Volume 100B, Issue 3 pp. 637-645

Polymer-free immobilization of a cyclic RGD peptide on a nitinol stent promotes integrin-dependent endothelial coverage of strut surfaces

Michael Joner

Michael Joner

CVPath Institute, Gaithersburg, Maryland 20878

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Qi Cheng

Qi Cheng

CVPath Institute, Gaithersburg, Maryland 20878

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Sabine Schönhofer-Merl

Sabine Schönhofer-Merl

Department of Cardiology, Deutsches Herzzentrum and Institute for Advanced Study, Munich, Germany

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Monica Lopez

Monica Lopez

Department Chemie, Center of Integrated Protein Science, Technische Universität München, Garching, Germany

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Stefanie Neubauer

Stefanie Neubauer

Department Chemie, Center of Integrated Protein Science, Technische Universität München, Garching, Germany

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Carlos Mas-Moruno

Carlos Mas-Moruno

Department Chemie, Center of Integrated Protein Science, Technische Universität München, Garching, Germany

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Burkhardt Laufer

Burkhardt Laufer

Department Chemie, Center of Integrated Protein Science, Technische Universität München, Garching, Germany

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Frank D. Kolodgie

Corresponding Author

Frank D. Kolodgie

CVPath Institute, Gaithersburg, Maryland 20878

CVPath Institute, Gaithersburg, Maryland 20878Search for more papers by this author
Horst Kessler

Horst Kessler

Department Chemie, Center of Integrated Protein Science, Technische Universität München, Garching, Germany

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Renu Virmani

Renu Virmani

CVPath Institute, Gaithersburg, Maryland 20878

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First published: 25 January 2012
Citations: 20

How to cite this article: Joner M, Cheng Q, Schönhofer-Merl S, Lopez M, Neubauer S, Mas-Moruno C, Laufer B, Kolodgie FD, Kessler H, Virmani R. 2012. Polymer-free immobilization of a cyclic RGD peptide on a nitinol stent promotes integrin-dependent endothelial coverage of strut surfaces. J Biomed Mater Res Part B 2012:100B:637–645.

Abstract

This study examined the utility of a stabilized cyclic RGD peptide chemically modified to selectively bind to titanium-oxide for enhanced biocompatibility of self-expanding nitinol stents. Endothelial cells express integrin receptors that promote attachment to subendothelial matrix proteins. Integrin binding to arginine-glycine-aspartic acid (RGD) peptide derivatives mimic naturally occurring adherent interactions. Irreversible covalent surface coating of conventional nitinol stents with a cyclic RGD (cRGD) peptide highly specific for integrin alpha v beta 3 might foster endothelialization after stent implantation. A selective cRGD peptide was irreversibly immobilized onto titanium oxide-rich nitinol coupons or self-expanding stents. Functionality of the engrafted RGD peptide was demonstrated using in vitro endothelial bioassays. A subsequent 7-day in vivo endothelialization study was performed using cRGD-coated self-expanding nitinol stents in rabbits. cRGD peptide coating effectively promoted endothelial cell anchorage, migration, and proliferation confirmed by increased focal adhesions. Proof-of-concept studies of rabbit cRGD stent implants showed a significant increase in endothelial coverage above stent struts relative to stents coated with BSA (cRGD = 70.1 ± 21.9 vs. BSA = 49.9 ± 21.8%, p < 0.03). Immobilization of cRGD peptides on strut surfaces represents an innovative strategy to improve endothelialization, which may facilitate vascular healing after stent implantation. © 2012 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater, 2012.

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