Abstract

Modulating immune response to biomaterials through changing macrophage polarization has been proven to be a promising strategy to elicit beneficial outcomes in tissue repair. The objective of this study was to evaluate the response of macrophage polarization to titanium doped with magnesium (0.1~0.35%), which was prepared through the magnesium plasma immersion ion implantation (Mg PIII) technique. The M1/M2 polarization profile of macrophages was investigated using a murine cell line RAW 264.7 in vitro and a murine air pouch model in vivo. Our results demonstrated that the Mg PIII-treated titanium induced a higher percentage of M2 macrophages and higher concentrations of the anti-inflammatory cytokines interleukin (IL)-4 and IL-10. Genes encoding two growth factors, bone morphogenetic protein 2 (BMP2) and vascular endothelial growth factor (VEGF) were up-regulated, thus indicating the ability of the M2 phenotype to promote wound healing. The nuclear factor κB (NF-κB) signalling pathway was down-regulated. In vivo the Mg PIII -treated titanium elicited a similar effect on macrophage polarization and induced thinner fibrous capsule formation and a decrease in infiltrated cells. These results indicate that Mg PIII treatment has the immunomodulatory potential to elicit the pro-healing M2-polarized macrophage phenotype, thus providing new insight into the development of immunomodulatory biomaterials.

Highlights

  • R line RAW 264.7 in vitro and a murine air pouch model in vivo

  • Regulation of macrophage state by surface modification of biomaterials is emerging as an innovative strategy to repair damaged tissues[6]

  • Different amounts of magnesium were introduced onto the surface of titanium through plasma immersion ion implantation (Mg Plasma immersion ion implantation (PIII))

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Summary

Discussion

E The homeostasis of the immune cell state is indispensable for tissue development, regeneration, and repair[19]. The Mg PIII-treated titanium modulated macrophages towards the M2 phenotype, which promotes tissue healing, and reduced the host inflammatory response against the materials. Mg PIII-treated titanium altered the expression of two specific markers of macrophage polarization, CD86 and CD163. The histological analysis showed that the Mg PIII-treated titanium caused a significant decrease in the number of inflammatory cells recruited to the implant site, together with a higher percentage of M2 cells verified by immunohistochemistry. Whether there is an optimal concentration of Mg ions to maximize M2 polarization requires further investigation

C Conclusion
TMaterials and Methods
F: AAA TGG TGA AGG TCG GTG TG R
Findings
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