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122 Advances in Polymer Science Biopolymers II Guest Editors: N. A. Peppasa nd R. S. Langer With contributions by K. S. Anseth, C. L. Bell, C. N. Bowman, J. Klier, J. Kopecek, A. G. Mikos, S. M. Newman, N. A. Peppas,D . Putman, B. Rangarajan, A. B. Scranton,R . C. Thomson, M. C. Wake, I. V. Yannas,M . J. Yaszemski With 64 Figures and 10 Tables Springer Guest Editors: Prof. Nicholas A. Peppas Purdue University, School of Chemical Engineering West Lafayette, IN 47907- 1283AJSA Prof. Robert S. Langer Department of Chemical Engineering, Institute of Technology, 25 Ames Street, Cambridge, MA 02139AJSA ISBN 3-540-58788-g Springer-Verlag Berlin Heidelberg NewYork ISBN O-387-58788-8 Springer-Verlag NewYork Berlin Heidelberg Thisworkissubjecttocopyright.Allrightsarereserved,whetherthewholeorpartofthe materialisconcemed,specificallytherightsoftranslation,Feprinting,re-useofillustrations, recitation, broadcasting, reproduction on microfilms orinother ways, and storage in data banks. Duplication of this publication or parts thereof is only permitted under the provisionsoftheGermanCopyright Law ofSeptember9.1965, initscurmnt versionand a copyright fee must always be paid. 0 Springer-Verlag Berlin Heidelberg 1995 Library of Congress Catalog Card Number 61-642 Printed in Germany The use of registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Typesetting: Macmillan IndiaLtd., Bangalore- SPIN: 10477712 02/3020 - 5 4 3 2 10 - Printed on acid-free paper Editors Prof. Akihiro Abe, Department of Industrial Chemistry, Tokyo Institute of Polytechnics, 1583 Iiyama, Atsugi-shi 243-02, Japan Prof. Henri Benoit, CNRS, Centre de Recherches sur Ies Macromolecules, 6, rue Boussingault, 67083 Strasbourg Cedex, France Prof. Hans-Joachim Cantow, Freiburger Materialforschungszentrum, Stefan Meier-Str. 31a, D-79104 Freiburg i. Br., FRG Prof. Paolo Corradini, Universim di Napoli, Dipartimento di Chimica, Via Mezzocannone 4, 80134 Napoli, Italy Prof. Karel Dugek, Institute of Macromolecular Chemistry, Czech Academy of Sciences, 16206 Prague 616, Czech Republic Prof. Sam Edwards, University of Cambridge, Department of Physics, Cavendisb Laboratory, Madingley Road, Cambridge CB3 OHE, UK Prof. Hiroshi Fujita, 35 Shimotakedono-cho, Shichiku, Kita-ku, Kyoto 603 Japan Prof. Gottfried Glockner, Technische Universith Dresden, Sektion Chemie, Mommsenstr. 13, D-01069 Dresden, FRG Prof. Dr. Hartwig Hacker, Lehrstuhl fur Textilchemie und Makromolekulare Chemie, RWTH Aachen, Veltmanplatz 8, D-52062 Aachen, FRG Prof. Hans-Heinrich H&hold, Friedrich-Schiller-Universititt Jena, Institut fur Organische und Makromolekulare Chemie, Lehrstuhl Grganische Polymerchemie, Humboldt&. 10, D-07743 Jena, FRG Prof. Hans-Henning Kausch, Laboratoire de Polymkes, Ecole Polytechnique Fed&ale de Lausanne, MX-D, CH-1015 Lausanne, Switzerland Prof. Joseph P. Kennedy, Institute of Polymer Science, The University of Akron, Akron, Ohio 44 325, USA Prof. Jack L. Koenig, Department of Macromolecular Science, Case Western Reserve University, School of Engineering, Cleveland, OH 44106, USA Prof. Anthony Ledwith, Pilkington Brothers plc. R & D Laboratories, Lathom Ormskirk, Lancashire IA0 SUF, UK Prof. J. E. McGrath, Polymer Materials and Interfaces Laboratory, Virginia Polytechnic and State University Blacksburg, Virginia 24061, USA Prof. Lucien Monnerie, Ecole Superieure de Physique et de Chimie Industrielles, Laboratoire de Physico-Chimie, Structurale et Macromoleculaire 10, rue Vauquelin, 75231 Paris Cedex 05, France Prof. Seizo Okamura, No. 24, Minamigoshi-Machi Okazaki, Sakyo-Ku, Kyoto 606, Japan Prof. Charles G. Overberger, Department of Chemistry, The University of Michigan, Ann Arbor, Michigan 48109, USA Prof. Helmut Ringsdorf, Institut fur Organische Chemie, Johannes-Gutenberg-Universitlt, J.-J.-Becher Weg 18-20, D-55128 Mainz, FRG Prof. Takeo Saegusa, KRI International, Inc. Kyoto Research Park 17, Chudoji Minamima- chi, Shimogyo-ku Kyoto 600 Japan Prof. J. C. Salamone, University of Lowell, Department of Chemistry, College of Pure and Applied Science, One University Avenue, Lowell, MA 01854, USA Prof. John L. Schrag, University of Wisconsin, Department of Chemistry, 1101 University Avenue. Madison, Wisconsin 53706, USA Prof. G. Wegner, Max-Planck-lnstitut fur Polymerforschung, Ackermannweg 10, Postfach 3148, D-55128 Mainz, FRG Preface Significant developments have occurred in recent years in the fields of biopolymers and biomaterials. New synthetic materials have been synthesized and tested for a variety of biomedical and related applications from linings for artifical hearts to artifical pancreas devices and from intraocular lenses to drug delivery systems. Of particular interest in the future is the development of intelligent polymers or materials with special functional groups that can be used either for specialty medical applications or as templates or scaffolds for tissue regeneration. In this second volume, following volume no. 107, we have collected review articles by leading authorities in the field of biomaterials who address the structure, properties and medical uses of a number of new polymers. All reviews have a strong emphasis on the polymer aspects of the biomedical development and offer ample evidence of how the structure can influence the medical behavior of these systems. We hope that these reviews will become helpful, if not standard, references in the field and will contribute to our understanding of biopolymers. December 1994 Nicholas A. Peppas Robert S. Langer Table of Contents Biomedical Applications of Polyelectrolytes A. B. Scranton, B. Rangarajan, J. Klier . . . . . . . . . . . . . . . . . . . . . . . . . . . . Polymer Conjugates with Anticancer Activity D. Putnam, J. Kope~ek . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55 Biomedical Membranes from Hydrogels and Interpolymer Complexes C. L. Bell, N. A. Peppas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125 Polymeric Dental Composites: Properties and Reaction Behavior of Multimethacrylate Dental Restorations K. S. Anseth, S. M. Newman, C. N. Bowman . . . . . . . . . . . . . . . . . . . . . . . 177 Tissue Regeneration Templates Based on Collagen- Giycosaminoglycan Copolymers I. V. Yannas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 219 Biodegradable Polymer Scaffolds to Regenerate Organs R. C. Thomson, M. C. Wake, M. J. Yaszemski, A. G. Mikos . . . . . . . . . . . 245 Author Index Volumes 101 - 122 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 275 Subject Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 283 Biomedical Applications of Polyelectrolytes A. B. Scranton 1, B. Rangarajan 1, J. Klier 2 Michigan State University, Depar tment of Chemical Engineering, East Lansing, MI 48824, USA 2 The Dow Chemical Company, Central Research, Advanced Polymeric Systems Laboratory, Building # 1712, Midland, MI 48640 Polyelectrolytes are used in a variety of biomedical systems, including dental adhesives and restorations; controlled release devices; polymeric drugs, prodrugs, and adjuvants; and biocompat- ible materials. This article provides a review of biomedical applications of polyelectrolytes with emphasis on recent developments, For completeness, an overview of the methods for polyelectrolyte synthesis is provided along with a description of the unique properties of polyelectrolyte solutions, gels, and complexes which make them useful in biomedical applications. The discussion of dental materials focuses on the recent developments in glass-ionomer cements and novel organic polyelec- trolyte adhesives since these materials are replacing the traditional zinc carboxylates. The section on controlled release applications includes a brief overview of recent developments in the mature areas of coatings, matrices and binders; and provides more in-depth discussions of the advanced respon- sive, bioadhesive, and liposomal systems that have emerged in recent years. Finally, descriptions of the recent work in polyelectrolytes as biocompatible materials as well as drugs or prodrugs are provided. 1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 2 Synthesis of Polyeleetrolytes . . . . . . . . . . . . . . . . . . . . . . . . . 3 2.1 Polyelectrolyte Synthesis by Polymerization of Ionogenic Monomers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 2.2 Polyelectrolyte Synthesis by Polymer Modification . . . . . . . . 8 3 Polyelectrolyte Properties . . . . . . . . . . . . . . . . . . . . . . . . . 10 4 Polyelectrolyte-Based Dental Materials . . . . . . . . . . . . . . . . . t4 4.1 Glass-Ionomer Cements - Composit ions and Reactions . . . . . 15 4.2 Adhesion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 4.2.1 Organic-Polyelectrolyte Adhesives . . . . . . . . . . . . . 19 4.2.2 Glass-Ionomer Adhesives . . . . . . . . . . . . . . . . . . 21 4.3 Glass-Ionomer Cements - Performance . . . . . . . . . . . . . . 22 4.3.1 Marginal Leakage . . . . . . . . . . . . . . . . . . . . . . . 22 4.3.2 Tissue and Pupal Responses . . . . . . . . . . . . . . . . 23 4.3.3 Controlled Release from Dental Materials . . . . . . . . 23 1 Authour to whom correspondence should be sent Advancesi n PolymerS cience,V oL 122 © Springer-VeflagB erlinH eidelberg1 995 2 A.B. Scranton et al. Controlled Release Applications of Polyelectrolytes . . . . . . . . . . . 24 5.1 Polyelectrolytes in Controlled Release Coatings, Matrices, and Binders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 5.2 Polyelectrolytes in Novel Responsive Delivery Systems . . . . . 30 5.3 Polyelectrolyte Bioadhesive Delivery Systems . . . . . . . . . . 33 5.4 Liposome Controlled Release Systems . . . . . . . . . . . . . . . 35 6 Polymeric Drugs, Prodrugs and Adjuvants . . . . . . . . . . . . . . . . 37 7 Polyelectrolytes as Biocompatible Materials . . . . . . . . . . . . . . . 39 8 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 Biomedical Applications of Polyelectrolytes 1 Introduction Polyelectrolytes are polymers which contain relatively high concentrations of ionizable groups along the backbone chain. Polyelectrolytes are distinguished from a related class of polymers, ionomers, by the density of the ionizable groups. Ionomers contain a relatively low concentration of ionizable groups (less than a few mole % of repeating units) while polyelectrolytes contain ionizable groups at levels ranging anywhere from a few mole % to 100 of the repeating units. Polyelectrolytes may be anionic, cationic, or amphophilic, and may be synthetic or naturally occurring. Examples of common polyelectrolytes include polymeric acids such as poly(acrylic acid) and poly(methacrylic acid), polymeric bases such as poly(vinyl amine) and poly(4-vinyl pyridine), and many naturally occurring proteins, polysaccharides, and nucleic acids. The unique properties exhibited by polyelectrolytes have lead to their application in biomedical systems. Many biomedical applications of poly- electrolytes ultimately arise from their propensity to bind with oppositely charged surfaces and to associate to form complexes with oppositely charged polymers. For example, cationic polyelectrolytes have long been studied for their application in silicosis therapy and immunochemistry due to their ability to bind with negatively charged surfaces, and cationic polyelectyrolytes such as poly(vinyl pyridine N-oxide) are potent inhibitors of silica hemolysis of red blood cells. Similarly, complexes composed of two oppositely charged polyelec- trolytes have been extensively employed as enteric coatings and controlled release devices, and many polyelectrolytes and their complexes have exhibited an antithrombogenic character. This contribution will provide a review of polylectrolytes as biomaterials, with emphasis on recent developments. The first section will provide an over- view of methods of synthesizing polyelectrolytes in the structures that are most commonly employed for biomedical applications: linear polymers, crosslinked networks, and polymer grafts. In the remaining sections, the salient features of polyelectrolyte thermodynamics and the applications of polyelectrolytes for dental adhesives and restoratives, controlled release devices, polymeric drugs, prodrugs, or adjuvants, and biocompatibilizers will be discussed. These topics have been reviewed in the past, therefore previous reviews are cited and only the recent developments are considered here. 2 Synthesis of Polyelectrolytes Polyelectrolytes are synthesized by incorporating ionogenic functional groups into a polymer chain or by attaching oligomeric grafts which extend from the backbone chain. Moreover, the ionogenic groups may be introduced into the 4 A.B. Scranton et al. polymer chain at the time of synthesis by (co)polymerization of ionogenic monomers or may be added by chemical modification or functionalization of existing polymers. The first approach is generally more versatile and more commonly employed since the structure and properties of the final polyelec- trolyte may be largely controlled through the composition of the reaction mixture or the reaction conditions. However, the method of choice for a particu- lar application depends largely upon the type of ionogenic functional group to be added and the nature of the parent polymeric chain. For example, the post-functionalization approach is often employed for the synthesis of graft polyelectrolytes or for modification of natural polymers such as tignin. In this paper, an overview of the methods for synthesis of polyelectrolytes will be presented, including examples of the variety of synthetic schemes that have been developed. However, because the focus of this review is biomedical applications of polyelectrolytes the discussion presented here will be representative rather than exhaustive. Methods based upon polymerizations of ionogenic monomers will be considered first, followed by methods based upon chemical modification of existing polymers. 2.1 Polyelectrolyte Synthesis by Polymerization of lonogenic Monomers Polyelectrolytes are most commonly synthesized by free-radical chain polym- erizations of ionogenic "monomers containing a carbon double bond. The well-established mechanism for free radical polymerizations is described in many general polymer texts [1-3]. Polymerization begins when an initiating species produces active radical centers, typically by homolytic dissociation of a weak bond or by a redox reaction. Once formed, the active radical centers rapidly propagate through the carbon double bonds of many monomer units to form polymer chains. When two active radical centers meet, they may react with one another by combination or disproportionation to terminate the polymeriz- ation process. This free radical reaction scheme is very versatile and may be employed to produce polyelectrolytes in a variety of structures. Crosslinked polymeric structures may be readily produced by including small quantities (typically less than 1 mole %) of a divinyl crosslinking agent which may partici- pate in the propagation of two radical chains and may therefore produce a crosslink between chains. Many ionogenic monomers containing a polymerizable carbon double bond have been reported in the literature, and therefore a wide variety of anionic, cationic, and amphophilic polyelectrolytes may be synthesized using free radical polymerizations. Examples of anionic ionogenic monomers which have been used to synthesize anionic polyelectrolytes include acrylic acid [4-10], methac- rylic acid 1"6-8, 11, 12], sodium styrenesulfonate [7, 13, 141, p-styrene carboxylic

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