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Influence of Reactive Sputtering-Deposited Nb2O5 Coating On the Ti-6Al-4V Alloy Surfaces: Biomineralization, Antibacterial Activity, and Cell Viability Tests

Abstract

Biomedical engineering has been constantly looking for the development of new materials that have bioactive surfaces and that are responsible for new bone formation, induce osteoblast differentiation and present antibacterial properties. Here, we present innovative and applied research to evaluate the influence of niobium pentoxide thin films (Nb2O5) deposited on the surface of a Ti-6Al-4V alloy via the reactive sputtering technique on antibacterial activity, on the cellular proliferation of MC3T3 cells and on biomineralization capacity. Results demonstrated the reactive sputtering technique improved the cell viability, the osteogenic performance of cells involved in the osseointegration process, the ability to delay bacterial proliferation within the first six hours of contact with S. aureus as well as the capacity to promote rapid amorphous apatite formation in vitro. These findings confirm the great potential of the Ti-6Al-4V alloy functionalized with Nb2O5 for future applications in implantable devices.

Keywords:
Biomaterials; Orthopedic implants; Titanium alloy; Surface modification; MC3T3 cells


1. Introduction

Various studies worldwide have focused on enhancing and refining the biofunctional characteristics of metallic materials employed in orthopedic and dental implants. Their objective is to address and mitigate several limitations that hinder their widespread use, including issues related to toxicity, bioinertia, and implant dissolution. As is known, among the range of metallic biomaterials, titanium (Ti) and its alloys have several attractive properties such as good mechanical strength, good resistance to global and localized corrosion and biocompatibility, among others11 Liu X, Chu PK, Ding C. Surface modification of titanium, titanium alloys, and related materials for biomedical applications. Mater Sci Eng Rep. 2004;47(3-4):49-121.

2 Kaur M, Singh K. Review on titanium and titanium based alloys as biomaterials for orthopaedic applications. Mater Sci Eng C. 2019;102:844-62.
-33 Yerokhin AL, Nie X, Leyland A, Matthews A. Characterisation of oxide films produced by plasma electrolytic oxidation of a Ti–6Al–4V alloy. Surf Coat Tech. 2000;130(2-3):195-206.. However, as reported in the literature44 He L, Dai D, Xie L, Chen Y, Zhang C. Biological effects, applications and strategies of nanomodification of dental metal surfaces. Mater Des. 2021;207:109890., Ti and its alloys are considered inert materials, and although the spontaneously formed titanium dioxide oxide (TiO2) layer on their surfaces provides a relatively stable interface, it interacts minimally with surrounding tissue and lacks bioactivity to induce bone regeneration, resulting in poor osseointegration. Furthermore, using the Ti-6Al-4V alloy for implants under in vivo conditions, such as joints prosthesis, can make the biomaterial susceptible to tribological events and fatigue processes, i.e., the application of load in stationary or dynamic conditions can rupture the oxide film, exposing the material to a global or localized corrosion process when in the presence of aggressive ions33 Yerokhin AL, Nie X, Leyland A, Matthews A. Characterisation of oxide films produced by plasma electrolytic oxidation of a Ti–6Al–4V alloy. Surf Coat Tech. 2000;130(2-3):195-206., such as Cl- and F- 55 Chen WQ, Zhang SM, Qiu J. Surface analysis and corrosion behavior of pure titanium under fluoride exposure. J Prosthet Dent. 2020;124(2):239.e1-8.,66 Houb-Dine A, Bahije L, Zaoui F. La corrosion des attaches en titane par le fluor: revue systématique. Int Orthod. 2018;16(4):603-12..

Thus, in order to improve all these above-mentioned properties, it is essential to develop studies that improve the Ti-6Al-4V alloy surface properties since the surface characteristics of these materials influence the conformational changes of the adsorbed molecules, the adhesion process and the recruitment of tissue-derived, vascular, inflammatory and stromal cells77 Nakkala JR, Li Z, Ahmad W, Wang K, Gao C. Immunomodulatory biomaterials and their application in therapies for chronic inflammation-related diseases. Acta Biomater. 2021;123:1-30..

Studies carried out by this research group have aroused great interest in the functionalization of the Ti-6Al-4V alloy with polycrystalline niobium pentoxide (Nb2O5) thin films that are obtained via the reactive sputtering technique88 Nascimento JPL, Ferreira MOA, Gelamo RV, Scarmínio J, Steffen TT, Silva BP, et al. Enhancing the corrosion protection of Ti-6Al-4V alloy through reactive sputtering niobium oxide thin films. Surf Coat Tech. 2021;428:127854.,99 Bino MCA, Eurídice WA, Gelamo RV, Leite NB, Silva MV, Siervo A, et al. Structural and morphological characterization of Ti6Al4V alloy surface functionalization based on Nb2O5 thin film for biomedical applications. Appl Surf Sci. 2021;557:149739.. The results obtained thus far show that the Nb2O5 thin films deposited on the surface of the Ti-6Al-4V alloy act as a protective physical barrier against the corrosion process in a medium containing F- ions88 Nascimento JPL, Ferreira MOA, Gelamo RV, Scarmínio J, Steffen TT, Silva BP, et al. Enhancing the corrosion protection of Ti-6Al-4V alloy through reactive sputtering niobium oxide thin films. Surf Coat Tech. 2021;428:127854.. Consequently, they should prevent the release of aluminum (Al) and vanadium (V) ions that may be related to adverse reactions and that are harmful to the body1010 Badhe RV, Akinfosile O, Bijukumar D, Barba M, Mathew MT. Systemic toxicity eliciting metal ion levels from metallic implants and orthopedic devices: a mini review. Toxicol Lett. 2021;350:213-24.

11 Barchowsky A. Systemic and immune toxicity of implanted materials. In: Wagner WR, Sakiyama-Elbert SE, Zhang G, Yaszemski MJ, editors. Biomaterials science. 4th ed. Rochester: Academic Press; 2020. p. 791-9.
-1212 Mizuno K, Boschetto F, Yamamoto K, Honma T, Miyamoto N, Adachi T, et al. Cytotoxicity and osteogenic effects of aluminum ions. J Inorg Biochem. 2022;234:111884..

In vitro biological experiments use different cells (SaOS-2, human mesenchymal stem cells and osteoblast-like cells) that make it possible to assess the influence of coatings on cell adhesion, proliferation, and differentiation processes1313 Surmenev RA, Surmeneva MA, Ivanova AA. Significance of calcium phosphate coatings for the enhancement of new bone osteogenesis: a review. Acta Biomater. 2014;10(2):557-79.. Furthermore, foreign material in the body can stimulate inflammatory and toxic responses, leading to implant instability, tissue necrosis and even rejection1414 von der Mark K, Park J. Engineering biocompatible implant surfaces: part II: cellular recognition of biomaterial surfaces: Lessons from cell–matrix interactions. Prog Mater Sci. 2013;58(3):327-81.. In vitro investigations seek to simulate some aspects of cell function and activated signaling after the implantation of a foreign material in vivo. Thus, they have a crucial role in the biological evaluation of new biomaterials, allowing for the assessment of several aspects such as cellular interactions with implant materials and implant behavior in a biological environment1313 Surmenev RA, Surmeneva MA, Ivanova AA. Significance of calcium phosphate coatings for the enhancement of new bone osteogenesis: a review. Acta Biomater. 2014;10(2):557-79..

Niobium and its oxides have been studied for their ability to improve different biomaterials in vitro. Madhavi et al.1515 Madhavi B, Siva Sesha Reddy A, Syam Prasad P, Prasad A, Pavani Koteswari Devi P, Ravi Kumar V, et al. The impact of Nb2O5 on in-vitro bioactivity and antibacterial activity of CaF2–CaO–B2O3–P2O5–SrO glass system. Ceram Int. 2021;47(20):28328-37. verified that the implementation of Nb2O5 in bioactive glasses improved the bioactivity of these materials, providing antibacterial activity. Studies carried out by Panda et al.1616 Panda S, Behera BP, Bhutia SK, Biswas CK, Paul S. Rare transition metal doped hydroxyapatite coating prepared via microwave irradiation improved corrosion resistance, biocompatibility and anti-biofilm property of titanium alloy. J Alloys Compd. 2022;918:165662. showed that the functionalization of the Ti-6Al-4V alloy with niobium-doped hydroxyapatite conferred antibacterial properties against gram-positive and gram-negative bacteria. The incorporation of niobium into amorphous carbon films via the Magnetron Sputtering technique increased cell adhesion and the alkaline phosphatase (ALP) expression of pre-osteoblastic cells grown on their surface1717 Yate L, Coy LE, Gregurec D, Aperador W, Moya SE, Wang G. Nb-C nanocomposite films with enhanced biocompatibility and mechanical properties for hard-tissue implant applications. ACS Appl Mater Interfaces. 2015;7(11):6351-8.. And, finally, the use of niobium has shown bioactivity improvement in grafts in in vivo tests, promoting bone formation comparable to that of autogenous bone and without compromising its properties1818 Balbinot GS, Leitune VCB, Ponzoni D, Collares FM. Bone healing with niobium-containing bioactive glass composition in rat femur model: A micro-CT study. Dent Mater. 2019;35(10):1490-7..

Considering the various attractive properties of niobium and its oxides, and that there are no studies in the literature obtained by other research groups with similar morphological and structural characteristics1919 Safavi MS, Walsh FC, Visai L, Khalil-Allafi J. Progress in niobium oxide-containing coatings for biomedical applications: a critical review. ACS Omega. 2022;7(11):9088-107.

20 Mazur M, Kalisz M, Wojcieszak D, Grobelny M, Mazur P, Kaczmarek D, et al. Determination of structural, mechanical and corrosion properties of Nb2O5 and (NbyCu1 − y)Ox thin films deposited on Ti6Al4V alloy substrates for dental implant applications. Mater Sci Eng C. 2015;47:211-21.
-2121 Grobelny M, Kalisz M, Mazur M, Wojcieszak D, Kaczmarek D, Domaradzki J, et al. Functional Nb2O5 film and Nb2O5+ CuO, Nb2O5+ Graphene, Nb2O5+ CuO + Graphene composite films to modify the properties of Ti6Al4V titanium alloy. Thin Solid Films. 2016;616:64-72., we present new findings regarding the influence that the Nb2O5 thin films deposited via the reactive sputtering technique have on the Ti-6Al-4V alloy’s biofunctional properties. Here, this coating’s influence on antibacterial activity, MC3T3 cell proliferation and biomineralization capacity was evaluated.

2. Materials and Methods

2.1. Materials

The chemical composition (wt%) of the Ti-6Al-4V alloy is 0.05 N, 0.08 C, 0.015 H, 0.40 Fe, 0.20 O, 5.5-6.75 Al, 3.5-4.5 V, and Ti balance. Ti-6Al-4V alloy specimens were sanded with the aid of silicon carbide (SiC) sandpaper in the granulometries of 800, 1200, 2500 and 4000#. Afterwards, the samples were ultrasonically washed at room temperature with distilled water (10 min) and isopropyl alcohol (10 min). The specimens were coated with Nb2O5 films using the reactive sputtering technique. More details regarding the coating technique can be obtained in a previous work published by this research group88 Nascimento JPL, Ferreira MOA, Gelamo RV, Scarmínio J, Steffen TT, Silva BP, et al. Enhancing the corrosion protection of Ti-6Al-4V alloy through reactive sputtering niobium oxide thin films. Surf Coat Tech. 2021;428:127854.,2222 Machuno LGB, Lima AB, Buso RR, Abdanur RMF, Rangel EC, Gelamo RV. Desenvolvimento e avaliação de uma fonte DC de alta tensão para utilização em sistema de deposição de filmes finos por pulverização catódica. Materia. 2016;21(2):492-500.

23 Moreto JA, Gelamo RV, Nascimento JPL, Taryba M, Fernandes JCS. Improving the corrosion protection of 2524-T3-Al alloy through reactive sputtering Nb2O5 coatings. Appl Surf Sci. 2021;556:149750.
-2424 Moreto JA, Gelamo RV, Silva MV, Steffen TT, Oliveira CJF, Buranello PAA, et al. New insights of Nb2O5-based coatings on the 316L SS surfaces: enhanced biological responses. J Mater Sci Mater Med. 2021;32(3):25..

2.2. Differentiation of MC3T3-E1 lineage cells and the evaluation of the influence of the coating on cell proliferation

MC3T3 cells were cultured for a 7-day period in an alpha-minimum essential medium (α-MEM) and supplemented as described by Eurídice et al.2525 Eurídice WA, Leite NB, Gelamo RV, Buranello PAA, Silva MV, Oliveira CJF, et al. a-C:H films produced by PECVD technique onto substrate of Ti6Al4V alloy: chemical and biological responses. Appl Surf Sci. 2020;503:144084.. The measurement of the coating’s influence on cell proliferation was based on the change in fluorescence after the addition of the resazurin dye2626 Al-Kutubi H, Zafarani HR, Rassaei L, Mathwig K. Electrofluorochromic systems: molecules and materials exhibiting redox-switchable fluorescence. Eur Polym J. 2016;83:478-98..

In the physiological pH range, the conversion of resazurin to resorufin is associated with a change in the absorbance spectrum (λmax = 600 nm and λmax = 570 nm, respectively). After the resorufin excitation at the wavelength corresponding to its maximum absorbance, the intensity fluorescence emitted can be recorded (λmax= 590 nm). In contrast, resazurin is weakly fluorescent within the visible spectrum2727 Lavogina D, Lust H, Tahk MJ, Laasfeld T, Vellama H, Nasirova N, et al. Revisiting the resazurin‐based sensing of cellular viability: widening the application horizon. Biosensors. 2022;12(4):196.. The cell viability was determined by fluorescence quantification at λem= 594 nm using a microplate reader (EnSpire, EUA). Cell culture manipulations were performed in a laminar flow hood and incubations in a cell culture incubator with 5% CO2 at a temperature of 37 ± 1 °C.

2.3. Alkaline phosphatase analysis

After being differentiated into osteoblasts, the cells were also used for alkaline phosphatase (ALP) analysis. The ALP catalyzes the transfer of the phosphate group from the substrate p-nitrophenylphosphate (pNFF) to 2-amino-2-methyl-1-propanol (AMP), forming p-nitrophenol, which has a high absorbance at 405 nm and is proportional to the alkaline phosphatase enzymatic activity of the sample2828 Schumann G, Klauke R, Canalias F, Bossert-Reuther S, Franck PFH, Gella FJ, et al. IFCC primary reference procedures for the measurement of catalytic activity concentrations of enzymes at 37 °C. Part 9: reference procedure for the measurement of catalytic concentration of alkaline phosphatase. Clin Chem Lab Med. 2011;49(9):1439-46.. The cell culture medium was α-MEM containing 1% antibiotics and 10% FBS, and the density was 1 × 105 cells/mL/6-well plate cultured on specimens of Ti-6Al-4V and Ti-6Al-4V/Nb2O5 during 7 days at 37 ± 1 °C under 5% CO2. The culture medium was replaced every 2 days before the collection day. Subsequently, the quantification of ALP activity (Biotécnica, Brazil) was performed in accordance with the instructions set forth by the manufacturer for samples with different stimuli. The analyzes were performed by using a semiautomatic Bioclin 100 analyzer (Quibasa-Bioclin, Brazil) and the results were expressed in mg dL-1.

2.4. Evaluation of antibacterial activity

2.4.1. Agar disk diffusion test

Agar disk diffusion and direct contact tests are the most common to assess the antimicrobial activity of various materials. As reported in the literature2929 Huang TH, Chen CL, Hung CJ, Kao C-T. Comparison of antibacterial activities of root-end filling materials by an agar diffusion assay and Alamar blue assay. J Dent Sci. 2012;7(4):336-41., the agar diffusion test is strongly influenced by the solubility and diffusibility of the tested agent. The hypothesis that diffusion of some component of the Nb2O5 coating could occur, with possible antibacterial activity, was tested. To do so, a volume of 50 mL of S. aureus suspension, adjusted to 0.5 on the McFarland scale, was transferred to the blood agar culture medium (see Figure 1a). The samples were placed in the culture with the evaluated surfaces facing downwards as shown in Figure 1b. Then, the plates were incubated for a period of 24 h at a temperature of 37 ± 1 °C (see Figure 1c)3030 Arash V, Keikhaee F, Rabie SM, Rajabnia R, Khafri S, Tavanafar S. Evaluation of antibacterial effects of silver-coated stainless steel orthodontic brackets. J Dent. 2016;13(1):49-54.. The antibacterial activity was quantified through the inhibition area formed around the tested specimens.

Figure 1
Representative drawing showing the steps for the inhibition halo assay. (a) The S. aureus suspension, adjusted to 0.5 on the McFarland scale was transferred to the blood agar culture medium, (b) the samples were placed in the culture with the evaluated surfaces facing downwards and (c) the plates were incubated for a period of 24 h at a temperature of 37 ± 1 °C.

2.4.2. Direct contact antibacterial activity assay

First, an aliquot of bacterial suspension with turbidity corresponding to 0.5 on the McFarland scale was diluted at the proportion of 1:10 in saline solution (0.9% NaCl). Then, 1 μL of this dilution was added together with 200 μL of Brain Heart Infusion Broth on the studied samples’ surfaces (Figure 2a) and incubated at a temperature of 37 ± 1 °C (Figure 2b). After 3, 6, 24 and 48 h, 10 μL of this culture were removed (Figure 2c and 2d) and inoculated onto blood agar plates, which were then incubated at 37 ± 1 °C for 24 h (Figure 2e). Finally, bacterial counts were performed to verify the coating’s influence on bacterial proliferation on the samples’ surfaces3030 Arash V, Keikhaee F, Rabie SM, Rajabnia R, Khafri S, Tavanafar S. Evaluation of antibacterial effects of silver-coated stainless steel orthodontic brackets. J Dent. 2016;13(1):49-54.. The chloramphenicol 100 mg mL-1 was used as a positive control.

Figure 2
Schematic drawing showing steps for assaying antibacterial activity through direct contact assay. (a) bacterial suspension was added together with 200 μL of Brain Heart Infusion Broth on the studied samples’ surfaces and (b) incubated at a temperature of 37 ± 1 °C. (c and d) After 3, 6, 24 and 48 h, 10 μL of this culture were removed and inoculated onto blood agar plates, (e) which were then incubated at 37 ± 1 °C for 24 h.

2.5. Biomineralization test in simulated body fluid

The degree of apatite production in simulated body fluid (SBF) can be used to predict the in vivo bone bioactivity level of a material qualitatively and/or quantitatively. This method, which can be used to screen for compounds with bone bioactivity before animal testing, aids in the efficient production of new types of bioactive materials. In the present study, the SBF was prepared according to the recommendations proposed by Kokubo and Takadama3131 Kokubo T, Takadama H. How useful is SBF in predicting in vivo bone bioactivity? Biomaterials. 2006;27(15):2907-15.. The reagent amounts for the preparation of 1 L of SBF solution and the comparison to the amount of ions found in human blood plasma are presented in Tables 1 and 2, respectively.

Table 1
Reagents for the preparation of 1 L of SBF.
Table 2
Nominal ion concentration (mmol L-1) of the SBF compared to human blood plasma.

The Ti-6Al-4V and Ti-6Al-4V/Nb2O5 specimens were submerged in SBF for a 7-day period at a temperature of 37 ± 1 °C. They were then gently washed with ultrapure water and dried at room temperature for 12 h. After this period, they were evaluated via scanning electron microscopy and energy dispersive X-ray spectroscopy (SEM/EDX). The SEM images and EDX maps of the coated and uncoated material were obtained using an analytical electron microscope FEG-SEM JEOL 7001 F equipped with an Oxford EDX light element detector. This all took place at the Federal University of Uberlândia, Department of Chemistry, Minas Gerais, Brazil.

3. Results and Discussion

The titanium alloy Ti-6Al-4V is one of the main materials used for bioimplants. However, it is not bioactive, has no antibacterial activity and can release toxic ions, generating undesirable immune and inflammatory responses3232 Yang Z, Xi Y, Bai J, Jiang Z, Wang S, Zhang H, et al. Covalent grafting of hyperbranched poly-L-lysine on Ti-based implants achieves dual functions of antibacteria and promoted osteointegration in vivo. Biomaterials. 2021;269:120534.,3333 Sun Y, Zhao Y-Q, Zeng Q, Wu Y-W, Hu Y, Duan S, et al. Dual-functional implants with antibacterial and osteointegration-promoting performances. ACS Appl Mater Interfaces. 2019;11(40):36449-57.. The strategy proposed in this research is the application of Nb2O5 to biofunctionalize the surface of the Ti-6Al-4V alloy. It is known that oxides in direct contact with the host tissue have a significant effect on the chemical and biological processes that occur at this interface. Furthermore, atomic arrangement and stability, for example, can affect the cell adhesion process, osteoblast proliferation, inflammatory response and biomineralization3333 Sun Y, Zhao Y-Q, Zeng Q, Wu Y-W, Hu Y, Duan S, et al. Dual-functional implants with antibacterial and osteointegration-promoting performances. ACS Appl Mater Interfaces. 2019;11(40):36449-57.

34 Eisenbarth E, Velten D, Müller M, Thull R, Breme J. Nanostructured niobium oxide coatings influence osteoblast adhesion. J Biomed Mater Res A. 2006;79(1):166-75.

35 Ramírez G, Rodil SE, Muhl S, Turcio-Ortega D, Olaya JJ, Rivera M, et al. Amorphous niobium oxide thin films. J Non-Cryst Solids. 2010;356(50-51):2714-21.
-3636 Pradhan D, Wren AW, Misture ST, Mellott NP. Investigating the structure and biocompatibility of niobium and titanium oxides as coatings for orthopedic metallic implants. Mater Sci Eng C. 2016;58:918-26.. Figure 3 shows the Nb2O5 thin film’s influence on the MC3T3-E1 cell viability for a 7-day period. The results clearly show that the Ti-6Al-4V/Nb2O5 alloy showed higher cell viability when compared to the base material. These findings only confirm that, in addition to not releasing toxic ions, Nb2O5 coatings obtained via sputtering induce greater cell viability of cells involved in the osseointegration process.

Figure 3
Cell Viability of MC3T3 Cells grown on the evaluated surfaces: Ti-6Al-4V (used as negative control) and Ti-6Al-4V/Nb2O5 (given by the Mean Fluorescence Intensity - MFI).

An ALP assays was performed to evaluate the osteogenic differentiation of osteoblasts seeds on the samples. As can be seen in Figure 4, the Nb2O5 thin films deposited on the Ti-6Al-4V alloy by using reactive sputtering technique promote osteoblast maturation, and consequently osteogenic differentiation. The results obtained in the present work is in line those obtained by Wei et al.3737 Wei P, Fang J, Fang L, Wang K, Lu X, Ren F. Novel niobium and silver toughened hydroxyapatite nanocomposites with enhanced mechanical and biological properties for load-bearing bone implants. Appl Mater Today. 2019;15:531-42., i.e., the presence of Nb element increased the ALP activity by 70% as compared to cells planted on hydroxyapatite only. Studies developed by Tan et al.3838 Tan J, Li J, Cao B, Wu J, Luo D, Ran Z, et al. Niobium promotes fracture healing in rats by regulating the PI3K-Akt signalling pathway: an in vivo and in vitro study. J Orthop Translat. 2022;37:113-25., considering in vivo and ex vivo tests, were used to systematically analyze the osteogenic performance of metallic Nb. And one more time, it was verified the positive influence of Nb element on biological performance3838 Tan J, Li J, Cao B, Wu J, Luo D, Ran Z, et al. Niobium promotes fracture healing in rats by regulating the PI3K-Akt signalling pathway: an in vivo and in vitro study. J Orthop Translat. 2022;37:113-25.. Here, it was demonstrated the osteogenic effect on MC3T3 cells by using ALP analysis, which demonstrated the better performance of the functionalized Ti-6Al-4V alloy containing Nb2O5 thin films when compared to the base material.

Figure 4
ALP analysis of MC3T3 Cells grown on plate (control), uncoated Ti-6Al-4V and Ti-6Al-4V/Nb2O5 for 7 d.

In the present study, two methods were used (halo inhibition and direct contact) in order to verify the antibacterial effect of Nb2O5 thin films. Such an effect was not observed in the agar diffusion assay, as shown in Figure 5. This observation is probably due to the absence or impossibility of niobium ion diffusion through the culture plates. Thus, it can be inferred that the deposited films do not have agents with antibacterial capacity with diffusibility in this culture medium. It is worth mentioning that a similar result was also observed in titanium-copper alloy, whose antibacterial activity was verified by applying other methods. More information can be found in the Zhang et al.3939 Zhang E, Li F, Wang H, Liu J, Wang C, Li M, et al. A new antibacterial titanium-copper sintered alloy: preparation and antibacterial property. Mater Sci Eng C. 2013;33(7):4280-7..

Figure 5
Plates with bacterial culture for 24 h in contact (a) with the uncoated Ti-6Al-4V alloy surface and (b) in contact with the coated Ti-6Al-4V alloy surface.

On the other hand, through direct contact assays (see Figures 6 and 7), it was possible to observe a negative effect on bacterial growth on the coated Ti-6Al-4V alloy surface at 3 and 6 h, demonstrating the ability to delay the bacterial proliferation within the first six hours of contact with the infecting microorganism. In fact, as reported in the literature1515 Madhavi B, Siva Sesha Reddy A, Syam Prasad P, Prasad A, Pavani Koteswari Devi P, Ravi Kumar V, et al. The impact of Nb2O5 on in-vitro bioactivity and antibacterial activity of CaF2–CaO–B2O3–P2O5–SrO glass system. Ceram Int. 2021;47(20):28328-37.,4040 Afifi M, El-Naggar ME, Muhammad S, Alghamdi N, Wageh S, Abou Taleb MF, et al. Compositional adjusting and antibacterial improvement of hydroxyapatite/nb2o5/graphene oxide for medical applications. J Inorg Organomet Polym Mater. 2022;32(6):2160-72., niobium pentoxide has antibacterial properties. Madhavi et al.1515 Madhavi B, Siva Sesha Reddy A, Syam Prasad P, Prasad A, Pavani Koteswari Devi P, Ravi Kumar V, et al. The impact of Nb2O5 on in-vitro bioactivity and antibacterial activity of CaF2–CaO–B2O3–P2O5–SrO glass system. Ceram Int. 2021;47(20):28328-37. reported the antibacterial effect of bioactive glasses implemented with Nb2O5, attributing it to the fact that Nb5+ ions hinder the growth of bacteria by forming a hyperosmotic atmosphere due to its great ionic strength. In addition, it is also reasonable to assume that the specific charge of Nb and its different oxides provide surface characteristics that can be hostile to some infecting microorganisms. This effect on adhesion may also be associated with the coating’s crystallinity4141 Senocak TC, Ezirmik KV, Aysin F, Simsek Ozek N, Cengiz S. Niobium-oxynitride coatings for biomedical applications: its antibacterial effects and in-vitro cytotoxicity. Mater Sci Eng C. 2021;120:111662..

Figure 6
Count of Colony Forming Units (CFU) of S. aureus in direct contact with the Ti-6Al-4V alloy surface (used as negative control) and in contact with the coated Ti-6Al-4V/Nb2O5 alloy surface. In the positive control there was no bacterial proliferation, therefore the results are not shown.
Figure 7
Qualitative result of S. aureus incubated at 37 ± 1 °C for 24 h after direct contact for 3 and 6 h with the Ti-6Al-4V alloy surface and in contact with the coated Ti-6Al-4V/Nb2O5 alloy surface. In the positive control there was no bacterial proliferation, therefore the results are not shown.

It is hypothesized that the observed bacterial fatality rate may be related to the formation of reactive oxygen species (ROS) and interference with 16S rRNA gene replication4242 Fowler L, Janson O, Engqvist H, Norgren S, Öhman-Mägi C. Antibacterial investigation of titanium-copper alloys using luminescent Staphylococcus epidermidis in a direct contact test. Mater Sci Eng C. 2019;97:707-14.. And while the exact mechanism of action is undetermined, the results of antibacterial activity tests are quite promising as bacteria from the genus Staphylococcus cause up to two-thirds of orthopedic implant infections4343 Ribeiro M, Monteiro FJ, Ferraz MP. Infection of orthopedic implants with emphasis on bacterial adhesion process and techniques used in studying bacterial-material interactions. Biomatter. 2012;2(4):176-94., typically the most common cause of surgical site infections in patients undergoing hip and knee arthroplasty4444 Lamagni T. Epidemiology and burden of prosthetic joint infections. J Antimicrob Chemother. 2014;69:i5-10..

In bone tissue engineering, it is desirable that biomaterials have a bioactive surface that promotes the formation of new bone (osteoconductivity), as well as the ability to induce osteoblastic differentiation (osteoinductivity). Simulated body fluid immersion tests have been successfully used to predict the relative performance of biomaterials in vivo. The SBF immersion test has the ability to classify various alternative biomaterials quickly and cheaply4545 Shin K, Acri T, Geary S, Salem AK. Biomimetic mineralization of biomaterials using simulated body fluids for bone tissue engineering and regenerative medicine. Tissue Eng Part A. 2017;23(19-20):1169-80.. The success of this type of assay can be verified in other studies4646 Ratha I, Datta P, Chand Reger N, Das H, Balla VK, Devi KB, et al. In vivo osteogenesis of plasma sprayed ternary-ion doped hydroxyapatite coatings on Ti6Al4V for orthopaedic applications. Ceram Int. 2022;48(8):11475-88.

47 Kargozar S, Milan PB, Amoupour M, Kermani F, Gorgani S, Nazarnezhad S, et al. Osteogenic potential of magnesium (Mg)-doped multicomponent bioactive glass: in vitro and in vivo animal studies. Materials. 2022;15(1):318.

48 Dai Y, Guo H, Chu L, He Z, Wang M, Zhang S, et al. Promoting osteoblasts responses in vitro and improving osteointegration in vivo through bioactive coating of nanosilicon nitride on polyetheretherketone. J Orthop Translat. 2019;24:198-208.

49 Baino F, Yamaguchi S. The use of Simulated Body Fluid (SBF) for assessing materials bioactivity in the context of tissue engineering: review and challenges. Biomimetics. 2020;5(4):57.

50 Morimune-Moriya S, Kondo S, Sugawara-Narutaki A, Nishimura T, Kato T, Ohtsuki C. Hydroxyapatite formation on oxidized cellulose nanofibers in a solution mimicking body fluid. Polym J. 2015;47(2):158-63.
-5151 Rajan ST, Das M, Arockiarajan A. Biocompatibility and corrosion evaluation of niobium oxide coated AZ31B alloy for biodegradable implants. Colloids Surf B Biointerfaces. 2022;212:112342., being considered the most appropriate in vitro method to investigate the bioactivity of materials whose aim is to promote bone bonding and regeneration4949 Baino F, Yamaguchi S. The use of Simulated Body Fluid (SBF) for assessing materials bioactivity in the context of tissue engineering: review and challenges. Biomimetics. 2020;5(4):57..

The SEM/EDX analysis of the surface of the uncoated Ti-6Al-4V titanium alloy is shown in Figure 8. The Figure 8a presents a micrograph acquired using SE mode where a small area of deposited mineral is indicated. For more details, Figure 8b presents the region displayed in (a) and Figure (c) a micrograph obtained via Backscattered electrons (BSE) with composition details in a local with mineral deposits. Figure 8d exhibits a SEM image obtained by using SE mode, whilst Figures 8e and 8f show the EDX spectra of two regions (highlighted in Figure 8d) of the analyzed sample’s surface. The analysis of the obtained spectra (Figures 8e and 8f) demonstrates a small deposition of calcium and phosphorus.

Figure 8
Analysis via SEM/EDX of the uncoated Ti-6Al-4V titanium alloy surface. (a) micrograph acquired using SE mode, (b) the region indicated in (a) at a higher magnification, (c) micrograph obtained via BSE of the region indicated in (b), (d) micrograph obtained via SE, and (e, f) show a spectra of two regions highlighted in (d).

SEM/EDX results showed that the Ti-6Al-4V/Nb2O5 surface (Figure 9) displays a higher bioactivity when compared to the uncoated Ti-6Al-4V alloy surface (Figure 9). The SEM images displayed in Figures 9a and 9b were obtained by using SE and 9 (c) BSE modes. A large area of mineral deposits with different compositional characteristics can be seen in the Nb2O5 coating. Figure 9f presents an image, obtained via SE, with more details on the morphology of these findings. Figures 9g and 9h, obtained via EDX, confirm calcium and phosphorus accumulations on the Nb2O5 coating in the analyzed area. The semiquantitative analysis of the obtained spectra (Figures 9d and 9e) demonstrated a deposition of calcium and phosphorus superior to the spectra obtained for the uncoated material (Figures 8e and 8f). These results are an indicative of the rapid amorphous apatite formation with a Ca/P ratio close to 1.5 in only 7 days of immersion in SBF. The calcium distribution throughout the Ti-6Al-4V/Nb2O5 sample corroborates the proposal that the heterogeneous nucleation mechanism of hydroxyapatite starts with Ca2+ ions5050 Morimune-Moriya S, Kondo S, Sugawara-Narutaki A, Nishimura T, Kato T, Ohtsuki C. Hydroxyapatite formation on oxidized cellulose nanofibers in a solution mimicking body fluid. Polym J. 2015;47(2):158-63..

Figure 9
Analysis via SEM/EDX of the Ti-6Al-4V/Nb2O5 titanium alloy surface. (a, b) micrograph obtained via SE and (c) BSE mode, (d, e) spectra of two regions of the analyzed sample’s surface. (f) region highlighted in (c) obtained via SE mode at a higher magnification, (g, h) maps obtained via EDX to assess the presence of Ca and P, respectively.

Figure 10 illustrates a simplified schematic model proposed to elucidate the mechanism of hydroxyapatite nucleation on the Ti-6Al-4V surface containing Nb2O5 thin films, based on the results obtained in the biomineralization assays. As can be seen in Figure 10a, the Ti-6Al-4V/Nb2O5 alloy surface immersed in SBF becomes negatively charged and attracts positively charged Ca2+ ions (Figure 10b). Subsequently, phosphate ions that are negatively charged combine with calcium ions (Figure 10c and 10d) and in a physiological environment convert to amorphous apatite with a Ca/P ratio lower than 1.5 (Figure 10e). In the following steps, at a ratio close to 1.65, stable hydroxyapatite is formed (Figure 10f)5252 Kim H-M, Himeno T, Kawashita M, Kokubo T, Nakamura T. The mechanism of biomineralization of bone-like apatite on synthetic hydroxyapatite: an in vitro assessment. J R Soc Interface. 2004;1(1):17-22.. In Figure 10g it is possible to verify the format of the unit cell. This formed mineral layer has a similar composition to bone. In in vivo tests, an improvement in bone deposition on osteoconductive surfaces is observed, leading to a stronger union at the bone/implant interface4545 Shin K, Acri T, Geary S, Salem AK. Biomimetic mineralization of biomaterials using simulated body fluids for bone tissue engineering and regenerative medicine. Tissue Eng Part A. 2017;23(19-20):1169-80..

Figure 10
Simplified schematic model proposed to understand the nucleation mechanism of hydroxyapatite on the Ti-6Al-4V alloy surface containing Nb2O5 thin films.

For the first time, it was evaluated the influence of polycrystalline Nb2O5 film coatings, which have unique structural and morphological characteristics, on the viability and proliferation of osteoblasts, and on bone bioactivity. It also explored the coating’s influence on the ability to inhibit the growth of bacteria cultured on the Ti-6Al-4V alloy surface. The results indicate improved bioactivity in all tests performed. This coating provided antibacterial activity against S. aureus, better cellular response in the viability and proliferation of MC3T3 osteoblasts and increased apatite formation on the modified surface, confirming the potential for future evaluations of this coating in in vivo tests.

4. Conclusions

In this study, we revealed new insights pertaining to the impact of Nb2O5 thin films deposited by using the reactive sputtering technique on the biofunctional properties of the Ti-6Al-4V alloy. The evaluation specifically encompasses the coating's effects on antibacterial activity, MC3T3 cell proliferation as well as biomineralization capacity. The results obtained in the present work are innovative and applied, placing the Ti-6Al-4V alloy containing Nb2O5 coatings as an attractive material in the biomedical sector. It can be concluded that the functionalized material, when compared to the base alloy, presents greater cell viability, the osteogenic performance of cells involved in the osseointegration process, ability to delay bacterial proliferation in the first six hours of contact with the infectious microorganism as well as the ability to promote rapid formation of amorphous apatite in vitro, predicting bone bioactivity in vivo. All these findings support the hypothesis that the Nb2O5- based coating confers relevant bioactive properties for the viability, adsorption and proliferation of cells cultured on the surface of the Ti-6Al-4V alloy.

5. Acknowledgments

Moreto JA is grateful for the financial support received from the National Council for Scientific and Technological Development (CNPq-Brazil) (Processes: 303659/2019-0, 402988/2021-3, 302770/2022-4) and the Minas Gerais State Agency for Research and Development (FAPEMIG-Brazil) (Processo: APQ-02276-18). Leite NB is grateful for the financial support received from the Minas Gerais State Agency for Research and Development (FAPEMIG-Brazil) (Process: APQ-00554-21). Gelamo RV is grateful for the financial support received from the National Council for Scientific and Technological Development (CNPq) (Processes: 440726/2020-4 and 302582/2021-5), FAPEMIG (Process: APQ-01359-21) and the National Institute of Science and Technology in Carbon Nanomaterials (INCT Nanocarbono). Teixeira GTL thanks the Coordination for the Improvement of Higher Education Personnel - Brazil (CAPES) - Financing Code 001.

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Publication Dates

  • Publication in this collection
    17 Nov 2023
  • Date of issue
    2023

History

  • Received
    23 May 2023
  • Reviewed
    25 Sept 2023
  • Accepted
    02 Oct 2023
ABM, ABC, ABPol UFSCar - Dep. de Engenharia de Materiais, Rod. Washington Luiz, km 235, 13565-905 - São Carlos - SP- Brasil. Tel (55 16) 3351-9487 - São Carlos - SP - Brazil
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