Synthetic polymers are more and more frequently used in clinical medicine for the reconstruction of seriously damaged tissues and organs. Unfortunately, they are recognized by immune cells. This process includes the adsorption of bioactive proteins such as fibronectin, vitronectin, complement, fibrinogen or immunoglobulins on foreign surfaces and their recognition by receptors on immune cells.' This usually influences the activity and phenotypic characteristics of immune cells colonizing the implant.Numerous data from the area of anti-infectious immunity demonstrated the distinct effect of chemistry of the surface of bacterial cells on their recognition by non-specific immunity. Bacteria containing the anionic sialic acids in both, monomeric and polymeric form are known as poor activators of the alternative complement pathway, which is also of a great importance in the non-self recognition of synthetic materials2 Sialic acids are a quite wide family of derivatives of Nacetylneuraminic acid, which are characterized by the presence of carboxylate anions and are normally expressed on the surface of cells in vertebrates. This monosaccharide is recognized by specific populations of macrophages in lymphatic nodes and in the spleen by endogenous lectin sialoadhesin which is participating in immune cell maturation in lymphoid organs.' However, the knowledge about the sialoadhesin expression in inflammatory macrophages is only minimal.In this study we demonstrate the N-acetylneuraminic acid (Neu)-binding sites in inflammatory macrophages colonizing the surface of implants in the rat, to estimate the binding capacity of macrophages for this anionic monosaccharide with described biomimetic properties.The effect of carboxylate anions on hydrogel supports or implants on monocyte adhesion in vitro and macrophage adhesion and fusion on surfaces of strips subcutaneously implanted into the rat was tested for a better understanding of the effect of this anion on the non-self recognition of synthetic hydrogels. An intraperitoneal injection of beads prepared from the same polymers was used for the phenotypic characterization of red pulp spleen macrophages and so for an estimation for any "This research was supported by grant No 304/93/0666 of the Grant Agency of the Czech Republic.Tel: +420 2 24 91 50 03; Fax: +420 2 29 76 92.Tel: +420 2 36 03 41; Fax: +420 2 36 79 81.
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