The proposed studies are directed toward obtaining a better understanding of the mechanisms of infection of implanted cardiovascular prostheses. The hypothesis is that material surface interactions with flowing blood lead to alteration of basic pathophysiologic mechanisms, which increase the probability of bacterial interaction and infection. The studies emphasize the use of clinically derived human materials, i.e., blood and bacteria, and clinically relevant cardiovascular materials coupled with controlled in vitro and in vivo systems to systematically and comprehensively elucidate infection mechanisms with prostheses. The overall goals of the project are to: 1] determine and quantify specific mechanisms of bacterial adhesion, 2] determine and quantify shear dependent non-specific mechanisms of bacterial adhesion, 3] evaluate leukocyte (PMN and monocyte) adhesion on materials, as mediated by plasma proteins and complement activation, in the presence of suspended and reseeded S.epidermidis under dynamic flow conditions, 4] investigate bacteria/leukocyte/biomaterial interactions which alter leukocyte function and microbial killing, 5] design, prepare and characterize biomimetic materials with bacteria-resistant properties that will undergo surface-induced assembly on cardiovascular biomaterials, and 6] utilize a biomaterial infection model in rats to identify in vitro to in vivo correlations. The experimental approach utilizes the variable sheer stress rotating disk system and a new laminar flow system to determine interactions important in human blood protein/platelet/leukocyte interactions with S. epidermidis and clinically relevant biomaterials and novel bacteria-resistant biomaterial coatings. Quantification of bacterial interactions will be accomplished using high-resolution fluorescence microscopy, confocal and atomic force microscopies. Shear-dependent specific and non-specific mechanisms of bacterial adhesion will be identified. Leukocyte and monocyte adhesion and activation on biomaterials in the presence of S. epidermidis under variable flow will be characterized and correlated with leukocyte receptor expression, cell activation markers and cell function assays. Novel biomaterial design will be based on oligosaccharide surfactant polymer coatings containing a polymeric backbone with two types of side chains: one to facilitate adsorption to biomaterial surfaces, the other to generate a bacterial resistant surface. The applicant will optimize both the adsorption characteristics of the coating and its bacterial resistance through modification of the side chains. The biomaterial infection model in rats will be used to test the validity of the in vitro models, as well as the efficacy of the biomimetic coatings

Agency
National Institute of Health (NIH)
Institute
National Institute of Biomedical Imaging and Bioengineering (NIBIB)
Type
Research Project (R01)
Project #
3R01EB000279-10S1
Application #
6588596
Study Section
Special Emphasis Panel (ZRG1 (24))
Program Officer
Harmon, Joan T
Project Start
1991-08-01
Project End
2005-03-31
Budget Start
2002-04-01
Budget End
2003-03-31
Support Year
10
Fiscal Year
2002
Total Cost
$32,765
Indirect Cost
Name
Case Western Reserve University
Department
Pathology
Type
Schools of Medicine
DUNS #
077758407
City
Cleveland
State
OH
Country
United States
Zip Code
44106
Hofmann, Christopher M; Anderson, James M; Marchant, Roger E (2012) Targeted delivery of vancomycin to Staphylococcus epidermidis biofilms using a fibrinogen-derived peptide. J Biomed Mater Res A 100:2517-25
Hofmann, Christopher M; Bednar, Kyle J; Anderson, James M et al. (2012) Disruption of Staphylococcus epidermidis biofilm formation using a targeted cationic peptide. J Biomed Mater Res A 100:1061-7
Mukherjee, Pranab K; Chand, David V; Chandra, Jyotsna et al. (2009) Shear stress modulates the thickness and architecture of Candida albicans biofilms in a phase-dependent manner. Mycoses 52:440-6
Anderson, James M; Jones, Jacqueline A (2007) Phenotypic dichotomies in the foreign body reaction. Biomaterials 28:5114-20
Patel, Jasmine D; Krupka, Tianyi; Anderson, James M (2007) iNOS-mediated generation of reactive oxygen and nitrogen species by biomaterial-adherent neutrophils. J Biomed Mater Res A 80:381-90
MacKintosh, Erin E; Patel, Jasmine D; Marchant, Roger E et al. (2006) Effects of biomaterial surface chemistry on the adhesion and biofilm formation of Staphylococcus epidermidis in vitro. J Biomed Mater Res A 78:836-42
Chandra, Jyotsna; Patel, Jasmine D; Li, Jian et al. (2005) Modification of surface properties of biomaterials influences the ability of Candida albicans to form biofilms. Appl Environ Microbiol 71:8795-801
Maeyama, Ryo; Kwon, Il Keun; Mizunoe, Yoshimitsu et al. (2005) Novel bactericidal surface: Catechin-loaded surface-erodible polymer prevents biofilm formation. J Biomed Mater Res A 75:146-55
Zhou, Yue; Doerschuk, Claire M; Anderson, James M et al. (2004) Biomaterial surface-dependent neutrophil mobility. J Biomed Mater Res A 69:611-20
Vacheethasanee, Katanchalee; Wang, Shuwu; Qiu, Yongxing et al. (2004) Poly(ethylene oxide) surfactant polymers. J Biomater Sci Polym Ed 15:95-110

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