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Endothelialization and characterization of titanium dioxide-coated gas-exchange membranes for application in the bioartificial lung

journal contribution
posted on 2019-03-01, 10:47 authored by Michael Pflaum, Marina Kuhn-Kauffeldt, Sabrina Schmeckebier, Daniele Dipresa, Kanchan Chauhan, Bettina Wiegmann, Rolf J. Haug, Jochen Schein, Axel Haverich, Sotiris KorossisSotiris Korossis
Fouling on the gas-exchange hollow-fiber membrane (HFM) of extracorporeal membrane oxygenation (ECMO) devices by blood components and pathogens represents the major hurdle to their long-term application in patients with lung deficiency or unstable hemodynamics. Although patients are treated with anticoagulants, deposition of blood proteins onto the membrane surface may still occur after few days, leading to insufficient gas transfer and, consequently, to device failure. The aim of this study was to establish an endothelial cell (EC) monolayer onto the gas-exchange membrane of an ECMO device with a view to developing a hemocompatible bioartificial lung. Poly(4-methyl-1-pentene) (PMP) gas-exchange membranes were coated with titanium dioxide (TiO2), using the pulsed vacuum cathodic arc plasma deposition (PVCAPD) technique, in order to generate a stable interlayer, enabling cell adhesion onto the strongly hydrophobic PMP membrane. The TiO2 coating reduced the oxygen transfer rate (OTR) of the membrane by 22%, and it successfully mediated EC attachment. The adhered ECs formed a confluent monolayer, which retained a non-thrombogenic state and showed cell-to-cell, as well as cell-to-substrate contacts. The established monolayer was able to withstand physiological shear stress and possessed a ‘‘self-healing” capacity at areas of induced monolayer disruption. The study demonstrated that the TiO2 coating mediated EC attachment and the establishment of a functional EC monolayer.


This study was financially supported by the Cluster of Excellence REBIRTH (From Regenerative Biology to Reconstructive Therapy EXC 62, Unit 4.1), the German Centre for Lung Research (DZL) BREATH (Biomedical Research In Endstage And Obstructive Lung Disease Hannover) (DZL: 82DZL00201), and the German Research Foundation (DFG) (WI 4088/1-2).



  • Mechanical, Electrical and Manufacturing Engineering

Published in

Acta Biomaterialia




510 - 521


PFLAUM, M. ... et al., 2017. Endothelialization and characterization of titanium dioxide-coated gas-exchange membranes for application in the bioartificial lung. Acta Biomaterialia, 50, pp. 510 - 521.


© Acta Materialia Inc. Published by Elsevier Ltd.


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This work is made available according to the conditions of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) licence. Full details of this licence are available at: https://creativecommons.org/licenses/by-nc-nd/4.0/

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