Beruflich Dokumente
Kultur Dokumente
191-206 (1969)
Summary
The nature of the events occurring immediately after exposing foreign surfaces
t o fresh flowing blood was assessed using a combination of MAIR infrared
spectroscopy, ellipsometry, and contact angle measurements. Within the first 5
sec after contact with blood issuing from the jugular veins of lightly anesthesized
dogs, germanium prisms were uniformly coated with strongly adherent pro-
teinaceous films having an average optical thickness equivalent to 2 layers of
stearic acid (approx. 50 A) and having critical surface tensions of about 36
dyne/cm. A contact time of 60 sec led to a less uniform coatin5 of average
optical thickness equivalent to 5 layers of stearic acid (approx. 125 A), but with
similar MAIR spectrum and wettability. The internal reflection spectra were
consistent with the presence of either alpha-helical or random-chain configura-
tions, but not with the extended chain beta-structure for proteins. Films cast
from purified fibrinogen on platinum foils gave similar spectra and exhibited
similar wetting properties ; these observations are consistent with the hypothesis
that initial adsorptive events are dominated by fibrinogen deposition. The
involvement of small amounts of lipid or other protein remains a distinct
possibility, however.
INTRODUCTION
When blood first contacts a nonphysiologic, or foreign, interface,
a sequence of events is initiated which often ends in blood coagulation
or thrombus formation. These processes, representing steps-often
exaggerated-in the normal wound-healing mechanism, are generally
not desired with implanted prosthetic materials. In this study, we
* Present address: University of California Medical School, San Francisco,
California 94122.
191
192 R. E. BAIER AND R. C. DUTTON
Ellipsometry
Germanium prisms, with and without specimen films or calibration
films, were mounted-without handling them in any way or removing
them from their Teflon holders-with the aid of a small nylon
positioning jig in the sample space of a Rudolph Model 436-2003
photoelectric ellipsometer (0. C. Rudolph and Sons, Inc., Caldwell,
N. J.).
The positions of rotation of an analyzer and quarter-wave plate
necessary to produce minimum intensity of a polarized mercury-lamp
beam reflected from the prism faces were recorded as described by
Rothen.6 These values were plotted against known film thicknesses
of a series of long-chain carboxylic acids' in close-packed films
transferred to the prisms according to the method detailed by
Blodgett.* Contact angle measurements on each of the calibration
films verified their close packing, necessary to achieve reliable film
thicknesses, according to criteria outlined el~ewhere.~
Specimen films on germanium prisms were analyzed ellipso-
metrically by taking a series of eight readings on each of a t least three
1 mm2 areas in each region of the films. Diverse regions of each
sample were studied to determine the extremes of film thickness
formation. Film thicknesses were estimated in terms of the equiva-
lent thickness of close-packed stearic acid (an 18-carbon fatty acid)
film required to give the same optical parameters, using the calibra-
tion charts prepared with the model compounds. If one is willing
to accept that the refractive index of the specimen films was very
close to that of fatty acids, which is generally a good assumprion for
biological materials,'@ the equivalent thicknesses may be given a
geometric value by comparing them to a thickness of approximately
25 8 for stearic acid.
contact angles of each pure liquid were determined using the slow,
drop buildup methodI3 and a goniometer telescope (NRL Contact
Angle Goniometer, Rame-Hart, Inc., Mountain Lakes, N. J.). Each
contact angle recorded is that which occurred reproducibly within
the first 10-20 sec after slowly advancing the drop over a fresh
surface region. Contact angles exhibited by water, glycerol, forma-
mide, and thiodiglycol-all hydrogen-bonding and polar com-
pounds- changed after this time as the result of gradual penetration
of the liquids through the films. Contact angles exhibited by the
nonhydrogen-bonding organic liquids were generally constant for
many’minutes. All measurements were made with materials equili-
brated in a clean room maintained at 20°C and 50% relative humidity.
TABLE I
Contact Angles on Blood Films, Substrates, and Fibrinogen
Water 72.8 66 78 62 11 72 80 92
Glycerol 63.4 67 63 76 20 64 69 64
Formamide 58.2 58 63 42 5 66 64 62
Thiodiglycol 54.0 47 51 47 8 54 47 48
Methylene iodide 50.8 46 45 31 25 46 41 43
Sym-Tetrabromoethane 47.5 41 39 27 21 39 - 36
1-Bromonaphthalene 44.6 32 32 10 16 32 16 26
0-Dibromobensene 42.0 28 28 0 8 35 - 24
1-Methylnaphthalene 38.7 24 31 0 4 25 0 19
Dicyclohexyl 33.0 0 13 0 0 19 0 0
n-Hexadecane 27.7 0 0 0 0 14 0 0
n-Tridecane 25.9 0 0 0 0 0 0 0
Film Extraction
I n an attempt to remove soluble small molecules or lipids from the
films, a rigorous extraction procedure was followed :
A prolonged immersion of the samples in a rapidly flowing stream of
cold t a p water, followed by ( 1 ) a 2 hr immersion in acetone, ( 2 ) a 24
hr immersion in n-hexane, (3) a 2 hr immersion in benzene, and
ultimately, air-drying. All solvents were reagent grade.
An alternative procedure, less desirable because of the high proba-
bility of protein coagulation, included a hot water immersion step.
Film characteristics were monitored at each step.
RESULTS
Films on Germanium Prisms
Both the optical techniques were nondestructive, and were usually
performed within an hour of one another. During sample prepara-
tion, our most rapid manipulation resulted in a blood-prism contact
time of 5 sec, or slightly less. A MAIR infrared spectrum of such a
5 sec film is given as Figure 1. The diagnostic peaks for protein are
clearly seen, with the N-H absorption a t about 3300 cm-’ and the
amide I and amide I1 bands a t approximately 1650 cm-I and 1550
cm-l, respectively. A slight splitting of the amide I band suggests
the presence of differing protein conformations in the film; however,
the peak positions in the 1500-1700 wavenumber region, according to
diagnostic criteria outlined e l s e ~ h e r e , ~ are
~ J ~only
J ~ consistent with
the coiled protein configurations (e.g., alpha-helical, random tangle)
and not with the extended-chain beta-structure generally thought to
occur with interfacial protein films.20
The peaks in Figure 1 around 2800 cm-’ represent hydrocarbon
groups, probably substituents of the proteins; the absence of absorp-
tion in the region of 1750 cm-’ shows that free carbonyl groups, as
would be present with esters or carboxylic acids, are not present in
detectable amounts. The sharp “jags” in the spectral baseline,
notably near 2000 cm-’, are caused by grating changes in the record-
ing instrument, and appear to be quite exaggerated when germanium
prisms are used. The climbing baseline and sharp peaks beyond
1400 cm-I, or a t the higher wavelengths, are also typical cutoff effects
of the germanium prisms.
INTERACTIONS OF BLOOD 197
The contact angles for the 60 sec films are recorded in the column
labeled b in Table I, and plotted (see the filled circles) in Figure 3.
Except for a higher water contact angle and the nonzero value ob-
tained with dicyclohexyl-which could be explained by the presence
of trace amounts of lipid-the wetting results are nearly identical to
those for the 5 sec film, as is the critical surface tension intercept
which quantitates the relative surface wettability. Water drops on
the 60 sec film occasionally showed a buildup effect-that is, as they
were incremented they increased in volume (and contact angle)
without advancing over a fresh region of the surface. This behavior
has been noticed previously with water drops on collagen films.21
Attempts to extract the 60 see films according to the regimen listed
in the methods section changed the films as follows: in the infrared
traces the CH, absorption band diminished, and the free carbonyl
band disappeared completely; the protein absorption bands were not
diminished, and in some cases appeared to sharpen slightly; no
significant change in average thickness occurred; the wettability
showed a net increase, as attested to by the generally lower contact
angles (column c in Table I) and the increased critical surface tension
(defined by the line through the filled squares on Fig. 3). An
Figure 2
INTERACTIONS OF BLOOD 199
- I -
0
SURFACE TENSION CY,,) IN DYNES/CM
Figure 3
for 5 sec and for 60 sec, their surfaces were similarly modified by
adsorbed films.
With the films deposited on PXIRlA, R'IAIR infrared spectroscopy
required the use of auxiliary prisms. Operationally, the coated
PMRIA surfaces are pressed tightly against the optically polished
surface of a slightly deformable salt (KRS-5) prism which carries the
infrared signal; when films are on germanium prisms, the infrared
energy is channeled through the germanium itself and results in
greater sensitivity. The depth of penetration of the electromagnetic
evanescent wave into the bulk plastic, is also greater with KRS-5
prisms' and thus further limits sensitivity because of the larger con-
tribution of the plastic compared to the adsorbed film. With these
restrictions, the detection of protein bands in the 5 sec films on
PR4MA was only marginal, and only a little better with films ad-
sorbed after 60 sec contact with flowing blood. Protein peaks were
present, however, and were a t the same frequencies shown in Figure
1; this suggests that the same coiled conformations were present.
I n our experience, protein monolayers are only detectable when
coated directly on the internal reflection elements,l8and not detectable
when first coated on a plastic or metal substrate and then pressed
against KRS-5 prisms.22 Therefore, even the marginal detection of
protein absorption bands in films adsorbed on plastic suggests that
the film thicknesses were mof;ethan that common with protein mono-
layers (usually less than 50 A) and more likely of the order observed
with films on germanium and on Epon5 (about 50-200 A).
Ellipsometry was not attempted with the PMMA plates because
of their general unsuitability for these measurements.
Having only limited optical information, then, the contact angle
studies were of increased value. The column labeled e in Table I
records the wetting results of PMMA which had been exposed to
blood, and the column labeled f in that table records the data for an
unmodified PRIMA surface.23 Comparison of these values shows that
exposure to flowing blood led to a significant decrease in relative
surface energy of the plastic. Figure 4 is a Zisman plot of the data,
and the extrapolated line has been rather subjectively drawn to
intercept the cos 8 = 1 axis at a critical surface tension of about 36
dyne/cm; this intercept is the highest value compatible with the
results obtained, and may be compared with a value of 39 dyne/cm
characteristic of the unmodified p ~ l y m e r . ~A~ critical
,~~ surface
INTERACTIONS OF BLOOD 201
+I 0 +I0
09 09
08 08
07 07
Q)
,
al 0.6 06%
-
z- t05:
g+o 5
0
04 0.4
03 03
02.
!FILM ADSORBED ON PMMA FROM FLOWING 8LOODlI
, 1 1 ,
I \ -0 2
- I 1111 i 1 1 I I) I i I I 1 ’ -
+01 ’
,.I111 I I ‘ l l , l , I I
I +01
I -
0
SURFACE TENSION (yLv) IN DYNESICM
Figure 4
MICRONS
25 30 40 50 60 70 80 90 10 12 14 1 6 1 8 2 0 2 5 3 0 4 0
40----L- - - - -
20 -- --
0 __ 1
4& 3500 3000 25W 2000 18W 16W 1400 1200 1000 800 6W 4W 250
WAVENUMBER ICM ’I
Figure 5
DISCUSSION
These results confirm and generalize the supposition that the initial
common event in the interaction of blood with foreign surfaces is the
rapid deposition of strongly adherent proteinaceous films. Similarity
of the spectral and wetting properties of the adsorbed films to those of
purified fibrinogen suggests that fibrinogen might be a major com-
INTERACTIONS OF BLOOD 203
Figure 6
References
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2. K. H. Zaininger and A. G. Revesz, R C A Review, 25, No. 1, 85 (March, 1964).
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Ed., Adv. in Chem. Series, No. 43, ACS, Washington, D. C., 1964, p. 1.
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Muter. Res., 3, 13, (1969).
6. A. Rothen, Rev. Sci. Instr., 28, 283 (1957).
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F. M. Fowkes, Ed., Adv. in Chem. Series No. 43, ACS, Washington, D. C.,
1964, p. 145.
10. A. A. Fisk, Proc. Nat. Acad. Sci., 36, 518 (1950).
11. H. W. Fox and W. A. Zisman, J . Colloid Sci., 7, 428 (1952).
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Properties of Borosilicate Glass, Quartz, and Sapphire, Naval Research
Laboratory Report No. 6705, May, 1968.
13. E. G. Shafrin and W. A. Zisman, J . Colloid Sci., 7, 166 (1952).
14. R. E. Baier and W. A. Zisman, Wettahilityand M A l R Infrared Spectroscopy of
206 R. E. BAIER AND R. C. DUTTON