骨科植入物用多功能钛表面:抗菌活性和增强的骨整合。

Multifunctional Titanium Surfaces for Orthopedic Implants: Antimicrobial Activity and Enhanced Osseointegration.

机构信息

Instituto de Investigaciones Fisicoquímicas Teóricas y Aplicadas (INIFTA), Facultad de Ciencias Exactas, UNLP - CONICET, CC16 Suc 4, 1900 La Plata, Buenos Aires, Argentina.

出版信息

ACS Appl Bio Mater. 2021 Aug 16;4(8):6451-6461. doi: 10.1021/acsabm.1c00613. Epub 2021 Aug 4.

Abstract

The use of implants in orthopedics and dental practice is a widespread surgical procedure to treat diverse diseases. However, peri-implantitis due to infections and/or poor osseointegration can lead to metallic implant failure. The aim of this study was to develop a multifunctional coating on titanium (Ti) surfaces, to simultaneously deal with both issues, by combining antibacterial silver nanoparticles (AgNPs) and regenerative properties of lactoferrin (Lf). A simple and cost-effective methodology that allows the direct multifunctionalization of Ti surfaces was developed. The modified surfaces were characterized by atomic force microscopy (AFM), X-ray photoelectron spectroscopy, and contact angle measurements. Additionally, preosteoblast cell adhesion, cell viability, and differentiation were evaluated. The antibacterial capability of the surfaces was tested against as a prosthesis infection model strain. Our results showed that Lf adsorbed on both Ti surfaces and Ti surfaces with adsorbed AgNPs. Simultaneously, the presence of Lf and AgNPs notably improved preosteoblast adhesion, proliferation, and differentiation, whereas it reduced the bacterial colonization by 97.7%. Our findings indicate that this simple method may have potential applications in medical devices to both improve osseointegration and reduce bacterial infection risk, enhancing successful implantation and patients' quality of life.

摘要

在矫形和牙科实践中,植入物的使用是一种广泛的手术程序,用于治疗各种疾病。然而,由于感染和/或不良的骨整合,会导致种植体周围炎,从而导致金属植入物失败。本研究的目的是开发一种多功能涂层,用于钛(Ti)表面,通过结合具有抗菌作用的银纳米粒子(AgNPs)和乳铁蛋白(Lf)的再生特性,同时解决这两个问题。开发了一种简单且具有成本效益的方法,可直接对 Ti 表面进行多功能化。通过原子力显微镜(AFM)、X 射线光电子能谱和接触角测量对改性表面进行了表征。此外,还评估了前成骨细胞的黏附、细胞活力和分化。用作为假体感染模型菌株测试了表面的抗菌能力。我们的结果表明,Lf 吸附在 Ti 表面和吸附有 AgNPs 的 Ti 表面上。同时,Lf 和 AgNPs 的存在显著提高了前成骨细胞的黏附、增殖和分化,而细菌定植减少了 97.7%。我们的研究结果表明,这种简单的方法可能具有在医疗器械中的应用潜力,既能提高骨整合,又能降低细菌感染的风险,从而提高植入物的成功率和患者的生活质量。

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