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SEALING CORNEAL INCISIONS WITH A DROP OF CHEMISTRY, BU RESEARCHERS DEVELOP GEL FOR CATARACT SURGERY


Hydrogel can be made to exacting specifications,
producing biocompatible sealant

 

(Boston) — By introducing just the right biocompatible molecules to one another, a research team led by Mark Grinstaff, an associate professor of biomedical engineering and of chemistry at Boston University, has produced an elastic, transparent gel that sets so fast and adheres so surely to the eye's surface that it could soon become the first and best choice for sealing corneal incisions.

The substance, known as a hydrogel, promises to be a useful tool in the kit used for the most common of ophthalmic surgeries: cataract removal. Currently, 11 million such surgeries are performed worldwide annually, a figure expected to increase as the world's population grows older.

The team's findings will appear in the October 13 issue of the Journal of the American Chemical Society.

A cataract is a clouding of the eye's lens, a condition that obscures vision by gradually blocking the light that enters the eye. To remove a clouded lens, a surgeon makes a small incision in the conjunctiva, the margin between white area (tunica) and the clear area (cornea) of the outer eye. Through this tiny opening, the surgeon works to break up the lens, often by using high-frequency sound waves; extracts the destroyed lens; then implants a synthetic lens. Currently, the procedure finishes with the surgeon following one of two accepted paths: allowing the incision to seal itself or stitching the incision shut using nylon sutures.

Each closing method has its drawbacks. Self-sealing, in which the open wound closes gradually over time, carries the risk of infection as well as leakage of intraocular fluid. Suturing likewise can carry the risk of infection and inflammation, as well as the abnormal development of blood vessels, a condition known as vascularization.

To potentially stave off these post-operative complications, Grinstaff's team decided to build a biological bandage using versatile materials known as dendritic macromolecules. Capable of extensive molecule-to-molecule linking, these polymer complexes can be designed to meet very precise specifications, making them ideal substances for medical applications.

By controlling chemical composition, structure, and molecular weight of the molecules that make-up dendritic macromolecules, researchers can produce structures with surface functions that facilitate surface adhesion or biological recognition. When used to formulate hydrogels, these macromolecules show several advantages, including the capacity to cross-link well at low concentrations and to form low viscous solutions that can be injected into irregularly shaped sites. The solutions can then “cure” to fill the designated space.

Grinstaff and colleagues built their hydrogels from a biocompatible peptide dendritic macromolecule and poly(ethylene glycol) (PEG). When solutions of the two components were mixed together, the cysteine residues of the dendritic macromolecule quickly linked up with the PEG molecules to form the hydrogel.

Working with research collaborator Terry Kim, an associate professor in the Department of Ophthalmology at Duke University Medical Center, the researchers applied the hydrogel to corneal incisions made in enucleated eyeballs. The gel sealed the incision in a few minutes, less than the time needed for suturing. The hydrogel also developed a seal that was hard to breach, refusing to leak intraocular fluids at pressures approximately 12 times greater than those in the normal human eye (184 ± 79 millimeters of mercury [mmHg] and 12 – 16 mmHg, respectively). Incisions that had been left alone or that had been sutured withstood pressures approximately two times (24 ± 8 mmHg) and four times (54 ± 16 mmHg) greater, respectively, than those in the normal human eye.

The team speculates that the physical barrier that the hydrogel forms on the eye will help prevent infection and that the ease with which the hydrogel is applied will inflict less trauma to the eye, especially when compared with suturing. The team noted, too, that the gels are transparent and have a refractive index similar to that of the human cornea (thus it will not interfere with light reaching the retina), both solid pluses for repairing incisions to the outer eye.

“We are excited about these results,” says Grinstaff, “since there is significant clinical interest for an alternative to sutures in the repair of ophthalmic wounds created during surgical procedures, trauma, or disease.”

Faculty in BU's Department of Chemistry address issues in theoretical chemistry, chemical physics, photochemistry, inorganic and organic chemistry, physical chemistry, and biochemistry. Faculty in the Biomedical Engineering Department of BU's College of Engineering apply engineering, computational, and analytical techniques to biological systems from the nanoscale level of DNA to the macroscopic level of organ systems. Boston University, the nation's fourth largest independent university, has an enrollment of more than 29,000 in its 17 schools and colleges.

Note: The researchers' paper can be found online at http://pubs.acs.org/cgi-bin/article.cgi/jacsat/2004/126/i40/pdf/ja045870l.pdf.





 


The Center for X-Ray Optics' new technique for creating high-resolution zone plates involves two separate patterns of alternating zones fabricated sequentially and overlaid on the same wafer.

For measuring internal variations in shape, organization, magnetism, polarization, or chemical make-up over distances of a few nanometers (billionths of a meter), x-ray microscopy not only complements electron microscopy but also offers important advantages. The XM-1 x-ray microscope at the Advanced Light Source, located at the Department of Energy's Lawrence Berkeley National Laboratory, uses bright beams of "soft" x-rays to produce images that not only reveal structures but can identify their chemical elements and measure their electromagnetic and other properties as well.

Now a new method for creating optical devices with nanoscale accuracy has allowed researchers in Berkeley Lab's Center for X-Ray Optics (CXRO), which built and operates the XM-1, to achieve an extraordinary resolution of better than 15 nanometers, with the promise of even higher resolution in the near future. CXRO's Weilun Chao, Bruce Harteneck, Alexander Liddle, Erik Anderson, and David Attwood describe their achievement in a letter to Nature , June 30, 2005.

"Our new technique permits fabrication of remarkably small three-dimensional structures," says Weilun Chao of Berkeley Lab's Materials Sciences Division, who helped develop the technique as part of his recent doctoral thesis in the Electrical Engineering and Computer Sciences Department at the University of California at Berkeley. "We believe this is a breakthrough in the difficult process of fabricating small structures by means of electron beam lithography."

Since x-rays can't be focused by glass lenses, the XM-1 uses lenses made of zone plates, disks of concentric rings of metal from which soft x-rays are diffracted to a focus. An objective lens called a "micro" zone plate (MZP) projects a full-field image of the sample — whether the interior of frozen bacteria or layers of a magnetic alloy — onto a charge-coupled device. The smaller the gap between the MZP's rings, the tighter the focus, and the higher the resolution of the image.

CXRO fabricates its own zone plates with an electron-beam lithography tool called the Nanowriter. An energetic beam of electrons just 7 nanometers wide carves preprogrammed patterns in a silicon wafer coated with a resist. The carved-out circular patterns in the resist are then replaced with opaque gold to form an object that under magnification superficially resembles a long-playing gold record album — but one only 30 micrometers (millionths of a meter) in diameter.

With the new technique the zones were spaced approximately 15 nanometers apart (30 nanometers between the centers of each gold zone). Future improvements will be directed at narrower zones with no gaps and even closer spacing.

To achieve high resolution depends on the ability to squeeze the zones close together, with a placement accuracy no less than one-third the width of the zones themselves. Accurate placement of 15-nanometer-wide zones allows no more than 5-nanometer leeway. In fact the Nanowriter is capable of placement accuracy to within 2 nanometers, allowing for even greater improvements in resolution in the future.

Unfortunately, no matter how accurately it is aimed, even a tight beam of electrons spreads out when it hits the resist. Electron scattering, combined with inherent limits in the resolution of the resist itself, makes it impossible at this time to maintain high contrast and optical separation between features. Previously the best separation between zones the Nanowriter could achieve to make the XM-1's current objective lens was 25 nanometers.

To overcome this limit, the CXRO researchers decided to overlay and combine two different zone-plate patterns. Opaque zones are typically given even numbers, so in this scheme the first pattern contains zones 2, 6, 10, 14, and so on, and the second contains zones 4, 8, 12, 16, and so on. The first pattern is carved into the resist-coated wafer; then the zones formed by the electron patterning are filled with gold. The wafer is coated with resist again to make the second pattern.

When combined, the critical outer zones of the combined patterns were less than 15 nanometers apart, accurately placed to within less than 2 nanometers. Aligning the separately processed patterns was the key to success. Accuracy was achieved with software that calculated the deflection and distortion of the Nanowriter's beam as it traced out the concentric circular patterns.

The placement of the zones in the first MZP made with this technique was nearly perfect, although there was room for improvement in other areas. The opaque gold zones were broken by tiny gaps, and they were wider (and the transparent zones between them narrower) than they should have been, reducing the zone plate's efficiency. Nevertheless, the experimental MZP was used to obtain images sharper than any previously achieved with an x-ray microscope.

With the new zone plate the XM-1 microscope was able to image a test pattern of layers of chromium and silicon only 15nm thick, sliced crossways (right). The XM-1's previous objective zone plate, capable of 25-nanometer resolution, could not resolve an image of the test pattern (left).

Not only were images of test patterns (lines formed by layers of chromium and silicon in cross-section) sharper than those made with the XM-1's current 25-nanometer-resolution MZP, the new MZP was able to obtain sharp images of lines a mere 15 nanometers apart — where the older zone plate had seen only a featureless field of gray.

"Nanoscience and nanotechnology are everywhere around us — biology and chemistry are nanoscience by nature — but we need better analytical tools to see what we're looking at," says David Attwood of the Materials Sciences Division, founder and former director of the Center for X-Ray Optics and a professor of electrical engineering at UC Berkeley. "Electron microscopy, scanning-tunneling microscopes, atomic-force microscopes — they're all good, but they can't give you identification of chemical elements and compounds. The great advantage of photons is that there are very specific differences in their interactions with atoms: you can tell when you're looking at iron; you know when you're looking at cobalt."

Because they need bright beams of photons, x-ray microscopes are presently found only at synchrotrons like those in the United States that are sponsored by the Department of Energy. In their letter to Nature, however, the CXRO researchers suggest that before too many years new sources of very bright, soft x-rays — for example, from compact, laser-based x-ray sources — will make it possible to build x-ray microscopes that will fit on the bench top. Nanoscience and nanotechnology will be both the beneficiaries and the driving forces behind the widening horizon for nanoscale analysis, which has been opened by the new techniques in soft-x-ray optics.

"Soft x-ray microscopy at a spatial resolution better than 15nm," by Weilun Chao, Bruce D. Harteneck, J. Alexander Liddle, Erik H. Anderson, and David T. Attwood, appears in the 30 June 2005 issue of Nature .

Berkeley Lab is a U.S. Department of Energy national laboratory located in Berkeley, California. It conducts unclassified scientific research and is managed by the University of California. Visit our website at http://www.lbl.gov .

Additional information

Contact: Paul Preuss, (510) 486-6249, paul_preuss@lbl.gov

 

This story has been adapted from a news release -
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