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ORIGINAL RESEARCH

Highly Ordered Nanotube-Like Microstructure on Titanium Dental Implant Surface Fabricated via Anodization Enhanced Cell Adhesion and Migration of Human Gingival Fibroblasts

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Pages 2469-2485 | Received 27 Nov 2023, Accepted 01 Mar 2024, Published online: 08 Mar 2024
 

Abstract

Background

Titanium (Ti) surface with nanotubes array via anodization has been used in dental implants to enhance bone regeneration but little research was carried out to evaluate whether the presence of highly ordered or disorderly distributed nanotubes array on titanium surface would have an effect on cell behaviors of gingival fibroblasts.

Methods

The present study fabricated nanotubes arrays with varied topography under different constant voltage of electrochemical anodization in fluorine-containing electrolyte. Human gingival fibroblasts (HGFs) from extracted third molar were harvested and co-cultured with titanium disks with different nanotubes topography. Then cell behaviors of gingival fibroblasts including cell proliferation, adhesive morphology and cell migration were estimated to investigate the influence of titanium nanotubes on cell biology. Besides, gene and protein expression of adhesion molecule (integrin β1/β4/α6, fibronectin, intracellular adhesion molecule-1 and collagen type I) were detected to evaluate the influence of different surfaces on cell adhesion.

Results

Highly ordered arrays of nanotubes with pore diameter of 60 nm and 100 nm were fabricated under 30 and 40 V of anodization (TNT-30 and TNT-40) while disorderedly distributed nanotube arrays formed on the titanium surface under 50 V of anodization (TNT-50). Our results demonstrated that compared with raw titanium surface and disorderly nanotubes, surface with orderly nanotubes array increased cell area and aspect ratio, as well as cell migration ability in the early phase of cell adhesion (p<0.05). Besides, compared with raw titanium surface, gene and protein expression of adhesion molecules were upregulated in nanotubes groups to different extents, no matter whether in an orderly or disorderly array.

Conclusion

Within the limitations of our study, we conclude that compared with raw titanium surface, the presence of nanotubes array on titanium surface could enhance cells adhesion and cell migration in the early phase. And compared with disorderly distributed nanotubes, highly ordered nanotubes array might provide a much more favorable surface for gingival fibroblasts to achieve a tight adhesion on the materials.

Graphical Abstract

Abbreviations

COL-1, collagen type I; EA, electrochemical anodization; EDS, energy dispersive spectrum; FN, fibronectin; HD, hemidesmosome; HF, hydrofluoric acid; HF, hydrofluoric acid; HGFs, human gingival fibroblasts; ICAM-1, intercellular cell adhesion molecule-1; ITGA6, integrin α6; ITGB1, integrin β1; ITGB4, integrin β4; NH4F, ammonium fluoride; SEM, scanning electron microscope; Ti, titanium; TNT, titanium nanotubes.

Ethics Approval and Informed Consent

The present study was approved and monitored by the ethics committee of the Fifth Affiliated Hospital of Sun Yat-sen University with ethics approval reference [2023-K207-1]. Informed consent was attained from the donators before the use of gingival fibroblast.

Author Contributions

All authors made a significant contribution to the work reported, whether that is in the conception, study design, execution, acquisition of data, analysis, and interpretation, or in all these areas; took part in drafting, revising, or critically reviewing the article; gave final approval of the version to be published; have agreed on the journal to which the article has been submitted; and agree to be accountable for all aspects of the work.

Disclosure

The authors declared no conflicts of interest in the present study.

Additional information

Funding

The study was funded by grants from Natural Science Foundation of Guangdong Province (No.2022A1515012285).