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Thirunavukarasu AJ, Morales-Wong F, Halim NSH, Han E, Koh SK, Zhou L, Kocaba V, Venkatraman S, Mehta JS, Riau AK. Nanohydroxyapatite Coating Attenuates Fibrotic and Immune Responses to Promote Keratoprosthesis Biointegration in Advanced Ocular Surface Disorders. ACS APPLIED MATERIALS & INTERFACES 2024; 16:25892-25908. [PMID: 38740379 PMCID: PMC11129699 DOI: 10.1021/acsami.4c04077] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/12/2024] [Revised: 04/17/2024] [Accepted: 04/18/2024] [Indexed: 05/16/2024]
Abstract
Keratoprosthesis (KPro) implantation is frequently the only recourse for patients with severe corneal disease. However, problems arise due to inadequate biointegration of the KPro, particularly the PMMA optical cylinder, such as tissue detachment, tissue melting, or eye-threatening infection in the interface. Here, using the AuroKPro as a model prosthesis, a surface functionalization approach─coating the optical cylinder with nanohydroxyapatite (nHAp)─was trialed in rabbit eyes with and without a proceeding chemical injury. In chemically injured eyes, which simulated total limbal epithelial stem cell deficiency, clear benefits were conferred by the coating. The total modified Hackett-McDonald score and area of tissue apposition differences 12 weeks after implantation were 5.0 and 22.5%, respectively. Mechanical push-in tests revealed that 31.8% greater work was required to detach the tissues. These differences were less marked in uninjured eyes, which showed total score and tissue apposition differences of 2.5 and 11.5%, respectively, and a work difference of 23.5%. The improved biointegration could be contributed by the attenuated expression of fibronectin (p = 0.036), collagen 3A1 (p = 0.033), and α-smooth muscle actin (p = 0.045)─proteins typically upregulated during nonadherent fibrous capsule envelopment of bioinert material─adjacent to the optical cylinders. The coating also appeared to induce a less immunogenic milieu in the ocular surface tissue, evidenced by the markedly lower expression of tear proteins associated with immune and stimulus responses. Collectively, the level of these tear proteins in eyes with coated prostheses was 1.1 ± 13.0% of naïve eyes: substantially lower than with noncoated KPros (246.5 ± 79.3% of naïve, p = 0.038). Together, our results indicated that nHAp coating may reduce the risk of prosthesis failure in severely injured eyes, which are representative of the cohort of KPro patients.
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Affiliation(s)
- Arun J. Thirunavukarasu
- Tissue
Engineering and Cell Therapy Group, Singapore
Eye Research Institute, Singapore 169856, Singapore
- Oxford
University Clinical Academic Graduate School, University of Oxford, Oxford OX3 9DU, United
Kingdom
| | - Fernando Morales-Wong
- Tissue
Engineering and Cell Therapy Group, Singapore
Eye Research Institute, Singapore 169856, Singapore
- Singapore
National Eye Centre, Singapore 168751, Singapore
- Autonomous
University of Nuevo Leon, San Nicolas
de los Garza, Nuevo Leon 66455, Mexico
| | | | - Evelina Han
- Tissue
Engineering and Cell Therapy Group, Singapore
Eye Research Institute, Singapore 169856, Singapore
| | - Siew Kwan Koh
- Ocular
Proteomics Group, Singapore Eye Research
Institute, Singapore 169856, Singapore
| | - Lei Zhou
- Department
of Applied Biology and Chemical Technology, Hong Kong Polytechnic University, Hung Hom, Hong Kong
- Centre
for Eye and Vision Research, Shatin, Hong Kong
| | - Viridiana Kocaba
- Tissue
Engineering and Cell Therapy Group, Singapore
Eye Research Institute, Singapore 169856, Singapore
| | - Subramanian Venkatraman
- Department
of Materials Science and Engineering, National
University of Singapore, Singapore 117575, Singapore
- iHealthTech, National University of Singapore, Singapore 117599, Singapore
| | - Jodhbir S. Mehta
- Tissue
Engineering and Cell Therapy Group, Singapore
Eye Research Institute, Singapore 169856, Singapore
- Singapore
National Eye Centre, Singapore 168751, Singapore
- Ophthalmology
and Visual Sciences Academic Clinical Programme, Duke-NUS Medical School, Singapore 169857, Singapore
| | - Andri K. Riau
- Tissue
Engineering and Cell Therapy Group, Singapore
Eye Research Institute, Singapore 169856, Singapore
- Ophthalmology
and Visual Sciences Academic Clinical Programme, Duke-NUS Medical School, Singapore 169857, Singapore
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Dorozhkin SV. There Are over 60 Ways to Produce Biocompatible Calcium Orthophosphate (CaPO4) Deposits on Various Substrates. JOURNAL OF COMPOSITES SCIENCE 2023; 7:273. [DOI: 10.3390/jcs7070273] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/02/2024]
Abstract
A The present overview describes various production techniques for biocompatible calcium orthophosphate (abbreviated as CaPO4) deposits (coatings, films and layers) on the surfaces of various types of substrates to impart the biocompatible properties for artificial bone grafts. Since, after being implanted, the grafts always interact with the surrounding biological tissues at the interfaces, their surface properties are considered critical to clinical success. Due to the limited number of materials that can be tolerated in vivo, a new specialty of surface engineering has been developed to desirably modify any unacceptable material surface characteristics while maintaining the useful bulk performance. In 1975, the development of this approach led to the emergence of a special class of artificial bone grafts, in which various mechanically stable (and thus suitable for load-bearing applications) implantable biomaterials and artificial devices were coated with CaPO4. Since then, more than 7500 papers have been published on this subject and more than 500 new publications are added annually. In this review, a comprehensive analysis of the available literature has been performed with the main goal of finding as many deposition techniques as possible and more than 60 methods (double that if all known modifications are counted) for producing CaPO4 deposits on various substrates have been systematically described. Thus, besides the introduction, general knowledge and terminology, this review consists of two unequal parts. The first (bigger) part is a comprehensive summary of the known CaPO4 deposition techniques both currently used and discontinued/underdeveloped ones with brief descriptions of their major physical and chemical principles coupled with the key process parameters (when possible) to inform readers of their existence and remind them of the unused ones. The second (smaller) part includes fleeting essays on the most important properties and current biomedical applications of the CaPO4 deposits with an indication of possible future developments.
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Affiliation(s)
- Sergey V. Dorozhkin
- Faculty of Physics, M.V. Lomonosov Moscow State University, Leninskie Gory 1-2, Moscow 119991, Russia
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Biomimetic vs. Direct Approach to Deposit Hydroxyapatite on the Surface of Low Melting Point Polymers for Tissue Engineering. NANOMATERIALS 2020; 10:nano10112162. [PMID: 33138141 PMCID: PMC7693928 DOI: 10.3390/nano10112162] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/22/2020] [Revised: 10/24/2020] [Accepted: 10/27/2020] [Indexed: 01/27/2023]
Abstract
Polymers are widely used in many applications in the field of biomedical engineering. Among eclectic selections of polymers, those with low melting temperature (Tm < 200 °C), such as poly(methyl methacrylate), poly(lactic-co-glycolic acid), or polyethylene, are often used in bone, dental, maxillofacial, and corneal tissue engineering as substrates or scaffolds. These polymers, however, are bioinert, have a lack of reactive surface functional groups, and have poor wettability, affecting their ability to promote cellular functions and biointegration with the surrounding tissue. Improving the biointegration can be achieved by depositing hydroxyapatite (HAp) on the polymeric substrates. Conventional thermal spray and vapor phase coating, including the Food and Drug Administration (FDA)-approved plasma spray technique, is not suitable for application on the low Tm polymers due to the high processing temperature, reaching more than 1000 °C. Two non-thermal HAp coating approaches have been described in the literature, namely, the biomimetic deposition and direct nanoparticle immobilization techniques. In the current review, we elaborate on the unique features of each technique, followed by discussing the advantages and disadvantages of each technique to help readers decide on which method is more suitable for their intended applications. Finally, the future perspectives of the non-thermal HAp coating are given in the conclusion.
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Reline-assisted green and facile synthesis of fluorapatite nanoparticles. MATERIALS SCIENCE & ENGINEERING. C, MATERIALS FOR BIOLOGICAL APPLICATIONS 2017; 77:121-128. [DOI: 10.1016/j.msec.2017.03.217] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/21/2016] [Revised: 02/04/2017] [Accepted: 03/23/2017] [Indexed: 11/19/2022]
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Shuturminska K, Tarakina NV, Azevedo HS, Bushby AJ, Mata A, Anderson P, Al-Jawad M. Elastin-Like Protein, with Statherin Derived Peptide, Controls Fluorapatite Formation and Morphology. Front Physiol 2017. [PMID: 28642715 PMCID: PMC5462913 DOI: 10.3389/fphys.2017.00368] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
The process of enamel biomineralization is multi-step, complex and mediated by organic molecules. The lack of cells in mature enamel leaves it unable to regenerate and hence novel ways of growing enamel-like structures are currently being investigated. Recently, elastin-like protein (ELP) with the analog N-terminal sequence of statherin (STNA15-ELP) has been used to regenerate mineralized tissue. Here, the STNA15-ELP has been mineralized in constrained and unconstrained conditions in a fluoridated solution. We demonstrate that the control of STNA15-ELP delivery to the mineralizing solution can form layered ordered fluorapatite mineral, via a brushite precursor. We propose that the use of a constrained STNA15-ELP system can lead to the development of novel, bioinspired enamel therapeutics.
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Affiliation(s)
- Kseniya Shuturminska
- Dental Physical Sciences Unit, Institute of Dentistry, Barts and The London School of Medicine and Dentistry, Queen Mary University of LondonLondon, United Kingdom.,School of Engineering and Materials Science, Queen Mary University of LondonLondon, United Kingdom
| | - Nadezda V Tarakina
- School of Engineering and Materials Science, Queen Mary University of LondonLondon, United Kingdom.,Materials Research Institute, Queen Mary University of LondonLondon, United Kingdom
| | - Helena S Azevedo
- School of Engineering and Materials Science, Queen Mary University of LondonLondon, United Kingdom.,Materials Research Institute, Queen Mary University of LondonLondon, United Kingdom.,Institute of Bioengineering, Queen Mary University of LondonLondon, United Kingdom
| | - Andrew J Bushby
- School of Engineering and Materials Science, Queen Mary University of LondonLondon, United Kingdom.,Materials Research Institute, Queen Mary University of LondonLondon, United Kingdom
| | - Alvaro Mata
- School of Engineering and Materials Science, Queen Mary University of LondonLondon, United Kingdom.,Materials Research Institute, Queen Mary University of LondonLondon, United Kingdom.,Institute of Bioengineering, Queen Mary University of LondonLondon, United Kingdom
| | - Paul Anderson
- Dental Physical Sciences Unit, Institute of Dentistry, Barts and The London School of Medicine and Dentistry, Queen Mary University of LondonLondon, United Kingdom
| | - Maisoon Al-Jawad
- Dental Physical Sciences Unit, Institute of Dentistry, Barts and The London School of Medicine and Dentistry, Queen Mary University of LondonLondon, United Kingdom.,Materials Research Institute, Queen Mary University of LondonLondon, United Kingdom
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Popa AC, Stan GE, Enculescu M, Tanase C, Tulyaganov DU, Ferreira JMF. Superior biofunctionality of dental implant fixtures uniformly coated with durable bioglass films by magnetron sputtering. J Mech Behav Biomed Mater 2015; 51:313-27. [PMID: 26282074 DOI: 10.1016/j.jmbbm.2015.07.028] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2015] [Revised: 07/26/2015] [Accepted: 07/27/2015] [Indexed: 12/11/2022]
Abstract
Bioactive glasses are currently considered the suitable candidates to stir the quest for a new generation of osseous implants with superior biological/functional performance. In congruence with this vision, this contribution aims to introduce a reliable technological recipe for coating fairly complex 3D-shaped implants (e.g. dental screws) with uniform and mechanical resistant bioactive glass films by the radio-frequency magnetron sputtering method. The mechanical reliability of the bioactive glass films applied to real Ti dental implant fixtures has been evaluated by a procedure comprised of "cold" implantation in pig mandibular bone from a dead animal, followed by immediate tension-free extraction tests. The effects of the complex mechanical strains occurring during implantation were analysed by scanning electron microscopy coupled with electron dispersive spectroscopy. Extensive biocompatibility assays (MTS, immunofluorescence, Western blot) revealed that the bioactive glass films stimulated strong cellular adhesion and proliferation of human dental pulp stem cells, without promoting their differentiation. The ability of the implant coatings to conserve a healthy stem cell pool is promising to further endorse the fabrication of new osseointegration implant designs with extended lifetime.
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Affiliation(s)
- A C Popa
- Army Centre for Medical Research, Bucharest 020012, Romania
| | - G E Stan
- National Institute of Materials Physics, Magurele-Ilfov 077125, Romania.
| | - M Enculescu
- National Institute of Materials Physics, Magurele-Ilfov 077125, Romania
| | - C Tanase
- "Victor Babes" National Institute of Pathology, Bucharest 050096, Romania
| | - D U Tulyaganov
- Turin Polytechnic University in Tashkent, Tashkent 100174, Uzbekistan
| | - J M F Ferreira
- Department of Materials and Ceramics Engineering, CICECO, University of Aveiro, Aveiro 3810-193, Portugal.
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