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Table 3 Selected materials used to functionalise silicone surfaces

From: Advances in surface modifications of the silicone breast implant and impact on its biocompatibility and biointegration

Chemical family

Name

Type of study

Effect

Ref

Synthetic materials

 Polyacrylate

Poly (methacrylic acid) (PMAA)

In vitro

• Increasing hydrophilicity

• Decreasing bacterial adhesion

[220, 258]

Poly (hydroxyethyl methacrylate) (PHEMA)

Oligo (ethylene glycol) methyl ether methacrylate (OEGMA)

 Polyether

Poly (ethylene glycol)

(PEG)/Oligo (ethylene glycol) (OEG)

In vitro

and

in vivo

• Rapid, reproducible grafting

• Increasing hydrophilicity

• Increasing cell adhesion

• Reducing fibrinogen, immunoglobulin G, and platelet adsorption

• No significant inhibition of leukocyte adhesion

• Reducing the thickness of the fibrous capsule

[225, 259,260,261]

Methoxy(polyethyleneoxy) propyltrimethoxysilane (PEG-silane)

In vitro

• Reducing platelets adsorption

• Stable grafting

[226]

 Polyacrylamide

Poly(acrylamide) (PAAm)

In vitro

and

in vivo

• Increasing hydrophilicity

• Decreasing fibroblast adhesion

• No significant inhibition of leukocyte adhesion

• Reducing the thickness of the fibrous capsule

[259]

 Polyvinyl

Polyvinylpyrrolidone (PVP)

Polyvinyl alcohol (PVA)

In vitro

• Good neural response

• Long-term stable hydrophilic surfaces

• Improving cell growth and proliferation

[262,263,264]

 Polystyrene

Poly (Sodium Styrene Sulfonate) (polyNaSS)

Material characterisation only

• Increasing hydrophilicity

[238]

Natural materials

 Zwitterionic

Phospholipids

Phosphorylcholine

In vitro

• Increasing hydrophilicity

• Reducing the thickness of the fibrous capsule

[255]

Poly (2-methacryloyloxyethyl phosphorylcholine)

(PMPC)

In vitro

and

in vivo

• Increasing hydrophilicity

• Significant reduction in inflammatory cell and cytokines recruitment

• Reducing the thickness of the fibrous capsule

[265]

Carboxybetaine

Poly carboxybetaine methacrylate) (pCBMA)

In vitro

• Increasing hydrophilicity

• Reducing protein adsorption and cell adhesion

[266, 267]

Sulfobetaine

Sulfobetaine silane (SBSi)

In vitro

• Increasing hydrophilicity

• Stable grafting

• Reducing protein adsorption

• Decreasing bacterial adhesion

[226]

Polyethylene glycol sulfobetaine silane (PEG-SBSi)

  

Polydopamine

In vitro

• Increasing hydrophilicity

• Increasing cell adhesion

[268, 269]

 Polypeptide

Collagen

In vitro

• Increasing hydrophilicity

• Increasing cell adhesion

• Unstable coating layer

[268]

Silk fibroin

In vitro

• Increasing elasticity

• Increasing cell viability

[270]

Nε-myristoyl-lysine methyl ester (MKM)

In vitro

• High stability and long-lasting hydrophilicity in ambient and aqueous environments

• Reducing fibrinogen adsorption

• Decreasing bacterial adhesion

[257]

[254]

Poly-l-lysine (PLL)

In vitro

and in vivo

• Inhibited capsular contracture

 Polysaccharides

Hyaluronic acid (HA)

In vitro

• Increasing hydrophilicity

• Long-term stability

• Reducing protein adsorption

• Reducing bacteria adhesion

[271,272,273]

Gelatin

In vitro

• Increasing hydrophilicity

• Improving cell adhesion and growth

[253]

Carboxymethyl cellulose (CMC)

In vitro

• Increasing hydrophilicity

• Improve cell adhesion and cell migration

• Reducing protein adsorption

[242]

Carboxymethyl -1,3-dextran (CMD)

• Increasing hydrophilicity

• Improve cell adhesion and cell migration

• Reducing the adsorption of negatively charged proteins

• Increasing the adsorption of positively charged proteins

Alginic acid (AA)

• Increasing hydrophilicity

• Improving cell adhesion and cell migration

• Reducing the adsorption of negatively charged proteins

• Increasing the adsorption of positively charged proteins