The integration of microporous polymer into tissues is of great intere
st for the production of keratoprosthetic devices. Our previous studie
s showed functional differentiated cells and collagen synthesis in the
pore of an expanded polytetrafluoroethylene implant. This study ident
ifies and quantifies collagen types synthesized in the implant. Expand
ed polytetrafluoroethylene polymers were implanted in the rabbit corne
as. The collagen extracted from the polymer and implanted stroma after
1, 3 and 6 months was quantified by measuring hydroxyproline. The rel
ative proportions of collagen types were determined by densitometric a
nalysis after SDS-PAGE. The collagen-to-protein ratio in the polymer i
ncreased from 0.22 to 0.70 between the first and third month after imp
lantation becoming similar to control cornea. So that of the protein a
nd collagen densities in the polymer and implanted stroma were similar
to the control from the third month. The collagen synthesized in the
polymer was mainly type I (87%) plus a small amount of type III (8%) 1
month after implantation. The collagen distribution from the third mo
nth after implantation was similar to that of the controls and remaine
d constant thereafter in the polymer implant and in the implanted stro
ma. Immunogold labelling techniques confirmed these results. Implantat
ion of this PTFE disc induced no obvious modification of the corneal s
troma, confirming that this polymer is a good interface that is compat
ible with the native corneal stroma. The keratocytes in this polymer r
apidly adopted a corneal phenotype, distinct from the dermal or scarin
g phenotype as shown by the collagen types produced in the implant. (C
) 1996 Academic Press Limited