TY - JOUR
T1 - Synergistic effect of anti-platelet and anti-inflammation of drug-coated Co-Cr substrates for prevention of initial in-stent restenosis
AU - Lih, Eugene
AU - Jung, Jee Won
AU - Joung, Yoon Ki
AU - Ahn, Dong June
AU - Han, Dong Keun
N1 - Funding Information:
This work was supported by Pioneer Research Center Program ( 2014M3C1A3056052 ), Immune Mechanism Regulation Program ( 2014M3A9D3033887 ), and the KIST Program ( 2E25260 ) through the National Research Foundation of Korea funded by the Ministry of Science, ICT & Future Planning (MSIP) , and Core Material Development Program ( 10048019 ) funded by Ministry of Trade, Industry and Energy (MOTIE), Republic of Korea .
PY - 2016/4/1
Y1 - 2016/4/1
N2 - Antiplatelet and antithrombotic therapies are systematically considered to prevent restenosis following coronary stent implantation. Currently, patients receiving medicated stents are prescribed to orally take anticoagulants and antiplatelet drugs such as aspirin (ASP) and prasugrel (PRAS). Propolis (PROP) known as a natural organic compound was recently evaluated for its antiplatelet activity, antibiotics and immunomodulatory activities. In this study, antiplatelet drug-coated Co-Cr substrates were prepared with biodegradable poly(d, l-lactide) (PDLLA) containing ASP, PRA, or PROP using electrospray and the blood compatibility of the different substrates was investigated by measuring protein adsorption and platelet adhesion. In addition, the anti-inflammatory properties of the modified Co-Cr surfaces were assessed by measuring IL-8 and IL-6 expression levels in human endothelial cell cultures. Drug-coated surfaces were found to resist the adsorption of fibrinogen when compared to bare Co-Cr or PDLLA-coated Co-Cr. Interestingly, ASP- and PROP-containing substrates not only showed reduced adhesion of platelets and delayed coagulation time, but also drastically reduced the expression level of IL-8 and IL-6. Such results are supported that ASP- or PROP-coated Co-Cr can be potentially used as a stent material to mitigate early stage of restenosis. The developed coating materials might be an interesting alternative to systemic anticoagulant therapies prescribed after stent implantation.
AB - Antiplatelet and antithrombotic therapies are systematically considered to prevent restenosis following coronary stent implantation. Currently, patients receiving medicated stents are prescribed to orally take anticoagulants and antiplatelet drugs such as aspirin (ASP) and prasugrel (PRAS). Propolis (PROP) known as a natural organic compound was recently evaluated for its antiplatelet activity, antibiotics and immunomodulatory activities. In this study, antiplatelet drug-coated Co-Cr substrates were prepared with biodegradable poly(d, l-lactide) (PDLLA) containing ASP, PRA, or PROP using electrospray and the blood compatibility of the different substrates was investigated by measuring protein adsorption and platelet adhesion. In addition, the anti-inflammatory properties of the modified Co-Cr surfaces were assessed by measuring IL-8 and IL-6 expression levels in human endothelial cell cultures. Drug-coated surfaces were found to resist the adsorption of fibrinogen when compared to bare Co-Cr or PDLLA-coated Co-Cr. Interestingly, ASP- and PROP-containing substrates not only showed reduced adhesion of platelets and delayed coagulation time, but also drastically reduced the expression level of IL-8 and IL-6. Such results are supported that ASP- or PROP-coated Co-Cr can be potentially used as a stent material to mitigate early stage of restenosis. The developed coating materials might be an interesting alternative to systemic anticoagulant therapies prescribed after stent implantation.
KW - Anti-inflammation
KW - Antiplatelet drug
KW - Blood compatibility
KW - Drug-eluting stent (DES)
KW - Surface coating
UR - http://www.scopus.com/inward/record.url?scp=84954286443&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84954286443&partnerID=8YFLogxK
U2 - 10.1016/j.colsurfb.2016.01.009
DO - 10.1016/j.colsurfb.2016.01.009
M3 - Article
C2 - 26774572
AN - SCOPUS:84954286443
VL - 140
SP - 353
EP - 360
JO - Colloids and Surfaces B: Biointerfaces
JF - Colloids and Surfaces B: Biointerfaces
SN - 0927-7765
ER -