Deposition of mannose-binding lectin and ficolins and activation of the lectin pathway of complement on the surface of polyurethane tubing used for cardiopulmonary bypass

The artificial surface used for cardiopulmonary bypass (CPB) is a crucial factor activating the complement system and thus contributing to the generation of a systemic inflammatory response. The activation of classical and alternative pathways on this artificial surface is well known. In contrast, l...

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Veröffentlicht in:Journal of biomedical materials research. Part B, Applied biomaterials Applied biomaterials, 2018-04, Vol.106 (3), p.1202-1208
Hauptverfasser: Eppa, Łukasz, Pągowska-Klimek, Izabela, Świerzko, Anna S, Moll, Maciej, Krajewski, Wojciech R, Cedzyński, Maciej
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container_end_page 1208
container_issue 3
container_start_page 1202
container_title Journal of biomedical materials research. Part B, Applied biomaterials
container_volume 106
creator Eppa, Łukasz
Pągowska-Klimek, Izabela
Świerzko, Anna S
Moll, Maciej
Krajewski, Wojciech R
Cedzyński, Maciej
description The artificial surface used for cardiopulmonary bypass (CPB) is a crucial factor activating the complement system and thus contributing to the generation of a systemic inflammatory response. The activation of classical and alternative pathways on this artificial surface is well known. In contrast, lectin pathway (LP) activation has not been fully investigated, although noted during CPB in several studies. Moreover, we have recently proved the contribution of the LP to the generation of the systemic inflammatory response syndrome after pediatric cardiac surgery. The aim of this study was to assess LP-mediated complement activation on the surface of polyurethane CPB circuit tubing (noncoated Chalice ), used for CPB procedures in children with congenital heart disease. We found deposition of mannose-binding lectin, ficolin-1, -2, and -3 on the surface of unused tubing and on tubing used for CPB from a small minority of patients. Furthermore, we observed deposition of complement C4 activation products on tubing used for CPB and previously unused tubing after incubation with normal serum. The latter finding indicates LP activation in vitro on the polyurethane surface. © 2017 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater, 106B: 1202-1208, 2018.
doi_str_mv 10.1002/jbm.b.33933
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The activation of classical and alternative pathways on this artificial surface is well known. In contrast, lectin pathway (LP) activation has not been fully investigated, although noted during CPB in several studies. Moreover, we have recently proved the contribution of the LP to the generation of the systemic inflammatory response syndrome after pediatric cardiac surgery. The aim of this study was to assess LP-mediated complement activation on the surface of polyurethane CPB circuit tubing (noncoated Chalice ), used for CPB procedures in children with congenital heart disease. We found deposition of mannose-binding lectin, ficolin-1, -2, and -3 on the surface of unused tubing and on tubing used for CPB from a small minority of patients. Furthermore, we observed deposition of complement C4 activation products on tubing used for CPB and previously unused tubing after incubation with normal serum. The latter finding indicates LP activation in vitro on the polyurethane surface. © 2017 Wiley Periodicals, Inc. 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subjects Adolescent
Binding
Biomedical materials
Blood Vessel Prosthesis
Cardiopulmonary Bypass
Child
Child, Preschool
Children
Complement
Complement activation
Complement Activation - drug effects
Complement C4
Complement component C4
Coronary artery disease
Deposition
Female
Ficolins
Heart
Heart Defects, Congenital - surgery
Heart diseases
Heart surgery
Humans
Incubation
Infant
Inflammation
Inflammatory response
Lectins
Lectins - chemistry
Lectins - pharmacokinetics
Male
Mannose
Mannose-Binding Lectin - chemistry
Mannose-Binding Lectin - pharmacokinetics
Materials research
Materials science
Polyurethane
Polyurethane resins
Polyurethanes - chemistry
Surgery
Systemic inflammatory response syndrome
title Deposition of mannose-binding lectin and ficolins and activation of the lectin pathway of complement on the surface of polyurethane tubing used for cardiopulmonary bypass
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