RECRUITMENT OF TISSUE RESIDENT CELLS TO HYDROGEL COMPOSITES - IN-VIVO RESPONSE TO IMPLANT MATERIALS

A model of local cellular recruitment was established using hydrogel matrices composed of alginate implanted subcutaneously into mice. Cells which trafficked to the matrix blocks were recovered and characterized for surface phenotype using iluorescently labelled antibodies and flow cytometry (fluorescence activated cell sorting). Temporal information of the differential recruitment of cells was determined. The basic pattern of recruitment in response to the hydrogels was established and mimicked that seen in a local inflammatory response. Neutrophils (PMN) were rapidly recruited (1 d) followed by macrophages and lymphocytes (1-3 d). Cell surface phenotype studies included the determination of CD3(+), CD4(+) and CD8(+) cells, Mac-1(+) cells, and immunoglobulin bearing cells. Microscopic analysis revealed numerous activated PMNs and monocyte derived foamy macrophages. Fluorescence immunocytochemistry of frozen sections of the block revealed that macrophages, CD3(+) and natural killer tells were all recruited to the interior of the block. Ultrastructural analysis (transmission electron microscopy) showed highly activated macrophages, with abundant rough endoplasmic reticulum and secretory vesicles. Cells which remained on the surface of the matrix block were CD44 positive migratory cells. Electron microscopic evidence showed foamy macrophages with a varying degree of involvement with the hydrogel material. Surface scanning electron microscopy revealed numerous fibroblast-like cells coating the surface of the block. We suggest that these methods may be used to address the inflammatory response elicited with a variety of implanted materials such as hydrogels, silicones, ceramics and metals. Furthermore, this model has been useful in determining cellular responses to cytokines and growth factors under similar conditions.