Some fibrin network containing randomly distributed platelets can be seen on the surface of pristine MWCNTs. At the same time,

the serious deformation of RBCs occurs (Figure 3b). Conversely, there are few fibrin networks or platelet aggregations on NH2/MWCNTs after exposure to platelet-rich plasma, as shown in Figure 3c,d, indicating insignificant thrombosis on both surfaces. Platelet adhesion and activation are the inevitable results of the interaction between selleck products blood and materials. It also can be seen that the morphology of RBCs on NH2/MWCNTs is perfect round. This result suggests that NH2/MWCNTs have no evident toxic effects on the red blood cells, which support superior hemocompatibility of NH2/MWCNTs. The hydrophilic surface induced by N-containing functional groups should be a main reason for inhibiting RBCs adhesion and deformation on the surface. This observation is consistent with the trend observed in the hemolytic rate test. Figure 3 Platelet adhesion rates of the samples and SEM images of RBCs and platelets. (a)

Platelet adhesion rates on different samples. SEM images of RBCs and platelets on (b) pristine MWCNTs, (c) NH2/MWCNTs with 5 × 1014 ions/cm2, and (d) NH2/MWCNTs with 1 × 1016 ions/cm2. Hemolysis is the loss of membrane integrity of RBCs leading to the leakage of hemoglobin into blood plasma [30]. It is one of the basic tests to understand the interaction MEK inhibitor of nanoparticles with RBCs. Nanoparticles might affect the membrane integrity of RBCs by mechanical

damage or reactive oxygen species [31]. In addition, the hemolytic rate of nanoparticles can also be affected by their size, shape, surface charge, and chemical composition [32]. Figure 4a shows that, compared to pristine MWCNTs in which hemolytic rate is about 1.88%, NH2/MWCNTs display lower hemolytic rate, especially NH2/MWCNTs with fluency of 1 × 1016 ions/cm2. Figure 4 Hemolytic rates and optical density values of MWCNTs and NH 2 /MWCNTs. (a) Hemolytic rates of pristine MWCNTs and NH2/MWCNTs. (b) The OD540 nm values of MWCNTs and NH2/MWCNTs vs. blood-clotting time. The OD is used to evaluate the level of hemolyzed hemoglobin released from unclotted blood after contacting with the samples’ surface. Higher OD illustrates better thromboresistance. Figure 4b shows the Fenbendazole OD of all samples at different blood-clotting times. Generally speaking, the blood starts to clot at 0.1 point of OD540nm value at which the starting point of the kinetic blood-clotting time on the sample surfaces is recoded. It is clear that the kinetic blood time of all samples is longer than 50 min, revealing good hemocompatibility. The higher the OD is, the better thromboresistance. The OD of NH2/MWCNTs with 1 × 1016 ions/cm2 is a little bit higher than that of the other samples. Therefore, higher fluency of NH2 + implantation is related to better thromboresistance.