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References In Vitro Studies

Evaluation of the interactions between collagen and the surface of a bioactive glass during in vitro test.

Oréfice R, Hench L, Brennan A.

Department of Metallurgical and Materials Engineering, Federal University of Minas Gerais, R. Espírito Santo 35/206 ‐ Belo Horizonte, MG, 30160‐030, Brazil.

Interactions between biomaterials and the body environment usually determine the lifetime and performance of biomedical devices used as implants. Among a variety of different types of interactions that occur whenever biomaterials are implanted into the body, adsorption of biomacromolcules onto the surface of biomaterials can guide other relevant processes such as cell attachment, cell differentiation, cell proliferation, tissue growth and biomaterials degradation. In this work, fundamental mechanisms associated with the interactions between collagen and the surface of biomaterials were studied by using Atomic Force Microscopy (AFM). The ultimate goal of this work is to isolate and simulate phenomena occurring at the molecular level, when biological entities are brought in contact with biomaterials. These results can then be used to design and test new biomedical devices. This manuscript reports the evaluation of interactions between collagen and the surface of bioactive glasses. These bioactive glasses are known to bond to soft and hard tissues through the formation of a hydroxy-carbonate-apatite layer. Collagen was grafted onto AFM cantilevers. AFM force-displacement curves were obtained using these modified tips against the surface of a bioactive glass at different stages of an in vitro test performed in a simulated body fluid. The results showed that the structure of the bioactive glass surface affects the adsorption of collagen on the biomaterial. The magnitude of the adhesion force measured is highly dependent on the deposition of a hydroxyl-carbonate-apatite at the surface of the glass.

J Biomed Mater Res A. 2008 May 19. [Epub ahead of print]

Microarray-based gene expression analysis of human osteoblasts in response to different biomaterials

Bombonato-Prado KF, Bellesini LS, Junta CM, Marques MM, Passos GA, Rosa AL.

Department of Morphology, Stomatology and Physiology, School of Dentistry of Ribeirão Preto, University of São Paulo (USP), Av. do Café, s/n, 14040‐904, Ribeirão Preto, SP, Brazil

Several biomaterials have been widely used in bone regeneration/substitution procedures in orthopedic and oral surgery. However, how these biomaterials alter osteoblast gene expression is poorly understood. We therefore attempted to address this question by using cDNA microarray technique to identify genes that are differentially regulated in osteoblasts exposed to biomaterials comprehending the biocompatibility spectrum of bioactive (bioglass and hydroxyapatite), bioinert (Ti and stainless steel), and biotolerant (polymethylmethacrylate). By using a cDNA microarray containing 687 human IMAGE sequences, we identified in primary cultures of osteoblastic cells differentiated from the human bone marrow and exposed to these biomaterials, genes whose expression was significantly upregulated or downregulated. Among the differentially expressed genes we have found those involved with cell cycle regulation, cell differentiation and proliferation, apoptosis, cell adhesion, bone mineralization and skeletal development. These results can be relevant to a better understanding of the molecular mechanism underlying the behavior of osteoblasts in bone regenerative procedures.

J Biomed Mater Res A. 2008 Feb 27 [Epub ahead of print]

Antimicrobial effect of nanometric bioactive glass 45S5.

Waltimo T, Brunner TJ, Vollenweider M, Stark WJ, Zehnder M.

Institute of Oral Microbiology and Preventive Dentistry, University of Basel Center of Dental Medicine, Switzerland.

Most recent advances in nanomaterials fabrication have given access to complex materials such as SiO(2)-Na(2)O-CaO-P(2)O(5) bioactive glasses in the form of amorphous nanoparticles of 20- to 60-nm size. The clinically interesting antimicrobial properties of commercially available, micron-sized bioactive glass 45S5 have been attributed to the continuous liberation of alkaline species during application. Here, we tested the hypothesis that, based on its more than ten-fold higher specific surface area, nanometric bioactive glass releases more alkaline species, and consequently displays a stronger antimicrobial effect, than the currently applied micron-sized material. Ionic dissolution profiles were monitored in simulated body fluid. Antimicrobial efficacy was assessed against clinical isolates of enterococci from persisting root canal infections. The shift from micron- to nano-sized treatment materials afforded a ten-fold increase in silica release and solution pH elevation by more than three units. Furthermore, the killing efficacy was substantially higher with the new material against all tested strains.

J Dent Res. 2007 Aug;86(8):754-7

Bactericidal effects of bioactive glasses on clinically important aerobic bacteria.

Munukka E, Leppäranta O, Korkeamäki M, Vaahtio M, Peltola T, et.al.,

Department of Medical Microbiology, University of Turku, Kiinamyllynkatu 13, Turku 20500, Finland. laevmu@utu.fi

Bioactive glasses (BAGs) have been studied for decades for clinical use, and they have found many dental and orthopedic applications. BAGs have also been shown to have an antibacterial effect e.g., on some oral microorganisms. In this extensive work we show that six powdered BAGs and two sol-gel derived materials have a clear antibacterial effect on 29 clinically important bacterial species. We also incorporated a rapid and accurate flow cytometric (FCM) method to calculate and standardize the numbers of viable bacteria inoculated in the suspensions used in the tests for antibacterial activity. In all materials tested growth inhibition could be demonstrated, although the concentration and time needed for the effect varied depending on the BAG. The most effective glass was S53P4, which had a clear growth-inhibitory effect on all pathogens tested. The sol-gel derived materials CaPSiO and CaPSiO II also showed a strong antibacterial effect. In summary, BAGs were found to clearly inhibit the growth of a wide selection of bacterial species causing e.g., infections on the surfaces of prostheses in the body after implantation.

J Mater Sci Mater Med. 2008 Jan;19(1):27-32. Epub 2007 Jun 14

Do bioactive glasses convey a disinfecting mechanism beyond a mere increase in pH?

Gubler M, Brunner TJ, Zehnder M, Waltimo T, Sener B, Stark WJ.

Institute for Chemical and Bioengineering, Department of Chemistry and Applied Biosciences, ETH Zurich, Zurich, Switzerland.

Aim To test whether bioactive glasses kill microbiota via mineralization or the release of ions other than sodium. Methodology Flame-spray synthesis was applied to produce nanometric glasses of different sodium content and constant Ca/P ratio: 28S5, 45S5 and 77S. Calcium hydroxide and nanometric tricalcium phosphate (TCP) were used as controls. Apatite induction was monitored by Raman spectroscopy. Bovine dentine disks with adherent Enterococcus faecalis cells were exposed to test and control suspensions or buffered solutions for 1 h, 1 day and 1 week. Colony-forming units were counted and disks were inspected using scanning electron microscopy. Suspension supernatants and solutions were analysed for their pH, osmolarity, calcium and silicon content. Results Sodium containing glasses induced pH levels above 12, compared with less than pH 9 with sodium-free 77S. Calcium hydroxide, 45S5 and 28S5 killed all bacteria after 1 day and lysed them after 1 week. TCP caused the highest apatite induction and substantial calcification on bacteria adhering to dentine, but did not reduce viable counts. 77S achieved disinfection after 1 week without visible apatite formation, whilst the buffer solution at pH 9 caused only minimal reduction in counts. Conclusion Bioactive glasses have a directly and an indirectly pH-related antibacterial effect. The effect not directly linked to pH is because of ion release rather than mineralization.

Int Endod J. 2008 Jun 11. [Epub ahead of print]

Genetic portrait of osteoblast-like cells cultured on Bioactive Glass.

Carinci F, Palmieri A, Martinelli M, Perrotti V, Piattelli A, Brunelli G, Arlotti M, Pezzetti F.

Department of Embryology and Morphology, University of Ferrara.

PerioGlas (PG) is an alloplastic material used for grafting periodontal osseous defects since 1995. In animal models it has been histologically proven that PG achieves good repair of surgically created defects. In clinical trials, PG has been shown to be effective as an adjunct to conventional surgery in treating intrabony defects. Because the molecular events by which PG is able to alter osteoblast activity to promote bone formation are poorly understood, we investigated genes that are differently regulated in osteoblast-like cells exposed to PG. Bone formation can be attributable to ostegenesis (ie, direct stimulation of osteoblast to produce new bone), osteoconduction (which operates like a scaffold), or both processes. By using DNA microarrays containing 20 000 oligonucleotides, we identified several genes in which expression was significantly downregulated in a MG63 cell line cultured with PerioGlas (US Biomaterials Corp, Alachua, Fla). Specifically, PG is able to downregulate some functional activities of osteoblast-like cells: it acts on signal transduction, especially on the transforming growth factor beta (TGFB) paracrine network; it inhibits apoptosis; it decreases cell adhesion with consequent enhancement of cell mobility and migration; and it acts on bone marrow stem cells (ie, CD34). In conclusion, PG acts on bone formation by determining both osteoconduction (as demonstrated by the reduced cell adhesion) and ostegenesis (as shown by TGFB-related proteins and stem cell markers).

J Oral Implantol. 2007;33(6):327-33.

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