Fabrication of nanostructures on implantable biomaterials for biocompatibility enhancement and infection resistance

Title:
Fabrication of nanostructures on implantable biomaterials for biocompatibility enhancement and infection resistance
Creator:
Liu, Luting (Author)
Contributor:
Webster, Thomas J. (Advisor)
Ebong, Eno E. (Committee member)
Podlaha-Murphy, Elizabeth J. (Committee member)
Zhang, Ke (Committee member)
Language:
English
Publisher:
Boston, Massachusetts : Northeastern University, 2017
Date Accepted:
April 2017
Date Awarded:
May 2017
Type of resource:
Text
Genre:
Dissertations
Format:
electronic
Digital origin:
born digital
Abstract/Description:
An implant or implantable medical device, which is used to replace or restore the function of traumatized or degenerated tissues or organs, or acts as a fraction of or the whole biological structure, has been used in many different parts of the body for various applications (such as orthopedics, cardiovascular stents, or drug delivery systems for medical treatment). The best performance of the vast majority of implants is achieved when the biomaterial used promotes some biological activity (such as bone regeneration) while minimizing undesirable activity (such as infection, one of the most common reasons for the failure of many implants). The surface of the implant, through its interactions with proteins, bacteria and tissue forming cells, plays a critical role in the success or failure of the implant. Therefore, in this study, we sought to employ various nanofabrication techniques for tailoring implant surfaces to minimize bacteria and promote mammalian cell functions without using drugs.

Titanium (Ti) and polyetheretherketone (PEEK) are commonly used biomaterials in orthopedic implants. Further surface modification is needed to support osseointegration while inhibiting bacteria attachment. Herein, temperature controlled atomic layer deposition (ALD) was utilized to provide unique nanostructured TiO2 coatings on commercial Ti. In vitro bacteria experiments revealed that the nano-TiO2 coatings showed promising antimicrobial efficacy towards Gram-positive bacteria (S. aureus), Gram-negative bacteria (E. coli) and antibiotic-resistant bacteria (MRSA). Impressively, cell results indicated that this nano-TiO2 coating stimulated osteoblast (or bone forming cell) adhesion and proliferation while suppressing undesirable fibroblast functions. The same procedure was performed on PEEK and also resulted in enhanced osteoblast functions and produced antimicrobial properties.

In another study, to isolate the effect of surface chemistry on cell and bacteria activities, a simple template-molding method (in which a material with a special structure is used as a template to imprint its structure onto another material) with nanotubular anodized Ti was used to formulate a physical nanostructured pattern on a PDMS (a commonly used polymeric catheter material) surface without changing its surface chemistry. Results showed that increased PDMS surface nanoscale roughness alone inhibited both Gram-negative (E. coli) and Gram-positive (S. aureus) bacteria adhesion and growth without using antibiotics while remaining non-toxic to fibroblasts and endothelial cells. A model was developed for the first time to correlate bacteria responses to nanoscale roughness with initial protein adsorption (specifically, casein protein, which is well known for preventing bacteria attachment). Data also revealed that an increase in nanoscale roughness and greater surface hydrophilicity together contributed to increased protein adsorption, which may decrease the interactions at the bacteria-nanorough surface interface and achieve effective antimicrobial properties.

Mechanistically, this thesis also investigated the influence of specific surface properties (i.e., nanoscale surface roughness, surface wettability and associated surface energy) on cell and bacteria functions. Results showed a direct proportional linear correlation of surface energy with surface roughness. It was found that surface energy plays a major role in determining cell and bacteria functions, and specifically all proposed nanofabricated samples with an initial surface energy at ~40 mJ/m2 showed relatively promising antibacterial properties and desirable cellular functions.

Overall, the results of this study provided alternative, inexpensive, methods for fabricating various implant surfaces with nanostructures to enhance biocompatibility and prevent bacterial attachment simultaneously, which will be beneficial for numerous biomedical applications.
Subjects and keywords:
biocompatibility
biomaterials
implants
infection
nanofabrication
DOI:
https://doi.org/10.17760/D20250935
Permanent Link:
http://hdl.handle.net/2047/D20250935
Use and reproduction:
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