Skip to main content

Host Response to Biomaterials

  • Chapter
  • First Online:
Engineering Biomaterials for Regenerative Medicine

Abstract

The implantation of a biomaterial-based device or drug carrier will elicit a localized or systemic inflammatory response. An immune response occurs regardless of the method of introduction of biomaterial into the body, as all methods of biomaterial insertion, including surgery and injection, result in the disruption of the host’s tissue. The extent of the inflammatory response, however, is dependent upon the location, implantation procedure, and compatibility of biomaterial. In general, inflammatory responses can be classified as acute or chronic, defined primarily by the duration of the response and the type of cells infiltrating a tissue in response to pro-inflammatory signals. This chapter discusses the general process of acute and chronic inflammatory response and gives details on the key immune cells and soluble blood plasma factors involved. Information is also provided on biomaterial design approaches employed to minimizing inflammatory response.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Chu, C.-C.: Wound Closure Biomaterials and Devices. CRC, LLC, Boca Raton (1996)

    Google Scholar 

  2. Lundqvist, M., Stigler, J., Elia, G., Lynch, I., Cedervall, T., Dawson, K.A.: Nanoparticle size and surface properties determine the protein corona with possible implications for biological impacts. Proc. Natl Acad. Sci. USA 105, 14265–14270 (2008)

    Article  CAS  Google Scholar 

  3. Anderson, J.M.: Mechanisms of inflammation and infection with implanted devices. Cardiovasc. Pathol. 2, 33S–41S (1993)

    Article  Google Scholar 

  4. Zarbock, A., Ley, K.: New insights into leukocyte recruitment by intravital microscopy. Curr. Top. Microbiol. Immunol. 334, 129–152 (2009)

    Article  CAS  Google Scholar 

  5. Ley, K., Laudanna, C., Cybulsky, M.I., Nourshargh, S.: Getting to the site of inflammation: the leukocyte adhesion cascade updated. Nat. Rev. Immunol. 7, 678–689 (2007)

    Article  CAS  Google Scholar 

  6. da Costa Martins, P., Garcia-Vallejo, J.J., van Thienen, J.V., Fernandez-Borja, M., van Gils, J.M., Beckers, C., Horrevoets, A.J., Hordijk, P.L., Zwaginga, J.J.: P-selectin glycoprotein ligand-1 is expressed on endothelial cells and mediates monocyte adhesion to activated endothelium. Arterioscler. Thromb. Vasc. Biol. 27, 1023–1029 (2007)

    Article  Google Scholar 

  7. Rivera-Nieves, J., Burcin, T.L., Olson, T.S., Morris, M.A., McDuffie, M., Cominelli, F., Ley, K.: Critical role of endothelial P-selectin glycoprotein ligand 1 in chronic murine ileitis. J. Exp. Med. 203, 907–917 (2006)

    Article  CAS  Google Scholar 

  8. Gonzalez, A.L., Gobin, A.S., West, J.L., McIntire, L.V., Smith, C.W.: Integrin interactions with immobilized peptides in polyethylene glycol diacrylate hydrogels. Tissue Eng. 10, 1775–1786 (2004)

    Article  CAS  Google Scholar 

  9. Gonzalez, A.L., El-Bjeirami, W., West, J.L., McIntire, L.V., Smith, C.W.: Transendothelial migration enhances integrin-dependent human neutrophil chemokinesis. J. Leukoc. Biol. 81, 686–695 (2007)

    Article  CAS  Google Scholar 

  10. Mantovani, A., Sica, A., Sozzani, S., Allavena, P., Vecchi, A., Locati, M.: The chemokine system in diverse forms of macrophage activation and polarization. Trends Immunol. 25, 677–686 (2004)

    Article  CAS  Google Scholar 

  11. Kou, P.M., Babensee, J.E.: Macrophage and dendritic cell phenotypic diversity in the context of biomaterials. J Biomed Mater Res A 96, 239–260 (2011)

    Google Scholar 

  12. Anderson, J.M., Rodriguez, A., Chang, D.T.: Foreign body reaction to biomaterials. Semin. Immunol. 20, 86–100 (2008)

    Article  CAS  Google Scholar 

  13. Markiewski, M.M., Nilsson, B., Ekdahl, K.N., Mollnes, T.E., Lambris, J.D.: Complement and coagulation: strangers or partners in crime? Trends Immunol. 28, 184–192 (2007)

    Article  CAS  Google Scholar 

  14. Tang, L., Hu, W.: Molecular determinants of biocompatibility. Expert Rev. Med. Devices 2, 493–500 (2005)

    Article  CAS  Google Scholar 

  15. Kao, W.J., Hubbell, J.A., Anderson, J.M.: Protein-mediated macrophage adhesion and activation on biomaterials: a model for modulating cell behavior. J. Mater. Sci. Mater. Med. 10, 601–605 (1999)

    Article  CAS  Google Scholar 

  16. Thiele, L., Diederichs, J.E., Reszka, R., Merkle, H.P., Walter, E.: Competitive adsorption of serum proteins at microparticles affects phagocytosis by dendritic cells. Biomaterials 24, 1409–1418 (2003)

    Article  CAS  Google Scholar 

  17. Nilsson, B., Ekdahl, K.N., Mollnes, T.E., Lambris, J.D.: The role of complement in biomaterial-induced inflammation. Mol. Immunol. 44, 82–94 (2007)

    Article  CAS  Google Scholar 

  18. Andersson, J., Ekdahl, K.N., Larsson, R., Nilsson, U.R., Nilsson, B.: C3 adsorbed to a polymer surface can form an initiating alternative pathway convertase. J. Immunol. 168, 5786–5791 (2002)

    CAS  Google Scholar 

  19. Jenney, C.R., Anderson, J.M.: Adsorbed IgG: a potent adhesive substrate for human macrophages. J. Biomed. Mater. Res. 50, 281–290 (2000)

    Article  CAS  Google Scholar 

  20. McNally, A.K., Anderson, J.M.: Complement C3 participation in monocyte adhesion to different surfaces. Proc. Natl Acad. Sci. USA 91, 10119–10123 (1994)

    Article  CAS  Google Scholar 

  21. Wilson, C.J., Clegg, R.E., Leavesley, D.I., Pearcy, M.J.: Mediation of biomaterial-cell interactions by adsorbed proteins: a review. Tissue Eng. 11, 1–18 (2005)

    Article  CAS  Google Scholar 

  22. Ekdahl, K., Nilsson, B., Golander, C., Elwing, H., Lassen, B., Nilsson, U.R.: Complement activation on radiofrequency plasma modified poystyrene surfaces. J. Colloid Interface Sci. 158, 121–128 (1993)

    Article  Google Scholar 

  23. Chenoweth, D.E.: Complement activation in extracorporeal circuits. Ann. N. Y. Acad. Sci. 516, 306–313 (1987)

    Article  CAS  Google Scholar 

  24. Kazatchkine, M.D., Carreno, M.P.: Activation of the complement system at the interface between blood and artificial surfaces. Biomaterials 9, 30–35 (1988)

    Article  CAS  Google Scholar 

  25. Fearon, D.T., Wong, W.W.: Complement ligand-receptor interactions that mediate biological responses. Annu. Rev. Immunol. 1, 243–271 (1983)

    Article  CAS  Google Scholar 

  26. Engberg, A.E., Rosengren-Holmberg, J.P., Chen, H., Nilsson, B., Lambris, J.D., Nicholls, I.A., Ekdahl, K.N.: Blood protein–polymer adsorption: Implications for understanding complement-mediated hemocompatibility. J. Biomed. Mater. Res. A 97A, 74–84 (2011)

    Article  CAS  Google Scholar 

  27. Lin, Y.S., Hlady, V., Janatova, J.: Adsorption of complement proteins on surfaces with a hydrophobicity gradient. Biomaterials 13, 497–504 (1992)

    Article  CAS  Google Scholar 

  28. Amiji, M., Park, K.: Prevention of protein adsorption and platelet adhesion on surfaces by PEO/PPO/PEO triblock copolymers. Biomaterials 13, 682–692 (1992)

    Article  CAS  Google Scholar 

  29. Hansson, K.M., Tosatti, S., Isaksson, J., Wetterö, J., Textor, M., Lindahl, T.L., Tengvall, P.: Whole blood coagulation on protein adsorption-resistant PEG and peptide functionalised PEG-coated titanium surfaces. Biomaterials 26, 861–872 (2005)

    Article  CAS  Google Scholar 

  30. Kidane, A., Park, K.: Complement activation by PEO-grafted glass surfaces. J. Biomed. Mater. Res. 48, 640–647 (1999)

    Article  CAS  Google Scholar 

  31. Kidane, A., Lantz, G.C., Jo, S., Park, K.: Surface modification with PEO-containing triblock copolymer for improved biocompatibility: in vitro and ex vivo studies. J. Biomater. Sci. Polym. Ed. 10, 1089–1105 (1999)

    Article  CAS  Google Scholar 

  32. Andersson, J., Bexborn, F., Klinth, J., Nilsson, B., Ekdahl, K.N.: Surface-attached PEO in the form of activated Pluronic with immobilized factor H reduces both coagulation and complement activation in a whole-blood model. J. Biomed. Mater. Res. A 76, 25–34 (2006)

    Google Scholar 

  33. Heller, J.: Biodegradable polymers in controlled drug delivery. Crit. Rev. Ther. Drug Carrier Syst. 1, 39–90 (1984)

    CAS  Google Scholar 

  34. Gogolewski, S.: Resorbable polymers for internal fixation. Clin. Mater. 10, 13–20 (1992)

    Article  CAS  Google Scholar 

  35. van der Giessen, W.J., Lincoff, A.M., Schwartz, R.S., van Beusekom, H.M., Serruys, P.W., Holmes, D.R., Ellis, S.G., Topol, E.J.: Marked inflammatory sequelae to implantation of biodegradable and nonbiodegradable polymers in porcine coronary arteries. Circulation 94, 1690–1697 (1996)

    Article  Google Scholar 

  36. Lee, S.H., Moon, J.J., Miller, J.S., West, J.L.: Poly(ethylene glycol) hydrogels conjugated with a collagenase-sensitive fluorogenic substrate to visualize collagenase activity during three-dimensional cell migration. Biomaterials 28, 3163–3170 (2007)

    Article  CAS  Google Scholar 

  37. Thiele, L., Merkle, H.P., Walter, E.: Phagocytosis and phagosomal fate of surface-modified microparticles in dendritic cells and macrophages. Pharm. Res. 20, 221–228 (2003)

    Article  CAS  Google Scholar 

  38. Thiele, L., Rothen-Rutishauser, B., Jilek, S., Wunderli-Allenspach, H., Merkle, H.P., Walter, E.: Evaluation of particle uptake in human blood monocyte-derived cells in vitro. Does phagocytosis activity of dendritic cells measure up with macrophages? J. Control. Release 76, 59–71 (2001)

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Anjelica L. Gonzalez-Simon .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Gonzalez-Simon, A.L., Eniola-Adefeso, O. (2012). Host Response to Biomaterials. In: Bhatia, S. (eds) Engineering Biomaterials for Regenerative Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-1080-5_6

Download citation

Publish with us

Policies and ethics