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Zhou A, Yu H, Liu J, Zheng J, Jia Y, Wu B, Xiang L. Role of Hippo-YAP Signaling in Osseointegration by Regulating Osteogenesis, Angiogenesis, and Osteoimmunology. Front Cell Dev Biol 2020; 8:780. [PMID: 32974339 PMCID: PMC7466665 DOI: 10.3389/fcell.2020.00780] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2020] [Accepted: 07/24/2020] [Indexed: 02/05/2023] Open
Abstract
The social demand for dental implantation is growing at a rapid rate, while dentists are faced with the dilemma of implantation failures associated with unfavorable osseointegration. Clinical-friendly osteogenesis, angiogenesis and osteoimmunology around dental implants play a pivotal role in a desirable osseointegration and it's increasingly appreciated that Hippo-YAP signaling pathway is implicated in those biological processes both in vitro and in vivo in a variety of study. In this article we review the multiple effects of Hippo-YAP signaling in osseointegration of dental implants by regulating osteogenesis, angiogenesis and osteoimmunology in peri-implant tissue, as well as highlight prospective future directions of relevant investigation.
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Affiliation(s)
- Anqi Zhou
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Hui Yu
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China.,Department of Oral Implantology, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Jiayi Liu
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Jianan Zheng
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Yinan Jia
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Bingfeng Wu
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Lin Xiang
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China.,Department of Oral Implantology, West China Hospital of Stomatology, Sichuan University, Chengdu, China
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2
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Evaluation of the surface damage of dental implants caused by different surgical protocols: an in vitro study. Int J Oral Maxillofac Surg 2019; 48:971-981. [DOI: 10.1016/j.ijom.2018.12.009] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2018] [Revised: 12/08/2018] [Accepted: 12/13/2018] [Indexed: 01/04/2023]
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3
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Pellegrini G, Francetti L, Barbaro B, del Fabbro M. Novel surfaces and osseointegration in implant dentistry. ACTA ACUST UNITED AC 2018; 9:e12349. [DOI: 10.1111/jicd.12349] [Citation(s) in RCA: 45] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2018] [Accepted: 04/28/2018] [Indexed: 12/18/2022]
Affiliation(s)
- Gaia Pellegrini
- Department of Biomedical, Surgical, and Dental Sciences; University of the Study of Milan; Milan Italy
- Institute of Hospitalization and Care with a Scientific Character (IRCCS) Galeazzi Orthopaedic Institute; Milan Italy
| | - Luca Francetti
- Department of Biomedical, Surgical, and Dental Sciences; University of the Study of Milan; Milan Italy
- Institute of Hospitalization and Care with a Scientific Character (IRCCS) Galeazzi Orthopaedic Institute; Milan Italy
| | - Bruno Barbaro
- Department of Biomedical, Surgical, and Dental Sciences; University of the Study of Milan; Milan Italy
- Institute of Hospitalization and Care with a Scientific Character (IRCCS) Galeazzi Orthopaedic Institute; Milan Italy
| | - Massimo del Fabbro
- Department of Biomedical, Surgical, and Dental Sciences; University of the Study of Milan; Milan Italy
- Institute of Hospitalization and Care with a Scientific Character (IRCCS) Galeazzi Orthopaedic Institute; Milan Italy
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4
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Wang Z, Zhou R, Wen F, Zhang R, Ren L, Teoh SH, Hong M. Reliable laser fabrication: the quest for responsive biomaterials surface. J Mater Chem B 2018; 6:3612-3631. [DOI: 10.1039/c7tb02545a] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
This review presents current efforts in laser fabrication, focusing on the surface features of biomaterials and their biological responses; this provides insight into the engineering of bio-responsive surfaces for future medical devices.
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Affiliation(s)
- Zuyong Wang
- College of Materials Science and Engineering
- Hunan University
- Changsha 410082
- P. R. China
| | - Rui Zhou
- School of Aerospace Engineering
- Xiamen University
- Xiamen 361005
- P. R. China
| | - Feng Wen
- School of Chemical and Biomedical Engineering
- Nanyang Technological University
- Singapore 637457
- Singapore
| | - Rongkai Zhang
- The Third Affiliated Hospital of Southern Medical University
- Guangzhou 510630
- P. R. China
| | - Lei Ren
- College of Materials Science
- Xiamen University
- Xiamen 361005
- P. R. China
| | - Swee Hin Teoh
- College of Materials Science and Engineering
- Hunan University
- Changsha 410082
- P. R. China
- School of Chemical and Biomedical Engineering
| | - Minghui Hong
- School of Aerospace Engineering
- Xiamen University
- Xiamen 361005
- P. R. China
- Department of Electrical and Computer Engineering
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5
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Coathup MJ, Blunn GW, Mirhosseini N, Erskine K, Liu Z, Garrod DR, Li L. Controlled laser texturing of titanium results in reliable osteointegration. J Orthop Res 2017; 35:820-828. [PMID: 27306746 DOI: 10.1002/jor.23340] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/26/2015] [Accepted: 06/14/2016] [Indexed: 02/04/2023]
Abstract
We have developed a laser-textured superhydrophilic Ti-6Al-4V surface with unique surface chemistry and topography that substantially promotes osteoblast adhesion in culture. Here we investigate the osteointegration of laser-textured implants in an ovine model. Our hypothesis was that laser-textured implants, without any surface coating (LT), would encourage comparable amounts of bone-implant contact and interfacial strength when compared with widely accepted hydroxyapatite (HA) coated implants. Additionally, we hypothesized that LT would significantly increase bony integration compared with machine-finished (MF) and grit-blasted (GB) implants. Forty-eight tapered transcortical pins were implanted into six sheep. Four experimental groups (LT, HA, MF, and GB) were investigated (n = 12) and implants remained in vivo for 6 weeks. Bone apposition rates, interfacial shear strength, and bone-implant contact (BIC) were quantified. The interfacial strength of LT and HA implants were found to be significantly greater than GB (p = 0.032 and p = 0.004) and MF (p = 0.004 and p = 0.004, respectively), but no significant difference between LT and HA implants was observed. Significantly increased BIC was measured adjacent to HA implants when compared with both LT and GB implant surfaces (p = 0.022 and p = 0.006, respectively). No significant difference was found when LT and GB implants were compared. However, all surface finishes encouraged significantly increased BIC when compared with the MF surface. Maximizing implant fixation to host bone is vital for its long-term success. The production of an LT surface is a simple and cheap manufacturing process and this study demonstrated that laser-textured implants are a very promising technical development that warrants further research. © 2016 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 35:820-828, 2017.
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Affiliation(s)
- Melanie J Coathup
- Institute of Orthopaedics and Musculoskeletal Science, University College London, The Royal National Orthopaedic Hospital, Stanmore, Middlesex, United Kingdom
| | - Gordon W Blunn
- Institute of Orthopaedics and Musculoskeletal Science, University College London, The Royal National Orthopaedic Hospital, Stanmore, Middlesex, United Kingdom
| | - Nazanin Mirhosseini
- Laser Processing Research Center, School of Mechanical, Aerospace, and Civil Engineering, University of Manchester, Manchester, United Kingdom
| | - Karen Erskine
- Institute of Orthopaedics and Musculoskeletal Science, University College London, The Royal National Orthopaedic Hospital, Stanmore, Middlesex, United Kingdom
| | - Zhu Liu
- School of Materials, University of Manchester, Manchester, United Kingdom
| | - David R Garrod
- Faculty of Life Sciences, University of Manchester, Manchester, United Kingdom
| | - Lin Li
- Laser Processing Research Center, School of Mechanical, Aerospace, and Civil Engineering, University of Manchester, Manchester, United Kingdom
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6
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Alhilou A, Do T, Mizban L, Clarkson BH, Wood DJ, Katsikogianni MG. Physicochemical and Antibacterial Characterization of a Novel Fluorapatite Coating. ACS OMEGA 2016; 1:264-276. [PMID: 27656690 PMCID: PMC5026462 DOI: 10.1021/acsomega.6b00080] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/16/2016] [Accepted: 08/01/2016] [Indexed: 06/06/2023]
Abstract
Peri-implantitis remains the major impediment to the long-term use of dental implants. With increasing concern over the growth in antibiotic resistance, there is considerable interest in the preparation of antimicrobial dental implant coatings that also induce osseointegration. One such potential coating material is fluorapatite (FA). The aim of this study was to relate the antibacterial effectiveness of FA coatings against pathogens implicated in peri-implantitis to the physicochemical properties of the coating. Ordered and disordered FA coatings were produced on the under and upper surfaces of stainless steel (SS) discs, respectively, using a hydrothermal method. Surface charge, surface roughness, wettability, and fluoride release were measured for each coating. Surface chemistry was assessed using X-ray photoelectron spectroscopy and FA crystallinity using X-ray diffraction. Antibacterial activity against periodontopathogens was assessed in vitro using viable counts, confocal microscopy, and scanning electron microscopy (SEM). SEM showed that the hydrothermal method produced FA coatings that were predominately aligned perpendicular to the SS substrate or disordered FA coatings consisting of randomly aligned rodlike crystals. Both FA coatings significantly reduced the growth of all examined bacterial strains in comparison to the control. The FA coatings, especially the disordered ones, presented significantly lower charge, greater roughness, and higher area when compared to the control, enhancing bacteria-material interactions and therefore bacterial deactivation by fluoride ions. The ordered FA layer reduced not only bacterial viability but adhesion too. The ordered FA crystals produced as a potential novel implant coating showed significant antibacterial activity against bacteria implicated in peri-implantitis, which could be explained by a detailed understanding of their physicochemical properties.
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Affiliation(s)
- Ahmed Alhilou
- Biomaterials
and Tissue Engineering Research Group and Microbiology and Cell Biology Research
Group, School of Dentistry, University of
Leeds, Clarendon Way, Leeds LS2 9LU, West Yorkshire, U.K.
| | - Thuy Do
- Biomaterials
and Tissue Engineering Research Group and Microbiology and Cell Biology Research
Group, School of Dentistry, University of
Leeds, Clarendon Way, Leeds LS2 9LU, West Yorkshire, U.K.
| | - Laith Mizban
- Biomaterials
and Tissue Engineering Research Group and Microbiology and Cell Biology Research
Group, School of Dentistry, University of
Leeds, Clarendon Way, Leeds LS2 9LU, West Yorkshire, U.K.
| | - Brian H. Clarkson
- Cariology,
Restorative Sciences, and Endodontics, School of Dentistry, University of Michigan, Ann Arbor 48109-1078, United States
| | - David J. Wood
- Biomaterials
and Tissue Engineering Research Group and Microbiology and Cell Biology Research
Group, School of Dentistry, University of
Leeds, Clarendon Way, Leeds LS2 9LU, West Yorkshire, U.K.
| | - Maria G. Katsikogianni
- Biomaterials
and Tissue Engineering Research Group and Microbiology and Cell Biology Research
Group, School of Dentistry, University of
Leeds, Clarendon Way, Leeds LS2 9LU, West Yorkshire, U.K.
- Advanced
Materials Engineering, Faculty of Engineering and Informatics, University of Bradford, Bradford BD7 1DP, U.K.
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7
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Nagasawa M, Cooper LF, Ogino Y, Mendonca D, Liang R, Yang S, Mendonca G, Uoshima K. Topography Influences Adherent Cell Regulation of Osteoclastogenesis. J Dent Res 2015; 95:319-26. [PMID: 26553885 DOI: 10.1177/0022034515616760] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
The importance of osteoclast-mediated bone resorption in the process of osseointegration has not been widely considered. In this study, cell culture was used to investigate the hypothesis that the function of implant-adherent bone marrow stromal cells (BMSCs) in osteoclastogenesis is influenced by surface topography. BMSCs isolated from femur and tibia of Sprague-Dawley rats were seeded onto 3 types of titanium surfaces (smooth, micro, and nano) and a control surface (tissue culture plastic) with or without osteogenic supplements. After 3 to 14 d, conditioned medium (CM) was collected. Subsequently, rat bone marrow-derived macrophages (BMMs) were cultured in media supplemented with soluble receptor activator of NF-κB ligand (RANKL) and macrophage colony-stimulating factor (M-CSF) as well as BMSC CM from each of the 4 surfaces. Gene expression levels of soluble RANKL, osteoprotegerin, tumor necrosis factor α, and M-CSF in cultured BMSCs at different time points were measured by real-time polymerase chain reaction. The number of differentiated osteoclastic cells was determined after tartrate-resistant acid phosphatase staining. Analysis of variance and t test were used for statistical analysis. The expression of prominent osteoclast-promoting factors tumor necrosis factor α and M-CSF was increased by BMSCs cultured on both micro- and nanoscale titanium topographies (P < 0.01). BMSC CM contained a heat-labile factor that increased BMMs osteoclastogenesis. CM from both micro- and nanoscale surface-adherent BMSCs increased the osteoclast number (P < 0.01). Difference in surface topography altered BMSC phenotype and influenced BMM osteoclastogenesis. Local signaling by implant-adherent cells at the implant-bone interface may indirectly control osteoclastogenesis and bone accrual around endosseous implants.
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Affiliation(s)
- M Nagasawa
- Bone Biology and Implant Therapy Laboratory, School of Dentistry, University of North Carolina, Chapel Hill, NC, USA Division of Bio-prosthodontics, Niigata University Graduate School of Medical and Dental Sciences, Nigata, Japan
| | - L F Cooper
- Bone Biology and Implant Therapy Laboratory, School of Dentistry, University of North Carolina, Chapel Hill, NC, USA
| | - Y Ogino
- Department of Oral Rehabilitation, Kyushu University, Fukuoka, Japan
| | - D Mendonca
- Department of Biologic and Materials Sciences, Division of Prosthodontics, School of Dentistry, University of Michigan, Ann Arbor, MI, USA
| | - R Liang
- Bone Biology and Implant Therapy Laboratory, School of Dentistry, University of North Carolina, Chapel Hill, NC, USA
| | - S Yang
- College of Stomatology, Chongqing Medical University, Chongqing, China
| | - G Mendonca
- Department of Biologic and Materials Sciences, Division of Prosthodontics, School of Dentistry, University of Michigan, Ann Arbor, MI, USA
| | - K Uoshima
- Division of Bio-prosthodontics, Niigata University Graduate School of Medical and Dental Sciences, Nigata, Japan
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8
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Rieger E, Dupret-Bories A, Salou L, Metz-Boutigue MH, Layrolle P, Debry C, Lavalle P, Vrana NE. Controlled implant/soft tissue interaction by nanoscale surface modifications of 3D porous titanium implants. NANOSCALE 2015; 7:9908-9918. [PMID: 25967094 DOI: 10.1039/c5nr01237f] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Porous titanium implants are widely employed in the orthopaedics field to ensure good bone fixation. Recently, the use of porous titanium implants has also been investigated in artificial larynx development in a clinical setting. Such uses necessitate a better understanding of the interaction of soft tissues with porous titanium structures. Moreover, surface treatments of titanium have been generally evaluated in planar structures, while the porous titanium implants have complex 3 dimensional (3D) architectures. In this study, the determining factors for soft tissue integration of 3D porous titanium implants were investigated as a function of surface treatments via quantification of the interaction of serum proteins and cells with single titanium microbeads (300-500 μm in diameter). Samples were either acid etched or nanostructured by anodization. When the samples are used in 3D configuration (porous titanium discs of 2 mm thickness) in vivo (in subcutis of rats for 2 weeks), a better integration was observed for both anodized and acid etched samples compared to the non-treated implants. If the implants were also pre-treated with rat serum before implantation, the integration was further facilitated. In order to understand the underlying reasons for this effect, human fibroblast cell culture tests under several conditions (directly on beads, beads in suspension, beads encapsulated in gelatin hydrogels) were conducted to mimic the different interactions of cells with Ti implants in vivo. Physical characterization showed that surface treatments increased hydrophilicity, protein adsorption and roughness. Surface treatments also resulted in improved adsorption of serum albumin which in turn facilitated the adsorption of other proteins such as apolipoprotein as quantified by protein sequencing. The cellular response to the beads showed considerable difference with respect to the cell culture configuration. When the titanium microbeads were entrapped in cell-laden gelatin hydrogels, significantly more cells migrated towards the acid etched beads. In conclusion, the nanoscale surface treatment of 3D porous titanium structures can modulate in vivo integration by the accumulative effect of the surface treatment on several physical factors such as protein adsorption, surface hydrophilicity and surface roughness. The improved protein adsorption capacity of the treated implants can be further exploited by a pre-treatment with autologous serum to render the implant surface more bioactive. Titanium microbeads are a good model system to observe these effects in a 3D microenvironment and provide a better representation of cellular responses in 3D.
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Affiliation(s)
- Elisabeth Rieger
- Institut National de la Santé et de la Recherche Médicale, INSERM Unité 1121, 11 Rue Humann, 67000 Strasbourg, France
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9
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Alfarsi MA, Hamlet SM, Ivanovski S. The Effect of Platelet Proteins Released in Response to Titanium Implant Surfaces on Macrophage Pro-Inflammatory Cytokine Gene Expression. Clin Implant Dent Relat Res 2014; 17:1036-47. [PMID: 24909201 DOI: 10.1111/cid.12231] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
BACKGROUND AND PURPOSE Platelets are one of the earliest cell types to interact with surgically inserted titanium implants. This in vitro study investigated the effect of titanium surface-induced platelet releasate on macrophage cytokine gene expression. MATERIALS AND METHODS To mimic the in vivo temporal sequence of platelet arrival and protein production at the implant surface and the subsequent effect of these proteins on mediators of the immune response, the levels of platelet attachment and activation in response to culture on smooth polished, sandblasted and acid-etched (SLA), and hydrophilic-modified SLA (modSLA) titanium surfaces were first determined by microscopy and protein assay. The subsequent effect of the platelet-released proteins on human THP-1 macrophage cytokine gene expression was determined by polymerase chain reaction array after 1 and 3 days of macrophage culture on the titanium surfaces in platelet-releasate conditioned media. RESULTS Platelet attachment was surface dependent with decreased attachment observed on the hydrophilic (modSLA) surface. The platelet releasate, when considered independently of the surface effect, elicited an overall pro-inflammatory response in macrophage cytokine gene expression, that is, the expression of typical pro-inflammatory cytokine genes such as TNF, IL1a, IL1b, and CCL1 was significantly up-regulated whereas the expression of anti-inflammatory cytokine genes such as IL10, CxCL12, and CxCL13 was significantly down-regulated. However, following platelet exposure to different surface modifications, the platelet releasate significantly attenuated the macrophage pro-inflammatory response to microrough (SLA) titanium and hastened an anti-inflammatory response to hydrophilic (modSLA) titanium. CONCLUSIONS Theses results demonstrate that titanium surface topography and chemistry are able to influence the proteomic profile released by platelets, which can subsequently influence macrophage pro-inflammatory cytokine expression. This immunomodulation may be an important mechanism via which titanium surface modification influences osseointegration.
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Affiliation(s)
- Mohammed A Alfarsi
- Griffith Health Institute, Molecular basis of Disease Program and School of Dentistry and Oral Health, Griffith University, Gold Coast, Australia.,College of Dentistry, King Khalid University, Abha, Saudi Arabia
| | - Stephen M Hamlet
- Griffith Health Institute, Molecular basis of Disease Program and School of Dentistry and Oral Health, Griffith University, Gold Coast, Australia
| | - Saso Ivanovski
- Griffith Health Institute, Molecular basis of Disease Program and School of Dentistry and Oral Health, Griffith University, Gold Coast, Australia
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10
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Grandfield K, Gustafsson S, Palmquist A. Where bone meets implant: the characterization of nano-osseointegration. NANOSCALE 2013; 5:4302-4308. [PMID: 23552223 DOI: 10.1039/c3nr00826f] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
The recent application of electron tomography to the study of biomaterial interfaces with bone has brought about an awareness of nano-osseointegration and, to a further extent, demanded increasingly advanced characterization methodologies. In this study, nanoscale osseointegration has been studied via laser-modified titanium implants. The micro- and nano-structured implants were placed in the proximal tibia of New Zealand white rabbits for six months. High-resolution transmission electron microscopy (HRTEM), analytical microscopy, including energy dispersive X-ray spectroscopy (EDXS) and energy-filtered TEM (EFTEM), as well as electron tomography studies were used to investigate the degree of nano-osseointegration in two- and three-dimensions. HRTEM indicated the laser-modified surface encouraged the formation of crystalline hydroxyapatite in the immediate vicinity of the implant. Analytical studies suggested the presence of a functionally graded interface at the implant surface, characterized by the gradual intermixing of bone with oxide layer. Yet, the most compelling of techniques, which enabled straightforward visualization of nano-osseointegration, proved to be segmentation of electron tomographic reconstructions, where thresholding techniques identified bone penetrating into the nanoscale roughened surface features of laser-modified titanium. Combining high-resolution, analytical and three-dimensional electron microscopy techniques has proven to encourage identification and understanding of nano-osseointegration.
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Affiliation(s)
- Kathryn Grandfield
- Department of Engineering Sciences, Uppsala University, Uppsala, Sweden.
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11
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Rydén L, Molnar D, Esposito M, Johansson A, Suska F, Palmquist A, Thomsen P. Early inflammatory response in soft tissues induced by thin calcium phosphates. J Biomed Mater Res A 2013; 101:2712-7. [PMID: 23463679 DOI: 10.1002/jbm.a.34571] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2012] [Revised: 12/11/2012] [Accepted: 12/17/2012] [Indexed: 12/19/2022]
Abstract
The inflammatory response to titanium and hydroxyapatite (HA)-coated titanium in living tissue is controlled by a number of humoral factors, of which monocyte chemoattractant protein-1 (MCP-1) has been specifically linked to the recruitment of monocytes. These cells subsequently mature into tissue-bound macrophages. Macrophages adhering to the proteins adsorbed at the implant surface play a pivotal role in initiating the rejection or integration of the foreign material. Despite this, little is known about the initial inflammatory events that occur in soft tissues following the implantation of titanium and HA-coated titanium implants. In this study, circular discs of commercially pure titanium (c.p. Ti) with either a thin crystalline HA coating or amorphous HA coating or uncoated were implanted subcutaneously into rats. The implants were retrieved after 24 and 72 h. The lactate dehydrogenase (LD) activity, DNA content, expression of MCP-1, interleukin-10 (IL-10), tumor necrosis factor α (TNF-α), as well as monocyte and polymorphonuclear granulocyte counts in the exudate surrounding the implants were analyzed. There were significantly higher DNA and LD levels around the titanium implants at 24 h compared with HA-coated titanium. A rapid decrease in MCP-1 levels was observed for all the implants over the period of observation. No statistically significant differences were found between the two HA-coated implants. Our results suggest a difference in the early soft-tissue response to HA-coated implants when compared with titanium implants, expressed as a downregulation of inflammatory cell recruitment. This suggests that thin HA coatings are promising surfaces for soft tissue applications.
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Affiliation(s)
- L Rydén
- Department of Biomaterials, Sahlgrenska Academy at University of Gothenburg, Göteborg, Sweden
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12
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Klymov A, Prodanov L, Lamers E, Jansen JA, Walboomers XF. Understanding the role of nano-topography on the surface of a bone-implant. Biomater Sci 2013; 1:135-151. [DOI: 10.1039/c2bm00032f] [Citation(s) in RCA: 54] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
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