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Ghribi N, Guay-Bégin AA, Bilem I, Chevallier P, Auger FA, Ruel J, Laroche G. Peptide grafting on intraosseous transcutaneous amputation prostheses to promote sealing with skin cells: Potential to limit infections. J Biomed Mater Res A 2023; 111:688-700. [PMID: 36680491 DOI: 10.1002/jbm.a.37505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2022] [Revised: 01/10/2023] [Accepted: 01/12/2023] [Indexed: 01/22/2023]
Abstract
The long-term success of intraosseous transcutaneous amputation prostheses (ITAPs) mainly relies on dermal attachment of skin cells to the implant. Otherwise, bacteria can easily penetrate through the interface between the implant and the skin. Therefore, infection at this implant/skin interface remains a significant complication in orthopedic surgeries in which these prostheses are required. Two main strategies were investigated to prevent these potential infection problems which consist in either establishing a strong sealing at the skin/implant interface or on eradicating infections by killing bacteria. In this work, two adhesion peptides, either KRGDS or KYIGSR and one antimicrobial peptide, Magainin 2 (Mag 2), were covalently grafted via phosphonate anchor arms to the surface of the Ti6Al4V ELI (extra low interstitials) material, commonly used to manufacture ITAPs. X-ray photoelectron spectroscopy, contact angle, and confocal microscopy analyses enabled to validate the covalent and stable grafting of these three peptides. Dermal fibroblasts cultures on bare Ti6Al4V ELI surfaces and functionalized ones displayed a good cell adhesion and proliferation on all samples. However, cell spreading and viability appeared to be improved on grafted surfaces, especially for those conjugated with KRGDS and Mag 2. Moreover, the dermal sheet attachment, was significantly higher on surfaces functionalized with Mag 2 as compared to the other surfaces. Therefore, the surface functionalization with the antimicrobial peptide Mag 2 seems to be the best approach for the targeted application, as it could play a dual role, inducing a strong skin adhesion while limiting infections on Ti6Al4V ELI materials.
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Affiliation(s)
- Nawel Ghribi
- Laboratoire d'ingénierie de surface (LIS), Centre de Recherche du CHU de Québec-Université Laval, Hôpital Saint-François d'Assise, Québec, Québec, Canada
- Département de génie des mines, de la métallurgie et des matériaux, Centre de recherche sur les Matériaux Avancés, Université Laval, Québec, Québec, Canada
| | - Andrée-Anne Guay-Bégin
- Laboratoire d'ingénierie de surface (LIS), Centre de Recherche du CHU de Québec-Université Laval, Hôpital Saint-François d'Assise, Québec, Québec, Canada
- Département de génie des mines, de la métallurgie et des matériaux, Centre de recherche sur les Matériaux Avancés, Université Laval, Québec, Québec, Canada
| | - Ibrahim Bilem
- Laboratoire d'ingénierie de surface (LIS), Centre de Recherche du CHU de Québec-Université Laval, Hôpital Saint-François d'Assise, Québec, Québec, Canada
- Département de génie des mines, de la métallurgie et des matériaux, Centre de recherche sur les Matériaux Avancés, Université Laval, Québec, Québec, Canada
| | - Pascale Chevallier
- Laboratoire d'ingénierie de surface (LIS), Centre de Recherche du CHU de Québec-Université Laval, Hôpital Saint-François d'Assise, Québec, Québec, Canada
- Département de génie des mines, de la métallurgie et des matériaux, Centre de recherche sur les Matériaux Avancés, Université Laval, Québec, Québec, Canada
| | - François A Auger
- Centre de Recherche du CHU de Québec-Université Laval, LOEX, Québec, Québec, Canada
| | - Jean Ruel
- Département de Génie mécanique, Université Laval, Québec, Québec, Canada
| | - Gaétan Laroche
- Laboratoire d'ingénierie de surface (LIS), Centre de Recherche du CHU de Québec-Université Laval, Hôpital Saint-François d'Assise, Québec, Québec, Canada
- Département de génie des mines, de la métallurgie et des matériaux, Centre de recherche sur les Matériaux Avancés, Université Laval, Québec, Québec, Canada
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2
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Alipour S, Nour S, Attari SM, Mohajeri M, Kianersi S, Taromian F, Khalkhali M, Aninwene GE, Tayebi L. A review on in vitro/ in vivo response of additively manufactured Ti-6Al-4V alloy. J Mater Chem B 2022; 10:9479-9534. [PMID: 36305245 DOI: 10.1039/d2tb01616h] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Bone replacement using porous and solid metallic implants, such as Ti-alloy implants, is regarded as one of the most practical therapeutic approaches in biomedical engineering. The bone is a complex tissue with various mechanical properties based on the site of action. Patient-specific Ti-6Al-4V constructs may address the key needs in bone treatment for having customized implants that mimic the complex structure of the natural tissue and diminish the risk of implant failure. This review focuses on the most promising methods of fabricating such patient-specific Ti-6Al-4V implants using additive manufacturing (AM) with a specific emphasis on the popular subcategory, which is powder bed fusion (PBF). Characteristics of the ideal implant to promote optimized tissue-implant interactions, as well as physical, mechanical/chemical treatments and modifications will be discussed. Accordingly, such investigations will be classified into 3B-based approaches (Biofunctionality, Bioactivity, and Biostability), which mainly govern native body response and ultimately the success in implantation.
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Affiliation(s)
- Saeid Alipour
- Department of Materials Science and Engineering, Missouri University of Science and Technology, Rolla, MO 65409, USA
| | - Shirin Nour
- Tissue Engineering Group, Department of Biomedical Engineering, University of Melbourne, VIC 3010, Australia.,Polymer Science Group, Department of Chemical Engineering, University of Melbourne, VIC 3010, Australia
| | - Seyyed Morteza Attari
- Department of Material Science and Engineering, University of Connecticut, Storrs, Connecticut, USA
| | - Mohammad Mohajeri
- Department of Biomedical Engineering, College of Engineering, Texas A&M University, TX, USA
| | - Sogol Kianersi
- CÚRAM, SFI Centre for Research in Medical Devices, Biomedical Sciences, University of Galway, Galway, Ireland
| | - Farzaneh Taromian
- Department of Life Science Engineering, Faculty of New Sciences and Technologies, University of Tehran, Tehran, Iran
| | - Mohammadparsa Khalkhali
- Department of Life Science Engineering, Faculty of New Sciences and Technologies, University of Tehran, Tehran, Iran
| | - George E Aninwene
- Department of Bioengineering, Henry Samueli School of Engineering and Applied Sciences, University of California-Los Angeles, Los Angeles, California, USA.,Center for Minimally Invasive Therapeutics (C-MIT), University of California-Los Angeles, Los Angeles, California, USA.,California NanoSystems Institute (CNSI), University of California-Los Angeles, Los Angeles, California, USA
| | - Lobat Tayebi
- School of Dentistry, Marquette University, Milwaukee, Wisconsin, USA.
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Ghadhab S, Bilem I, Guay-Bégin AA, Chevallier P, Auger FA, Ruel J, Pauthe E, Laroche G. Fibronectin grafting to enhance skin sealing around transcutaneous titanium implant. J Biomed Mater Res A 2021; 109:2187-2198. [PMID: 33931940 DOI: 10.1002/jbm.a.37204] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2020] [Revised: 03/09/2021] [Accepted: 04/16/2021] [Indexed: 11/08/2022]
Abstract
Intraosseous transcutaneous amputation prosthesis is a new approach in orthopedic implants that overcomes socket prosthesis problems. Its long-term performance requires a tight skin-implant seal to prevent infections. In this study, fibronectin (Fn), a widely used adhesion protein, was adsorbed or grafted onto titanium alloy. Fn grafting was performed using two different linking arms, dopamine/glutaric anhydride or phosphonate. The characterization of Fn-modified surfaces showed that Fn grating via phosphonate has led to the highest amount of Fn cell-binding site (RGD, arginine, glycine, and aspartate) available on the surface. Interestingly, cell culture studies revealed a strong correlation between the amount of available RGD ligands and cellular behavior, since enhanced proliferation and spreading of fibroblasts were noticed on Fn-grafted surfaces via phosphonate. In addition, an original in vitro mechanical test, inspired from the real situation, to better predict clinical outcomes after implant insertion, has been developed. Tensile test data showed that the adhesion strength of a bio-engineered dermal tissue was significantly higher around Fn-grafted surfaces via phosphonate, as compared to untreated surfaces. This study sheds light on the importance of an appropriate selection of the linking arm to tightly control the spatial conformation of biomolecules on the material surface, and consequently cell interactions at the interface tissue/implant.
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Affiliation(s)
- Souhaila Ghadhab
- Laboratoire d'Ingénierie de Surface (LIS), Centre de Recherche du Centre Hospitalier Universitaire de Québec, Hôpital St-François d'Assise, 10 rue de l'Espinay⎜, Québec, Canada.,Centre de Recherche sur les Matériaux Avancés (CERMA), Département de Génie des Mines, de la Métallurgie et des Matériaux, Université Laval, Québec, Canada
| | - Ibrahim Bilem
- Laboratoire d'Ingénierie de Surface (LIS), Centre de Recherche du Centre Hospitalier Universitaire de Québec, Hôpital St-François d'Assise, 10 rue de l'Espinay⎜, Québec, Canada
| | - Andrée-Anne Guay-Bégin
- Laboratoire d'Ingénierie de Surface (LIS), Centre de Recherche du Centre Hospitalier Universitaire de Québec, Hôpital St-François d'Assise, 10 rue de l'Espinay⎜, Québec, Canada
| | - Pascale Chevallier
- Laboratoire d'Ingénierie de Surface (LIS), Centre de Recherche du Centre Hospitalier Universitaire de Québec, Hôpital St-François d'Assise, 10 rue de l'Espinay⎜, Québec, Canada.,Centre de Recherche sur les Matériaux Avancés (CERMA), Département de Génie des Mines, de la Métallurgie et des Matériaux, Université Laval, Québec, Canada
| | - François A Auger
- CHU de Québec-Université Laval, LOEX, Aile-R, 1401 18ième Rue, Québec, Québec, G1J 1Z4, Canada
| | - Jean Ruel
- Département de Génie mécanique, Université Laval, Québec, Canada
| | - Emmanuel Pauthe
- Biomaterials for Health Research Group, ERRMECe, Équipe de recherche sur les Relations Matrice Extracellulaire-Cellules (EA1391), Institut des matériaux I-MAT (FD4122), CY Tech, CY Cergy Paris University, Maison Internationale de la Recherche (MIR), Cergy, France
| | - Gaétan Laroche
- Laboratoire d'Ingénierie de Surface (LIS), Centre de Recherche du Centre Hospitalier Universitaire de Québec, Hôpital St-François d'Assise, 10 rue de l'Espinay⎜, Québec, Canada.,Centre de Recherche sur les Matériaux Avancés (CERMA), Département de Génie des Mines, de la Métallurgie et des Matériaux, Université Laval, Québec, Canada
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Crenn MJ, Benoit A, Rohman G, Guilbert T, Fromentin O, Attal JP, Bardet C. Selective Laser Melted Titanium Alloy for Transgingival Components: Influence of Surface Condition on Fibroblast Cell Behavior. J Prosthodont 2021; 31:50-58. [PMID: 33569866 DOI: 10.1111/jopr.13347] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/03/2021] [Indexed: 11/29/2022] Open
Abstract
PURPOSE To mechanically characterize and assess the biological properties of Ti6Al4V surfaces obtained by Selective Laser Melting in order to determine whether this process is conceivable for production of implant-supported prostheses and particularly trans-gingival components. As-built and polished surfaces were studied in comparison with components obtained by computer numerical control machining technology in order to consider whether the properties are in the same range as the conventional method currently used. MATERIALS AND METHODS Cylindrical specimens of Ti6Al4V (n = 6) were built with Selective Laser Melting for the characterization of mechanical properties according to ISO 22674 and discs (n = 12) were fabricated in the same conditions for cytotoxicity evaluation. Discs (n = 12) of Ti6Al4V were also obtained by computer numerical control machining as control. Half of the number of discs (n = 6) from each process were polished, to simulate the laboratory protocol for polishing of transmucosal components and half of the discs remained unaltered (as-built). Surface roughness measurements of disc specimens (as-built and polished) were compared with computer numerical control milling specimens (as-built and polished). Proliferation of human gingival fibroblasts on Ti6Al4V surfaces was also assessed for each condition. Viability and cell morphology were then evaluated qualitatively. Ra and Sa data were compared using Student's t-test (α = 0.05) and metabolic activity data were compared using Kruskal-Wallis statistical test (α = 0.05). RESULTS Selective Laser Melting specimens showed elongation at break greater than 2% and 0.2% yield strength better than 500MPa which complied with ISO 22674 standards. Although Selective Laser Melting samples displayed significantly increased roughness on as-built surfaces compared to computer numerically controlled milling samples (p < 0.05), no statistically significant difference was observed after mechanical polishing (p = 0.279). Regarding metabolic activity, no statistical difference was observed between groups at day 3 (p > 0.05) and fibroblasts showed a viability higher than 97% on all discs. Cell shapes on polished samples suggested moderate adhesion compared to unpolished samples. CONCLUSION With the manufacturing parameters selected in this study, Selective Laser Melting of Ti6Al4V appeared to be compatible with a prosthetic application type 4 according to ISO 22674. Surfaces obtained, followed by recommended postprocessing provided components with equivalent biological properties compared to computer numerical control machining technology.
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Affiliation(s)
| | | | | | | | | | | | - Claire Bardet
- Laboratory Orofacial Pathologies, Imaging and Biotherapies URP2496 and FHU-DDS-Net, Dental School, Université de Paris, Montrouge, France
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Ozan S, Munir K, Biesiekierski A, Ipek R, Li Y, Wen C. Titanium Alloys, Including Nitinol. Biomater Sci 2020. [DOI: 10.1016/b978-0-12-816137-1.00018-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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6
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Ruppert DS, Harrysson OLA, Marcellin-Little DJ, Dahners LE, Weinhold PS. Improved osseointegration with as-built electron beam melted textured implants and improved peri‑implant bone volume with whole body vibration. Med Eng Phys 2018; 58:S1350-4533(18)30088-2. [PMID: 29903535 DOI: 10.1016/j.medengphy.2018.05.003] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2017] [Accepted: 05/28/2018] [Indexed: 11/19/2022]
Abstract
Transcutaneous osseointegrated prostheses provide stable connections to the skeleton while eliminating skin lesions experienced with socket prosthetics. Additive manufacturing can create custom textured implants capable of interfacing with amputees' residual bones. Our objective was to compare osseointegration of textured surface implants made by electron beam melting (EBM), an additive manufacturing process, to machine threaded implants. Whole body vibration was investigated to accelerate osseointegration. Two cohorts of Sprague-Dawley rats received bilateral, titanium implants (EBM vs. threaded) in their tibiae. One cohort comprising five groups vibrated at 45 Hz: 0.0 (control), 0.15, 0.3, 0.6 or 1.2 g was followed for six weeks. Osseointegration was evaluated through torsional testing and bone volume fraction (BV/TV). A second cohort, divided into two groups (control and 0.6 g), was followed for 24 days and evaluated for resonant frequency, bone-implant contact (BIC) and fluorochrome labeling. The EBM textured implants exhibited significantly improved mechanical stability independent of vibration, highlighting the benefits of using EBM to produce custom textured surfaces. Bone formation on and around the EBM textured implants increased compared to machined implants, as seen by BIC and fluorescence. No difference in torque, BIC or fluorescence among vibration levels was detected. BV/TV significantly increased at 0.6 g compared to control for both implant types.
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Affiliation(s)
- David S Ruppert
- Department of Biomedical Engineering, UNC-NCSU, United States.
| | - Ola L A Harrysson
- Department of Biomedical Engineering, UNC-NCSU, United States; Department of Industrial and Systems Engineering, North Carolina State University, Raleigh, North Carolina, United States
| | - Denis J Marcellin-Little
- Department of Biomedical Engineering, UNC-NCSU, United States; Department of Industrial and Systems Engineering, North Carolina State University, Raleigh, North Carolina, United States; Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, North Carolina, United States
| | - Laurence E Dahners
- Department of Orthopaedics School of Medicine, University of North Carolina, Chapel Hill, North Carolina, United States
| | - Paul S Weinhold
- Department of Biomedical Engineering, UNC-NCSU, United States; Department of Orthopaedics School of Medicine, University of North Carolina, Chapel Hill, North Carolina, United States
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7
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Harun W, Kamariah M, Muhamad N, Ghani S, Ahmad F, Mohamed Z. A review of powder additive manufacturing processes for metallic biomaterials. POWDER TECHNOL 2018. [DOI: 10.1016/j.powtec.2017.12.058] [Citation(s) in RCA: 110] [Impact Index Per Article: 18.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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8
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Tan J, Zhao C, Zhou J, Duan K, Wang J, Lu X, Weng J, Feng B. Co-culturing epidermal keratinocytes and dermal fibroblasts on nano-structured titanium surfaces. MATERIALS SCIENCE & ENGINEERING. C, MATERIALS FOR BIOLOGICAL APPLICATIONS 2017; 78:288-295. [DOI: 10.1016/j.msec.2017.04.036] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/27/2017] [Accepted: 04/06/2017] [Indexed: 12/11/2022]
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9
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Shahali H, Jaggessar A, Yarlagadda PKDV. Recent Advances in Manufacturing and Surface Modification of Titanium Orthopaedic Applications. ACTA ACUST UNITED AC 2017. [DOI: 10.1016/j.proeng.2017.01.259] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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10
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Suska F, Kjeller G, Tarnow P, Hryha E, Nyborg L, Snis A, Palmquist A. Electron Beam Melting Manufacturing Technology for Individually Manufactured Jaw Prosthesis: A Case Report. J Oral Maxillofac Surg 2016; 74:1706.e1-1706.e15. [DOI: 10.1016/j.joms.2016.03.046] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2015] [Revised: 03/28/2016] [Accepted: 03/31/2016] [Indexed: 01/26/2023]
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Ryan CNM, Fuller KP, Larrañaga A, Biggs M, Bayon Y, Sarasua JR, Pandit A, Zeugolis DI. An academic, clinical and industrial update on electrospun, additive manufactured and imprinted medical devices. Expert Rev Med Devices 2015; 12:601-12. [DOI: 10.1586/17434440.2015.1062364] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
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