Department Clinical Research, University of Bern, Bern, Switzerland.
J Biomed Mater Res A. 2013 Aug;101(8):2355-64. doi: 10.1002/jbm.a.34541. Epub 2013 Jan 28.
The use of metal implants in dental and orthopedic surgery is continuously expanding and highly successful. While today longevity and load-bearing capacity of the implants fulfill the expectations of the patients, acceleration of osseointegration would be of particular benefit to shorten the period of convalescence. To further clarify the options to accelerate the kinetics of osseointegration, within this study, the osteogenic properties of structurally identical surfaces with different metal coatings were investigated. To assess the development and function of primary human osteoblasts on metal surfaces, cell viability, differentiation, and gene expression were determined. Titanium surfaces were used as positive, and surfaces coated with gold were used as negative controls. Little differences in the cellular parameters tested for were found when the cells were grown on titanium discs sputter coated with titanium, zirconium, niobium, tantalum, gold, and chromium. Cell number, activity of cell layer-associated alkaline phosphatase (ALP), and levels of transcripts encoding COL1A1 and BGLAP did not vary significantly in dependence of the surface chemistry. Treatment of the cell cultures with 1,25(OH)2 D3 /Dex, however, significantly increased ALP activity and BGLAP messenger RNA levels. The data demonstrate that the metal layer coated onto the titanium discs exerted little modulatory effects on cell behavior. It is suggested that the microenvironment regulated by the peri-implant tissues is more effective in regulating the tissue response than is the material of the implant itself.
金属植入物在牙科和骨科手术中的应用不断扩大,且非常成功。虽然目前植入物的使用寿命和承重能力符合患者的期望,但加速骨整合将特别有利于缩短恢复期。为了进一步阐明加速骨整合动力学的选择,在这项研究中,研究了具有不同金属涂层的结构相同的表面的成骨特性。为了评估金属表面上原发性人成骨细胞的发育和功能,测定了细胞活力、分化和基因表达。将钛表面用作阳性对照,将涂有金的表面用作阴性对照。当细胞在溅射涂覆有钛、锆、铌、钽、金和铬的钛盘上生长时,对所测试的细胞参数几乎没有差异。细胞数量、细胞层相关碱性磷酸酶(ALP)的活性以及编码 COL1A1 和 BGLAP 的转录本水平均不随表面化学性质的变化而显著变化。然而,用 1,25(OH)2 D3/Dex 处理细胞培养物会显著增加 ALP 活性和 BGLAP 信使 RNA 水平。这些数据表明,涂覆在钛盘上的金属层对细胞行为几乎没有调节作用。有人建议,由植入物周围组织调节的微环境在调节组织反应方面比植入物本身的材料更有效。