Heparin as a Spacer in Nitric Oxide-Generating Surface with Improvement of Synergistic Anticoagulation and Copper Ion Removal

Surface modification can regulate surface properties through the design of surface structures and chemical compositions. Heparin has good anticoagulant properties and is widely used in the surface modification of blood-contact materials. However, the molecular structure of heparin has often been overlooked in terms of its application and further utilization in the design process. In this study, heparin was grafted onto substrate materials through polydopamine/polyethyleneimine co-deposition coating and connected with cysteine to obtain PP-Hep-Cys. The sulfhydryl content of PP-Hep-Cys reached about 2.06 nmol/cm2, and the NO generation was about 0.2415 nmol/cm2. In the absence of NO donors, the introduction of heparin contributed to the inhibition of platelets, but when NO donors were added, the inhibition of platelets was caused by the synergistic effect of heparinization and NO generation. In addition, the clotting time of PP-Hep-Cys was significantly prolonged compared with PP, and the hemolysis rate declined to 0.33 ± 0.01%. Regarding the adsorption performance of Cu2+, the adsorption capacity of PP-Hep-Cys was higher than that of PP-Hep and PP-Cys, and monolayer adsorption was dominant. Overall, these results indicated that heparin, as a spacer, and cysteine, as a ligand, exerted a synergistic effect on blood compatibility and adsorption.