Supplementary information for Evaluation of the hemocompatibility of hydrated biodegradable aliphatic carbonyl polymers with a subtle difference in the backbone structure base on the intermediate water concept and surface hydration. by Kazuki Fukushima,1* Meng-Yu Tsai,2 Takayuki Ota,2 Yuta Haga,1 Kodai Matsuzaki,1 Yuto Inoue,2 Masaru Tanaka1,2,* 1Department of Polymer Science and Engineering, Graduate School of Science and Engineering, Yamagata University, 4-3-16 Jonan, Yonezawa, Yamagata 992-8510, Japan 2Department of Biochemical Engineering, Graduate School of Science and Engineering, Yamagata University, 4-3-16 Jonan, Yonezawa, Yamagata 992-8510, Japan S1 Experimental details Materials. δ-Valerolactone (VL, >98.0%) and trimethylene carbonate (TMC, > 98.0%) were purchased from TCI, benzoic acid (> 99.5%), poly(ε-caprolactone) (PCL, Mn 70,000 − 100,000), and 2-methoxyethyl acrylate (> 98.0%) were purchased from Wako Chemical, and benzyl alcohol (99.8%), 1,8-diazabicyclo[5.4.0]undec-7-ene (DBU, 99%) and poly(dioxanone) (PDO, RESOMER® X206 S, η = 1.5-2.2 dl g-1 in 0.1 % (wt./vol.) HFIP, 30 °C) were purchased from Sigma-Aldrich. VL, DBU, and benzyl alcohol were distilled over calcium hydride under the reduced pressure. N-(3,5-bis(trifluoromethyl)phenyl-N’-cyclohexcylthiourea (TU) was prepared as reported previously.S1 Poly(2-methoxyethyl acrylate) (PMEA; Mn 22,000, ÐM 2.8) was synthesized by ordinary 2,2’-azobisisobutylonitrile radical (AIBN) polymerization at 75 of °C 2-methoxyethyl as described acrylate using elsewhere.S2 Poly(2-methacryloyloxyethyl phosphorylcholine-co-butyl methacrylate) (PMPC: Mn 600,000 g/mol, ÐM 2.4) was composed of 30 mol% of PMPC and 70 mol% of PBMA and obtained from NOF. Other chemicals and solvents are purchased from Kanto Chemical and used as received. Poly(ethylene terephthalate) (PET) sheets (thickness 125 μm) were purchased from Mitsubishi Plastics and punched out into small circles with a diameter of 14 mm. The cut pieces were immersed in methanol for cleaning and sterilization and dried in air for 24 hours. Phosphate buffered saline (PBS, pH 7.4) was prepared by dissolving ten tablets of phosphate buffer salts (Takara Bio) in 1 L of ultrapure water. 1% glutaraldehyde solution was prepared by dilution of 25% glutaraldehyde aqueous solution (Wako Chemical) with PBS above mentioned. Water used in this study was deionized with a Millipore Milli-Q water purifier operating at a resistance of 18 Ω-cm unless specifically stated. Measurements. Size exclusion chromatography (SEC) in THF was performed at 30 ºC using an integrated SEC unit of Tosoh HLC-8220 chromatograph equipped with three TSK-gel columns connected in series (super AW5000, super AW4000, and super AW3000) and a refractive index (RI) detector and calibrated with polystyrene standards (2500 to 1.1 × 106 g mol-1) to obtain a number average molecular weight (Mn) and molar-mass dispersity (ÐM). Differential scanning calorimetry (DSC) was recorded on a Hitachi High-Tech Science X-DSC7000 with a ramp of 5 °C min-1 under a nitrogen atmosphere. Ring-opening polymerization of VL. VL (2.0 g, 20 mmol) was added to a solution of DBU (152 mg, 1 mmol), TU (370 mg, 1mmol), and benzyl alcohol (10.8 mg, 0.1 mmol) in dry toluene (10 ml). The solution was stirred for 27 hours and quenched with benzoic acid (650 mg). The white powder (1.7 g) was obtained by reprecipitation from methanol with a total yield of 85%. Mn (ÐM) = 28500 g mol-1 (1.21). S2 Ring-opening polymerization of TMC. TMC (1.02 g, 10 mmol) was added to a solution of DBU (76 mg, 0.5 mmol), TU (185 mg, 0.5 mmol), and benzyl alcohol (10.8 mg, 0.1 mmol) in dry CH2Cl2 (5.0 ml). The solution was stirred for 17 hours and quenched with benzoic acid (270 mg). The white chunk (0.67 g) was obtained by reprecipitation from 2-propanolol with a total yield of 60%. Mn (ÐM) = 22000 g mol-1 (1.10). Thermal analysis of hydrated polymers. The polymers were reprecipitated and triturated, forming fine powders or fibrils to gain a certain surface area for contacting water and used as DSC specimens. The phase transitions of water in the hydrated polymer were measured by a DSC equipped with a low-temperature cooling apparatus. 3 to 5 mg of sample was placed in an aluminum pan and sealed. The sample was first cooled down to −100 °C at the rate of 5.0 °C min– 1, held at −100 °C for 5 min, and then heated to 50 °C at the same rate under a nitrogen atmosphere. The whole process was monitored. It was confirmed that there was no weight loss during the measurement. Water content in the polymer was determined as follows: Water content Wp (wt%) = {(w1 − w0)/w1} × 100, where w0 and w1 denote the weights of the dried sample and the hydrated sample, respectively. Equilibrium water content is obtained as previously reported elsewhere.S3 Briefly, polymers immersed in deionized water for sufficient time (~7 days) at room temperature were weighed as w1 after removal of excess water on the surface. The polymers were then dried at 110 °C in vacuo after the measurement until the weight became constant and weighed as w0. The content of each water (wt%) is calculated by the following equations: Intermediate water (Wim) = ∆Hc/344 [J/g] × 100, Free water (Wf) = (∆Hm /344 [J/g] × 100) − Wim, Non-freezing water (Wnf) = (w1-w0) − (Wim + Wf), where Wim, Wf, and Wnf are the contents of the intermediate, free and nonfreezing waters, respectively. In this study, ∆Hc is the enthalpy of the crystallization of water observed on the cooling scans and ∆Hm is the fusion enthalpy of ice observed in the heating scans on DSC. The 334 J/g is the fusion enthalpies of perfect ice and equals to the enthalpy of the crystallization of pure water. At least five fully hydrated samples were weighed and measured by DSC to determine the EWC and each water content (n =3). Preparation of polymer surfaces. The synthesized polymers were immersed in water for one day to eluviate water soluble impurities. After thoroughly dried in vacuum, the polymers were dissolved in THF (for PTMC, PVL, and PCL), chloroform (for PDO) or methanol (for PMEA and PMPC) to formulate 0.5 wt./vol.% solutions. 40 μl of each polymer solution was dropped on a PET piece (ϕ 14 mm) and spun at 500 rpm for 5 s, 2000 rpm for 10 s, SLOPE 5 s, 4000 rpm 5 s, S3 SLOPE 4 s. The spin-coating of the polymer solution was repeated one more time with the same protocol. The coated substrates were dried in air overnight, according to the protocol previously reported.S4 PMEA and PMPC were used as control polymers besides PET. For the transmission mode of Fourier-transform infrared spectroscopy (FTIR), the polymer coatings were prepared on glass substrates by solvent-casting of 1.0 wt% polymer solution. For attenuated reflection infrared (ATR-IR) spectroscopy, the polymer films were prepared in a ϕ 60 mm glass dish from polymer solutions (5 ml) dissolving 0.25 g of polymer. The cast films were then dried in air overnight followed by in vacuum for one day at room temperature. The thickness of the coating was shown in Table S1. The solvent casting was also applied to prepare polymer surface in a 96-well plate for a bicinchoninic acid (BCA) assay and an enzyme linked immunosorbent assay (ELISA). Surface characterizations. Each polymer surface spin-coated on PET was visually confirmed by scanning electron microscopy (SEM; VE-9800, KEYENCE, Japan). The surface roughness was evaluated by the roughness parameter of root mean squared average (RMS) obtained through atomic force microscopy (AFM; Agilent Technologies 5550 Scanning Probe Microscope, Agilent Tecnologies, Inc., Santa Clara, CA). The maximum scan range was 30 μm × 30 μm. At least five different area were scanned and averaged (n = 3). Contact angle was measured by a sessile drop method for dry surfaces and a captive bubble method for priming surfaces of each polymer with an ERMA Contact Anglemeter G-1-1000 at room temperature. For the hydrated samples, the coated substrates were immersed in deionized water and used after 24 hours. For the sessile drop method, a 2 μl of the water droplet was placed on a polymer substrate, the angles (θ/2) were read after 30 s, and θ was used as the contact angle. For captive bubble method, a 2 μl of air bubble was deposited beneath a polymer substrate immersed in water, the angles (ϕ/2) were read after 30 s, and ϕ was used as the contact angle. The measurements were carried out at three different points per substrate using five substrates for one polymer and averaged (n =5). Fourier-transform infrared spectroscopy (FTIR) spectra were recorded using a HORIBA Fourier Transform Infrared Spectrometer FT-720 in transmission mode. A blank glass substrate was used as a reference for the measurement. Attenuated reflection infrared (ATR-IR) spectra were recorded on a Thermo Scientific Nicolet iS5 FT-IR equipped with iD5 ATR accessory (diamond prism). All ATR-IR spectra were not subjected to ATR correction. Hydrated samples were prepared by immersion of the films in water for 24 hours followed by removal of excess water from the surface with Kimwipes® just before measurements for both FT-IR and ATR-IR. Platelet adhesion. After the contact angles had been confirmed, the polymer-coated substrates were cut into an 8 mm square piece and washed three times with PBS prior to the platelet adhesion test. Blood was drawn from healthy volunteers and mixed with a 1/9 volume of acid citrate S4 dextrose (ACD). Platelet rich plasma (PRP) and platelet poor plasma (PPP) were obtained by centrifugation of the blood at 1500 rpm for 5 min and 4000 rpm for 10 min, respectively. The platelet suspension plasma containing 1 × 105 cells μl-1 of platelet was prepared by mixing the PRP with PPP. The platelet concentration was determined by visually counting on optical micrograph. Then, 200 µl of the platelet suspension plasma (2 × 107 platelets) was placed on the polymer-coated substrates and incubated for 1 hour at 37 °C. After washed with PBS twice, the sheet was immersed in 1% glutaraldehyde in PBS for 2 hours at 37 °C to fix the adhered platelet. The fixed samples were immersed in PBS for 10 min, a 1:1 mixture of PBS and ultra-pure water for 8 min, and ultra-pure water for 8 min twice, washed with ultra-pure water, and dried in air overnight. Then the samples were sputter-coated using Pt-Pd (JFC-1200, JEOL) prior to observation under scanning electron microscopy (VE-9800, KEYENCE, Japan). The number of adherent platelets on the polymer was counted in five randomly selected SEM images. Evaluation of protein adsorption and denaturation. Protein adsorption on the polymer surfaces was quantified by BCA assays. Protein solutions were freshly prepared by dissolving fibrinogen in PBS at pH 7.4 to adjust a concentration of 1.0 mg/ml, or diluting PPP by 10% with PBS. Polymer surfaces were prepared by solvent casting of 12 μl of each polymer solution dissolved in chloroform (0.5 wt%) in a 96-well polypropylene (PP) plate. At least five surfaces were prepared for each polymer. After air-drying for three days, the polymer surfaces were immersed in PBS at 37°C for 1 hour prior to assays. Then, the PBS solution was removed, 50 μl of protein solutions were added into each well, and the 96-well plate was incubated at 37°C for 10 minutes (we have preliminarily confirmed that 10 minutes is sufficient for proteins to adsorb on polymer surfaces by quartz crystal microbalance (QCM)). Each well was rinsed 10 times with PBS to remove unbound proteins and treated with 5 wt% of sodium dodecyl sulfate (SDS) aqueous solution (30 μl) and 0.1 N of sodium hydroxide aqueous solution (30 μl) at 37°C for 1 hour to elute the absorbed proteins. The amounts of proteins were determined using a micro-BCA protein assay kit (Thermo Scientific, Rockford, IL) by following the manufacture’s instructions. The absorbance of the solution was measured at 570 nm by a microplate reader. Three repetitions were performed for all polymers. Degree of denaturation of fibrinogen absorbed on the polymer surfaces was evaluated by ELISA. Polymer surfaces were prepared in a 96-well PP plate and conditioned with PBS prior to assay in the same way as above. 50 μl of PPP was added to each well and incubated at 37°C for 1hour. Then, the polymer surfaces were rinsed 10 times with PBS, incubated with 50 μl of Blocking-One (Nacalai Tesque, Kyoto, Japan) at 37°C for 30 minutes. After removing Blocking-One, each polymer surface was treated with a primary antibody Anti-Fibrinogen γ-CT at 37°C for 2 hours, followed by a second antibody HRP-α-Ms IgG at 37°C for 1 hour. The surfaces were then incubated with 2,2'-azinobis(3-ethylbenzothiazoline-6-sulfonic acid) for 1 hour at room temperature. The absorbance of the solution was measured at 405 nm by a microplate reader. S5 Three repetitions were performed for all polymers. Statistical analysis. All data were represented as the mean ± standard deviation (SD). Statistical comparisons were analyzed with Student’s t-test (two-tail comparisons) using Microsoft Excel 2010. Differences between polymers were considered significant if P < 0.05. S6 References S1. Pratt, R. C., Lohmeijer, B. G. G., Long, D. A., Lundberg, P. N. P., Dove, A. P., Li, H., Wade, C. G., Waymouth, R. M. & Hedrick, J. L. Exploration, optimization, and application of supramolecular thiourea-amine catalysts for the synthesis of lactide (co)polymers. Macromolecules, 39, 7863-7871 (2006). S2. Tanaka, M. & Mochizuki, A. Effect of water structure on blood compatibility—thermal analysis of water in poly(meth)acrylate. J. Biomed. Mater. Res., 68A, 684 – 695 (2004). S3. Tanaka, M., Motomura, T., Ishii, N., Shimura, K., Onishi, M., Mochizuki, A. & Hatakeyama, T. Cold crystallization of water in hydrated poly(2-methoxyethyl acrylate) (PMEA). Polym. Int. 49, 1709-1713 (2000). S4. Tanaka, M., Mochizuki, A., Ishii,N., Motomura, T. & Hatakeyama, T. Study of blood compatibility with poly(2-methoxyethyl acrylate). Relationship between water structure and platelet compatibility in poly(2-methoxyethyl methacrylate). Biomacromolecules 3, 36-41 (2002). S7 acrylate-co-2-hydroxyethyl Table S1. Film thickness of cast films for FT-IR and ATR-IR measurements (μm ± SD) FT-IR (n = 3) ATR-IR (n = 5) PTMC 9.0 (±2.0) 55.0 (±5.3) PDO 13.0 (±1.9) 97.9 (±7.4) PVL 12.0 (±1.7) 92.3 (±7.9) PCL 11.3 (±1.0) 101.4 (±9.8) Figure S1. A typical DSC chart of ultra-pure water measured with a ramp of 5°C min-1 under nitrogen atmosphere. S8 Figure S2. SEM images of polymer surface after platelet adhesion test performed at 37 °C for 1 hour: Image magnification 1500×. PTMC (A,A’), PDO (B, B’), PVL (C, C’), PCL (D, D’). The dry surfaces (A-D) and hydrated surfaces (A’-D’). S9 Figure S3. SEM images of control polymer surface after platelet adhesion test performed at 37 °C for 1 hour: Image magnification 1500×. PET (A, A’), PMEA (B, B’), PMPC (C, C’), PMEA including bumps (D, D’). The dry surfaces (A-D) and hydrated surfaces (A’-D’). S10 Figure S4. SEM images of spin-coated polymer surfaces. PTMC (A), PDO (B), PVL (C), PCL (D); image magnification 1500×. S11 Figure S5. A relationship between platelet adhesion on the dry surfaces and contact angles by a sessile drop (A). Relationships between platelet adhesion on the hydrated surfaces and contact angles by a sessile drop (B), EWC (C), intermediate water (D), non-freezing water (E), and bound water (non-freezing water + intermediate water) (F); mean ± SD, n = 5 for platelet adhesion and contact angles, n = 3 for the others. r : correlation coefficient. S12 Figure S6. Adsorption and denaturation of proteins on the polymer surfaces (mean ± SD, n = 3). (A) Amount of adsorbed fibrinogen, (B) amount of adsorbed plasma proteins, (C) extent of denaturation of absorbed fibrinogen. **P < 0.01 and *P < 0.05 versus PTMC. N.S. = Not Significant. Any statistical significance was not found in (C). S13 Figure S7. Expanded region of ATR-IR spectra for C=O stretching bands in PTMC (A), PDO (B), PVL (C), and PCL (D) in the dry state (dotted lines) and after priming in deionized water for 24 h (solid lines). S14