1. Introduction
Biomedical materials can be divided into four major parts: polymers, ceramics, metals, and composite materials. Materials replacing part of ceramics or metals with polymers have become popular in the market. Whether it is synthetic fibers or natural fibers, they are used in daily life. It can be seen everywhere in life, such as the most commonly used masks and surgical gowns in medical treatment, but these generally have no biomedical application capabilities but have the characteristics of easy processing, high toughness, and drug resistance. With the development of functional materials, more and more people pay attention to the application of fibers in the field of biomedicine [
1,
2,
3]. Biocompatibility is defined as implanted biomedical materials without adverse reactions with living organisms, such as inflammation, fever, rejection, blood coagulation, etc. The connection between all materials and living organisms will be different from the chemical or physical properties of the material and leads to various reactions in the living body. Biocompatibility includes blood compatibility and tissue compatibility. Histocompatibility mainly means that the mechanical strength or shape of the material itself must meet the needs of the patient, and the appearance must match the fit of the patient’s wound to avoid adverse phenomena between the tissue and the implant. Blood compatibility mainly prevents foreign biomedical materials from entering the living body and contacting blood to cause coagulation or thrombus. Factors affecting blood compatibility include material surface charge, surface hydrophilicity, hydrophobicity, surface roughness, etc. Most biomedical materials will come into contact with blood. In order to prevent biomolecules in the blood, such as proteins, platelets, and red blood cells, from biofouling, materials must have good biocompatibility and anti-adhesion properties [
4].
Biofouling is the contamination of surfaces with microorganisms, including bacteria, fungi, and viruses. In medical applications, biofouling occurs on surgical equipment, protective clothing, packaging, guide wires, sensors, prosthetic devices, and medical implants, most commonly catheters, drug delivery devices, and contact lenses. Microbial contamination causes infection risk, biosensor failure, and implant rejection, and how to avoid biomolecules fouling onto materials is the current trend [
5]. According to a study sponsored by the U.S. Centers for Disease Control and Prevention, approximately 26% of infections in U.S. emergency hospitals alone in 2011 were caused by these device-associated infections [
6]. Since biofouling is protein-mediated, inhibition of protein adsorption can prevent infection at the source, with the surface-adsorbed protein layer serving as a platform for cell attachment and subsequent bacterial film formation [
7]. Protein contamination is a significant challenge in the development of many blood-contacting biomedical devices due to the nonspecific adhesion of biological components, including proteins, to the device’s surface. When proteins are adsorbed to a surface, a cascade of biological reaction, these processes lead to thrombosis [
8], which in turn leads to platelet formation and ultimately to device failure and fatal complications. Additionally, the adhesion of bacteria to surfaces is mediated by different types of interactions, which can be specific, such as through protein films that may form on the surface or through nonspecific interactions [
9,
10], attached to the surface to form a biofilm [
11]. Biofilm formation on biological implants such as catheters, prosthetic devices, and contact lenses can lead to infection. Typical treatments for biofilm-induced infections on medical devices include surgical replacement of contaminated devices and prolonged antibiotic treatment, which creates additional healthcare costs. Anti-biofouling materials are currently used in many applications, such as marine, industrial and biomedical applications [
12].
The technical source of hydrophilic anti-bioadhesive materials is that by forming a hydrophilic structure on the surface of the material, a hydration layer can be created, thereby preventing proteins from hydrophobic adsorption. Currently, known hydrophilic anti-bioadhesive materials are divided into three generations. Namely, the first-generation 2-hydroxyethyl methacrylate (HEMA-based system) with the structure of -OH, the second-generation ethylene glycol (PEGlyated system) with a (C-C-O) structure, and the third-generation zwitterionic material (Zwitterinoic system) has an electrically neutral structure with both positive and negative charges in the same chain segment [
3,
13]. Among them, zwitterionic polymers have a strong hydration ability and are considered to be the best anti-biofouling material solution. Common ones include phosphorylcholine (PC), carboxybetaine (CB), and sulfbetaine (SB). Compared with PC and CB, polySBMA (poly sulfbetaine methacrylate) polymethacrylate sulfobetaine and polySBAA (poly sulfbetaine methacrylate) polymethacrylamide sulfobetaine composed of sulfobetaine sulfbetaine (SB) The advantages of simple and low-cost synthetic steps make it the most widely studied zwitterionic polymer [
14,
15]. To achieve good anti-biofouling properties and industrial applicability, simple and stable surface modification of biomaterials with zwitterionic polymers is crucial. Among them, epoxy-based zwitterionic copolymers have been designed to enable simple and extensive surface modification of various types of substrates, such as metals, ceramics, and polymers, and can form a stable anti-biofouling modification layer through chemical bonding on the surface [
16]. In recent years, epoxy-based zwitterionic copolymers have been reported for modifying and applying various types of substrates, such as PET [
17], titanium/stainless steel [
18], chitosan [
19], PP [
20], PDMS [
21], and PTFE [
22].
Polyamide (Nylon), which is a synthetic fiber, was invented in 1935. Compared with natural fibers, it has a high yield, high mechanical properties, corrosion resistance, weather resistance, and low cost [
23]. The utilization rate of nylon fibers is increasing year by year. For textile applications, with the rapid development of science and technology, there are more and more applications of nylon, such as the application of biosensors [
24,
25]. Still, although nylon itself has certain biocompatibility and biological inertness, it is not enough. Resisting the adhesion of biomolecules causes the sensitivity to decrease, mainly due to the lack of hydrophilic and high coverage factors. In early 2001, plasma was used to modify the surface to improve the hydrophilicity of materials [
26]. There are three main types of plasma-modified surfaces, namely Environmental discharge [
27], microwave method, and ion beam discharge [
28], although these methods can improve the hydrophilicity and the surface charge can be anti-bacterial, but the stability could be better.
Medicine science is one of the most innovative and developing aspects of the textile industry; with the development of the field of biomedical applications, recent years have witnessed the production of medical textiles, using materials including monofilament, multifilament, woven, knitted, and non-woven cloth, due to the wide demand, medical textiles occupy a huge market, and the use of natural fibers and synthetic fibers in the production of various medical products has increased sharply. According to the research of DRA (David Rigby Associates), the global medical and hygiene products in 2000, more than 1.5 million tons of textile materials, worth USD 5.4 billion, were consumed in the manufacture of textiles. By 2010, the quantity had increased by 4.5% annually to 2.4 million tons, worth USD 8.2 billion. It can be seen that there is a huge economic effect behind it [
29]. Among them, polyamide elastic fabrics have been widely developed, spanning from clothing to biomedical materials, but they have fatal shortcomings in clinical medical applications, that is, insufficient biocompatibility, and cannot resist the adhesion of biomolecules in the body, resulting in abnormal immune systems. However, the surface of polyamide elastic fabric is relatively inert. According to previous research [
25], using atom transfer radical polymerization (ATRP) to graft zwitterionic carboxybetaine methacrylate (CBMA) on its surface can successfully reduce the amount of protein adsorption by about 65%. The advantage of this surface starting method (grafting from) is that the surface polymer brushes can be arranged neatly and densely to achieve a better anti-biofouling effect. The disadvantage is that the steps are complicated, the cost is high, and it is difficult to industrialize mass production.
In a previous study, we learned that epoxy-based zwitterionic copolymers could form a good and stable anti-biofouling modification layer with surface hydroxyl groups (-OH) [
16]. Therefore, this study designed a new type of copolymer structure, the epoxy-based zwitterionic acrylamide copolymer, poly(GMA-co-SBAA), was fixed on the polyamide composed of nylon 6,6 and polyurethane by surface grafting method (grafting to). The elastic fabric surface makes the surface electrically neutral and electrostatically interacts with water molecules, forming a hydration layer on the surface to resist the adhesion of biomolecules, as shown in
Figure 1. In order to create a stable and sufficient hydroxyl group (-OH) on the surface of the PA fabrics, we refer to the hydroxylation pretreatment process by formaldehyde in the previous study [
25]. This process can make the amide structure react with formaldehyde to generate a large amount of hydroxyl group (-OH) and is capable of reacting with the epoxy group in GMA. The modification of poly(GMA-co-SBAA) on the polyamide elastic fabric could create high hydrophilicity and high biocompatibility, which can effectively improve biocompatibility and anti-biofouling properties.
2. Materials and Methods
2.1. Materials
Glycidyl methacrylate (GMA), triethylamine (TEA), ammonium persulfate (APS), phosphate-buffered saline (PBS), acetic acid, methanol (MeOH), ethanol, acetone, formaldehyde, tetrabutylammoium hydrogen sulfate, glutaaldehyde 50 wt.% solution in water, bovine serum albumin (BSA), human fibrinogen, ampicillin sodium salt (AMP), and LB Medium, were purchased from Sigma-Aldrich Chemical Co. Sulfobetaine acrylamide (SBAA) was purchased from Hopax Chemicals Co. (Kaohsiung, Taiwan). The bicinchoninic acid (BCA), 2-hydroxyethyl methacrylate (HEMA), diiodomethane were purchased from Alfa Aesar Chemical Co. (Kaohsiung, Taiwan). Polyamide elastic fabrics (Nylon 6,6, 40D, 10% Spandex) were provided from Any Color International Limited Co. (Tainan, Taiwan). Deionized water (DI water) was purified using the Millipore water purification system with a minimum resistivity of 18.2 MΩ ∙ cm.
2.2. Synthesis and Structure Identification of Zwitterionic Poly(GMA-co-SBAA) Copolymer
Dissolve the monomers SBAA (sulfobetaine acrylamide) and GMA (glycidyl methacrylate) in 25 mL aqueous solution and 25 mL methanol solution, respectively, with a solid content of 20%, and add the two bottles of solutions into a 100 mL reaction bottle (Molar Ratio: SBAA:GMA:APS = 40:60:1). After thoroughly stirring the solution, it should be filled with nitrogen gas for 10 min and placed in a silicon oil pot at 60 °C for 6 h. Then, the reaction bottle should be transferred to an ice bath at 4 °C, and the solution should be poured into methanol for purification. The resulting polymers should be dried in a vacuum oven and then treated with a freeze-dryer to remove any remaining water. Finally, the polymers should be stored in a vacuum-sealed container to ensure their stability. In this experiment, a nuclear magnetic resonance (NMR) spectrometer (Bruker, NMR-400 MHz, Billerica, MA, USA) with a resonant frequency of 400 MHz was used to detect the chemical structures of monomers and zwitterionic copolymers. Monomer GMA detection: Dissolve 20 mg GMA monomer in 0.5 mL d6-DMSO, and put the detection solution into an NMR tube to detect hydrogen spectrum. Monomer SBAA detection: Dissolve 3.5 mg of SBAA monomer in 1.0 mL of D2O, and put the detection solution into the NMR tube to detect the hydrogen spectrum. Zwitterionic polymer detection: Take 3.5 mg polymer powder and dissolve it in 1.0 mL D2O, oscillate with Vortex to dissolve the polymer as much as possible, put the solution into the NMR tube, and detect the hydrogen spectrum.
2.3. Surface Modification and Identification of Hydroxylated Pretreated Zwitterionic Copolymers on Polyamide Elastic Fabrics
Polyamide plates are hot-pressed at 280 °C through nylon 6,6 ester grains with a double-action hydraulic molding machine to form rectangular blocks of 2 × 4 × 0.1 cm
3 and then cut into 1 × 1 × 0.1 cm
3 square block by scissors and keep it in a vacuum ball for use. The polyamide elastic fabrics used in this study are a blend of 90% polyamide (Nylon 6,6) and 10% polyurethane (PU, Spandex). The polyamide elastic fabric was cut into 1 cm
2 squares, put into a formaldehyde solution with phosphoric acid as a catalyst, reacted for 12 h, and repeatedly rinsed with DI water more than 5 times to obtain a polyamide elastic fabric with hydroxyl groups on the surface [
25]. Notably, usage of formaldehyde is toxic, and appropriate safety measures should be taken during operation. The experiments must be conducted in a well-ventilated fume hood. Then the polymer poly(GMA-co-SBAA) was prepared into a polymer solution with water as a solvent. Triethylamine was used as a catalyst to put the cut nylon fiber cloth into the solution and placed at a speed of 110 rpm and a temperature of 60 °C for 9 h in an oven. Finally, the modified polyamide elastic fabric was shaken with ultrasonic waves (DC 150H, Delta Co., Tainan, Taiwan) for 20 min to shake off the poorly connected polymers, dried in a freeze dryer, and stored in a vacuum ball.
2.4. Identification of Surface Physical and Chemical Properties of Polyamide Elastic Fabric
The types of functional groups on the surface of the material were identified using Fourier Transform Infrared Spectroscopy (FT-IR) (Perkin Ellmer Auto/MAGE FT-IR Microscope). The physical structure of the surface was observed using a scanning electron microscope (SEM, Phenom ProX, Thermo Fisher Scientific, Waltham, MA, USA) at an accelerating voltage of 15 KV. First, the sample was pasted on a particular stage of a scanning electron microscope with carbon tape and put under vacuum conditions for 24 h. Before transfer into the SEM chamber, the sample was deposited with a gold layer for 90–100 s by the gold deposition machine to increase the electrical conductivity. X-ray photoelectron spectroscopy (PHI 5000 VersaProbe Ⅲ) measurements were conducted using a PHI Quantera SXM/Auger spectrometer with a monochromatic Al KR X-ray source (1486.6 eV photons), a hemispherical analyzer, and a multichannel detector. The elemental signal was determined from spectra acquired at pass energy from 50 eV to 150 eV. The detected photoelectron was acquired at the takeoff angle of 45 with respect to the sample surface. All the binding energy was referenced to the C1 spectrum at 284.4 eV. In order to identify the polymer grafting density on the surface of the substrate, the polyamide elastic fabric was first cut into a square with a side length of 1 cm by an infrared cutting machine (SUII-4060, BAXCE technology, Tainan, Taiwan) and put into 24 Well plates, one piece per grid, and placed in the freezer. Remove the water on the surface in the drying machine, then take each piece of polyamide elastic fabric to a microbalance and weigh it (microbalance AP135W, SHIMADZU, Kyoto, Japan) to obtain the weight before modification W
1, then take each part of polyamide elastic fabric to modify, and then remove the modified The finished polyamide elastic fabric is placed in a freeze dryer (FD-4.5-12P, Ker-shi tech., Tainan, Taiwan) to remove the water on the surface, and then weighed with a microbalance to obtain the modified weight W
2.
Because of the high porosity and original hydrophilic property of polyamide fabrics, surface static or dynamic water contact angle can not sufficiently be detected. Thus, the surface hydrophilicity of polyamide elastic fabrics is measured by the oil contact angle by an angle meter (FTA 125 Contact angle analyzer, Newark, CA, USA). During the measurement, a quantitative 4 μL of diiodomethane is dropped on the surface of the nylon fiber membrane and then measured by a contact angle meter. The included angle between the droplet and the sample surface is used to judge the hydrophilicity of the samples.
2.5. Moisture Content Test of Polyamide Elastic Fabric
Cut the polyamide elastic fabric into squares with a diameter of 1 cm using an infrared cutting machine, put them into 24 Well plates, put one piece in each grid, place them in a freeze dryer to remove the surface moisture, and then put each piece Take the polyamide elastic fabric to a microbalance and weigh it to obtain the dry weight W
1, then take each piece of polyamide elastic fabric to modify, soak it in 1 mL of DI water after modification, and put it in 37 °C Oven for 12 h, so that the polyamide elastic fabric can be evenly wetted, blot the excess water on its surface with lens tissue, and then weigh it with a microbalance to obtain the wet W
2.
2.6. Anti-Biofouling Test of Polyamide Elastic Fabric Surface
In the protein adsorption experiment, bovine serum albumin (BSA) was adsorbed, and BCA Protein Assay Kit was used for color development to quantify the amount of protein adsorbed on the surface. The modified 1 cm2 polyamide elastic fabric was placed in a 24-well plate. Add 1 mL of PBS to each well of polyamide elastic fabric, put it in a 37 °C incubator, and place it for 10–12 h to ensure that the polymer on the fabric is stretched and thoroughly moistened. Remove the PBS in the 24 well plates, and then rinse with PBS 3 times to wash away the polymers that have not been successfully modified on the polyamide elastic fabric. Add 1 mL of 1 mg/mL PBS bovine serum albumin solution to the polyamide elastic fabric, and put it in a 37 °C incubator for 30 min to absorb. The bovine serum albumin was removed, and the polyamide elastic was rinsed three times with PBS. Move the polyamide elastic fabric from the original 24-well plate to the new 24-well plate to avoid the reaction of bovine serum albumin on the original well plate and affect the calculation of the adsorption capacity. Add 1 mL of BCA chromogenic solution to a new 24-well plate, and put it in a 37 °C incubator for 30 min. After the reaction is over, pipette 200 μL of the liquid into the 96 well plates. Using a micro-disk spectrometer to measure the absorbance with a wavelength of 562 nm using a micro-disk spectrometer (SPECTROstar Nano, BMG LABTECH, Ortenberg, Germany) and convert the adsorption amount of bovine serum albumin.
The blood adhesion test is performed in an IRB-certified laboratory. The modified 1 cm2 polyamide elastic fabric is placed in a 24-well plate, and 1 mL of PBS is added to each piece of polyamide elastic fabric in each well. It was then placed in a 37 °C incubator and soaked overnight; we removed the PBS and then rinsed it with PBS 3 times and added blood (whole blood is whole blood, RBC is red blood cell thick solution) to the polyamide at 1 mL per cell. The elastic fabric was then put in a 37 °C incubator and stuck for 1 h; we then removed the blood and rinsed it with PBS three times. In the cases, add 1 mL of glutaraldehyde at a concentration of 2.5% to each piece of nylon fiber to fix the cells, and soak for 3 h, then remove the glutaraldehyde and rinse with PBS three times, place it in a cool place to dry naturally, and a scanning electron microscope was used to observe the sample. Finally, the software Image J was used to calculate the number of attached blood cells in the blood.
For the bacterial attachment experiment, first, add 12.5 g LB Medium and 500 mL DI water to a 500 mL serum bottle, stir at room temperature until dissolved, cover the lid of the serum bottle with aluminum foil bright bread, paste sterilizing tape, and place in a sterilizing kettle. After 20 min of wet sterilization, put it into a biological safety cabinet, add 500 μL AMP after the temperature cools down to 37–45 °C, and store it in an oven at 37 °C. The strain used is Escherichia coli (E. coli, G), Gram-negative bacterium, the surface is negatively charged at pH = 7.4, and the concentration of the culture solution reaches 8 × 108 cells/mL. Take 60 mL of culture solution and put it into T-75 flask, then add 0.6 mL of fresh solution, and place it in an incubator at 37 °C and 100 rpm for 16–18 h. Place the modified 1 cm2 polyamide elastic fabric in a 24-well plate, add 1 mL of PBS to each piece of polyamide elastic fabric in each well, put it in a 37 °C incubator, and place it for 10–12 h, remove the PBS and rinse 3 times, then add 1 mL cultured solution to each cell, and put it in a 37 °C incubator, wait for 1 h to draw out the bacterial solution, wash 3 times with PBS to remove unattached bacteria or impurities. Add 2.5 vol% glutaraldehyde solution, place in a refrigerator at 4 °C for 3 h, then remove glutaraldehyde and rinse with PBS three times, place in a cool place to dry naturally, and then use a scanning electron microscope to carry out sample observation. Finally, use Image J to calculate the amount of blood attached.
4. Conclusions
In this study, the zwitterionic copolymer poly(GMA-co-SBAA) was modified on the polyamide elastic fabric by means of surface grafting (grafting to), making it a highly biocompatible and anti-biofouling fabric. The optimal modification parameters are the molar ratio of copolymer monomers of PGMA and PSBAA is 0.6, the concentration is 5 mg/mL, the temperature is 60 °C, the reaction time is 9 h, and the catalyst is triethylamine. In terms of surface property identification, the use of X-ray photoelectron spectroscopy and Fourier transform infrared spectroscopy proved that poly(GMA-co-SBAA) was successfully grafted on the surface of polyamide elastic fabrics and then observed through a scanning electron microscope before and after modification. The research found that the modified polyamide elastic fabric has better biocompatibility and successfully resisted about 70% of human fibrinogen adsorption, 93% of whole blood adhesion, 95% of red blood cell adhesion, and 99% of bacterial adhesion. In addition, the surface modification methods of polyamide elastic fabrics currently include Michael’s addition SI-ATRP. The steps are too complicated and expensive to be industrialized. The poly(GMA-co-SBAA) developed in this research has a facile, convenient, and effective coating method in terms of modification, and this technology has the opportunity to become a continuous process that is applied to biomedical materials and moisture absorption. According to the research on the modification of polyamide elastic fabrics, there are the following important achievements:
Successful modification of polyamide elastic fabric with epoxy-based zwitterionic copolymers so that the material has good blood compatibility and anti-biofouling properties and can resist about 70% of fibrin albumin adsorption and 93% of whole blood adhesion, 95% red blood cell attachment and 99% bacterial attachment.
Surface grafting of poly(GMA-co-SBAA) on the PA/PU fabrics is a convenient and low-cost method for modifying polyamide/polyurethane elastic fabrics.