Substrate specific cellular responses are the result of a complex biologica
l system that includes protein adsorption, receptor-ligand binding, and sig
nal transduction. This investigation attempted to identify specific protein
s adsorbed from human serum that may be responsible for the previously repo
rted in vitro surface dependent behavior of human macrophages and foreign b
ody giant cells (FBGCs). The adsorption of human albumin, alpha(2)-macroglo
bulin, complement factor 3b, fibronectin, IgG, thrombospondin, vitronectin
(VN), and von Willebrand factor (vWF) from a 25% serum solution was quantif
ied with I-125-labeled protein. Adsorption substrates included clean glass,
alkyl-silane modified glass, amino-silane modified glass, poly(ethylene ox
ide) (PEO)-coupled glass, and the reference biomaterials poly(etherurethane
urea), Silastic(R), and poly(tetrafluoroethylene) (PTFE). Following quanti
fication of 2-h adsorption, surfaces were treated with sodium dodecyl sulfa
te (SDS) and the level of adsorbed proteins remaining was quantified. The p
re- and post-SDS adsorption were both compared to previously reported surfa
ce dependent in vitro macrophage and FBGC behavior on the same surfaces; ho
wever, as the percentage of initially adsorbed protein that remained adsorb
ed after SDS treatment, correlated well with previously reported in vitro c
ellular behavior indicating that adsorbed vWF, IgG, and VN may be involved
in the modulation of adherent macrophage and FBGC behavior. Those surfaces
that strongly adsorbed vWF also inhibited longterm macrophage adhesion, whi
le those surfaces that strongly adsorbed IgG promoted long-term macrophage
adhesion. In addition, the highest levels of FBGC formation had been observ
ed only on those surfaces that strongly adsorbed VN. Subsequent human monoc
yte cultures on protein preadsorbed substrates confirmed the inhibitory eff
ect of adsorbed vWF and the promoting effect of IgG on longterm macrophage
adhesion as predicted by adsorption strength correlations. However, preadso
rbed VN was not observed to modulate FBGC formation, which is in contrast t
o the conclusions of the adsorption correlations. (C) 2000 John Wiley & Son
s, Inc.