Surfaces based on grafted poly(2-methacryloyloxyethyl phosphorylcholine) (poly(MPC)) "brushes" with a constant graft density of 0.39 chain/nm2 and chain length from 5 to 200 monomer units were prepared by surface-initiated atom transfer radical polymerization (ATRP) on silicon wafers. The chain length and layer thickness of the poly(MPC) grafts were varied via the ratio of MPC to sacrificial initiator. The surfaces were characterized by water contact angle, XPS, and AFM. The effect of poly(MPC) chain length on fibrinogen and lysozyme adsorption was studied in TBS buffer at pH 7.4. The adsorption of both proteins on the poly(MPC)-grafted surfaces was greatly reduced compared to the unmodified silicon. Adsorption decreased with increasing chain length of the poly(MPC) grafts. Grafts of chain length 200 (MW 59 000) gave adsorption levels of 7 and 2 ng/cm2, respectively, for fibrinogen and lysozyme at 1 mg/mL protein concentration, corresponding to reductions of greater than 98% compared to the unmodified silicon. Adsorption experiments using mixtures of the two proteins showed that the suppression of protein adsorption on the poly(MPC)-grafted surfaces was not strongly dependent on protein size or charge.

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Approaches to thromboresistant materials are discussed including passivation; incorporation and/or release of anticoagulants, antiplatelet agents, thrombolytic agents; and mimicry of the vascular endothelium.