Annals of Biomedical Engineering

, Volume 47, Issue 2, pp 366–380 | Cite as

A Review of Integrin-Mediated Endothelial Cell Phenotype in the Design of Cardiovascular Devices

  • Allison Post
  • Ellen Wang
  • Elizabeth Cosgriff-HernandezEmail author


Sustained biomaterial thromboresistance has long been a goal and challenge in blood-contacting device design. Endothelialization is one of the most successful strategies to achieve long-term thromboresistance of blood-contacting devices, with the endothelial cell layer providing dynamic hemostatic regulation. It is well established that endothelial cell behavior is influenced by interactions with the underlying extracellular matrix (ECM). Numerous researchers have sought to exploit these interactions to generate improved blood-contacting devices by investigating the expression of hemostatic regulators in endothelial cells on various ECM coatings. The ability to select substrates that promote endothelial cell-mediated thromboresistance is crucial to advancing material design strategies to improve cardiovascular device outcomes. This review provides an overview of endothelial cell regulation of hemostasis, the major components found within the cardiovascular basal lamina, and the interactions of endothelial cells with prominent ECM components of the basement membrane. A summary of ECM-mimetic strategies used in cardiovascular devices is provided with a focus on the effects of key adhesion modalities on endothelial cell regulators of hemostasis.


Coagulation Integrin Cardiovascular devices Endothelial cells Hemostatic regulation 



Funding was provided by National Institutes of Health (Grant Nos. R21 EB020978 and R01 EB013297).


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© Biomedical Engineering Society 2018

Authors and Affiliations

  1. 1.Department of Biomedical EngineeringTexas A&M UniversityCollege StationUSA
  2. 2.Department of Biomedical EngineeringUniversity of TexasAustinUSA

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