Abstract
Chitosan, a naturally occurring polysaccharide derived from chitin, has been widely applied in drug delivery, tissue regeneration, wound healing, blood coagulation, and immunostimulation due to its well-known biocompatibility and biodegradability. Additionally, because of its unique cationic nature and the gel/film/matrix-forming capabilities, chitosan has been considered as a promising material for the development of medical devices. The current concept for developing medical devices often comprises the functionality of controlled release of bioactive agents such as drugs, proteins, or growth factors in order to fulfill their clinical applications. However, in biological fluids, the hydrophilic chitosan matrices may swell and deform dramatically through hydration, thus resulting in a rapid loss of the encapsulated drugs from the delivery device. Considerable efforts have therefore been made in chemically modifying chitosan to improve its physical properties and functionality. This review article focuses on the versatile modifications of chitosan matrices (ionic or chemical crosslinking) and the most recent research activities in drug-eluting devices, including vascular stents, artificial skin, bone grafts, and nerve guidance conduits.
Graphical Abstract
The authors Mei-Chin Chen and Fwu-Long Mi contributed equally.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Synowiecki J, Al-Khateeb NA (2003) Production, properties, and some new applications of chitin and its derivatives. Crit Rev Food Sci Nutr 43:145–171
Rinaudo M (2006) Chitin and chitosan: properties and applications. Prog Polym Sci 31:603–632
Shi C, Zhu Y, Ran X et al (2006) Therapeutic potential of chitosan and its derivatives in regenerative medicine. J Surg Res 133:185–192
Madihally SV, Matthew HW (1999) Porous chitosan scaffolds for tissue engineering. Biomaterials 20:1133–1142
Hsieh CY, Tsai SP, Wang DM et al (2005) Preparation of gamma-PGA/chitosan composite tissue engineering matrices. Biomaterials 26:5617–5623
Li Z, Ramay HR, Hauch KD et al (2005) Chitosan-alginate hybrid scaffolds for bone tissue engineering. Biomaterials 26:3919–3928
Ueno H, Mori T, Fujinaga T (2001) Topical formulations and wound healing applications of chitosan. Adv Drug Deliv Rev 52:105–115
Mi FL, Shyu SS, Wu YB et al (2001) Fabrication and characterization of a sponge-like asymmetric chitosan membrane as a wound dressing. Biomaterials 22:165–173
Ishihara M, Nakanishi K, Ono K et al (2002) Photocrosslinkable chitosan as a dressing for wound occlusion and accelerator in healing process. Biomaterials 23:833–840
Amidi M, Mastrobattista E, Jiskoot W et al (2010) Chitosan-based delivery systems for protein therapeutics and antigens. Adv Drug Deliv Rev 62:59–82
Bhattarai N, Gunn J, Zhang M (2010) Chitosan-based hydrogels for controlled, localized drug delivery. Adv Drug Deliv Rev 62:83–99
Ta HT, Dass CR, Dunstan DE (2008) Injectable chitosan hydrogels for localised cancer therapy. J Control Release 126:205–216
Park JH, Saravanakumar G, Kim K et al (2010) Targeted delivery of low molecular drugs using chitosan and its derivatives. Adv Drug Deliv Rev 62:28–41
Kean T, Roth S, Thanou M (2005) Trimethylated chitosans as non-viral gene delivery vectors: cytotoxicity and transfection efficiency. J Control Release 103:643–653
Kim TH, Jiang HL, Jere D et al (2007) Chemical modification of chitosan as a gene carrier in vitro and in vivo. Prog Polym Sci 32:726–753
Liu X, Howard KA, Dong M et al (2007) The influence of polymeric properties on chitosan/siRNA nanoparticle formulation and gene silencing. Biomaterials 28:1280–1288
Peng SF, Yang MJ, Su CJ et al (2009) Effects of incorporation of poly(gamma-glutamic acid) in chitosan/DNA complex nanoparticles on cellular uptake and transfection efficiency. Biomaterials 30:1797–1808
Mourya VK, Inamdar NN (2008) Chitosan-modifications and applications: opportunities galore. React Funct Polym 68:1013–1051
Kurita K (2001) Controlled functionalization of the polysaccharide chitin. Prog Polym Sci 26:1921–1971
Tharanathan RN, Kittur FS (2003) Chitin – the undisputed biomolecule of great potential. Crit Rev Food Sci Nutr 43:61–87
Sashiwa H, Aiba SI (2004) Chemically modified chitin and chitosan as biomaterials. Prog Polym Sci 29:887–908
Muzzarelli RAA (1977) Chitin. Pergamon Press, Oxford, 140
Ning M, Wang Q, Sun SL et al (2004) Progress in chemical modification of chitin and chitosan. Prog Chem 16:643–653
Kumar MN, Muzzarelli RA, Muzzarelli C et al (2004) Chitosan chemistry and pharmaceutical perspectives. Chem Rev 104:6017–6084
Muzzarelli RAA (1985) Chitin. In: Kroschwitz JI (eds) Encyclopedia of Polymer Science and Technology, vol 3. Wiley, New York, p 430
Van der Lubben IM, Verhoef JC, Borchard G et al (2001) Chitosan and its derivatives in mucosal drug and vaccine delivery. Eur J Pharm Sci 14:201–207
Jiang GB, Quan DP, Liao KR et al (2006) Preparation of polymeric micelles based on chitosan bearing a small amount of highly hydrophobic groups. Carbohyd Polym 66:514–520
Jiang GB, Quan D, Liao K et al (2006) Novel polymer micelles prepared from chitosan grafted hydrophobic palmitoyl groups for drug delivery. Mol Pharm 3:152–160
Hu Y, Du YM, Yang JH et al (2007) Self-aggregation and antibacterial activity of N-acylated chitosan. Polymer 48:3098–3106
Felix L, Hernandez J, Arguelles-Monal WM et al (2005) Kinetics of gelation and thermal sensitivity of N-isobutyryl chitosan hydrogels. Biomacromolecules 6:2408–2415
Zhang J, Chen XG, Li YY et al (2007) Self-assembled nanoparticles based on hydrophobically modified chitosan as carriers for doxorubicin. Nanomed Nanotechnol 3:258–265
Tong YJ, Wang SF, Xu JW et al (2005) Synthesis of O, O'-dipalmitoyl chitosan and its amphiphilic properties and capability of cholesterol absorption. Carbohyd Polym 60:229–233
Freier T, Koh HS, Kazazian K et al (2005) Controlling cell adhesion and degradation of chitosan films by N-acetylation. Biomaterials 26:5872–5878
Mi FL, Peng CK, Huang MF et al (2005) Preparation and characterization of N-acetylchitosan, N-propionylchitosan and N-butyrylchitosan microspheres for controlled release of 6-mercaptourine. Carbohyd Polym 60:219–227
Sashiwa H, Kawasaki N, Nakayama A et al (2002) Chemical modification of chitosan. 13. (1) Synthesis of organosoluble, palladium adsorbable, and biodegradable chitosan derivatives toward the chemical plating on plastics. Biomacromolecules 3:1120–1125
Wu YS, Hisada K, Maeda S et al (2007) Fabrication and structural characterization of the Langmuir-Blodgett films from a new chitosan derivative containing cinnamate chromophores. Carbohyd Polym 68:766–772
Xu C, Pan H, Jiang H et al (2008) Biocompatibility evaluation of N, O-hexanoyl chitosan as a biodegradable hydrophobic polycation for controlled drug release. J Mater Sci Mater Med 19:2525–2532
Chiu YL, Chen SC, Su CJ et al (2009) pH-triggered injectable hydrogels prepared from aqueous N-palmitoyl chitosan: in vitro characteristics and in vivo biocompatibility. Biomaterials 30:4877–4888
Chiu YL, Chen MC, Chen CY et al (2009) Rapidly in situ forming hydrophobically-modified chitosan hydrogels via pH-responsive nanostructure transformation. Soft Matter 5:962–965
Chiu YL, Ho YC, Chen YM et al (2010) The characteristics, cellular uptake and intracellular trafficking of nanoparticles made of hydrophobically-modified chitosan. J Control Release 146:152–159
Domard A, Rinaudo M, Terrassin C (1986) New method for the quaternization of chitosan. Int J Biol Macromol 8:105–107
Thanou M, Verhoef JC, Marbach P et al (2000) Intestinal absorption of octreotide: N-trimethyl chitosan chloride (TMC) ameliorates the permeability and absorption properties of the somatostatin analogue in vitro and in vivo. J Pharm Sci 89:951–957
Di Colo G, Burgalassi S, Zambito Y et al (2004) Effects of different N-trimethyl chitosans on in vitro/in vivo ofloxacin transcorneal permeation. J Pharm Sci 93:2851–2862
Hamman JH, Stander M, Kotze AF (2002) Effect of the degree of quaternisation of N-trimethyl chitosan chloride on absorption enhancement: in vivo evaluation in rat nasal epithelia. Int J Pharm 232:235–242
Boonyo W, Junginger HE, Waranuch N et al (2007) Chitosan and trimethyl chitosan chloride (TMC) as adjuvants for inducing immune responses to ovalbumin in mice following nasal administration. J Control Release 121:168–175
Amidi M, Romeijn SG, Borchard G et al (2006) Preparation and characterization of protein-loaded N-trimethyl chitosan nanoparticles as nasal delivery system. J Control Release 111:107–116
Mi FL, Wu YY, Lin YH et al (2008) Oral delivery of peptide drugs using nanoparticles self-assembled by poly(gamma-glutamic acid) and a chitosan derivative functionalized by trimethylation. Bioconjug Chem 19:1248–1255
Zheng Y, Cai Z, Song XR et al (2009) Preparation and characterization of folate conjugated N-trimethyl chitosan nanoparticles as protein carrier targeting folate receptor: in vitro studies. J Drug Target 17:294–303
Xu Y, Du Y, Huang R et al (2003) Preparation and modification of N-(2-hydroxyl) propyl-3-trimethyl ammonium chitosan chloride nanoparticle as a protein carrier. Biomaterials 24:5015–5022
Hall LD, Yalpani MD (1980) Formation of branched-chain, soluble polysaccharides from chitosan. J Chem Soc Chem Commun 38:1153–1154
Morimoto M, Saimoto H, Usui H et al (2001) Biological activities of carbohydrate-branched chitosan derivatives. Biomacromolecules 2:1133–1136
Wu CH, Wu GY (1998) Receptor-mediated delivery of foreign genes to hepatocytes. Adv Drug Deliv Rev 29:243–248
Ashwell G, Harford J (1982) Carbohydrate-specific receptors of the liver. Annu Rev Biochem 51:531–554
Kato Y, Onishi H, Machida Y (2001) Biological characteristics of lactosaminated N-succinyl-chitosan as a liver-specific drug carrier in mice. J Control Release 70:295–307
Park IK, Yang J, Jeong HJ et al (2003) Galactosylated chitosan as a synthetic extracellular matrix for hepatocytes attachment. Biomaterials 24:2331–2337
Murata J, Ohya Y, Ouchi T (1997) Design of quaternary chitosan conjugate having antennary galactose residues as a gene delivery tool. Carbohyd Polym 32:105–109
Mi FL, Wu YY, Chiu YL et al (2007) Synthesis of a novel glycoconjugated chitosan and preparation of its derived nanoparticles for targeting HepG2 cells. Biomacromolecules 8:892–898
Kim TH, Park IK, Nah JW et al (2004) Galactosylated chitosan/DNA nanoparticles prepared using water-soluble chitosan as a gene carrier. Biomaterials 25:3783–3792
Park IK, Ihm JE, Park YH et al (2003) Galactosylated chitosan (GC)-graft-poly(vinyl pyrrolidone) (PVP) as hepatocyte-targeting DNA carrier Preparation and physicochemical characterization of GC-graft-PVP/DNA complex (1). J Control Release 86:349–359
Jayakumar R, Prabaharan M, Nair SV et al (2010) Novel carboxymethyl derivatives of chitin and chitosan materials and their biomedical applications. Prog Mater Sci 55:675–709
Kim CH, Choi KS (1998) Synthesis and properties of carboxyalkyl chitosan derivatives. J Ind Eng Chem 4:19–25
Muzzarelli RAA, Tanfani F, Emanuelli M et al (1982) N-(carboxymethylidene)chitosans and N-(carboxymethyl)-chitosans – novel chelating polyampholytes obtained from chitosan glyoxylate. Carbohydr Res 107:199–214
Muzzarelli RAA (1988) Carboxymethylated chitins and chitosans. Carbohyd Polym 8:1–21
Pavlov GM, Korneeva EV, Harding SE et al (1998) Dilute solution properties of carboxymethylchitins in high ionic-strength solvent. Polymer 39:6951–6961
Hayes ER (1986) N,O-carboxymethyl chitosan and preparative methods therefor. US Patent 4,619,995
Chen LY, Tian ZG, Du YM (2004) Synthesis and pH sensitivity of carboxymethyl chitosan-based polyampholyte hydrogels for protein carrier matrices. Biomaterials 25:3725–3732
Lin YH, Liang HF, Chung CK et al (2005) Physically crosslinked alginate/N, O-carboxymethyl chitosan hydrogels with calcium for oral delivery of protein drugs. Biomaterials 26:2105–2113
Chen SC, Wu YC, Mi FL et al (2004) A novel pH-sensitive hydrogel composed of N, O-carboxymethyl chitosan and alginate cross-linked by genipin for protein drug delivery. J Control Release 96:285–300
Yin LC, Fei LK, Cui FY et al (2007) Superporous hydrogels containing poly(acrylic acid-co-acrylamide)/O-carboxymethyl chitosan interpenetrating polymer networks. Biomaterials 28:1258–1266
Kato Y, Onishi H, Machida Y (2002) Depolymerization of N-succinyl-chitosan by hydrochloric acid. Carbohydr Res 337:561–562
Zhu AP, Chen T, Yuan LH et al (2006) Synthesis and characterization of N-succinyl-chitosan and its self-assembly of nanospheres. Carbohyd Polym 66:274–279
Kato Y, Onishi H, Machida Y (2000) Evaluation of N-succinyl-chitosan as a systemic long-circulating polymer. Biomaterials 21:1579–1585
Kato Y, Onishi H, Machida Y (2004) N-succinyl-chitosan as a drug carrier: water-insoluble and water-soluble conjugates. Biomaterials 25:907–915
Jayakumar R, Nwe N, Tokura S et al (2007) Sulfated chitin and chitosan as novel biomaterials. Int J Biol Macromol 40:175–181
Vikhoreva G, Bannikova G, Stolbushkina P et al (2005) Preparation and anticoagulant activity of a low-molecular-weight sulfated chitosan. Carbohydr Polym 62:327–332
Je JY, Park PJ, Kim SK (2005) Prolyl endopeptidase inhibitory activity of chitosan sulfates with different degree of deacetylation. Carbohydr Polym 60:553–556
Can Z, Ping QN, Zhang HJ et al (2003) Preparation of N-alkyl-O-sulfate chitosan derivatives and micellar solubilization of taxol. Carbohyd Polym 54:137–141
Xing RE, Liu S, Yu HH et al (2005) Preparation of high-molecular weight and high-sulfate content chitosans and their potential antioxidant activity in vitro. Carbohyd Polym 61:148–154
Horton D, Just EK (1973) Preparation from chitin of (1-4)-2-amino-2-deoxy-beta-D-glucopyranuronan and its 2-sulfoamino analog having blood anticoagulant properties. Carbohydr Res 29:173–179
Whistler RL, Kosik M (1971) Anticoagulant activity of oxidized and N-sulfated and O-sulfated chitosan. Arch Biochem Biophys 142:106–110
Muzzarelli RAA, Tanfani F, Emanuelli M et al (1986) In: Muzzarelli R, Jeuniaux C, Goodday WG (eds) Chitin in nature and technology. Plenum, New York, p 469
Zhou HJ, Qian JC, Wang J et al (2009) Enhanced bioactivity of bone morphogenetic protein-2 with low dose of 2-N, 6-O-sulfated chitosan in vitro and in vivo. Biomaterials 30:1715–1724
Ho YC, Wu SJ, Mi FL et al (2010) Thiol-modified chitosan sulfate nanoparticles for protection and release of basic fibroblast growth factor. Bioconjug Chem 21:28–38
Kast CE, Bernkop-Schnurch A (2001) Thiolated polymers – thiomers: development and in vitro evaluation of chitosan-thioglycolic acid conjugates. Biomaterials 22:2345–2352
Kast CE, Bernkop-Schnurch A (2002) Polymer-cysteamine conjugates: new mucoadhesive excipients for drug delivery? Int J Pharm 234:91–99
Bernkop-Schnurch A, Hornof M, Zoidl T (2003) Thiolated polymers-thiomers: synthesis and in vitro evaluation of chitosan-2-iminothiolane conjugates. Int J Pharm 260:229–237
Kafedjiiski K, Krauland AH, Hoffer MH et al (2005) Synthesis and in vitro evaluation of a novel thiolated chitosan. Biomaterials 26:819–826
Sakloetsakun D, Hombach JM, Bernkop-Schnurch A (2009) In situ gelling properties of chitosan-thioglycolic acid conjugate in the presence of oxidizing agents. Biomaterials 30:6151–6157
Hassan EE, Gallo JM (1990) A simple rheological method for the in vitro assessment of mucin-polymer bioadhesive bond strength. Pharmaceut Res 7:491–495
Leitner VM, Walker GF, Bernkop-Schnurch A (2003) Thiolated polymers: evidence for the formation of disulphide bonds with mucus glycoproteins. Eur J Pharm Biopharm 56:207–214
Foger F, Schmitz T, Bernkop-Schnurch A (2006) In vivo evaluation of an oral delivery system for P-gp substrates based on thiolated chitosan. Biomaterials 27:4250–4255
Werle M, Hoffer M (2006) Glutathione and thiolated chitosan inhibit multidrug resistance P-glycoprotein activity in excised small intestine. J Control Release 111:41–46
Bernkop-Schnurch A, Kast CE, Guggi D (2003) Permeation enhancing polymers in oral delivery of hydrophilic macromolecules: thiomer/GSH systems. J Control Release 93:95–103
Shu XZ, Zhu KJ (2002) Controlled drug release properties of ionically cross-linked chitosan beads: the influence of anion structure. Int J Pharm 233:217–225
Dambies L, Vincent T, Domard A et al (2001) Preparation of chitosan gel beads by ionotropic molybdate gelation. Biomacromolecules 2:1198–1205
Brack HP, Tirmizi SA, Risen WM (1997) A spectroscopic and viscometric study of the metal ion-induced gelation of the biopolymer chitosan. Polymer 38:2351–2362
Mi FL, Shyu SS, Lee ST et al (1999) Kinetic study of chitosan-tripolyphosphate complex reaction and acid-resistive properties of the chitosan-tripolyphosphate gel beads prepared by in-liquid curing method. J Polym Sci Pol Phys 37:1551–1564
Mi FL, Shyu SS, Wong TB et al (1999) Chitosan-polyelectrolyte complexation for the preparation of gel beads and controlled release of anticancer drug. II. Effect of pH-dependent ionic crosslinking or interpolymer complex using tripolyphosphate or polyphosphate as reagent. J Appl Polym Sci 74:1093–1107
Aydin Z, Akbuga J (1996) Chitosan beads for the delivery of salmon calcitonin: preparation and release characteristics. Int J Pharm 131:101–103
Shu XZ, Zhu KJ (2000) A novel approach to prepare tripolyphosphate/chitosan complex beads for controlled release drug delivery. Int J Pharm 201:51–58
Bodmeier R, Oh KH, Pramar Y (1989) Preparation and evaluation of drug-containing chitosan beads. Drug Dev Ind Pharm 15:1475–1494
Janes KA, Fresneau MP, Marazuela A et al (2001) Chitosan nanoparticles as delivery systems for doxorubicin. J Control Release 73:255–267
Fernandez-Urrusuno R, Calvo P, Remunan-Lopez C et al (1999) Enhancement of nasal absorption of insulin using chitosan nanoparticles. Pharm Res 16:1576–1581
Peppas NA, Bures P, Leobandung W et al (2000) Hydrogels in pharmaceutical formulations. Eur J Pharm Biopharm 50:27–46
Mi FL, Kuan CY, Shyu SS et al (2000) The study of gelation kinetics and chain-relaxation properties of glutaraldehyde-cross-linked chitosan gel and their effects on microspheres preparation and drug release. Carbohyd Polym 41:389–396
Gupta KC, Jabrail FH (2006) Effects of degree of deacetylation and cross-linking on physical characteristics, swelling and release behavior of chitosan microspheres. Carbohyd Polym 66:43–54
Arguelles-Monal W, Goycoolea FM, Peniche C et al (1998) Rheological study of the chitosan glutaraldehyde chemical gel system. Polym Gels Netw 6:429–440
Hassan EE, Parish RC, Gallo JM (1992) Optimized formulation of magnetic chitosan microspheres containing the anticancer agent, oxantrazole. Pharm Res 9:390–397
Jameela SR, Jayakrishnan A (1995) Glutaraldehyde cross-linked chitosan microspheres as a long acting biodegradable drug delivery vehicle: studies on the in vitro release of mitoxantrone and in vivo degradation of microspheres in rat muscle. Biomaterials 16:769–775
Chung TW, Lin SY, Liu DZ et al (2009) Sustained release of 5-FU from poloxamer gels interpenetrated by crosslinking chitosan network. Int J Pharm 382:39–44
Thanoo BC, Sunny MC, Jayakrishnan A (1992) Cross-linked chitosan microspheres: preparation and evaluation as a matrix for the controlled release of pharmaceuticals. J Pharm Pharmacol 44:283–286
Jameela SR, Kumary TV, Lal AV et al (1998) Progesterone-loaded chitosan microspheres: a long acting biodegradable controlled delivery system. J Control Release 52:17–24
Gupta KC, Jabrail FH (2006) Glutaraldehyde and glyoxal cross-linked chitosan microspheres for controlled delivery of centchroman. Carbohydr Res 341:744–756
Dini E, Alexandridou S, Kiparissides C (2003) Synthesis and characterization of cross-linked chitosan microspheres for drug delivery applications. J Microencapsul 20:375–385
Fujikawa S, Yokota T, Koga K et al (1987) The continuous hydrolysis of geniposide to genipin using immobilized beta-glucosidase on calcium alginate gel. Biotechnol Lett 9:697–702
Sung HW, Huang RN, Huang LL et al (1999) In vitro evaluation of cytotoxicity of a naturally occurring cross-linking reagent for biological tissue fixation. J Biomater Sci Polym Ed 10:63–78
Mi FL, Tan YC, Liang HC et al (2001) In vitro evaluation of a chitosan membrane cross-linked with genipin. J Biomater Sci Polym Ed 12:835–850
Mi FL, Tan YC, Liang HF et al (2002) In vivo biocompatibility and degradability of a novel injectable-chitosan-based implant. Biomaterials 23:181–191
Mi FL, Sung HW, Shyu SS (2000) Synthesis and characterization of a novel chitosan-based network prepared using naturally occurring crosslinker. J Polym Sci Pol Chem 38:2804–2814
Mi FL, Shyu SS, Peng CK (2005) Characterization of ring-opening polymerization of genipin and pH-dependent cross-linking reactions between chitosan and genipin. J Polym Sci Pol Chem 43:1985–2000
Mi FL, Sung HW, Shyu SS (2002) Drug release from chitosan-alginate complex beads reinforced by a naturally occurring cross-linking agent. Carbohyd Polym 48:61–72
Liu BS, Huang TB, Yao CH et al (2009) Novel wound dressing of non-woven fabric coated with genipin-crosslinked chitosan and bletilla striata herbal extract. J Med Biol Eng 29:60–67
Muzzarelli RAA (2009) Genipin-crosslinked chitosan hydrogels as biomedical and pharmaceutical aids. Carbohyd Polym 77:1–9
Mi FL, Sung HW, Shyu SS et al (2003) Synthesis and characterization of biodegradable TPP/genipin co-crosslinked chitosan gel beads. Polymer 44:6521–6530
Wei YC, Hudson SM, Mayer JM et al (1992) The crosslinking of chitosan fibers. J Polym Sci A Polym Chem 30:2187–2193
Welsh ER, Price RR (2003) Chitosan cross-linking with a water-soluble, blocked diisocyanate. 2. Solvates and hydrogels. Biomacromolecules 4:1357–1361
Roy SK, Todd JG, Glasser WG (1998) Crosslinked hydrogel beads from chitosan. US Patent 5,770,712
Wang SL, Liu WS, Han BQ et al (2009) Study on a hydroxypropyl chitosan-gelatin based scaffold for corneal stroma tissue engineering. Appl Surf Sci 255:8701–8705
Subramanian A, Rau AV, Kaligotla H (2006) Surface modification of chitosan for selective surface-protein interaction. Carbohyd Polym 66:321–332
Yu SH, Mi FL, Shyu SS et al (2006) Miscibility, mechanical characteristic and platelet adhesion of 6-O-carboxymethylchitosan/polyurethane semi-IPN membranes. J Membr Sci 276:68–80
Chen MC, Chang Y, Liu CT et al (2009) The characteristics and in vivo suppression of neointimal formation with sirolimus-eluting polymeric stents. Biomaterials 30:79–88
Mi FL, Shyu SS, Chen CT et al (1999) Porous chitosan microsphere for controlling the antigen release of Newcastle disease vaccine: preparation of antigen-adsorbed microsphere and in vitro release. Biomaterials 20:1603–1612
Mi FL, Shyu SS, Chen CT et al (2002) Adsorption of indomethacin onto chemically modified chitosan beads. Polymer 43:757–765
Chenite A, Chaput C, Wang D et al (2000) Novel injectable neutral solutions of chitosan form biodegradable gels in situ. Biomaterials 21:2155–2161
Sakai S, Yamada Y, Zenke T et al (2009) Novel chitosan derivative soluble at neutral pH and in-situ gellable via peroxidase-catalyzed enzymatic reaction. J Mater Chem 19:230–235
Jin R, Moreira Teixeira LS, Dijkstra PJ et al (2009) Injectable chitosan-based hydrogels for cartilage tissue engineering. Biomaterials 30:2544–2551
Babapulle MN, Eisenberg MJ (2002) Coated stents for the prevention of restenosis: Part I. Circulation 106:2734–2740
Betriu A, Masotti M, Serra A et al (1999) Randomized comparison of coronary stent implantation and balloon angioplasty in the treatment of de novo coronary artery lesions (START): a four-year follow-up. J Am Coll Cardiol 34:1498–1506
Chen MC, Liang HF, Chiu YL et al (2005) A novel drug-eluting stent spray-coated with multi-layers of collagen and sirolimus. J Control Release 108:178–189
Wessely R (2010) New drug-eluting stent concepts. Nat Rev Cardiol 7:194–203
Honda Y (2009) Drug-eluting stents. Insights from invasive imaging technologies. Circ J 73:1371–1380
Kukreja N, Onuma Y, Daemen J et al (2008) The future of drug-eluting stents. Pharmacol Res 57:171–180
Wykrzykowska JJ, Onuma Y, Serruys PW (2009) Advances in stent drug delivery: the future is in bioabsorbable stents. Expert Opin Drug Deliv 6:113–126
Luscher TF, Steffel J, Eberli FR et al (2007) Drug-eluting stent and coronary thrombosis: biological mechanisms and clinical implications. Circulation 115:1051–1058
Virmani R, Guagliumi G, Farb A et al (2004) Localized hypersensitivity and late coronary thrombosis secondary to a sirolimus-eluting stent: should we be cautious? Circulation 109:701–705
Tsimikas S (2006) Drug-eluting stents and late adverse clinical outcomes lessons learned, lessons awaited. J Am Coll Cardiol 47:2112–2115
Joner M, Finn AV, Farb A et al (2006) Pathology of drug-eluting stents in humans: delayed healing and late thrombotic risk. J Am Coll Cardiol 48:193–202
Meng S, Liu Z, Shen L et al (2009) The effect of a layer-by-layer chitosan-heparin coating on the endothelialization and coagulation properties of a coronary stent system. Biomaterials 30:2276–2283
Hardhammar PA, van Beusekom HM, Emanuelsson HU et al (1996) Reduction in thrombotic events with heparin-coated Palmaz-Schatz stents in normal porcine coronary arteries. Circulation 93:423–430
Thierry B, Winnik FM, Merhi Y et al (2003) Bioactive coatings of endovascular stents based on polyelectrolyte multilayers. Biomacromolecules 4:1564–1571
Heublein B, Evagorou EG, Rohde R et al (2002) Polymerized degradable hyaluronan – a platform for stent coating with inherent inhibitory effects on neointimal formation in a porcine coronary model. Int J Artif Organs 25:1166–1173
Morra M (2000) On the molecular basis of fouling resistance. J Biomater Sci Polym Ed 11:547–569
Wang PG, Xian M, Tang X et al (2002) Nitric oxide donors: chemical activities and biological applications. Chem Rev 102:1091–1134
Provost P, Merhi Y (1997) Endogenous nitric oxide release modulates mural platelet thrombosis and neutrophil-endothelium interactions under low and high shear conditions. Thromb Res 85:315–326
Shirota T, Yasui H, Shimokawa H et al (2003) Fabrication of endothelial progenitor cell (EPC)-seeded intravascular stent devices and in vitro endothelialization on hybrid vascular tissue. Biomaterials 24:2295–2302
Aoki J, Serruys PW, van Beusekom H et al (2005) Endothelial progenitor cell capture by stents coated with antibody against CD34: the HEALING-FIM (Healthy Endothelial Accelerated Lining Inhibits Neointimal Growth-First In Man) Registry. J Am Coll Cardiol 45:1574–1579
Campbell PG, Hall JA, Harcombe AA et al (2000) The Jomed covered stent graft for coronary artery aneurysms and acute perforation: a successful device which needs careful deployment and may not reduce restenosis. J Invasive Cardiol 12:272–276
Schachinger V, Hamm CW, Munzel T et al (2003) A randomized trial of polytetrafluoroethylene-membrane-covered stents compared with conventional stents in aortocoronary saphenous vein grafts. J Am Coll Cardiol 42:1360–1369
Roukoz B, Arjornand H, Surabhi S et al (2003) Initial US experience with membrane-covered stents in the treatment of saphenous vein graft lesions: roll-in phase of the barricade trial. J Am Coll Cardiol 41:82A
Thierry B, Merhi Y, Silver J et al (2005) Biodegradable membrane-covered stent from chitosan-based polymers. J Biomed Mater Res A 75:556–566
Yakacki CM, Shandas R, Lanning C et al (2007) Unconstrained recovery characterization of shape-memory polymer networks for cardiovascular applications. Biomaterials 28:2255–2263
Nebeker JR, Virmani R, Bennett CL et al (2006) Hypersensitivity cases associated with drug-eluting coronary stents: a review of available cases from the Research on Adverse Drug Events and Reports (RADAR) project. J Am Coll Cardiol 47:175–181
Azarbal B, Currier JW (2006) Allergic reactions after the implantation of drug-eluting stents: is it the pill or the polymer? J Am Coll Cardiol 47:182–183
Koster R, Vieluf D, Kiehn M et al (2000) Nickel and molybdenum contact allergies in patients with coronary in-stent restenosis. Lancet 356:1895–1897
Chen MC, Tsai HW, Chang Y et al (2007) Rapidly self-expandable polymeric stents with a shape-memory property. Biomacromolecules 8:2774–2780
Chen MC, Tsai HW, Liu CT et al (2009) A nanoscale drug-entrapment strategy for hydrogel-based systems for the delivery of poorly soluble drugs. Biomaterials 30:2102–2111
Tamai H, Igaki K, Kyo E et al (2000) Initial and 6-month results of biodegradable poly-l-lactic acid coronary stents in humans. Circulation 102:399–404
Venkatraman SS, Tan LP, Joso JF et al (2006) Biodegradable stents with elastic memory. Biomaterials 27:1573–1578
Torchilin VP (2004) Targeted polymeric micelles for delivery of poorly soluble drugs. Cell Mol Life Sci 61:2549–2559
Ip JH, Fuster V, Israel D et al (1991) The role of platelets, thrombin and hyperplasia in restenosis after coronary angioplasty. J Am Coll Cardiol 17:77B–88B
Casscells W (1992) Migration of smooth muscle and endothelial cells. Critical events in restenosis. Circulation 86:723–729
Marx SO, Jayaraman T, Go LO et al (1995) Rapamycin-FKBP inhibits cell cycle regulators of proliferation in vascular smooth muscle cells. Circ Res 76:412–417
Kuo CK, Ma PX (2001) Ionically crosslinked alginate hydrogels as scaffolds for tissue engineering: part 1. Structure, gelation rate and mechanical properties. Biomaterials 22:511–521
Ko CS, Wu CH, Huang HH et al (2007) Genipin cross-linking of type II collagen-chondroitin sulfate-hyaluronan scaffold for articular cartilage therapy. J Med Biol Eng 27:7–14
Cauich-Rodriguez JV, Deb S, Smith R (1996) Effect of cross-linking agents on the dynamic mechanical properties of hydrogel blends of poly(acrylic acid)-poly(vinyl alcohol-vinyl acetate). Biomaterials 17:2259–2264
Chen MC, Liu CT, Tsai HW et al (2009) Mechanical properties, drug eluting characteristics and in vivo performance of a genipin-crosslinked chitosan polymeric stent. Biomaterials 30:5560–5571
Sung HW, Hsu CS, Lee YS et al (1996) Crosslinking characteristics of an epoxy-fixed porcine tendon: effects of pH, temperature, and fixative concentration. J Biomed Mater Res 31:511–518
Sung HW, Liang IL, Chen CN et al (2001) Stability of a biological tissue fixed with a naturally occurring crosslinking agent (genipin). J Biomed Mater Res 55:538–546
Yin M, Yuan Y, Liu C et al (2009) Development of mussel adhesive polypeptide mimics coating for in-situ inducing re-endothelialization of intravascular stent devices. Biomaterials 30:2764–2773
Venkatesan J, Kim SK (2010) Chitosan composites for bone tissue engineering – an overview. Mar Drugs 8:2252–2266
Hu Q, Li B, Wang M et al (2004) Preparation and characterization of biodegradable chitosan/hydroxyapatite nanocomposite rods via in situ hybridization: a potential material as internal fixation of bone fracture. Biomaterials 25:779–785
Singer AJ, Clark RA (1999) Cutaneous wound healing. N Engl J Med 341:738–746
Campos M, Cordi L, Duran N et al (2006) Antibacterial activity of chitosan solution for wound dressing. Macromol Symp 245–246:515–518
Khor E, Lim LY (2003) Implantable applications of chitin and chitosan. Biomaterials 24:2339–2349
Obara K, Ishihara M, Ishizuka T et al (2003) Photocrosslinkable chitosan hydrogel containing fibroblast growth factor-2 stimulates wound healing in healing-impaired db/db mice. Biomaterials 24:3437–3444
Mizuno K, Yamamura K, Yano K et al (2003) Effect of chitosan film containing basic fibroblast growth factor on wound healing in genetically diabetic mice. J Biomed Mater Res A 64(1):177–181
Liu Y, Cai S, Shu XZ et al (2007) Realease of basic fibroblast growth factor from a crosslinked glycosaminoglycan hydrogel promotes wound healing. Wound Repair Regen 15:245–251
Kawai K, Suzuki S, Tabata Y et al (2000) Accelerated tissue regeneration through incorporation of basic fibroblast growth factor-impregnated gelatin microspheres into artificial dermis. Biomaterials 21:489–499
Judith R, Nithya M, Rose C et al (2010) Application of a PDGF-containing novel gel for cutaneous wound healing. Life Sci 87:1–8
Choi JS, Yoo HS (2010) Pluronic/chitosan hydrogels containing epidermal growth factor with wound-adhesive and photo-crosslinkable properties. J Biomed Mater Res A 95A:564–573
Sato M, Asazuma T, Ishihara M et al (2003) An atelocollagen honeycomb-shaped scaffold with a membrane seal (ACHMS-scaffold) for the culture of annulus fibrosus cells from an intervertebral disc. J Biomed Mater Res A 64A:249–256
Pannier AK, Shea LD (2004) Controlled release systems for DNA delivery. Mol Ther 10:19–26
Guo R, Xu S, Ma L et al (2011) The healing of full-thickness burns treated by using plasmid DNA encoding VEGF-165 activated collagen-chitosan dermal equivalents. Biomaterials 32:1019–1031
Fujie T, Saito A, Kinoshita M et al (2010) Dual therapeutic action of antibiotic-loaded nanosheets for the treatment of gastrointestinal tissue defects. Biomaterials 31:6269–6278
Ong SY, Wu J, Moochhala SM et al (2008) Development of a chitosan-based wound dressing with improved hemostatic and antimicrobial properties. Biomaterials 29:4323–4332
Mi FL, Wu YB, Shyu SS et al (2002) Control of wound infections using a bilayer chitosan wound dressing with sustainable antibiotic delivery. J Biomed Mater Res 59:438–449
Jin R, Teixeira LSM, Dijkstra PJ et al (2009) Injectable chitosan-based hydrogels for cartilage tissue engineering. Biomaterials 30:2544–2551
Lahiji A, Sohrabi A, Hungerford DS et al (2000) Chitosan supports the expression of extracellular matrix proteins in human osteoblasts and chondrocytes. J Biomed Mater Res 51:586–595
Sechriest VF, Miao YJ, Niyibizi C et al (1999) GAG-augmented polysaccharide hydrogel: a novel biocompatible and biodegradable material to support chondrogenesis. J Biomed Mater Res 49:534–541
Nettles DL, Elder SH, Gilbert JA (2002) Potential use of chitosan as a cell scaffold material for cartilage tissue engineering. Tissue Eng 8:1009–1016
Ragetly G, Griffon DJ, Chung YS (2010) The effect of type II collagen coating of chitosan fibrous scaffolds on mesenchymal stem cell adhesion and chondrogenesis. Acta Biomater 6:3988–3997
Ragetly GR, Slavik GJ, Cunningham BT et al (2010) Cartilage tissue engineering on fibrous chitosan scaffolds produced by a replica molding technique. J Biomed Mater Res A 93:46–55
Swieszkowski W, Tuan BH, Kurzydlowski KJ et al (2007) Repair and regeneration of osteochondral defects in the articular joints. Biomol Eng 24:489–495
Frenkel SR, Bradica G, Brekke JH et al (2005) Regeneration of articular cartilage – evaluation of osteochondral defect repair in the rabbit using multiphasic implants. Osteoarthritis Cartilage 13:798–807
Malafaya PB, Oliveira JT, Reis RL (2010) The effect of insulin-loaded chitosan particle-aggregated scaffolds in chondrogenic differentiation. Tissue Eng A 16:735–747
Lee JE, Kim KE, Kwon IC et al (2004) Effects of the controlled-released TGF-beta 1 from chitosan microspheres on chondrocytes cultured in a collagen/chitosan/glycosaminoglycan scaffold. Biomaterials 25:4163–4173
Kim IY, Seo SJ, Moon HS et al (2008) Chitosan and its derivatives for tissue engineering applications. Biotechnol Adv 26:1–21
Ignotz RA, Massague J (1986) Transforming growth factor-beta stimulates the expression of fibronectin and collagen and their incorporation into the extracellular matrix. J Biol Chem 261:4337–4345
Kim SE, Park JH, Cho YW et al (2003) Porous chitosan scaffold containing microspheres loaded with transforming growth factor-beta1: implications for cartilage tissue engineering. J Control Release 91:365–374
Guo T, Zhao J, Chang J et al (2006) Porous chitosan-gelatin scaffold containing plasmid DNA encoding transforming growth factor-beta1 for chondrocytes proliferation. Biomaterials 27:1095–1103
De la Riva B, Sanchez E, Hernandez A et al (2010) Local controlled release of VEGF and PDGF from a combined brushite-chitosan system enhances bone regeneration. J Control Release 143:45–52
Seol YJ, Lee JY, Park YJ et al (2004) Chitosan sponges as tissue engineering scaffolds for bone formation. Biotechnol Lett 26:1037–1041
Kim IS, Park JW, Kwon IC et al (2002) Role of BMP, betaig-h3, and chitosan in early bony consolidation in distraction osteogenesis in a dog model. Plast Reconstr Surg 109:1966–1977
Park YJ, Lee YM, Lee JY et al (2000) Controlled release of platelet-derived growth factor-BB from chondroitin sulfate-chitosan sponge for guided bone regeneration. J Control Release 67:385–394
Lee JY, Nam SH, Im SY et al (2002) Enhanced bone formation by controlled growth factor delivery from chitosan-based biomaterials. J Control Release 78:187–197
Moore DC, Ehrlich MG, McAllister SC et al (2009) Recombinant human platelet-derived growth factor-BB augmentation of new-bone formation in a rat model of distraction osteogenesis. J Bone Joint Surg Am 91:1973–1984
Dimitriou R, Tsiridis E, Giannoudis PV (2005) Current concepts of molecular aspects of bone healing. Injury 36:1392–1404
Yilgor P, Tuzlakoglu K, Reis RL et al (2009) Incorporation of a sequential BMP-2/BMP-7 delivery system into chitosan-based scaffolds for bone tissue engineering. Biomaterials 30:3551–3559
Urist MR (1965) Bone: formation by autoinduction. Science 150:893–899
Bessa PC, Casal M, Reis RL (2008) Bone morphogenetic proteins in tissue engineering: the road from the laboratory to the clinic, part I (basic concepts). J Tissue Eng Regen Med 2:1–13
White AP, Vaccaro AR, Hall JA et al (2007) Clinical applications of BMP-7/OP-1 in fractures, nonunions and spinal fusion. Int Orthop 31:735–741
McKay WF, Peckham SM, Badura JM (2007) A comprehensive clinical review of recombinant human bone morphogenetic protein-2 (INFUSE Bone Graft). Int Orthop 31:729–734
Zhang Y, Zhang M (2002) Calcium phosphate/chitosan composite scaffolds for controlled in vitro antibiotic drug release. J Biomed Mater Res 62:378–386
Jia WT, Zhang X, Zhang CQ et al (2010) Elution characteristics of teicoplanin-loaded biodegradable borate glass/chitosan composite. Int J Pharm 387:184–186
Bhattarai N, Li ZS, Gunn J et al (2009) Natural-synthetic polyblend nanofibers for biomedical applications. Adv Mater 21:2792–2797
Schmidt CE, Leach JB (2003) Neural tissue engineering: strategies for repair and regeneration. Annu Rev Biomed Eng 5:293–347
Pfister LA, Alther E, Papaloizos M et al (2008) Controlled nerve growth factor release from multi-ply alginate/chitosan-based nerve conduits. Eur J Pharm Biopharm 69:563–572
Ao Q, Fung CK, Tsui AY et al (2011) The regeneration of transected sciatic nerves of adult rats using chitosan nerve conduits seeded with bone marrow stromal cell-derived Schwann cells. Biomaterials 32:787–796
Ding F, Wu J, Yang Y et al (2010) Use of tissue-engineered nerve grafts consisting of a chitosan/poly(lactic-co-glycolic acid)-based scaffold included with bone marrow mesenchymal cells for bridging 50-mm dog sciatic nerve gaps. Tissue Eng A 16:3779–3790
Jiao H, Yao J, Yang Y et al (2009) Chitosan/polyglycolic acid nerve grafts for axon regeneration from prolonged axotomized neurons to chronically denervated segments. Biomaterials 30:5004–5018
Wang X, Hu W, Cao Y et al (2005) Dog sciatic nerve regeneration across a 30-mm defect bridged by a chitosan/PGA artificial nerve graft. Brain 128:1897–1910
Boyd JG, Gordon T (2003) Neurotrophic factors and their receptors in axonal regeneration and functional recovery after peripheral nerve injury. Mol Neurobiol 27:277–324
Hoke A, Redett R, Hameed H et al (2006) Schwann cells express motor and sensory phenotypes that regulate axon regeneration. J Neurosci 26:9646–9655
Deumens R, Bozkurt A, Meek MF et al (2010) Repairing injured peripheral nerves: bridging the gap. Prog Neurobiol 92:245–276
Patel M, Mao L, Wu B et al (2009) GDNF blended chitosan nerve guides: an in vivo study. J Biomed Mater Res A 90:154–165
Patel M, Mao L, Wu B et al (2007) GDNF-chitosan blended nerve guides: a functional study. J Tissue Eng Regen Med 1:360–367
Acknowledgment
Ted Knoy is appreciated for his editorial assistance.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2011 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Chen, MC., Mi, FL., Liao, ZX., Sung, HW. (2011). Chitosan: Its Applications in Drug-Eluting Devices. In: Jayakumar, R., Prabaharan, M., Muzzarelli, R. (eds) Chitosan for Biomaterials I. Advances in Polymer Science, vol 243. Springer, Berlin, Heidelberg. https://doi.org/10.1007/12_2011_116
Download citation
DOI: https://doi.org/10.1007/12_2011_116
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-23113-1
Online ISBN: 978-3-642-23114-8
eBook Packages: Chemistry and Materials ScienceChemistry and Material Science (R0)