Achieving graft endothelialization
following implantation continues
to be a challenge in the development of “off-the-shelf,”
small-caliber, arterial prostheses. Coating grafts with biomolecules
to support the retention, migration, and differentiation of adherent
endothelial precursor cells (EPCs) is a promising approach toward
improving graft endothelialization. Designer Collagen Scl2-2 with 1 integrin binding site per strand (DC2-1X) is a Streptococcus pyogenes-derived, collagen-like protein
that has previously been evaluated as a graft coating due to its ability
to resist platelet aggregation and to promote attachment and migration
of “late outgrowth” EPCs (EOCs). However, these prior
assessments were performed in the absence of physiological shear.
In addition, although DC2-1X coatings supported increased migration
rates relative to native collagen coatings, EOC attachment and spreading
remained inferior to collagen controls at all DC2-1X concentrations
assayed. Thus, the objectives of the present work were the following:
(1) to improve EOC attachment on DC2 coatings by modulating the number
and spacing of DC2 integrin binding sites (IBS) and (2) to evaluate
the retention, migration, and differentiation of adherent EOCs under
physiological shear stress. Using single point mutations, three novel
DC2 variants were generated containing either two IBS (DC2-2X) or
three IBS (DC2-3X1 and DC2-3X2) per strand. After initial evaluation
of the potential of each DC2 variant to support increased EOC attachment
relative to DC2-1X, DC2-2X and DC2-3X1 coatings were further assessed
under physiological shear for their capacity to promote EOC retention,
migration, and differentiation relative to DC2-1X and collagen controls.
An increase in the number of IBS from 1 to 3 significantly improved
EOC retention on DC2 coatings while also supporting increased average
migration rates. Moreover, EOCs on DC2-3X1 coatings showed increased
gene-level expression of intermediate endothelial cell differentiation
markers relative to collagen. Overall, the current results suggest
that DC2-3X1 warrants further investigation as a vascular graft coating.