In Vitro Evaluation of Nanoscale Hydroxyapatite-Based Bone Reconstructive Materials with Antimicrobial Properties

Use of Biomaterials in 3D Printing as a Solution to Microbial Infections in Arthroplasty and Osseous Reconstruction

The incidence of microbial infections in orthopedic prosthetic surgeries is a perennial problem that increases morbidity and mortality, representing one of the major complications of such medical interventions. The emergence of novel technologies, especially 3D printing, represents a promising avenue of development for reducing the risk of such eventualities. There are already a host of biomaterials, suitable for 3D printing, that are being tested for antimicrobial properties when they are coated with bioactive compounds, such as antibiotics, or combined with hydrogels with antimicrobial and antioxidant properties, such as chitosan and metal nanoparticles, among others. The materials discussed in the context of this paper comprise beta-tricalcium phosphate (β-TCP), biphasic calcium phosphate (BCP), hydroxyapatite, lithium disilicate glass, polyetheretherketone (PEEK), poly(propylene fumarate) (PPF), poly(trimethylene carbonate) (PTMC), and zirconia. While the recent research results are promising, further development is required to address the increasing antibiotic resistance exhibited by several common pathogens, the potential for fungal infections, and the potential toxicity of some metal nanoparticles. Other solutions, like the incorporation of phytochemicals, should also be explored. Incorporating artificial intelligence (AI) in the development of certain orthopedic implants and the potential use of AI against bacterial infections might represent viable solutions to these problems. Finally, there are some legal considerations associated with the use of biomaterials and the widespread use of 3D printing, which must be taken into account.

Isolation of Antibacterial Nano-Hydroxyapatite Biomaterial from Waste Buffalo Bone and Its Characterization

Hydroxyapatite nanoparticles were isolated from a biowaste, buffalo bone, via the thermal decomposition method. The resulting white powdered material was characterized by Fourier Transformed Infrared (FTIR) spectroscopy, X-ray Diffraction (XRD), Scanning Electron Microscopy (SEM), and Energy Dispersive X-ray (EDX) analysis. The FTIR spectra confirmed that a heat treatment of the bone powder at the temperature at or above 1223 K removed the organic moieties leading to the formation of a pure inorganic biomineral. The XRD analyses showed that the obtained material was nanocrystalline HAp (nano-HAp) with an average grain diameter of 25 nm, while their rod-shaped particles with their tightly agglomerated morphology were confirmed by the SEM analysis. Besides Calcium (Ca), Phosphorous (P), and Oxygen (O), trace amounts of Aluminum (Al), Magnesium (Mg), Copper (Cu), Zirconium (Zr) and Carbon (C) were also found by EDX analysis. Antibacterial activity of nano-HAp against six standard isolates was investigated by the agar well diffusion method and found to be more susceptible to Acinetobacter baumannii while other standard strains such as Escherichia coli, Pseudomonas aeruginosa, and Staphylococcus aureus showed lesser susceptibility and no antibacterial activity was noticed against Salmonella typhi and Methicillin resistant Staphylococcus aureus (MRSA) with the analysed concentration of nano-HAp suggesting its potential application in biomedical fields.

Toward an efficient antibacterial agent: Zn- and Mg-doped hydroxyapatite nanopowders

The use of synthetic hydroxyapatites (HAps) in biomedical and environmental applications is well warranted given that they have been shown to behave as an excellent bio-compatible material in human teeth and bones. In this paper, a series of HAps doped and co-doped with two metal cations (zinc and magnesium) has been successfully synthesized by means of the precipitation method using CaCl₂, Na₂HPO₄, ZnCl₂ and MgCl₂ aqueous solutions as reagents. The synthesized samples have been characterized using Fourier transform infrared (FTIR), X-ray diffraction (XRD), scanning electron microscopy (SEM) and X-ray fluorescence spectroscopy (XRF). All samples prepared using over 10 mol% of Zn and Mg ions were identified as HAp. However, the presence of metal cations caused a significant increase in their crystallite sizes (30-50 nm) along with the appearance of a second phase (scholzite, whitlockite). The XRF spectra indicated the presence of Ca, P, Zn and Mg in the powders prepared with a high Metal/P ratio (1.7-2). The antimicrobial activity of these nanopowders has been tested in vitro against five bacteria (Escherichia coli, Klebsiella pneumoniae, and Pseudomonas aeruginosa as Gram-negative; Staphylococcus aureus and Bacillus subtilis as Gram-positive) and two fungal strains (Candida albicans and Aspergillus niger). The outcomes revealed that these nanopowders exhibited strong antimicrobial activity, starting at 15 mol% of Zn and/or Mg.

Evaluation of the antimicrobial activity and cytotoxic effect of hydroxyapatite containing Brazilian propolis

The aim of this work was to produce hydroxyapatite powder (HA) containing the dry extract of green and red propolis, and to evaluate the possible bactericidal activity of these materials over a short period of time through a fast release system. The ethanolic extracts of green and red propolis (EEP) were incorporated into the material by spray drying. After release tests, powders containing dry EEP were characterized regarding the content of total phenolics and flavonoids. Material characterization was undertaken by scanning electron microscopy (SEM) and Fourier transform infrared spectroscopy (FTIR). The antimicrobial activity was evaluated by plate colony counting, minimal inhibitory concentration (MIC) and minimal bactericidal concentration (MBC) against Staphylococcus aureus (S. aureus). The cytotoxicity of the materials was determined by the neutral red incorporation method. The materials showed apparently spherical morphology, indicating a decrease in the degree of agglomeration with the addition of propolis. Characteristic HA and propolis functional groups were observed in the FTIR. The materials showed a higher release of phenolics and lower amounts of flavonoids when compared to the EEP, with the higher amounts of flavonoids observed for HA with red propolis. A bactericidal effect was observed for all materials within the interval of 0.5 and 1 h, showing lower inhibitory activity (MIC) and higher bactericidal activity (MBC) when compared to the EEP, with the best results attributed to HA with red propolis. The IC₅₀ values (which is the concentration needed to inhibit cell growth by 50%) obtained from the cytotoxicity assay for HA with the green and red propolis lay between MIC and MCB. Considering these results, it is suggested that HA and propolis may be used as a possible antimicrobial agent, inhibiting the growth of S. aureus, although further in vivo biocompatibility should be investigated before using this material as a medical device with bactericidal potential.