The successful integration of an orthopedic implant into bone depends on the mechanisms at the tissue-implant interface and mostly on the osteoblast attachment phenomenon. Chitosan has emerged as an attractive biomacromolecule favoring osseointegration. In this study highly deacetylated chitosan coatings, with roughness of about 1 nm, were bonded to glass surfaces via silane-glutaraldehyde molecules. Human osteoblasts were used to study the development of attachment during the first 60 min. Chitosan favored the number of the attached cells compared to the uncoated surfaces for 30 min seeding time (t (s)). For t (s) up to 60 min the attached cell area was almost 210% significantly higher on the chitosan surfaces, indicating an enhanced spreading process. To determine the cell attachment strength, a micropipette aspiration method was used, where the value of the term I = ∫Fdt is representative of the single cell attachment-adhesion procedure and quantitatively reflects the strength evolution during attachment: F equals the detaching force applied on the cell. The results showed higher strength values on the chitosan surfaces. The findings reinforce the favorable environment of the biomacromolecule for the osteoblast and the new approach regarding the quantitatively evaluation of adhesion provides important contribution for the study of cell-material interaction, especially during the crucial first phase of cell attachment.
Cell adhesion on substrates is accompanied by significant changes in shape and cytoskeleton organization, which affect subsequent cellular and tissue responses, determining the long-term success of an implant. Alterations in osteoblast stiffness upon adhesion on orthopaedic implants with different surface chemical composition and topography are, thus, of central interest in the field of bone implant research. This work aimed to study the mechanical response of osteoblasts upon adhesion on chitosan-coated glass surfaces and to investigate possible correlations with the level of adhesion, spreading, and cytoskeleton reorganization. Using the micropipette aspiration technique, the osteoblast elastic modulus was found higher on chitosan-coated than on uncoated control substrates, and it was found to increase in the course of spreading for both substrates. The cell-surface contact area was measured throughout several time points of adhesion to quantify cell spreading kinetics. Significant differences were found between chitosan and control surfaces regarding the response of cell spreading, while both groups displayed a sigmoidal kinetical behavior with an initially elevated spreading rate which stabilizes in the second hour of attachment. Actin filament structural changes were confirmed after observation with confocal microscope. Biomaterial surface modification can enhance osteoblast mechanical response and induce favorable structural organization for the implant integration.
Red blood cell (RBC) deformability is a major determinant of the ability of the RBC to pass repeatedly through the microcirculation. A decrease in RBC deformability leads to tissue perfusion and organ dysfunction. The purpose of this study was to measure the rigidity of RBCs from human immunodeficiency virus (HIV) seropositive individuals and investigate its relation to immune status and viral load. A filtration method based on the initial flow rate principle was used to determine the index of rigidity
Iodinated contrast media (CM) are widely used in diagnostic imaging and therapeutic interventional procedures of everyday clinical practice and are associated with multiple hemodynamic and hemorheological effects. The purpose of our work was to investigate the red blood cell (RBC) rheological properties after in vivo administration of low-osmolar or isoosmolar CM by measuring their membrane deformability (Index of Rigidity, IR) using a filtration method. Blood samples were taken from patients who underwent digital subtraction angiography of the peripheral arteries at various times before and after intravenous administration of CM. CM included iso-osmolar Iodixanol, low-osmolar Iopromide and low-osmolar Iopentol. In the whole patient group an IR increase of 59% was calculated 5 minutes after administration of CM followed by a normalization of elevated IR values within the following hour. The 5-min IR increase was strongest in the group treated with Iopromide, whereas administration of Iodixanol was associated with a more modest transient IR increase. Intravenous injection of CM in humans may be associated with a transient but considerable decrease of RBC membrane deformability and particularly for the iso-osmolar CM the induced changes in membrane deformability seem to be more moderate.
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