title: Bacteria/blood/material interactions. I. Injected and preseeded slime-forming Staphylococcus epidermidis in flowing blood with biomaterials.
abstract: Blood-material interactions were studied using in vitro recirculation with human blood, slime-forming Staphylococcus epidermidis, and cardiovascular materials. Staphylococcus epidermidis, under preseeded or injected conditions, adhered to nonsmooth materials and elevated plasma levels of fibrinopeptide A (FpA) and C3a in the presence of all materials. Increased white blood cell (WBC) and platelet adhesion and thrombospondin and platelet factor 4 (PF4) release were noted for respective materials in the presence of injected bacteria. Materials that adhered significant quantities of injected S. epidermidis exhibited low levels of adsorbed proteins. Materials with high levels of preseeded S. epidermidis showed high levels of adsorbed proteins. Adhesion of preseeded bacteria and blood plasma elevations of C3a and FpA were lowest on semicrystalline polymer substrates, intermediate on halogenated substrates, and highest on amorphous substrates. In the presence of injected bacteria, WBCs and platelets adhered at earlier recirculation times to amorphous substrates than to semicrystalline substrates.
authors.affiliation: Department of Macromolecular Science, Case Western Reserve University, Cleveland, Ohio 44106, USA.
authors.forename: M R
authors.initials: MR
authors.lastname: Brunstedt
authors.forename: S
authors.initials: S
authors.lastname: Sapatnekar
authors.forename: K R
authors.initials: KR
authors.lastname: Rubin
authors.forename: K M
authors.initials: KM
authors.lastname: Kieswetter
authors.forename: N P
authors.initials: NP
authors.lastname: Ziats
authors.forename: K
authors.initials: K
authors.lastname: Merritt
authors.forename: J M
authors.initials: JM
authors.lastname: Anderson
mesh_terms: D001422:Bacterial Adhesion; D001672:Biocompatible Materials; D018441:Biofilms; D001769:Blood / Q000382:microbiology*; D015926:Complement C3a / Q000378:metabolism; D005344:Fibrinopeptide A / Q000378:metabolism; D006801:Humans; D007267:Injections; D007958:Leukocyte Count; D008562:Membrane Glycoproteins / Q000032:analysis; D010973:Platelet Adhesiveness; D010976:Platelet Count; D010978:Platelet Factor 4 / Q000032:analysis; D011135:Polysaccharides, Bacterial / Q000378:metabolism; D013212:Staphylococcus epidermidis / Q000378:metabolism / Q000502:physiology*; D013499:Surface Properties; D019699:Thrombospondins
chemical_list: D001672:Biocompatible Materials; D008562:Membrane Glycoproteins; D011135:Polysaccharides, Bacterial; D019699:Thrombospondins; D005344:Fibrinopeptide A; D010978:Platelet Factor 4; D015926:Complement C3a