Abstract
Efforts to create platelet-like structures for the augmentation of haemostasis have focused solely on recapitulating aspects of platelet adhesion1; more complex platelet behaviours such as clot contraction2 are assumed to be inaccessible to synthetic systems. Here, we report the creation of fully synthetic platelet-like particles (PLPs) that augment clotting in vitro under physiological flow conditions and achieve wound-triggered haemostasis and decreased bleeding times in vivo in a traumatic injury model. PLPs were synthesized by combining highly deformable microgel particles with molecular-recognition motifs identified through directed evolution. In vitro and in silico analyses demonstrate that PLPs actively collapse fibrin networks, an emergent behaviour that mimics in vivo clot contraction. Mechanistically, clot collapse is intimately linked to the unique deformability and affinity of PLPs for fibrin fibres, as evidenced by dissipative particle dynamics simulations. Our findings should inform the future design of a broader class of dynamic, biosynthetic composite materials.
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Acknowledgements
The authors wish to thank L. Tucker and S. Pitrowski Lees for assistance with in vivo studies, A. Winburn for assistance with particle synthesis, Z. Meng for AFM images of ULC μgels films, and Y. Sakuri, Y. Qui and D. Myers for assistance with platelet-poor plasma isolation. Funding sources: NIH (HHSN268201000043C, R21EB013743 and R01EB011566), John and Mary Brock Discovery Research Fund, and DoD (W81XWH1110306) to T.H.B.; NIH (R21EB013743) and DoD (W81XWH1110306) to L.A.L.; American Heart Association Postdoctoral Fellowship to A.C.B.; NSF GRF to V.S.; NSF CAREER Award (DMR-1255288) to A.A.; NIH (R01HL121264, U54 HL11230 and NSF CAREER Award (1150235) to W.A.L.
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A.C.B., S.E.S. and B.A., experimental design, data analysis and manuscript; R.T.H., K.S.D., E.S.H. and V.S., experimental design and data analysis; A.A., simulations, data analysis and manuscript; N.G., W.A.L., L.A.L. and T.H.B., experimental design and manuscript.
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Brown, A., Stabenfeldt, S., Ahn, B. et al. Ultrasoft microgels displaying emergent platelet-like behaviours. Nature Mater 13, 1108–1114 (2014). https://doi.org/10.1038/nmat4066
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DOI: https://doi.org/10.1038/nmat4066
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