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Matos FG, Santana LCL, Cominotte MA, da Silva FS, Vaz LG, de Oliveira DP, Cirelli JA. Strontium-loaded titanium-15molybdenum surface improves physicochemical and biological properties in vitro. Biomed Phys Eng Express 2022; 8. [PMID: 35594845 DOI: 10.1088/2057-1976/ac71cf] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2021] [Accepted: 05/20/2022] [Indexed: 11/11/2022]
Abstract
The titanium alloy composition and microdesign affect the dynamic interplay between the bone cells and titanium surface in the osseointegration process. The current study aimed to evaluate the surface physicochemical properties, electrochemical stability, and the metabolic response of the MC3T3-E1 cells (pre-osteoblast cell line) cultured onto titanium-15molybdenum (Ti-15Mo) discs treated with phosphoric acid (H3PO4) and sodium hydroxide (NaOH) and/or strontium-loading by the hydrothermal method. The x-ray dispersive energy spectroscopy (EDS) and x-ray diffraction (XRD) analysis showed no trace of impurities and the possible formation of hydrated strontium oxide (H2O2Sr), respectively. The confocal laser microscopy (CLSM) analysis indicated that titanium samples treated with strontium (Sr) showed greater surface roughness. The acid/alkali treatment prior to the hydrothermal Sr deposition improved the surface free energy and resistance to corrosion of the Ti-15Mo alloy. The acid/alkali treatment also provided greater retention of the Sr particles on the Ti-15Mo surfaces accordingly with inductively coupled plasma optical emission spectrometry (ICP-OES) analysis. The AlamarBlue and fluorescence analysis indicated noncytotoxic effects against the MC3T3-E1 cells, which allowed cells' adhesion and proliferation, with greater cells' spreading in the Sr-loaded Ti-15Mo samples. These findings suggest that Sr deposition by the hydrothermal method has the potential to enhance the physicochemical properties of the Ti-15Mo previously etched with H3PO4and NaOH, and also improve the initial events related to cell-mediated bone deposition.
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Affiliation(s)
- Flávia Gomes Matos
- Department of Diagnosis and Surgery, School of Dentistry at Araraquara, Sao Paulo State University-UNESP, Araraquara, SP, Brazil
| | - Luís Carlos Leal Santana
- Department of Diagnosis and Surgery, School of Dentistry at Araraquara, Sao Paulo State University-UNESP, Araraquara, SP, Brazil
| | - Mariana Aline Cominotte
- Department of Diagnosis and Surgery, School of Dentistry at Araraquara, Sao Paulo State University-UNESP, Araraquara, SP, Brazil
| | | | - Luís Geraldo Vaz
- Department of Dental Materials and Prosthodontics, School of Dentistry at Araraquara, Sao Paulo State University-UNESP, Araraquara, SP, Brazil
| | - Diego Pedreira de Oliveira
- Department of Materials Engineering-DEMa, Federal University of São Carlos-UFSCar, São Carlos, SP, Brazil
| | - Joni Augusto Cirelli
- Department of Diagnosis and Surgery, School of Dentistry at Araraquara, Sao Paulo State University-UNESP, Araraquara, SP, Brazil
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2
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Christensen TEK, Berglund Davidsen M, Van Malderen S, Garrevoet J, Offermanns V, Andersen OZ, Foss M, Birkedal H. Local Release of Strontium from Sputter-Deposited Coatings at Implants Increases the Strontium-to-Calcium Ratio in Peri-implant Bone. ACS Biomater Sci Eng 2022; 8:620-625. [PMID: 35099935 DOI: 10.1021/acsbiomaterials.1c01004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
It is well known that strontium (Sr) has a significant effect on peri-implant bone healing when administered systemically. Due to the risk of adverse effects of such treatments, new routes focusing on the local, sustained release of Sr from bone-implant contact surfaces have been explored, with success in in vivo experiments. However, the increase of Sr concentrations in the peri-implant bone has not been described in depth yet. Here, we show that a local, sustained Sr release from Ti-Sr-O physical vapor deposition (PVD) coatings by magnetron sputter coating increases the Sr/Ca ratio close to the implant in a rabbit model and that the Sr/Ca background level is reached approximately 500 μm from the implant.
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Affiliation(s)
- Thorbjørn Erik Køppen Christensen
- Department of Chemistry and iNANO, Faculty of Natural Sciences, Aarhus University, 14 Gustav Wieds Vej, 8000 Aarhus, Denmark.,Sino-Danish College (SDC), University of Chinese Academy of Sciences
| | - Maiken Berglund Davidsen
- Department of Chemistry and iNANO, Faculty of Natural Sciences, Aarhus University, 14 Gustav Wieds Vej, 8000 Aarhus, Denmark
| | - Stijn Van Malderen
- Deutsches Elektronen Synchrotron DESY, Notkestr. 85, D-22607 Hamburg, Germany
| | - Jan Garrevoet
- Deutsches Elektronen Synchrotron DESY, Notkestr. 85, D-22607 Hamburg, Germany
| | | | | | - Morten Foss
- Sino-Danish College (SDC), University of Chinese Academy of Sciences.,iNANO and Department of Physics and Astronomy, Faculty of Natural Sciences, Aarhus University, 14 Gustav Wieds Vej, 8000 Aarhus, Denmark
| | - Henrik Birkedal
- Department of Chemistry and iNANO, Faculty of Natural Sciences, Aarhus University, 14 Gustav Wieds Vej, 8000 Aarhus, Denmark
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3
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Geng Z, Sang S, Wang S, Meng F, Li Z, Zhu S, Cui Z, Jing Y, Wang C, Su J. Optimizing the strontium content to achieve an ideal osseointegration through balancing apatite-forming ability and osteogenic activity. MATERIALS SCIENCE & ENGINEERING. C, MATERIALS FOR BIOLOGICAL APPLICATIONS 2022; 133:112647. [DOI: 10.1016/j.msec.2022.112647] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/07/2021] [Revised: 12/23/2021] [Accepted: 01/03/2022] [Indexed: 11/29/2022]
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4
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Xu N, Fu J, Zhao L, Chu PK, Huo K. Biofunctional Elements Incorporated Nano/Microstructured Coatings on Titanium Implants with Enhanced Osteogenic and Antibacterial Performance. Adv Healthc Mater 2020; 9:e2000681. [PMID: 32875743 DOI: 10.1002/adhm.202000681] [Citation(s) in RCA: 27] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2020] [Revised: 08/02/2020] [Indexed: 12/20/2022]
Abstract
Bone fracture is prevalent among athletes and senior citizens and may require surgical insertion of bone implants. Titanium (Ti) and its alloys are widely used in orthopedics due to its high corrosion resistance, good biocompatibility, and modulus compatible with natural bone tissues. However, bone repair and regrowth are impeded by the insufficient intrinsic osteogenetic capability of Ti and Ti alloys and potential bacterial infection. The physicochemical properties of the materials and nano/microstructures on the implant surface are crucial for clinical success and loading with biofunctional elements such as Sr, Zn, Cu, Si, and Ag into nano/microstructured TiO2 coating has been demonstrated to enhance bone repair/regeneration and bacterial resistance of Ti implants. In this review, recent advances in biofunctional element-incorporated nano/microstructured coatings on Ti and Ti alloy implants are described and the prospects and limitations are discussed.
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Affiliation(s)
- Na Xu
- The State Key Laboratory of Refractories and Metallurgy, Institute of Advanced Materials and Nanotechnology, College of Life Sciences and Health, Wuhan University of Science and Technology, Wuhan, 430081, China
| | - Jijiang Fu
- The State Key Laboratory of Refractories and Metallurgy, Institute of Advanced Materials and Nanotechnology, College of Life Sciences and Health, Wuhan University of Science and Technology, Wuhan, 430081, China
| | - Lingzhou Zhao
- State Key Laboratory of Military Stomatology, National Clinical Research Center for Oral Diseases and Shaanxi Engineering Research Center for Dental Materials and Advanced Manufacture, Department of Periodontology, School of Stomatology, The Fourth Military Medical University, Xi'an, 710032, China
| | - Paul K Chu
- Department of Physics, Department of Materials Science and Engineering and Department of Biomedical Engineering, City University of Hong Kong, Tat Chee Avenue, Kowloon, Hong Kong, China
| | - Kaifu Huo
- The State Key Laboratory of Refractories and Metallurgy, Institute of Advanced Materials and Nanotechnology, College of Life Sciences and Health, Wuhan University of Science and Technology, Wuhan, 430081, China
- Wuhan National Laboratory for Optoelectronics, Huazhong University of Science and Technology, Wuhan, 430074, China
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5
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JIANG H, ZHOU W, WANG B, TANG L. The effect of strontium modified rough titanium surface on biologic response of MC3T3-E1 cells. Dent Mater J 2020; 39:808-814. [DOI: 10.4012/dmj.2019-188] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
- Huanhuan JIANG
- Department of Dental Implantology, Wuxi Stomatological Hospital
| | - Wenjuan ZHOU
- Department of Dental Implantology, Yantai Stomatological Hospital
| | - Binchen WANG
- Department of Dental Implantology, Yantai Stomatological Hospital
| | - Liqin TANG
- Department of Dental Implantology, Wuxi Stomatological Hospital
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Marx D, Rahimnejad Yazdi A, Papini M, Towler M. A review of the latest insights into the mechanism of action of strontium in bone. Bone Rep 2020; 12:100273. [PMID: 32395571 PMCID: PMC7210412 DOI: 10.1016/j.bonr.2020.100273] [Citation(s) in RCA: 59] [Impact Index Per Article: 14.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/13/2020] [Revised: 04/09/2020] [Accepted: 04/16/2020] [Indexed: 02/08/2023] Open
Abstract
Interest in strontium (Sr) has persisted over the last three decades due to its unique mechanism of action: it simultaneously promotes osteoblast function and inhibits osteoclast function. While this mechanism of action is strongly supported by in vitro studies and small animal trials, recent large-scale clinical trials have demonstrated that orally administered strontium ranelate (SrRan) may have no anabolic effect on bone formation in humans. Yet, there is a strong correlation between Sr accumulation in bone and reduced fracture risk in post-menopausal women, suggesting Sr acts via a purely physiochemical mechanism to enhance bone strength. Conversely, the local administration of Sr with the use of modified biomaterials has been shown to enhance bone growth, osseointegration and bone healing at the bone-implant interface, to a greater degree than Sr-free materials. This review summarizes current knowledge of the main cellular and physiochemical mechanisms that underly Sr's effect in bone, which center around Sr's similarity to calcium (Ca). We will also summarize the main controversies in Sr research which cast doubt on the 'dual-acting mechanism'. Lastly, we will explore the effects of Sr-modified bone-implant materials both in vitro and in vivo, examining whether Sr may act via an alternate mechanism when administered locally.
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Affiliation(s)
- Daniella Marx
- Department of Biomedical Engineering, Ryerson University, Toronto M5B 2K3, Ontario, Canada.,Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto M5B 1W8, Ontario, Canada
| | - Alireza Rahimnejad Yazdi
- Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto M5B 1W8, Ontario, Canada.,Department of Mechanical Engineering, Ryerson University, Toronto M5B 2K3, Ontario, Canada
| | - Marcello Papini
- Department of Biomedical Engineering, Ryerson University, Toronto M5B 2K3, Ontario, Canada.,Department of Mechanical Engineering, Ryerson University, Toronto M5B 2K3, Ontario, Canada
| | - Mark Towler
- Department of Biomedical Engineering, Ryerson University, Toronto M5B 2K3, Ontario, Canada.,Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto M5B 1W8, Ontario, Canada.,Department of Mechanical Engineering, Ryerson University, Toronto M5B 2K3, Ontario, Canada
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7
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Alenezi A, Galli S, Atefyekta S, Andersson M, Wennerberg A. Osseointegration effects of local release of strontium ranelate from implant surfaces in rats. JOURNAL OF MATERIALS SCIENCE. MATERIALS IN MEDICINE 2019; 30:116. [PMID: 31606798 PMCID: PMC6790188 DOI: 10.1007/s10856-019-6314-y] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/28/2018] [Accepted: 09/21/2019] [Indexed: 06/10/2023]
Abstract
BACKGROUND Numerous studies have reported the beneficial effects of strontium on bone growth, particularly by stimulating osteoblast proliferation and differentiation. Thus, strontium release around implants has been suggested as one possible strategy to enhance implant osseointegration. AIM This study aimed to evaluate whether the local release of strontium ranelate (Sr-ranelate) from implants coated with mesoporous titania could improve bone formation around implants in an animal model. MATERIALS AND METHODS Mesoporous titania (MT) thin coatings were formed utilizing the evaporation induced self-assembly (EISA) method using Pluronic (P123) with or without the addition of poly propylene glycol (PPG) to create materials with two different pore sizes. The MT was deposited on disks and mini-screws, both made of cp Ti grade IV. Scanning electron microscopy (SEM) was performed to characterize the MT using a Leo Ultra55 FEG instrument (Zeiss, Oberkochen, Germany). The MT was loaded with Sr-ranelate using soaking and the drug uptake and release kinetics to and from the surfaces were evaluated using quartz crystal microbalance with dissipation monitoring (QCM-D) utilizing a Q-sense E4 instrument. For the in vivo experiment, 24 adult rats were analyzed at two time points of implant healing (2 and 6 weeks). Titanium implants shaped as mini screws were coated with MT films and divided into two groups; supplied with Sr-ranelate (test group) and without Sr-ranelate (control group). Four implants (both test and control) were inserted in the tibia of each rat. The in vivo study was evaluated using histomorphometric analyses of the implant/bone interphase using optical microscopy. RESULTS SEM images showed the successful formation of evenly distributed MT films covering the entire surface with pore sizes of 6 and 7.2 nm, respectively. The QCM-D analysis revealed an absorption of 3300 ng/cm2 of Sr-ranelate on the 7.2 nm MT, which was about 3 times more than the observed amount on the 6 nm MT (1200 ng/cm2). Both groups showed sustained release of Sr-ranelate from MT coated disks. The histomorphometric analysis revealed no significant differences in bone implant contact (BIC) and bone area (BA) between the implants with Sr-ranelate and implants in the control groups after 2 and 6 weeks of healing (BIC with a p-value of 0.43 after 2 weeks and 0.172 after 6 weeks; BA with a p-value of 0.503 after 2 weeks, and 0.088 after 6 weeks). The mean BIC and BA values within the same group showed significant increase among all groups between 2 and 6 weeks. CONCLUSION This study could not confirm any positive effects of Sr-ranelate on implant osseointegration.
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Affiliation(s)
- Ali Alenezi
- Department of Prosthodontics, Faculty of Odontology, Malmö University, Malmö, Sweden.
- Department of Prosthodontics, College of Dentistry, Qassim University, Buraidah, Saudi Arabia.
| | - Silvia Galli
- Department of Prosthodontics, Faculty of Odontology, Malmö University, Malmö, Sweden
| | - Saba Atefyekta
- Department of Chemistry and Chemical Engineering, Chalmers University of Technology, Göteborg, Sweden
| | - Martin Andersson
- Department of Chemistry and Chemical Engineering, Chalmers University of Technology, Göteborg, Sweden
| | - Ann Wennerberg
- Department of Prosthodontics/Dental Materials Science, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden
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8
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Offermanns V, Andersen OZ, Sillassen M, Almtoft KP, Andersen IH, Kloss F, Foss M. A comparative in vivo study of strontium-functionalized and SLActive™ implant surfaces in early bone healing. Int J Nanomedicine 2018; 13:2189-2197. [PMID: 29692613 PMCID: PMC5903483 DOI: 10.2147/ijn.s161061] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022] Open
Abstract
Purpose Studies have shown that strontium-doped medical applications benefit bone metabolism leading to improved bone healing and osseointegration. Based on this knowledge, the aim of the study was to evaluate the performance of an implant surface, functionalized by a physical vapor deposition (PVD) coating (Ti-Sr-O), designed to yield predictable release of strontium. The Ti-Sr-O functionalized surface is compared to a routinely used, commercially available surface (SLActive™) with respect to bone-to-implant contact (BIC%) and new bone formation (BF%) in two defined regions of interest (ROI-I and ROI-II, respectively). Materials and methods: Ti-Sr-O functionalized, SLActive, and Grade 4 titanium implants were inserted in the femoral condyle of adult male New Zealand White rabbits. The PVD magnetron-sputtered Ti-Sr-O surface coating was characterized using scanning electron microscopy (SEM) for morphology and coating thickness. Strontium release and mechanical stability of the coating, under simulated insertion conditions, were evaluated. Furthermore, histomorphometrical BIC and BF were carried out 2 weeks after insertion. Results Histomorphometry revealed increased bone formation of Ti-Sr-O with significant differences compared to SLActive and Grade 4 titanium in both regions of interest, ROI-I and ROI-II, at 0–250 µm and 250–500 µm distance from the implant surfaces. Analogous results of bone-to-implant contact were observed for the two modified surfaces. Conclusion The results show that a nanopatterned Ti-Sr-O functionalized titanium surface, with sustained release of strontium, increases peri-implant bone volume and could potentially contribute to enhancement of bone anchorage of osseointegrated implants.
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Affiliation(s)
- Vincent Offermanns
- Department of Cranio-Maxillofacial and Oral Surgery, Medical University of Innsbruck, Innsbruck, Austria
| | - Ole Z Andersen
- Interdisciplinary Nanoscience Center (iNANO), Faculty of Science and Technology, Aarhus University, Aarhus, Denmark
| | - Michael Sillassen
- Interdisciplinary Nanoscience Center (iNANO), Faculty of Science and Technology, Aarhus University, Aarhus, Denmark
| | - Klaus P Almtoft
- Tribology Center, Danish Technological Institute, Aarhus, Denmark
| | - Inge H Andersen
- Tribology Center, Danish Technological Institute, Aarhus, Denmark
| | | | - Morten Foss
- Interdisciplinary Nanoscience Center (iNANO), Faculty of Science and Technology, Aarhus University, Aarhus, Denmark.,Department of Physics and Astronomy, Faculty of Science and Technology, Aarhus University, Aarhus, Denmark
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9
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Effect of titanium implants with strontium incorporation on bone apposition in animal models: A systematic review and meta-analysis. Sci Rep 2017; 7:15563. [PMID: 29138499 PMCID: PMC5686172 DOI: 10.1038/s41598-017-15488-1] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2017] [Accepted: 10/27/2017] [Indexed: 01/07/2023] Open
Abstract
This systematic review aims to assess the efficacy of titanium (Ti) implant surfaces with or without strontium (Sr) incorporation on osseointegration in animal experimental studies. An electronic search was conducted using databases of PubMed and EMBASE up to November 2016 to identify studies focusing on osseointegration of strontium-modified titanium implants following PRISMA criteria. The primary outcome was the percentage of bone-to-implant contact (BIC) around the implants with or without strontium-modified surface. Of the 1320 studies, 17 studies fulfilling the inclusion criteria were finally included. A random effect meta-analysis was conducted based on BIC in 17 studies, and the results demonstrated considerable heterogeneity (I² = 79%). A sensitivity analysis found that three studies using the same surface modification method were the major source of the heterogeneity. Therefore, exploratory subgroup analysis was performed. Subgroup one including 14 studies showed a standard mean differences (SMD) of 1.42 (95% CI, 1.13-1.71) with no heterogeneity (I² = 0.0%), while subgroup two including the other three studies showed a SMD of 9.49.95% CI, 7.51-11.47) with low heterogeneity (I² = 0.1%). Sr-modified implants in both subgroups showed significantly higher BIC than unmodified implants (P < 0.01). The results showed a statistically significant effect of Sr-modified titanium implant surfaces on osseointegration and bone apposition in animal models.
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Huanhuan J, Pengjie H, Sheng X, Binchen W, Li S. The effect of strontium-loaded rough titanium surface on early osseointegration. J Biomater Appl 2017; 32:561-569. [PMID: 29022842 DOI: 10.1177/0885328217735953] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
It is not clear whether surface bioactive chemistry plays an important role in the early osseointegration of micro-structured titanium implants that have the same surface topography at the micrometer and submicrometer scales. In this study, magnetron sputtering methodology was employed for the preparation of Sr coating on sandblasted and acid-etched (SLA) titanium implant without changing the surface characteristics. The study of the surface morphology of the coating was carried out with the use of scanning electron microscopy, and the chemical composition of the surface was examined by X-ray energy-dispersive spectrometry. Twenty SLA implants together with 20 Sr-SLA implants were randomly inserted into the proximal tibia of 20 rats. The early osseointegration of the Sr-SLA implant was compared with SLA implant by removal torque test and histological analysis following two and eight weeks of implantation, correspondingly. As revealed by the surface characteristics, both Sr-SLA and SLA surfaces exhibited similar typical isotropic irregular indentations. The strontium ions were effectively incorporated into the SLA surface (the atomic ratio is 2%). Following two and eight weeks of healing, significant increases in removal torque values ( p < 0.05) were taken into observation in respect of Sr-SLA implant. Histologically, the Sr-SLA implants displayed significantly higher bone-to-implant contact percentages and bone area ratio in comparison with the SLA implant at eight weeks ( p < 0.05). At two weeks, the bone-implant contact percentages, together with bone area ratio of Sr-SLA surface appeared to be a little bit slightly greater than that of SLA surface. But the statistical difference was not significant. These results indicated that the chemical modification with Sr incorporated by magnetron sputtering treatment in moderately rough surfaced implants remarkably increases early bone apposition.
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Affiliation(s)
- Jiang Huanhuan
- 1 Department of Periodontology, School of Stomatology, Shandong University, Jinan, P.R. China
| | - Hao Pengjie
- 1 Department of Periodontology, School of Stomatology, Shandong University, Jinan, P.R. China
| | - Xu Sheng
- 1 Department of Periodontology, School of Stomatology, Shandong University, Jinan, P.R. China
| | - Wang Binchen
- 1 Department of Periodontology, School of Stomatology, Shandong University, Jinan, P.R. China
| | - Shu Li
- 2 Department of Dental Implantology, Yantai Stomatological Hospital, Yantai, P.R. China
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11
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Göttlicher M, Rohnke M, Moryson Y, Thomas J, Sann J, Lode A, Schumacher M, Schmidt R, Pilz S, Gebert A, Gemming T, Janek J. Functionalization of Ti-40Nb implant material with strontium by reactive sputtering. Biomater Res 2017; 21:18. [PMID: 29046823 PMCID: PMC5634847 DOI: 10.1186/s40824-017-0104-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2017] [Accepted: 09/28/2017] [Indexed: 01/19/2023] Open
Abstract
BACKGROUND Surface functionalization of orthopedic implants with pharmaceutically active agents is a modern approach to enhance osseointegration in systemically altered bone. A local release of strontium, a verified bone building therapeutic agent, at the fracture site would diminish side effects, which could occur otherwise by oral administration. Strontium surface functionalization of specially designed titanium-niobium (Ti-40Nb) implant alloy would provide an advanced implant system that is mechanically adapted to altered bone with the ability to stimulate bone formation. METHODS Strontium-containing coatings were prepared by reactive sputtering of strontium chloride (SrCl2) in a self-constructed capacitively coupled radio frequency (RF) plasma reactor. Film morphology, structure and composition were investigated by scanning electron microscopy (SEM), time of flight secondary ion mass spectrometry (ToF-SIMS) and X-ray photoelectron spectroscopy (XPS). High-resolution transmission electron microscopy (HR-TEM) was used for the investigation of thickness and growth direction of the product layer. TEM lamellae were prepared using the focused ion beam (FIB) technique. Bioactivity of the surface coatings was tested by cultivation of primary human osteoblasts and subsequent analysis of cell morphology, viability, proliferation and differentiation. The results are correlated with the amount of strontium that is released from the coating in biomedical buffer solution, quantified by inductively coupled plasma mass spectrometry (ICP-MS). RESULTS Dense coatings, consisting of SrOxCly, of more than 100 nm thickness and columnar structure, were prepared. TEM images of cross sections clearly show an incoherent but well-structured interface between coating and substrate without any cracks. Sr2+ is released from the SrOxCly coating into physiological solution as proven by ICP-MS analysis. Cell culture studies showed excellent biocompatibility of the functionalized alloy. CONCLUSIONS Ti-40Nb alloy, a potential orthopedic implant material for osteoporosis patients, could be successfully plasma coated with a dense SrOxCly film. The material performed well in in vitro tests. Nevertheless, the Sr2+ release must be optimized in future work to meet the requirements of an effective drug delivery system.
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Affiliation(s)
- Markus Göttlicher
- Institute of Physical Chemistry and Center of Materials Research, Justus-Liebig-University of Giessen, Heinrich-Buff-Ring 17, 35392, Giessen, Germany
| | - Marcus Rohnke
- Institute of Physical Chemistry and Center of Materials Research, Justus-Liebig-University of Giessen, Heinrich-Buff-Ring 17, 35392, Giessen, Germany
| | - Yannik Moryson
- Institute of Physical Chemistry and Center of Materials Research, Justus-Liebig-University of Giessen, Heinrich-Buff-Ring 17, 35392, Giessen, Germany
| | - Jürgen Thomas
- IFW Dresden, Institute for Complex Materials, Helmholtzstrasse 20, 01069 Dresden, Germany
| | - Joachim Sann
- Institute of Physical Chemistry and Center of Materials Research, Justus-Liebig-University of Giessen, Heinrich-Buff-Ring 17, 35392, Giessen, Germany
| | - Anja Lode
- Centre for Translational Bone, Joint and Soft Tissue Research, Faculty of Medicine and University Hospital, Technische Universität Dresden, Fetscherstrasse 74, 01307 Dresden, Germany
| | - Matthias Schumacher
- Centre for Translational Bone, Joint and Soft Tissue Research, Faculty of Medicine and University Hospital, Technische Universität Dresden, Fetscherstrasse 74, 01307 Dresden, Germany
| | - Romy Schmidt
- IFW Dresden, Institute for Complex Materials, Helmholtzstrasse 20, 01069 Dresden, Germany
| | - Stefan Pilz
- IFW Dresden, Institute for Complex Materials, Helmholtzstrasse 20, 01069 Dresden, Germany
| | - Annett Gebert
- IFW Dresden, Institute for Complex Materials, Helmholtzstrasse 20, 01069 Dresden, Germany
| | - Thomas Gemming
- IFW Dresden, Institute for Complex Materials, Helmholtzstrasse 20, 01069 Dresden, Germany
| | - Jürgen Janek
- Institute of Physical Chemistry and Center of Materials Research, Justus-Liebig-University of Giessen, Heinrich-Buff-Ring 17, 35392, Giessen, Germany
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12
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Riedel C, Zimmermann EA, Zustin J, Niecke M, Amling M, Grynpas M, Busse B. The incorporation of fluoride and strontium in hydroxyapatite affects the composition, structure, and mechanical properties of human cortical bone. J Biomed Mater Res A 2016; 105:433-442. [DOI: 10.1002/jbm.a.35917] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2016] [Revised: 09/06/2016] [Accepted: 09/27/2016] [Indexed: 12/13/2022]
Affiliation(s)
- Christoph Riedel
- Department of Osteology and Biomechanics; University Medical Center Hamburg-Eppendorf; Lottestrasse 55A Hamburg 22529 Germany
| | - Elizabeth A. Zimmermann
- Department of Osteology and Biomechanics; University Medical Center Hamburg-Eppendorf; Lottestrasse 55A Hamburg 22529 Germany
| | - Jozef Zustin
- Department of Pathology; University Medical Center Hamburg-Eppendorf; Martinistrasse 52 Hamburg 20246 Germany
| | - Manfred Niecke
- Institute of Experimental Physics, University of Hamburg; Luruper Chaussee 149 Hamburg 22761 Germany
| | - Michael Amling
- Department of Osteology and Biomechanics; University Medical Center Hamburg-Eppendorf; Lottestrasse 55A Hamburg 22529 Germany
| | - Marc Grynpas
- Lunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital; 25 Orde Street Toronto Ontario M5T 3H7 Canada
| | - Björn Busse
- Department of Osteology and Biomechanics; University Medical Center Hamburg-Eppendorf; Lottestrasse 55A Hamburg 22529 Germany
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Offermanns V, Andersen OZ, Riede G, Andersen IH, Almtoft KP, Sørensen S, Sillassen M, Jeppesen CS, Rasse M, Foss M, Kloss F. Bone regenerating effect of surface-functionalized titanium implants with sustained-release characteristics of strontium in ovariectomized rats. Int J Nanomedicine 2016; 11:2431-42. [PMID: 27313456 PMCID: PMC4892864 DOI: 10.2147/ijn.s101673] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
Since strontium (Sr) is known for its anabolic and anticatabolic effect on bone, research has been focused on its potential impact on osseointegration. The objective of this study was to investigate the performance of nanotopographic implants with a Sr-functionalized titanium (Ti) coating (Ti–Sr–O) with respect to osseointegration in osteoporotic bone. The trial was designed to examine the effect of sustained-release characteristics of Sr in poor-quality bone. Three Ti–Sr–O groups, which differed from each other in coating thickness, Sr contents, and Sr release, were examined. These were prepared by a magnetron sputtering process and compared to uncoated grade 4 Ti. Composition, morphology, and mechanical stability of the coatings were analyzed, and Sr release data were gained from in vitro washout experiments. In vivo investigation was carried out in an osteoporotic rat model and analyzed histologically, 6 weeks and 12 weeks after implantation. Median values of bone-to-implant contact and new bone formation after 6 weeks were found to be 84.7% and 54.9% (best performing Sr group) as compared to 65.2% and 23.8% (grade 4 Ti reference), respectively. The 12-week observation period revealed 84.3% and 56.5% (best performing Sr group) and 81.3% and 39.4% (grade 4 Ti reference), respectively, for the same measurements. The increase in new bone formation was found to correlate with the amount of Sr released in vitro. The results indicate that sputtered nanostructured Ti–Sr–O coatings showed sustained release of Sr and accelerate osseointegration even in poor-quality bone, and thus, may have impact on practical applications for medical implants.
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Affiliation(s)
- Vincent Offermanns
- Department of Cranio-, Maxillofacial and Oral Surgery, Medical University Innsbruck, Innsbruck, Austria
| | - Ole Zoffmann Andersen
- Interdisciplinary Nanoscience Center (iNANO), Faculty of Science and Technology, Aarhus University, Aarhus, Denmark
| | - Gregor Riede
- Department of Cranio-, Maxillofacial and Oral Surgery, Medical University Innsbruck, Innsbruck, Austria
| | | | | | - Søren Sørensen
- Tribology Centre, Danish Technological Institute, Aarhus, Denmark
| | - Michael Sillassen
- Interdisciplinary Nanoscience Center (iNANO), Faculty of Science and Technology, Aarhus University, Aarhus, Denmark
| | | | - Michael Rasse
- Department of Cranio-, Maxillofacial and Oral Surgery, Medical University Innsbruck, Innsbruck, Austria
| | - Morten Foss
- Interdisciplinary Nanoscience Center (iNANO), Faculty of Science and Technology, Aarhus University, Aarhus, Denmark
| | - Frank Kloss
- Department of Cranio-, Maxillofacial and Oral Surgery, Medical University Innsbruck, Innsbruck, Austria
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14
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Meininger M, Wolf-Brandstetter C, Zerweck J, Wenninger F, Gbureck U, Groll J, Moseke C. Electrochemically assisted deposition of strontium modified magnesium phosphate on titanium surfaces. MATERIALS SCIENCE & ENGINEERING. C, MATERIALS FOR BIOLOGICAL APPLICATIONS 2016; 67:65-71. [PMID: 27287100 DOI: 10.1016/j.msec.2016.04.102] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/13/2016] [Revised: 04/08/2016] [Accepted: 04/29/2016] [Indexed: 01/06/2023]
Abstract
Electrochemically assisted deposition was utilized to produce ceramic coatings on the basis of magnesium ammonium phosphate (struvite) on corundum-blasted titanium surfaces. By the addition of defined concentrations of strontium nitrate to the coating electrolyte Sr(2+) ions were successfully incorporated into the struvite matrix. By variation of deposition parameters it was possible to fabricate coatings with different kinetics of Sr(2+) into physiological media, whereas the release of therapeutically relevant strontium doses could be sustained over several weeks. Morphological and crystallographic examinations of the immersed coatings revealed that the degradation of struvite and the release of Sr(2+) ions were accompanied by a transformation of the coating to a calcium phosphate based phase similar to low-crystalline hydroxyapatite. These findings showed that strontium doped struvite coatings may provide a promising degradable coating system for the local application of strontium or other biologically active metal ions in the implant-bone interface.
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Affiliation(s)
- M Meininger
- Department for Functional Materials in Medicine and Dentistry, University of Würzburg, Pleicherwall 2, D-97070 Würzburg, Germany
| | - C Wolf-Brandstetter
- Max Bergmann Center for Biomaterials, Technical University of Dresden, Budapester Straße 27, D-01069 Dresden, Germany
| | - J Zerweck
- Department for Functional Materials in Medicine and Dentistry, University of Würzburg, Pleicherwall 2, D-97070 Würzburg, Germany
| | - F Wenninger
- Department for Functional Materials in Medicine and Dentistry, University of Würzburg, Pleicherwall 2, D-97070 Würzburg, Germany
| | - U Gbureck
- Department for Functional Materials in Medicine and Dentistry, University of Würzburg, Pleicherwall 2, D-97070 Würzburg, Germany
| | - J Groll
- Department for Functional Materials in Medicine and Dentistry, University of Würzburg, Pleicherwall 2, D-97070 Würzburg, Germany
| | - C Moseke
- Department for Functional Materials in Medicine and Dentistry, University of Würzburg, Pleicherwall 2, D-97070 Würzburg, Germany.
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