A. Kishida et al., IMMOBILIZATION OF HUMAN THROMBOMODULIN ONTO POLY(ETHER URETHANE UREA)FOR DEVELOPING ANTITHROMBOGENIC BLOOD-CONTACTING MATERIALS, Biomaterials, 15(10), 1994, pp. 848-852
Thrombomodulin (TM) is a newly described endothelial cell-associated p
rotein that functions as a potent natural anticoagulant by converting
thrombin from a procoagulant protease to an anticoagulant. In this stu
dy, focussing on the application of TM for biomedical materials, recom
binant human TM (hTM) was immobilized onto the polymers for medical us
e, and the evaluation of their antithrombogenicity and the interaction
with platelets were investigated. As the base polymer for immobilizat
ion reaction, poly(ether urethane urea)(PEUU), which was reported to h
ave good blood compatibility, was used. hTM-immobilized PEUU showed su
perior antithrombogenic activity, such as the prolongation of plasma r
ecalcification time and the inhibition of thrombin-induced platelet ag
gregation, though the amount of immobilized hTM was very small (i.e. l
ess than 1 mu g/cm(2)). Platelet adhesions onto hTM-immobilized PEUU w
ere not observed. These results show that the immobilization of hTM do
es not change the native good blood compatibility of PEUU, but provide
s excellent anticoagulant activity.