Capsaicin, prostaglandin E2 (PGE2) and polydopamine (PDA) were used to target macrophage and myofibroblast activity to reduce biomaterial-induced fibrosis. The lifetime and efficacy of implantable biomedical devices are determined by the foreign body response. Immediately after implantation, proteins nonspecifically adsorb onto the material and initiate inflammation. Macrophages recruited to the site can differentiate into M1 and M2 phenotypes and upregulate inflammation and fibrosis which interferes with the intended function. M1 macrophages secrete pro-inflammatory mediators that induce chronic inflammation and promote myofibroblast differentiation while M2 macrophages are wound healing cells that suppress inflammation and regulate fibroblast activity. The fibrotic tissue is developed by myofibroblasts which produce collagen in an unregulated fashion. Collagen thickening and biomaterial encapsulation decreases efficacy and sensitive of biomedical devices. We investigated the in vitro and in vivo effects of capsaicin, PGE2 and polydopamine surface modification on macrophages and myofibroblasts. Capsaicin and PGE2 reduced poly(lactic-co-glycolic) acid (PLGA)-induced fibrosis by promoting M2 macrophage phenotype to secrete anti-inflammatory IL-10 and suppressing myofibroblast marker α-smooth muscle actin (α-SMA). Capsaicin decreased collagen by 40% and upregulated IL-10 secretion by 35% while PGE2 reduced collagen by 55% after 14 days of implantation and 40% less collagen after 42 days. PDA was used to bind an anti-fibrotic compound to the surface of a poly(dimethyl siloxane) (PDMS-PDA) to reduce fibrosis. However, PDMS-PDA controls gave an unexpected result by reducing fibrosis to the same extent as anti-fibrotic compound bound PDMS- v PDA. PDA modification reduced cellularity by 50% and significantly decreased collagen thickness by 30%. Overall, our results showed that biomaterial-induced fibrosis can be reduced by promoting M2 macrophage activity and inhibiting myofibroblast differentiation. This research demonstrates three compounds that have potential to reduce fibrosis and extend the lifetime and efficacy of implantable biomedical devices. / Thesis / Master of Applied Science (MASc) / Capsaicin, prostaglandin E2 (PGE2) and polydopamine were used to reduce scar tissue development around implanted polymers. Biomedical devices implanted in the body can undergo severe scar tissue formation, or fibrosis, and fail. Fibrosis is described by the accumulation of collagen and encapsulation of an implanted polymer. Macrophages regulate fibrosis by secreting pro-fibrotic compounds and myofibroblasts produce unregulated amounts of collagen. In this thesis, capsaicin, PGE2 and polydopamine were incorporated into implants to target macrophage and myofibroblast activity and reduce fibrosis in mice. Capsaicin and PGE2, released from a degradable polymer, altered macrophages to secrete anti-fibrotic compounds and decreased collagen by 40% and 55%, respectively. Polydopamine surface modified implants gave an unexpected result and suppressed overall cell activity to reduce fibrosis by 30%. The research conducted shows the potential of these compounds to reduce fibrosis and extend the lifetime of implantable devices.

Cette thèse vise à développer des nanoparticules de PLGA pour la vectorisation et à étudier l’interaction de ces nanoparticules avec des bicouches phospholipidiques imitant les membranes cellulaires. Pour la vectorisation passive, les changements physico-chimiques ont été contrôlés en incubant les NPs de PLGA (50:50) dans différentes conditions de pH tamponné à des intervalles de temps accrus. Le PLGA a montré plusieurs comportements de dégradation différant selon le pH. La formation de pores a été observée à pH élevé (conditions basiques) tout en préservant le volume des particules mais en modifiant la densité. Par opposition, à faible pH, une érosion superficielle des particules conduisant à une diminution de leur taille a été démontrée. Cette étude a été réalisée à l'aide de la DLS, l’ESEM et la spectrophotométrie. Pour la vectorisation active, les parois des capsules de PLGA (75:25) ont été modifiées par addition de phospholipides. La libération de la sonde fluorescente hydrophile, la calcéine, a été contrôlée en augmentant la température. On a observé qu'avec le DOPC (0,31 mM), la vectorisation peut être déclenchée à l'aide de détergents ou d'une enzyme (PLA2). Dans le cadre de cette étude, nous avons proposé la formation d'un complexe lipide-polymère ayant lieu à l'intérieur de la matrice, ce qui le rend vulnérable aux enzymes ou détergents induisant sa libération. L'effet des NPs de PLGA sur les bicouches phospholipidiques imitant la membrane cellulaire a été réalisé à l'aide de sondes fluorescentes moléculaires (Prodan et Laurdan). L'étude a été effectuée en calculant la polarisation généralisée (GP) sous l'influence des NPs de PLGA (50:50 et 75:25). L'interaction ayant lieu s’avérait être un phénomène de surface et aucune effet des NPs sur la perméabilité des membranes modèles LUVs et SUVs n’a été souligné. La valeur de Tm des phospholipides est également maintenue lorsque l’étude est menée avec le Laurdan. Les études de GP mené avec la sonde Prodan fournissent la première méthode originale pour déterminer la Tg de PLGA dans des conditions aqueuses. C'est une méthode rapide et facile qui détermine la valeur de Tg de PLGA en temps réel et en utilisant une très petite quantité de l'échantillon. Cette interaction n'est pas affectée par la composition des membranes cellulaires imitant les bicouches. / This thesis aims at developing PLGA nanoparticles for controlled release and investigating its interaction with phospholipid bilayers mimicking cell membranes. For passive controlled release the physiochemical changes were monitored by incubating the PLGA (50:50) NPs in different buffered pH conditions at increased time intervals. PLGA exhibited dissimilar degradation behavior with pore formation for high pH (basic conditions) maintaining the volume of the particles but change in the density, while at low pH it showed surface erosion. There is decrease in the particle size upon incubating in low pH. This study was carried out using DLS, ESEM and spectrophotometry. For active release the walls of PLGA (75:25) capsules were modulated using phospholipids. The release of hydrophilic fluorescent probe Calcein was monitored with increasing the temperature. It was observed that with DOPC (0.31mM) the release can be triggered using detergents or an enzyme (PLA2). We propose the formation of a lipid-polymer complex within the polymer matrix forming plugs which are vulnerable to enzymes/detergents inducing release. The effect of PLGA NPs over the phospholipid bilayers mimicking cell membrane was carried out using molecular fluorescent probes (Prodan and Laurdan). The study was carried out by calculating the generalised polarisation (GP) under the influence of PLGA NPs (50:50 and 75:25). It is found that the interaction is a surface phenomenon and there is no influence of NPs over the permeability of model membranes LUVs and SUVs. The Tm value of the phospholipids is also maintained when studied with Laurdan. Prodan probe GP studies provide first original method to determine the Tg of PLGA in complete aqueous conditions. It is a rapid and easy method which determines the Tg value of PLGA in real time using very small quantity of the sample. This interaction is not affected by the composition of the bilayer mimicking cell membranes.