Abstract

Cation-substituted hydroxyapatite (HA), standalone or as a composite (blended with polymers or metals), is currently regarded as a noteworthy candidate material for bone repair/regeneration either in the form of powders, porous scaffolds or coatings for endo-osseous dental and orthopaedic implants. As a response to the numerous contradictions reported in literature, this work presents, in one study, the physico-chemical properties and the cytocompatibility response of single cation-doped (Ce, Mg, Sr or Zn) HA nanopowders in a wide concentration range (0.5–5 at.%). The modification of composition, morphology, and structure was multiparametrically monitored via energy dispersive X-ray, X-ray photoelectron, Fourier-transform infrared and micro-Raman spectroscopy methods, as well as by transmission electron microscopy and X-ray diffraction. From a compositional point of view, Ce and Sr were well-incorporated in HA, while slight and pronounced deviations were observed for Mg and Zn, respectively. The change of the lattice parameters, crystallite size, and substituting cation occupation factors either in the Ca(I) or Ca(II) sites were further determined. Sr produced the most important HA structural changes. The in vitro biological performance was evaluated by the (i) determination of leached therapeutic cations (by inductively coupled plasma mass spectrometry) and (ii) assessment of cell behaviour by both conventional assays (e.g., proliferation—3-(4,5-dimethyl thiazol-2-yl) 5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium assay; cytotoxicity—lactate dehydrogenase release assay) and, for the first time, real-time cell analysis (RTCA). Three cell lines were employed: fibroblast, osteoblast, and endothelial. When monophasic, the substituted HA supported the cells’ viability and proliferation without signs of toxicity. The RTCA results indicate the excellent adherence of cells. The study strived to offer a perspective on the behaviour of Ce-, Mg-, Sr-, or Zn-substituted HAs and to deliver a well-encompassing viewpoint on their effects. This can be highly important for the future development of such bioceramics, paving the road toward the identification of candidates with highly promising therapeutic effects.

Highlights

  • The development of high-performance biomaterials capable of treating, and reinforcing or even replacing body parts or living tissues, is nowadays of paramount importance for the healthcare and tissue-engineering fields [1]

  • For the synthesis of SHA, an additional step was required: the nitrate of Sr/Mg/Zn/Ce dissolved in bidistilled water was added to the solution containing calcium ions and precipitated with ammonium phosphate according to the procedure described above

  • The crystalline lattice of HA was progressively weakened by the progressive incorporation of cation substituents

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Summary

Introduction

The development of high-performance biomaterials capable of treating, and reinforcing or even replacing body parts or living tissues, is nowadays of paramount importance for the healthcare and tissue-engineering fields [1]. Biomaterials used in healthcare can be classified into metals, polymers, ceramics, and composites [2,3]. One prominent category of current clinical applications focuses on bioceramics for hard conjunctive tissue (e.g., bone and teeth) regeneration [1,2,3], with emphasis on the design of bone grafting scaffolds and biofunctionalisation, as well as improvement and prolongation of the lifetime of endo-osseous/dental implants. Hydroxyapatite (HA)-based materials are currently the main exponent of the bioceramics family. HA can be dated back to the 1950s [4] and was inspired by the mineral composition of bone [1]. Its ongoing success is related to its unique physico-chemical properties and its excellent biofunctionality (e.g., biocompatibility, bioactivity, and osteoconductivity) [1,5,6,7]

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