Abstract

Implant surfaces with a nanoscaled pattern can dominate the blood coagulation process resulting in a defined clot structure and its degradation behavior, which in turn influence cellular response and the early phase of osseointegration. Long non-coding (Lnc) RNAs are known to regulate many biological processes in the skeletal system; however, the link between the LncRNA derived from the cells within the clot and osseointegration has not been investigated to date. Hence, the sequence analysis of LncRNAs expressed within the clot formed on titania nanotube arrays (TNAs) with distinct nano-scaled diameters (TNA 15 of 15 nm, TNA 60 of 60 nm, TNA 120 of 120 nm) on titanium surfaces was profiled for the first time. LncRNA LOC103346307, LOC103352121, LOC108175175, LOC103348180, LOC108176660, and LOC108176465 were identified as the pivotal players in the early formed clot on the nano-scaled surfaces. Further bioinformatic prediction results were used to generate co-expression networks of LncRNAs and mRNAs. Gene Ontology and Kyoto Encyclopedia of Genes and Genomes pathway analyses revealed that distinct nano-scaled surfaces could regulate the biological functions of target mRNAs in the clot. LOC103346307, LOC108175175, and LOC108176660 upregulated mRNAs related to cell metabolism and Wnt, TGF-beta, and VEGF signaling pathways in TNA 15 compared with P-Ti, TNA 60, and TNA 120, respectively, whereas LOC103352121, LOC103348180, and LOC108176465 downregulated mRNAs related to bone resorption and inflammation through negatively regulating osteoclast differentiation, TNF, and NF-kappa signaling pathways. The results indicated that surface nano-scaled characteristics can significantly influence the clot-derived LncRNAs expression profile, which affects osseointegration through multiple signaling pathways of the targeted mRNAs, thus paving a way for better interpreting the link between the properties of a blood clot formed on the nano-surface and de novo bone formation.

Highlights

  • We further investigated the expression of Long non-coding RNAs (LncRNAs) in blood clot formed on different nano-scaled surfaces and their potential impact on the osseointegration

  • We demonstrated that distinct nano-surfaces are capable of regulating LncRNAs expression within the clot, and 6 key LncRNAs were identified in each comparison exerting a pivotal role in manipulating the expression of the targeted mRNA

  • In the TNA15 group, the LncRNAs targeted mRNAs subsequently manipulate a favorable osteogenesis microenvironment through upregulation of Wnt, TGF-beta, and VEGF signaling pathways and suppression of osteoclast differentiation, TNF, and NF-kappa signaling pathways, which resulted in promoted osseointegration

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Summary

Introduction

Osseointegration indicates a direct anchorage of a biomedical metal implant onto the host bone, allowing the newly formed bone to be attached directly to the surface of the implant [1]. Osseointegrated implants show promise to replace damaged joint tissues, alleviate pain, and restore bone function. Implant loosening contributes to more than half of replacement failures due to the poor osseointegration between host bone and implant [2]. Fulfilled osseointegration requires rapid bone formation with a qualified volume, ensuring the incorporation and longevity of the implant [3].

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