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Plasma proteins influence the initial adhesion of bacteria to biomaterials as well as interactions between bacteria and blood platelets on blood-contacting medical devices. In this paper, we study the effects of three human plasma proteins, albumin, fibrinogen (Fg), and fibronectin (Fn), on the adhesion of <i>Staphylococcus epidemidis</i> RP62A to polyurethane biomaterial surfaces, and also address how these three proteins affect bacterial interactions with human platelets on materials. Measurements of bacterial adhesion on polymer surfaces pre-adsorbed with a variety of proteins demonstrate that Fn leads to increased bacterial adhesion, with the order of effectiveness being Fn 》Fg > albumin. Immuno-AFM (atomic force microscopy) was used to assess the Fn adsorption/activity on surfaces and bacterial cell membranes by looking at molecular scale events. A correlation between molecular scale Fn adsorption and macroscale bacterial adhesion was observed, with an increased numbers of Fn-receptor recognition events measured on cell surfaces as compared to Fg-receptor recognition events, suggesting Fn is an important protein in bacterial adhesion. Monoclonal antibodies recognizing either the carboxyl-terminus or amino-terminus of Fn were coupled to AFM probes and used to assess the orientation of Fn adsorbed on a surface, with an increased amount of Fn carboxyl-terminus availability corresponding to higher bacterial adhesion. Interactions between bacteria and platelets were demonstrated with fluorescence and AFM imaging on the polyurethane surfaces, with albumin inhibiting bacteria-platelet interaction and platelet activation, and both Fg and Fn promoting adhesion of bacteria to platelets and apparent platelet activation, resulting in bacteria/platelet aggregation

journal of biomaterials and nanobiotechnology

Effects of Plasma Proteins on &amp;lt;i&amp;gt;Staphylococcus epidermidis&amp;lt;/i&amp;gt; RP62A Adhesion and Interaction with Platelets on Polyurethane Biomaterial Surfaces