In recent years, macrophage phenotype has emerged as an important
determinant of the success or failure of implanted polymeric biomaterials.
However, it is not well understood how changes in biomaterials properties affect
the foreign body response or macrophage behavior. Because failed attempts at
biomaterial degradation by macrophages have been linked to frustrated
phagocytosis, a defining feature of the foreign body response, we hypothesized
that increased hydrogel crosslinking density (and decreased degradability) would
exacerbate the foreign body response. Gelatin hydrogels were crosslinked with
glutaraldehyde (0.05%, 0.1%, and 0.3%) and implanted subcutaneously in C57BL/6
mice over the course of 3 weeks. Histological and immunohistochemical analysis
was used to characterize fibrous capsule formation and the temporal and spatial
distribution of macrophage phenotype markers. Interestingly, changes in hydrogel
crosslinking did not affect the thickness of the fibrous capsule surrounding the
hydrogels, expression of the pan-macrophage marker F480, expression of three
macrophage phenotype markers (iNOS, Arg1, CD163), or expression of the
myofibroblast marker aSMA. With respect to temporal changes, the level of
expression of the M1 marker (iNOS) remained relatively constant throughout the
study, while the M2 markers Arg1 and CD163 increased over time. Expression of
these M2 markers was highly correlated with fibrous capsule thickness.
Differences in spatial distribution of staining also were noted, with the
strongest staining for iNOS at the hydrogel surface and increasing expression of
the myofibroblast marker aSMA toward the outer edge of the fibrous capsule.
These results confirm previous reports that macrophages in the foreign body
response exhibit characteristics of both M1 and M2 phenotypes. Understanding the
effects (or lack of effects) of biomaterial properties on the foreign body
response and macrophage phenotype may aid in the rational design of biomaterials
to integrate with surrounding tissue.