Abstract
Health of human beings is subjected to severe threats from the spread of harmful bacteria and the implant-associated infection remains a serious problem in clinic. In this study, a copper-bearing antibacterial titanium alloy, Ti–5Cu, has been developed for dental and orthopedic implant applications. The microstructure, mechanical property, electrochemical corrosion behavior, in vitro antibacterial performance, cytocompatibility and hemocompatibility of the alloy are systematically investigated. The results reveal that the Ti–5Cu alloy which consists of α-phase matrix and intermetallic compound Ti2Cu not only possesses strong antibacterial activity against both E. coli and S. aureus, but also exhibits better mechanical properties than the commercial pure titanium. It is confirmed that the release of trace amount of Cu ions from the alloy plays an important role in killing bacteria. In spite of the ion release, Ti–5Cu alloy still reveals excellent corrosion resistance. Moreover, good cytocompatibility and superior hemocompatibility make Ti–5Cu alloy to be a potential solution that could prevent the peri-implant infection in dental and orthopaedic applications.
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Eisenbarth E, Velten D, Muller M, Thull R, Breme J. Biocompatibility of beta-stabilizing elements of titanium alloys. Biomaterials. 2004;25:5705–13.
Takada Y, Okuno O. Corrosion characteristics of alpha-Ti and Ti2Cu composing Ti-Cu alloys. Dent Mater J. 2005;24:610–6.
Mareci D, Chelariu R, Gordin D-M, Ungureanu G, Gloriant T. Comparative corrosion study of Ti–Ta alloys for dental applications. Acta Biomater. 2009;5:3625–39.
Geetha M, Singh AK, Asokamani R, Gogia AK. Ti based biomaterials, the ultimate choice for orthopaedic implants—a review. Prog Mater Sci. 2009;54:397–425.
Takahashi M, Kikuchi M, Takada Y, Okuno O. Grindability and mechanical properties of experimental Ti–Au, Ti–Ag and Ti–Cu alloys. Int Congr Ser. 2005;1284:326–7.
Hendriks JGE, van Horn JR, van der Mei HC, Busscher HJ. Backgrounds of antibiotic-loaded bone cement and prosthesis-related infection. Biomaterials. 2004;25:545–56.
Costerton JW. Bacterial biofilms: a common cause of persistent infections. Science. 1999;284:1318–22.
Schierholz JM, Beuth J. Implant infections: a haven for opportunistic bacteria. J Hosp Infect. 2001;49:87–93.
Sperling JW, Kozak TKW, Hanssen AD, Cofield RH. Infection after shoulder arthroplasty. Clin Orthop Relat Res. 2001;382:206–16.
Shirai T, Tsuchiya H, Shimizu T, Ohtani K, Zen Y, Tomita K. Prevention of pin tract infection with titanium-copper alloys. J Biomed Mater Res B Appl Biomater. 2009;91:373–80.
Anguita-Alonso P, Hanssen AD, Patel R. Prosthetic-join infections. Expert Rev. 2005;3:797–804.
Zimmerli W, Trampuz A, Ochsner PE. Prosthetic-joint infections. N Engl J Med. 2004;351:1645–54.
Harris WH, Sledge CB. Total hip and total knee replacement. N Engl J Med. 1990;323:725–31.
Darouiche RO. Treatment of infections associated with surgical implants. N Engl J Med. 2004;350:1422–9.
Hetrick EM, Schoenfisch MH. Reducing implant-related infections: active release strategies. Chem Soc Rev. 2006;35:780–9.
Stewart PS, Costerton JW. Antibiotic resistance of bacteria in biofilms. Lancet. 2001;358:135–8.
Arciola CR, Campoccia D, Speziale P, Montanaro L, Costerton JW. Biofilm formation in Staphylococcus implant infections. A review of molecular mechanisms and implications for biofilm-resistant materials. Biomaterials. 2012;33:5967–82.
Wang Z, Shen Y, Haapasalo M. Dental materials with antibiofilm properties. Dent Mater. 2014;30:e1–16.
Rogers SS, Walle CVD, Waigh TA. Microrheology of bacterial biofilms in vitro: staphylococcus aureus and Pseudomonas aeruginosa. Langmuir. 2008;24:13549–55.
Campoccia D, Montanaro L, Speziale P, Arciola CR. Antibiotic-loaded biomaterials and the risks for the spread of antibiotic resistance following their prophylactic and therapeutic clinical use. Biomaterials. 2010;31:6363–77.
Hickok NJ, Shapiro IM. Immobilized antibiotics to prevent orthopaedic implant infections. Adv Drug Deliv Rev. 2012;64:1165–76.
Necula BS, Fratila-Apachitei LE, Zaat SA, Apachitei I, Duszczyk J. In vitro antibacterial activity of porous TiO2-Ag composite layers against methicillin-resistant Staphylococcus aureus. Acta Biomater. 2009;5:3573–80.
Campoccia D, Montanaro L, Arciola CR. The significance of infection related to orthopedic devices and issues of antibiotic resistance. Biomaterials. 2006;27:2331–9.
Wang J, Wang Z, Guo S, Zhang J, Song Y, Dong X, et al. Antibacterial and anti-adhesive zeolite coatings on titanium alloy surface. Microporous Mesoporous Mater. 2011;146:216–22.
Zhao LZ, Chu PK, Zhang YM, Wu ZF. Antibacterial coatings on titanium implants. J Biomed Mater Res B. 2009;91B:470–80.
Ewald A, Gluckermann SK, Thull R, Gbureck U. Antimicrobial titanium/silver PVD coatings on titanium. Biomed Eng Online. 2006;5:22.
Liao JA, Zhu ZM, Mo AC, Li L, Zhang JC. Deposition of silver nanoparticles on titanium surface for antibacterial effect. Int J Nanomed. 2010;5:261–7.
Stranak V, Wulff H, Rebl H, Zietz C, Arndt K, Bogdanowicz R, et al. Deposition of thin titanium–copper films with antimicrobial effect by advanced magnetron sputtering methods. Mater Sci Eng C. 2011;31:1512–9.
Tamai K, Kawate K, Kawahara I, Takakura Y, Sakaki K. Inorganic antimicrobial coating for titanium alloy and its effect on bacteria. J Orthop Sci. 2009;14:204–9.
Shirai T, Shimizu T, Ohtani K, Zen Y, Takaya M, Tsuchiya H. Antibacterial iodine-supported titanium implants. Acta Biomater. 2011;7:1928–33.
Chen S, Guo Y, Chen S, Yu H, Ge Z, Zhang X, et al. Facile preparation and synergistic antibacterial effect of three-component Cu/TiO2/CS nanoparticles. J Mater Chem. 2012;22:9092.
Ruparelia JP, Chatterjee AK, Duttagupta SP, Mukherji S. Strain specificity in antimicrobial activity of silver and copper nanoparticles. Acta Biomater. 2008;4:707–16.
Heidenau F, Mittelmeier W, Detsch R, Haenle M, Stenzel F, Ziegler G, et al. A novel antibacterial titania coating: Metal ion toxicity and in vitro surface colonization. J Mater Sci. 2005;16:883–8.
Nan L, Liu Y, Lu M, Yang K. Study on antibacterial mechanism of copper-bearing austenitic antibacterial stainless steel by atomic force microscopy. J Mater Sci. 2008;19:3057–62.
Ren L, Yang K, Guo L, Chai H-W. Preliminary study of anti-infective function of a copper-bearing stainless steel. Mater Sci Eng C. 2012;32:1204–9.
Zhang E, Li F, Wang H, Liu J, Wang C, Li M, et al. A new antibacterial titanium–copper sintered alloy: preparation and antibacterial property. Mater Sci Eng C. 2013;33:4280–7.
Yao X, Sun QY, Xiao L, Sun J. Effect of Ti2Cu precipitates on mechanical behavior of Ti–2.5Cu alloy subjected to different heat treatments. J Alloy Compd. 2009;484:196–202.
Burghardt I, Lüthen F, Prinz C, Kreikemeyer B, Zietz C, Neumann H-G, et al. A dual function of copper in designing regenerative implants. Biomaterials. 2015;44:36–44.
IPCS. Copper: environmental health criteria 200, international programme on chemical safety. Geneva: World Health Organization; 1998.
ISO-10993-5: Biological evaluation of medical devices—part 5: tests in vitro for cytotoxicity: in vitro methods. Arlington, VA: ANSI/AAMI; 2009(E).
ISO 10993-15: Biological evaluation of medical devices e part 15: Identification and quantification of degradation products from metals and alloys. Arlington, VA: ANSI/AAMI; 2009.
Wataha JC. Biocompatibility of dental casting alloys: a review. J Prosthet Dent. 2000;83:223–34.
Campoccia D, Montanaro L, Arciola CR. A review of the clinical implications of anti-infective biomaterials and infection-resistant surfaces. Biomaterials. 2013;34:8018–29.
Kikuchi M, Takada Y, Kiyosue S. Mechanical properties and microstructures of cast Ti–Cu alloys. Dent Mater. 2003;19:174–81.
Okabe T, Kikuchi M, Ohkubo C, Koike M, Okuno O, Oda Y. The grindability and wear of Ti–Cu alloys for dental applications. JOM. 2004;56:46–8.
Wang S, Ma Z, Liao Z, Song J, Yang K, Liu W. Study on improved tribological properties by alloying copper to CP–Ti and Ti–6Al–4V alloy. Mater Sci Eng C. 2015;57:123–32.
Ma Z, Ren L, Liu R, Yang K, Zhang Y, Liao Z, et al. Effect of heat treatment on Cu distribution, antibacterial performance and cytotoxicity of Ti–6Al–4V–5Cu Alloy. J Mater Sci Technol. 2015;31:723–32.
Cao B, Zheng Y, Xi T, Zhang C, Song W, Burugapalli K, et al. Concentration-dependent cytotoxicity of copper ions on mouse fibroblasts in vitro: effects of copper ion release from TCu380A vs TCu220C intra-uterine devices. Biomed Microdevices. 2012;14:709–20.
Tsao LC. Effect of Sn addition on the corrosion behavior of Ti–7Cu–Sn cast alloys for biomedical applications. Mater Sci Eng C. 2015;46:246–52.
Goodman SL. Sheep, pig, and human platelet-material interactions with model cardiovascular biomaterials. J Biomed Mater Res. 1999;45:240–50.
Acknowledgments
The authors would like to thank the financial supports from National Basic Research Program of China (No. 2012CB619101), National Natural Science Foundation of China (Nos. 81271957, 51501218, 81572113), Guangdong Provincial Science and technology Projects (2014A010105033), Shenzhen Peacock Programs KQCX20140521115045444 and 110811003586331 and Basic Research Project of Shenzhen City (No. JCYJ20120616142847342).
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The authors Zheng Ma, Mei Li and Rui Liu have contributed equally to this work and should be considered co-first authors.
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Ma, Z., Li, M., Liu, R. et al. In vitro study on an antibacterial Ti–5Cu alloy for medical application. J Mater Sci: Mater Med 27, 91 (2016). https://doi.org/10.1007/s10856-016-5698-1
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DOI: https://doi.org/10.1007/s10856-016-5698-1