Disinfection/sterilization
is an essential step during the manufacturing
process of any implantable medical device. Cross-linking is also required
for biopolymers to control resistance to degradation and enhance mechanical
integrity. To date, there is still no single disinfection/sterilization
treatment and cross-linking method that can be used universally for
collagen-based devices. Herein, we assessed the influence of ethylene
oxide, ethanol, gamma irradiation, and gas plasma disinfection/sterilization
on the structural, biophysical, biochemical, and biological properties
of self-assembled collagen films cross-linked with 4-arms polyethylene
glycol succinimidyl glutarate and genipin. Microscopy analysis revealed
that gas plasma treatment induced the most profound differences in
the non-cross-linked and 4-arms polyethylene glycol succinimidyl glutarate
cross-linked collagen films. Gas plasma also significantly increased
the swelling ratio of the non-cross-linked and the 4-arms polyethylene
glycol succinimidyl glutarate cross-linked films. Non-cross-linked
and gas plasma treated 4-arms polyethylene glycol succinimidyl glutarate
collagen films exhibited the lowest resistance to collagenase degradation
and denaturation temperature. Between the non-cross-linked groups,
the gas plasma treatment resulted in the collagen films with the lowest
stress at break, strain at break, force at break, and Young’s
modulus values. Within the 4-arms polyethylene glycol succinimidyl
glutarate groups, the ethylene oxide treatment resulted in collagen
films with the lowest stress at break, strain at break, force at break,
and Young’s modulus values. Within the genipin groups, the
gas plasma treatment resulted in collagen films with the lowest stress
at break, strain at break, force at break, and Young’s modulus
values. Proliferation, metabolic activity, and viability of human
skin fibroblasts were not affected as a function of cross-linking
method and disinfection/sterilization treatment. However, proliferation,
metabolic activity, and viability of THP1 cells were significantly
reduced as a function of the cross-linking method, but they were not
affected as a function of the disinfection/sterilization treatment.
Overall, our data illustrate that the cross-linking method and the
disinfection/sterilization treatment differentially affect the structural,
biophysical, biochemical, and biological properties of collagen-based
devices, and thus, they should be optimized according to the clinical
indication.