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      Simple application of fibronectin–mimetic coating enhances osseointegration of titanium implants

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          Abstract

          Integrin‐mediated cell adhesion to biomolecules adsorbed onto biomedical devices regulates device integration and performance. Because of the central role of integrin‐fibronectin (FN) interactions in osteoblastic function and bone formation, we evaluated the ability of FN‐inspired biomolecular coatings to promote osteoblastic differentiation and implant osseointegration. Notably, these biomolecular coatings relied on physical adsorption of FN‐based ligands onto biomedical‐grade titanium as a simple, clinically translatable strategy to functionalize medical implants. Surfaces coated with a recombinant fragment of FN spanning the central cell binding domain enhanced osteoblastic differentiation and mineralization in bone marrow stromal cell cultures and increased implant osseointegration in a rat cortical bone model compared to passively adsorbed arginine–glycine–aspartic acid peptides, serum proteins and full‐length FN. Differences in biological responses correlated with integrin binding specificity and signalling among surface coatings. This work validates a simple, clinically translatable, surface biofunctionalization strategy to enhance biomedical device integration.

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          Most cited references51

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          Integrins and signal transduction pathways: the road taken.

          Adhesive interactions play critical roles in directing the migration, proliferation, and differentiation of cells; aberrations in such interactions can lead to pathological disorders. These adhesive interactions, mediated by cell surface receptors that bind to ligands on adjacent cells or in the extracellular matrix, also regulate intracellular signal transduction pathways that control adhesion-induced changes in cell physiology. Though the extracellular molecular interactions involving many adhesion receptors have been well characterized, the adhesion-dependent intracellular signaling events that regulate these physiological alterations have only begun to be elucidated. This article will focus on recent advances in our understanding of intracellular signal transduction pathways regulated by the integrin family of adhesion receptors.
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            Bioactive ceramics: the effect of surface reactivity on bone formation and bone cell function.

            Surface reactivity is one of the common characteristics of bone bioactive ceramics. It contributes to their bone bonding ability and their enhancing effect on bone tissue formation. During implantation, reactions occur at the material-tissue interface that lead to time-dependent changes in the surface characteristics of the implant material and the tissues at the interface. This review describes some of the current concepts regarding the surface reactivity of bone bioactive materials and its effect on attachment, proliferation, differentiation and mineralization of bone cells.
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              Tissue engineering of bone: the reconstructive surgeon's point of view

              Bone defects represent a medical and socioeconomic challenge. Different types of biomaterials are applied for reconstructive indications and receive rising interest. However, autologous bone grafts are still considered as the gold standard for reconstruction of extended bone defects. The generation of bioartificial bone tissues may help to overcome the problems related to donor site morbidity and size limitations. Tissue engineering is, according to its historic definition, an “interdisciplinary field that applies the principles of engineering and the life sciences toward the development of biological substitutes that restore, maintain, or improve tissue function”. It is based on the understanding of tissue formation and regeneration and aims to rather grow new functional tissues than to build new spare parts. While reconstruction of small to moderate sized bone defects using engineered bone tissues is technically feasible, and some of the currently developed concepts may represent alternatives to autologous bone grafts for certain clinical conditions, the reconstruction of largevolume defects remains challenging. Therefore vascularization concepts gain on interest and the combination of tissue engineering approaches with flap prefabrication techniques may eventually allow application of bone-tissue substitutes grown in vivo with the advantage of minimal donor site morbidity as compared to conventional vascularized bone grafts. The scope of this review is the introduction of basic principles and different components of engineered bioartificial bone tissues with a strong focus on clinical applications in reconstructive surgery. Concepts for the induction of axial vascularization in engineered bone tissues as well as potential clinical applications are discussed in detail.
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                Author and article information

                Journal
                J Cell Mol Med
                J. Cell. Mol. Med
                10.1111/(ISSN)1582-4934
                JCMM
                Journal of Cellular and Molecular Medicine
                Blackwell Publishing Ltd (Oxford, UK )
                1582-1838
                1582-4934
                22 August 2008
                August 2009
                : 13
                : 8b ( doiID: 10.1111/jcmm.2009.13.issue-8b )
                : 2602-2612
                Affiliations
                [ 1 ]Woodruff School of Mechanical Engineering and Petit Institute for Bioengineering and Bioscience, Georgia Institute of Technology, Atlanta, GA, USA
                Author notes
                [*] [* ] Correspondence to: Andrés J. GARCÍA, Woodruff School of Mechanical Engineering, 315 Ferst Drive, Room 2314 IBB, Atlanta, GA 30332‐0363, USA.
Tel.: 404–894‐9384
Fax: 404–385‐1397
E‐mail: andres.garcia@ 123456me.gatech.edu
                Article
                JCMM476
                10.1111/j.1582-4934.2008.00476.x
                2819599
                18752639
                01428af9-0efa-4c29-bbf9-07d9d51f27df
                © 2008 The Authors Journal compilation © 2009 Foundation for Cellular and Molecular Medicine/Blackwell Publishing Ltd
                History
                Page count
                Figures: 6, Tables: 0, Equations: 0, References: 60, Pages: 11
                Categories
                Tissue Regeneration
                Custom metadata
                2.0
                August 2009
                Converter:WILEY_ML3GV2_TO_NLMPMC version:4.9.1 mode:remove_FC converted:11.07.2016

                Molecular medicine
                fibronectin,osseointegration,coating,integrins,biomimetic,implant
                Molecular medicine
                fibronectin, osseointegration, coating, integrins, biomimetic, implant

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