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. 2019 Jan 23;7:4. doi: 10.3389/fbioe.2019.00004

Figure 1.

Figure 1

A brief explanation of immunologica l responses at the nano-bio interface (Foreign body response (FBR) to nano-biomaterials). The FBR is a combination of both acute and chronic phases of inflammation. The mechanism starts with protein adsorption and desorption (vroman binding) on the surface of nano-biomaterial after its implantation. It continues with thrombin formation by the activation of platelets. After that, monocytes start differentiation into macrophage type “1” which is responsible for acute phase of inflammation. After some days M1 differentiate macrophage type “2” which is in charge for chronic phase of inflammation. T cells and mast cells also express cytokines that increase foreign body giant cell (FBGC) creation. In addition, FBGCs express Fibroblast recruiting factors and consequently by collagen deposition, a capsule starts forming around the nanomaterial.