Yingchao Su

Bioinspired surface functionalization of metallic biomaterials

Metallic biomaterials are widely used for clinical applications because of their excellent mechanical properties and good durability. In order to provide essential biofunctionalities, surface functionalization is of particular interest and requirement in the development of high-performance metallic implants. Inspired by the functional surface of natural biological systems, many new designs and conceptions have recently emerged to create multifunctional surfaces with great potential for biomedical applications. This review firstly introduces the metallic biomaterials, important surface properties, and then elaborates some strategies on achieving the bioinspired surface functionalization for metallic biomaterials.

Biological Responses and Mechanisms of Human Bone Marrow Mesenchymal Stem Cells to Zn and Mg Biomaterials

Zn biomaterials attract strong attentions recently for load-bearing medical implants because of their mechanical properties similar to bone, biocompatibility, and degradability at a more matched rate to tissue healing. It has been shown previously that Zn alloys are beneficial for bone regeneration, but the supporting mechanisms have not been explored in detail. Here, we studied the biological responses of human bone marrow mesenchymal stem cells (hMSC) to Zn and the underlying cellular signaling mechanisms. Typical Mg material AZ31 was used as a comparative benchmark control. Direct culture of cells on the materials revealed that cell adhesion, proliferation, and motility were higher on Zn than on AZ31. Significant cytoskeletal reorganizations induced by Zn or AZ31 were also observed. Mineralization of extracellular matrix (ECM) and hMSC osteogenic differentiation, measured by Alizarin red and ALP staining and activities, were significantly enhanced when cells were cultured with Zn or AZ31. Quantitative PCR also showed the increased expression of bone-related genes including ALP, collagen I, and osteopontin. Using small RNA interference to knockdown related key molecules, we illustrated the mechanisms of Zn-induced cellular signaling. TRPM7 and GPR39 appear to be the major cellular receptors facilitating Zn2+-entry into hMSC. The intracellular Zn2+ then activates the cAMP-PKA pathway and triggers intracellular Ca2+ responses, leading to activation of MAPK. In addition, Zn2+ activates the Gαq-PLC-AKT pathway as well. Eventually, all of this signaling would lead to enhanced differential regulation of genes, cell survival/growth and differentiation, ECM mineralization, osteogenesis, and other cellular activities.

In Vitro Degradation Behaviors of Manganese-Calcium Phosphate Coatings on an Mg-Ca-Zn Alloy

In order to decrease the degradation rate of magnesium (Mg) alloys for the potential orthopedic applications, manganese-calcium phosphate coatings were prepared on an Mg-Ca-Zn alloy in calcium phosphating solutions with different addition of Mn2+. Influence of Mn content on degradation behaviors of phosphate coatings in the simulated body fluid was investigated to obtain the optimum coating. With the increasing Mn addition, the corrosion resistance of the manganese-calcium phosphate coatings was gradually improved. The optimum coating prepared in solution containing 0.05 mol/L Mn2+ had a uniform and compact microstructure and was composed of MnHPO4·3H2O, CaHPO4·2H2O, and Ca3(PO4)2. The electrochemical corrosion test in simulated body fluid revealed that polarization resistance of the optimum coating is 36273 Ωcm2, which is about 11 times higher than that of phosphate coating without Mn addition. The optimum coating also showed the most stable surface structure and lowest hydrogen release in the immersion test in simulated body fluid.

Investigation on Composition, Mechanical Properties, and Corrosion Resistance of Mg-0.5Ca-X(Sr, Zr, Sn) Biological Alloy

Four nontoxic biological alloys, Mg-0.5Ca-1Sr-4Zr (Alloy 1), Mg-0.5Ca-1Sr-1.5Zr (Alloy 2), Mg-0.5Ca-3Sr-1.5Zr (Alloy 3), and Mg-0.5Ca-1Sr-0.5Sn (Alloy 4), were prepared by vacuum smelting, gravity casting, and hot rolling. The composition and microstructure of the alloys were investigated by optical microscope, X-ray fluorescence spectrometer (XRF), X-ray diffraction (XRD), scanning electron microscope (SEM), and energy dispersion spectroscopy (EDS). The mechanical properties and corrosion behaviors of the alloys in Hanks solution were studied. Results showed that a large amount of fine and uniformly distributed second-phase particles (Zr, Mg17Sr2, and CaMgSn) was observed in four alloys obtained after rolling and alloying. The segregation of Zr in alloys was observed in EDS image, and chemical analysis showed that there was macrosegregation of the elements in the alloys. Furthermore, Mg17Sr2 phases in the Mg-0.5Ca-1Sr-0.5Sn alloy homogenized the distribution of CaMgZn phases. The comprehensive mechanical properties of four newly designed rolled alloys were much higher than those of pure Mg, and the compressive strength of the alloys was more than twice as high as that of pure magnesium. The Mg-0.5Ca-1Sr-0.5Sn alloy released the least hydrogen in Hanks solution, which was lower than that of pure magnesium. Electrochemical test results in Hanks solution further showed that the Mg-0.5Ca-1Sr-0.5Sn alloy had delayed corrosion and lowest Icorr which was 25% of that of pure magnesium. Biological experiments results showed that the Mg-0.5Ca-1Sr-0.5Sn alloy had better biocompatibility and optimal potential for bone substitute material.

Zinc regulates vascular endothelial cell activity through zinc-sensing receptor ZnR/GPR39

Zn2+ is an essential element for cell survival/growth, and its deficiency is linked to many disorders. Extracellular Zn2+ concentration changes participate in modulating fundamental cellular processes such as proliferation, secretion, ion transport, and cell signal transduction in a mechanism that is not well understood. Here, we hypothesize that the Zn2+-sensing receptor ZnR/G protein-coupled receptor 39 (GPR39), found in tissues where dynamic Zn2+ homeostasis takes place, enables extracellular Zn2+ to trigger intracellular signaling pathways regulating key cell functions in vascular cells. Thus, we investigated how extracellular Zn2+ regulates cell viability, proliferation, motility, angiogenesis, vascular tone, and inflammation through ZnR/GPR39 in endothelial cells. Knockdown of GPR39 through siRNA largely abolished Zn2+-triggered cellular activity changes, Ca2+ responses, as well as the downstream activation of Gαq-PLC pathways. Extracellular Zn2+ promoted vascular cell survival/growth through activation of cAMP and Akt as well as overexpressing of platelet-derived growth factor-α receptor and vascular endothelial growth factor A. It also enhanced cell adhesion and mobility, endothelial tubule formation, and cytoskeletal reorganization. Such effects from extracellular Zn2+ were not observed in GPR39-/- endothelial cells. Zn2+ also regulated inflammation-related key molecules such as heme oxygenase-1, selectin L, IL-10, and platelet endothelial cell adhesion molecule 1, as well as vascular tone-related prostaglandin I2 synthase and nitric oxide synthase-3. In sum, extracellular Zn2+ regulates endothelial cell activity in a ZnR/GPR39-dependent manner and through the downstream Gαq-PLC pathways. Thus, ZnR/GPR39 may be a therapeutic target for regulating endothelial activity.

Microstructure, mechanical properties, biocompatibility, and in vitro corrosion and degradation behavior of a new Zn–5Ge alloy for biodegradable implant materials

Zinc (Zn)-based alloys are considered a new class of biodegradable implant materials due to their superior chemical stability and processability compared to biodegradable magnesium (Mg) alloys. In this study, we report a new biodegradable Zn-5Ge alloy with highly desirable mechanical, corrosion, and biological properties. Microstructural characterization revealed the effective grain-refining effect of germanium (Ge) on the Zn alloy. Tensile test results indicated that the hot-rolled Zn-5Ge alloy showed an ultimate tensile strength of 237.0 MPa, a yield strength of 175.1 MPa, and an elongation of 21.6%; while as-cast pure Zn showed an ultimate tensile strength of 33.6 MPa, a yield strength of 29.3 MPa, and an elongation of 1.2%. The corrosion rates measured by potentiodynamic polarization tests in Hanks solution in ascending order are: as-cast Zn-5Ge (0.1272 mm/y) < as-cast pure Zn (0.1567 mm/y) < hot-rolled Zn-5Ge (0.2255 mm/y) < hot-rolled pure Zn (0.3057 mm/y). Immersion tests revealed that the degradation rate of as-cast Zn-5Ge is 0.042 mm/y, less than half of that of hot-rolled pure Zn and ∼62% of that of as-cast pure Zn. Moreover, the Zn-5Ge alloy showed excellent in vitro hemocompatibility and the addition of 5% Ge effectively enhanced the hemocompatibility of pure Zn. CCK-8 assay using murine preosteoblast MC3T3-E1 cells indicated that the diluted extracts at a concentration <12.5% of both the as-cast Zn-5Ge alloy and pure Zn showed grade 0 cytotoxicity; the diluted extracts at the concentrations of 50% and 25% of Zn-5Ge alloy showed a significantly higher cell viability than those of pure Zn. STATEMENT OF SIGNIFICANCE: Zinc (Zn)-based alloys are currently considered a new class of biodegradable implant materials due to their excellent processability. Here, we report a novel Zn-5Ge alloy with highly desirable mechanical, corrosion and biological properties. The tensile test results indicated that the hot-rolled Zn-5Ge alloy showed an ultimate tensile strength of 237.0 MPa, a yield strength of 175.1 MPa and an elongation of 21.6%; while as-cast pure Zn showed an ultimate tensile strength of 33.6 MPa, a yield strength of 29.3 MPa and an elongation of 1.2%. The corrosion rate measured by potentiodynamic polarization tests in Hanks solution in the ascending order is: as-cast Zn-5Ge (0.1272 mm/y) < as-cast pure Zn (0.1567 mm/y) < hot-rolled Zn-5Ge (0.2255 mm/y) < hot-rolled pure Zn (0.3057 mm/y). Immersion tests revealed that the degradation rate of the as-cast Zn-5Ge is 0.042 mm/y, less than half of that of the hot-rolled pure Zn, ∼62% of that of as-cast pure Zn. Moreover, the Zn-5Ge alloy showed excellent in vitro biocompatibility.

Calcium Phosphate Coatings for Metallic Orthopedic Biomaterials

Metallic implant materials are widely used for clinical applications but still could not achieve satisfactory functionalities for specific biomedical applications. Surface functionalizations are of particular interest to improve their surface bioactivity and provide other biofunctionalities for biomedical applications. Because of the excellent biological functions of calcium phosphate ceramics (CaPs), CaP coatings have been proposed and developed onto the surface of metallic implants to achieve improved osteointegration, corrosion resistance and antibacterial properties. This review firstly introduces the metallic biomaterials, important surface properties, and then elaborates the surface functionalization with CaP coatings for metallic biomaterials.

Development of Biodegradable Zn-Based Medical Implants

Biodegradable metals, including magnesium (Mg), iron (Fe) and zinc (Zn), have been proposed and developed for temporary implants with the expectation to degrade and be absorbed gradually in vivo during the tissue healing process. Compared to Mg alloys and Fe alloys, the standard electrode potential of Zn is between that of Mg and Fe, so its degradation rate has been proved to be more likely in line with the clinical demand. In addition, Zn is one of the essential trace elements in human body and plays essential roles in many enzymes and in cell metabolic activity, proliferation and differentiation. Therefore, the recent progress of Zn-based metallic biomaterials is reviewed in this chapter for the development of high-performance metallic biomaterials.