Chinese Journal of Tissue Engineering Research ›› 2019, Vol. 23 ›› Issue (2): 165-171.doi: 10.3969/j.issn.2095-4344.0692

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Titanium-copper alloys with nanotubular coatings increase antibacterial abilities and osteoblast functions

Zhang Lei1, Zhang Hangzhou2, Allieu Kamara3   

  1. 1First Department of Orthopedics, Third Affiliated Hospital of Jinzhou Medical University, Jinzhou 121001, Liaoning Province, China; 2Department of Sports Medicine/Joint Surgery, First Affiliated Hospital of China Medical University, Shenyang 110001, Liaoning Province, China; 3China Medical University, Shenyang 110001, Liaoning Province, China
  • Online:2019-01-18 Published:2019-01-18
  • Contact: Allieu Kamara, China Medical University, Shenyang 110001, Liaoning Province, China
  • About author:Zhang Lei, Attending physician, First Department of Orthopedics, Third Affiliated Hospital of Jinzhou Medical University, Jinzhou 121001, Liaoning Province, China
  • Supported by:

    the National Natural Science Foundation of China, No. 81671811; the National Natural Science Foundation of China (Youth Foundation), No. 81501857 (to ZHZ); Liaoning Provincial Reform Project for Key Clinical Diagnosis and Treatment, No. LNCCC-A03-2014; the Natural Science Foundation of Liaoning Province, No. LK201642; Special Science and Technology Research Project for Population and Health in Shenyang, No. F15-139-9-23

Abstract:

BACKGROUND: Implant infection is still a serious adverse event after orthopedic surgery. Copper (Cu) is a currently known metal that has antibacterial properties. Studies have shown that nanostructured metals prepared by nanotechnology can promote the adhesion, proliferation and osseointegration of osteoblasts in vivo. Staphylococcus aureus, the most common implant-related pathogen in clinical practice, is used to test antibacterial properties of titanium-copper alloy nanotubes.

OBJECTIVE: To observe the effect of antibacterial properties of titanium-copper alloy nanotubes on the function of osteoblasts.
METHODS: Mouse osteoblasts (MC-3T3-E1) were co-cultured with different materials, including pure titanium, titanium dioxide nanotubes, and titanium-copper alloy nanotubes with a copper content of 5%, for 6 and 24 hours. Cell adhesion and proliferation on the scaffold were observed. Antibacterial properties of titanium-copper alloy nanotubes, titanium dioxide nanotubes and pure titanium were compared. Biocompatibility of osteoblasts co-cultured on different material surfaces was detected, and antibacterial properties of different materials to Staphylococcus aureus were measured.
RESULTS AND CONCLUSION: (1) Under scanning electron microscope, we observed good cell adhesion onto the surface of titanium dioxide nanotubes and titanium-copper alloy nanotubes, and the adherent cells had good cell morphology and regular arrangement. Cell proliferation of osteoblasts was better in the two nanotube groups than in the pure titanium group, but there was no significant difference between the titanium-copper alloy nanotube and titanium dioxide nanotube groups. (2) Higher bacteria counts were observed in the pure titanium and titanium dioxide nanotube groups than the titanium-copper alloy nanotube group. In conclusion, the titanium-copper alloy nanotubes have good inhibitory effect on bacterial adhesion, and have no influence on the bio-functions of osteoblasts. 

Key words: Tissue Engineering, Titanium, Staphylococcus aureus, Osteoblasts

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