet transmittance of theCF_4/O_2-PMMA reduced remarkably.
     (2) Plasma-induced polymerization of poly(ethylene glycol) (PEG) and heparin(Hp) on PMMAsurface
     Plasma pretreated PMMA were put into PEG and Hp solution, respectively. Then by Ar plasmaphysical absorbed PEG and Hp were polymerized on the PMMA surface. Furthermore, Hp waspolymerized on the PEG-PMMA surface by plasma-induced polymerization. The results ofATR-FTIR and XPS analysis indicate that PEG and Hp were combined on the PMMA surface;Hydrophilicity of PEG-PMMA, Hp-PMMA and PEG-Hp-PMMA increase compared with thePMMA, and the order of hydrophilicity is PEG-PMMA > PEG-Hp-PMMA > Hp-PMMA. The results of blood platelet adhesion experiment prove that biocompatibility of the modification PMMAsurfaces was improved remarkabley. The transmittance of treated samples reduced in ultravioletregion.
     (3) Plasma-induced polymerization of chitosan(CS) and polyvinylpyrrolidone(PVP) on PMMAsurface
     Plasma pretreated PMMA were put into CS and PVP solution, respectively. Then by Ar plasmaphysical absorbed CS and PVP were polymerized on the PMMA surface. It is been showed that CSand PVP were combined chemically with the PMMA substrate by ATR-FTIR and XPS. The CAmeasurement result indicated hydrophilicity increase of CS-PMMA and PVP-PMMA andPVP-PMMA > CS-PMMA. The results of blood platelet adhesion experiment proved thatbiocompatibility of CS-PMMA and PVP-PMMA increased. Furthermore, the mechanism ofCS-PMMA formation was discussed.
引文
[1]俞耀庭,王连永,王深琪.生物医用材料发展状况与对策H2003高技术发展报告[M].北京:科学出版社,2003.
    [2]李爱民,孙康宁,尹衍生.生物医用材料的发展、应用、评价与展望[J].山东大学学报(工学版),2002,32(2):287-292.
    [3]国家新材料行业生产力促进中心等编.中国新材料发展报告(2004)[M].北京:化学工业出版社,2004.
    [4]P. Francois, P. Vaudauxp, N. Ntmtin. Physical and Biological Elfects of a Surface Coating Procedure on Polyurethane Catheters [J]. Biomaterials, 1996,17(7):667-678.
    [5]山西省化工研究所.聚氨酯弹性体手册M].北京:化学工业出版社,2001.
    [6]J. M. Anderson, A. Hiltner, M. J. Wiggins. Recent Advances in Biomedical Polyurethane Biostability and Biodegradation [J]. J. Polym. Sci., Part A: Polym.Chem., 2002,40(5): 719-728.
    [7]汪朝阳,赵耀明,王芳.药物缓释用生物降解材料聚乳酸-乙醇酸的合成[J].山东医药,2004,44(21):19-20.
    [8]M.Kantlehner, Dirkfmsinger, M. Jorg. Selective RGD-Mediated Adhesion of Osteoblasts at Surfaces of Implants [J]. Angew. Chem. Int. Ed., 1999,38: 560-562.
    [9]D. F. Farrar, R. K. Cilison. Hydrolytic Degradation of Polyglyconate B: the Relationship Between Degradation Time, Strength and Molecular Weight [J].Biomaterials, 2002,23: 3905-3912.
    [10]张力,吕春堂,周树夏.可吸收内固定材料L/DL-聚乳酸的体外生物学评价[J].实用口腔医学杂志,2000,16(5):363-365.
    [11]K. J. Lowry, K. R. Hamson, L. Bear. Polycaprolactone/glass Bioabsortable Implanat in a Rabbit Humerus Fracture Model [J]. J. Biomed. Mater. Res., 1997,36: 536-541.
    [12]何天白,胡汉杰.功能高分子与新技术[M].北京:化学工业出版社,2001.
    [13]赵树萍,吕双坤,郝文杰.钛合金及其表面处理[M].哈尔滨工业大学出版社,2003.
    [14]P.K.Chu,J.Y Chen,L.P Wang.Plasma-surface Modification ofBiomaterials[J]. Mater.Sci.Eng.,R,2002,36:143-206.
    [15]肖梅,毛福明,凌一鸣.低温等离子体对血管内金属支架的表面改性[J].真空科学与技术,2003,23:182.186.
    [16]Z. J. Yu, E. T. Kang, K. G Neoh. Electroless Plating of Copper on Polyimide Films Modified by Surface Grafting of Fertiary and Quaternary Amines Polymers [J].Polymer, 2002,43(15): 4137-4146.
    [17]X. Liu, K. G Neoh, L. Zhao. Surface Functionalization of Flass and Polymeric Substrates Via Graft Copolymerization of Viologen in an Aqueous Medium [J].Langmuir, 2002,18(7): 2914-2921.
    [18]F. Zhang, E. T. Kang, K. G Neoh. Surface Modification of Stainless Steel by Grafting of Poly(ethylene glycol) for Reduction in Protein Adsorption [J].Biomaterials, 2001,22(12): 1541-1548.
    [19]刘晓苏,徐美芳,郭梅清.人工晶体材料的特点及其设计新进展[J].中国组织工程研究与临床康复.2007,ll(48):9793-9796.
    [20]C. Abela-Formannek, J. Schauersberger. Results of Hydrophilic Acrylic, Hydrohobic Acrylic, and Silicone Intraocular Lenses in Uveitic Eyes with Catara Comparison to a Control Group [J]. J. Cataract Refract Surg., 2002,28:1141-1152.
    [21]D. Tognetto, L. Toto, G Sanguinetti. Lens Epithelial Cell Reaction After Implantation of Different Intraocular Lens Materials: Two-year Results of a Randomized Prospective Trial [J]. Ophthalmology, 2003,110:1935-1941.
    [22]黄晓丹,姚克.人工晶状体材料与设计新进展[J].国际眼科纵览,2007, 31(1):5-9.
    [23]M. W. Dorey, S. Brownstein, V. E. Hill. Proposed Pathogenesis for the Delayed Postoperative Opacification of the Hydroview Hydrogel Intraocular Lens [J]. Am J Ophthalmol, 2003,135: 591-598.
    [24]张百珂,张凤妍.可调节人工晶状体的研究进展[J].临床医学,2007,27(10):84-85.
    [25]赵云娥.多焦点人工晶状体的研究进展及临床应用[J].中华眼科杂志,2006,42(1O):942-944.
    [26]J. Sparrow, A. Miller, J. Zhou. Blue Light-absorbing Intraocular Lens and Retinal Pegment Epithelium Protection in Vitro [J]. J. Cataract Refract Surg., 2004, 30:873-878.
    [27]程冰.后房型人工晶状体材料的生物相容性[J].中华眼科杂志,2006,42(4):369-372.
    [28]B. Philipson, P. Fagerholm. Heparin-surface-modified Intraocular Lens: a One Year Follow up of Safety Study [J]. Acta Ophthalmol, 1990,68: 601-603.
    [29]王桂琴,曹立群,顾汉卿.人工晶状体的生物相容性[J].透析与人工器官.2006,17(1):8-11.
    [30]葛泉波,何淑兰,毛津淑等.生物材料与细胞相互作用及表面修饰[J].化学通报,2005,1:43-48.
    [31]刘之景.等离子体技术在医用生物材料的应用[J].生物医学工程学杂志,2000,17(1):91·94.
    [32]曲超,姚克,寇瑞强等.α-烯丙基葡糖苷对聚甲基丙烯酸甲酯人工晶状体的表面修饰[J].生物医学工程学杂志,2004,21(1),115-117.
    [33]R. Eloy, D. Parrat, G Legeay. In Vitro Evaluation of Inflammatory Cell Response After CF_4 Plasma Surface Modification of Poly(methyl methacrylate) Intraocular Lenses [J]. J. Cataract Refract Surg., 1993,19: 364-370.
    [34]Mee Kum Kim, Won Ryang Wee, Jin Hak Lee. Effect of Polyethylene glycol) Graft Polymerization of Poly(methyl methacrylate) on Cell Adhesion : In Vitro and in Vivo Study [J]. J. Cataract Refract Surg., 2001,27(5): 766-774.
    [35]袁佳琴,孙慧敏,徐延山等.氟一肝素表面修饰人工晶状体的实验研究[J].眼科新进展,2003,23(3):1 53.1 56.
    [36]刘庆丰,冯胜山.光化学固定法表面改性医用高分子材料研究进展[J].胶体与聚合物,2007,25(4):30-32.
    [37]K. K. Mee, R. W. Won, H. L. Jin. Effect ofPolyethylene glycol) Graft Polymerization of Poly(methyl methacrylate) on Cell Adhesion: in Vitro and in Vivo Study [J]. J. Cataract Refract Surg., 2001,27(5): 766-774.
    [38]N. Li, X. M Chen, J. J. Zhang. Effect ofAcrySofversus Silicone or Polymethyl Methacrylate Intraocular Lens on Posterior Capsule Opacification [J].Ophthalmology, 2008,115: 830-838.
    [39]王桂琴,彭秀军,顾汉卿.表面修饰硅凝胶人工晶状体植入兔眼的生物相容性[J].国际眼科杂志,2006,6(1):54-56.
    [40]王桂琴,顾汉卿,何炳林等.表面修饰硅凝胶人工晶状体表面黏附细胞分析[J].眼科研究,2003,21(4):409-411.
    [41]邹向宇,周建光,冯国栋等.表面等离子体子共振技术用于分析手性药物与 蛋白作用差异的研究[J].高等学校化学学报,2006,27(9):1631.1634.
    [42]J. Vandorpe, E. Schacht, S. Stolink. Poly(organo phosphazene) Nanoparticles Surface Modified with Polyethylene oxide) [J]. Biotechnol. Bioeng., 1996, 52(1):89.
    [43]H. E. Kaufuman, J. Katz, J. Valenti. Comeal Endothelium Damage with Intraocular Lenses: Contact Adhesion between Surgical Materials and Tissue [J].Science, 1977,198:198-525.
    [44]editor. Intraocular Lens Biocompatibility [J]. J. Cataract Refract Surg., 2002,28(1):1-2.
    [45]曲超,姚克.人工晶状体的生物相容性[J].国外医学眼科学分册,2003,27(3):155-159.
    [46]C. Ozcan, N. Hasirci. Plasma Modification of PMMA Films: Surface Free Energy and Cell-attachment Studies [J]. J. Biomater. Sci., Polym. Ed., 2007,18{6}:759-773.
    [47]C. Ozcan, N. Hasirci. Plasma Modification ofPMMA Films: Surface Free Energy and Cell-attachment Studies [J]. J. Biomater. Sci., Polym. Ed., 2007,18{6}:759-773.
    [48]Sun Huimin, Guo Hongyu, Xu Yanshan. The Morphological Changes of Cells on the Surface of F-heparin in Surface Modified Intraocular Lenses after Implantation in the Rabbits' Eyes [J]. Chin. J. Bio. Eng., 2000, 9: 38-43.
    [49]陈新华,马永梅,李新红.微米/纳米结构对氟硅烷修饰氧化铝表面疏水性能的影响[J].高等学校化学学报,2004,25(12):2304—2307.
    [50]R. Eloy, D. Parrat. In Vitro Evaluation of Inflammation Cell Response after CF_4 Plasma Surface Modificaton of Poly(melthyl methacrylate) Intraocular Lenses [J].J. Cataract Refract Surg., 1993,19: 364-370.
    [51]黄永刚,陈敏,李长敏等.低温等离子体技术在生物材料表面改性中的应用[J].材料导报,2004,18(2):72-74.
    [52]苏葆辉,冉均国,陈治清.低温等离子体处理聚羟基磷酸钙钠提高生物活性的研究[J].航天医学与医学工程,2003,16(1):68-71.
    [53]H. M. Sun, H. Y. Guo, Y. S. Xu. The Morphological Changes of Cells on the Surface of F-heparin in Surface Modified Intraocular Lenses after Implantation in the Rabbits' Eyes [J]. Chin. J. Bio. Eng., 2000, 9: 38-43.
    [54]J. Laharm, D. Klee. Amination of Polycarbonate Surface and its Application for Cell Attachment [J]. Artificial Cells, Blood Substitutes and Immobilization Biotechnology, 1999,27(3): 229-244.
    [55]J. H. Lee, J. W. Park, H. B. Lee. Cell Adhesion and Growth on Polymer Surfaces with Hydroxyl Groups Prepared by Water Vapour Plasma Treatment [J].Biomaterials, 1991,12(5): 443-448.
    [56]M. Morra, E. Occhiello, F. Garbassi. Chemical Reactions on Plasma-treated Polyethylene Surfaces [J]. J. Adhes. Sci. Technol., 1993, 7(10): 1051-1063.
    [57]K. J. Kramer, S. Muthukrishnan. Insect Chitinases: Molecular Biologyand Potential Use as Biopesticides[J]. Insect Biochem. Mol. Biol., 1997,27: 887.
    [58]N. Huang, P. Yang, Y. X. Leng. Application of Surface Modification on Improving the Properties of Interventional Divices [J]. Chin J Interv Imaging Ther, 2004.1(2):87-91.
    [59]G Donelli, I. Francolini. Efficacy of Antiadhesive, Antibiotic and Antiseptic Coatings in Preventing Catheter Related Infections: Review [J]. J Chemother,2001,13(6): 595-606.
    [60]J. Riesenfeld, P. Olsson, J. Sancher. Surface Modification with Functionally Active Heparin [J]. Med Device Technol, 1995,6(2): 24-31.
    [61]E. Ovrum, G Tangen, S. Tollofsrud. Heparin-coated Circuits and Reduced Systemic Anticoagulation Applied to 2500 Consecutive First-time Coronary Artery Bypass Grafting Procedures [J]. Ann Thorac Surg, 2003, 76(4): 1144-1148.
    [62]F. D. Rubens. Cardiopulmonary bypass Technology Thansfer: Musings of a Cardiac Surgeon [J]. J. Biomater. Sci., Polym. Ed., 2002,13(4): 485-499.
    [63]M. C. Martins, D. Wang, J. Ji. Albumin and Fibrinogen Adsorption on PU-PHEMA Surfaces [J]. Biomaterials, 2003,24(12): 2067-2076.
    [64]E. Brynda, M. Houska, M. Jirouskova. Albumin and Heparin Multilayer Coatings for Blood-contacting Medical Devices [J]. J. Biomed. Mater. Res., 2000, 51(2):249-257.
    [65]N. A. Alcantar, E. S. Aydil, J. N. Israelachvili. Polyethylene Glycol-coated Biocompatible Surfaces [J]. J. Biomed. Mater. Res., 2000, 51(3): 343-351.
    [66]侯长军,张文彬,霍丹群等.肝素化结合方式及本体材料的研究进展[J].化工进展,2003,22(7):703.708.
    [67]Y. S. Chen, N. Hirayama, M. Gomi. Effect of Argon and Oxygen Plasma on Various Polyethylene Sheets [J]. J. Korean Institute Surf. Eng., 1999, 32: 344-349.
    [68]Y. S. Chen, Y. Momose. Reaction of Argon plasma-treated Teflon PFAwith Aminopropyltriethoxysilane in its n-Hexane Solution [J]. Surface and Interface Analysis, 1999,27: 1073-1083.
    [69]D. Togentto, L. Toto, E. Ballone. Biocompatibility of Hydrophilic Introcular Lens[J]. J. Cataract Refract Surg., 2002,28(4): 644-651.
    [70]S. Dumitriu, E. Chomet. Chitin in Nature and Technology [M]. New York: Plenum Press, 1998,31:223-246.
    [71]王欢,陆彬,杨红.咪喹莫特脂质体与乳膏体外经皮扩散行为比较[J].中国医药工业杂志,2002,5(7):432-433.
    [72]李淳,蒋丽霞.几丁质及其衍生物作为药物载体的应用[J].上海生物医学工程,2002,23(4):19-21.
    [73]陈伟,陈惠英,张彦等.壳聚糖在医药领域的应用[J].医学信息,2007,20(3):507-508.

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