Polyetheretherketone Surface Research Articles

PEEK surface modification by fast ambient-temperature sulfonation for bone implant applications.

We develop a simple, fast and economical surface treatment under ambient temperature to improve the hydrophilicity and osteoconductivity of polyetheretherketone (PEEK) for bone implant applications. A major challenge in bone implants is the drastic difference in stiffness between traditional implant materials (such as titanium and stainless steel) and human bone. PEEK is biocompatible with an elastic modulus closely matching that of human bone, making it a highly attractive alternative. However, its bio-inert and poorly hydrophilic surface presents a serious challenge for osseointegration. Sulfonation can improve hydrophilicity and introduce bioactive sulfonate groups, but PEEK sulfonation has traditionally been applied for fuel cells, employing elevated temperatures and long reaction times to re-cast PEEK into sulfonated films. Little research has systematically studied PEEK surface modification by short reaction time (seconds) and ambient-temperature sulfonation for biomedical applications. Here, we investigate three ambient-temperature sulfonation treatments under varying reaction times (5–90 s) and evaluate the hydrophilicity and morphology of 15 modified PEEK surfaces. We establish an optimal treatment using 30 s H2SO4 followed by 20 s rinsing, and then 20 s immersion in NaOH followed by 20 s rinsing. This 30 s ambient-temperature sulfonation is found to be more effective than conventional plasma treatments and reduced PEEK water contact angle from 78° to 37°.

Surface bioactivation of PEEK by neutral atom beam technology

Polyetheretherketone (PEEK) is an alternative to metallic implants and a material of choice in many applications, including orthopedic, spinal, trauma, and dental. While titanium (Ti) and Ti-alloys are widely used in many intraosseous implants due to its biocompatibility and ability to osseointegrate, negatives include stiffness which contributes to shear stress, radio-opacity, and Ti-sensitivity. Many surgeons prefer to use PEEK due to its biocompatibility, similar elasticity to bone, and radiolucency, however, due to its inert properties, it fails to fully integrate with bone. Accelerated Neutral Atom Beam (ANAB) technology has been successfully employed to demonstrate enhanced bioactivity of PEEK both in vitro and in vivo. In this study, we further characterize surfaces of PEEK modified by ANAB as well as elucidate attachment and genetic effects of dental pulp stem cells (DPSC) exposed to these surfaces. ANAB modification resulted in decreased contact angle at 72.9 ± 4.5° as compared to 92.4 ± 8.5° for control (p < 0.01) and a decreased average surface roughness, however with a nano-textured surface profile. ANAB treatment also increased the ability of DPSC attachment and proliferation with considerable genetic differences showing earlier progression towards osteogenic differentiation. This surface modification is achieved without adding a coating or changing the chemical composition of the PEEK material. Taken together, we show that ANAB processing of PEEK surface enhances the bioactivity of implantable medical devices without an additive or a coating.

Nano Textured PEEK Surface for Enhanced Osseointegration.

Polyetheretherketone (PEEK) is widely used in orthopedic and dental applications because of its similar mechanical properties to those of natural bones. However, the inferior osseointegration and bioinertness hamper the clinic application. The surface texture of biomaterials plays an essential role in controlling cell differentiation through affecting the cell-generated physical forces, thus improving the osseointegration of the substrate. In this work, argon PIII and subsequently hydrogen peroxide treatment are applied to construct the nanostructure on the PEEK surface. The in vitro results show that the cell adhesion, collagen secretion, and extracellular matrix (ECM) deposition can be enhanced on both nanostructured surfaces. The in vivo tests exhibit that the surface fabricated by physical-chemical treatment is more favorable for fibrous tissue filtration inhibition and osseointegration than that fabricated by argon PIII only. This work provides a candidate approach for improving the osseointegration ability of PEEK implant by constructing the nanostructure on its surface, which paves the way of applying PEEK in orthopedic and dental applications.

A review on plasma sprayed titanium and hydroxyapatite coatings on polyetheretherketone implants

Polyetheretherketone (PEEK) is a biocompatible polymer with good mechanical strength, thermal and chemical stability and is suitable for magnetic resonance and X-ray imaging. Moreover, density and elasticity of PEEK is closer to bones compared to metals. Nevertheless, the hydrophobicity of the PEEK surface causes a soft tissue formation at the bone/implant interface that prevents direct bone apposition. Although numerous methods have been developed for improving PEEK's bioactivity, the most widely used and accepted method have been coating the surface with a thin layer of osseointegrative material by thermal spraying. Most widely used coating materials in the manufacture of orthopaedic implants have been hydroxyapatite (HAp) and titanium. Thus, this review focuses on the recent progress on HAp and Ti coatings deposited by plasma spraying methods on PEEK implants.

A review on plasma sprayed titanium and hydroxyapatite coatings on polyetheretherketone implants

Polyetheretherketone (PEEK) is a biocompatible polymer with good mechanical strength, thermal and chemical stability and is suitable for magnetic resonance and X-ray imaging. Moreover, density and elasticity of PEEK is closer to bones compared to metals. Nevertheless, the hydrophobicity of the PEEK surface causes a soft tissue formation at the bone/implant interface that prevents direct bone apposition. Although numerous methods have been developed for improving PEEK's bioactivity, the most widely used and accepted method have been coating the surface with a thin layer of osseointegrative material by thermal spraying. Most widely used coating materials in the manufacture of orthopaedic implants have been hydroxyapatite (HAp) and titanium. Thus, this review focuses on the recent progress on HAp and Ti coatings deposited by plasma spraying methods on PEEK implants.

Highly adhesive and bioactive Ti–Mg alloy thin film on polyether ether ketone formed by PIII&D technique

In this study, a method of forming highly adhesive bioactive Ti–Mg alloy thin film on a polyether ether ketone (PEEK) was investigated. To increase the adhesion strength, a PEEK surface was sanded with SiC paper and Ti–Mg ions were implanted by plasma immersion ion implantation & deposition (PIII&D), prior to Ti–Mg alloy thin film deposition. Then, these samples were immersed in the simulated body fluid (SBF) solution for seven days to ensure that hydroxyapatite was formed. In a separate experimental procedure, the thin films were immersed in a physiological saline solution for seven days to check the morphology after magnesium was dissolved. The results show that the adhesion strength increased to 36.14 MPa, and crystallization of hydroxyapatite was most pronounced in the composition of Ti–Mg 85/15 at%. These findings demonstrate that PIII&D is a promising surface treatment tool for PEEK implants.

Simvastatin delivery on PEEK for bioactivity and osteogenesis enhancements

A strategy developed for obtaining positive cellular responses remains to be focused in the filed of functional biomimetics. In this study, a hydrogel covered simvastatin-loaded polyetheretherketone (PEEK) bio-composites was constructed with the purpose of bone tissue regeneration therapy. Briefly, a three-dimensional (3D) porous structure was fabricated on PEEK surface; then the substrate was functionalized with the poly(L-lactic acid)/simvastatin porous film and hyaluronic acid hydrogel subsequently. In vitro cell attachment, proliferation, and cytoskeletal observation experiments reveal that our scaffolds show better bio-affinity due to the layer of hyaluronic acid hydrogel compared with control. Furthermore, the alkaline phosphatase activity, calcium mineral deposition evaluation, and gene expression for osteogenic potential all exhibit that the superior osteogenic differentiation of MC3T3-E1 pre-osteoblasts on our scaffolds. Therefore, our PEEK samples loaded with simvastatin and covered with hyaluronic acid hydrogel hold great potential in clinical applications for bone repair.

Vacuum-UV of polyetheretherketone (PEEK) as a surface pre-treatment for structural adhesive bonding

ABSTRACT Polyetheretherketone (PEEK) is known for its poor wettability and poor adhesive properties. Hence, for the creation of reliable high-strength structural adhesive bonded joints, surface treatment of PEEK is required. In this work high strength bondable PEEK surfaces were achieved through a vacuum-UV (VUV) treatment. Samples of amorphous and semi-crystalline PEEK films were exposed to different VUV radiation doses. Additionally oxygen low-pressure plasma (LPP) and untreated (as received) PEEK samples were investigated for comparison. Surfaces were characterized using x-ray photoelectron spectroscopy (XPS), contact angle measurements (CA), atomic force microscopy (AFM) and confocal laser scanning microscopy (CLSM). Tensile tests of the PEEK films were carried out, to investigate changes in the mechanical properties in the bulk of the PEEK films due to the VUV exposure. The adhesive bond strength of treated specimen was determined through two different test methods (tensile and shear). These strengths were compared to the created surface properties. A strong correlation between the contact angle and the creation of functional groups was observed. VUV radiation appears as a suitable pre-treatment method for PEEK, as adhesive bonds of high strength were achieved after 5 seconds. Additionally, the usage of a VUV excimer lamp is simple, cheap and easy for automation.

Creation and description of sand blasted stamp created micro roughness on polyetheretherketone with subsequent physical vapor deposition coating for promotion of osseointegration

AbstractAdjusting the topography of implant surfaces on a micro‐scale allows improvement of osseointegration. Titanium surface modification like sand blasting is one of the known methods to alter the topography of the surface. Polyetheretherketone as a biomaterial is a suitable alternative to titanium but exhibits an inert surface character. The aim of this study was to combine the positive bulk properties of polyetheretherketone with the positive surface properties of sand blasted titanium. For the creation of particle free structured polyetheretherketone surface, four different sand blasted die were pressed on counter die polyetheretherketone to transfer the structure. Furthermore, a titanium layer was applied on the surface using physical vapor deposition. The transfer process of the four different topographies was investigated with roughness measurements and scanning electron microscope. One topography, created with aluminum oxide particles on copper, was found with the required Ra value of 1 μm and Rz value of 9.2 μm for improved osseointegration.

Enhanced osteogenic activity of phosphorylated polyetheretherketone via surface-initiated grafting polymerization of vinylphosphonic acid.

Polyetheretherketone (PEEK) is considered to be a prime candidate with the potential to replace biomedical metallic materials as an orthopedic and dental implant on account of its elastic modulus similar to that of human cortical bone. Unfortunately, its biomedical application is impeded by the bioinert surface property and inferior osteogenic activity. In this work, phosphate groups were incorporated onto the PEEK surface through a single-step UV-initiated graft polymerization of vinylphosphonic acid. Diffuse reflectance Fourier transform infrared spectroscopy (DRFTIR), X-ray photoelectron spectroscopy (XPS), and atomic force microscopy (AFM) revealed that phosphate groups were successfully introduced onto the PEEK surface without apparently altering its surface topographical feature and roughness. Water contact angle measurements diclosed the increasing hydrophilia after surface phosphonation. In vitro cell adhesion, spreading, proliferation, alkaline phosphatase activity, extracellular matrix mineralization, and real-time PCR analyses showed enhanced adhesion, spreading, proliferation and osteogenic differentiation of MC3T3-E1 osteoblast on the surface-phosphorylated PEEK. An in vivo biological evaluation in the rabbit tibiae proximal defect model by means of a histological analysis confirmed that the surface-phosphorylated PEEK had improved bone-implant contact. The obtained results indicate that enhanced osteogenic activity to surface-phosphorylated PEEK, which gives positive information of its potential applications in orthopedic and dental implants.

Hard and Soft Tissue Cell Behavior on Polyetheretherketone, Zirconia, and Titanium Implant Materials

The aim of this study was to characterize and compare the behavior of human osteoblasts and human gingival fibroblasts in contact with polyetheretherketone (PEEK), zirconia, and titanium implant surface materials. PEEK, yttria-stabilized zirconia (YTZP), and titanium discs were produced under appropriate and similar conditions to achieve controlled surface features. Human osteoblasts and human gingival fibroblasts were cultured on discs for 14 days. Cell viability and proliferation were evaluated using a resazurin-based method. Morphology and cellular adhesion were observed using field emission gun-scanning electron microscopy (FEG-SEM). Alkaline phosphatase (ALP) activity and bone cell mineralization were evaluated on osteoblasts. Confocal laser scanning microscopy (CLSM) images of fluorescent-stained fibroblasts were obtained at 7 and 14 days of the culture. Results were presented as mean and standard deviation (SD). Group comparisons were tested using analysis of variance (ANOVA) (Tukey's post hoc) with appropriate statistical software, and significance was set at P < .05. Cell viability and proliferation were higher in PEEK and YTZP groups compared with titanium on osteoblast cells (P < .05, all time points) and on fibroblasts (P < .05, 7 and 14 days). All groups showed an increase in ALP activity over time, which was not significant. Mineralization patterns demonstrated an increase in mineral content over time, which was more apparent in the YTZP group. Cell spreading was more evident on PEEK and YTZP specimens. The results suggest increased adhesion, viability, and proliferation of osteoblasts and gingival fibroblasts on zirconia and PEEK surfaces compared with titanium. These results are correlated with the increased wettability of these materials.

Selective Grafting of Polyamines to Polyether Ether Ketone Surface during Molding and Its Use for Chemical Plating

We present a new approach of surface functionalization of polyether ether ketone (PEEK) that is carried out during the molding step. Thin films of polymers with different functional groups were applied to the surface of a mold and brought in close contact with a PEEK melt during injection molding. The surfaces of the produced parts were characterized after solidification. Only those PEEK surfaces that were in contact with polymers bearing primary amino groups exhibited a wettability for water. Obviously, the thin polymer film was grafted to the surface by a chemical reaction initiated by the high melt temperature. The formation of azomethine bonds between PEEK and the polyamine by coupling to the ketone groups was proposed. The other amino groups in the molecule were still in function after the molding process. They adsorbed different anionic molecules and anionic charged nanoparticles from aqueous solutions. The surfaces could be chemically plated by copper and nickel with high adhesion.

Effect of laser groove treatment on shear bond strength of resin-based luting agent to polyetheretherketone (PEEK)

PurposeThe mechanical properties of polyetheretherketone (PEEK) are ideally suited for fixed dental prostheses. However, PEEK typically has low adhesion strength to resin-based luting agent. This study assessed the shear bond strength between laser groove treated PEEK and resin-based luting agent. MethodsA total of 230 specimens were randomly divided into five groups (n=46): no-treatment, air abrasion treatment, 100μm-deep, 150μm-deep, and 200μm-deep laser groove treatments. The surface roughness was measured, scanning electron microscopy was used to observe the specimen surfaces, and X-ray photoelectron spectroscopy (XPS) was used to analyze the surfaces. Each group was divided into four resin-based luting agent subgroups: Panavia V5, RelyX Ultimate Resin Cement, G-CEM Link Force, and Super-Bond C&B. After the resin-based luting agent was bonded to the specimens, the bond strength was measured using shear tests and the failure modes were assessed by stereomicroscopy. The surfaces were also observed by scanning electron microscopy (SEM) after the shear bond strength measurements. The data were statistically analyzed using a two-way analysis of variance and Tukey’s honest significant difference test (α=0.05). ResultsThe PEEK surface after laser groove treatment groups exhibited the highest mean Ra values. In the XPS analysis, the laser treated PEEK surface exhibited an effective surface composition for bonding with resin-based luting agent. The shear bond strengths for the laser groove treated samples were significantly higher (p<0.05) than those of the no-treatment and air abrasion treatment groups. ConclusionsThe shear bond strength between PEEK and resin-based luting agent was substantially improved by laser groove treatment.

Porous PEEK improves the bone-implant interface compared to plasma-sprayed titanium coating on PEEK

Polyether-ether-ketone (PEEK) is one of the most common materials used for load-bearing orthopaedic devices due to its radiolucency and favorable mechanical properties. However, current smooth-surfaced PEEK implants can lead to fibrous encapsulation and poor osseointegration. This study compared the in vitro and in vivo bone response to two smooth PEEK alternatives: porous PEEK and plasma-sprayed titanium coatings on PEEK. MC3T3 cells were grown on smooth PEEK, porous PEEK, and Ti-coated PEEK for 14 days and assayed for calcium content, osteocalcin, VEGF and ALP activity. Osseointegration was investigated by implanting cylindrical implants into the proximal tibiae of male Sprague Dawley rats for 8 weeks. Bone-implant interfaces were evaluated using μCT, histology and pullout testing. Cells on porous PEEK surfaces produced more calcium, osteocalcin, and VEGF than smooth PEEK and Ti-coated PEEK groups. Bone ingrowth into porous PEEK surfaces was comparable to previously reported porous materials and correlated well between μCT and histology analysis. Porous PEEK implants exhibited greater pullout force, stiffness and energy-to-failure compared to smooth PEEK and Ti-coated PEEK, despite Ti-coated PEEK exhibiting a high degree of bone-implant contact. These results are attributed to increased mechanical interlocking of bone with the porous PEEK implant surface. Overall, porous PEEK was associated with improved osteogenic differentiation in vitro and greater implant fixation in vivo compared to smooth PEEK and Ti-coated PEEK. These results suggest that not all PEEK implants inherently generate a fibrous response and that topography has a central role in determining implant osseointegration.

Endowing polyetheretherketone with synergistic bactericidal effects and improved osteogenic ability

Biomedical associated infections (BAI) are difficult to treat and may even lead to amputation and death, especially after the emergence of drug-resistant bacteria. The aim of this study was to harness the potential synergistic effects of multiple bactericidal agents to endow polyetheretherketone (PEEK) with the ability of achieving full eradication of planktonic and adherent bacteria while maintaining acceptable biocompatibility. In this work, a mussel inspired, silver nanoparticles (AgNPs) incorporated silk fibroin (SF)/gentamicin sulfate (GS) coating was constructed upon porous PEEK surface. The obtained coating greatly enhanced the bactericidal efficiency to Gram-positive bacteria and Gram-negative bacteria. The number of bacteria survived in the culture medium after treated with this coating was 106 fold lower than that survived after treated with PEEK sample, while the number of viable bacteria adhered to this coating was 105 lower than that adhered to PEEK sample. Furthermore, release of Ag+ and GS increased with decreasing pH, indicating great potential of this coating to be a “smart” bacteria-triggered self-defensive coating. Meanwhile, this functional coating shows favorable cytocompatibility and osteogenic ability. The mechanism behind this dual function is also partially revealed. Expectedly, this “smart” dual function coating can give a promise for PEEK to become a solution to increasingly deteriorated BAI. Statement of SignificanceIn this study, a mussel inspired, silver nanoparticles (AgNPs) incorporated silk fibroin (SF)/gentamicin sulfate (GS) coating was constructed upon porous polyetheretherketone (PEEK) surface. This design was aimed to provide a solution to the increasingly deteriorated biomedical associated infections (BAI). Actually, this design endowed PEEK with dual function: bacteria-triggered synergistic bactericidal effect and improved osteogenic ability. The combination of silver and GS exhibited synergistic bacteria killing effect on both Gram-positive and Gram-negative bacteria, which showed 106 times higher in releasing-killing and 105 times higher in anti-adhesion than that of untreated PEEK. Furthermore, release of bactericidal agents increased with decreasing pH, indicating great potential of this coating to be a bacteria-triggered self-defensive coating. More interestingly, this study revealed the mechanism of synergistic effect between silver and GS.

Torsional Friction Behavior of Contact Interface Between PEEK and CoCrMo in Calf Serum

Polyether ether ketone (PEEK) and its composites are recognized as alternative bearing materials for use in arthroplasty because of their excellent mechanical properties. In this paper, torsional friction tests of PEEK against the CoCrMo alloy, simulating the contact mode between the prosthesis tibia and femur, were carried out under a 25% calf serum solution in a Leeds Prosim knee simulator. The torsional friction behavior of PEEK against the CoCrMo alloy was investigated under various normal loads (1000 N, 1600 N and 2200 N), torsional angular displacement amplitudes (±1 deg, ±3 deg, and ±5 deg), and the number of cycles (7500, 15,000, and 30,000). The torsional friction characteristics and damage mechanism are discussed. The results show that PEEK exhibited low friction coefficient under the different conditions. With increases in the torsional angle and normal load, three types of torque/angular displacement amplitude (T–θ) curves (i.e., linear, parallelogram, and elliptical loops) were observed and analyzed during the process of torsional friction. With the increase of the torsional angle, the coefficient of friction decreases. And the contact states change from the partial slip regime to the slip regime. The greater the torsional angle displacement, the more severe the damage to the PEEK surface. With an increase in the normal load, the wear scars increased. The wear depth is deepened and the width is widened, and the wear gradually becomes serious with an increase in the load. The small load is more likely to cause damage to the central area of PEEK, and the larger load causes more serious damage to the marginal region. The central and marginal regions of the PEEK sample have different wear characteristics. The worn surfaces of the central regions were characterized by convex ridges resulting from plastic deformation, while curved ploughs and fatigue peeling appeared in the marginal region. The wear mechanism of PEEK in the central region is plastic deformation, while fatigue wear and abrasive wear mainly appeared in the marginal region.

Zinc-Modified Sulfonated Polyetheretherketone Surface with Immunomodulatory Function for Guiding Cell Fate and Bone Regeneration.

The cytokines released by immune cells are considered important factors to induce bone tissue regeneration. However, the pathway of those bone‐targeting macrophage cytokines induced by biomaterial surface under tissue microenvironment is rarely reported. In this study, the immunomodulatory capability of zinc ions on macrophage polarization and its effects on osteogenic differentiation are investigated. Hence, a layer of zinc ions are incorporated on sulfonated polyetheretherketone (SPEEK) biomaterials by using a customized magnetron sputtering technique. The results reveal that the microenvironment on Zn‐coated SPEEK can modulate nonactivated macrophage polarization to an anti‐inflammatory phenotype and induce the secretion of anti‐inflammatory and osteogenic cytokines. The osteogenic differentiation capability of bone marrow stromal cells (BMSCs) is therefore enhanced, leading to improved osteointegration between the zinc‐coated SPEEK and bone tissue. This study verifies that zinc ion is a promising additive in the osteoimmunomodulation process and provides knowledge that may pave the way to develop the next generation of immunomodulatory biomaterials.

Polymer coatings based on sulfonated-poly-ether-ether-ketone films for implant dentistry applications

Poly-ether-ether-ketone (PEEK) is one of the most important biocompatible polymers and its sulfonation has been studied for biomedical applications. The aim of the present study is to produce, to characterize and to assess bioactivity of PEEK coatings with sulfonated PEEK (SPEEK) films. Biomedical grade PEEK (Invibio®, Batch: D0602, grade: NI1) was functionalized using sulfuric acid 98%. SPEEK was dissolved into DMSO or into DMF, both at 10% mass/volume. PEEK bars (N = 18) and cylinders (N = 27) were manufactured by compression molding and heating. SPEEK/DMSO and SPEEK/DMF were drop casted at PEEK bars and dip coated at PEEK cylinders (PEEK + SPEEK/DMSO and PEEK + SPEEK/DMF). Characterization was performed through Fourier Transform Infrared Spectroscopy (FTIR), X-Ray Diffraction (XRD), Scanning Electron Microscope (SEM) and contact angle measurements. Bioactivity was assessed by immersion of samples at SBF for 1, 7 and 21 days, followed by SEM, energy-dispersive analysis (EDX) and FTIR analysis. Statistical analysis was carried out by one-way analysis of variance (ANOVA) (p = 0.05). Characteristic bands of PEEK and SPEEK, were identified through FTIR spectrum analysis, while semicrystallinity was confirmed by XRD. PEEK + SPEEK/DMF showed more evident physicochemical modifications. PEEK + SPEEK/DMSO provided a more regular and hydrophobic surface, observed through SEM and contact angle measurements. SEM/EDX showed that precipitates of calcium were formed at PEEK + SPEEK/DMSO and PEEK + SPEEK/DMF at all experimental times, but materials were not considered bioactive. Interesting surface properties were achieved with SPEEK coatings but the production of SPEEK films at PEEK surface has to be further improved and biologically tested. Schematic diagram showing the methodology applied in this study to prepare PEEK and SPEEK samples, as well as the promising application of the material.

Enhanced Osteoblasts Responses to Surface-Sulfonated Polyetheretherketone via a Single-Step Ultraviolet-Initiated Graft Polymerization

Polyetheretherketone (PEEK) has the potential to replace traditional metallic materials as an orthopedic and dental implant because its elastic modulus is similar to natural bone, although its intrinsic bioinertness hampers its clinical application. In this study, sulfonate groups were introduced onto the PEEK surface through a single-step ultraviolet-initiated graft polymerization of vinylsulfonic acid sodium. Diffuse reflectance Fourier transform infrared spectroscopy and X-ray photoelectron spectroscopy analyses confirmed the successful attachment of sulfonate groups to the PEEK surfaces. A decreased angle of contact suggested there was an increase in hydrophilicity as a result of endowing the PEEK surface with sulfonate groups. Atomic force microscopy revealed there to be no significant changes in surface topology and roughness as a result of the surface modification. In vitro cell adhesion, viability assay, alkaline phosphatase activity and extracellular matrix mineralization analyses, and real-time ...

Inflammatory cytokine release from human peripheral blood mononuclear cells exposed to polyetheretherketone and titanium-6 aluminum-4 vanadium in vitro.

Objective To investigate the cytokine expression profiles of blood cells exposed to polyetheretherketone and titanium-6 aluminum-4 vanadium materials in vitro. Materials and methods Coin-shaped samples composed of titanium-6 aluminum-4 vanadium, polyetheretherketone, and blasted polyetheretherketone were manufactured. The surfaces of the coins were characterized using optical interferometry, scanning electron microscopy, and contact angle measurements. Peripheral blood mononuclear cells collected from 10 blood donors were cultured for one, three, and six days in the presence or absence of the coins, and then assayed for cytokine production. Quantification of the peripheral blood mononuclear cells attached to the coins was performed using confocal microscopy after immunofluorescence staining. Results The machined titanium-6 aluminum-4 vanadium coins had a smoother surface topography compared to the machined polyetheretherketone and blasted polyetheretherketone. The highest mean contact angle was noted for the blasted polyetheretherketone, followed by the machined polyetheretherketone and titanium-6 aluminum-4 vanadium. The peripheral blood mononuclear cells produced significantly more proinflammatory cytokines when exposed to the polyetheretherketone surface compared to the titanium-6 aluminum-4 vanadium surface, while the blasted polyetheretherketone induced the highest level of proinflammatory cytokine release from the peripheral blood mononuclear cells. Significantly more cells attached to both polyetheretherketone surfaces, as compared to the titanium-6 aluminum-4 vanadium surface. Conclusion Polyetheretherketone induces a stronger inflammatory response from peripheral blood mononuclear cells than does titanium-6 aluminum-4 vanadium. Surface topography has an impact on cytokine release from peripheral blood mononuclear cells.