Biocompatibility: bioengineering aspects.

Bioengineers have contributed to biocompatibility research. Many materials have been designed, synthesized, and characterized by use of various analytical instruments. The blood compatibility of materials has been studied by focusing on the blood-material interfacial reactions. Although much information has been accumulated regarding such local reactions, understanding of biocompatibility is still limited. A more global approach to study is needed. A new approach to understanding biocompatibility is proposed and discussed. Three points are stressed: interaction within body's defense system and its effect on blood-material reactions; induction of a systemic reaction by a local reaction, which then affects the blood-material interaction; the time sequence of such interactions between local and systemic reactions. To establish a logical approach to study biocompatibility is most important at this moment for the future progress in biocompatibility research.

[1]  C. van Ypersele de Strihou,et al.  Mortality and morbidity of reusing dialysers. , 1978, British medical journal.

[2]  R Kiraly,et al.  Polyester fibril flocked surface for blood pumps. , 1983, Transactions - American Society for Artificial Internal Organs.

[3]  J. Andrade,et al.  Calcification of nontextured implantable blood pumps. , 1981, Transactions - American Society for Artificial Internal Organs.

[4]  P. Ward,et al.  C5 chemotactic fragment induces leukocyte production of tissue factor activity: a link between complement and coagulation. , 1979, The Journal of clinical investigation.

[5]  D. Chenoweth Complement activation during hemodialysis: clinical observations, proposed mechanisms, and theoretical implications. , 1984, Artificial organs.

[6]  A. Dalmasso,et al.  Hemodialysis leukopenia. Pulmonary vascular leukostasis resulting from complement activation by dialyzer cellophane membranes. , 1977, The Journal of clinical investigation.

[7]  D. Chenoweth,et al.  Induction of interleukin 1 secretion and enhancement of humoral immunity by binding of human C5a to macrophage surface C5a receptors , 1982, The Journal of experimental medicine.

[8]  J. Chesebro,et al.  Platelet Deposition In Extracardiac Conduits In Humans: A Noninvasive Quantification , 1981, Thrombosis and Haemostasis.

[9]  A. Cheung,et al.  Anaphylatoxin formation during hemodialysis: effects of different dialyzer membranes. , 1983, Kidney international.

[10]  T. Nakamura,et al.  The blood interface with segmented polyurethanes: "multilayered protein passivation mechanism". , 1984, Transactions - American Society for Artificial Internal Organs.

[11]  J. Andrade,et al.  Panel conference. Blood-materials interactions - 20 years of frustration. , 1981, Transactions - American Society for Artificial Internal Organs.

[12]  T. Agishi,et al.  Malignant tumours in dialysis patients: a nationwide survey. , 1981, Proceedings of the European Dialysis and Transplant Association. European Dialysis and Transplant Association.

[13]  P. Henson,et al.  The release of a platelet-activating factor by stimulated rabbit neutrophils. , 1979, Journal of immunology.

[14]  H. Harasaki,et al.  Endothelialization in blood pumps. , 1978, Transactions - American Society for Artificial Internal Organs.

[15]  E. Grabowski,et al.  PLATELET ADHESION TO FOREIGN SURFACES UNDER CONTROLLED CONDITIONS OF WHOLE BLOOD FLOW: HUMAN VS RABBIT, DOG, CALF, SHEEP, PIG, MACAQUE, AND BABOON , 1977, Transactions - American Society for Artificial Internal Organs.

[16]  R S Kronenberg,et al.  Complement and leukocyte-mediated pulmonary dysfunction in hemodialysis. , 1977, The New England journal of medicine.

[17]  V. Pollak,et al.  Multiple use of dialyzers: safety and efficacy. , 1981, Kidney international.

[18]  F. Brunner,et al.  Mortality and morbidity of reusing dialysers. A report by the registration committee of the European Dialysis and Transplant Association. , 1978, British medical journal.

[19]  T. Hugli,et al.  Structure and function of the anaphylatoxins , 1985 .

[20]  H. Harasaki,et al.  Powdered metal surface for blood pump. , 1979, Transactions - American Society for Artificial Internal Organs.

[21]  J. White,et al.  Complement (C5-a)-induced granulocyte aggregation in vitro. A possible mechanism of complement-mediated leukostasis and leukopenia. , 1977, The Journal of clinical investigation.

[22]  V. Donaldson MECHANISMS OF ACTIVATION OF C'1 ESTERASE IN HEREDITARY ANGIONEUROTIC EDEMA PLASMA IN VITRO , 1968, The Journal of experimental medicine.

[23]  J. Margolis,et al.  Activation of plasma by contact with glass: evidence for a common reaction which releases plasma kinin and initiates coagulation , 1958, The Journal of physiology.

[24]  S. Cooper,et al.  Physicochemical characterization and in vivo blood tolerability of cast and extruded Biomer. , 1983, Journal of biomedical materials research.

[25]  P S Malchesky,et al.  Biocompatibility of membrane plasma separation. , 1984, Transactions - American Society for Artificial Internal Organs.

[26]  P. Henson The adherence of leucocytes and platelets induced by fixed IgG antibody or complement. , 1969, Immunology.

[27]  S. Niewiarowski,et al.  Rôle du Facteur Contact (Facteur Hageman) dans la Fibrinolyse , 1959, Thrombosis and Haemostasis.

[28]  D. Ogston The physiology of hemostasis , 1983 .

[29]  S. Cooper,et al.  Transient in vivo protein adsorption onto polymeric biomaterials. , 1979, Journal of biomedical materials research.

[30]  E. Blackstone,et al.  Complement activation during cardiopulmonary bypass: evidence for generation of C3a and C5a anaphylatoxins. , 1981, The New England journal of medicine.

[31]  D. Fearon,et al.  Biocompatibility of dialysis membranes: effects of chronic complement activation. , 1984, Kidney international.