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Duan X, Yang Y, Zhang T, Zhu B, Wei G, Li H. Research progress of metal biomaterials with potential applications as cardiovascular stents and their surface treatment methods to improve biocompatibility. Heliyon 2024; 10:e25515. [PMID: 38375258 PMCID: PMC10875388 DOI: 10.1016/j.heliyon.2024.e25515] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2023] [Revised: 01/23/2024] [Accepted: 01/29/2024] [Indexed: 02/21/2024] Open
Abstract
Facing the growing issue of cardiovascular diseases, metallic materials with higher tensile strength and fatigue resistance play an important role in treating diseases. This review lists the advantages and drawbacks of commonly used medical metallic materials for vascular stents. To avoid post-procedural threats such as thrombosis and in-stent restenosis, surface treatments, and coating methods have been used to further improve the biocompatibility of these materials. Surface treatments including laser, plasma treatment, polishing, oxidization, and fluorination can improve biocompatibility by modifying the surface charges, surface morphology, and surface properties of the material. Coating methods based on polymer coatings, carbon-based coatings, and drug-functional coatings can regulate the surface properties, and also serve as an effective barrier to the interaction of metallic biomaterial surfaces with biomolecules, which can be used to improve corrosion resistance and stability, as well as improve their biocompatibility. Biocompatibility serves as the most fundamental property of cardiovascular stents, and maintaining the excellent and stable biocompatibility of cardiovascular stent surfaces is a current research bottleneck. Few reviews have been published on metallic biomaterials as cardiovascular stents and their surface treatments. For the purpose of advancing research on cardiovascular stents, common metal biomaterials, surface treatment methods, and coating methods to improve biocompatibility and comprehensive properties of the materials are described in this review. Finally, we suggest future directions for stent development, including continuously improving the durability and stability of permanent stents, accelerating the development of biodegradable stents, and strengthening feedback to improve the safety and reliability of cardiovascular stents.
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Affiliation(s)
- Xuejia Duan
- College of Materials and Chemistry, China Jiliang University, Hangzhou, Zhejiang 310018, China
- Division of Chemistry and Analytical Science, National Institute of Metrology, Beijing, China
| | - Yumeng Yang
- College of Materials and Chemistry, China Jiliang University, Hangzhou, Zhejiang 310018, China
| | - Tianji Zhang
- Division of Chemistry and Analytical Science, National Institute of Metrology, Beijing, China
- Key Laboratory of Chemical Metrology and Applications on Nutrition and Health for State Market Regulation, China
| | - Benfeng Zhu
- College of Materials and Chemistry, China Jiliang University, Hangzhou, Zhejiang 310018, China
| | - Guoying Wei
- College of Materials and Chemistry, China Jiliang University, Hangzhou, Zhejiang 310018, China
| | - Hongmei Li
- Division of Chemistry and Analytical Science, National Institute of Metrology, Beijing, China
- Key Laboratory of Chemical Metrology and Applications on Nutrition and Health for State Market Regulation, China
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2
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Rawat N, Benčina M, Paul D, Kovač J, Lakota K, Žigon P, Kralj-Iglič V, Ho HC, Vukomanović M, Iglič A, Junkar I. Fine-Tuning the Nanostructured Titanium Oxide Surface for Selective Biological Response. ACS APPLIED BIO MATERIALS 2023; 6:5481-5492. [PMID: 38062750 PMCID: PMC10731649 DOI: 10.1021/acsabm.3c00686] [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: 08/21/2023] [Revised: 11/07/2023] [Accepted: 11/20/2023] [Indexed: 12/19/2023]
Abstract
Cardiovascular diseases are a pre-eminent global cause of mortality in the modern world. Typically, surgical intervention with implantable medical devices such as cardiovascular stents is deployed to reinstate unobstructed blood flow. Unfortunately, existing stent materials frequently induce restenosis and thrombosis, necessitating the development of superior biomaterials. These biomaterials should inhibit platelet adhesion (mitigating stent-induced thrombosis) and smooth muscle cell proliferation (minimizing restenosis) while enhancing endothelial cell proliferation at the same time. To optimize the surface properties of Ti6Al4V medical implants, we investigated two surface treatment procedures: gaseous plasma treatment and hydrothermal treatment. We analyzed these modified surfaces through scanning electron microscopy (SEM), water contact angle analysis (WCA), X-ray photoelectron spectroscopy (XPS), and X-ray diffraction (XRD) analysis. Additionally, we assessed in vitro biological responses, including platelet adhesion and activation, as well as endothelial and smooth muscle cell proliferation. Herein, we report the influence of pre/post oxygen plasma treatment on titanium oxide layer formation via a hydrothermal technique. Our results indicate that alterations in the titanium oxide layer and surface nanotopography significantly influence cell interactions. This work offers promising insights into designing multifunctional biomaterial surfaces that selectively promote specific cell types' proliferation─which is a crucial advancement in next-generation vascular implants.
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Affiliation(s)
- Niharika Rawat
- Laboratory
of Physics, Faculty of Electrical Engineering,
University of Ljubljana, Tržaška 25, SI-1000 Ljubljana, Slovenia
| | - Metka Benčina
- Laboratory
of Physics, Faculty of Electrical Engineering,
University of Ljubljana, Tržaška 25, SI-1000 Ljubljana, Slovenia
- Department
of Surface Engineering, Jožef Stefan
Institute, Jamova 39, SI-1000 Ljubljana, Slovenia
| | - Domen Paul
- Department
of Surface Engineering, Jožef Stefan
Institute, Jamova 39, SI-1000 Ljubljana, Slovenia
| | - Janez Kovač
- Department
of Surface Engineering, Jožef Stefan
Institute, Jamova 39, SI-1000 Ljubljana, Slovenia
| | - Katja Lakota
- Department
of Rheumatology, University Medical Centre
Ljubljana, Vodnikova 62, SI-1000 Ljubljana, Slovenia
| | - Polona Žigon
- Department
of Rheumatology, University Medical Centre
Ljubljana, Vodnikova 62, SI-1000 Ljubljana, Slovenia
| | - Veronika Kralj-Iglič
- Laboratory
of Clinical Biophysics, Faculty of Health
Sciences, University of Ljubljana, Zdravstvena pot 5, SI-1000 Ljubljana, Slovenia
| | - Hsin-Chia Ho
- Advanced
Materials Department, Jožef Stefan
Institute, Jamova 39, SI-1000 Ljubljana, Slovenia
| | - Marija Vukomanović
- Advanced
Materials Department, Jožef Stefan
Institute, Jamova 39, SI-1000 Ljubljana, Slovenia
| | - Aleš Iglič
- Laboratory
of Physics, Faculty of Electrical Engineering,
University of Ljubljana, Tržaška 25, SI-1000 Ljubljana, Slovenia
- Chair of
Orthopaedic Surgery, Faculty of Medicine, University of Ljubljana, Vrazov trg 2, SI-1000 Ljubljana, Slovenia
| | - Ita Junkar
- Department
of Surface Engineering, Jožef Stefan
Institute, Jamova 39, SI-1000 Ljubljana, Slovenia
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Sun XD, Liu TT, Wang QQ, Zhang J, Cao MS. Surface Modification and Functionalities for Titanium Dental Implants. ACS Biomater Sci Eng 2023; 9:4442-4461. [PMID: 37523241 DOI: 10.1021/acsbiomaterials.3c00183] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/02/2023]
Abstract
Dental implants have become the mainstream strategy for oral restoration, and implant materials are the most important research hot spot in this field. So far, Ti implants dominate all kinds of implants. The surface properties of the Ti implant play decisive roles in osseointegration and antibacterial performance. Surface modifications can significantly change the surface micro/nanotopography and composition of Ti implants, which will effectively improve their hydrophilicity, mechanical properties, osseointegration performance, antibacterial performance, etc. These optimizations will thus improve implant success and service life. In this paper, the latest surface modification techniques of Ti dental implants are systematically and comprehensively reviewed. The various biomedical functionalities of surface modifications are discussed in-depth. Finally, a profound comment on the challenges and opportunities of this frontier is proposed, and the most promising directions for the future were explored.
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Affiliation(s)
- Xiao-Di Sun
- Tianjin Stomatological Hospital, Tianjin Key Laboratory of Oral and Maxillofacial Function Reconstruction, Tianjin 300041, China
| | - Ting-Ting Liu
- School of Materials Science and Engineering, Beijing Institute of Technology, Beijing 100081, China
| | - Qiang-Qiang Wang
- School of Materials Science and Engineering, Beijing Institute of Technology, Beijing 100081, China
| | - Jian Zhang
- Tianjin Stomatological Hospital, Tianjin Key Laboratory of Oral and Maxillofacial Function Reconstruction, Tianjin 300041, China
| | - Mao-Sheng Cao
- School of Materials Science and Engineering, Beijing Institute of Technology, Beijing 100081, China
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Rawat N, Benčina M, Gongadze E, Junkar I, Iglič A. Fabrication of Antibacterial TiO 2 Nanostructured Surfaces Using the Hydrothermal Method. ACS OMEGA 2022; 7:47070-47077. [PMID: 36570258 PMCID: PMC9774398 DOI: 10.1021/acsomega.2c06175] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/24/2022] [Accepted: 11/28/2022] [Indexed: 06/17/2023]
Abstract
Implant-associated infections (IAI) are a common cause for implant failure, increased medical costs, and critical for patient healthcare. Infections are a result of bacterial colonization, which leads to biofilm formation on the implant surface. Nanostructured surfaces have been shown to have the potential to inhibit bacterial adhesion mainly due to antibacterial efficacy of their unique surface nanotopography. The change in topography affects the physicochemical properties of their surface such as surface chemistry, morphology, wettability, surface charge, and even electric field which influences the biological response. In this study, a conventional and cost-effective hydrothermal method was used to fabricate nanoscale protrusions of various dimensions on the surface of Ti, Ti6Al4V, and NiTi materials, commonly used in biomedical applications. The morphology, surface chemistry, and wettability were analyzed using scanning electron microscopy (SEM), X-ray photoemission spectroscopy (XPS), and water contact angle analysis. The antibacterial efficacy of the synthesized nanostructures was analyzed by the use of Escherichia coli bacterial strain. XPS analysis revealed that the concentration of oxygen and titanium increased on Ti and Ti6Al4V, which indicates that TiO2 is formed on the surface. The concentration of oxygen and titanium however decreased on the NiTi surface after hydrothermal treatment, and also a small amount of Ni was detected. SEM analysis showed that by hydrothermal treatment alterations in the surface topography of the TiO2 layer could be achieved. The oxide layer on the NiTi prepared by the hydrothermal method contains a low amount of Ni (2.8 atom %), which is especially important for implantable materials. The results revealed that nanostructured surfaces significantly reduced bacterial adhesion on the Ti, Ti6Al4V, and NiTi surface compared to the untreated surfaces used as a control. Furthermore, two sterilization techniques were also studied to evaluate the stability of the nanostructure and its influence on the antibacterial activity. Sterilization with UV light seems to more efficiently inhibit bacterial growth on the hydrothermally modified Ti6Al4V surface, which was further reduced for hydrothermally treated Ti and NiTi. The developed nanostructured surfaces of Ti and its alloys can pave a way for the fabrication of antibacterial surfaces that reduce the likelihood of IAI.
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Affiliation(s)
- Niharika Rawat
- Laboratory
of Physics, Faculty of Electrical Engineering, University of Ljubljana, Tržaška 25, SI-1000 Ljubljana, Slovenia
| | - Metka Benčina
- Laboratory
of Physics, Faculty of Electrical Engineering, University of Ljubljana, Tržaška 25, SI-1000 Ljubljana, Slovenia
- Department
of Surface Engineering, Jožef Stefan
Institute, Jamova 39, SI-1000 Ljubljana, Slovenia
- Laboratory
of Clinical Biophysics, Faculty of Health Sciences, University of Ljubljana, Zdravstvena pot 5, SI-1000 Ljubljana, Slovenia
| | - Ekaterina Gongadze
- Laboratory
of Physics, Faculty of Electrical Engineering, University of Ljubljana, Tržaška 25, SI-1000 Ljubljana, Slovenia
| | - Ita Junkar
- Department
of Surface Engineering, Jožef Stefan
Institute, Jamova 39, SI-1000 Ljubljana, Slovenia
| | - Aleš Iglič
- Laboratory
of Physics, Faculty of Electrical Engineering, University of Ljubljana, Tržaška 25, SI-1000 Ljubljana, Slovenia
- Chair
of Orthopaedic Surgery, Faculty of Medicine, University of Ljubljana, Vrazov trg 2, SI-1000 Ljubljana, Slovenia
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5
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Benčina M, Junkar I, Vesel A, Mozetič M, Iglič A. Nanoporous Stainless Steel Materials for Body Implants-Review of Synthesizing Procedures. NANOMATERIALS (BASEL, SWITZERLAND) 2022; 12:2924. [PMID: 36079962 PMCID: PMC9457931 DOI: 10.3390/nano12172924] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/08/2022] [Revised: 08/18/2022] [Accepted: 08/18/2022] [Indexed: 06/15/2023]
Abstract
Despite the inadequate biocompatibility, medical-grade stainless steel materials have been used as body implants for decades. The desired biological response of surfaces to specific applications in the body is a highly challenging task, and usually not all the requirements of a biomaterial can be achieved. In recent years, nanostructured surfaces have shown intriguing results as cell selectivity can be achieved by specific surface nanofeatures. Nanoporous structures can be fabricated by anodic oxidation, which has been widely studied for titanium and its alloys, while no systematic studies are so far available for stainless steel (SS) materials. This paper reviews the current state of the art in the anodisation of SS; correlations between the parameters of anodic oxidation and the surface morphology are drawn. The results reported by various authors are scattered because of a variety of experimental configurations. A linear correlation between the pores' diameter anodisation voltage was deduced, while no correlation with other processing parameters was found obvious. The analyses of available data indicated a lack of systematic experiments, which are recommended to understand the kinetics of pore formation and develop techniques for optimal biocompatibility of stainless steel.
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Affiliation(s)
- Metka Benčina
- Department of Surface Engineering, Jožef Stefan Institute, Jamova Cesta 39, 1000 Ljubljana, Slovenia
- Laboratory of Physics, Faculty of Electrical Engineering, University of Ljubljana, 1000 Ljubljana, Slovenia
| | - Ita Junkar
- Department of Surface Engineering, Jožef Stefan Institute, Jamova Cesta 39, 1000 Ljubljana, Slovenia
| | - Alenka Vesel
- Department of Surface Engineering, Jožef Stefan Institute, Jamova Cesta 39, 1000 Ljubljana, Slovenia
| | - Miran Mozetič
- Department of Surface Engineering, Jožef Stefan Institute, Jamova Cesta 39, 1000 Ljubljana, Slovenia
| | - Aleš Iglič
- Laboratory of Physics, Faculty of Electrical Engineering, University of Ljubljana, 1000 Ljubljana, Slovenia
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Sameti M, Clarke K, Dewan P, Washington KS, Talebzadeh S, Liao Y, Bashur CA. Reduced Platelet Adhesion for Blended Electrospun Meshes with Low Amounts of Collagen Type I. Macromol Biosci 2022; 22:e2100267. [PMID: 34713970 DOI: 10.1002/mabi.202100267] [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: 07/19/2021] [Revised: 10/25/2021] [Indexed: 11/09/2022]
Abstract
A clinically approved, tissue engineered graft is needed as an alternative for small-diameter artery replacement. Collagen type I is commonly investigated for naturally derived grafts. However, collagen promotes thrombosis, currently requiring a graft pre-seeding step. This study investigates unique impacts of blending low collagen amounts with synthetic polymers on scaffold platelet response, which would allow for viable acellular grafts that can endothelialize in vivo. While platelet adhesion and activation are confirmed to be high with 50% collagen samples, low collagen ratios surprisingly exhibit the opposite, anti-thrombogenic effect. Different platelet interactions in these blended materials can be related to collagen structure. Low collagen ratios show homogenous distribution of the components within individual fibers. Importantly, blended collagen scaffolds exhibit significant differences from gelatin scaffolds, including retaining percentage of collagen after incubation. These findings correlate with functional benefits including better endothelial cell spreading on collagen versus gelatin blended materials. This appears to differ from the current paradigm that processing with harsh solvents will irreversibly denature collagen into less desirable gelatin, but an important distinction is the interaction between collagen and synthetic materials during processing. Overall, excellent anti-thrombogenic properties of low collagen blends and benefits after grafting show promise for this vascular graft strategy.
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Affiliation(s)
- Mahyar Sameti
- Department of Biomedical, Chemical Engineering, and Science, Florida Institute of Technology, Melbourne, FL, 32901, USA
| | - Kai Clarke
- Department of Biomedical, Chemical Engineering, and Science, Florida Institute of Technology, Melbourne, FL, 32901, USA
| | - Prerona Dewan
- Department of Biomedical, Chemical Engineering, and Science, Florida Institute of Technology, Melbourne, FL, 32901, USA
| | - Kenyatta S Washington
- Department of Biomedical, Chemical Engineering, and Science, Florida Institute of Technology, Melbourne, FL, 32901, USA
| | - Somayeh Talebzadeh
- Department of Biomedical, Chemical Engineering, and Science, Florida Institute of Technology, Melbourne, FL, 32901, USA
| | - Yi Liao
- Department of Biomedical, Chemical Engineering, and Science, Florida Institute of Technology, Melbourne, FL, 32901, USA
| | - Chris A Bashur
- Department of Biomedical, Chemical Engineering, and Science, Florida Institute of Technology, Melbourne, FL, 32901, USA
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Investigation of Shape Transformations of Vesicles, Induced by Their Adhesion to Flat Substrates Characterized by Different Adhesion Strength. Int J Mol Sci 2021; 22:ijms222413406. [PMID: 34948201 PMCID: PMC8706551 DOI: 10.3390/ijms222413406] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2021] [Revised: 12/09/2021] [Accepted: 12/10/2021] [Indexed: 11/29/2022] Open
Abstract
The adhesion of lipid vesicles to a rigid flat surface is investigated. We examine the influence of the membrane spontaneous curvature, adhesion strength, and the reduced volume on the stability and shape transformations of adhered vesicles. The minimal strength of the adhesion necessary to stabilize the shapes of adhered vesicles belonging to different shape classes is determined. It is shown that the budding of an adhered vesicle may be induced by the change of the adhesion strength. The importance of the free vesicle shape for its susceptibility to adhesion is discussed.
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