chapter 1: introduction 7 chapter 2: objectives and scope

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- 1 - INDEX ABSTRACT ................................................................................................. 3 Resumen ................................................................................................... 3 RESUM ...................................................................................................... 3 ACKNOWLEDGEMENTS ................................................................................ 5 Chapter 1: INTRODUCTION .................................................................. 7 Chapter 2: OBJECTIVES AND SCOPE ..................................................... 9 Chapter 3: BACKGROUND ................................................................... 11 3.1. Biomaterials ............................................................................... 11 Biocompatibility .................................................................... 11 Historical development ........................................................... 12 Biological response ................................................................ 13 3.2. Titanium as a biomaterial............................................................. 14 Physicochemical properties ..................................................... 15 Titanium and dental implants .................................................. 16 3.3. Infection .................................................................................... 17 Bacterial biofilm .................................................................... 18 Antifouling coatings ............................................................... 18 AMPs ................................................................................... 21 Chapter 4: MATERIALS AND METHODS ............................................... 22 4.1. Overview ................................................................................... 22 4.2. Sample preparation ..................................................................... 23 Cutting ................................................................................ 24 Mounting .............................................................................. 24 Grinding and polishing ........................................................... 25 Ultrasonic cleaning ................................................................ 27 4.3. Plasma surface activation............................................................. 29 4.4. Amine-Terminated PEG Electrodeposition ....................................... 30 Circuit diagram ..................................................................... 30 Electroplating conditions ........................................................ 34 Physicochemical Characterization ............................................ 36 4.5. Functionalization with AMPs: Magainin II and Lactoferrin 1-11 .......... 39 Physicochemical characterization and comparative AMP ............. 42 4.6. Biological characterization ............................................................ 42

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- 1 -

INDEX

ABSTRACT ................................................................................................. 3

Resumen ................................................................................................... 3

RESUM ...................................................................................................... 3

ACKNOWLEDGEMENTS ................................................................................ 5

Chapter 1: INTRODUCTION .................................................................. 7

Chapter 2: OBJECTIVES AND SCOPE ..................................................... 9

Chapter 3: BACKGROUND ................................................................... 11

3.1. Biomaterials ............................................................................... 11

Biocompatibility .................................................................... 11

Historical development ........................................................... 12

Biological response ................................................................ 13

3.2. Titanium as a biomaterial ............................................................. 14

Physicochemical properties ..................................................... 15

Titanium and dental implants .................................................. 16

3.3. Infection .................................................................................... 17

Bacterial biofilm .................................................................... 18

Antifouling coatings ............................................................... 18

AMPs ................................................................................... 21

Chapter 4: MATERIALS AND METHODS ............................................... 22

4.1. Overview ................................................................................... 22

4.2. Sample preparation ..................................................................... 23

Cutting ................................................................................ 24

Mounting .............................................................................. 24

Grinding and polishing ........................................................... 25

Ultrasonic cleaning ................................................................ 27

4.3. Plasma surface activation ............................................................. 29

4.4. Amine-Terminated PEG Electrodeposition ....................................... 30

Circuit diagram ..................................................................... 30

Electroplating conditions ........................................................ 34

Physicochemical Characterization ............................................ 36

4.5. Functionalization with AMPs: Magainin II and Lactoferrin 1-11 .......... 39

Physicochemical characterization and comparative AMP ............. 42

4.6. Biological characterization ............................................................ 42

Patricia Carrasco Pividal

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Cytotoxicity .......................................................................... 42

Bacterial adhesion ................................................................. 43

Fluorescence......................................................................... 43

Chapter 5: RESULTS AND DISCUSSION ............................................... 45

5.1. Electrodeposition characterization ................................................. 45

Experimental set-up and faced setbacks ................................... 45

Resistance variation............................................................... 49

Roughness ........................................................................... 50

Thickness ............................................................................. 52

Covered area ........................................................................ 56

Free amines presence ............................................................ 57

Contact angle ....................................................................... 58

ATR-FTIR ............................................................................. 59

XPS ..................................................................................... 62

SEM .................................................................................. 63

5.2. Cytotoxicity ................................................................................ 65

5.3. Adhesion assays ......................................................................... 65

5.4. Fluorescence .............................................................................. 68

Chapter 6: CONCLUSIONS ................................................................... 70

Chapter 7: REFERENCES ..................................................................... 72

ANNEX 1: Citotoxicity assay protocol ........................................................... 78

ANNEX 2: Bacteria assay protocol ............................................................... 80

ANNEX 3: Budget ..................................................................................... 81

ANNEX 4: Enviromental impact................................................................... 86

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ABSTRACT

Dental implants are commonly used as a replacement of native tooth. However,

bacterial infection can be decisive in the success or failure of the implant.

Therefore, with the aim of reducing the risk of infection, an antifouling coating has

been developed. Polyethylene glycol (PEG) has been electrodeposited on to

titanium surface and carried to study. PEG-amine electrodeposition has been

optimized after surface characterization and bacterial assays.

As a complement after electrodeposition, samples have been treated with two

different antimicrobial peptides, Lactoferrin 1-11 and Magainin-2, by means of two

bonding methodologies.

RESUMEN

Hoy en día es muy común el uso de implantes dentales como un reemplazo de la

dentadura natural. Sin embargo, las infecciones bacterianas constituyen un factor

decisivo en el éxito o fracaso del implante.

Por este motivo, se ha desarrollado un tratamiento antifouling. Se ha

electrodepositado Polietileglicol (PEG) en superficies de titanio. La

electrodeposición de PEG-amina ha sido caracterizada y sometida a ensayos de

bacterias, con la consiguiente optimización del recubrimiento.

Complementando el tratamiento, tras la electrodeposición de PEG-amina, las

muestras fueron tratadas con dos péptidos antimicrobianos distintos, Lactoferrina

1-11 and Magainina-2, por medio de dos metodologías de enlace.

RESUM

Avui dia és molt comú l'ús d'implants dentals com a reemplaçament de la

dentadura natural. No obstant això, les infeccions bacterianes constitueixen un

factor decisiu en cuant a l'èxit o fracàs de l'implant.

Per aquest motiu, s'ha desenvolupat un tractament antifouling. S’ha

electrodepositat Polietileglicol (PEG) en superfícies de titani. La electrodeposició de

PEG-amina ha estat caracteritzada i sotmesa a assajos de bacteris, amb la

consegüent optimització del recobriment.

Patricia Carrasco Pividal

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Complementant el tractament, després de l’electrodeposició de PEG-amina, les

mostres van ser tractades amb dos pèptids antimicrobians diferents, Lactoferrina

1-11 and Magainina-2, per mitjà de dues metodologies d'enllaç.

Surface functionalization of titanium with antifouling and inhibition of bacterial adhesion treatment in the human body

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ACKNOWLEDGEMENTS

I wish to express my sincere thanks to Dr. Daniel Rodríguez, my TFG tutor, for trusting me, for giving

me the freedom to make decisions and providing me with all the necessary facilities for the research.

I place on record, my sincere thank you to Judit Buxadera, for the encouragement and attention who

has shown, for holding my hand when I was in trouble and giving me the keys to see always the see

the glass half full.

I am extremely grateful to the BIBITE members for the support shown, for making me feeling at home

and welcoming me always with a smile.

I take this opportunity to express gratitude to Elia Vidal and Quim, who helped me when I thought

there was no options in the crossroad.

I am also grateful to Zhitong, because of those afternoons waiting for me until I finished my work

before leaving.

I also place on record, my sense of gratitude to my parents, for supporting me, standing my stress

moments and encouraging me in the distance; without them I definitely would not have been able to

take part in this venture.

To sum up, I would also like to thank those who direct or indirectly have helped me in the fulfillment of

this project.

Thank you everyone.

Patricia Carrasco Pividal

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Surface functionalization of titanium with antifouling and inhibition of bacterial adhesion treatment in the human body

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CHAPTER 1:

INTRODUCTION

Currently, tooth loss is a common problem which can be solved by means of dental

implants. Success or failure of implants depends on the health of the person

receiving it and the tissues in the mouth, a proper osseointegration and the

biocompatibility of the biomaterial used for the implant, being bacterial infection

the most extend cause of failure. In this way, by decreasing the risk of infection,

it will also decrease the probability of failure of the implant.

Regarding biomaterials, one of the most important properties in terms of reducing

the rate of infection is the reduction of bacterial adhesion. In this stage,

Polyethylene glycol (PEG) is an antifouling polymer which contributes positively to

this purpose. By using the adequate methods, an immobilization of this molecule

to a metal surface (Ti in our case) is able to present a high rate of inhibition in the

adsorption of proteins. Likewise, the immobilization of antimicrobial peptides

(AMPs), which are part of the innate immune response found among all classes of

life can help to improve its effectivity.

Patricia Carrasco Pividal

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Surface functionalization of titanium with antifouling and inhibition of bacterial adhesion treatment in the human body

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CHAPTER 2:

OBJECTIVES

AND SCOPE

In this study, amino-terminated PEG (PEG-amine) has been immobilized on

titanium surfaces by means of electrodeposition. Process optimization has been

studied for pulsed and non-pulsed regime, electrodeposition time and voltage. The

immobilization procedure and chemical bonding condition have been characterized

for the amine-functionalized PEG surfaces. The characterization methods

employed include Interferometry, contact angle, Attenuated Total Reflectance, X-

ray Photoelectron Spectroscopy, Scanning Electron Microscope and Ultraviolet-

Visible spectrometry.

Complementing the treatment, two different antimicrobial peptides (AMPs) have

been brought to assessment, Lactoferrin 1-11 (LF1-11) and Magainin-2 (MG-2),

by means of two different methodologies. Thus, amine-functionalized PEG surfaces

have been treated by either crosslinking with N-Succinimidyl 3- Maleimide-

Propionate (SMP) or carboxylic acid activation with EDC and sulfo-NHS to bond the

AMP to the PEG.

Afterward, the antifouling treatment and a combination of both methods, PEG-

amine electrodeposition and AMPs, have been tested. In this way, biological

response in hFFs human cells, bacterial adhesion of Staphylococcus Aureus,

fluorescence and different methods of characterization as for PEG-amine

electrodeposition have been studied.

Patricia Carrasco Pividal

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Surface functionalization of titanium with antifouling and inhibition of bacterial adhesion treatment in the human body

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CHAPTER 3:

BACKGROUND

3.1. Biomaterials

A variety of devices and materials are used in the treatment of disease or injury.

There are several definitions of “biomaterial”. One of the most commonly used is:

“Any substance or combination of substances, other than drugs, synthetic or

natural in origin, which can be used for any period of time, which augments or

replaces partially or totally any tissue, organ or function of the body, in order to

maintain or improve the quality of life of the individual’’

American National Institute of Health, 2005

Biomaterials can be metals, ceramics, polymers, glasses, and composite materials.

Such materials are used as molded or machined parts, coatings, fibers, films,

foams and fabrics.

Biomaterials can arise from nature or be synthesized in the laboratory using a

variety of chemical approaches. They are used in different functions either

biopassive, like being used for a heart valve, or bioactive with a more interactive

functionality such as hydroxy-apatite coated hip implants. Biomaterials are also

used every day in dental applications, surgery, and drug delivery [4].

Biocompatibility

A complementary definition needed to understand an important aspect of

biomaterials is that of "biocompatibility":

Patricia Carrasco Pividal

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“Biocompatibility is the ability of a material to perform with an appropriate host

response in a specific application”

Williams, 1987

Since the primordial requirement when choosing a biomaterial is the approbation

of the body, the implant is expected to converge with the tissues, presenting as

less as possible inflammation or toxicity, which would affect to the quality of life

of the patient or even could finish in the failure of the implant.

Historical development

The field of biomaterials is not as new as it could seem. The first biomaterials used

were gold and ivory for replacements of cranial defects. This was as early as 4000

years back, when the Egyptians and Romans used linen for sutures, gold and iron

for dental applications and wood for toe replacement but with very little knowledge

about the problem of corrosion.

Figure 1: Biomaterials for human application [4]

Surface functionalization of titanium with antifouling and inhibition of bacterial adhesion treatment in the human body

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Celluloid was the first man-made plastic used for cranial defects and polymethyl

methacrylate (PMMA) was one of the first polymers accepted since World War II.

Furthermore, Nylon, Teflon, silicone, stainless steel and titanium were some of the

other materials which were put into use after World War II [1][4].

Nowadays, with the availability of better diagnostic tools and surgical procedures

as well as advancements in the knowledge on materials, medical devices have

assumed widely acclaimed significance. Thus, bioimplants are regularly used in

dentistry, orthopedics, plastic and reconstructive surgery, ophthalmology,

cardiovascular surgery, neurosurgery, immunology, experimental surgery and

veterinary medicine.

Biological response

When characterizing a biomaterial, paying attention to the biological response is

highly important. The implantation of a material implies a microscale reaction

between its surface and the environment cells, whereas the interaction of the

system determines the viability of the medical device.

Host reactions following insertion of the medical device, as shown in figure 3,

comprise [1][2]:

Injury. The first deed after the implantation bring out an injury to tissues

or organs, which apart from stimulating innate immunity, it also leads to

thrombus genesis involving activation of the coagulation systems through

blood-material interactions and finally, a provisional matrix formation.

Acute inflammation, which is able to take hours or up to a week depending

on the level of injury caused surrounding the implant.

Chronic inflammation. The continuous inflammatory stimulus results into

a chronic inflammation. It is differentiated by the action of monocytes,

lymphocytes macrophages within the proliferation of blood vessels and

connective tissue.

Figure 2: World's first prosthetic limb found on 3,000-year-old Egyptian mummy [64]

Patricia Carrasco Pividal

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Granulation tissue development. The intervention of macrophages,

fibroblasts proliferation and vascular endothelial cells in the new healing

tissue are identified, reaching the peak of healing inflammation, within the

creation of granulation tissue.

Fibrous capsule development and foreign body reaction. Granulation

tissue ends up in a fibrous capsule formation which is drawn apart from the

biomaterial by the cellular components of the foreign body giant cell

formation. The foreign body reaction, might keep on at the tissue-implant

interface for the lifetime of the implant.

3.2. Titanium as a biomaterial

First trials of using titanium as a biomaterial in implant devices date back to the

1930s. The degree of tolerance was similar to stainless steels and cobalt alloys.

Its better biocompatibility, high corrosion resistance and mechanical resistance,

ensures a good load transmission and mechanical stiffness close to bone

throughout the timeline of the implant.

Commercially pure titanium (Ti cp) is one of the most common titanium base

implant biomaterials, together with Ti-6Al-4V (ELI) alloy. Determined as

biologically inert when being implanted into host bodies, it is highly tolerated by

the human tissues and tend to remain against to adverse reactions [40].

Figure 3: Sequence of events in the host

following material implantation. Adapted. [2]

Surface functionalization of titanium with antifouling and inhibition of bacterial adhesion treatment in the human body

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Physicochemical properties

Titanium is an allotropic metal (with more than one crystalline structure)

presenting a hexagonal 𝛼 phase (HCP) at room temperature and a cubic β phase

(BCC) further up 1155K (882ºC).

The main alloying elements influencing its mechanical properties are N, C, O, Fe

and H (table 1). Its biocompatibility is caused by the formation of an oxide film,

TiO2, over its surface. This oxide is a robust and stable coat that grows

spontaneously in contact with air and prevents the diffusion of the oxygen from

the atmosphere. Therefore, the oxide coating gives corrosion resistance to

titanium.

Table 1: Chemical composition of Ti commercially pure (ISO 5832-2).

Ti cp

Chemical composition

N C O Fe H Ti

Grade 1 0.03 0.10 0.18 0.20 0.0125

Balance

(0.989 -

0.996)

Grade 2 0.03 0.10 0.25 0.30 0.0125

Grade 3 0.05 0.10 0.35 0.30 0.0125

Grade 4 0.05 0.10 0.40 0.50 0.0125

Besides, titanium is very light with a density of 4.5 g/cm3, a high melting point 1998K (1725ºC), a low thermal and electrical conductivity which means it is a

good conductor of heat and electricity.

Table 2: Mechanical properties of Ti cp grade 2 (International titanium association,

2005 [52].

Strength

Ultimate

Tensile

Strenght,

UTS (MPa)

0.2% Yield

Strenght, YS (MPa)

Percent

elongation,

%EL

Minimum 345 275 20

Typical 438 352 28

In figure 4, ideal properties for a hard tissue replacement biomaterial are given.

Comparing with data placed in table 2 and preceding paragraphs, there is a clear

compatibility of Ti (and specially Ti cp grade 2) for hard tissue replacement.

Patricia Carrasco Pividal

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Titanium and dental implants

Dental implants have been commonly employed to replace missing teeth for the

last 40 years, but in recent years their use has been increasily widespread. A dental

implant works as an artificial tooth root that is attached to the jaw so as to hold

an artificial tooth. They are usually made from titanium or a titanium alloy.

Figure 4: Desired conditions for ideal hard tissue replacement [31]

Figure 5: Natural tooth vs Endosteal

implant [15]

Surface functionalization of titanium with antifouling and inhibition of bacterial adhesion treatment in the human body

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Two kinds of implants do exist:

Endosteal, surgically implanted directly into the jawbone. This is the most

generalized dental implant. Each implant holds one or more prosthetic

teeth. It is usually employed as an alternative for patients with bridges or

removable dentures. (fig.5)

Subperiosteal, on the peak of the jaw through the gum tissue, holding

directly the prosthesis. They are used in those cases with poor quality

and/or quantity of the jawbone.

Since the more used are endosteal implants, this study is focused in this type of

implants [13][14].

3.3. Infection

Although the application of dental implants has been improving since its

beginnings, there is still needed a huge body of research until getting dental

implants similar to natural dentition. In present state of knowledge, the most

susceptible element to infection is the periodontal tissue (the tissues surrounding

the implant).

Native tooth root surface is attached by fibers forming the periodontal ligament;

dental implants do not have fiber attachment though (fig.6). In place of fibers,

there is a tight tissue adhesion that makes easier that an inflammation becomes

bigger once appeared [55].

The inflammatory response is called periimplantitis (periodontitis for natural teeth)

and it is due to the growth of anaerobic organisms with the subsequent risk of

destruction of the bone and soft tissues supporting the tooth. Periodontitis causes

a resorption of the gum, receding from the implant and forming infected pustules.

This phenomeno may led to in a bone loss and failure of the dental implant [34].

Figure 6: (A) Natural bone. The gum tissue

fibers are attached to the tooth root surface.

(B) Dental implant. There is no fiber

attachment to the implant surface. [55]

Patricia Carrasco Pividal

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Bacterial biofilm

It is considered that more of 95% of bacteria existing in the Earth are in biofilms.

A biofilm is a well-organized, cooperating community of microorganisms formed

under liquid conditions, for example, dental plaque.

If bacterial plaque biofilm is accumulated, the gingival tissues will become inflamed

and as said before, inflamed tissue is less resistant to bacteria or food particles

entering into the space created. Then, a close circuit starts and bacteria have the

potential to destroy tissue and bone unable to be self-repaired.

Staphylococcus aureus

A strain of Staphylococcus aureus has been studied in multiple assays in this research. It is a kind of gram positive anaerobe bacterium responsible of a multitude of diseases in humans.

It can be found in skin, mucus, membranes and the respiratory track and among the several diseases that it can cause, there are staphylococcal food poisoning, staphylococcal scalded skin syndrome, skin and soft tissue infections, septic arthritis, bacteremia or endocarditis [23].

Antifouling coatings

Antifouling surfaces are those that are able to be resistant to protein adsorption or

cell adhesion. Thus, antifouling coatings are used to prevent bacterial biofilm

formation pursuant to a biomolecules layer which are commonly proteins.

Figure 8: Staphylococcus aureus [51]

Figure 7: Bacterial biofilm formation on biomedical implant.

Adapted from Jiri Gallo, et al. (2014)

Surface functionalization of titanium with antifouling and inhibition of bacterial adhesion treatment in the human body

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PEG

Figure 9: Different polymers used in implantology [31]

Patricia Carrasco Pividal

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Poly-(ethylene glycol), PEG, is a synthetic polyether with hydrophilic properties

that inhibits the adsorption of proteins with mass weight (Mw) <100,000. If it had

a higher molecular weight it would pass to be called Poly-(oxy-ethylene), PEO. The

immobilization of PEG on a metal surface is an important step in making metal

surfaces biofunctional and also the bonding manner used to adhere PEG to the

implant surface.

The polymer used in this project is Poly(ethylene glycol) bis(3-aminopropyl) terminated (H2NCH2CH2CH2(CH2CH2O)nCH2CH2CH2NH2), which is a PEG

previously functionalized with a repeated chain and two amine terminals (NH2-PEG-NH2) (fig.10).

Both -NH2 terminals are free to react with the oxide layer of titanium (also

pretreated by plasma surface activation), paying attention to have a basic pH

solution.

Figure 10: Poly(ethylene glycol) bis(amine) [Sigma Aldrich]

Figure 11: Chemical bonding manner of the implant surface after plasma and PEG electrodeposition.

Surface functionalization of titanium with antifouling and inhibition of bacterial adhesion treatment in the human body

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Apart from being hydrophilic, PEG is very soluble in water so that it acts such as a

soluble protein with a similar molecular mass but 5-10 times bigger. This property

confers the difficulty of protein adhesion and reduces its antigenicity (Ramón et

al., 2009).

AMPs

Antimicrobial peptides (AMPs) are an essential part of innate immunity that been

evolving throughout history in most living organisms trying to combat microbial

battle. An AMP are known as host defense peptides, due to marked activity they

do against bacteria, fungi, virus and parasites [3].

Then, by combining antimicrobial peptides with other treatments of biomaterials

in the implants branch, it would be possible to reduce the risk of infections and

improve even more the implants whose surface is already been modified with

satisfactory results.

As mentioned, in this study two different AMPs have been tested: Lactoferrin 1-11

(LF1-11) and Magainin-2 (MG-2).

Lactoferrin 1-11

Lactoferrin 1-11, hLF1-11 (GRRRRSVQWCA), is an AMP derived from the N

terminus of human lactoferrin, which shows several modulatory actions within

monocytes, intensifying their actions in innate immune response. hLF1-11 is

obtained from human lactoferrin [16].

Magainin-2

Magainin-2, MG-2 (GIGKFLHSAKKFGKAFVGEIMNS), is an 𝛼-helical AMP, which

means that forms toroidal pores such as groups in order to disrupt bacterial membranes. These natural peptides compete against lots of bacteria and fungi and helps inducing osmotic lysis of protozoa. MG-2 peptides are obtained from the skin

of the African clawed frog Xenopus laevis [65].

Figure 12: Xenopus laevis frog [19]

Patricia Carrasco Pividal

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CHAPTER 4:

MATERIALS AND

METHODS

4.1. Overview

In figure 13, a global sight in an orderly way of the contents and proceedings

effected this study can be observed.

Surface functionalization of titanium with antifouling and inhibition of bacterial adhesion treatment in the human body

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4.2. Sample preparation

Quality control of titanium surface and processing is highly important, above all

concerning its use in biomedical implants. The smoother the surface is, the more

security will be that the properties and behavior are caused because of the material

nature and not because of the surface porosity. This is why a proper metallography

of titanium plays an important role [5].

Ti (Grade 2)

Metallographic preparation

"Ti" samples carried to analysis

(used as control) Plasma surface activation

"Ti-plasma" samples carried to analysis PEG-amine

electrodeposition (method optimized in this

study)

"Ti-PEG" samples carried to analysis

Functionalization with AMPs

Method 1: Crosslinking

Lactoferrin 1-11

"Ti-LF1" samples carried to analysis

Magainin II

"Ti- MG1" samples carried to analysis

Method 2: NHS-EDC

Lactoferrin 1-11

"Ti-LF2" samples carried to analysis

Magainin II

"Ti- MG2" samples carried to analysis

Figure 13: Global sight of this study

Patricia Carrasco Pividal

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In the whole study, titanium commercially pure titanium grade 2 was used because

of its consideration in any application whereon formability and corrosion resistance

are important.

Cutting

Samples were cut from a 2 meter-long titanium bar of 10mm diameter. They were

cut with a thickness of 2 mm.

Mounting

The next step was mounting the samples in order to obtain a bigger structure

which fitted the polishing machine. Hot compression mounting with phenolic resin

(MultiFast bakelite) took place in a STRUERS LaboPress-3 machine onto 5

samples/montage.

Table 3: Parameters applied in compression mounting

Heating time (min) Cooling time (min) Force (N) Temperature

(ºC)

5 3 20 (4,5 lbs) 180

Figure 14: Ti sample before

metallographic preparation

Figure 15: Samples already mounted in the Bakelite

Surface functionalization of titanium with antifouling and inhibition of bacterial adhesion treatment in the human body

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Grinding and polishing

A methodic procedure was pursued, as shown in table 4, with a polishing machine

BUEHLER (Phoenix 4000, USA) (fig.15) that gave pretty good results, obtaining a

mirroring effect and reducing the mean roughness to a few 10-20nm. By this way,

posterior experiments would be done in similar conditions avoiding the different

surface textures as result of the cutting process. In its defect, either from

availability or from machine breakdown, a substitute polishing machine STRUERS

(Rotopol-31, Denmark)(fig.16) was used without mixing in the experiments the

samples obtained so as to avoid little differences in the surface affecting to the

result interpretation.

Table 4: Grinding and polishing parameters pursued

Cloth

Grain

size

(m)

Sense of

rotation

Speed

(rpm) Lubricant Force (N)

Time

(min)

Number of

iterations

(1 new

cloth/iteration)

P600 25 antiparallel

rotation 150 H2O

31,14

(7 lbs) 10 1

Figure 17: polishing machine BUEHLER (Phoenix 4000, USA)

Figure 16: STRUERS (Rotopol-31, Denmark)

Patricia Carrasco Pividal

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Cloth

Grain

size

(m)

Sense of

rotation

Speed

(rpm) Lubricant Force (N)

Time

(min)

Number of

iterations

(1 new

cloth/iteration)

P800 22 antiparallel

rotation 150 H2O

31,14

(7 lbs) 10 2

P1200 14 antiparallel

rotation 100 H2O

26,70

(6 lbs) 7 3

P2400 10 antiparallel

rotation 100 H2O

22,24

(5 lbs) 4,5 3

Velvet

(reusa

ble)

1 antiparallel

rotation 100

OP-S +

H2O

(distille

d)

13,34

(3 lbs) 15 1

As seen in table 4 above, in the final steps 250 ml of dripping OP-S (colloidal

silica) were applied together with distilled water, the last one applied every 60

seconds. If this final step was not made, the surface of the titanium sample would

exhibit a high scratched aspect (fig.18).

In this study, a total of 300 samples have been used in the different tests.

After being polished, samples were taken out from the bakelite by means of a saw,

as shown in figure 19.

Figure 18: Samples waiting for the OP-S last polishing step.

Surface functionalization of titanium with antifouling and inhibition of bacterial adhesion treatment in the human body

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Ultrasonic cleaning

The usefulness of ultrasounds for cleaning depends greatly on the nature of the

material to be cleaned. In this work, with the aim of avoiding contaminants or rest

of products in the titanium surface, a succession of parameters were applied after

each polishing procedure, as shown in table 5.

Figure 19: Saw of Bakelite

Patricia Carrasco Pividal

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Table 5: Ultrasonic cleaning methodology

Step Product Time (min) Function

1 Cyclohexane 10

Hydrophobic molecule which removes

rests of hydrophobic molecules and

contaminants, such as fats

2 Isopropanol 10

Organic molecule that works as a

solvent for waxes vegetable oils,

natural and synthetic resins

3 H2O (distilled) 10 It detaches either rests of the products

used before and others substances

4 Ethanol 10

Organic molecule useful in solving

polar and nonpolar substances (oils,

lubricants, etc.)

5 Acetone 10

Organic molecule which helps in

removing organic substances,

withdrawing them from the titanium

surface

The ultrasonic cleaning bath used was a SELECTA (4L cap., Barcelona)(fig.20).

Figure 20: Ultrasonic cleaning bath

Figure 21: Samples after metallographic preparation

Surface functionalization of titanium with antifouling and inhibition of bacterial adhesion treatment in the human body

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4.3. Plasma surface activation

With plasma surface activation, non-reactive or non-wettable surfaces can be

modified to obtain better reactive surfaces [44].

The plasma equipment used in the research was a Plasma System Femto (DIENER

Electronic, Germany) (fig.22), low pressure and temperature with a radiofrequency plasma formation (13,56 MHz). Likewise, the parameters applied figure at table 6 (Judit Buxadera, et al., 2014) [10].

Table 6: Conditions in the wall cavity of the plasma equipment.

Part of the

process Parameters

Pumping down 0,1 mbar, 1-3 min

Gas supply Argon, 5 min 0,4mbar

(10% deviation)

Plasma

100W, 0,4 mbar, 10

min (7-8

samples/process)

Venting 1 min, up to 999 mbar

Samples were put on petri dishes in the center of the reaction chamber (fig.23),

always in the same position, after having taken a reference point since the first plasma surface activation was made.

Patricia Carrasco Pividal

- 30 -

4.4. Amine-Terminated PEG Electrodeposition

Taking Yuta Tanaka, et al. studies (2007-2010) as a reference, an antifouling

coating has been developed by the immobilization of Amine-Terminated PEG on

titanium surface with electrodeposition [56][57][58][59].

For monitoring a proper conductivity of titanium, electrochemical impedance

Spectroscopy (EIS) controls were made before and after each test, to check good electrical contact and dismissing any electrolyte leakage into the sample support

(D. Rodríguez Rius, 1999)[50] [37]. Avoiding leaks was very important because there was an iron spring putting pressure on the sample at the back, which would

shorcircuit the electrical circuit due to its lower resistivity.

Circuit diagram

Figure 23: Plasma

equipment

Figure 22: Plasma reaction chamber while working

Surface functionalization of titanium with antifouling and inhibition of bacterial adhesion treatment in the human body

- 31 -

The scheme of the electrodeposition process and chemical reactions that took place is next (fig.24):

Electrolyte

The ionic solution was made by dissolving both PEG-amine and NaCl with distilled

H2O as a solvent.

The solution contained 2% PEG-amine and 0.3M of NaCl in 150ml H2O:

150𝑚𝑙 𝐻2𝑂 ∙ 2 𝑔 𝑃𝐸𝐺𝑎𝑚𝑖𝑛𝑒

100𝑚𝑙= 3𝑔 𝑃𝐸𝐺𝑎𝑚𝑖𝑛𝑒

150𝑚𝑙 𝐻2𝑂 ∙ 0.3𝑚𝑜𝑙

1000𝑚𝑙∙

58.443𝑔

1𝑚𝑜𝑙= 2.629𝑔 𝑁𝑎𝐶𝑙

Electrodes

Connecting the electric circuit up to the electrolyte there were three electrodes:

Counter electrode. The anode of the reaction consisted in a platinum

electrode.

Figure 24: Scheme of the

electrodeposition procedure. Adapted [36]

Patricia Carrasco Pividal

- 32 -

Working electrode. Samples worked as the anode in the electrolytic cell.

They were connected to the circuit by means of a holder (fig.26). Holder

and samples were screwed with a nut (fig.25).

Reference electrode. A saturated calomel electrode (SCE BAS Inc. Japan)

was used. The basic electrochemical reaction taking place in the electrode

is:

𝐻𝑔2𝐶𝑙2 + 2𝑒− <=> 2𝐻𝑔 + 2𝐶𝑙−

This electrode gives a known and constant voltage of 0.24V versus the

Normal Hydrogen Electrode (NHE), which is the potential of a platinum

electrode in 1N acid solution at standard conditions.

Figure 25: Support

Figure 265: Nut

Surface functionalization of titanium with antifouling and inhibition of bacterial adhesion treatment in the human body

- 33 -

Additionally, as the reaction of oxidation anode-cathode is light sensitive, it was

covered with aluminum foil to protect it from the room light.

Potentiostat

The voltage source employed was a potentiostat PARSTAT 2273 (Princeton Applied

Research, UK).

Figure 27: Set up

Figure 28: Potentiostat while operating

Patricia Carrasco Pividal

- 34 -

Electroplating conditions

Initial testing

The first experiment of PEG-amine electrodeposition was done with 30 samples.

The potential before electrodeposition was 0.5V and once achieved a voltage was

applied with a constant sweep rate of -0.1V/s and kept at a continuous regime of

-5.0 VSCE vs counter electrode (Tanaka et al., 2007) [58]. This requires a 5V

command from de potentiostat.

As observed in Adriana Carreter studies (2014), after doing electrodeposition times

of 2, 5 and 120 minutes, the most optimal time was 5 minutes, as used in Tanaka

et al. research. Therefore, the electrodeposition time applied was 5 minutes.

Optimization of the Electrodeposition Parameters

Looking for an optimal electrodeposition procedure, pulsed vs continuous regime

were contrasted.

So as to adjust the potentiostat to the parameters desired in the experimental

design (DOE), it was necessary to put in a potential divider, a passive linear circuit

that produced an output voltage 10 times its input (fig. 29).

The resulting circuit can be seen either physical and schematically in figures 29

and 30.

Figure 29: External view of the potential divider

Surface functionalization of titanium with antifouling and inhibition of bacterial adhesion treatment in the human body

- 35 -

Final test equipment

On the occasion of a breakdown in the potentiostat, the final tests with the optimal

conditions applied had to be done with a kind of an alternative potentiostat. It

consisted of 3 electronic devices which were: a function generator 3314A (Hewlett

Packard, USA), an oscilloscope DSO1052B (Agilent Technologies), and a

multimeter 3800 (METEX, Germany).

Since the function generator produced a determined potential being influenced by

its internal resistance, reading a desired voltage value in the screen did not claim

that this was the real difference of voltage experimented in our circuit. Therefore,

The multimeter allowed to control the medium voltage and the oscilloscope let

know the maximum and minimal values of the square wave coming from the

function generator. The time of pulse was regulated with the frequency.

Figure 30: Schematic of the

resulting circuit

Figure 32: Controlling

an equilibrated

medium voltage

Figure 32: Generator indicating 1.725V offset, when it was actually giving 0V.

Patricia Carrasco Pividal

- 36 -

The difficulty of this manner of working eradicated in the high required control

during experiments, since the resistance did not change just when using a new

sample, but also during electrodeposition. By covering the sample, the resistance

was increased little by little (with a reduction of the voltage and the risk of inverting

the sense of intensity), so it was necessary a strict control of the voltage by paying

attention to the different devices. If this control would not have been erected, the

voltage had been changing in a different way with each sample and the results of

posterior experiments would not have been believable.

However, an advantage of this method was that the real value of voltage was

evaluated asserting that it was given properly. With a conventional potentiostat,

especially when demanding a short duration of pulses, there is the risk that the

device does not have enough time to arrive to the voltage wanted when it has to

be changed again.

The all-together assemblage is showed in figure 33.

Physicochemical Characterization

White-light Interferometry

Interferometry techniques were used to measure roughness and thickness and to

know with certainly that there were no rests of substances when the case arose.

The interferometer utilized was a Wyko 9300NT (Veeco, Germany) through white

light with Vertical Scanning interferometry (VSI) and the software Wyko Vision 32

(Veeco).

The following table shows the parameters applied to measurements:

Figure 33: The alternative potentiostat while testing

Surface functionalization of titanium with antifouling and inhibition of bacterial adhesion treatment in the human body

- 37 -

Table 7: Interferometry set up parameters.

Parameters

Type VSI

Magnification 50.0 X

Size 640x480

sampling 198 nm

Terms removed Tilt option

Contact angle measurement

The wettability of the samples was determined by Contact Angle (CA) measurement. The apparatus used was a Contact Angle SCA20 (DataPhysics,

Germany) and the software SCA20 (Dataphysics).

Two drops were made in each sample, 1µL/drop, with a speed of 2µL/s. The fluid used was high-purity water.

Figure 34: Interferometer analyzing a

sample with the 50x lens

Patricia Carrasco Pividal

- 38 -

ATR-FTIR

With the aim of contrasting the presence of expected chemical bonding, Attenuated

Total Reflectance (ATR), which is a method of Fourier Transform Infrared

Spectroscopy (FTIR), has been resorted.

FTIR spectrometer was a Nicolet 6700 (Thermo Scientific, Wisconsin-USA) and the

software OMNIC.

ATR experimental set up had 512 scans, 4. Resolution (data spacing 1.98cm-1) and

the estimated time of each collection was 33 min.

XPS

X-ray photoelectron spectroscopy (XPS) technique was made by means of a SPECS

system and a XR50 anodic source of MG, working at 150W and a detector Phoibos

MCD-9 (D8 Advance SPECS, Germany) at the Research Center of nanoEngineering

(CRnE, UPC.BarcelonaTECH).

X-Ray spectrum was registered with a 25eV pass energy in 0.1 intervalsand a

pressure under 10-9mbar.

Figure 35: FITR spectrometer

Surface functionalization of titanium with antifouling and inhibition of bacterial adhesion treatment in the human body

- 39 -

4.5. Functionalization with AMPs: Magainin II and Lactoferrin 1-11

AMP immobilization was performed pursuing two different treatments, which differ

in the chemical bond methodology to Ti-PEG samples.

Peptides

As mentioned, two different peptides have been used: Magainin II and Lactoferrin

1-11. For the second methodology, the peptides sequences were defined with an

extra C (Cysteine) at the extreme of the chain (table 8).

Table 8: Peptides used in this study.

Peptide Name

code

Sequence Molecular mass

(g/mol)

Magainin II MG1 GIGKFLHSAKKFGKAFVGEIMNS 2508.45

MG2 CGIGKFLHSAKKFGKAFVGEIMNS 2611.75

Lactoferrin

1-11

LF1 GRRRRSVQWCA 1416.30

LF2 CGRRRRSVQWCA 1518.45

Stock solution preparation

Both peptides were purchased from GeneScript (CA, USA). On reception, these

were 1mg peptide aliquots, whereas the concentration wanted was 1mM. It was

therefore necessary to calculate the Phosphate Buffered Saline (PBS) volume

required (pH=6.5) for each peptide:

MG1: 1𝑚𝑔 ∙1𝑔

103∙

1𝑚𝑜𝑙

2508.45𝑔∙

103𝑚𝑚𝑜𝑙

1𝑚𝑜𝑙∙

1𝐿

1𝑚𝑚𝑜𝑙∙

106𝜇𝐿

1𝐿= 398.65𝜇𝐿

MG2: 1𝑚𝑔 ∙1𝑔

103∙

1𝑚𝑜𝑙

2611.75𝑔∙

103𝑚𝑚𝑜𝑙

1𝑚𝑜𝑙∙

1𝐿

1𝑚𝑚𝑜𝑙∙

106𝜇𝐿

1𝐿= 382.88𝜇𝐿

LF1: 1𝑚𝑔 ∙1𝑔

103∙

1𝑚𝑜𝑙

1416.30𝑔∙

103𝑚𝑚𝑜𝑙

1𝑚𝑜𝑙∙

1𝐿

1𝑚𝑚𝑜𝑙∙

106𝜇𝐿

1𝐿= 706.06𝜇𝐿

LF2: 1𝑚𝑔 ∙1𝑔

103∙

1𝑚𝑜𝑙

1518.45𝑔∙

103𝑚𝑚𝑜𝑙

1𝑚𝑜𝑙∙

1𝐿

1𝑚𝑚𝑜𝑙∙

106𝜇𝐿

1𝐿= 658.56𝜇𝐿

Onze prepared, these solutions were kept in freezer (-20ºC) until use.

Patricia Carrasco Pividal

- 40 -

METHODOLOGY 1:

NHS – EDC (MG1/LF1)

The first method of bonding consisted in the carboxylic acid activation with EDC

(1-Ethyl-3-[3-dimethylaminopropyl]carbodiimide Hydrochloride) and Sulfo-NHS

(N-hydroxysulfosuccinimide). C-terminal union occurred by means of carboxylic

acid with primary amines.

Products required:

NHS

EDC

MG1 and LF1 peptides

PBS pH=6

PBS pH=8

Procedure:

1) NHS-ester activation. An activation solution containing NHS, EDC,

peptide and PBS (pH=6.5) was prepared and mixed for 15 minutes.

1mL solution:

1𝑚𝑙 𝑠𝑜𝑙𝑢𝑡𝑖𝑜𝑛 ∙200𝜇𝑚𝑜𝑙

1000𝑚𝑙∙

1𝑚𝑚𝑜𝑙

1000𝜇𝑚𝑜𝑙 𝑝𝑒𝑝𝑡𝑖𝑑𝑒∙

1000𝑚𝑙

1𝑚𝑚𝑜𝑙 𝑝𝑒𝑝𝑡𝑖𝑑𝑒∙

= 0.2𝑚𝑙 = 200 𝜇𝐿 𝑝𝑒𝑝𝑡𝑖𝑑𝑒

-For MG1:

0.2mM peptide 0.4mmol COO- 4mmol EDC

1𝑚𝑙 𝑠𝑜𝑙𝑢𝑡𝑖𝑜𝑛 ∙4𝑚𝑚𝑜𝑙 𝐸𝐷𝐶

1000𝑚𝑙 ∙

1000𝑚𝑙

100𝑚𝑚𝑜𝑙 𝐸𝐷𝐶= 0.04𝑚𝑙 = 40 𝜇𝐿 𝐸𝐷𝐶

𝑉𝑁𝐻𝑆 = 𝑉𝐸𝐷𝐶 = 40 𝜇𝐿 𝑁𝐻𝑆

1𝑚𝐿 𝑎𝑐𝑡. 𝑠𝑜𝑙𝑢𝑡𝑖𝑜𝑛 = 200 𝜇𝐿 𝑀𝐺1 + 40 𝜇𝐿 𝐸𝐷𝐶 + 40 𝜇𝐿 𝑁𝐻𝑆 + 720 𝜇𝐿 𝑃𝐵𝑆 6.5

-For LF1:

0.2mM peptide 0.2mmol COO- 2mmol EDC

1𝑚𝑙 𝑠𝑜𝑙𝑢𝑡𝑖𝑜𝑛 ∙2𝑚𝑚𝑜𝑙 𝐸𝐷𝐶

1000𝑚𝑙 ∙

1000𝑚𝑙

100𝑚𝑚𝑜𝑙 𝐸𝐷𝐶= 0.02𝑚𝑙 = 20 𝜇𝐿 𝐸𝐷𝐶

Surface functionalization of titanium with antifouling and inhibition of bacterial adhesion treatment in the human body

- 41 -

𝑉𝑁𝐻𝑆 = 𝑉𝐸𝐷𝐶 = 20 𝜇𝐿 𝑁𝐻𝑆

1𝑚𝐿 𝑎𝑐𝑡. 𝑠𝑜𝑙𝑢𝑡𝑖𝑜𝑛 = 200 𝜇𝐿 𝐿𝐹1 + 20 𝜇𝐿 𝐸𝐷𝐶 + 20 𝜇𝐿 𝑁𝐻𝑆 + 760 𝜇𝐿 𝑃𝐵𝑆 6.5

2) Mix 1mL activation solution with 1mL PBS (pH=8).

3) Amine reaction. The solution was added to the samples and left

reacting during 2 hours at room temperature.

METHODOLOGY 2:

Crosslinking tiol-amine (MG2/LF2)

The second way of bonding used was crosslinking with N-Succinimidyl 3-

Maleimide-Propionate (SMP), in which N-terminal bonding was done by means of

the terminal cysteine.

Products required:

SMP

DMF

PBS pH=6

Acetone

Distilled water

Ethanol

Nitrogen (optional)

Procedure:

1) Samples were put in a glass beaker, previously cleaned and dried.

2) 10mL SMP were added at a 2mg/m concentration (7.5mM) in N, N-

Dimetilformamide (DMF).

3) 1h mixing.

4) Samples were washed with DMF (x3), acetone (x1), distilled water (x10),

ethanol (x3), acetone (x3) and dried with nitrogen.

5) Samples were put into a well plate.

6) Peptide was added at a 100µM concentration in PBS pH=6.5 (1/10 dilution

from the stock solution) let reacting at least 2 hours.

Patricia Carrasco Pividal

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Physicochemical characterization and comparative AMP

The procedure adopted was the same as physicochemical characterization of PEG-

amine, in section 4.4.3. .

4.6. Biological characterization

Biological characterization of coatings was made by means of cytotoxicity, bacterial

adhesion and fluorescence tests. All the experimental brought to study counted

with 3 samples for each condition so as to do posterior statistical tests.

Cytotoxicity

With the aim of evaluating the toxicity of the samples, the activity of lactate

dehydrogenase (LDH) enzyme was measured. The presence of this enzyme would

indicate that the cells releasing it were damaged.

As the covering is thought to be in contact with the human tissue, human foreskin

fibroblasts (hFFs) were employed.

Annex 2 shows the Cytotoxicity assay protocol.

Figure 36: Neubauer chamber used for cell counting

Surface functionalization of titanium with antifouling and inhibition of bacterial adhesion treatment in the human body

- 43 -

Bacterial adhesion

Bacterial adhesion tests took three days. The methodology applied is given in

Annex 2.

Figure 37 shows the aspect of the plates just before doing the bacteria counting.

Fluorescence

Fluorescence is known as an easy method to detect dead-alive bacteria. In this

technique, two pictures are compared: a red-black and a green-black image. Green

area shows bacteria presence in the surface and red area shows how many of them

have already dead.

Methodology

Just as for bacterial adhesion, inoculum preparation is required.

An overnight after the inoculum preparation, 0.2abs inoculum was prepared and

samples were put in immersion for 24h.

Bacterial dying was done with the LIVE/DEAD® BacLight Bacterial Viability kit and

after 15 min they were analyzed by fluorescence microscopy.

Figure 37: Bacterial plates

Patricia Carrasco Pividal

- 44 -

Surface functionalization of titanium with antifouling and inhibition of bacterial adhesion treatment in the human body

- 45 -

CHAPTER 5:

RESULTS AND

DISCUSSION

5.1. Electrodeposition characterization

Experimental set-up and faced setbacks

When it came to carrying through with electrodeposition, different handicaps had

to be confronted in a problem solution pattern. Thus, adjustments and

alternatives were applied so as to achieve the expected aim in the diverse facts.

Mounting hindrances

Some sides of samples had to be manually polished because of cutting

defects. The outgoing hampered the entrance of samples in the 10mm

diameter hole of the support.

There was a loss of PEG effectiveness. After around 25-30 electrodeposition

tests, the electrolyte was replaced.

Patricia Carrasco Pividal

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Sometimes the support did not fit properly and water went inside (fig.38).

But if water got inside during electrodeposition, the sample was not taken

as valid and it was eliminate of the test (Tests were not do again with the

same sample because it already had rests of PEG). This problem was

controlled with an O-ring seal, Teflon or/and another sample pattern for

gaining thickness.

To control the entrance of water, EIS tests were made before each

electrodeposition test. The electrical impedance had to be similar to figure 39 to

be considered as valid.

Figure 39: Electrical impedance valid control

On the other hand, figure 40, shows an example of a control in which there was

not a proper electrical impedance corresponding titanium. This meant there was

0

10

20

30

40

50

60

70

80

90

0

50000

100000

150000

200000

250000

300000

ph

ase

of

Z(d

eg)

|Z|

(Oh

ms)

Frequency (Hz)

EIS - sample 41

|Z| (Ohms) phase of Z (deg)

Figure 38: support state because of water entrance

Surface functionalization of titanium with antifouling and inhibition of bacterial adhesion treatment in the human body

- 47 -

an entrance of water in the support and the electrical impedance given was coming

from the iron spring.

Figure 40: Electrical impedance improper control

Optimization obstacles

Optimization of the Electrodeposition Parameters

After a review of articles related to electrodeposition optimization in metals and

others relative to our polyether, significant parameters were put together in a

Design Of Experiments (DOE), done by means of the software Minitab.

However, while treating to apply the conditions to the software of the potentiostat,

PowerSuite, it was found out that, although according to the manual the

potentiostat was able to provide them (up to 20mµs/pulse and ±10V), depending

on the electrochemical technique these ranges were reduced. Thus the software

could not gave the required requisites ([1,5]ms/pulse and [-5,+5] V).

All of the software possibilities were studied. The most similar are shown on table

10 with their limitations.

Table 9: Different electrochemical techniques of PowerSuite

Electrochemical

technique Option Features and limitations

POWER CORR 1 Galvanic Step Valid if it worked with V instead of A

0

20

40

60

80

100

120

140

160

0

200

400

600

800

1000

1200

1400

1600

1800

ph

ase

of

Z (d

eg)

|Z|

(Oh

ms)

Frequency (Hz)

EIS - sample 66

|Z| (Ohms) phase of Z (deg)

Patricia Carrasco Pividal

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Electrochemical

technique Option Features and limitations

2

Potentiostatic (+iterations)

[V1(t0, t1)+ V2(t1, t2)]· n iterations

If (1+1+1)ms3ms/iterationat least 3points/process

3𝑝𝑜𝑖𝑛𝑡𝑠

𝑝𝑟𝑜𝑐𝑒𝑠𝑠·

1

1𝑚𝑠·

1000𝑚𝑠

1𝑠·

60𝑠

1𝑚= 180000

𝑝𝑜𝑖𝑛𝑡𝑠

𝑚𝑖𝑛· 5𝑚𝑖𝑛 =

900000𝑝𝑜𝑖𝑛𝑡𝑠

𝑝𝑟𝑜𝑐𝑒𝑠𝑠 𝑜𝑓 300 𝑚𝑖𝑛

So it was necessary to do 300000 iterations but the

maxima iterations admitted were 100.

POWER PULSE 3

Recurrent Potential Pulses LIMITED

t ≥ 4ms

-2V < V < +2V

POWER STEP 4

2 steps (+iterations) 2 steps

-10V < V < +10V

t1 ≥ 4ms, t2 ≥ 4ms

Same problem as in Potentiostatic POWER CORR

This is why a potential divider was added and the technique applied was Recurrent

Potential Pulses POWER PULSE. The potential divider is shown on figures 29 and

30, section 4.4.1.

The conditions of the design of experiments (DOE) figure on table 11.

Surface functionalization of titanium with antifouling and inhibition of bacterial adhesion treatment in the human body

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Table 10: DOE parameters

Design Regime V01

(V)

V12

(V)

T01

(s)

T12

(s)

Total time (s)

[(T01 + T12) · N iterations

in pulsed regime]

d1 continuous 5 - - - 300

d2 pulsed 2.5 5 4 4 300

d3 pulsed 2.5 5 8 8 300

d4 pulsed 0 5 4 4 300

d5 pulsed 0 5 8 8 300

d6 pulsed 0 5 6 6 300

d7 pulsed -2.5 5 4 4 300

d8 pulsed -2.5 5 8 8 300

In the optimization procedure a total of 120 valid samples were required (plus

controls). Therefore, 15 samples of each condition were carried to analysis to

different techniques of characterization.

Resistance variation

As mentioned, EIS controls were done before each electrodeposition test, but also

after. By this way, the variation of the electric impedance was measured in order

to see how titanium impedance changed after PEG electrodeposition.

Patricia Carrasco Pividal

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Figure 41: |z| variation pre-/post- PEG electrodeposition

As observed in figures 41 and 42, there were no significant variations.

Figure 42: phase of z variation pre-/post- PEG electrodeposition

Roughness

Ti and Ti-Plasma controls samples showed no changes in their roughness (just as

expected).

Samples roughness was measured before and after the electrodeposition

procedure so as to see how changed their value from Ti to Ti-PEG.

Tests showed a minimal dissimilarity. This could mean it was a so slight cover and

as it was transparent it was penetrated by the interferometer light. In case that

this would happened, the interferometer was measuring again the Ti surface.

0

50000

100000

150000

200000

250000

300000

|Z|

(Oh

ms)

Frequency (Hz)

Pre and post PEG electrodeposition comparison

Pre-electrodeposition Post- electrodeposition

0

10

20

30

40

50

60

70

80

90

ph

ase

of

Z (d

eg)

Frequency (Hz)

Pre and post PEG electrodeposition comparison

Pre-electrodeposition Post- electrodeposition

Surface functionalization of titanium with antifouling and inhibition of bacterial adhesion treatment in the human body

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In addition, little bubbles were detected indicating tha PEG electrodeposition was

not uniform, what would support the idea that the Ti–PEG surface was not as flat

as Ti surface (fig.43).

With the aim of having the answer, a highly light carbon coating (only 3 shots)

was applied so as to give opacity.

Table 11: Ti and Ti-PEG roughness

Surface statistics Ti Ti- PEG Ti-PEG

(carbon coating)

Mean roughness,

Ra (nm) 13.19 15.07 34.02

Root Mean Square

roughness, Rq

(nm)

18.37 19.25 42

As indicated in table 12, results showed a higher roughness but this could be

because predictions were right or because the carbon shots had left rests in the

surface. To clarify, a Ti sample was treated also with carbon shots and the results

were convincing (table 13). The carbon coating worked, and PEG provided Ti

samples a mean of an approximately 20 nm higher roughness.

Figure 43: Ti-PEG surface

Patricia Carrasco Pividal

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Table 12: Ti roughness

Surface

statistics Ti

Ti

(carbon coating)

Ra (nm) 9.21 9.66

Rq (nm) 13.11 13.22

Thickness

With the purpose of knowing the PEG coating thickness, it was thought that the

best and more economical option would be covering part of the sample with an

impermeable layer in order to avoid the contact of this part with the electrolyte.

Once finished the electrodeposition procedure, it would be retired and the resting

step could be measured.

Different options were considered. Among them, the most important are given

below:

1. Sterilization ribbon.

PROS: It had been used in others studies of the department and not excessive

rests were observed in the surface after being retired.

CONTRAS: It is NOT permeable.

REJECTED

2. Paint or varnish

PROS: It was impermeable.

CONTRAS: When retiring it would be unavoidable the contact in the adjoining

within the PEG coating (Since PEG electrodeposition coating is expected to have

a very small scale), distorting results.

REJECTED

3. White glue

Thinking about possible alternatives, the idea of using white glue appeared from

of its use in handicrafts and the knowledge that it did not used to leave rests

in some materials when being retired.

PROS: It was impermeable, easy to retire and apparently did not leave rests.

Surface functionalization of titanium with antifouling and inhibition of bacterial adhesion treatment in the human body

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With the aim of confirm it would not leave rests, Ti samples roughness was

tested with the interferometer (fig.46) and a half part of the samples was

covered later (fig.44).

Afterward, two facts of interest were verified:

The interferometer arrived to focus the step in spite of the height difference

(fig.45).

- After taking away the white glue with laboratory pliers, roughness of the

part previously coated was measured again (fig.47).

Figure 44: Sample covered

with white blue in a half part

Figure 45: Titanium-white glue step

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A comparative view of the sample roughness and the aspect of the surface

before and after the procedure is given below:

According to results it seemed that a white glue coating would be a good option.

However, it was detected a loss of consistance in electrodeposition cheks. It

was sensitive to the electrolyte solution.

Figure 47: Ti surface before the blue coating input

Figure 46: Ti surface after removing the coating

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CONTRAS: the covering dissolved when contacting the solution.

REJECTED

4. White glue + varnish

As the cover was perfect for the titanium surface, even not for the electrolyte,

the idea of putting a cover to the cover growth up. Like this, varnish would act

as a shield versus the electrolyte.

Thus, a commercial nail polish was applied on the white glue coating (fig.48)

After doing some tests, satisfactory results were confirmed.

VALID METHOD

As mentioned, samples were doubly covered and submitted to PEG

electrodeposition. Later, coatings were removed the height of the step Ti vs Ti-

PEG was measured (fig.49). Six equidistant values were taken from each sample.

Figure 48: Ti samples doubly covered (white

glue + nail polish)

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Finally, the thickness of each condition in the design of experiments was obtained

(fig.50).

Covered area

The covered are of the different optimization parameters presented different

aspect. The distribution of the coating is given in figure 51.

d1 d2 d3 d4

Thickness

Figure 49: Ti vs Ti-PEG step

0

50

100

150

200

250

300

350

d1 d2 d3 d4 d5 d6 d7 d8

nm

THICKNESS

Figure 50: tickness of DOE parameters

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d5 d6 d7 d8

Figure 51: Covered area

Free amines presence

The presence of free amines in the Ti-PEG samples is a good indicator for posterior

treatments in the surface. As in this study a posterior AMP treatment took place,

we opted to do this control test.

The test was very simple and it was done by means of the Nynhidrine kit. If the

fluid containing the sample turned blue, there was presence of free amines in the

surface (fig.53).

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Contact angle

The wettability presented for each electrodeposition condition displayed a different

game of contact angles. “d4” showed the smaller contact angle, versus “d1”

(continuous pulse) and “d6”. The rest of conditions present a range of 25-45º

(fig.54).

0

10

20

30

40

50

60

70

80

90

d1 d2 d3 d4 d5 d6 d7 d8

Θ(º

)

Water contact angle

Figure 53: Free amine survey

Figure 54: Water contact angle of Ti-PEG.

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ATR-FTIR

By means of ATR-FTIR, the presence of chemical bonds has been contrasted.

First experiment

The first experiment, whose conditions were taken from precedent studies showed

a characteristic peak that indicated the presence of PEG at 1045.31cm-1

corresponding to O-C-O stretching together with a light peak at 2920cm-1

attributed to C-H groups. No presence of amine groups were detected though

(fig.55).

Electrodeposition otimization

The conditions brought to study in electrodeposition optimization, showed chemical

several bonding and stretching peaks at wavenumbers (fig.56). Their band

assignation is given in table 14.

Figure 55: ATR-FTIR spectra of Ti-PEG ("d1" condition).

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Table 13: Band assignation of Ti-PEG samples

Wave numbers (cm-1)

C-H bonding 842, 961

C-O-C stretching 1060, 1113, 1147

C -C stretching 1237, 1282, 1340, 1365

C-H wagging 1337, 1342

C-C stretching 1237, 1282, 1340, 1365

C-H wagging 1337, 1342

C-H scisssoring 1511, 1540

C-N streching 1566, 1575

N-H bonding 1646, 1650

C-H streching 2813, 2856, 2915

After determining d6 condition as the most optimal, Ti-PEG samples obtained from

both devices were compared (fig.57). The final experiment was done with the

alternative device, which showed highly notorious peaks (fig.58).

Figure 56: ATR-FTIR DOE spectra (Ti-PEG samples)

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Figure 58: Ti-PEG sample from the final experiment.

Figure 57: Ti-PEG sample with "d6" condition obtained from the potentiostat (red)

and the alternative device (blue)

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To clear up, a comparison of the initial versus the final conditions from PEG

optimization is given in figure 59. An obvious improvement of the procedure is

observed.

XPS

The first experiment was analyzed by means of XPS (table 15). Results showed a higher amount of carbon, nitrogen and sulphur was detected on the samples

coated with AMPs, sign of a successful immobilization process.

Table 14: Atomic concentration of the control and treated samples

C 1s O 1s N 1s Ti 2p S 2p

Ti 23.4±1 59.6±1 0.6±0 16.3±0 0.0±0.0

PEG-amine 28.1±1 47.1±1 0.9±0 34.5±0 0.0±0.0

LF crosslinker 49.1±7 33.1±6 11.9±1 5.2±2 0.7±0.0

MG crosslinker 51.4±6 32.8±5 9.6±1 5.6±1 0.5±0.0

LF (EDC/NHS) 51.4±6 33.7±3 8.3±1 6.3±1 0.2±0.0

MG (EDC/NHS) 50.2±9 35.9±5 7.4±1 6.2±4 0.1±0.0

Figure 59: Initial vs final conditions("d6" condition obtained from the potentiostat

(red) and from the alternative device (blue)).

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SEM

PEG adhesion was observed with SEM technique (fig.60). Pictures were taken in a

500x scale.

SEM analysis showed that:

- d1, d3 and d4 parameters showed a lighter presence of PEG.

- d6 and d7 presented a higher covering amount.

- d4, d5 and d8 showed an irregular surface aspect.

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Figure 60: SEM analysis

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5.2. Cytotoxicity

Cytotoxicity assays were realized and showed a 100% of success (fig.61). All the

samples had a cell survival rate higher than 80%, demonstrating the

biocompatibility of the coating in vitro. Some samples even surpassed the rate

considered as maximum survival.

5.3. Adhesion assays

Four bacterial adhesion assays were done. Two of them with the initial conditions,

a huge assay with the optimization parameters and the last one applying the most

optimal conditions.

First condition assays

Assays showed a decrease on the bacterial adhesion with the presence of PEG-

amine. This antibacterial effect was further increased with the presence of the

AMP. In this stage, a similar behavior was observed between MG-2 and LF1-11

(fig.62).

Figure 61: Cell cytotoxicity.*

* Samples indicated with the same symbol have no statistically significant differences (p>0.05)

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PEG- electrodeposition optimization assay

Bacterial adhesion was the decisive factor in PEG-electrodeposition optimization (fig.63).

A large assay took place and the results cleared up what was the best option with the help

of the design of experiments with the software Minitab.

Figure 62: First condition material adhesion.*

* Samples indicated with the same symbol have no statistically significant differences (p>0.05)

Figure 63: Bacterial adhesion of electrodeposition optimization.*

* Samples indicated with the same symbol have no statistically significant differences (p>0.05).

Surface functionalization of titanium with antifouling and inhibition of bacterial adhesion treatment in the human body

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Figure 64 shows the optimization results. The optimal parameters given were V1

=0V and a T1=6ms, coinciding with “d6” condition.

Final assay

A final assay was made with a clearly bacteria reduction in relation to controls (Ti

and Ti-Plasma) (fig.65).

The effectivity of PEG optimization was as big that showed comparative numbers

with those samples treated with AMP.

Figure 64: DOE analysis

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Figure 65: Bacterial adhesion with the optimized electrodeposition parameter *

* Samples indicated with the same symbol have no statistically significant

differences (p>0.05)

5.4. Fluorescence

Fluorescence test were done showing a significant mortal rate of bacteria in

comparison to controls. MG1 and MG2 presented the best value (fig.66).

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Figure 66: Staphylococcus aureus Fluorescence

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CHAPTER 6:

CONCLUSIONS

Titanium surface has been functionalized with a PEG-amine antifouling coating by

an electrodeposition method.

Electrodeposition optimization has been studied by means of surface

characterization and bacterial assays. Results have been analyzed within a design

of experiments. The optimal condition obtained has been a pulsed regime with a

voltage on of 5V and voltage off of 0V, 6ms/pulse time duration.

The presence of chemical bonds has been contrasted with the starting condition.

Spectral peaks have improved reducing its transmittance, and new characteristic

peaks have appeared.

This PEG coating has been used as a stage for the immobilization of AMP as

antibacterial agents. The bonding of AMP to PEG-amine has been successfully

established with both SMP and EDC/NHS.

The coatings showed a total biocompatibility, with a cell survival higher of 80% in

all cases. There has also been a notorious decrease on the bacterial adhesion.

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CHAPTER 7:

REFERENCES

[1] Anderson, J. M. (2001). Biological responses to biomaterials. Retrieved June 4, 2015, from http://www.bioen.utah.edu/faculty/pat/Courses/biomaterials/BiologicalResponse.pdf

[2] Anderson, J. M., Rodriguez, A., & Chang, D. T. (2008). Foreign body reaction to biomaterials. Seminars in Immunology, 20(2), 86–100. http://doi.org/10.1016/j.smim.2007.11.004

[3] Antimicrobial peptides. (n.d.). Retrieved June 7, 2015, from http://www.americanpeptide.com/corp/jm/peptidewire17.html

[4] B. Ratner et al. Biomaterials science: an introduction to materials in medicine (2nd ed). Elsevier Academic, 2004. ISBN 0125824637.

[5] B Taylor, E. W. (n.d.). Metallographic preparation of titanium. Retrieved April 16, 2015, from http://www.struers.com/resources/elements/12/282487/Application_Note_Titanium_2014_ENG.pdf

[6] Bahar, A. A., & Ren, D. (2013). Antimicrobial peptides. Pharmaceuticals (Basel, Switzerland), 6(12), 1543–75. http://doi.org/10.3390/ph6121543

[7] Baskaran, & Narayanan, S. (2005). Pulsed electrodeposition of nanocrystalline Cu–Ni alloy films and evaluation of their characteristic properties. Retrieved June 7, 2015, from file:///C:/Users/Wissha/Documents/EUETIB UNIVERSIDAD 2010-2011/9%C2%BA CUATRIMESTRE (FINAL)/TFG/varios/00b7d52bf72b802414000000.pdf

[8] Biomaterials Tutorial. (n.d.). Retrieved June 7, 2015, from http://www.uweb.engr.washington.edu/research/tutorials/introbiomat.html

[9] Biomedical implants:corrosion and its prevention. (n.d.). Retrieved June 2, 2015, from file:///C:/Users/Wissha/Documents/EUETIB UNIVERSIDAD 2010-2011/9%C2%BA CUATRIMESTRE (FINAL)/TFG/articles/RPTCS-2-40.pdf

[10] Buxadera-Palomero, J., Canal, C., Torrent-Camarero, S., Garrido, B., Javier Gil, F., & Rodríguez, D. (2015b). Antifouling coatings for dental implants: Polyethylene glycol-like coatings on titanium by plasma polymerization. Biointerphases, 10(2), 029505. http://doi.org/10.1116/1.4913376

[11] Chang-Jiang Pan , Yan-Hua Hou, B.-B. Z. and L.-C. Z. (2014). Fabrication of anticoagulation layer on titanium surface by sequential immobilization of poly (ethylene glycol) and albumin. Retrieved June 7, 2015, from file:///C:/Users/Wissha/Documents/EUETIB UNIVERSIDAD 2010-

Surface functionalization of titanium with antifouling and inhibition of bacterial adhesion treatment in the human body

- 73 -

2011/9%C2%BA CUATRIMESTRE (FINAL)/TFG/varios/Fabrication of anticoagulation layer on titanium surface by sequential immobilization of PEG and albumin..pdf

[12] Chien-Ping Ju, J.-H. C. L. (2012, June 13). Method for enhancing mechanical strength of a titanium alloy by aging. Retrieved from http://www.google.com/patents/WO2013086010A1?cl=en

[13] Dental implants. (n.d.). Retrieved June 7, 2015, from http://www.efp.org/public/dental-implants.html

[14] Dental Implants. (n.d.). Retrieved June 7, 2015, from http://www.perio.org/consumer/dental-implants

[15] Dental Implants Boise. (n.d.). Retrieved June 7, 2015, from http://southwestdentalboise.com/dental-implants/

[16] Dijkshoorn, L., Brouwer, C. P. J. M., Bogaards, S. J. P., Nemec, A., van den Broek, P. J., & Nibbering, P. H. (2004). The synthetic N-terminal peptide of human lactoferrin, hLF(1-11), is highly effective against experimental infection caused by multidrug-resistant Acinetobacter baumannii. Antimicrobial Agents and Chemotherapy, 48(12), 4919–21. http://doi.org/10.1128/AAC.48.12.4919-4921.2004

[17] Drevet, R., Faure, J., & Benhayoune, H. (2013). Thermal Treatment Optimization of Electrodeposited Hydroxyapatite Coatings on Ti6Al4V Substrate. Retrieved June 7, 2015, from file:///C:/Users/Wissha/Documents/EUETIB UNIVERSIDAD 2010-2011/9%C2%BA CUATRIMESTRE (FINAL)/TFG/varios/377_ftp.pdf

[18] Drevet, R., Velard, F., Potiron, S., Laurent-Maquin, D., & Benhayoune, H. (2011). In vitro dissolution and corrosion study of calcium phosphate coatings elaborated by pulsed electrodeposition current on Ti6Al4V substrate. Retrieved June 7, 2015, from file:///C:/Users/Wissha/Documents/EUETIB UNIVERSIDAD 2010-2011/9%C2%BA CUATRIMESTRE (FINAL)/TFG/varios/2011 _ Journal of Materials Science Materials in Medicine.pdf

[19] Eureka. (n.d.). Retrieved June 7, 2015, from http://media.eurekalert.org/multimedia_prod/pub/web/28689_web.jpg

[20] Gallo, J., Holinka, M., & Moucha, C. S. (2014). Antibacterial surface treatment for orthopaedic implants. International Journal of Molecular Sciences, 15(8), 13849–80. http://doi.org/10.3390/ijms150813849

[21] Geetha Manivasagam, D. D. and A. R. (2010). Biomedical Implants: Corrosion and its Prevention - A Review. Retrieved June 7, 2015, from file:///C:/Users/Wissha/Documents/EUETIB UNIVERSIDAD 2010-2011/9%C2%BA CUATRIMESTRE (FINAL)/TFG/varios/RPTCS-2-40.pdf

[22] Gordon, Y. J., Romanowski, E. G., & McDermott, A. M. (2005). A review of antimicrobial peptides and their therapeutic potential as anti-infective drugs. Current Eye Research, 30(7), 505–15. http://doi.org/10.1080/02713680590968637

[23] Hale, C. (2013). Microbiology - Staphylococcus aureus: pathology outlines. Retrieved June 7, 2015, from http://pathologyoutlines.com/topic/microbiologystaphaureus.html

[24] Hanawa, T. (2009). An overview of biofunctionalization of metals in Japan. Journal of the Royal Society, Interface / the Royal Society, 6 Suppl 3(Suppl_3), S361–9. http://doi.org/10.1098/rsif.2008.0427.focus

[25] Hanawa, T. (2010). Biofunctionalization of titanium for dental implant. Japanese Dental Science Review, 46(2), 93–101. http://doi.org/10.1016/j.jdsr.2009.11.001

[26] Hanawa, T., Tanaka, Y., Doi, H., Iwasaki, Y., Hiromoto, S., Yoneyama, T., … Imai, H. (2007). Electrodeposition of amine-terminated poly(ethylene glycol) to titanium surface. Materials Science & Engineering C-Biomimetic and Supramolecular Systems, 27(2), 206–212. http://doi.org/10.1016/j.msec.2006.03.007

[27] Hanawa, Takao (Institute of Biomaterials and Bioengineering, Tokyo Medical and Dental University, Tokyo, J. . (2011). A comprehensive review of techniques for biofunctionalization of titanium. Retrieved June 6, 2015, from

Patricia Carrasco Pividal

- 74 -

http://synapse.koreamed.org/DOIx.php?id=10.5051/jpis.2011.41.6.263&vmode=PUBREADER

[28] Hein, P. Stallmann, Christopher Faber, Eveline T. Slotema, D. M. Lyaruu2, Antonius L. J. J. Bronckers, A. (n.d.). Continuous-release or burst-release of the antimicrobial peptide human lactoferrin 1-11 (hLF1-11) from calcium phosphate bone substitutes. Retrieved June 6, 2015, from http://jac.oxfordjournals.org/content/52/5/853.full.pdf

[29] Hisashi, D., Tanaka, Kobayashi, Yuta, E., Yoneyama, T., Hanawa, T., & Biomaterials), (Institute of. (n.d.). Determination of the Immobilization Manner of Amine-Terminated Poly(Ethylene Glycol) Electrodeposited on a Titanium Surface with XPS and GD-OES. Retrieved June 6, 2015, from https://www.jim.or.jp/journal/e/pdf3/48/03/287.pdf

[30] Joyce Y. Wong, Joseph D. Bronzino, D. R. P. (2012). Biomaterials: Principles and Practices. CRC Press. Retrieved from https://books.google.com/books?id=GQHSBQAAQBAJ&pgis=1

[31] Kanagaraj, S. (2010). Biomaterials: design and applications. Retrieved June 6, 2015, from http://www.iitg.ernet.in/kanagaraj/lecture_notes/Biomaterials 1.pdf

[32] Lai, Y., & Gallo, R. L. (2009). AMPed up immunity: how antimicrobial peptides have multiple roles in immune defense. Trends in Immunology, 30(3), 131–41. http://doi.org/10.1016/j.it.2008.12.003

[33] Le Guéhennec, L., Soueidan, A., Layrolle, P., & Amouriq, Y. (2007). Surface treatments of titanium dental implants for rapid osseointegration. Dental Materials : Official Publication of the Academy of Dental Materials, 23(7), 844–54. http://doi.org/10.1016/j.dental.2006.06.025

[34] Lluis V. Pavillard Carles. (n.d.). Periodontitis - Periimplantitis. Retrieved June 7, 2015, from http://www.periimplantitis.com/periodontitis_-_periimplantitis.html

[35] Lobaccaro, P., Raygani, A., Oriani, A., Miani, N., Piotto, A., Kapadia, R., … Javey, A. (2014a). Electrodeposition of High-Purity Indium Thin Films and Its Application to Indium Phosphide Solar Cells. Journal of the Electrochemical Society, 161(14), D794–D800. http://doi.org/10.1149/2.0821414jes

[36] Lobaccaro, P., Raygani, A., Oriani, A., Miani, N., Piotto, A., Kapadia, R., … Javey, A. (2014b). Electrodeposition of High-Purity Indium Thin Films and Its Application to Indium Phosphide Solar Cells. Journal of the Electrochemical Society, 161(14), D794–D800. http://doi.org/10.1149/2.0821414jes

[37] M.A. Ahmeda, N. Okasha b, S.F. Mansour c, S. I. E. (2010). Bi-modal improvement of the physico-chemical characteristics of PEG and MFe2O4 subnanoferrite. Retrieved June 7, 2015, from file:///C:/Users/Wissha/Documents/EUETIB UNIVERSIDAD 2010-2011/9%C2%BA CUATRIMESTRE (FINAL)/TFG/varios/PEG dielectric constant (1).pdf

[38] Measuring Cell Viability/Cytotoxicity. (n.d.). Retrieved June 7, 2015, from https://www.dojindo.com/Protocol/Cell_Proliferation_Protocol_Colorimetric.pdf

[39] Molina, N. I. (Universidad de B. (2013). Aplicación de técnicas de electrodeposición mediante pulsos de corriente para la obtención de recubrimientos metálicos. Retrieved June 7, 2015, from file:///C:/Users/Wissha/Documents/EUETIB UNIVERSIDAD 2010-2011/9%C2%BA CUATRIMESTRE (FINAL)/TFG/varios/NIM_TESIS (1).pdf

[40] Oldani, C., & Dominguez, Alejandro (Department of Materials and Technology, Faculty of Exact, Physical and Natural Sciences, U. N. de C. A. (n.d.). Titanium as a Biomaterial for Implants. Retrieved June 7, 2015, from http://cdn.intechopen.com/pdfs-wm/26862.pdf

[41] Pan, C.-J., Hou, Y.-H., Zhang, B.-B., Dong, Y.-X., & Ding, H.-Y. (2014). Blood compatibility and interaction with endothelial cells of titanium modified by sequential immobilization of poly (ethylene glycol) and heparin. J. Mater. Chem. B, 2(7), 892–902. http://doi.org/10.1039/C3TB21403F

[42] Pan, C.-J., Hou, Y.-H., Zhang, B.-B., & Zhang, L.-C. (2014). Fabrication of anticoagulation layer on titanium surface by sequential immobilization of poly (ethylene glycol) and albumin. Bio-Medical Materials and Engineering, 24(1), 781–7. http://doi.org/10.3233/BME-130868

[43] Physical Properties of Titanium and Its Alloys. (n.d.). Retrieved June 7, 2015, from http://www.totalmateria.com/Article122.htm

Surface functionalization of titanium with antifouling and inhibition of bacterial adhesion treatment in the human body

- 75 -

[44] Plasma technology. (2007). Retrieved June 6, 2015, from http://www.thierry-corp.com/fileadmin/user_upload/downloads/broshures/Plasma_Technology.pdf

[45] Popović, J., Gasić, J., & Radicević, G. [The investigation of ultrasound efficacy in cleaning the surface of new endodontic instruments]. Srpski Arhiv Za Celokupno Lekarstvo, 137(7-8), 357–62. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/19764588

[46] PowerPULSE, Electroanalytical Software. (n.d.). Retrieved June 7, 2015, from file:///C:/Users/Wissha/Documents/EUETIB UNIVERSIDAD 2010-2011/9%C2%BA CUATRIMESTRE (FINAL)/TFG/varios/PowerPULSE.pdf

[47] Ramakrishna et al. (2001), Composite Science and Technology, 61, 1189 [48] Reham B. Osman and Michael V. Swain (2015). A Critical Review of Dental Implant Materials

with an Emphasis on Titanium versus Zirconia; Materials Materials 2015, 8, 932-958. Retrieved June 7, 2015, from file:///C:/Users/Wissha/Documents/EUETIB UNIVERSIDAD 2010-2011/9%C2%BA CUATRIMESTRE (FINAL)/TFG/varios/materials-08-00932.pdf

[49] Reddy, K. V. R., Yedery, R. D., & Aranha, C. (2004). Antimicrobial peptides: premises and promises. International Journal of Antimicrobial Agents, 24(6), 536–47. http://doi.org/10.1016/j.ijantimicag.2004.09.005

[50] Rodríguez Rius, D. (1999). Obtención de capas de nitruro de titanio mediante tratamiento termoquímico en titanio y Ti6Al4V y caracterización de sus propiedades para aplicaciones médicas. Retrieved from http://www.tdx.cat/bitstream/handle/10803/6032/02INDEX.pdf?sequence=2

[51] science photographer Martin Oeggerli. (n.d.). Staphylococcus aureus, Micronaut: The fine art of microscopy. Retrieved June 7, 2015, from http://www.micronaut.ch/shop/staphylococcus-aureus/

[52] Specifications book. (2005). Retrieved June 7, 2015, from http://www.semos.dk/Per/41653/download/Titanium_Specifications_Book.pdf

[53] Stumpf, A., & Bergmann, C. P. (n.d.). Dental Ceramics. Retrieved June 7, 2015, from file:///C:/Users/Wissha/Documents/EUETIB UNIVERSIDAD 2010-2011/9%C2%BA CUATRIMESTRE (FINAL)/TFG/varios/9783642382239-c2.pdf

[54] Surface Activation , Plasma Activation. (n.d.). Retrieved June 6, 2015, from http://www.thierry-corp.com/plasma-activation

[55] Suzukiand, J., & Mortilla, L. (n.d.). Infections Around Dental Implants. Retrieved June 7, 2015, from http://www.deardoctor.com/inside-the-magazine/issue-14/infections-around-dental-implants/

[56] Tanaka, Y., Doi, H., Iwasaki, Y., Hiromoto, S., Yoneyama, T., Asami, K., … Hanawa, T. (2007). Electrodeposition of amine-terminatedpoly(ethylene glycol) to titanium surface. Materials Science and Engineering: C, 27(2), 206–212. http://doi.org/10.1016/j.msec.2006.03.007

[57] Tanaka, Y., Doi, H., Iwasaki, Y., Yoneyama, T., & Hanawa, T. (2007). Immobilization of Poly(Ethylene Glycol) Terminated with Amine to Titanium Surface by Electrodeposition. Advanced Materials Research.

[58] Tanaka, Y., Doi, H., Kobayashi, E., Yoneyama, T., & Hanawa, T. (2007). Determination of the Immobilization Manner of Amine-Terminated Poly(Ethylene Glycol) Electrodeposited on a Titanium Surface with XPS and GD-OES. MATERIALS TRANSACTIONS.

[59] Tanaka, Y., Matsuo, Y., Komiya, T., Tsutsumi, Y., Doi, H., Yoneyama, T., & Hanawa, T. (2010). Characterization of the spatial immobilization manner of poly(ethylene glycol) to a titanium surface with immersion and electrodeposition and its effects on platelet adhesion. Journal of Biomedical Materials Research - Part A, 92(1), 350–358.

[60] The Mendeley Support Team. (2011). Getting Started with Mendeley. Mendeley Desktop. London: Mendeley Ltd. Retrieved from http://www.mendeley.com

[61] Titanium:physical properties. (n.d.). Retrieved June 7, 2015, from http://www.webelements.com/titanium/physics.html

[62] Van der Does, A. M., Hensbergen, P. J., Bogaards, S. J., Cansoy, M., Deelder, A. M., van Leeuwen, H. C., … Nibbering, P. H. (2012). The human lactoferrin-derived peptide hLF1-11 exerts immunomodulatory effects by specific inhibition of myeloperoxidase activity. Journal of

Patricia Carrasco Pividal

- 76 -

Immunology (Baltimore, Md. : 1950), 188(10), 5012–9. http://doi.org/10.4049/jimmunol.1102777

[63] Wilson, Benjamin (Department of Materials EngineeringUniversity of Wales, S. (n.d.). Ultrasound, Cavitation and Cleaning. Retrieved June 6, 2015, from http://www.academia.edu/607126/Ultrasound_Cavitation_and_Cleaning

[64] World’s first prosthetic limb found on 3,000-year-old Egyptian mummy. (2007). Retrieved June 7, 2015, from http://www.dailymail.co.uk/news/article-471203/Worlds-prosthetic-limb-3-000-year-old-Egyptian-mummy.html

[65] Zasloff, M., Martin, B., & Chen, H.-C. (n.d.). Antimicrobial activity of synthetic magainin peptides and several analogues. Retrieved June 7, 2015, from http://www.pnas.org/content/85/3/910.full.pdf

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ANNEX 1: CITOTOXICITY ASSAY PROTOCOL

Before starting the test, cell culture media (DMEM) must be prepared by mixing

the components in table 9.

Table 15: DMEM

Substance Quantity

FBS 5 ml

HEPES 1 ml

Antibiotic

(Strep/Pen) 500 µl

L-glutamine 500 µl

Primary DMEM 43 ml

Procedure:

Step 1: Sample immersion in DNEM

1) Sample sterilization (10 min UV).

2) 2 washes with sterile PBS

3) Change the samples onto a 48 holes well plate.

4) Add 480 L of DMEM to each sample

5) Put the well plate in the incubator (37º) for 72h for releasing soluble

compound which could contain.

Step 2: Cell plating

1) Cell counting in a Neubauer chamber (fig.36) and diluting up to the desired

concentration. For cell counting, 10 µl of the cell solution were put in each

chamber square and cell counted by means of a microscopy.

2) Row hFFs on a 96 holes well plate, 5000 cells/100 µl DNEM.

3) Let it in the incubator (37ºC) for 24h.

Surface functionalization of titanium with antifouling and inhibition of bacterial adhesion treatment in the human body

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Step 3: Cell-sample Interaction

1) 1:2, 1:10, 1:100 and 1:1000 dilutions of cell interacting media were

prepared. If the coating had had a cytotoxic effect, dilutions would have

allowed to known the initial concentration since there is cytotoxicity.

2) 100µl of each dilution were added in each of the cell containing hole and

put in incubator (37ºC) for 24h.

Step 4: Cell lysis

Cell lysis with M-PER (Mammalian Protein Extraction Reagent) took place.

100µl of M-PER where put in each hole with the aim of breaking the cell

membrane, spreading cell contents to media.

Step 5: LDH activity measurement

1) Cytotoxicity Detection Kit (LDH) Roche (Germany) was required.

2) 5.74ml of tetrazolium salt solution were mixed with 127µl catalyzer.

3) 100 µl of the mixture were put in each hole with cell lysis.

4) After 10 min, a prepared solution from the kit containing chlorhydric acid

was added. This acid changed the solution pH, denaturing the protein

and stopping the reaction.

Step 6: Absorbance measurement

1) Samples absorbance was measured with an UV spectrometer, 492nm

wavelength.

2) The survival percentage was calculate by means of the operation:

survival% =Abssample − AbsC-

AbsC+ − AbsC-

Patricia Carrasco Pividal

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ANNEX 2: BACTERIA ASSAY PROTOCOL

First day (in the afternoon)

Inoculum preparation. Bacterial caught from a S. aureus plate stocked at the

fridge. They were put in a falcon with 5 ml media (BHI + distilled H2O) and put in

incubator (37ºC).

Second day (at middday)

-Samples were sterilized with ethanol

-Inoculum was prepared with a 0.2 absorbance (abs)

-Sample inmersion in 0.2 abs inoculum

-After 2h, plates (BHI + agar) were sowed up to 4 dilutions.

Third day (13-14h later)

Bacteria counting. The dilution that used to be counted was d3.

Surface functionalization of titanium with antifouling and inhibition of bacterial adhesion treatment in the human body

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ANNEX 3: BUDGET

The budget of the study, including materials, devices and workers, is given below.

The salary of a junior engineer is stablished as 30.00 €/h.

Table 1. Titanium cp2 cost

Quantity Prize Cost

Titanium cp 2

(10mm diameter)

(300samples)·0.002m 368.45€/u 221.07€

Table 2. Metallographic preparation.

Quantity Prize Cost

Cutting 6h 46.00€/h 276.00€

P800 20u 1.29€/u 25.80€

P1200 30u 1.29€/u 38.70€

P2400 40u 1.88€/u 75.20€

Velvet 2u 5.80€/u 11.60€

OP-S 1L 161€/L 161€

Polishing machine 35h 30.00€/h 1050.00€

Staff 40h 30.00€/h 1200.00€

TOTAL 2838.30 €

Table 3. Cleaning

Quantity Prize Cost

Acetone 1.00L 16.78€/L 16.48€

Ethanol 1.00L 10.95€/L 10.95€

Water 5.00L 0.08€/L 0.4€

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Staff 6h 30.00€/h 180.00€

TOTAL 207.83 €

Table 4. Surface treatments

Quantity Prize Cost

Plasma cleaning Diener 8h 20.00€/h 120.00€

PEG-amine 25g 80€/5g 0.75€

NaCl 0.5g 120.00€/kg 0.20€

KCl 0,05 48.30€/L 0.05€

Peptides 4 124.45€/u 73.20€

Ar gass bottle 1u. 283.50€ 283.50€

Technician 25h 42.00€/h 840.00€

Staff 240h 30.00€/h 7200.00€

TOTAL 10330.33€

Table 5. Physicochemical characterization

Quantity Prize Cost

Interferometer 45h 35.00€/h 1575.00€

Interferometer Technician 2h 42,00€/h 84,00€

Contact Angle 1h 20.00€/h 20,00€

SEM 3h 72.76€/h 218.28€

FTIR 2h 35.00€/h 140.00€

TIR Technician 1.5h 42.00€/h 42.00€

ATR 8h 35.00€/h 140.00€

ATR technician 1h 42.00€/h 42.00€

XPS 2 samples 100€/sample 200.00€

staff 20h 30.00€/h 960.00€

TOTAL 2252.56€

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Table 6. Biological characterization

Quantity Prize Cost

PBS 2u 1.156€/u. 3.12€

DMEM 0.425l 40.40€/l 1.72€

HEPES (1M) 0.001l 1104.50€/l 1.10€

FBS 0.005l 88.40€/l 0.44€

Sodium piruvate 0.0005l 84.20€/l 0.04€

Penicillin /Streptomicine 0.0005l 125.00€/l 0.06€

L-glutamine 0.0005l 105.20€/l 0.05€

Tripsine 0.002l 69.28€/l 0.14€

BSA liofilitzated 0.5g 5.94€/g 2.97€

M-PER 0.0048l 783.88€/l 3.76€

culture 8h 10.00€/h 80.00€

S.aureus 1strain 45.00€/strain 45.00€

Medium 128g 0.0944€/g 12.08€

Agar 128g 0.0944€/g 12.08€

Bacteria hood 30h 10.00€/h 300.00€

Kit FITC 1/10Kit 550.00€/Kit 55.00€

Fluorescence microscope 4h 60€/h 240.00€

Cytotoxicity Detection Kit 1/40Kit 600,70€/Kit 15.02€

Spectrophotometer 0,25h 7,64€/h 1.91€

Staff 80h 30,00€/h 2400.00€

TOTAL 3174.364€

Table 7. Secondary staff costs

Quantity Prize Cost

Laboratory use 2000.00€

Bibliographic reference

research

120h 30.00€/h 3600.00€

Analysis of results 100h 30.00€/h 3000.00€

Memory writing 130h 30.00€/h 3900.00€

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TOTAL 12500.00 €

Table 8. Total costs

Category Cost Total

Titanium cp2 costs 221,07€

Metallographic preparation costs 2838.30€

Cleaning costs 207.83€

Surface treatment costs 10330.33€

Physicochemical characterization costs 2252,56€

Biological characterization costs 3174,36€

Secondary costs 12500,00€

Subtotal 31,524.55 €

I.V.A (21%) 6,620.15 €

TOTAL I.V.A. 38,144.22 €

Surface functionalization of titanium with antifouling and inhibition of bacterial adhesion treatment in the human body

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Patricia Carrasco Pividal

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ANNEX 4: ENVIROMENTAL IMPACT

The environmental impact of the study has been taken into account, especially in

metallographic preparation of samples. Chemicals have been used as less as

possible and, if required, they were used in the hood.

The use of lab coat is obligatory in the laboratory so as to avoid the outgoing of

substances.

Organic solvents, such as ethanol and acetone, have to be carefully treated.

There is a laboratory protocol of chemical wasting. Wastes have to be stocked hermetically and properly labeled with name and data of the first use. ECOCAT is

the enterprise that manages the remains. Every six months wastes are retired and treated by the same enterprise

Comparing to other coating methods, the techniques employed in this study have

a low energy consumption.