Lubricant-infused surfaces (LIS) are created by modifying chemical and physical properties of surfaces with aim of lowering surfaces energy where designed surface will possess liquid-repelling behaviors under low tilting angles. LIS has great potential to be applied on implantable devices due to it is stable anti-biofouling properties under fluidic environment. However, a few studies have reported that the existing research on implant surface uses complicated methods and high cost fabrication to create LIS on titanium implants. Furthermore, current limitation of LIS coatings for titanium implants lies in the lack of tissue integration and cell interaction. As a result, LIS prevents both bacteria and bone cells from adhering to the interface between implant and natural bone. This unselective blocking is problematic for titanium implants used in orthopaedic surgery when devices are required to possess tissue integration properties to facilitate long term fixation in the human body. The overall objective of this thesis is to apply LIS on titanium surfaces via a chemical modification technique and simultaneously integrate bio-functional features onto LIS to promote osteoblasts adhesion. In this project, chitosan and collagen were used to facilitate cell adhesion. To start with, three methods were used to immobilize chitosan on titanium to obtain the desired bio-functional LIS coatings: (1) LIS on top of (3-Glycidyloxypropyl)trimethoxysilane (GPTMS) crosslinked chitosan; (2) LIS on dip-coated chitosan; (3) LIS generated from GPTMS and Trichloro(1H,1H,2H,2H-perfluorooctyl) silane (TPFS) mixed silanes modified titanium surface followed by chitosan functionalization. Among these modification techniques, method (3) showed optimal anti-biofouling and osseointegration properties. Since collagen is well known for increase of cell interactions, it was used via mixed silanes functionalization method. Finally, the properties were compared with chitosan coated surfaces. During tests, surface wettability was measured, anti-biofouling properties and osseointegration was examined with staphylococcus aureus and SAOS-2 cells, respectively. We found that chitosan modified surfaces using method (3) not only significantly increased cell adhesion in comparison with the other two modification methods, but also dramatically decreased bacterial adhesion compared to collagen coated LIS on titanium. Although collagen has better cell adhesion properties than chitosan, collagen coated surface significantly decreased antibiofouling properties. In conclusion, bio-functional lubricant-infused titanium surfaces created by chemical vapor deposition (CVD) method with mixed silanes is a feasible and straightforward method to immobilize biomaterials and stabilize the lubricant layer on titanium substrates. Chitosan coated LIS on titanium prevents bacterial adhesion and simultaneously promotes targeted cell binding. / Thesis / Master of Applied Science (MASc) / Biofouling is a major issue in implantable titanium devices such as coronary stents, plates and nails, and formation of biofilm on implants can lead to infection and failure of the device. Biofilms formed by bacterial adhesion could be resistant to antibiotics and can provoke a series of inflammatory response. Recent advances in anti-biofouling surface treatment has resulted in designing supper slippery lubricant-infused omniphobic surfaces which are inspired from the Nepenthes pitcher plant. Liquid which is tethered on the surface offers a stable liquid interface, repelling both aqueous and organic liquids meanwhile showing excellent bacteria repellency. Lubricant-infused surfaces (LIS) are resistant towards biofilm formation and produce a stable surface that prevent non-specific adhesion. As a result of this repellent properties, LIS also repels the adhesion of desired biomolecules and cells such as osteoblasts, bone cells and growth factors which are essential factors for bone recovery at the implant-bone interface. Our motivation in this thesis is to create a lubricant-infused coating on titanium surfaces that possesses both bio-functional and blocking features. We designed surfaces that decrease implant infection caused by non-specific adhesion and simultaneously promote targeted binding of biomolecules and cells that will increase osseointegration of the implant to enable long-term fixation.

No description available.

Atualmente há um número crescente de idosos necessitando reabilitação com enxerto ósseo, no entanto pouco se sabe sobre o efeito do envelhecimento fisiológico sobre este processo. Este estudo teve como objetivo comparar a regeneração óssea guiada na mandíbula de ratos adultos e velhos. Ratos Wistar machos, com 9 meses (adultos) e 20 meses (velhos) de idade, foram avaliados 0, 7, 28 e 120 dias após a cirurgia. O protocolo cirúrgico incluiu a remoção de osso autógeno da calvária e sua fixação com implante de titânio na mandíbula. A formação óssea foi avaliada através da densidade mineral óssea (DMO), microtomografia computadorizada (?CT), análise histomorfométrica e taxa de aposição mineral. Cento e vinte dias após a cirurgia, os animais velhos apresentaram uma redução da variação da DMO na tíbia quando comparada com adultos (-0,022±0,007 vs. 0,011±0,004 g/cm2, respectivamente, p=0,004) e no fêmur (-0,036±0,01 vs. 0,024±0,007 g/cm2, respectivamente, p=0,000). A análise de ?CT revelou uma redução no percentual de volume ósseo nos ratos velhos quando comparados aos adultos (52,34±1,98 vs. 61,46±2,0 %, respectivamente, p=0,032). A análise histomorfométrica confirmou estes dados, tanto no percentual de área óssea (44,0±1,9 vs. 51,0±1,4 e %, velho vs. adulto, p=0,014) quanto no contacto osso-implante (63,5±3,4 vs. 73,0±1,7%, velho vs. adulto, p=0,028). A taxa de aposição mineral óssea também foi significativamente menor nos ratos velhos em comparação com os adultos, tanto na região da mandíbula (1,23±0,05 vs 2,62±0,33 ?m/dia, respectivamente, p=0,001) quanto na região do implante (0,16±0,03 vs. 1,17±0,06 ?m/dia, respectivamente, p=0,001). Em conclusão, nossos resultados sugerem que o processo de envelhecimento, por si só, afeta a capacidade de regeneração ossea de animais velhos que não são caracterizados como osteoporóticos e sugerem que isso deva ser levado em conta durante o tratamento de pacientes idosos. / Currently there are an increasing number of elderly requiring rehabilitation with bone graft, however little is known about the effect of physiological aging on this process. This study aimed to compare guided bone regeneration in adult and old normal rats. Male Wistar rats with 9 months (adult) and with 20 months (old) were evaluated at 0, 7, 28 and 120 days after surgery. The surgical protocol included the removal of autogenous parietal bone and insertion in the jaw with titanium implant. Bone formation was evaluated through bone mineral density (BMD), X-ray computerized microtomography (3D?CT), histomorphometric analysis and mineralization apposition rate. At baseline, adults and old animals presented similar values of BMD. 120 days after surgery, old animals presented a reduction of tibia BMD when compared with adults (-0.022±0.007 vs. 0.011±0.004 g/cm2, respectively, p=0.004) and of femur (-0.036±0.01 vs. 0.024±0.007 g/cm2, respectively, p=0.000). The 3D?CT analysis revealed a reduction of new-formed bone volume in the old group when compared with adult (52.34±1.98 vs. 61.46±2.0 %, respectively, p=0.032). Histomorphometric analysis corroborates these data, since 120 days after surgery the % of bone area and bone-implant contact were impaired in old rats. Mineralization apposition rate was also impaired in mandible and at implant region of old rat. Together our results suggest that the ageing process per se affect bone regenerative capacity and calls for attention of surgeons to this retard during the treatment of elderly patients.

Atualmente há um número crescente de idosos necessitando reabilitação com enxerto ósseo, no entanto pouco se sabe sobre o efeito do envelhecimento fisiológico sobre este processo. Este estudo teve como objetivo comparar a regeneração óssea guiada na mandíbula de ratos adultos e velhos. Ratos Wistar machos, com 9 meses (adultos) e 20 meses (velhos) de idade, foram avaliados 0, 7, 28 e 120 dias após a cirurgia. O protocolo cirúrgico incluiu a remoção de osso autógeno da calvária e sua fixação com implante de titânio na mandíbula. A formação óssea foi avaliada através da densidade mineral óssea (DMO), microtomografia computadorizada (?CT), análise histomorfométrica e taxa de aposição mineral. Cento e vinte dias após a cirurgia, os animais velhos apresentaram uma redução da variação da DMO na tíbia quando comparada com adultos (-0,022±0,007 vs. 0,011±0,004 g/cm2, respectivamente, p=0,004) e no fêmur (-0,036±0,01 vs. 0,024±0,007 g/cm2, respectivamente, p=0,000). A análise de ?CT revelou uma redução no percentual de volume ósseo nos ratos velhos quando comparados aos adultos (52,34±1,98 vs. 61,46±2,0 %, respectivamente, p=0,032). A análise histomorfométrica confirmou estes dados, tanto no percentual de área óssea (44,0±1,9 vs. 51,0±1,4 e %, velho vs. adulto, p=0,014) quanto no contacto osso-implante (63,5±3,4 vs. 73,0±1,7%, velho vs. adulto, p=0,028). A taxa de aposição mineral óssea também foi significativamente menor nos ratos velhos em comparação com os adultos, tanto na região da mandíbula (1,23±0,05 vs 2,62±0,33 ?m/dia, respectivamente, p=0,001) quanto na região do implante (0,16±0,03 vs. 1,17±0,06 ?m/dia, respectivamente, p=0,001). Em conclusão, nossos resultados sugerem que o processo de envelhecimento, por si só, afeta a capacidade de regeneração ossea de animais velhos que não são caracterizados como osteoporóticos e sugerem que isso deva ser levado em conta durante o tratamento de pacientes idosos. / Currently there are an increasing number of elderly requiring rehabilitation with bone graft, however little is known about the effect of physiological aging on this process. This study aimed to compare guided bone regeneration in adult and old normal rats. Male Wistar rats with 9 months (adult) and with 20 months (old) were evaluated at 0, 7, 28 and 120 days after surgery. The surgical protocol included the removal of autogenous parietal bone and insertion in the jaw with titanium implant. Bone formation was evaluated through bone mineral density (BMD), X-ray computerized microtomography (3D?CT), histomorphometric analysis and mineralization apposition rate. At baseline, adults and old animals presented similar values of BMD. 120 days after surgery, old animals presented a reduction of tibia BMD when compared with adults (-0.022±0.007 vs. 0.011±0.004 g/cm2, respectively, p=0.004) and of femur (-0.036±0.01 vs. 0.024±0.007 g/cm2, respectively, p=0.000). The 3D?CT analysis revealed a reduction of new-formed bone volume in the old group when compared with adult (52.34±1.98 vs. 61.46±2.0 %, respectively, p=0.032). Histomorphometric analysis corroborates these data, since 120 days after surgery the % of bone area and bone-implant contact were impaired in old rats. Mineralization apposition rate was also impaired in mandible and at implant region of old rat. Together our results suggest that the ageing process per se affect bone regenerative capacity and calls for attention of surgeons to this retard during the treatment of elderly patients.

No description available.