Biomolecule attachment

Abstract: A method for making a medical device having a glycoprotein immobilized on a substrate surface is provided. The method comprises the steps of: (a) oxidizing 1,2-dihydroxy moieties with a periodate to form an aldehyde-functional material; (b) combining the aldehyde-functional material with an amino-functional material to bond the two materials together through an imine moiety; and (c) reacting the imine moiety with a reducing agent to form a secondary amine.

Description: The present invention relates to an oxidative process for linking glycoproteins to a substrate material, e.g. to the surface of a medical device. The invention also relates to an oxidative method for producing cross-linked materials. For many years, a number of medical devices, for example pacemakers, vascular grafts, stents, heart valves, etc. which contact bodily tissue or fluids of living persons or animals have been developed, manufactured and used clinically. However, a major problem with such articles is that their surfaces tend to adsorb a layer of proteins from tissues and fluids such as tears, urine, lymph fluid, blood, blood products, and other fluids and solids derived from blood. The composition and organization of this adsorbed protein layer is thought to influence, if not control, further biological reactions. Adverse biological reactions such as thrombosis and inflammation can diminish the useful lifetime of many devices. Implantable medical devices also tend to serve as foci for infection of the body by a number of bacterial species. These device-associated infections are promoted by the tendency of these organisms to adhere to and colonize the surface of the device. Consequently, it has been of great interest to physicians and the medical industry to develop surfaces that are less prone to promoting the adverse biological reactions that typically accompany the implantation of a medical device. One approach for minimizing undesirable biological reactions associated with medical devices is to attach various biomolecules to their surfaces for the attachment and growth of a cell layer which the body will accept. Biomolecules such as growth factors, cell attachment proteins and cell attachment peptides have been used for this purpose. In addition, biomolecules such as antithrombogenics, antiplatelets, antiinflammatories, antimicrobials and the like have also been used to minimize adverse biomaterial-associated reactions. A number of approaches have been suggested for the attachment of such biomolecules. These approaches typically require the use of coupling molecules such as glutaraldehyde, cyanogen bromide, p-benzoquinone, succinic anhydrides, carbodiimides, diisocyanates, ethyl chloroformate, dipyridyl disulphide, epichlorohydrin and azides which serve as attachment vehicles for coupling of biomolecules to biomaterial surfaces. For example, covalent attachment of biomolecules using water soluble carbodiimides is described by Hoffman et al., "Covalent Binding of Biomolecules to Radiation-Grafted Hydrogels on Inert Polymer Surfaces", Trans. Am. Soc. Artif. Intern. Organs, 18 : 10-18 (1972); and Ito et al., "Materials for Enhancing Cell Adhesion by Immobilization of Cell-Adhesive Peptide", J. of Biomed. Mat. Res., 25 : 1325-1337 (1991). One type of biomolecule which is often coupled to biomaterial surfaces with a coupling molecule is a protein. Proteins are polypeptides made up of amino acid residues. In general, established coupling procedures couple proteins to substrate surfaces through a protein's lysine amino acid residues which contain terminal amino groups. However, this method of binding has several inherent problems. For example, if a number of lysine residues are present on a protein's surface, multiple attachments can occur. Multiple attachment sites can lead to multiple conformations of the protein on the biomaterial surface. The lack of coupling specificity can disrupt or destroy the biological activity of the protein being coupled. Furthermore, the use of coupling molecules can add instability to the biomaterial surface and increase the prospect for burial of the attached protein in the coupling layer. Coupling molecules can also create non-specific and undesirable cross-links between protein molecules, thereby destroying the biological properties of the protein or they can create bonds between surface functional sites, thereby inhibiting attachment. The use of coupling molecules can also decrease the specificity for attachment of the protein to the biomaterial surface, thereby losing conformational control over the attachment process. Accordingly, there exists a need for an alternative method for attaching glycoproteins, to a substrate surface, e.g. to a surface of a medical device. In particular, there exists a need for such a method which does not require the use of coupling molecules. We have now developed an improved method for linking a glycoprotein comprising a 1,2-dihydroxy moiety to a material comprising an amine moiety. Thus, viewed from one aspect the invention provides a method for linking a glycoprotein comprising a 1,2-dihydroxy moiety to a substrate material comprising a primary amine moiety, said method comprising the steps of: (a) treating said glycoprotein with a periodate whereby to form an aldehyde-functional material; (b) reacting said aldehyde-functional material with said substrate material whereby to link the substrate material thereto via an imine moiety; and (c) reacting the resulting material with a reducing agent whereby to form a secondary amine linkage. The method of the invention may be used for covalently attaching a glycoprotein to a substrate surface. Viewed from a further aspect, the present invention thus provides a method for making a medical device having a glycoprotein immobilized on a biomaterial surface thereof, the method comprising the steps of: (a) combining a periodate with a glycoprotein comprising a 1,2-dihydroxy moiety to form an aldehyde-functional material; (b) combining the aldehyde-functional material with a material comprising a primary amine moiety to bond the two materials together through an imine moiety; and (c) reacting the imine moiety with a reducing agent to form an immobilized glycoprotein on a medical device biomaterial surface through a secondary amine linkage. Preferably, the method of the invention involves the steps of: combining a periodate with a glycoprotein comprising a 1,2-dihydroxy moiety to form an aldehyde-functional material in an aqueous solution having a pH of about 4-9 and a temperature of about 50°C; combining the aldehyde-functional material with a substrate surface comprising a primary amine moiety, e.g. the surface of a biomaterial, to immobilize the glycoprotein on the substrate surface through an imine moiety; and reacting the imine moiety with a reducing agent to form an immobilized glycoprotein on the substrate surface through a secondary amine linkage. The glycoprotein and substrate materials may comprise an identical glycoprotein. Thus, the method of the invention can also be used to cross-link identical glycoproteins. Viewed from a further aspect, the invention thus also provides a method for cross-linking glycoproteins comprising both a 1,2-dihydroxy moiety and a primary amine moiety, the method comprising the steps of: (a) combining a periodate with the glycoprotein to oxidize the 1,2-dihydroxy moiety to form an aldehyde moiety; (b) allowing the aldehyde moiety to combine with the amine moiety forming an imine moiety; and (c) reacting the imine moiety with a reducing agent to form a secondary amine and a cross-linked material. This cross-linked material can itself be used as a substrate to which biomolecules may be coupled. For example, aldehyde containing biomolecules can be attached to free amine moieties on the surface of the cross-linked material or amine containing biomolecules can be attached to free aldehyde moieties on the surface of the cross-linked material. A "glycoprotein" may be defined as a protein to which carbohydrate groups are conjugated. A typical glycoprotein contains one or more oligosaccharide units linked to either asparagine amino acid residues by N-glycosidic bonds or serine or threonine amino acid residues by O-glycosidic bonds. The saccharide unit directly bonded to asparagine is typically N-acetylglucosamine, whereas N-acetylgalactosamine tends to be the saccharide unit bonded to serine or threonine residues. Oligosaccharides bound to glycoproteins can contain a variety of carbohydrate units. They also tend to be located at sites away from the biologically active site of the protein. Thus, oligosaccharide moieties of glycoproteins can typically be modified with little or no effect on the biological properties of the protein. The glycoproteins suitable for use in the present invention include at least one carbohydrate comprising a 1,2-dihydroxy moiety. A "biomaterial" may be defined as a material that is designed and constructed to be placed in or onto the body or to contact fluid of the body. Ideally, a biomaterial will not induce undesirable reactions in the body such as blood clotting, tissue death, tumor formation, allergic reaction, foreign body reaction (rejection) or inflammatory reaction; will have the physical properties required to function for the intended purpose; can be purified, fabricated and sterilized easily; and will substantially maintain its physical properties and function during the time that it remains implanted in or in contact with the body. Biomaterials suitable for use in the method of the present invention include those comprising an amine moiety. A "medical device" may be defined as a device that has surfaces that contact tissue, blood, or other bodily fluids in the course of their operation, which fluids are subsequently used in patients. This can include, for example, extracorporeal devices for use in surgery, such as blood oxygenators, blood pumps, blood sensors, tubing used to carry blood and the like, which contact blood which is then returned to the patient. This can also include endoprostheses implanted in blood contact in a human or animal body, such as vascular grafts, stents, pacemaker leads, heart valves, and the like which are implanted in blood vessels or in the heart. This can also include devices for temporary intravascular use, such as catheters, guide wires, and the like, which are placed into blood vessels or the heart for purposes on monitoring or repair. Glycoproteins carrying a carbohydrate bearing a 1,2-dihydroxy moiety are oxidizable with periodate, which can be provided as periodic acid or salts thereof, such as sodium periodate, potassium periodate, or other alkali metal periodates. Typically, a stoichiometric amount of periodate is used to oxidize the 1,2-dihydroxy moiety, although an excess could be used. Oxidation of such glycoproteins forms reactive aldehyde moieties within the glycoprotein. Oxidation is conveniently carried out in an aqueous solution, preferably an aqueous buffered solution, at ambient temperature which does not destroy the biological properties of the glycoprotein. Generally, buffers having a pH in a range of about 4-9 can be used, with a pH of about 6-8 being desired for certain pH sensitive glycoproteins. Generally, the oxidation is carried out at a temperature of about 0-50°C, and preferably at a temperature of about 4-37°C. Depending on the glycoprotein, oxidation reactions can be carried out for as little as a few minutes to as long as many days. Commonly, oxidation is complete within 24 hours. Long-term oxidation reactions are preferably performed in the dark to prevent "over-oxidation". Treatment times and temperatures for the oxidation process are in general inversely related. That is, higher temperatures require relatively shorter treatment times. The limitations of time and temperature are governed by the effect of the treatment on the biological stability of the glycoprotein. There is a wide latitude in determining the proper conditions for a particular system and these conditions can be readily determined by one skilled in the art by routine experimentation upon reading of the information presented herein. Subsequent to oxidation, the reaction solution may be stored prior to attachment to a substrate at a temperature of about 4°C. Typically, the storage stability of the reaction solution at a neutral pH or slightly acidic pH can extend for 1-14 days and sometimes even months when stored in the dark. The resultant aldehyde moieties may interact with sites on a biomaterial surface for covalent attachment of the glycoproteins. These biomaterial surface attachment sites comprise amine moieties, which react with aldehyde moieties forming imines. The substrate surface to which the glycoprotein is to be coupled should contain an adequate density of amine moieties for attaching the desired number of glycoproteins. Substrates, e.g. biomaterials, which do not contain amines on their surface can easily be aminated by a number of methods well known to those skilled in the art. For example, amines can be provided by plasma treating materials with ammonia gas as described by Holmes and Schwartz, "Amination of Ultra-high Strength Polyethylene using Ammonia Plasma", Composites Science and Technology 38 : 1-21 (1990). Alternatively, amines can be provided by grafting acrylamide to the substrate followed by chemical modification to introduce amine groups by methods well known to those skilled in the art. Polyvinyl amines or polyalkylimines can also be covalently attached to polyurethane surfaces according to the method described in US-A-4,521,564 (Solomone et al.). Alternatively, for example, aminosilane can be attached to the surface as set forth in US-A-5,053,048 (Pinchuk), a grafted acrylamide-containing polymer can be attached by radiation grafting as set forth in US-A-3,826,678 (Hoffman et al.), a grafted N-(3-aminopropyl) methacrylamide-containing polymer can be attached by ceric ion grafting as set forth in US-A-5,344,455 (Keogh et al.). Typically, when a aldehyde moiety (RCHO) reacts with a primary amine moiety (R'NH 2 ), an equilibrium is set up with the reaction product, which is a relatively unstable imine moiety (R'N=CHR). This coupling reaction can be carried out under the same conditions described above for the oxidation, which are designed to protect the glycoprotein from damage. To stabilize the linkage between the glycoprotein and the biomaterial surface, subsequent reductive alkylation of the imine moiety is carried out using a reducing agent (i.e. a stabilizing agent) such as, for example, sodium borohydride, sodium cyanoborohydride, and amine boranes, to form a secondary amine (R'NH-CH 2 R). This reaction can also be carried out under the same conditions described above for the oxidation. Typically, however, the coupling and stabilizing reactions are carried out in a neutral or slightly basic solution and at a temperature of about 0-50°C. Preferably, the pH is about 6-10 and the temperature is about 4-37°C for the coupling and stabilizing reactions. These reactions (coupling and stabilizing) can be allowed to proceed for just a few minutes or for many hours. Commonly, the reactions are complete (i.e. coupled and stabilized) within 24 hours. Generally, glycoproteins suitable for use in the method of the invention include, for example: anticoagulant and antithrombotic proteins; clotting proteins; platelet proteins; anti-inflammatory proteins; antibodies; immunoglobulins; defense proteins; enzymes; hormones; growth factors; globular proteins; blood proteins; regulatory proteins; transport proteins; fibrous proteins; structural proteins; membrane proteins; cell attachment proteins; proteoglycans; toxins; and ligands. The glycoproteins can be synthetically derived or naturally occurring. As long as the glycoprotein includes a 1,2-dihydroxy moiety, it can be attached to an aminated biomaterial surface by the method of the present invention. Some glycoproteins are susceptible to conformational changes when brought into contact with a hydrophobic substrate surface. These conformational changes can lead to the exposure of internalized non-polar groups which can lead to hydrophobic interactions between the glycoprotein and the surface. These hydrophobic interactions can cause the exclusion of water molecules that normally surround the glycoprotein in solution. This exclusion of water molecules between the protein and the surface strengthens the hydrophobic interaction and can cause further conformational change of the protein. The degree of conformational change a glycoprotein experiences may or may not destroy its biological properties. Therefore, one must take into account the hydrophobic nature of the substrate surface when attaching glycoproteins which are prone to hydrophobic interactions. In these cases, it is preferred to create a hydrophilic environment on the biomaterial surface, thereby preventing any unwanted hydrophobic interactions between the glycoprotein and the surface which might destroy the biological properties of the protein. There are a number of surface-derivatization techniques, such as grafting techniques, which are well known to those skilled in the art for creating hydrophilic substrate surfaces. For example, techniques based on ceric ion initiation, ozone exposure, corona discharge, UV irradiation and ionizing radiation ( 60 Co, X-rays, high energy electrons, plasma gas discharge) are known. Substrates which may be modified by the method of the present invention include metals such as titanium/titanium alloys, TiNi (shape memory/super elastic), aluminum oxide, platinum/platinum alloys, stainless steels, MP35N, elgiloy, haynes 25, stellite, pyrolytic carbon, silver or glassy carbon; polymers such as polyamides, polycarbonates, polyethers, polyesters, polyolefins including polyethylenes or polypropylenes, polystyrenes, polyurethanes, polyvinyl chlorides, polyvinylpyrrolidones, silicone elastomers, fluoropolymers, polyacrylates, polyisoprenes, polytetrafluoroethylenes, and rubber; minerals or ceramics such as hydroxapatite; human or animal protein or tissue such as bone, skin, teeth, collagen, laminin, elastin or fibrin; organic materials such as wood, cellulose or compressed carbon; and other materials such as glass, or the like. Biomaterials comprising these materials can be coated or uncoated, and derivatized or underivatized. The method of the invention can be used to modify substrates of any shape or form including tubular, sheet, rod and articles of proper shape for use in a number of medical devices such as vascular grafts, aortic grafts, arterial, venous, or vascular tubing, vascular stents, dialysis membranes, tubing or connectors, blood oxygenator tubing or membranes, ultrafiltration membranes, intra-aortic balloons, blood bags, catheters, sutures, soft or hard tissue prostheses, synthetic prostheses, prosthetic heart valves, tissue adhesives, cardiac pacemaker leads, artificial organs, endotracheal tubes, lenses for the eye such as contact or intraocular lenses, blood handling equipment, apheresis equipment, diagnostic and monitoring catheters and sensors, biosensors, dental devices, drug delivery systems, or bodily implants of any kind. It will also be understood by one skilled in the art that glycoproteins or glycoprotein coatings can be cross-linked using the method of the present invention. That is, glycoproteins or glycoprotein coatings that contain both primary amine moieties and 1,2-dihydroxy moieties can be cross-linked to provide desired physical and biological properties. The resultant imines formed following the cross-linking of the aldehydes (as a result of oxidation of the 1,2-dihydroxy moieties) and amines contained within the substrate or substrate coating can be stabilized using a reducing agent as described above. For example, structural glycoproteins can be cross-linked to form a material that can be used as a substrate or a substrate coating. Glycoproteins as described herein can also be attached to the cross-linked material. Alternatively, amine-containing glycoproteins can be attached to the aldehyde moieties in the cross-linked material. An example of a material that can be used in all aspects of the present invention is fibrinogen. Fibrinogen, which is a structural protein, has oligosaccharides which can be oxidized with a source of periodate to form a pendant aldehyde moiety. The resultant aldehyde moieties can then be used to cross-link the fibrinogen through bonds formed between the aldehydes and lysine residues contained on neighbouring fibrinogen molecules. The resultant imine bonds can then be reduced using a mild reducing agent such as for example sodium borohydride, sodium cyanoborohydride, or amine boranes. These cross-links can endow fibrinogen and/or fibrin (thrombin polymerized fibrinogen) with desirable biological and/or physical properties such as mechanical strength, anti-immunogenicity and biostability without the use of a coupling agent. Thus, the method of the present invention eliminates the need for using glutaraldehyde, a commonly used cytotoxic coupling agent, to cross-link the fibrinogen or fibrin to control its physical and biological properties. The aldehyde moieties formed by oxidation of fibrinogen/fibrin can also be used to couple a variety of amine-containing biomolecules to a fibrinogen/fibrin substrate. Also, the ability to create aldehyde moieties along fibrinogen/fibrin molecules enables them to be covalently attached to amine-containing substrate surfaces. Such fibrinogen/fibrin coated substrate surfaces can be used, for example, as cell seeding surfaces, cell binding surfaces, cell separating surfaces, fibrinogen/fibrin-coated stents, fibrinogen/fibrin-coated vascular grafts or fibrinogen/fibrin glues. Thus the present invention overcomes a number of problems associated with the use of medical devices. The invention provides an oxidative process for covalently attaching glycoproteins to substrate surfaces, such as the surface of a biomaterial, for use in medical devices. The invention also provides an oxidative method for producing cross-linked materials. Viewed from a still further aspect the invention provides a product, i.e. a glycoprotein-carrying substrate prepared by the method of the invention and articles comprising such a substrate, e.g. medical devices such as implants etc. The following non-limiting examples further illustrate certain specific embodiments of the invention. Although these involve treatment on polymeric films or tissue culture plates as the substrate surfaces, it is not intended that this invention be so limited. Example 1 Periodate Oxidation of Bovine Fibrinogen The glycoprotein bovine fibrinogen obtained from Sigma Chemical Co. (St. Louis, MO) was incubated in sodium metaperiodate (NaIO 4 ) also obtained from Sigma Chemical Co. (St. Louis, MO). The following four fibrinogen solutions were prepared to investigate the oxidation of fibrinogen with varying amounts of periodate: (1) 0.03 mM fibrinogen, 0.2 mM NaIO 4 , 0.008 M Na 2 HPO 4 , 0.002 M KH 2 PO 4 , 0.14 M NaCl, pH 7.4; (2) 0.03 mM fibrinogen, 0.1 mM NaIO 4 , 0.008 M Na 2 HPO 4 , 0.002 M KH 2 PO 4 , 0.14 M NaCl, pH 7.4; (3) 0.03 mM fibrinogen, 0.05 mM NaIO 4 , 0.008 M Na 2 HPO 4 , 0.002 M KH 2 PO 4 , 0.14 M NaCl, pH 7.4; and (4) 0.03 mM fibrinogen, 0.008 M Na 2 HPO 4 , 0.002 M KH 2 PO 4 , 0.14 M NaCl, pH 7.4. The four fibrinogen solutions were incubated in the dark for 2 hours while shaking at ambient temperature. The resultant solutions, 500 µl of each, were added to 2 ml of a solution containing 0.8 g NaOH, 0.2 g 4-amino-3-hydrazino-5-mercato-1,2,4-triazole (available as PURPALD from Sigma Chemical Co., St. Louis, MO), in 20 ml deionized water, and shaken vigorously for 15 minutes at ambient temperature. Dickinson and Jacobsen (Chem. Commun., 1719 (1970)) describe the specific and sensitive reaction of aldehydes with PURPALD to yield purple-to-magenta-colored 6-mercapto-s-triazolo-(4,3-b)-s-tetrazines. After the 15 minutes of shaking at ambient temperature, the resultant solutions were analyzed spectrophotometrically at 550 nm. Sample 4 was used as the blank. Sample absorbances obtained at 550 nm were 0.54 for sample 1, 0.53 for sample 2 and 0.51 for sample 3, indicating that for all samples the fibrinogen was successfully oxidized, forming aldehyde groups. Example 2 Periodate Oxidation of Bovine Vitronectin The glycoprotein bovine vitronectin obtained from Sigma Chemical Co. (St. Louis, MO) was incubated in sodium metaperiodate (NaIO 4 ) also obtained from Sigma Chemical Co. (St. Louis, MO). The following two vitronectin solutions were prepared: (1) 0.001 mM vitronectin, 0.05 M NaIO 4 ; and (2) 0.001 mM vitronectin. Both solutions were incubated in the dark for 2 hours while shaking at ambient temperature. The resultant solutions, 100 µl of each, were added to 2 ml PURPALD solution described in Example 1, and shaken vigorously for 30 minutes at ambient temperature. After the 30 minutes of shaking at ambient temperature, the resultant solutions were analyzed spectrophotometrically at 550 nm. The PURPALD solution was used as the blank. Sample absorbances obtained at 550 nm were 0.09 for sample 1 and 0.04 for sample 2, indicating that vitronectin was successfully oxidized, forming aldehyde groups. Example 3 Periodate Oxidation of Bovine Fibronectin The glycoprotein bovine fibronectin obtained from Sigma Chemical Co. (St. Louis, MO) was incubated in sodium metaperiodate (NaIO 4 ) also obtained from Sigma Chemical Co. (St. Louis, MO). The following two fibronectin solutions were prepared: (1) 0.002 mM fibronectin, 0.05 M NaIO 4 , 0.5 M NaCl, 0.05 M Tris, pH 7.5; and (2) 0.002 mM fibronectin, 0.5 M NaCl, 0.05 M Tris, pH 7.5. Both solutions were incubated in the dark for 2 hours while shaking at ambient temperature. The resultant solutions, 100 µl of each, were added to 2 ml PURPALD solution described in Example 1 and shaken vigorously for 30 minutes at ambient temperature. After 30 minutes of shaking at ambient temperature, the resultant solutions were analyzed spectrophotometrically at 550 nm. Following an initial analysis, sample 1 was observed to contain too many aldehydes to measure. Therefore, sample 1 was diluted 1:50 in deionized water to achieve a measurable amount of aldehydes contained in the sample solution. The PURPALD solution was used as the blank. Sample absorbances obtained at 550 nm were 0.81 for sample 1 and 0.0 for sample 2, indicating that the fibronectin in sample 1 was successfully oxidized forming aldehyde groups. Fibronectin in sample 2 was not oxidized due to the absence of periodate. Example 4 Attachment of Fibronectin to Aminated Substrates Fibronectin was covalently attached to a substrate surface. The attachment technique began with the graft copolymerization of acrylamide (AAm) and N-(3-aminopropyl)methacrylamide (APMA) monomers onto an ozone treated polystyrene tissue culture plate with ceric (Ce IV ) ions. The Ce IV ions create free radicals on the ozone-treated surface which initiate the graft copolymerization of the acrylamides. The amount of surface amination (the graft copolymerization of APMA and AAm) which took place on the substrate surface was measured via staining with ponceau S dye, a negatively charged dye molecule. Following grafting, fibronectin was coupled to the amine containing derivatized substrate surface. Fibronectin was first oxidized with sodium metaperiodate (NaIO 4 ), forming reactive aldehyde groups. These aldehyde groups were then used to covalently attached fibronectin to the primary amino groups present on the substrate surface. Sodium cyanoborohydride (NaCNBH 3 ) was then used to stabilize the imine linkages. The specific procedures for each of these steps are described below. Polystyrene 24 well tissue culture plates were ozone treated by placing the culture plates in an ozone reaction vessel for 30 minutes while oxygen, which contained ozone, was flowing at a rate of 1.3 cm 3 /min. The oxygen containing ozone was created by flowing the oxygen through a corona discharge apparatus, which exposes the flowing oxygen to an 8000V electrical potential. Following ozone treatment, the plates were soaked in nitrogen purged deionized water for 30 minutes at ambient temperature. Following the 30 minute soak in nitrogen purged deionized water, the plates were grafted with acrylamide (AAm) and N-(3-aminopropyl)methacryl-amide (APMA) monomers (Eastman Kodak Co., Rochester, NY) using ammonium cerium (IV) nitrate (Aldrich Chemical Co., Milwaukee, WI). The grafting solution consisted of 11.2 M AAm, 1.1 M APMA, 400 mM nitric acid and 40 mM ammonium cerium (IV) nitrate in deionized water. The plates were allowed to graft for 3 hours in a 65°C nitrogen purged oven. Following grafting the plates are rinsed vigorously with deionized water. The grafted plates were then tested with ponceau S dye. Following staining, the ponceau S dye was released from the surface using a 1% sodium dodecyl sulphate (SDS) solution and quantified spectrophotometrically at 520 nm. Sample absorbances obtained at 520 nm were 0.00 for non-derivatized plates and 1.44 for surface-derivatized plates. As the results demonstrate, the surface-derivatized plates contained primary amines on their surfaces. Bovine fibronectin obtained from Sigma Chemical Co. (St. Louis, MO) was then incubated in sodium metaperiodate (NaIO 4 ) also obtained from Sigma Chemical Co. (St. Louis, MO). The following fibronectin solution was prepared: 0.002 mM fibronectin, 0.05 M NaIO 4 , 0.5 M NaCl, 0.05 M Tris, pH 7.5. The solution was incubated in the dark for 2 hours while shaking at ambient temperature. Sodium cyanoborohydride (1mg/ml) was then added to the fibronectin solution. The resultant solution was immediately added to each of the amine-containing surface-derivatized tissue culture plate wells (approximately 1 ml solution/well). The fibronectin solution incubated in the derivatized tissue culture plate wells overnight at room temperature. Following incubation, the wells were then vigorously rinsed with phosphate buffered saline (PBS) solution. The attachment of fibronectin to the amine-containing surface-derivatized tissue culture plate surfaces was assessed using toluidine blue dye, a positively charged dye molecule. This dye ionically associates with the negative charges on a substrate surface. Therefore, the binding of toluidine blue dye to the fibronectin-derivatized surface is due to fibronectin's negative charges. The wells of each plate were filled with a 1 % toluidine blue dye in deionized water solution. After a 5 minute incubation at ambient temperature, the dye solution was removed and the wells were thoroughly rinsed with PBS. The surface associated dye in each well was then eluted by mechanically shaking the plates in a 1 % SDS in deionized water solution overnight. The amount of dye eluted from the wells was then determined spectrophotometrically at 630 nm. Sample absorbances obtained at 630 nm were 0.05 for the nonderivatized sample plate, 0.54 for the AAm/APMA-derivatized sample plate and 1.83 for the fibronectin-derivatized sample plate, indicating that the fibronectin was successfully oxidized and then covalently attached to the substrate surface. Example 5 ELISA and Cellular Adherence to Fibronectin Coupled Surfaces Polyurethane in the form of Pellethane 2363-55D was obtained from Dow Chemical Co. (Midland, MI) and extruded into film. The film was then cut into 1 cm 2 sample disks. Sample disks were then cleansed with ethanol and surface grafted with AAm and APMA monomers using Ce IV ion. The grafting solution consisted of 11.2 M AAm, 1.1 M APMA, 400 mM nitric acid and 40 mM ammonium cerium (IV) nitrate in deionized water. The sample disks were placed into the grafting solution and allowed to graft for 1 hour at room temperature. Following grafting, the sample disks were thoroughly washed with deionized water. Fibronectin was then coupled to the resultant APMA/AAm surface-derivatized sample disks via two methods. The first method (the peroxide method) included the oxidation of fibronectin by sodium metaperiodate. Fibronectin (0.1 mg/ml) was exposed in the dark to a 1µg/ml sodium metaperiodate in deionized water solution for 3 hours at ambient temperature. The APMA/AAm-derivatized sample disks were then placed into the oxidized fibronectin solution for 24 hours at ambient temperature. Sample disks were then thoroughly rinsed with deionized water. The samples were then incubated for 24 hours at ambient temperature in a 3 mg/ml sodium cyanoborohydride in deionized water solution. Sample disks were then thoroughly rinsed with deionized water. In the second method, glutaraldehyde was used as a coupling agent. The method included soaking the APMA/AAm-derivatized sample disks in a 2% glutaraldehyde in deionized water solution for 2 hours at ambient temperature. Sample disks were then thoroughly rinsed with deionized water. Following rinsing, the sample disks were then incubated in a 0.1 mg/ml fibronectin in deionized water solution for 24 hours at room temperature. Sample disks were then thoroughly rinsed with deionized water. The sample disks were then incubated for 24 hours at room temperature in a 3 mg/ml sodium cyanoborohydride in deionized water solution. Sample disks were then thoroughly rinsed with deionized water. An enzyme linked immunosorbent assay (ELISA) was then performed to determine the ability of an antibody to recognize the fibronectin which had been coupled to the sample surfaces. Sample disks were washed for 20 minutes at ambient temperature with wash buffer (pH 7.4) consisting of 10 mM Tris, 0.15 M NaCl and 0.05% Tween. Sample disks were then incubated at 37°C for 30 minutes in blocking buffer (pH 7.4) consisting of 10 mM Tris, 0.15 M NaCl, 0.05% Tween and 0.05% gelatin followed by three 10 minute washes with wash buffer. Next, sample disks were incubated at 37°C for 1 hour in a primary antibody solution (pH 7.4) consisting of 10 mM Tris, 0.15 M NaCl and 2 µg/ml mouse monoclonal anti-fibronectin antibody (Sigma Chemical Co., St. Louis, MO). Sample disks were then rinsed thrice (10 minutes per wash) with wash buffer. Next, sample disks were incubated at 37°C for 1 hour in a peroxidase-labeled secondary antibody solution (pH 7.4) consisting of 10 mM Tris, 0.15 M NaCl and 0.5 ng/ml anti-mouse IgG peroxidase antibody conjugate (Sigma Chemical Co., St. Louis, MO). Sample disks were then rinsed thrice (10 minutes per wash) with wash buffer. Sample disks were then incubated for 15 minutes at ambient temperature in a phosphate-citrate buffer (pH 5.0) containing 0.4 mg/ml o-phenyldiamine dihydrochloride and 0.2 µl/ml 30% hydrogen peroxide. The phosphate-citrate buffer consisted of 50 mM dibasic sodium phosphate and 25 mM citric acid in deionized water. Following the 15 minute incubation, the peroxide reaction was stopped with 3 M HCl and the absorbance of the resultant solution was measured spectrophotometrically at 492 nm. The APMA/AAm-derivatized sample disks were used as controls for this experiment. Sample absorbances obtained from the spectrophotometric analysis were 0.016 ± 0.038 for APMA/AAm-derivatized samples which contained glutaraldehyde coupled fibronectin and 0.204 ± 0.068 for APMA/AAm-derivatized samples which contained periodate oxidized fibronectin. The results indicate that the periodate oxidation method was more successful at attaching fibronectin to the sample surfaces. A cellular adherence assay was also performed to determine the ability of cells to adhere to fibronectin-derivatized sample surfaces. Sample disks were incubated for 1 hour at 37°C in a blocking buffer consisting of 2 mg/ml ovalbumin in phosphate buffered saline (PBS), pH 7.4. Mouse fibroblasts (C3T3) obtained from American Type Culture Collection (Rockville, MD) and maintained in Dulbecco's modified Eagle's medium (DMEM) supplemented with 10% fetal bovine serum were harvested using trypsin:EDTA and resuspended in serum-free DMEM containing 2 mg/ml ovalbumin. The cells were then washed twice, counted and resuspended to a final density of 5x10 4 cells/ml in serum-free DMEM containing 2 mg/ml ovalbumin. Sample disks were then incubated in the cell suspension for 1 hour at 37°C. Non-adherent cells were removed by a PBS wash. Sample disks were then fixed in 3% paraformaldehyde solution for 30 minutes. Adherent cells were then stained with a staining solution consisting of 1% toluidine blue dye and 3% paraformaldehyde in PBS. Following staining, sample surfaces were then examined for cellular adherence using a light microscope. Upon examination, APMA/AAm-derivatized samples and APMA/AAm-derivatized samples which contained glutaraldehyde coupled fibronectin appeared to have no adherent cells. In contrast, cells appeared adherent to APMA/AAm-derivatized samples which contained periodate oxidized fibronectin. Example 6 Crosslinking of Fibrinogen Porcine fibrinogen obtained from Sigma Chemical Co. (St. Louis, MO) was incubated in sodium metaperiodate (NaIO 4 ) also obtained from Sigma Chemical Co. (St. Louis, MO) and sodium cyanoborohydride (NaCNBH 3 ) obtained from Aldrich Chemical Co. (Milwaukee, WI). The following fibrinogen solution was prepared: 0.03 mM fibrinogen, 0.02 M NaIO 4 , 0.02 M NaCNBH 3 , 0.008 M Na 2 HPO 4 , 0.002 M KH 2 PO 4 , 0.14 M NaCl, pH 7.4. The solution was then shaken vigorously and placed into a 24 well tissue culture plate (approximately 1 ml of fibrinogen solution/well). The plate was then incubated in the dark for 2 hours while shaking at ambient temperature. After 2 hours, the solution was observed to have become cloudy and very viscous indicating the fibrinogen had cross-linked. The sample was then shaken for an additional 22 hours in the dark. Following incubation, the cross-linked fibrinogen was tested for residual aldehydes using the PURPALD solution described in Example 1. The results of the PURPALD assay demonstrated few residual aldehydes were present which indicated the formation of covalent cross-links between the aldehydes and the amines present along the fibrinogen molecules. The following bovine fibrinogen (Sigma Chemical Co., St. Louis, MO) solution was prepared: 0.02 mM fibrinogen, 0.008 M Na 2 HPO 4 , 0.002 M KH 2 PO 4 , 0.14 M NaCl, pH 7.4. Following preparation, the solution was divided into four equal portions. Sodium metaperiodate (0.05 mM) was then added to samples 3 and 4. All four fibrinogen solutions were then incubated in the dark for 2 hours while shaking at ambient temperature. Next, 0.02 mM NaCNBH 3 was added to samples 2 and 4. Again, all four fibrinogen solutions were allowed to react for 2 hours while shaking at ambient temperature. The samples, 50 µl of each, were then placed into 450 µl of SDS-PAGE buffer solution consisting of 62.5 mM Tris-HCL, 5% b-mercaptoethanol, 10% glycerol and 2.3% SDS. Samples were then boiled for 3 minutes. The samples, 10 µl of each, were then loaded onto a 4-15% gradient gel and SDS-PAGE was performed according to the procedures described in O'Farrell, "High Resolution Two-dimensional Electrophoresis of Proteins", J. Biol. Chem. 250 : 4007-4021 (1974). Following electrophoresis, the gel was stained with Coomassie Brilliant Blue, and the identity of the eluted proteins was determined by reference to molecular weight standards included on the gel. The results from SDS-PAGE indicated that the fibrinogen molecules in sample 4 had formed stable covalent cross-links. In contrast, the results demonstrated that the fibrinogen molecules in the samples which contained no NaIO 4 had formed no cross-links.

Claims: A method for linking a glycoprotein comprising a 1,2-dihydroxy moiety to a substrate material comprising a primary amine moiety, said method comprising the steps of: (a) treating said glycoprotein with a periodate whereby to form an aldehyde-functional material; (b) reacting said aldehyde-functional material with said substrate material whereby to link the substrate material thereto via an imine moiety; and (c) reacting the resulting material with a reducing agent whereby to form a secondary amine linkage. A method as claimed in claim 1 wherein said substrate is a medical device. A method as claimed in claim 2 wherein said medical device is selected from a blood oxygenator, a blood pump, a blood sensor, a tubing used to carry blood, a vascular graft, a stent, a pacemaker lead, a heart valve, a catheter, a guide wire, an intra-aortic balloon or blood bag. A method as claimed in either claim 2 or claim 3 wherein said substrate is tubular or forms a sheet or rod. A method as claimed in any one of claims 2 to 4 wherein said substrate comprises a metal, polymer, ceramic or glass. A method as claimed in any one of claims 2 to 5 wherein said substrate includes titanium/titanium alloys, TiNi (shape memory/super elastic), aluminum oxide, platinum/platinum alloys, stainless steels, MP35N, elgiloy, haynes 25, stellite, pyrolytic carbon, silver or glassy carbon, polyamides, polycarbonates, polyethers, polyesters, polyolefins including polyethylenes or polypropylenes, polystyrenes, polyurethanes, polyvinyl chlorides, polyvinylpyrrolidones, silicone elastomers, fluoropolymers, polyacrylates, polyisoprenes, polytetrafluoroethylenes, rubber, minerals, ceramics, human or animal protein or tissue, bone, skin, teeth, collagen, laminin, elastin or fibrin, wood, cellulose or compressed carbon and glass. A method as claimed in claim 1 wherein said glycoprotein and said substrate material both comprise an identical glycoprotein comprising a 1,2-dihydroxy moiety and a primary amine moiety. A method as claimed in any preceding claim wherein said glycoprotein is selected from an anticoagulant protein; an antithrombotic protein; a clotting protein; a platelet protein; an anti-inflammatory protein; an antibody; an immunoglobulin; a defense protein; an enzyme; a hormone; a growth factor; a globular protein; a blood protein; a regulatory protein; a transport protein; a fibrous protein; a structural protein; a membrane protein; a cell attachment protein; a proteoglycan; a toxin; and a ligand. A method as claimed in claim 5 or claim 6 wherein said glycoprotein is naturally or synthetically derived. A method as claimed in any preceding claim wherein said periodate is periodic acid, sodium periodate or potassium periodate. A method as claimed in any preceding claim wherein said reducing agent is sodium borohydride, sodium cyanoborohydride or an amine borane. A method as claimed in any preceding claim wherein step a) is effected in an aqueous solution having a pH of from 4 to 9. A method as claimed in any preceding claim wherein one or more of steps a), b) and c) are effected in an aqueous solution having a temperature of from 0 to 50°C. A method as claimed in any preceding claim wherein step b) and/or step c) are effected in an aqueous solution having a pH of from 6 to 10. A product obtainable by a method as claimed in any preceding claim.

Inventors: KEOGH JAMES R, KEOGH, JAMES R.
Applicants: MEDTRONIC INC, MEDTRONIC, INC.
Application year: 1997
Main classification: A61L27
IPC codes: A61L33, A61L27, A61L31, C08J7, C07K14, A61L29