Plastic biliary stent implantation is one of the effective
methods
for treating biliary obstruction. However, protein adsorption and
bacterial colonization after stent implantation lead to bile sludge
accumulation, resulting in stent occlusion and complications. Inspired
by mussels, a universal composite coating for biliary stents with
simultaneous antiadhesion and antibacterial synergistic effects was
designed and developed via polydopamine (PDA) assisted surface chemistry.
Polyethylene was selected as the model plastic, and dopamine self-polymerized
on its surface to facilitate the in situ growth and chelation fixation
of antibacterial silver nanoparticles (AgNPs). Further, a zwitterion
copolymer (PDM) synthesized from dopamine methacrylamide (DMA) and
2-methacryloyloxyethyl phosphate (MPC) was deposited, aiming
to form a strong hydration layer through electrostatic interactions,
thereby resisting the initial adhesion of protein/bacteria. The prepared
PDA/Ag/PDM composite coating exhibits excellent protein antifouling
and antibacterial properties, maintaining stability even after immersion
for 30 days. Compared with untreated polyethylene, the adsorption
of bovine serum albumin (BSA) and model bile on the surface of the
composite coating was decreased by 60% and 55.2%, respectively. The
stable release of silver ions enabled the antibacterial efficacy of
99.9% against Escherichia coli and Staphylococcus aureus, while maintaining good biocompatibility.
Therefore, the proposed composite coating is expected to provide a
promising idea for prolonging the patency period of biliary stents.