4.6 Article

Effects of interfacial micromotions on vitality and differentiation of human osteoblasts

Journal

BONE & JOINT RESEARCH
Volume 7, Issue 2, Pages 187-195

Publisher

BRITISH EDITORIAL SOC BONE JOINT SURGERY
DOI: 10.1302/2046-3758.72.BJR-2017-0228.R1

Keywords

Micromotion; Osteoblast; Osteoblast differentiation; Osseointegration; Endoprosthesis

Funding

  1. International Team for Implantology (ITI) Foundation [1107_2015]

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Objectives Micromotions between the implant and surrounding bone can impair osseoin-tegration, resulting in fibrous encapsulation and aseptic loosening of the implant. Since the effect of micromotions on human bone cells is sparsely investigated, an in vitro system, which allows application of micromotions on bone cells and subsequent investigation of bone cell activity, was developed. Methods Micromotions ranging from 25 mu m to 100 mu m were applied as sine or triangle signal with 1 Hz frequency to human osteoblasts seeded on collagen scaffolds. Micromotions were applied for six hours per day over three days. During the micromotions, a static pressure of 527 P a was exerted on the cells by Ti6Al4V cylinders. Osteoblasts loaded with Ti6Al4V cylinders and unloaded osteoblasts without micromotions served as controls. Subsequently, cell viability, expression of the osteogenic markers collagen type I, alkaline phosphatase, and osteocalcin, as well as gene expression of osteoprotegerin, receptor activator of NF-kappa B ligand, matrix metalloproteinase-1, and tissue inhibitor of metalloproteinase-1, were investigated. Results Live and dead cell numbers were higher after 25 mu m sine and 50 mu m triangle micromotions compared with loaded controls. Collagen type I synthesis was downregulated in respective samples. The metabolic activity and osteocalcin expression level were higher in samples treated with 25 mu m micromotions compared with the loaded controls. Furthermore, static loading and micromotions decreased the osteoprotegerin/receptor activator of NF-kappa B ligand ratio. Conclusion Our system enables investigation of the behaviour of bone cells at the bone-implant interface under shear stress induced by micromotions. We could demonstrate that micromotions applied under static pressure conditions have a significant impact on the activity of osteoblasts seeded on collagen scaffolds. In future studies, higher mechanical stress will be applied and different implant surface structures will be considered.

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