In vitro biological response of plasma electrolytically oxidized and plasma-sprayed hydroxyapatite...

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In vitro biological response of plasma electrolytically oxidized and plasma-sprayed hydroxyapatite coatings on Ti–6Al–4V alloy Wing Kiu Yeung, 1 Gwendolen C. Reilly, 1,2 Allan Matthews, 1 Aleksey Yerokhin 1 1 Department of Materials Science and Engineering, The University of Sheffield, Sheffield S1 3JD, UK 2 The Kroto Research Institute, North Campus, The University of Sheffield, Sheffield S3 7HQ, UK Received 6 August 2012; revised 20 December 2012; accepted 7 January 2013 Published online in Wiley Online Library (wileyonlinelibrary.com). DOI: 10.1002/jbm.b.32899 Abstract: Plasma electrolytic oxidation (PEO) is a relatively new surface modification process that may be used as an alter- native to plasma spraying methods to confer bioactivity to Ti alloy implants. The aim of this study was to compare physical, chemical and biological surface characteristics of two coatings applied by PEO processes, containing different calcium phos- phate (CaP) and titanium dioxide phases, with a plasma- sprayed hydroxyapatite (HA) coating. Coating characteristics were examined by X-ray diffraction, energy dispersive X-ray spectroscopy, scanning electron microscopy, surface profilom- etry, and wettability tests. The biological properties were determined using the human osteoblastic cell line MG-63 to assess cell viability, calcium and collagen synthesis. The tests showed that PEO coatings are significantly more hydrophilic (6%) and have 78% lower surface roughness (Ra) than the plasma-sprayed coatings. Cell behavior was demonstrated to be strongly dependent on the phase composition and surface distribution of elements in the PEO coating. MG-63 viability for the TiO 2 -based PEO coating containing amorphous CaPs was significantly lower than that for the PEO coating containing crystalline HA and the plasma-sprayed coating. However, col- lagen synthesis on both the CaP and the TiO 2 PEO coatings was significantly higher (92% and 71%, respectively) than on the plasma-sprayed coating after 14 days. PEO has been dem- onstrated to be a promising method for coating of orthopedic implant surfaces. V C 2013 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater 00B:000–000, 2013. Key Words: plasma electrolytic oxidation, plasma spraying, osteoblast, hydroxyapatite, collagen, Ti–6Al–4V How to cite this article: Yeung WK, Reilly GC, Matthews A, Yerokhin A. 2013. In vitro biological response of plasma electrolytically oxidized and plasma-sprayed hydroxyapatite coatings on Ti–6Al–4V alloy. J Biomed Mater Res Part B 2013:00B:000–000. INTRODUCTION Ti alloys are widely used for orthopedic implants as they pos- sess good biocompatibility, chemical stability and excellent mechanical strength. 1–3 Plasma spraying of calcium phos- phate (CaP) based ceramics onto Ti substrates, with the aim of improving bone bonding, is a common procedure. 4,5 Although plasma-sprayed CaP can increase osseointegration, the coating adhesion to the metal substrate is relatively weak, which may lead to delamination. 6 Moreover, the high temperature melting and rapid solidification processes often lead to a change in the chemical structure of the coating. 7 A relatively new electrochemical surface treatment pro- cess known as plasma electrolytic oxidation (PEO) presents a novel approach to modify Ti surfaces. PEO provides a plasma assisted electrochemical conversion of metal surfa- ces into oxide ceramic layers. 8 It operates at anodic poten- tials above the dielectric breakdown voltage of the growing oxide film, producing a ceramic coating containing elements of the metal substrate and the electrolyte. 9–12 A porous sur- face morphology is formed due to the plasma discharge and gas liberation during the PEO process, 13–15 which provides a potentially favorable structure for cell adhesion and growth. Further enhancement of bioactivity can be achieved by incorporation of Ca and P into PEO coatings, which can be implemented through either sequential or hybrid proc- essing routes. In the former, a PEO treatment of Ti is fol- lowed by either direct deposition (e.g., electrophoretic 16 or cathodic 17 ) of hydroxyapatite (HA) or by chemical and/or thermal post-treatments 18–23 to increase the Ca content and promote HA crystallization of the CaP-containing amorphous component of the PEO coating. In the latter, crystalline CaPs are codeposited and incorporated into growing PEO coating in situ from electrolytes containing suspended HA nanopar- ticles 24,25 or soluble calcium and phosphate salts 26–29 using direct current (DC), 26–28 alternative current, or pulsed bipo- lar current (PBC) 29 PEO modes. The reverse current modes promote refinement of the coating morphology and facilitate precipitation of crystalline CaPs without the need to chelate Ca 2þ cations 30 or use electrolytes with a high Ca to P ratio (>2:1). This offers substantial benefits as the phosphate forming capacity of the electrolyte is known to increase with an increasing Me to P content ratio whereas the solu- tion stability decreases 31 ; however, the coatings produced by these methods are somewhat less studied. Correspondence to: A. Yerokhin; email: A.Yerokhin@sheffield.ac.uk Contract grant sponsors: UK EPSRC (WKY and AY) V C 2013 WILEY PERIODICALS, INC. 1

Transcript of In vitro biological response of plasma electrolytically oxidized and plasma-sprayed hydroxyapatite...

In vitro biological response of plasma electrolytically oxidized andplasma-sprayed hydroxyapatite coatings on Ti–6Al–4V alloy

Wing Kiu Yeung,1 Gwendolen C. Reilly,1,2 Allan Matthews,1 Aleksey Yerokhin1

1Department of Materials Science and Engineering, The University of Sheffield, Sheffield S1 3JD, UK2The Kroto Research Institute, North Campus, The University of Sheffield, Sheffield S3 7HQ, UK

Received 6 August 2012; revised 20 December 2012; accepted 7 January 2013

Published online in Wiley Online Library (wileyonlinelibrary.com). DOI: 10.1002/jbm.b.32899

Abstract: Plasma electrolytic oxidation (PEO) is a relatively

new surface modification process that may be used as an alter-

native to plasma spraying methods to confer bioactivity to Ti

alloy implants. The aim of this study was to compare physical,

chemical and biological surface characteristics of two coatings

applied by PEO processes, containing different calcium phos-

phate (CaP) and titanium dioxide phases, with a plasma-

sprayed hydroxyapatite (HA) coating. Coating characteristics

were examined by X-ray diffraction, energy dispersive X-ray

spectroscopy, scanning electron microscopy, surface profilom-

etry, and wettability tests. The biological properties were

determined using the human osteoblastic cell line MG-63 to

assess cell viability, calcium and collagen synthesis. The tests

showed that PEO coatings are significantly more hydrophilic

(6%) and have 78% lower surface roughness (Ra) than the

plasma-sprayed coatings. Cell behavior was demonstrated to

be strongly dependent on the phase composition and surface

distribution of elements in the PEO coating. MG-63 viability for

the TiO2-based PEO coating containing amorphous CaPs was

significantly lower than that for the PEO coating containing

crystalline HA and the plasma-sprayed coating. However, col-

lagen synthesis on both the CaP and the TiO2 PEO coatings

was significantly higher (92% and 71%, respectively) than on

the plasma-sprayed coating after 14 days. PEO has been dem-

onstrated to be a promising method for coating of orthopedic

implant surfaces. VC 2013 Wiley Periodicals, Inc. J Biomed Mater Res

Part B: Appl Biomater 00B:000–000, 2013.

Key Words: plasma electrolytic oxidation, plasma spraying,

osteoblast, hydroxyapatite, collagen, Ti–6Al–4V

How to cite this article: YeungWK, Reilly GC, Matthews A, Yerokhin A. 2013. In vitro biological response of plasma electrolyticallyoxidized and plasma-sprayed hydroxyapatite coatings on Ti–6Al–4V alloy. J Biomed Mater Res Part B 2013:00B:000–000.

INTRODUCTION

Ti alloys are widely used for orthopedic implants as they pos-sess good biocompatibility, chemical stability and excellentmechanical strength.1–3 Plasma spraying of calcium phos-phate (CaP) based ceramics onto Ti substrates, with the aimof improving bone bonding, is a common procedure.4,5

Although plasma-sprayed CaP can increase osseointegration,the coating adhesion to the metal substrate is relativelyweak, which may lead to delamination.6 Moreover, the hightemperature melting and rapid solidification processes oftenlead to a change in the chemical structure of the coating.7

A relatively new electrochemical surface treatment pro-cess known as plasma electrolytic oxidation (PEO) presentsa novel approach to modify Ti surfaces. PEO provides aplasma assisted electrochemical conversion of metal surfa-ces into oxide ceramic layers.8 It operates at anodic poten-tials above the dielectric breakdown voltage of the growingoxide film, producing a ceramic coating containing elementsof the metal substrate and the electrolyte.9–12 A porous sur-face morphology is formed due to the plasma discharge andgas liberation during the PEO process,13–15 which providesa potentially favorable structure for cell adhesion and

growth. Further enhancement of bioactivity can be achievedby incorporation of Ca and P into PEO coatings, which canbe implemented through either sequential or hybrid proc-essing routes. In the former, a PEO treatment of Ti is fol-lowed by either direct deposition (e.g., electrophoretic16 orcathodic17) of hydroxyapatite (HA) or by chemical and/orthermal post-treatments18–23 to increase the Ca content andpromote HA crystallization of the CaP-containing amorphouscomponent of the PEO coating. In the latter, crystalline CaPsare codeposited and incorporated into growing PEO coatingin situ from electrolytes containing suspended HA nanopar-ticles24,25 or soluble calcium and phosphate salts26–29 usingdirect current (DC),26–28 alternative current, or pulsed bipo-lar current (PBC)29 PEO modes. The reverse current modespromote refinement of the coating morphology and facilitateprecipitation of crystalline CaPs without the need to chelateCa2þ cations30 or use electrolytes with a high Ca to P ratio(>2:1). This offers substantial benefits as the phosphateforming capacity of the electrolyte is known to increasewith an increasing Me to P content ratio whereas the solu-tion stability decreases31; however, the coatings producedby these methods are somewhat less studied.

Correspondence to: A. Yerokhin; email: [email protected]

Contract grant sponsors: UK EPSRC (WKY and AY)

VC 2013 WILEY PERIODICALS, INC. 1

The other rather neglected research aspect is associatedwith comparative evaluation of the bioactivity of PEO coat-ings. Most studies relate it to the biological response ofbare Ti which is known to be a bioinert material; fewarticles compared PEO coatings with mechanical (e.g., sandblasting), chemical activation (e.g., acid etching), or anodiz-ing treatments32,33 and none provides a direct comparisonwith an established benchmark CaP coating material, suchas plasma-sprayed HA. The purpose of this work is there-fore to compare the bioactivity and structure of PEO coat-ings with conventional plasma-sprayed coatings via coatinganalyses and in vitro tests in order to gain a better under-standing of the influences of processing parameters onbioactivity.

EXPERIMENTAL

Materials and chemicalsDisk samples made of Ti–6Al–4V alloy with a diameter of1 cm and thickness of 1 mm were used as substrates.Before coating, all substrates were cleaned with acetone,rinsed in deionized water and dried. A set of samplesintended for the plasma spraying of HA powder was alsoroughened by grit blasting. The two other sets of sampleswere submitted to the PEO coating without additionalpretreatments.

All chemicals, cell culture, and assay reagents used inthis study were from Sigma-Aldrich (UK).

Coating depositionThe plasma-sprayed HA coatings were deposited using acommercially available equipment and HA powder manufac-tured to existing ISO standards. The PEO treatments werecarried out for 10 min in the electrolyte (pH ¼ 7.5–8.3, j ¼14–17 mS/cm) containing 0.15 M of calcium acetate hydrate(CH3COO)2Ca�H2O) and 0.075 M of trisodium orthophos-phate dodecahydrate (Na3PO4�10H2O) at a temperature of30 6 6�C.29 A PBC mode was used with potentiostatic con-trol for both voltages and the pulse frequency in the rangesof 430–470 V, �40 to �80 V, and 250–350 Hz, respectively.Further details of the PEO process can be found else-where.29 Coatings containing mixtures of TiO2 with amor-phous and crystalline CaP compounds were produced,denoted TiO2-PEO and CaP-PEO coatings, respectively. Afterthe PEO treatment, the samples were rinsed in distilledwater and dried with hot air.

Surface characterizationThe phase composition of the sample surfaces were ana-lyzed by X-ray diffraction (XRD, Siemens D500 X-ray Diffrac-tometer) using Cu Ka radiation (k ¼ 1.54Å) at 30 mA tubecurrent and 40 kV acceleration voltage. Samples werescanned in a range of 2y for the coating and substrate iden-tification using a y/2y geometry scan, within range 2y ¼20–45� with an increment of 0.02�, 9-s time per step.

Scanning electron microscopy (SEM) was used to exam-ine the coating thickness, surface and cross-sectional mor-phology, whereas energy dispersive X-ray (EDX) spectros-copy was used to study the elemental composition and

distributions of the coatings. Before SEM and EDX analyses,the samples were carbon coated to avoid surface chargingduring observation. An FEI Quanta 200 3D SEM and a JOELJSM-6400 SEM were employed, both operating at an acceler-ating voltage of 20 kV. Surface roughness (Ra) was meas-ured using a Veeco Dektak 1500 Surface profilometer. Themeasurements were conducted on the peripheral and cen-tral regions of each sample and the results are expressed asthe average roughness value Ra. The wettability of the coat-ing surfaces was measured with distilled water at the pe-ripheral and the central regions independently on a Rame-Hart contact angle goniometer.

Cell culturingHuman osteosarcoma cells (MG-63s) were used for theseexperiments. The culture medium for MG63 was DMEM,10% fetal calf serum, 0.25% fungizone, 1% penicillin andstreptomycin, and 1% L-glutamine. Cells were incubated at37�C in 5% CO2. The medium was replenished every 3days.

Cell seedingSamples were sterilized in 70% ethanol and washed inphosphate buffered saline (PBS) before cell seeding. Eachsample was placed in an individual well in a 24-well plate.Cells were suspended in culture medium at a concentrationof 12,000 cells/mL and 1 mL of cell suspension was addedto each sample. The medium was changed after 24 h,thereby removing any cells that had not attached in thistime, and then every 3 days.

Cell viabilityThe viability of cells on each coating was determined by anMTT (3-(4,5-dimethythiazol-2-yl)-2,5-diphenyl tetrazoliumbromide) assay34 after 14 days of culture, MTT is a forma-zan salt method that indicates metabolically active cells bycolorimetric analysis. Cells were incubated with 0.5 mg/mLMTT in PBS for 40 min at 37�C. The formazan salt was dis-solved in 300 lL of acidified isopropanol and optical densitymeasurement was done at 540 nm.

Collagen assaysAfter the MTT assay, samples were washed three times in PBSthen fixed with 3.7% formalin.35 Collagen production is vitalfor cell maintenance; collagen staining was conducted withSirius Red (1 mg/mL in saturated picric acid) for 90 min on arocker. The stain was then removed and washed with tapwater to remove excess dye. For quantitative analysis, thesamples were destained with 0.2 M sodium hydroxide: meth-anol in a ratio of 1:1 and left on the rocker and 200 lL ofdestain was transferred to a 96-well plate; optical densitywas measured at 490 nm. The absorbance of Sirius Red wasnormalized to that of MTT to estimate the influence of thecoatings on calcium or collagen production per viable cell.

Statistical analysisThe results are presented as mean values with standarddeviations. Statistical analysis was performed using Minitab

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software, with one-way analysis of variance, and Tukey’stest for pairwise post hoc comparison. Significance wasdefined as p < 0.05 (n ¼ 4).

RESULTS

Phase compositionXRD patterns of all three coating exhibited a combination ofa broad plateau and sharp peaks as shown in Figure 1.There were only HA peaks detected in the pattern of theplasma-sprayed coating; an abnormally strong peak at 2y ¼26� compared to the powder diffraction reference patternpoints to a preferred orientation in the <001> direction.The patterns of the PEO coated samples contain peaks cor-responding to the metal substrate, indicating that X-rayspenetrated throughout the coating. A higher intensity ofsubstrate peaks in the TiO2 PEO pattern is probably a resultof a thinner coating.

The pattern of the CaP PEO coating contains peaks cor-responding to anatase, rutile, and HA. The peaks of rutileare systematically higher than those of anatase, suggestingthat rutile is more abundant in the coating. Relatively weakand broad peaks at 2y ranging from 31� to 33� detected onthe CaP PEO pattern suggest the presence of crystalline HAin the coating. The XRD pattern of TiO2 PEO coating revealsthe presence of single anatase phase. Finally, the character-istic broad plateaus detected on both PEO coating patterns,located between 28� and 33� 2y, indicate the presence ofsome amorphous CaP constituents. Thus, the phase compo-

sition analysis confirms two types of PEO coating wereformed, one featuring crystalline HA along with amorphousCaP material while the second containing only the amor-phous constituent.

Coating morphologyThe plasma-sprayed coated surfaces have a droplet-likemorphology as shown in Figure 2(a,b), with droplet diam-eter of approximately 20 lm. There was evidence of earlysigns of droplets fusing at the edges in Figure 2(b) andno indications of molten precursor particles splashingduring projection. Cracks were detected on the plasma-sprayed coating and the majority of the cracks penetratedthrough the droplet structure. At high magnifications[Figure 2(b)], a microstructure formed by overlaid drop-lets can be seen.

Figure 2(c,d) shows the surface morphology of the CaPPEO coating with pores approximately 3 lm in diameter.Some of the pores on the surface appeared to be filled in bya translucent deposit, most probably CaP, as shown by thewhite arrow in Figure 2(d). There are few surface crackswhich appeared to be fused together. The coating materialnear the pore consists of darker particles in a brighter ma-trix, pointed by the black arrow in Figure 2(d). This indicatesinhomogeneous chemistry which could be a result of thehigh cooling rate during the PEO process. When comparingthe morphology with the CaP PEO coating, the TiO2 PEOcoating [Figure 2(e,f)] was noted to have more apparent

FIGURE 1. XRD spectra of the coatings on Ti–6Al–4V substrate studied in this work (A, anatase; R, rutile; H, hydroxyapatite; Ti, titanium and Ti-

b, b-phase titanium).

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pores and at higher magnifications [Figure 2(f)] there isevidence of cracks connecting through the skeleton of the po-rous structure. The surface of the TiO2 PEO coating appearsto be more homogeneous than the CaP PEO coating.

The plasma-sprayed coating [Figure 3(a)] has an averagethickness of 53 6 4.6 lm, and a denser morphology thanthat of the PEO coatings. There was no evidence of cavitiesand/or through porosity within the coating but agglomera-tion of the coating materials was observed. The agglomer-ates appear to be separated by micro and macro crackswith angles ranging from 45� to parallel to the surface. Theinterface with the substrate is rough due to the pretreat-ment before plasma spraying.

The CaP PEO [Figure 3(b)] and the TiO2 PEO [Figure3(c)] coatings have an average thickness of 17 6 1.9 lmand 7 6 2 lm, respectively. Neither showed evidence of in-

ternal cracks nor interfacial separation between the coatingand the substrate. The CaP PEO coating showed a relativelymore compact barrier layer of thickness 1.8 6 0.3 lm nextto the substrate, whereas in the TiO2 PEO coating, it wasdifficult to visualize due to the highly uneven interface.

Elemental compositionThe elemental compositions of the three coatings can beobtained from the EDX spectra shown in Figure 4. Thepeaks represent the relative proportion of elements on thecoating surfaces and the presence of carbon on the spectrais a result of sputter coating of a conductive carbon layer.The relative peak intensity was evaluated and collated inTable I.

Since a favorable ratio of Ca to P will have a positiveinfluence on Ca utilization and bone growth, this

FIGURE 2. Scanning electron microscopic images of the surface morphology of (a and b) plasma-sprayed, (c and d) CaP PEO, and (e and f) TiO2

PEO coatings. The black and the white arrows indicate darker particles in a brighter matrix and translucent deposits that fill in the pore,

respectively.

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characteristic was given the primary attention to in thecoatings. The results in Table I indicate that the plasma-sprayed coating had Ca/P ratio of 1.7 and PEO had Ca/P of1.6; these ratios are similar to HA with Ca/P of 1.67. TiO2

PEO coatings had a lower Ca/P ratio of 1.3 which is similarto octacalcium phosphate (OCP, Ca8(HPO4)2(PO4)4�5H2O, Ca/P ¼ 1.33). The other atomic ratio of Ca to O is generallyconsistent with the above Ca/P estimates provided that apart of the oxygen in the coatings is engaged into hydroxyl

FIGURE 3. Scanning electron micrographs showing the cross-sec-

tional structure of (a) plasma-sprayed HA, (b) CaP PEO, and (c) TiO2

PEO coatings. FIGURE 4. Surface EDX spectra of the coatings studied in this work.

TABLE I. Relative Atomic Percentages of Elements in the

Coating Surface

Element

Coating

CaP PEO TiO2 PEO Plasma-Sprayed HA

O 72 74 70Na 1 – –P 8 3 11Ca 12 4 19Ti 7 19 –

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groups in the amorphous constituent as well as into tita-nium dioxide, in the case of PEO coatings. The presence oftrace amounts of Na in the CaP PEO coating is due to theirpresence in the electrolyte.

Hydroxyl groups have been considered to favor osteo-blast adhesion therefore are an important factor in a suc-cessful implant. Because hydrogen cannot be detected byEDX, we estimated the level of hydroxyl groups on the coat-ing surface based on the difference between amounts ofoxygen detected and estimated based stoichiometry of HA(O/Ca ¼ 2.6), OCP (O/Ca ¼ 3.625), and TiO2 present in thecoatings. The data in Table I suggest that there was 27 at%, 22 at %, and 18 at % of oxygen contributing to thehydroxyl group formation on the surfaces of CaP PEO, TiO2

PEO, and plasma-sprayed HA coatings, respectively. There-fore, the CaP PEO coating should favor cell attachment bet-ter than the other two coatings.

Distribution of elementsElemental mapping outlines differences in chemicaldistributions between the coatings studied, as presented inFigure 5. The plasma-sprayed coating has even distributionof all coating elements, with no penetration of Ti in the HAlayer, and evidence of interfacial porosity noted by the highlevel of oxygen on the left side of the image. The distribu-tion of Ti in the PEO coatings reveals the specifics of thesurface layer formation by the PEO process, wherein Tienters the coating due to the conversion of the metal sub-strate into oxide, producing a graded concentration profile.Oxygen appears to be evenly distributed throughout thePEO coatings whereas Ca is enriched at the outer region.This is particularly obvious in the CaP PEO coating whereCa is mostly located at the top 2.5–3 lm of the coatingwhere Ti is depleted. There is an enrichment of P at theouter and inner regions and it is depleted where Ti distribu-tion is high in the midregion. Similar trends can be seen inthe TiO2 PEO coating, but the distributions of Ca and Pappear to be more diffuse.

Average surface roughness and wettability of thecoatingsThe surface roughness Ra and wettability been accepted tobe influential factors for cell adhesion. Therefore, thesecharacteristics were measured both in the center and on theperiphery of the samples to evaluate influence of the coat-ing formation mechanisms on possible edge effects that mayoccur during the coating growth (Table II).

The Ra values of the two PEO coatings are significantlylower than the plasma-sprayed coating (p < 0.005). Withthe plasma-sprayed coating the Ra values decrease from thecentral to the peripheral region, while the two PEO coatingsshow an increase in surface roughness progressing towardthe peripheral region.

Theory suggests that for cell attachment the thresholdvalue of wettability should be 60�, below which is classedas hydrophilic and cell attachment is favored.36 Similar val-ues of wettability were obtained from the central regions ofall three coatings as shown in Table II. The CaP PEO coating

exhibited a lower contact angle at the peripheral regionwhen compared to the central region, but both are classedas hydrophilic. The TiO2 PEO and the plasma-sprayed coat-ing have a higher contact angle at the peripheral regionthan the central region, where the peripheral region of theplasma-sprayed coating is classed as hydrophobic. The pe-ripheral region of the CaP PEO coating has a statisticallylower wettability value than the TiO2 PEO and the plasma-sprayed coating (p < 0.05).

During the PEO process in this study, edge effects wereshown to have a small influence on wettability, however,both PEO coatings were classed as hydrophilic overall.

Cellular response to coatingsVisual examination following the MTT staining revealed thatthe viable cells were evenly distributed over the surfaces ofthe CaP PEO and the plasma-sprayed coatings. The TiO2

PEO coating supported a higher concentration of cells onthe peripheral region than the central region of the sample,while at some parts in the central region no cells appearedto be present. Measurement of the optical density of theMTT staining [Figure 6(a)] revealed that the TiO2 PEO coat-ing had significantly fewer viable cells on the surface whencompared to the tissue culture plastic (p < 0.005).

The two PEO coatings supported significantly higher col-lagen deposition per cell than the plasma-sprayed and tis-sue culture plastic (p < 0.005) [Figure 6(b)], indicating thatthe PEO coating favors collagen production. Calcium produc-tion per cell showed that the amount of calcium depositedby the cells at this time point was below the linear regionof the colorimetric assay and was not significantly differentbetween the surfaces (data not shown).

DISCUSSION

In this study, we compared Ca- and P-containing PEO coat-ings with plasma-sprayed HA coatings to investigate thepotential for the former to improve the surfaces of orthope-dic Ti implants. PEO is easily tailored to specific chemis-tries and has the advantage that there is no need for pre-treatments such as glass bead or grit blasting to increasethe roughness of the surface.37 Interestingly, the two PEOcoatings formed under different processing parametersresulted in very different coating characteristics but bothled to a high level of collagen production by bone cellswhen compared to the plasma-sprayed coating, suggestingthat the PEO morphology is beneficial for bone matrixproduction.

The CaP PEO coating showed a more convoluted surfacemorphology than the TiO2 PEO coating, this is probably dueto CaP incorporating into the porous structure then crystal-lizing into HA during the PEO process.

The relatively thick CaP PEO coating was shown to con-tain both anatase and rutile, while the thin TiO2 PEO coat-ing contains only anatase. It was previously observed thatanatase is generally preferred in PEO coatings formed inphosphate electrolytes on cp-Ti38 but on Ti–6Al–4V alloyrutile is promoted and may become the main phase in thickenough coatings.39 This is likely to be due to the combined

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effect of vanadia which strongly reduces anatase to rutiletransition temperature40 and the temperature developed inthe discharge, which tends to increase with increasingcoating thickness.41 In previous studies, TiO2 has beenshown to accelerate cell adhesion and improve bioactivityregardless of phase42; similar results were not found in this

study. It is possible that cell attachment is inhibited due toa particular morphology and/or chemical composition of theTiO2 PEO coating. The nonuniform biocompatibility of thesesurfaces would indicate that they might not be useful asimplant coatings as they could lead to unstable attachmentof the implant.

FIGURE 5. Cross-sectional scanning electron micrographs and elemental X-ray maps for (a) plasma-sprayed HA, (b) CaP PEO, and (c) TiO2 PEO

coatings.

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It is well known that incorporation of HA into animplant coating enhances osteoblast attachment and implantstability.43 This study has demonstrated that with the PBCPEO process, crystalline HA can be formed in the coatingfrom electrolytes with a relatively low Ca/P ratio of 2. Thisis in contrast with previous work suggesting that during theDC PEO process the opposite migration of Ca2þ cations canlead to a decrease in Ca concentration at the anode, whichmay hinder osteoconduction.12,30 Apparently the introduc-tion of negative bias into polarization signal not onlyrestores the surface concentration of Ca2þ cations but alsoprovides favorable conditions for CaP nucleation and precip-itation on the working electrode. This is due to the increase

TABLE II. The Average Surface Roughness and Wettability

on Three Coatings

Coating CaP PEO TiO2 PEOPlasma-

Sprayed HA

Ra (lm)Central region 2.14 6 0.18 2.31 6 0.17 12.63 6 1.71Peripheral region 2.16 6 0.24 2.57 6 0.12 8.7 6 0.84Contact angle (�)Central region 46 6 0 47 6 0 43.5 6 0.71Peripheral region 34.3 6 6.15 50.4 6 5.95 67 6 5.44

Mean 6 SD.

FIGURE 6. Coating biological response (mean 6 SD, n ¼ 4): (a) the average absorbance as an indicator of cell viability for MG63 cells culture

(*p < 0.05, i.e., the cell viability on the TiO2 PEO coating is significantly lower than that on the tissue culture plastic control); (b) comparative col-

lagen production per cell (Sirius red/MTT absorbance) to tissue culture plastic on day 14 (**p < 0.005, indicating statistically significant differ-

ence from both the plasma-sprayed HA coating and the tissue culture plastic control).

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in the local pH of the electrolyte region adjacent to the elec-trode caused by the main electrochemical process duringthe negative pulse:

2H2Oþ 2e ! H2 þ 2OH�

Since the positive bias leads to acidification of alkaline sol-utions44 the PBC waveform needs to be carefully adjustedto achieve a suitable balance between local Ca2þ/PO4

3�

ionic ratio and electrolyte pH in the vicinity of the work-ing electrode. Stability regions of HA and OCP correspondto pH ¼ 9.5–12 and 5.5–7.0, respectively,45 and it is likelythat such local pH values have been achieved during depo-sition of CaP and TiO2 PEO coatings. It can therefore bespeculated that in the case of TiO2 PEO coating, HAdeposition was affected by insufficient Ca2þ concentrationand/or local electrolyte pH, hence the thinner coating withlower Ca/P ratio. Nevertheless, OCP is often considered asa precursor to HA in the physiological environment and itcan transform into HA without a change inmorphology and has been shown to enhance osteoblasticdifferentiation.46

Although the two PEO coatings showed different Ca/Pratios, elemental mapping indicated similar trends in thedistribution of these elements; Ca is only present in theouter region of the coating, whereas P can also be foundin the inner region, closer to the barrier layer. This couldbe a result of phosphate ions being involved into both CaPprecipitation and specific adsorption at the bottom of thepores thus inhibiting anodic dissolution of Ti. EDX resultssuggest there are surface hydroxyl groups (OH�) presenton all the coatings and these are likely to be associatedwith amorphous constituent of the coating material. Fur-ther verification and quantification of the hydroxyl groupsby other techniques, for example, micro-Raman spectros-copy, time-of-flight secondary ion mass spectrometry, orX-ray photoelectron spectroscopy,47 should be consideredin the future work. Hydroxyl groups are known to be effi-cient inducers of apatite nucleation.48 In a preliminarystudy, calcium deposition by the cells was assessed at day14 however little calcium had been deposited by MG63s atthis time point on any surfaces, so it was not possible todiscern any differences between the coatings; it is there-fore possible that there is an influence of hydroxyl groupson apatite nucleation which would be seen in longer termcultures.

Surface roughness has previously been thought to berelated to the thickness of the coating.36,49 The plasma-sprayed coating had a significantly higher Ra value than thetwo PEO coatings regardless of region, and it had a higherRa value at the central than the peripheral region, this couldbe a result of slower solidification rate at the central regionand/or due to the formation process. Anatase and rutilephases have been thought to be an influencing factor onsurface roughness and contact angle.50 Our results showedthat the presence of rutile in the CaP PEO coating did nothave a statistically significant effect on its wettability, as ithad a statistically similar wettability to the TiO2 PEO coat-

ing in the central region. However, there were differences inwettability between the two PEO coatings in the peripheralregion, but it is probable that this was a result of edgeeffects and/or current density rather than crystallinity. Thewettability of the central region in all three coatings wassimilar and hydrophilic, which should favor cell adhesion;however, MTT results showed a nonuniform cell adhesion atthe central region of the TiO2 PEO coating. Meanwhile thehydrophobic peripheral region of the plasma-sprayed coat-ing showed good cell attachment. These results indicate thatfactors other than wettability are governing cell adhesion,such as surface energy.51

CONCLUSIONS

Ceramic coatings containing crystalline titania, HA, andamorphous CaPs were prepared on Ti–6Al–4V alloy by aone-step PBC PEO process. The coating morphology, topol-ogy, and chemical composition can be varied to influencethe osteoblastic behavior. The CaP PEO coatings can supportas good or better biological response of MG-63 osteoblastsin vitro, in terms of maintaining cell viability and enablingcollagenous matrix deposition, compared with commerciallyavailable plasma-sprayed HA coatings. These coatingspromote cell proliferation and significantly more collagen isdeposited compared to the plasma-sprayed coatings and thetissue culture plastic. Thin TiO2 PEO coatings with low Ca/Pratio showed a nonuniform bioactivity across the surface,which may be due to hindered precipitation of crystallineCaPs and OH groups during coating formation. At the sametime, the differences in surface roughness and wettabilityobserved between the PEO and the plasma-sprayed coatingsdid not appear to influence the cell proliferation whichsuggests that osteoblasts are more sensitive to elementalcomposition and distribution than the physical properties ofthe surface.

ACKNOWLEDGMENTS

The samples for this work were provided by Plasma Coatings(Medical Division) and Plasma Biotal. Assistance from Mr. Chu,P-J and Mr. Delaine-Smith, RM of the Department of MaterialsScience and Engineering, The University of Sheffield are alsogratefully acknowledged.

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