Biomedical Engineering Reference
In-Depth Information
applications such as delivery vehicles, 43 - 45 nerve guides, 46 , 47 and
cell carriers forchondrocyte transplantation. 48
8.3.1.2 Photo-cross-linkable hyaluronic acid
HA is a naturally derived nonimmunogenic, nonadhesive gly-
cosaminoglycan composed of D-glucuronic acid and N -acetyl-
D-glucosamine and is found in many connective tissues. 49 - 57
HA undergoes enzymatic degradation 49 , 51 - 55 , 57 , 58 and plays a
role in the promotion of cell motility and proliferation, 49 , 51 , 55 , 58
wound healing, 49 , 52 , 53 , 58 angiogenesis, 52 - 54 and the reduction of
long-terminflammation. 49 , 52 - 54 Itisattractiveforbiomaterialappli-
cations because it can be modified with various functional groups
so that covalent cross-linking reactions are possible. 49 - 64 Smeds et
al . 58 modified HA for photopolymerization with the addition of a
methacrylate group by reaction with methacrylic anhydride (Fig.
8.4b). 57 They investigated the influence of the degree of methacry-
lationonbulkmechanicalpropertiessuchasswelling,compression,
and creep compliance. It was demonstrated that the hydrogels pre-
paredfrommethacrylatedHAarecapableofswellingupto14times
their dry weight and are stronger and more resilient than corre-
sponding alginate gels. 56
8.3.1.3 Photo-cross-linkable chitosan
Chitosan is a partially deacetylated form of chitin, a natural linear
homopolymer of b-1,4-linked N -acetyl-D-glucosamine. 65 - 67 Useful
advantagesofchitosanincludeitshemostaticactivity, 66 immunolog-
ical activity, and ability to accelerate wound healing. 65 , 66 It has been
modified by reaction with N,N,N',N'-tetramethylethylenediamine,
EDC, and 4-o-b-D-galactopyranosyl-(1,4)-D-gluconic acid to intro-
duce azide and lactose moieties for photo-cross-linking (Fig. 8.4c).
This modified chitosan (AZ-CH-LA) has primarily been investigated
as a tissue adhesive, 65 , 67 , 68 and it has been shown that AZ-CH-
LA demonstrates higher binding strengths than fibrin glue and is
effective at sealing punctures in thoracic aorta and lungs in rab-
bit models. 68 Azide-modified chitosan has also been investigated
as a matrix for drug delivery 66 , 69 and as a cell-seeded material
 
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