Biocompatibility considerations

Laurencin, C.T. Pierre-Jacques, H.M. Danger, R. Toxicology and biocompatibility considerations in the evaluation of polymeric materials for biomedical applications. 1990, 10 (3), 549-570. 

Once the materials used in the device have been shown to be biocompatible, consideration must be given to the function of the device. For example, devices subjected to flowing blood must be tested to document the lack of damage to blood components. Devices that rely on tissue ingrowth must be tested for this feature. These types of tests could be part of animal testing, which will be discussed later. 

In a different way, metallic-core nanoparticles [346-349] (prepared cf. Section 3.10) equipped with biocompatible coats such as L-cysteine or dextrane may be exploited for highly efficient and cell-specific cancer cell targeting, i.e., for improving diagnosis and therapy of human cancer. In a recent proof-of-principle experiment an unexpectedly low toxicity of the L-cysteine-covered cobalt nanoparticles was demonstrated [433] For diagnostic purposes, it is expected to use the advantageous magnetic properties of the metallic-core nanoparticles to obtain a contrast medium for MRI with considerably increased sensitivity, capable to detect micro-metastases in the environment of healthy tissues [434 37]. 

Another polysaccharide system that has received considerable interest is the chitosans which are water soluble derivatives of chitin. These materials appear to be very biocompatible and degradable and so are potentially excellent candidates as polymeric drug systems (27). 

In this chapter an overview of both the opportunities and the problems presented by the biological system for the use of polymeric drug delivery systems will be presented. Since the area of biocompatibility of the delivery system is a well-known constraint also imposed by the biological system and is beyond the scope of this presentation, this (important) consideration will be ignored here. In order to examine how a delivery system interacts with the biological system to... 

The immobilisation of proteins into inorganic mesoporous host materials has attracted considerable attention due to the potential applications in biochemical, biomedical, industrial and bio-analytical fields [1] Biocompatible supports endowed with fluorescent tracers and adequately modified for specific interactions with cellular antigens are an amenable tool for image in living cells processes that are relevant to diseases. 

In recent years, CNTs have been receiving considerable attention because of their potential use in biomedical applications. Solubility of CNTs in aqueous media is a fundamental prerequisite to increase their biocompatibility. For this purpose several methods of dispersion and solubilisation have been developed leading to chemically modified CNTs (see Paragraph 2). The modification of carbon nanotubes also provides multiple sites for the attachment of several kinds of molecules, making functionalised CNTs a promising alternative for the delivery of therapeutic compounds. 

Biocompatibility is an important consideration. Again, many unintended consequences are often found, unfortunately after the fact. In the areas of synthetic hip and knee replacement, use of alloys is often called for, yet some patients are found to have long-term allergies to certain metals present in minute amounts that eventually require replacement of the joint material. Thus, extensive testing is required before a new suture becomes commercially available. 

Carbon nanotubes are unique materials with specific properties [42]. There is a considerable application potential for using nanotubes in the biomedical field. However, when such materials are considered for application in biomedical implants, transport of medicines and vaccines or as biosensors, their biocompatibility needs to be established. Other carbon materials show remarkable long-term biocompatibility and biological action for use as medical devices. Preliminary data on biocompatibility of nanotubes and other novel nanostructured materials demonstrate that we have to pay attention to their possible adverse effects when then-biomedical applications are considered. 

It is useful to divide the analysis into mechanical and nonmechanical properties. We will first consider the wear resistance and compressive strength considerations, then see if potential materials will meet the aesthetic, bonding, and biocompatibility criteria. It may be possible to incorporate secondary materials such as colorants, bonding agents, and compatiblizers that address these issues. 

Chitosan, the most abundant marine mucopolysaccharide, is derived from chitin by alkaline deacetylation, and possesses versatile biological properties such as biocompatibility, biodegradability, and a non-toxic nature. Due to these characteristics, considerable attention has been given to its industrial applications in the food, pharmaceutical, agricultural, and environmental industries. Currently, chitosan can be considered as a potential marine nutraceutical because its remarkable biological activities have been investigated and reported, in order to exploit its nutraceutical... 

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