Blood clotting (thrombosis) is a constant hazard
when blood is removed from its natural environment or disrupted during
its flow within the body. It is known that the addition of citrate
to blood samples assists in the prevention of clot formation. There
is, however, some question as to the mechanism of citrate in clot
prohibition. The most common hypothesis is that citrate operates by
sequestering calcium ions known to promote the transformation of prothrombin
to activated thrombin, which is required for clotting to proceed.
An alternate compound, heparin, has also found use in the prevention
of thrombosis. It has been proposed that the action of heparin within
surface coatings may mirror the action of free citrate, although the
possibility exists that there are additional anti-thrombic mechanisms
available to heparin. Heparin has become widespread as a surface coating
for medical devices. It is derived from animal sources (pig intestine
and cow lung), and is therefore less attractive for use with humans
than citrate, which is present in all forms of life.
The purpose of this study is to provide a reliable
and quantifiable procedure for creating citrated surfaces using amide
bonding on microspheres. These microspheres will be characterized
for their anti-thrombic abilities relative to spheres that possess
generic positive and negative surface charges. If the results are
promising, additional testing may be performed to directly determine
the feasibility of citrated surfaces as a possible replacement for
the current heparin coated medical devices.