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Yang R, Chen C, Liu W, Wang A, Jiang P, Li Z, Luo F, Li J, Tan H. Biomimicry-inspired zwitterionic polyurethane used for vascular implants showing water-induced stiffening and preventing intimal hyperplasia in stent. Biomaterials 2025; 322:123394. [PMID: 40344879 DOI: 10.1016/j.biomaterials.2025.123394] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2025] [Revised: 04/24/2025] [Accepted: 05/04/2025] [Indexed: 05/11/2025]
Abstract
Polymeric vascular implants with ideal mechanical properties and biocompatibility are essential for dilating blood vessels and reducing the risk of secondary implant diseases. However, traditional polymer materials are still limited for vascular stents by diminished radial support post-expansion and inadequate surface modification techniques. Herein, we synthesized zwitterionic polyurethanes (ZPUs) featuring hydrophilic side chains derived from betaine sulfonate and full-hard main chains. These ZPUs demonstrate a remarkable increase in modulus during shape recovery in 37 °C warm water, ensuring that the stent remains soft during implantation for easy delivery, but becomes stiff once positioned at the lesion site to provide adequate radial support. The distinctive architecture promotes the migration of hydrophilic side chains to the surface upon hydration, establishing a "core-shell structure" with a hard interior and a highly hydrophilic surface that enhances antithrombotic properties, mitigates inflammation, and curbs intimal hyperplasia. Consequently, ZPUE20 stent showed significantly better blood flow patency than traditional PLA stent in carotid artery implantation for at least 3 months, ensuring the long-term biological safety of implantation. Compared to surface modification of bare stents, ZPU stents avoid the complex and unstable surface modifications. All in all, ZPUs represent a promising material for vascular implants, markedly improving both mechanical performance and biocompatibility.
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Affiliation(s)
- Ruibo Yang
- College of Polymer Science and Engineering, National Key Laboratory of Advanced Polymer Materials, Med-X Center for Materials, Sichuan University, Chengdu, 610065, China
| | - Chuwen Chen
- Division of Vascular Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, 610061, China
| | - Wenkai Liu
- College of Polymer Science and Engineering, National Key Laboratory of Advanced Polymer Materials, Med-X Center for Materials, Sichuan University, Chengdu, 610065, China
| | - Ao Wang
- College of Polymer Science and Engineering, National Key Laboratory of Advanced Polymer Materials, Med-X Center for Materials, Sichuan University, Chengdu, 610065, China
| | - Pengjun Jiang
- Department of Laboratory Medicine, Med+X Center for Manufacturing, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, China
| | - Zhen Li
- College of Polymer Science and Engineering, National Key Laboratory of Advanced Polymer Materials, Med-X Center for Materials, Sichuan University, Chengdu, 610065, China.
| | - Feng Luo
- College of Polymer Science and Engineering, National Key Laboratory of Advanced Polymer Materials, Med-X Center for Materials, Sichuan University, Chengdu, 610065, China
| | - Jiehua Li
- College of Polymer Science and Engineering, National Key Laboratory of Advanced Polymer Materials, Med-X Center for Materials, Sichuan University, Chengdu, 610065, China
| | - Hong Tan
- College of Polymer Science and Engineering, National Key Laboratory of Advanced Polymer Materials, Med-X Center for Materials, Sichuan University, Chengdu, 610065, China.
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Zhang J, Lv S, Zhao X, Ma S, Zhou F. Functional Zwitterionic Polyurethanes: State-of-the-Art Review. Macromol Rapid Commun 2024; 45:e2300606. [PMID: 38087799 DOI: 10.1002/marc.202300606] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2023] [Revised: 12/01/2023] [Indexed: 12/22/2023]
Abstract
Recent advancements in bioengineering and medical devices have been greatly influenced and dominated by synthetic polymers, particularly polyurethanes (PUs). PUs offer customizable mechanical properties and long-term stability, but their inherent hydrophobic nature poses challenges in practically biological application processes, such as interface high friction, strong protein adsorption, and thrombosis. To address these issues, surface modifications of PUs for generating functionally hydrophilic layers have received widespread attention, but the durability of generated surface functionality is poor due to irreversible mechanical wear or biodegradation. As a result, numerous researchers have investigated bulk modification techniques to incorporate zwitterionic polymers or groups onto the main or side chains of PUs, thereby improving their hydrophilicity and biocompatibility. This comprehensive review presents an extensive overview of notable zwitterionic PUs (ZPUs), including those based on phosphorylcholine, sulfobetaine, and carboxybetaine. The review explores their wide range of biomedical applications, from blood-contacting devices to antibacterial coatings, fouling-resistant marine coatings, separation membranes, lubricated surfaces, and shape memory and self-healing materials. Lastly, the review summarizes the challenges and future prospects of ZPUs in biological applications.
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Affiliation(s)
- Jinshuai Zhang
- Shandong Laboratory of Advanced Materials and Green Manufacturing at Yantai, Yantai Zhongke Research Institute of Advanced Materials and Green Chemical Engineering, Yantai, 264006, China
| | - Siyao Lv
- Shandong Laboratory of Advanced Materials and Green Manufacturing at Yantai, Yantai Zhongke Research Institute of Advanced Materials and Green Chemical Engineering, Yantai, 264006, China
| | - Xiaoduo Zhao
- Shandong Laboratory of Advanced Materials and Green Manufacturing at Yantai, Yantai Zhongke Research Institute of Advanced Materials and Green Chemical Engineering, Yantai, 264006, China
- State Key Laboratory of Solid Lubrication, Lanzhou Institute of Chemical Physics, Chinese Academy of Sciences, Lanzhou, 730000, China
| | - Shuanhong Ma
- Shandong Laboratory of Advanced Materials and Green Manufacturing at Yantai, Yantai Zhongke Research Institute of Advanced Materials and Green Chemical Engineering, Yantai, 264006, China
| | - Feng Zhou
- State Key Laboratory of Solid Lubrication, Lanzhou Institute of Chemical Physics, Chinese Academy of Sciences, Lanzhou, 730000, China
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Wang S, Liu Q, Li L, Urban MW. Recent Advances in Stimuli-Responsive Commodity Polymers. Macromol Rapid Commun 2021; 42:e2100054. [PMID: 33749047 DOI: 10.1002/marc.202100054] [Citation(s) in RCA: 36] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2021] [Revised: 02/19/2021] [Indexed: 12/14/2022]
Abstract
Known for their adaptability to surroundings, capability of transport control of molecules, or the ability of converting one type of energy to another as a result of external or internal stimuli, responsive polymers play a significant role in advancing scientific discoveries that may lead to an array of diverge applications. This review outlines recent advances in the developments of selected commodity polymers equipped with stimuli-responsiveness to temperature, pH, ionic strength, enzyme or glucose levels, carbon dioxide, water, redox agents, electromagnetic radiation, or electric and magnetic fields. Utilized diverse applications ranging from drug delivery to biosensing, dynamic structural components to color-changing coatings, this review focuses on commodity acrylics, epoxies, esters, carbonates, urethanes, and siloxane-based polymers containing responsive elements built into their architecture. In the context of stimuli-responsive chemistries, current technological advances as well as a critical outline of future opportunities and applications are also tackled.
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Affiliation(s)
- Siyang Wang
- Department of Materials Science and Engineering, Clemson University, Clemson, SC, 29634, USA
| | - Qianhui Liu
- Department of Materials Science and Engineering, Clemson University, Clemson, SC, 29634, USA
| | - Lei Li
- Department of Materials Science and Engineering, Clemson University, Clemson, SC, 29634, USA
| | - Marek W Urban
- Department of Materials Science and Engineering, Clemson University, Clemson, SC, 29634, USA
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Li X, Ye F, Wang J, Chen Z, Yang X. The synthesis of polyurethane with mechanical properties that are responsive to water retention states. Polym Chem 2021. [DOI: 10.1039/d0py01559h] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
Water-retention-state-responsive polyurethane was designed and synthesized via introducing zwitterionic sulfobetaine onto its polymer chains.
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Affiliation(s)
- Xuemin Li
- State Key Laboratory of Polymer Physics and Chemistry
- Changchun Institute of Applied Chemistry
- Chinese Academy of Sciences
- Changchun 130022
- China
| | - Feng Ye
- State Key Laboratory of Polymer Physics and Chemistry
- Changchun Institute of Applied Chemistry
- Chinese Academy of Sciences
- Changchun 130022
- China
| | - Jie Wang
- Polymer Composites Engineering Laboratory
- Changchun Institute of Applied Chemistry
- Chinese Academy of Sciences
- Changchun 130022
- China
| | - Zhaobin Chen
- State Key Laboratory of Polymer Physics and Chemistry
- Changchun Institute of Applied Chemistry
- Chinese Academy of Sciences
- Changchun 130022
- China
| | - Xiaoniu Yang
- State Key Laboratory of Polymer Physics and Chemistry
- Changchun Institute of Applied Chemistry
- Chinese Academy of Sciences
- Changchun 130022
- China
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Potaufeux JE, Odent J, Notta-Cuvier D, Lauro F, Raquez JM. A comprehensive review of the structures and properties of ionic polymeric materials. Polym Chem 2020. [DOI: 10.1039/d0py00770f] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
This review focuses on the mechanistic approach, the structure–property relationship and applications of ionic polymeric materials.
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Affiliation(s)
- Jean-Emile Potaufeux
- Laboratory of Polymeric and Composite Materials (LPCM)
- Center of Innovation and Research in Materials and Polymers (CIRMAP)
- University of Mons (UMONS)
- Mons
- Belgium
| | - Jérémy Odent
- Laboratory of Polymeric and Composite Materials (LPCM)
- Center of Innovation and Research in Materials and Polymers (CIRMAP)
- University of Mons (UMONS)
- Mons
- Belgium
| | - Delphine Notta-Cuvier
- Laboratory of Industrial and Human Automatic Control and Mechanical Engineering (LAMIH)
- UMR CNRS 8201
- University Polytechnique Hauts-De-France (UPHF)
- Le Mont Houy
- France
| | - Franck Lauro
- Laboratory of Industrial and Human Automatic Control and Mechanical Engineering (LAMIH)
- UMR CNRS 8201
- University Polytechnique Hauts-De-France (UPHF)
- Le Mont Houy
- France
| | - Jean-Marie Raquez
- Laboratory of Polymeric and Composite Materials (LPCM)
- Center of Innovation and Research in Materials and Polymers (CIRMAP)
- University of Mons (UMONS)
- Mons
- Belgium
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