目的 研究聚对苯二甲酸丁二醇酯(PBT)接枝不同单体[丙烯酸(AA)、丙烯酰胺(AM)、苯乙烯磺酸钠(SSS)、AA+AM、AA+SSS]对血小板黏附及功能的影响。方法 采用γ射线辐照将单体[丙烯酸(AA)、丙烯酰胺(AM)、苯乙烯磺酸钠(SSS)、AA+AM、AA+SSS]接枝到PBT表面，依据傅里叶变换红外光谱(FTIR)和润湿时间等指标表征接枝后的PBT;利用扫描电镜(SEM)观察接枝不同单体的PBT对血小板的活化、聚集情况，同时测定通过接枝不同单体的PBT的血小板浓度、最大聚集能力、CD62p阳性表达率、血小板低渗休克率(HSR)，考察其对血小板粘附及功能的影响。结果 FTIR上出现了AA、AM、SSS的特征吸收峰，且接枝后的材料亲水性明显改善，表明单体接枝成功;SEM结果显示，PBT原样导致的血小板活化聚集程度明显高于改性后的PBT;滤过PBT原样的血小板与血小板原样相比:血小板浓度为(533。00±4。58 vs 672。00±3。61)×109/L，血小板最大聚集率为(48。80±0。96 vs 58。60±1。37)%，CD62p阳性表达率为(45。35±0。58 vs 39。90±0。52)%，血小板 HSR 为(48。74±0。46 vs 51。86±0。93)%(P<0。05)。与PBT原样相比，接枝不同单体后的PBT材料导致的血小板损失和血小板功能损伤都明显下降(P<0。05)，其中PBT-(AA+AM)对血小板的综合影响最小[血小板浓度(637。00±2。65)×109/L，血小板最大聚集率(62。45±0。61)%，CD62p阳性表达率(37。39±0。42)%，血小板HSR(53。51±0。58)%]。结论 表面接枝AA+AM的PBT对血小板的黏附及功能损伤的综合影响明显小于接枝其他单体的PBT，有望进一步开发用于血小板制剂中去除白细胞的过滤材料。
Effect of radiation grafting modification of PBT on platelet function
Objective To investigate the effects of polybutylene terephthalate(PBT)grafted with various monomers,such as acrylic acid(AA),acrylamide(AM),sodium styrene sulfonate(SSS),AA+AM and AA+SSS on platelet adhesion and function.Methods The AA,AM,SSS,AA+AM,and AA+SSS were grafted onto the surface of PBT by γ-ray irradia-tion,and the grafted PBT was characterized by fourier transform infrared spectrometry(FTIR)and wetting time.Platelet ac-tivation and aggregation of different monomers grafted with PBT were observed by scanning electron microscopy(SEM).Platelet concentration,maximum aggregation ability,positive expression rate of CD62p and hypotonic shock rate(HSR)of PBT grafted with different monomers were tested to study their effect on platelet adhesion and function.Results The char-acteristic absorption peaks of AA,AM and SSS appeared in FTIR,and the hydrophilicity of the grafted material was im-proved obviously,indicating that the monomer was grafted successfully.The results of SEM showed that the degree of platelet activation and aggregation caused by the original PBT was significantly higher than that of modified ones.Compared with the original platelets,the platelet concentration of PBT was(533.00±4.58 vs 672.00±3.61)×109/L,the maximum platelet ag-gregation rate was(48.80±0.96 vs 58.60±1.37)%,the positive expression rate of CD62p was(45.35±0.58 vs 39.90±0.52)%,and the platelet HSR was(48.74±0.46 vs 51.86±0.93)%(P<0.05).Compared with the original PBT,the platelet loss and platelet function damage caused by PBT grafted with different monomers decreased significantly(P<0.05).PBT-(AA+AM)had the least comprehensive effect on platelets[platelet concentration(637.00±2.65)×109/L,maximum plate-let aggregation rate(62.45±0.61)%,positive expression rate of CD62p(37.39±0.42)%,platelet HSR(53.51±0.58)%].Conclusion The comprehensive effect of PBT grafted with AA+AM on platelet adhesion and function is significantly lower than that of PBT grafted with other monomers,so it is anticipated to apply filtering and removing leukocytes in platelet prep-arations.
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