Abstract

Improvements in the lubrication of metal–metal joint prostheses are of great clinical interest in order to minimize the particles released during wear–corrosion processes. In this work, electrochemically reduced graphene oxide (ErGO) on CoCr was functionalized with hyaluronic acid (ErGOHA). Functionalization was carried out by soaking for 24 h in phosphate buffer saline (PBS) solution containing 3 g/L hyaluronic acid (HA). The corrosion performance of CoCrErGO and CoCrErGOHA surfaces was studied by electrochemical impedance spectroscopy (EIS) for 7 days in PBS. Biocompatibility and cytotoxicity were studied in mouse macrophages J774A.1 cell line by the measurement of mitochondrial activity (WST-1 assay) and plasma membrane damage (LDH assay). The inflammatory response was examined through TNF-α and IL-10 cytokines in macrophages culture supernatants, used as indicators of pro-inflammatory and anti-inflammatory responses, respectively. EIS diagrams of CoCrErGOHA revealed two time constants: the first one, attributed to the hydration and diffusion processes of the HA layer adsorbed on ErGO, and the second one, the corrosion resistance of ErGOHA/CoCr interface. Macrophage assays showed better behavior on CoCrErGOHA than CoCr and CoCrErGO surfaces based on their biocompatible, cytotoxic, and inflammatory responses. Comparative analysis of IL-10 showed that functionalization with HA induces higher values of anti-inflammatory cytokine, suggesting an improvement in inflammatory behavior.

Highlights

  • Cobalt–chromium (CoCr) alloy is one of the most commonly used materials for joint replacements [1,2]

  • CoCr alloys are covered by a passive film protecting the surface but irretrievably undergo wear–corrosion phenomena, causing debris and metallic dissolution

  • Macrophages play a decisive role in the hostile inflammatory reactions, the biocompatibility and cytotoxicity, that can lead to the loosening and failure of the implants [4,5]

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Summary

Introduction

Cobalt–chromium (CoCr) alloy is one of the most commonly used materials for joint replacements [1,2]. Wear particles and metal ions from prosthetic devices may induce a cascade of adverse cellular reactions that may include inflammatory complications, macrophage activation, bone resorption, and rarely, neoplasia [3,4]. In this context, macrophages play a decisive role in the hostile inflammatory reactions, the biocompatibility and cytotoxicity, that can lead to the loosening and failure of the implants [4,5].

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