journal article·2025-02Open access

Multifunctional alumina scaffolds with enhanced bioactivity and antimicrobial properties for bone tissue engineering

Daniela Santo, Mikhael Rodarte, Crislayne Andreto, Diogo Cavaleiro, Isabel Carvalho, Roseli Balestra, Sandra Carvalho

Ceramics International· Volume 51· Issue 5

Abstract

Inert ceramic implants suffer from significant complications such as lack of osseointegration, biofilm formation, and infections, necessitating the development of novel materials with both osteogenic and antibacterial properties to prevent implant failure. In this study, we aimed to multifunctionalize a tridimensional macroporous alumina scaffold with a biomimetic calcium phosphate (CaP) coating combined with a silver-based extra-thin film to enhance bioactivity and provide an additional antibacterial effect. The porous alumina scaffolds were fabricated through a powder metallurgy technique, followed by biomimetic deposition and DC magnetron sputtering. The coatings were characterized using SEM/EDS and AFM measurements to examine their morphology and topography. To evaluate the osteoconductive response of the materials, in vitro tests were conducted by immersing the samples in Simulated Body Fluid (SBF). The bioactivity tests revealed that the CaP-AgO coating, in line with the roughness surface and free surface energy values, exhibited a higher Ca/P ratio formation. This indicated an increased affinity for apatite adhesion, ultimately leading to a higher osseointegration ability compared to the CaP-Ag coating. Furthermore, the CaP-AgO coating demonstrated superior activity against S. aureus . These findings demonstrate the potential of the multifunctional coatings to address the challenges associated with inert ceramic implants by promoting bioactivity and combating bacterial infections.
Source: openalex_inverted_index · Quality: baseline

Research context

OpenAlex topics: Bone Tissue Engineering Materials · Calcium Carbonate Crystallization and Inhibition · Titanium Alloys Microstructure and Properties

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

References (61)

Show source-provided references
1. Surface engineering of biomaterials in orthopedic and dental implants: strategies to improve osteointegration, bacteriostatic and bactericidal activities10.1002/biot.202000116 ↗
2. Advancement in biomedical implant materials—a mini review10.3389/fbioe.2024.1400918 ↗
3. Metallic materials for bone repair10.1002/adhm.202302132 ↗
4. Emerging breakthroughs in biomaterials for orthopedic applications: a comprehensive review10.1016/j.bprint.2023.e00323 ↗
5. Implant infections: adhesion, biofilm formation and immune evasion10.1038/s41579-018-0019-y ↗
6. Surface coating of orthopedic implant to enhance the osseointegration and reduction of bacterial colonization: a review10.1186/s40824-022-00269-3 ↗
7. Scaffold fabrication technologies and structure/function properties in bone tissue engineering10.1002/adfm.202010609 ↗
8. Review on current limits and potentialities of technologies for biomedical ceramic scaffolds production10.1002/jbm.b.34706 ↗
9. Surface functionalization of dual growth factor on hydroxyapatite-coated nanofibers for bone tissue engineering10.1016/j.apsusc.2020.146311 ↗
10. Laser surface texturing of alumina/zirconia composite ceramics for potential use in hip joint prosthesis10.3390/coatings9060369 ↗
11. Endowing osseointegration ability to bioinert alumina by carbonate apatite coating
12. Surface modifications to enhance osseointegration–Resulting material properties and biological responses10.1002/jbm.b.34835 ↗
13. Bioinspired structural materials10.1038/nmat4089 ↗
14. Multifunctional hydroxyapatite composites for orthopedic applications: a review10.1021/acsbiomaterials.2c00140 ↗
15. Control of surface potential and hydroxyapatite formation on TiO2 scales containing nitrogen-related defects10.1016/j.actamat.2018.05.072 ↗
16. Characterization of hydroxyapatite coatings produced by pulsed-laser deposition on additive manufacturing Ti6Al4V ELI10.1016/j.tsf.2022.139592 ↗
17. Hybrid biocomposites based on titania nanotubes and a hydroxyapatite coating deposited by RF-magnetron sputtering: surface topography, structure, and mechanical properties10.1016/j.apsusc.2017.07.199 ↗
18. BMP-2 incorporated biomimetic CaP coating functionalized 3D printed Ti6Al4V scaffold induces ectopic bone formation in a dog model10.1016/j.matdes.2022.110443 ↗
19. Porous alumina scaffolds chemically modified by calcium phosphate minerals and their application in bone grafts10.1111/ijac.13153 ↗
20. Nano vanadium dioxide films deposited on biomedical titanium: a novel approach for simultaneously enhanced osteogenic and antibacterial effects10.1080/21691401.2018.1452020 ↗
21. Evaluation of the biocompatibility and osteogenic properties of metal oxide coatings applied by magnetron sputtering as potential biofunctional surface modifications for orthopedic implants10.3390/ma15155240 ↗
22. Development of cerium-doped hydroxyapatite coatings with antimicrobial properties for biomedical applications10.3390/coatings10060516 ↗
23. Silver doped resorbable tricalcium phosphate scaffolds for bone graft applications10.1016/j.msec.2017.04.132 ↗
24. Porous tantalum oxide with osteoconductive elements and antibacterial core-shell nanoparticles: a new generation of materials for dental implants10.1016/j.msec.2020.111761 ↗
25. Compositionally graded doped hydroxyapatite coating on titanium using laser and plasma spray deposition for bone implants10.1016/j.actbio.2018.11.041 ↗
26. Silver release from silver-containing hydroxyapatite coatings10.1016/j.surfcoat.2010.08.073 ↗
27. First clinical experience with thermal-sprayed silver oxide–containing hydroxyapatite coating implant10.1016/j.arth.2015.12.034 ↗
28. Estimation of the surface free energy of polymers10.1002/app.1969.070130815 ↗
29. Simulated body fluid (SBF) as a standard tool to test the bioactivity of implants, handbook of biomineralization: biological aspects and structure
30. Dense and porous titanium substrates with a biomimetic calcium phosphate coating10.1016/j.apsusc.2012.10.189 ↗
31. Bioactivity response of Ta1-xOx coatings deposited by reactive DC magnetron sputtering10.1016/j.msec.2015.08.017 ↗
32. The effect of pore forming agent particle size on the porosity, microstructure and in vitro studies of hydroxyapatite ceramics
33. Biomimetic apatite coating on biomorphous alumina scaffolds10.1016/j.msec.2005.06.003 ↗
34. Influence of surface features on the adhesion of Staphylococcus epidermidis to Ag–TiCN thin films10.1088/1468-6996/14/3/035009 ↗
35. Influence of oxygen content on the antibacterial effect of Ag-O coatings deposited by magnetron sputtering10.1016/j.surfcoat.2016.07.064 ↗
36. Biomimetic synthesis of enamel-like hydroxyapatite on self-assembled monolayers10.1016/j.msec.2006.08.002 ↗
37. Recent strategies to combat infections from biofilm-forming bacteria on orthopaedic implants
38. Surface treatment strategies to combat implant-related infection from the beginning10.1016/j.jot.2018.09.001 ↗
39. Staphylococcus aureus and Staphylococcus epidermidis infections on implants10.1016/j.jhin.2017.11.008 ↗
40. Silver activation on thin films of Ag–ZrCN coatings for antimicrobial activity10.1016/j.msec.2015.05.071 ↗
41. Advances in implant surface modifications to improve osseointegration10.1039/D1MA00675D ↗
42. Medical titanium surface-modified coatings with antibacterial and anti-adhesive properties for the prevention of implant-associated infections10.1016/j.jmst.2023.09.016 ↗
43. Study on the influence of scaffold morphology and structure on osteogenic performance10.3389/fbioe.2023.1127162 ↗
44. Effect of the interconnecting window diameter of hydroxyapatite scaffolds on vascularization and osteoinduction10.1016/j.ceramint.2022.05.162 ↗
45. Redefining architectural effects in 3D printed scaffolds through rational design for optimal bone tissue regeneration
46. Formation of different calcium phosphate phases on the surface of porous Al2O3-ZrO2 nanocomposites10.1016/j.jeurceramsoc.2017.09.014 ↗
47. Biocompatibility and interaction of porous alumina-zirconia scaffolds with adipose-derived mesenchymal stem cells for bone tissue regeneration10.1016/j.heliyon.2023.e20128 ↗
48. Characterization of the apatite formation on the surfaces of zirconia and alumina ceramics in body environments
49. Apatite coating on ceramics, metals and polymers utilizing a biological process10.1007/BF00701082 ↗
50. Influence of alumina substrates open porosity on calcium phosphates formation produced by the biomimetic method10.1007/s40204-022-00193-8 ↗
51. BMP-2 incorporated biomimetic CaP coating functionalized 3D printed Ti6Al4V scaffold induces ectopic bone formation in a dog model10.1016/j.matdes.2022.110443 ↗
52. Assessing mechanical properties and stability of silver-doped carbon-coated urethral stent application10.1016/j.surfcoat.2024.130988 ↗
53. Application of PVD coatings in medical implantology for enhanced performance, biocompatibility, and quality of life10.1016/j.heliyon.2024.e35541 ↗
54. Nanoporous tantalum coated zirconia implant improves osseointegration10.1016/j.ceramint.2020.04.038 ↗
55. Tailoring the synthesis of tantalum-based thin films for biomedical application: characterization and biological response10.1016/j.msec.2019.03.072 ↗
56. Influence of different chemical treatments on the surface of Al2O3/ZrO2 nanocomposites during biomimetic coating10.1016/j.ceramint.2016.12.069 ↗
57. Implication of surface properties, bacterial motility, and hydrodynamic conditions on bacterial surface sensing and their initial adhesion10.3389/fbioe.2021.643722 ↗
58. Bioactivity tests of calcium phosphates with variant molar ratios of main components10.1002/jbm.a.36386 ↗
59. Biomimetic synthesis of enamel-like hydroxyapatite on self-assembled monolayers10.1016/j.msec.2006.08.002 ↗
60. Plasma-deposited AgOx-doped TiOx coatings enable rapid antibacterial activity based on ROS generation10.1002/ppap.202100246 ↗
61. Silver oxide coatings deposited on leathers to prevent diabetic foot infections10.1016/j.surfcoat.2022.128338 ↗