Titanium sheets, made hydrophilic by oxidative cleaning or hydrophobic by t
reatment with butanol, and stainless steel sheets with different patterns o
f pores (phi = 0.8 mm) were implanted into the peritoneal cavity of mice. T
he implants were removed after 2 h, and the surface-adhering leukocytes; we
re stained with propidium. iodide and fluorescein diacetate to quantitate c
ell adhesion and to indicate the presence of leaks in the cell membrane. Th
e ability of the surface-adhering leukocytes to mount a respiratory burst r
esponse after stimulation with PMA or zymosan was measured by chemiluminisc
ence. The results show that stainless steel without pores induces membrane
leakage in 80% of the surface-adhering leukocytes compared with 65% of cell
s adhering to porous steel. Hydrophilic titanium induces membrane leakage i
n 48% of the surf ace-adhering leukocytes compared with 19% of cells adheri
ng to hydrophobic titanium. The respiratory burst response of the surface-a
dhering leukocytes stimulated with PMA was attenuated on stainless steel an
d hydrophilic titanium compared with hydrophobic titanium. Thus, butanol tr
eatment of titanium and pores in stainless steel increase the biocompatibil
ity of the materials. (C) 2001 John Wiley & Sons, Inc.