Cell adhesion is when a cell binds to an adjacent cell or a
surface via the molecules on the cell surface. When a biomedical product is
implanted into a body, there are 3 ways of cell adhesion to the biomaterials in
the product. For example, anchoring junction, close contact and extracellular
matrix contacts. For anchoring junction, Cells adhere to the extracellular
matrix (ECM) film on the biomaterial with a gap of 10 to 15nm which gives a
strong adhesion. To connect the cells itself and the ECM film on the
biomaterial, a transmembrane protein – Integrin is needed. Integrin connects
the fibronectin in ECM to different cytoskeleton filament depending on the type
of junction. A type of anchoring junction – focal adhesion has the actin
filament connected. There are subsequent behaviours. For focal adhesion, cells
involved respond to the stiffness of adhered surface because mechanical forces
are transduced to the actin filament in the cytoskeleton of the cell. The
response could be increase in focal adhesions, cytoskeletal organisations and
cell migration, etc. The image below helps to visualise the concept of cell adhesion with labels on parts such as, focal adhesion, fibronectin and integrin.
Cell adhesion to biomaterial not only is influenced by the
types of cell junction but also the ECM surrounding the cell and a range of
parameters. The parameters include the roughness of surface and hydrophobicity.
The proteoglycans in ECM hydrates the space around cells which optimises the
cell adhesion because cell adhesion prefers a hydrophilic surface. The
roughness of surface is important to cell adhesion because surface roughness is
directly proportional to the level of adhesion. Although smoother surfaces
result in higher blood compatibility, the reduction in cell adhesion can cause
a blockage of biomedical implant in blood vessels. This issue is very important
to the heart devices as blockage of blood vessels in heart would mean potential
life loss. Although titanium alloys are excellent biomaterials for its
mechanical strength and corrosion resistance in artificial joints, the surface layer of TiO2 film is not very compatible for cell adhesion with bone tissueExperiment of cell adhesion has shown that a graphene
coated titanium alloy has more vinculin than a titanium alloy without any
coating. [2] This shows graphene coated titanium alloy adhere with the muscle
tissue through focal adhesions because vinculin is a cytoplasmic actin-binding
protein in focal adhesions which signals the coupling between actin
cytoskeleton and the ECM-graphene. Therefore, more vinculin indicates a
stronger cell adhesion. Subsequently, vinculin transduces signals from the
integrins into the nucleus though cytoplasmic actin. The gene expression in the
nucleus will be regulated and hence cell behaviours, such as cell migration,
will be varied.
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