Biomedical Engineering Reference
In-Depth Information
GFOGER
Glycine-phenylalanine-hydroxyproline-glycine-glutamine-arginine
MAPK
Mitogen-activated protein kinase
mRNA
Messenger RNA
MSC
Mesenchymal stem cell
RGD
Arginine-glycine-aspartic acid
rhBMP-2
Recombinant human bone morphogenetic protein 2
TAN
Titanium-6% aluminium-7% niobium
TAV
Titanium-4% aluminium-6% vanadium
TGFb
Transforming growth factor b
Contents
1
General Introduction............................................................................................................
2
2
Surface Conditioning upon Implantation of a Device .......................................................
3
2.1
Initial Interactions upon Implantation........................................................................
3
2.2
The Role of Integrins .................................................................................................
4
3
Cell Meets Surface: Factors Involved in the Surface-Dependent Response.....................
6
3.1
Surface Chemistry ......................................................................................................
6
3.2
Surface Topography....................................................................................................
11
3.3
Roughness Spectrum...................................................................................................
15
3.4
Mechanotransduction ..................................................................................................
19
4
Tissue-Implant Interface .....................................................................................................
22
4.1
Interface Structure and Composition .........................................................................
22
5
Summary and Conclusions..................................................................................................
25
References..................................................................................................................................
25
1 General Introduction
Literally thousands of studies exist that have looked to define and control the
cell/tissue-implant interface. The large majority of these stem from the observation
that microrough surfaces are conducive for the naturally occurring phenomenon of
osseointegration (the integration of an implant to bone) and, therefore, focus on
ways to manipulate and control this interaction for determining specific tissue
responses and the magnitude of these responses. The basis of this field of research
is that microrough surfaces will enhance osseointegration; however, this is an
oversimplistic statement. Although it is true that osseointegration can be increased
with microrough surfaces, little consensus exists as to what constitutes a 'rough'
surface. Furthermore, the mechanisms involved in this response are only now
starting to become apparent. Essentially, the cell-material interaction is a complex
relationship with many questions still left unanswered. Several concepts and
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