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Materials Research

Print version ISSN 1516-1439On-line version ISSN 1980-5373

Mat. Res. vol.12 no.1 São Carlos Jan./Mar. 2009

http://dx.doi.org/10.1590/S1516-14392009000100015 

REGULAR ARTICLES

 

Mechanical, thermal and morphological properties of glutaraldehyde crosslinked bovine pericardium followed by glutamic acid treatment

 

 

Gilberto GoissisI, *; Domingo Marcolino BraileI, *; Nélly Cristina CarnevalliII; Vladimir Aparecido RamirezI, *

IBraile Biomédica Ind. Com. e Repres. Ltda. São José do Rio Preto - SP, Brazil
IIInstituto de Química de São Carlos, Universidade de São Paulo - USP, São Carlos, SP, Brazil

 

 


ABSTRACT

Major problems with valve bioprostheses are associated with progressive structural deterioration and calcification, directly associated with the use of glutaraldehyde (GA). This work describes the effects of GA processing and borate/glutamic acid buffer treatment on the mechanical, thermal and morphological properties of 0.5% GA crosslinked bovine pericardium (BP). The results showed that while the treatment of 0.5% GA crosslinked BP with borate/glutamic acid significantly improves the mechanical properties, it had no visible effect on surface morphology. Better surface preservation was only achieved for BP pre-treated with a lower GA concentration followed by the conventional treatment (0.5% GA). Improvements in mechanical properties probably arises from structural changes probably involving the depolymerization of polymeric GA crosslinks and an increase electrostatic interaction due to covalent binding of glutamic acid to free carbonyl groups (Schiff base).The results indicate that the treatment GA crosslinked BP with borate/glutamic acid buffer may be an attractive procedure for the manufacture of heart valve bioprostheses.

Keywords: bovine pericardium, glutaraldehyde, crosslinking, glutamic acid, properties


 

 

1. Introduction

Major problems with valve bioprostheses failure are associated with progressive structural deterioration and calcification1,2. To minimize these problems, besides the classical procedure using glutaraldehyde (GA) many alternative processes were introduced for the manufacture bioprosthetic heart valves (BHV) and includes the crosslinking with azide3, epoxydes4, carbodiimides5 and diisocyanates6, the treatment with GA in non-aqueous solvents7, diphosphonates8 and α -amino oleic acid treatment9. One emerging technique applied to the fabrication of BHV valves is tissue engineering but still in its early development stage10,11. Although the major problems associated with the failure of GA crosslinked BHV are attributed to the chemical characteristics of GA solution used for processing, it still is reagent of choice for the crosslinking of natural tissue intended for BHV manufacture12.

At room temperature GA solutions are complex containing monomeric GA, mono and dehydrated forms, monomeric and polymeric cyclic hemiacetals and α and β -insaturated compounds with concentrations dependent on the temperature and pH13. The problems observed with BHV post implantation as a result of the complexicity of GA solutions are: 1) Impermeabilization of BP surfaces resulting from a polymeric network (Figure 1) which hinders the further crosslinking of the interstitium of the fiber leading to the formation chemically heterogeneous material14. This is in agreement with the fact that the number of unreacted ε -amino groups decreases with increasing concentrations of GA15. Associated to polymeric GA crosslinks there is also the systemic and localized cytotoxic effects observed post-implantation due to the slow release of free GA from the processed tissue16; 2) Incomplete glutaraldehyde binding to tissue proteins that beside the citotoxicity associated with the free aldehyde function, is also involved in the calcification process of BHV17. From the total monomeric GA covalently bound to the tissue approximately 60% is thorough only one of the aldehyde function (Figure 1c)18. Therefore one of the approaches to reduce BHV calcification is focused on the neutralization of free aldehyde groups and the removal of glutaraldehyde residuals12.

Procedures to minimize the problems attributed to GA processed BHV observed post implantation includes the treatment with amino acids19, particularly with Glu20-22, ethanol23, ethanol: Glu24, citric acid25 and diamines15. From these treatments probably the first examples of a BHV developed under the concept of tissue engineering were those processed with GA followed by the treatment with Glu solutions in acid media that were characterized by low calcification levels associated with endothelial growth20-22. Calcification levels are compared to those described for BHV processed with GA followed by the treatment with α -amino-oleic acid26,27.

In spite of the favorable post implantation effects described for BHV processed with GA followed by the treatment with Glu, some properties of these materials have not yet been described since they were performed on commercially available commercial BHV. This work reports the study on the mechanical and thermal stability properties, the stability to collagenase hydrolysis and surface morphology by scanning electron microscopy of BP crosslinked with GA before and after the treatment with Glu solution.

 

2. Experimental

2.1. Solvents and reagents

Except for GA all reagents and solvents were ACS grade and collagenase type V, 435U.mg-1 was purchased from Sigma. GA, 25% from Union Carbide was purified before use by treatment with activated charcoal28 and the criteria for acceptance was given by the ratio from the absorbances 280/235 nm (acceptance: > 1.50). Bovine pericardium (BP) was kindly supplied by Braile Biomédica Ind. Com. e Repres. Ltda S.A.

2.2. Crosslinking of bovine pericardium with GA

Conventional processing: 12 fresh BP with a thickness between 0.25 and 0.30 mm were fixed in circular plastic supports (16 cm in diameter) followed by crosslinking with 0.5% GA solution in 0.13 mol.L-1 phosphate buffer solution, pH 7.40, (PB) for a period of 10 days according to the routine procedure used by Braile Biomédica Ind. Com. e Repres. Ltda S.A for the manufacture of commercial BHV28.

Pre-treatment with 0.05% GA solution followed by conventional processing: 6 fresh BP as described for the conventional processing were treated for 48 hours with a 0.05% GA in PB followed by six washes with the same buffer. The resulting material was crosslinked with GA by the conventional processing and stored in the refrigerator until use.

Treatment with glutamic acid: 6 samples random samples removed from BP were crosslinked as described above and after washes with PB buffer and individually treated with a solution made 2.5 10-2 mol.L-1/Glu and 5.0 x 10-3 mol.L-1 sodium borate. After adjusting the pH to alkaline conditions with 0.1 mol.L-1 sodium hydroxide the reaction was allowed to stand for 24 hours at room temperature. After this period the samples were washed 6x with PB and kept in the refrigerator.

2.3. Material characterization

Stability to collagenase hydrolysis29: six 8 mm discs were removed from BP crosslinked by the conventional processing, with pre-treatment with 0.05% GA before and after Glu treatment, totalizing 24 x 8 mm discs. After the removal of the excess buffer with filter paper they were frozen in liquid nitrogen, introduced in screw cap tube and lyophilized until constant weight. The average weight of the discs was 30 mg. To each tube was added a calculated volume of a solution of collagenase (Sigma - type V, 435 U.mg-1) in 5.0 x 10-2 mol.L-1 5 Tris-HCl/10 x 10-2 CaCl2.2H2O mol.L-1, pH 7.4 in such a way that in all tubes the enzyme concentration was 17.4 U.mg-1 of BP. The reaction was performed for 144 hours at 37 °C and stopped by heating the tubes in boiling water for 5 minutes. After centrifugation the supernatant was discarded, the remaining residue frozen in liquid nitrogen, lyophilized and weighted. The extent of hydrolysis was calculated by the relationship: (initial mass- mass of residue after lyophylization) / initial mass x 100.

Denaturation temperature (Td): Td was determined on computer-interfaced differential scanning calorimeter (DSC) from TA Instruments, model DSC-2010, USA after calibration with indium standard. BP samples of about 10 mg were previously equilibrated in PB buffer and introduced in sealed aluminum pans. The rate of heating was 5 °C/min from 25 to 150 °C under nitrogen atmosphere.

Scanning Electron Microscopy (SEM): BP Samples of approximately 1 cm in diameter equilibrated in PB buffer were washed 3x with deionized water to remove excess salt. After lyophylization photomicrographs were obtained in a Zeiss® SEM 960 electron scanning microscope operating at 20 keV after sputter coating with gold in a Balsers mod. SDC 050 equipment.

Mechanical properties28: These were evaluated by Braile Biomédica Ind. Com. e Repres. Ltda according to ASTM-638 in a MTS equipment, Model Qtest/1L, serial nº M-206170/102398.

 

3. Result and Discussion

The values for the tensile strength, elongation and toughness for BP crosslinked with 0.5% GA before and after the exposition to Glu/borate buffer (Table 1) were respectively 1.7 ± 0.4 Kgf.mm-2, 14.2 ± 4.4% and 1379 ± 6.6 and, 2.2 ± 0.4 Kgf.mm-2,12.8 ± 2.3% and 15.5 ± 5.0 suggesting that, except for an increase of approximately 30% observed in the tensile strength, no others significant changes were observed in mechanical properties after the exposition of 0.5% GA crosslinked BP to Glu/borate buffer. Elongations for materials before and after the exposure to Glu/borate buffer were similar and of respectively 14.2 ± 4.4 and 12.8 ± 2.3. Nevertheless, significant increases in tensile strength and toughness were observed for BP previously crosslinked with 0.05% GA + conventional processing (0.5% GA for 10 days) (Table 1) followed by Glu/borate buffer, in comparison to materials crosslinked only with 0.5% GA.

 

 

In this case, the values determined tensile strength and toughness were respectively 2.5 ± 0.8 Kgf.mm-2 and 20.5 ± 5.0 and 1.4 ± 0.6 and 10.4 ± 4.7 corresponding in the same order to 78.5 and 96.1% increase in these properties. These results indicate that the exposure BP previously crosslinked with 0.05% GA followed by 0.5% GA and Glu/borate buffer significantly improves the mechanical properties of BP intended for the manufacture of BHV.

Although the changes in mechanical properties would suggest changes in structure, particularly in the case of BP previously crosslinked with 0.05% GA followed by 0.5% GA for 10 days, this was not confirmed by differential scanning calorimetry data (Table 2) since no significant change were detected in Td values for BP processed under the same conditions before or after the exposure to Glu/borate buffer. Td values for BP crosslinked with 0.5% GA before and after the exposition to Glu/borate buffer (Table 2) were respectively 87.7 ± 0.5 and 87.8 ± 0.9 °C in comparison to 90.5 ± 0.8 and 90.2 ± 0.5 °C determined for BP previously crosslinked with 0.05% GA.

 

 

The slightly higher values in Td values (around 2.0 °C) observed for BP previously treated with 0.05% GA are in agreement with the exposure of BP to higher GA concentrations that gives rise to more thermal stable materials14,29 .As shown by the DSC profiles (Figure 1), independent from processing conditions, all resulting materials were homogeneous in the sense that only one thermal transition was observed in all cases ND and apparently no significant changes in the structure of BP crosslinked with GA were induced by the exposure to Glu/borate buffer.

The only difference observed in the thermograms was that, independent from the crosslinking conditions relative to GA concentration, the width of the transitions for BP materials exposed to Glu/borate buffer was smaller. While for BP exposed to Glu/borate buffer the width of the transition averaged 2.7 °C for non exposed materials this values was 4.9 °C suggesting on a comparative basis that materials exposed to Glu/borate buffer are more homogeneous.

Evidences of structural changes induced by exposure of GA crosslinked BP to Glu/borate buffer were detected by collagenase hydrolysis of the materials under study (Table 2). While no differences were observed in the extent of collagenase hydrolysis of PB previously crosslinked with 0.05% GA followed by 0.5% GA, before (8.9 ± 0.4%) or after exposure to Glu/borate buffer (8.8 ± 0.9%) for PB crosslinked only with 0.5% GA the extent of hydrolysis after exposure to Glu/borate were respectively 15.4 ± 0.5% and 9.2 ± 0.6% suggesting the occurrence of changes in GA crosslinked BP that results in a material more stable to collagenase hydrolysis. These changes may be responsible for the increase observed in mechanical properties in BP crosslinked with GA after the exposure to Glu/borate buffer (Table 1).

The results above suggests that the changes in chemical characteristics and/or structure observed in GA crosslinked PB after the exposure to Glu/borate buffer may results from two independent effects: a) the first associated with the cleavage of polymeric GA crosslinks (Figure 2b-a') which are known to be formed after the processing of native tissue with GA solutions13,16,30,31 which are cleaved under acidic20-22,25 or basic conditions32; b) the second associated with the neutralization of remaining free aldehyde groups within the PB matrix as a result of Schiff base formation by reaction of the carbonyl function with α -amino group of Glu (Figure 2d-a' and b').

This chain of chemical events promotes an increase of two covalently bound carboxyl group/Glu residue resulting in an increase electrostatic interaction that could partially explain the improvements on the mechanical properties (Table 1). This increase may be significative since it has been described that from all covalently bound GA, 60% still preserves one free aldehyde group18.

Coincidentally and in support to the chain of chemical events (Figure 2) proposed to explain the changes in properties described for GA crosslinked BP after exposure to Glu/Borate buffer is that most processes introduced to reduce BHV calcification were only effective12 when GA crosslinked BP were exposed to: a) to acidic pH, a condition which is known to remove GA polymeric crosslinks25; b) treatment under acidic or alkaline26 pH associated with reagents that neutralize the exceeding carbonyl function such as, Glu20-22, ethanol/Glu24, diamines15 and 2-amino-oleic acid26 existent free aldehyde groups. In support to this is the fact that the treatment of GA crosslinked BP with Glu in neutral pH has no effect on the reduction of calcification levels19. Under this condition the α -amino group of Glu is almost 100% in the form of the conjugated acid and not available to function as a nucleophyle.

With respect to BP surface morphology micrographs of Figure 3a and b showed that independent from the exposure to Glu/borate buffer the surface of material crosslinked with 0.5% GA were characterized by the presence of a pore like structure associated with the exposition of collagen fibers.

On the other hand BP materials previously crosslinked with 0.05% were characterized by a more homogeneous type of structure (Figure 3c and d). These results suggest that while the exposure of crosslinked BP to Glu/borate buffer is an important procedure to prepare BP materials with improved mechanical properties, the previous crosslinking of BP with lower concentration may be an important step for the preservation of the integrity BP surface as a result of a more homogenous crosslink formation with respect to BP native structure.

 

4. Conclusions

The results showed that while the treatment of 0.5% GA crosslinked BP with borate/glutamic acid significantly improves the mechanical properties, it had no visible effect on surface morphology. Better surface preservation was only achieved for BP pre-treated with a lower GA concentration followed by the conventional treatment (0.5% GA). Improvements in mechanical properties probably arises from structural changes as shown by collagenase results and probably involves the depolymerization of polymeric GA crosslinks and an increase electrostatic interaction due to covalent binding of glutamic acid to free carbonyl groups (Schiff base). These results indicate that the processing of BP as described in this work may be of potential use not only for the manufacture of BHV but also to other collagen biomaterials with high demand in mechanical properties.

 

Acknowledgements

To Ezer Biazin and, Glauco D. Broch for the technical assistance. To FAPESP, for Grant PITE/2455-8. Nelly C. Carnevalli was a post graduate student from CAPES at the Instituto de Química de São Carlos - University of São Paulo/São Carlos.

 

References

1. Herrero EJ, Páez JMG, Ramos JLCO. Tissue heart valve mineralization: review of calcification mechanisms and strategies for prevention. Journal of Applied Biomaterial and Biomechanics. 2005; 3(2):67-82.         [ Links ]

2. Schoen FJ, Levy RJ. Calcification of tissue heart valve substitutes: progress toward understanding and prevention. The Annals of Thoracic Surgery. 2005; 79(3):1072-1080.         [ Links ]

3. Petite H, Frei V, Huc A, Herbage D. Use of diphenylphosphorylazide for cross-linking collagen-based biomaterials. Journal Biomedical Material Research. 2004; 28(2):159-165.         [ Links ]

4. Sung HW, Shih JS, Hsu CS. Cross-linking characteristics of porcine tendons: effects of fixation with glutaraldehyde or epoxy. Journal Biomedical Material Research. 1998; 30(3):361 - 367.         [ Links ]

5. Lee JM, Edwards HHL, Pereira CA, Samii SI. Crosslinking of tissue-derived biomaterials in 1-ethyl-3-(3-dimethylaminoprpyl)-carbodiimide (EDC). Journal of Material Science: Materials in Medicine. 1996; 7(9):531-541.         [ Links ]

6. Damink LHHO, Dijkstra PJ, Van Luyn MJA, Van Wachem PB, Nieuwenhuis P, Feijen J. Crosslinking of dermal sheep collagen using hexamethylene diisocyanate. Journal of Material Science: Materials in Medicine. 1995; 6(7):429-434.         [ Links ]

7. Gratzer PF, Pereira CA, Lee JM. Solvent environment modulates effects of glutaraldehyde crosslinking on tissue-derived biomaterials. Journal Biomedical Material Research. 1996; 31(4):533-543.         [ Links ]

8. Hirsch D, Drader J, Pathak YV, Yee R, Shoen FJ, Levy RJ. Synergistic inhibition of the calcification of glutaraldehyde pretreated BP in a rat subdermal model by FeCl3 an ethanehydroxydiphosphonate: preincubation and polymeric controlled release studies. Biomaterials. 1993; 14(9):705-711.         [ Links ]

9. Gleason TG, David TE, Coselli JS, Hammon Jr JW, Bavaria JE. St Jude Medical Toronto biologic aortic root prosthesis: early FDA phase II IDE study results. The Annals of Thoracic Surgery. 2004; 78(3):786-793.         [ Links ]

10. Vesely I. Heart valve tissue engineering. Circulation Research. 2005; 97:743-755.         [ Links ]

11. Erdbrügger W, Konertz W, Steffen OS. Decellularized xenogenic heart valves reveal remodeling and growth potential in vivo. Tissue Engineering. 2006; 12(8):2059-2068.         [ Links ]

12. Simionescu DT. Prevention of calcification in bioprosthetic heart valves: challenges and perspectives. Expert Opinion on Biological Therapy. 2004; 4(12):1971-1985.         [ Links ]

13. Woodroof A. Use of glutaraldehyde and formaldehyde to process tissue heart valves. Journal of Bioengineering. 1978; 2(1-2):1-9.         [ Links ]

14. Cheung DT, Perelman N, Ko EC, Nimni ME. Mechanism of crosslinking of proteins by glutaraldehyde III Reaction with collagen in tissues. Connective Tissue Research. 1985; 13(2):109-115.         [ Links ]

15. Zilla P, Bezuidenhout D, Weissenstein C, Van Der Walt A. Human P Diamine extension of glutaraldehyde crosslinks mitigates bioprosthetic aortic wall calcification in the sheep model. Journal Biomedical Material Research-Part A. 2001; 56(1):56-64.         [ Links ]

16. Huang-Lee LLH, Cheung DT, Nimni ME. Biochemical changes and cytotoxicity associated with the degradation of polymeric glutaraldehyde derived crosslinks. Journal Biomedical Material Research. 1990; 24(9):1185-1201.         [ Links ]

17. Golomb G, Schoen FJ, Smith MS, Linden J. The role of Glutaraldehyde-Induced Crosslinks in Calcification of Bovine Pericardium Used in Cardiac Valve Bioprostheses. The American Jounal of Pathology. 1987; 127:122-130.         [ Links ]

18. McClurg WM, Rogers S, Lawford PV, Hughes H. Acid hydrolizable aldehydes in long-term stored commercial bioprosthetic heart valves Implications for calcifications. Cardiovascular Patholology. 1998; 7(4):233-237.         [ Links ]

19. Herrero JE, Fernández P, Escudero C, Páez JM, Ramos JLCO. Calcification of pericardial tissue pretreated with different amino acids. Biomaterials. 1996; 17(6):571-575.         [ Links ]

20. Grabenwoger M, Grimm M, Eybl E, Leukau C, Muller MM, Plenck Jr. H, Bock P. Decreased tissue reaction to bioprosthetic heart valve material after L-glutamic acid treatment: a morphological study. Journal Biomedical Material Research. 1992; 26(9):1231-1240.         [ Links ]

21. Grimm M, Eybl E, Grabenwoger M, Griesmacher A, Losert U, Bock P, Muller MM, Wolner E. Biocompatibility of aldehyde-fixed bovine pericardium An in vitro and in vivo approach toward improvement of bioprosthetic heart valves. The Journal of Thoracic and Cardiovascular Surgery. 1991; 102:195-201.         [ Links ]

22. Bengtsson L, Radegran K, Haegerstrand A. In vitro endothelialization of commercially available heart valve bioprostheses with cultured adult human cells. European Journal of Cardio-Thoracic Surgery. 1993; 7(8):393-398.         [ Links ]

23. Rosa GRS, Costa FDA, Vilani RGDC, Souza FP, Reichert L, Costa ISEA. Use of ethanol in preventing calcification of porcine pulmonary heterograft: experimental study in sheep. Brazilian Journal of Cardiovascular Surgery. 2006; 21(3):304-313.         [ Links ]

24. Rosa GRS, Costa FDA, Mesquita L, Costa ISEA. Estudo comparativo da eficácia do etanol e do ácido L-glutâmico na prevenção da calcificação das cúspides e parede aórtica porcina: estudo experimental em ratos. Brazilian Journal of Cardiovascular Surgery. 2002; 17(2):40-51.         [ Links ]

25. Kim SS, Lim SH, Cho SW, Gwak SJ, Hong YS, Chang BC, Park MH, Song KW, Choi CY, Kim BS. Tissue engineering of heart valves by recellularization of glutaraldehyde-fixed porcine valves using bone marrow-derived cells. Experimental and Molecular Medicine. 2006; 38(3):273-283.         [ Links ]

26. Girardot JM, Duwoody G. Prevention of prosthesis calcification. US Patent n. 4.976.733. 1990 december 11.         [ Links ]

27. Chen W, Schoen FJ, Levy RJ. Mechanism of efficacy of 2-amino oleic acid for inhibition of calcification of glutaraldehyde-pretreated porcine bioprosthetic heart valves. Circulation. 1994; 90(1):323-329.         [ Links ]

28. Braile DM. Prótese valvular: desenvolvimento e aplicação clínica em posição mitral [tese]. São Paulo: Escola Paulista de Medicina; Ministério da Educação e Cultura; 1990. 110p.         [ Links ]

29. Piza MA. Reticulação de pericárdio bovino com glutaraldeído: efeitos da temperatura, tempo de reação e concentração [dissertação]. São Paulo: Universidade de São Paulo; 1997. 97p.         [ Links ]

30. Jastrzebska M, Roman W, Kocot A, Rejdak JZ, Cwalina B. Raman spectroscopic study of glutaraldehyde-stabilized collagen and pericardium tissue. Journal of Biomaterials Science, Polymer Edition. 2003; 14(2):185-197.         [ Links ]

31. Yoshioka SA, Goissis G. Thermal and spectrophotometric studies of new crosslinking method for collagen matrix with glutaraldehyde acetals. Journal of Materials Science: Materials in Medicine. 2008; 19(3):1215-1223.         [ Links ]

32. Breslow R. Reactions of carbonyl compounds. In Organic reaction compounds: an introduction. Breslow R. (Ed.). New York: WA Benjamin; 1969. p 188-189.         [ Links ]

 

 

Received: January 7, 2009
Revised: February 11, 2009

 

 

* e-mail: ggoissis@terra.com.br, domingo@braile.com.br, vladimir@braile.com.br

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