J. Lincks et al., Response of MG63 osteoblast-like cells to titanium and titanium alloy is dependent on surface roughness and composition, BIOMATERIAL, 19(23), 1998, pp. 2219-2232
The success of an implant is determined by its integration into the tissue
surrounding the biomaterial. Surface roughness and composition are consider
ed to influence the properties of adherent cells. The aim of this study was
to determine the effect of chemical composition and surface roughness of c
ommercially pure titanium (Ti) and Ti-6Al-4V alloy (Ti-A) on MG63 osteoblas
t-like cells. Unalloyed and alloyed Ti disks were machined and either fine-
polished or wet-ground, resulting in smooth (S) and rough (R) finishes, res
pectively. Standard tissue culture plastic was used as a control. Surface t
opography and profile were evaluated by cold field emission scanning electr
on microscopy and profilometry, while chemical composition was determined u
sing Auger electron spectroscopy and Fourier transform infrared spectroscop
y. The effect on the cells was evaluated 24 h postconfluence by measuring c
ell number, [H-3]-thymidine incorporation into DNA, cell and cell layer alk
aline phosphatase specific activity (ALPase), osteocalcin and collagen prod
uction, [S-35]-sulfate incorporation into proteoglycan, and prostaglandin E
-2 (PGE(2)) and transforming growth factor-beta (TGF-beta) production. When
compared to plastic, the number of cells was reduced on the pure Ti surfac
es, while it was equivalent on the Ti-A surfaces; [H-3]-thymidine incorpora
tion was reduced on all surfaces. The stimulatory effect of surface roughne
ss on ALPase in isolated cells and the cell layer was more pronounced on th
e rougher surfaces, with enzyme activity on TI-R being greater than on TfA-
R. Osteocalcin production was increased only on the TI-R surface. Collagen
production was decreased on Ti surfaces except Ti-R; [S-35]-sulfate incorpo
ration was reduced on all surfaces. Surface roughness affected local factor
production (TGF-beta, PGE(2)). The stimulatory effect of the rougher surfa
ces on PGE(2) and TGF-beta was greater on Ti than Ti-A. In summary, cell pr
oliferation, differentiation, protein synthesis and local factor production
were affected by surface roughness and composition. Enhanced differentiati
on of cells grown on rough vs. smooth surfaces for both Ti and Ti-A surface
s was indicated by decreased proliferation and increased ALPase and osteoca
lcin production. Local factor production was also enhanced on rough surface
s, supporting the contention that these cells are more differentiated. Surf
ace composition also played a role in cell differentiation, since cells cul
tured on Ti-R surfaces produced more ALPase than those cultured on Ti-A-R.
While it is still unknown which material properties induce which cellular r
esponses, this study suggests that surface roughness and composition may pl
ay a major role and that the best design for an orthopaedic implant is a pu
re titanium surface with a rough microtopography. (C) 1998 Published by Els
evier Science Ltd. All rights reserved.