scholarly journals Molecular-Level Understanding of the Influence of Ions and Water on HMGB1 Adsorption Induced by Surface Hydroxylation of Titanium Implants

2021 ◽  
Author(s):  
Dineli Ranathunga ◽  
Alexandra Arteaga ◽  
Claudia C. Biguetti ◽  
Danieli C. Rodrigues ◽  
Steven O. Nielsen
Keyword(s):  
Biological Activity ◽  
Structural Changes ◽  
High Mobility ◽  
Titanium Implant ◽  
Water Layer ◽  
Titanium Implants ◽  
Surgical Trauma ◽  
Hmgb1 Protein ◽  
Implant Surface ◽  
Surface Hydroxylation

<div><div><div><p>Due to its excellent chemical and mechanical properties, titanium has become the material of choice for orthopedic and dental implants to promote rehabilitation via bone anchorage and osseointegration. Titanium osseointegration is partially related to its capability to form a TiO<sub>2</sub> surface layer and its ability to interact with key endogenous proteins immediately upon implantation, establishing the first bone-biomaterial interface. Surgical trauma caused by implantation results in the release of High Mobility Group Box 1 (HMGB1) protein, which is a prototypic DAMP (Damage Associated Molecular Pattern) with multiple roles in inflammation and tissue healing. To develop different surface strategies that improve the clinical outcome of titanium-based implants by controlling their biological activity, a molecular-scale understanding of HMGB1-surface interactions is desired. Here, we use molecular dynamics (MD) computer simulations to provide direct insight into the HMGB1 interactions and the possible molecular arrangements of HMGB1 on fully hydroxylated and non-hydroxylated rutile (110) TiO<sub>2</sub> surfaces. The results establish that HMGB1 is most likely to be adsorbed directly onto the surface regardless of surface hydroxylation, which is undesirable because it could affect its biological activity by causing structural changes to the protein. The hydroxylated TiO<sub>2</sub> surface shows a greater affinity for HMGB1 than the non-hydroxylated surface. The water layer on the non-hydroxylated TiO<sub>2</sub> surface prevents ions and the protein from directly contacting the surface. However, it was observed that if the ionic strength increases, the total number of ions adsorbed on the two surfaces increases, and the protein’s direct adsorption ability decreases. These findings will help to understand the HMGB1-TiO<sub>2</sub> interactions upon implantation, as well as the development of different surface strategies by introducing ions or ionic materials to the titanium implant surface to modulate its interactions with HMGB1 to preserve biological function.</p></div></div></div>

scholarly journals Molecular-Level Understanding of the Influence of Ions and Water on HMGB1 Adsorption Induced by Surface Hydroxylation of Titanium Implants

2021 ◽  
Author(s):  
Dineli Ranathunga ◽  
Alexandra Arteaga ◽  
Claudia C. Biguetti ◽  
Danieli C. Rodrigues ◽  
Steven O. Nielsen
Keyword(s):  
Biological Activity ◽  
Structural Changes ◽  
High Mobility ◽  
Titanium Implant ◽  
Water Layer ◽  
Titanium Implants ◽  
Surgical Trauma ◽  
Hmgb1 Protein ◽  
Implant Surface ◽  
Surface Hydroxylation

<div><div><div><p>Due to its excellent chemical and mechanical properties, titanium has become the material of choice for orthopedic and dental implants to promote rehabilitation via bone anchorage and osseointegration. Titanium osseointegration is partially related to its capability to form a TiO<sub>2</sub> surface layer and its ability to interact with key endogenous proteins immediately upon implantation, establishing the first bone-biomaterial interface. Surgical trauma caused by implantation results in the release of High Mobility Group Box 1 (HMGB1) protein, which is a prototypic DAMP (Damage Associated Molecular Pattern) with multiple roles in inflammation and tissue healing. To develop different surface strategies that improve the clinical outcome of titanium-based implants by controlling their biological activity, a molecular-scale understanding of HMGB1-surface interactions is desired. Here, we use molecular dynamics (MD) computer simulations to provide direct insight into the HMGB1 interactions and the possible molecular arrangements of HMGB1 on fully hydroxylated and non-hydroxylated rutile (110) TiO<sub>2</sub> surfaces. The results establish that HMGB1 is most likely to be adsorbed directly onto the surface regardless of surface hydroxylation, which is undesirable because it could affect its biological activity by causing structural changes to the protein. The hydroxylated TiO<sub>2</sub> surface shows a greater affinity for HMGB1 than the non-hydroxylated surface. The water layer on the non-hydroxylated TiO<sub>2</sub> surface prevents ions and the protein from directly contacting the surface. However, it was observed that if the ionic strength increases, the total number of ions adsorbed on the two surfaces increases, and the protein’s direct adsorption ability decreases. These findings will help to understand the HMGB1-TiO<sub>2</sub> interactions upon implantation, as well as the development of different surface strategies by introducing ions or ionic materials to the titanium implant surface to modulate its interactions with HMGB1 to preserve biological function.</p></div></div></div>

scholarly journals Impact of High-Altitude Hypoxia on Early Osseointegration With Bioactive Titanium

2021 ◽  
Vol 12 ◽  
Author(s):  
Yarong Wang ◽  
Zekun Gan ◽  
Haibin Lu ◽  
Ziyi Liu ◽  
Peng Shang ◽  
...  
Keyword(s):  
Bone Formation ◽  
High Altitude ◽  
Bone Repair ◽  
Titanium Implant ◽  
Titanium Implants ◽  
Implant Surface ◽  
Altitude Hypoxia ◽  
Oral Implants ◽  
Hypoxic Environment

Nowadays, the bone osseointegration in different environments is comparable, but the mechanism is unclear. This study aimed to investigate the osseointegration of different bioactive titanium surfaces under normoxic or high-altitude hypoxic environments. Titanium implants were subjected to one of two surface treatments: (1) sanding, blasting, and acid etching to obtain a rough surface, or (2) extensive polishing to obtain a smooth surface. Changes in the morphology, proliferation, and protein expression of osteoblasts on the rough and smooth surfaces were examined, and bone formation was studied through western blotting and animal-based experiments. Our findings found that a hypoxic environment and rough titanium implant surface promoted the osteogenic differentiation of osteoblasts and activated the JAK1/STAT1/HIF-1α pathway in vitro. The animal study revealed that following implant insertion in tibia of rabbit, bone repair at high altitudes was slower than that at low altitudes (i.e., in plains) after 2weeks; however, bone formation did not differ significantly after 4weeks. The results of our study showed that: (1) The altitude hypoxia environment would affect the early osseointegration of titanium implants while titanium implants with rough surfaces can mitigate the effects of this hypoxic environment on osseointegration, (2) the mechanism may be related to the activation of JAK1/STAT1/HIF-1α pathway, and (3) our results suggest the osteogenesis of titanium implants, such as oral implants, is closely related to the oxygen environment. Clinical doctors, especially dentists, should pay attention to the influence of hypoxia on early osseointegration in patients with high altitude. For example, it is better to choose an implant system with rough implant surface in the oral cavity of patients with tooth loss at high altitude.

Does surface anodisation of titanium implants change osseointegration and make their extraction from bone any easier?

2008 ◽  
Vol 21 (03) ◽  
pp. 202-210 ◽  
Author(s):  
J. Langhoff ◽  
J. Mayer ◽  
L. Faber ◽  
S. Kaestner ◽  
G. Guibert ◽  
...  
Keyword(s):  
Stainless Steel ◽  
Titanium Implant ◽  
Titanium Implants ◽  
Implant Surface ◽  
Bone Implant ◽  
High Bone ◽  
Titanium Surfaces ◽  
Anodized Titanium ◽  
Titanium Implant Surface

Summary Objectives: Titanium implants have a tendency for high bone-implant bonding, and, in comparison to stainless steel implants are more difficult to remove. The current study was carried out to evaluate, i) the release strength of three selected anodized titanium surfaces with increased nanohardness and low roughness, and ii) bone-implant bonding in vivo. These modified surfaces were intended to give improved anchorage while facilitating easier removal of temporary implants. Material and methods: The new surfaces were referenced to a stainless steel implant and a standard titanium implant surface (TiMAX™). In a sheep limb model, healing period was 3 months. Bone-implant bonding was evaluated either biomechanically or histologically. Results: The new surface anodized screws demonstrated similar or slightly higher bone-implantcontact (BIC) and torque release forces than the titanium reference. The BIC of the stainless steel implants was significant lower than two of the anodized surfaces (p=0.04), but differences between stainless steel and all titanium implants in torque release forces were not significant (p=0.06). Conclusion: The new anodized titanium surfaces showed good bone-implant bonding despite a smooth surface and increased nanohardness. However, they failed to facilitate implant removal at 3 months.

scholarly journals Cellular Responses Evoked by Different Surface Characteristics of Intraosseous Titanium Implants

2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Liviu Feller ◽  
Yusuf Jadwat ◽  
Razia A. G. Khammissa ◽  
Robin Meyerov ◽  
Israel Schechter ◽  
...  
Keyword(s):  
Surface Energy ◽  
Surface Chemistry ◽  
High Surface ◽  
Titanium Implant ◽  
Surface Characteristics ◽  
Cellular Responses ◽  
Titanium Implants ◽  
Implant Surface ◽  
Bone To Implant Contact ◽  
And Migration

The properties of biomaterials, including their surface microstructural topography and their surface chemistry or surface energy/wettability, affect cellular responses such as cell adhesion, proliferation, and migration. The nanotopography of moderately rough implant surfaces enhances the production of biological mediators in the peri-implant microenvironment with consequent recruitment of differentiating osteogenic cells to the implant surface and stimulates osteogenic maturation. Implant surfaces with moderately rough topography and with high surface energy promote osteogenesis, increase the ratio of bone-to-implant contact, and increase the bonding strength of the bone to the implant at the interface. Certain features of implant surface chemistry are also important in enhancing peri-implant bone wound healing. It is the purpose of this paper to review some of the more important features of titanium implant surfaces which have an impact on osseointegration.

scholarly journals The Affinity of Human Fetal Osteoblast to Laser-Modified Titanium Implant Fixtures

2020 ◽  
Vol 14 (1) ◽  
pp. 52-58 ◽  
Author(s):  
Lee Kian Khoo ◽  
Sirichai Kiattavorncharoen ◽  
Verasak Pairuchvej ◽  
Nisanat Lakkhanachatpan ◽  
Natthamet Wongsirichat ◽  
...  
Keyword(s):  
Surface Modification ◽  
Cell Adhesion ◽  
Surface Chemistry ◽  
Titanium Implant ◽  
Surface Characteristics ◽  
Titanium Implants ◽  
Cell Maturation ◽  
Implant Surface ◽  
Pure Grade

Introduction: Implant surface modification methods have recently involved laser treatment to achieve the desired implant surface characteristics. Meanwhile, surface modification could potentially introduce foreign elements to the implant surface during the manufacturing process. Objectives: The study aimed to investigate the surface chemistry and topography of commercially available laser-modified titanium implants, together with evaluating the cell morphology and cell adhesion of human fetal osteoblast (hFOB) seeded onto the same implants. Method: Six (6) samples of commercially available laser-modified titanium implants were investigated. These implants were manufactured by two different companies. Three (3) implants were made from commercially pure grade 4 Titanium (Brand X); and three were made from grade 5 Ti6Al4V (Brand Y). The surface topography of these implants was analyzed by scanning electron microscope (SEM) and the surface chemistry was evaluated with electron dispersive x-ray spectroscopy(EDS). Human fetal osteoblasts were seeded onto the implant fixtures to investigate the biocompatibility and adhesion. Results & Discussion: Brand X displayed dark areas under SEM while it was rarely found on brand Y. These dark areas were consistent with their organic matter. The hFOB cell experiments revealed cell adhesion with filopodia on Brand X samples which is consistent with cell maturation. The cells on Brand Y were morphologically round and lacked projections, one sample was devoid of any noticeable cells under SEM. Cell adhesion was observed early at 48 hrs in laser-irradiated titanium fixtures from both the brands. Conclusion: The presence of organic impurities in Brand X should not be overlooked because disruption of the osseointegration process may occur due to the rejection of the biomaterial in an in-vivo model. Nevertheless, there was insufficient evidence to link implant failure directly with carbon contaminated implant surfaces. Further studies to determine the toxicity of Vanadium from Ti6Al4V in an in-vivo environment should indicate the reason for different cell maturation.

scholarly journals Rhamnolipid Coating Reduces Microbial Biofilm Formation on Titanium Implants: an in-vitro Study

2020 ◽  
Author(s):  
Erica Tambone ◽  
Emiliana Bonomi ◽  
Paolo Ghensi ◽  
Devid Maniglio ◽  
Chiara Ceresa ◽  
...  
Keyword(s):  
Metabolic Activity ◽  
Biofilm Formation ◽  
In Vitro Study ◽  
Titanium Implant ◽  
Titanium Implants ◽  
Lung Fibroblasts ◽  
Normal Lung ◽  
Implant Surface ◽  
Rhamnolipid Biosurfactant

Abstract Background: Peri-implant mucositis and peri-implantitis are biofilm-related diseases causing major concern in oral implantology, requiring complex anti-infective procedures or implant removal. Microbial biosurfactants emerged as new of anti-biofilm agents for coating implantable devices preserving biocompatibility. This study aimed to assess the efficacy of rhamnolipid biosurfactant R89 (R89BS) to reduce Staphylococcus aureus and Staphylococcus epidermidis biofilm formation on titanium. Methods: R89BS was physically adsorbed on titanium discs (TDs) and the ability of coated TDs to inhibit biofilm formation was evaluated by quantifying biofilm biomass and cell metabolic activity, at different time-points, with respect to uncoated controls. A qualitative analysis of sessile cells was also performed by scanning electron microscopy. Results: R89BS-coated discs showed no cytotoxic effects on normal lung fibroblasts (MRC5). TDs coated with 4 mg/mL R89BS inhibited the biofilm biomass of S. aureus by 98%, 49% and 10% and of S. epidermidis by 53%, 29%, and 10% at 24, 48 and 72 h respectively. A significant reduction of the biofilm metabolic activity was also documented. The same coating applied on three commercial implant surfaces resulted in a biomass inhibition higher than 90% for S. aureus, and up to 75% for S. epidermidis at 24 h. Conclusions: R89BS-coating was effective in reducing Staphylococcus biofilm formation at the titanium implant surface. The anti-biofilm action can be obtained on several different commercially available implant surfaces, independently of their surface morphology.

scholarly journals Rhamnolipid coating reduces microbial biofilm formation on titanium implants: an in vitro study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Erica Tambone ◽  
Emiliana Bonomi ◽  
Paolo Ghensi ◽  
Devid Maniglio ◽  
Chiara Ceresa ◽  
...  
Keyword(s):  
Metabolic Activity ◽  
Biofilm Formation ◽  
In Vitro Study ◽  
Titanium Implant ◽  
Titanium Implants ◽  
Lung Fibroblasts ◽  
Normal Lung ◽  
Implant Surface ◽  
Rhamnolipid Biosurfactant

Abstract Background Peri-implant mucositis and peri-implantitis are biofilm-related diseases causing major concern in oral implantology, requiring complex anti-infective procedures or implant removal. Microbial biosurfactants emerged as new anti-biofilm agents for coating implantable devices preserving biocompatibility. This study aimed to assess the efficacy of rhamnolipid biosurfactant R89 (R89BS) to reduce Staphylococcus aureus and Staphylococcus epidermidis biofilm formation on titanium. Methods R89BS was physically adsorbed on titanium discs (TDs). Cytotoxicity of coated TDs was evaluated on normal lung fibroblasts (MRC5) using a lactate dehydrogenase assay. The ability of coated TDs to inhibit biofilm formation was evaluated by quantifying biofilm biomass and cell metabolic activity, at different time-points, with respect to uncoated controls. A qualitative analysis of sessile bacteria was also performed by scanning electron microscopy. Results R89BS-coated discs showed no cytotoxic effects. TDs coated with 4 mg/mL R89BS inhibited the biofilm biomass of S. aureus by 99%, 47% and 7% and of S. epidermidis by 54%, 29%, and 10% at 24, 48 and 72 h respectively. A significant reduction of the biofilm metabolic activity was also documented. The same coating applied on three commercial implant surfaces resulted in a biomass inhibition higher than 90% for S. aureus, and up to 78% for S. epidermidis at 24 h. Conclusions R89BS-coating was effective in reducing Staphylococcus biofilm formation at the titanium implant surface. The anti-biofilm action can be obtained on several different commercially available implant surfaces, independently of their surface morphology.

scholarly journals Existing Bone-Derived Bone Morphogenetic Protein-2 Initiates Contact Osteogenesis on the Surface of a Titanium Implant

2021 ◽  
Author(s):  
Ung-Gyu Kim ◽  
Jung-Yoo Choi ◽  
Junbeom Lee ◽  
In-Sung Yeo
Keyword(s):  
Bone Formation ◽  
Bone Morphogenetic Protein ◽  
Titanium Implant ◽  
Titanium Implants ◽  
Bone Morphogenetic Protein 2 ◽  
Implant Surface ◽  
Bone Contact ◽  
Morphogenetic Protein ◽  
Bone To Implant Contact ◽  
Bone Deposition

Abstract The dental implant relies on osseointegration and the response of bone to the implant surface. This process comprises bidirectional bone formation, including bone deposition on the implant surface toward the existing bone (contact osteogenesis) and vice versa (distance osteogenesis). It is unclear whether these processes are independent or whether contact osteogenesis is initiated by other factors. Therefore, this study aimed to identify the initiator of contact osteogenesis. We hypothesized that contact osteogenesis does not occur when it is physically isolated from distance osteogenesis, which would imply that some factors from the wounded bone normally promote contact osteogenesis. Using a rabbit tibial implant model, we tested the effects of human recombinant bone morphogenetic protein-2 (BMP-2) and plasma-rich plasma, which are possible initiators from bone and blood, respectively. Titanium implants with BMP-2 showed a better bone-to-implant contact (BIC) ratio. We concluded that BMP-2 initiated contact osteogenesis on the surface of titanium implants.

scholarly journals Surface Treatment of the Dental Implant with Hyaluronic Acid: An Overview of Recent Data

2021 ◽  
Vol 18 (9) ◽  
pp. 4670
Author(s):  
Gabriele Cervino ◽  
Agron Meto ◽  
Luca Fiorillo ◽  
Alessandra Odorici ◽  
Aida Meto ◽  
...  
Keyword(s):  
Hyaluronic Acid ◽  
Host Response ◽  
Experimental Studies ◽  
Titanium Implant ◽  
Titanium Implants ◽  
Positive Interaction ◽  
Implant Surface ◽  
Early Loading ◽  
Proliferation And Differentiation ◽  
Secondary Stability

Recently, interest has grown by focusing on the evaluation of a molecule already produced in the human body such as hyaluronic acid (HA), as an application to the surface of the titanium implant. Its osteo-conductive characteristics and positive interaction with the progenitor cells responsible for bone formation, consequently, make it responsible for secondary stability. The aim of this work was to analyze the various surface treatments in titanium implants, demonstrating that the topography and surface chemistry of biomaterials can correlate with the host response; also focusing on the addition of HA to the implant surface and assessing the biological implications during early stages of recovery. Used as a coating, HA acts on the migration, adhesion, proliferation and differentiation of cell precursors on titanium implants by improving the connection between implant and bone. Furthermore, the improvement of the bioactivity of the implant surfaces through HA could therefore facilitate the positioning of the dental prosthesis precisely in the early loading phase, thus satisfying the patients’ requests. It is important to note that all the findings should be supported by further experimental studies in animals as well as humans to evaluate and confirm the use of HA in any field of dentistry.

scholarly journals Biochemical Modification of Titanium Oral Implants: Evidence from In Vivo Studies

Materials ◽  
2021 ◽  
Vol 14 (11) ◽  
pp. 2798
Author(s):  
Saturnino Marco Lupi ◽  
Mirko Torchia ◽  
Silvana Rizzo
Keyword(s):  
Titanium Implant ◽  
Titanium Implants ◽  
Biologically Active ◽  
In Vivo Studies ◽  
Implant Surface ◽  
Oral Implants ◽  
Positive Effects ◽  
Biochemical Modification ◽  
Modification Of Titanium

The discovery of osseointegration of titanium implants revolutionized the dental prosthesis field. Traditionally, implants have a surface that is processed by additive or subtractive techniques, which have positive effects on the osseointegration process by altering the topography. In the last decade, innovative implant surfaces have been developed, on which biologically active molecules have been immobilized with the aim of increasing stimulation at the implant–biological tissue interface, thus favoring the quality of osseointegration. Among these molecules, some are normally present in the human body, and the techniques for the immobilization of these molecules on the implant surface have been called Biochemical Modification of Titanium Surfaces (BMTiS). Different techniques have been described in order to immobilize those biomolecules on titanium implant surfaces. The aim of the present paper is to present evidence, available from in vivo studies, about the effects of biochemical modification of titanium oral implants on osseointegration.

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