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ORIGINAL ARTICLE
a
Department of Chemistry, SRM Institute of Science and Technology, Kattankulathur 603203, Tamil Nadu, India
b
SRM Research Institute, SRM Institute of Science and Technology, Kattankulathur 603203, Tamil Nadu, India
c
Department of Zoology, Periyar University, Salem 636011, Tamil Nadu, India
KEYWORDS Abstract Hydroxyapatite (HAP) is a form of naturally occurring calcium apatite present in bone
Polycaprolactone; and tooth enamel. It is an important biomaterial with diverse biomedical applications such as a sur-
Graphene oxide; face coating for metallic orthopedic implants. Synthesized pristine HAP has poor mechanical prop-
Hydroxyapatite; erties, inferior wear resistance and has limits for directly used in bone tissue engineering
Bone implants; applications. To address these limitations, we synthesized a suitable orthopedic implant hybrid
Antibacterial activity; material (M-HAP/PCL/GO) by using positively charged calcium ions of mineralized HAP
MG63 osteoblasts cells; (M-HAP) combined with Polycaprolactone-negatively charged graphene oxide (PCL-GO). The
Surface coating successfully synthesized M-HAP/PCL/GO composite was comprehensively characterized by
Fourier-transform infrared spectroscopy (FT-IR), powder X-ray diffraction (XRD) and
field-emission scanning electron microscopy (FE-SEM). The micro-hardness technique was used
to determine the mechanical strength of M-HAP (315 ± 4 Hv), M-HAP/GO (370 ± 3 Hv) and
M-HAP/PCL/GO (455 ± 5 Hv). M-HAP/PCL/GO was also tested for its anti-bactericidal impact
against Staphylococcus aureus and Escherichia coli. MG63 osteoblast cells cultured on the M-HAP/
PCL/GO composite (10 mg/mL) coated sample, displayed outstanding viability after 3 and 5 days
of incubation at pH 7.4, which indicated that the composite is suitable material for bone implants
and induces the cell proliferation. It was also tested in vivo in Wistar rats and was observably
beneficial bone formation within 28 days post-implant operation. These tests proved that the
* Corresponding author at: Department of Chemistry, SRM Institute of Science and Technology, Kattankulathur 603203, Tamil Nadu, India.
E-mail address: ashokkumar.sun@ktr.srmuniv.ac.in (A.K. Sundramoorthy).
Peer review under responsibility of King Saud University.
https://doi.org/10.1016/j.arabjc.2018.03.020
1878-5352 Ó 2018 The Authors. Production and hosting by Elsevier B.V. on behalf of King Saud University.
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
960 N. Murugan et al.
M-HAP/PCL/GO composite can be considered as a prospective candidate for future bone implant
applications.
Ó 2018 The Authors. Production and hosting by Elsevier B.V. on behalf of King Saud University. This is
an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
chased from Sigma-Aldrich, India. All chemicals were of ana- dissolved in chloroform under vigorous stirring for 5 h to get
lytical grade and used without further purification. Aqueous a clear solution. Then, it was added drop wise into the
solutions were prepared using deionized water from a Milli-Q M-HAP/GO electrolyte under magnetic stirring for 5 h at
purification system. 25 °C. The pH of the electrolyte was also maintained at 4.7
and used for the electrodeposition process.
2.2. Synthesis of graphene oxide (GO)
2.7. Electrodeposition of M-HAP/GO and M-HAP/PCL/GO
The GO was synthesized from graphite by using a simplified composite on Ti alloy
Hummers method (Lim et al., 2011). Briefly, 60 mL of con.
H2SO4 and 7 mL H3PO4 were added to a beaker containing The electrodeposition of M-HAP/GO and M-HAP/PCL/GO
0.5 g of expanded graphite solution. Afterward, 3 g of KMnO4 composite coating on Ti alloys at various concentrations were
was slowly added into the mixture solution under continuous performed by using three-electrode system with an electro-
stirring at room temperature. Complete oxidation of the gra- chemical workstation (Model: CHI 760C). The platinum (Pt)
phite was ensured after 3 days with a constant stirring. The disk, Ti alloys (the specimen) and saturated calomel electrodes
suspension was cooled and diluted with 200 mL of ice (cold) (SCE) were used as the counter, working and reference elec-
water. Then, 30% H2O2 was added until the gas evolution trode respectively. The electrodeposition was performed at
reaction ceased to remove any KMnO4. Observations of this 1.5 V for duration of 30 min at room temperature as shown
reaction include a plethora of bubbles and suspension chang- in Scheme 1. After the deposition, the coated samples were
ing color from a dark brownish to a yellow color. The suspen- rinsed with ultrapure water and dried under air for future use.
sion was then purified and diluted with ultrapure deionized
water and centrifugation at 10,000 rpm for 15 min. The precip- 2.8. Mechanical characterization
itate was collected and dried for 5 h in hot air-oven to get the
GO powder (Baradaran et al., 2014). The adhesion strength of the M-HAP/GO and M-HAP/PCL/
GO (with different weight percentage of PCL) composite film
2.3. Specimen preparation coatings adhered to Ti alloy was determined by the pull-out
test. Using the international standard machine (Instron 5565)
Titanium alloy (Ti-6Al-4V) (purity = 99.9%) were cut into and the ASTM F 1044-05 standard, a minimum of five inden-
small pieces of 10 105 mm3 size and inserted in epoxy resin tations were made on each sample to measure and the average
by leaving an area of 1 cm2 for exposure to the solution. The value was recorded. All the coated specimens were kept in oven
specimens were polished and roughened through electrodepo- at 100 °C for about 60 min prior to testing and the fixtures
sition process by using various grades of silicon carbide paper were subjected to the pull-out test at a crosshead speed of
(SiC) ranging from 180 to 2000 grit. After polishing, all the 1 mm/min.
specimens were cleaned by ethanol and acetone. Finally, the The microhardness (Hv) of M-HAP, M-HAP/PCL and
specimens were rinsed with the ultrapure deionized water M-HAP/PCL/GO composite materials was performed by
and dried in flowing air for future use. Vickers micro-hardness tester system (Akashi AAV-500
series). The applied load was 0.49 N with an indentation time
of 10 s, five replicates in each group was performed per sample
2.4. Preparation of M-HAP electrolyte
and the average microhardness strength was recorded.
2.9. Characterization methods proliferation and cell viability were measured with respect to
control at 1 day, 3 days and 5 days. All experiment was per-
Fourier-transform Infrared spectrophotometer (FT-IR; formed in triplicates for each set of samples. The cell viability
NICOLET380) was used to analyze the functional groups pre- was calculated by the following formula;
sent on the composite materials using the KBr pellet technique. ð%Þ Cell viability ¼ Test=Control 100
The crystalline structures and phase compositions of the M-
HAP/PCL/GO composite was carried out by X-ray diffraction
spectroscopy (XRD-6000, Shimadzu, Japan). The structural 2.12. In vivo study and surgical procedure
morphologies of the composites and coated films were assessed
by using field-emission scanning electron microscope (FE- To evaluate the tissue and cell behavior effects of M-HAP/
SEM 1430 VPLEO, UK) at an acceleration voltage of 15 kV. PCL and M-HAP/PCL/GO composites coated Ti alloys, the
composites were implanted into the femur bone in Wistar rats
2.10. Assessment of antimicrobial activity and then observed by histological study. All the animal exper-
imental procedures were approved by the Institutional Animal
The two experimental bacterial strains were obtained and then Ethical Committee (IAEC) meeting held at Periyar University,
maintained at the Department of Microbiology, University of Salem, India (PU/IAEC/085/PO/OC/07/CPCSEA/ZOO
Madras, Chennai, India. The antimicrobial activities of M- C/02/2016–2019). Six male Wistar rats (weight 250–300 g) were
HAP, M-HAP/GO and M-HAP/PCL/GO composites were used for the experimental study. The rats were housed under
tested with two bacterial strains: Escherichia coli and Staphylo- normal conditions at 20 °C with a dark cycle (12 h) and light
coccus aureus by agar disc diffusion method. For the disc dif- cycle (12 h). The Wistar rats were randomly divided into two
fusion technique, nutrient agar was poured into petriplates and groups: M-HAP/PCL coated (group I, n = 3), and M-HAP/
allowed to solidify. After solidification, the overnight incu- PCL/GO (group II, n = 3). All of the Wistar rats were individ-
bated bacterial culture was brought out and introduced to ually anesthetized by given intravenous injections of xylazine
the agar by using an inoculation loop. After inoculation, the (1.5 mg/kg) and ketamine (15 mg/kg) and were provided with
bacterial containing petriplates were covered and kept in an a combination of 20% v/v isoflurane and propylene glycol
incubator at 37 °C for 24 h. After incubation, the M-HAP, for inhalation. Afterward, the target location in the femur
M-HAP/GO and M-HAP/PCL/GO composites with different region was shaved and wiped with iodine. Then, the muscular
concentration (25 mL, 50 mL, 75 mL, 100 mL and 125 mL) discs regions were disconnected at implant region over the femur to
of filter paper were dipped in the solutions and then placed expose the periosteum. Next, a 2 mm hole at the femur bone
onto the bacteria culture. Again, the plates were kept over- was made using a drilling machine, using sufficient irrigation
night in incubator at 37 °C for 24 h. The zone of inhibition with saline solution to minimize temperature increase in the
was quantified using a ruler and expressed in millimeters bone. Following surgery, the penicillin antibiotic was given
(mm) around the disc. Digital images were also captured to to all the experimental Wistar rats for two post-operative days.
assist in the evaluation of the observable antibacterial activity The Wistar rats were placed aside on nurturing during surgical
of the composites. This procedure was followed in triplicate period (14 and 28 days). After 14 and 28 days of implantation,
and results recorded. the rats were sacrificed and the implant materials were care-
fully gathered for the histological observations.
For histological examinations, the implants with rat bones
2.11. Cell viability and cell proliferation assay
were cut into a thickness of 2 mm. The sliced sections were
fixed in 20% formalin and decalcified inside 10% acetic acid
The study determines the cell viability and proliferation effects solution for 4 days. Afterward, the decalcified sample sections
of M-HAP, M-HAP/PCL and M-HAP/PCL/GO composites were embedded in paraffin and a 70 nm sections were taken by
on osteoblast cells. Human osteoblast cells (MG63) were microtome. Then, the thick sections were stained with Mallory
obtained from National Centre for Cell Sciences (NCCS), and hematoxylin with eosin staining solution and observed
Pune, India. The MG63 cells were maintained in Dulbecco’s under the light microscopy.
Modified Eagle Medium (DMEM) media supplemented with
1% L-glutamine, 10% fetal bovine serum (FBS), 1% strepto- 2.13. Statistical analysis
mycin and 1% penicillin at 37 °C in 5% CO2 humidified incu-
bator. Culture Media was changed every 2 days and the cells
All the experimental values were shown the mean ± standard
were subcultured by trypsinization. The cell viability study
deviation (SD). One-way analysis of variance (ANOVA) with
was performed with a MTT assay (Murugan et al., 2017). In
p* < 0.05 as the level of significance was utilized for statistical
brief, MG63 osteoblast cells were added to a 96-well plate
analysis. All of the experimental groups were performed in
(1 105 cells/each well) in 90% DMEM medium for a fixed
triplicate.
time at 37 °C (5% CO2). After being incubated for 24 h,
M-HAP, M-HAP/PCL and M-HAP/PCL/GO (10 mg) were
3. Results and discussion
added and incubated for 1 day, 3 days and 5 days, respectively.
Then, 3 mg/mL of 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenylte
trazolium bromide (MTT, 100 lL) solution was poured and 3.1. FT-IR analysis
permitted to incubate for 3 h. Finally, the produced formazan
was diluted in 200 lL of dimethyl sulfoxide (DMSO) and FT-IR spectra of M-HAP, M-HAP/PCL and M-HAP/PCL/
viewed using an Enzyme-Linked Immunosorbent Assay GO composite coated Ti alloy were measured. As shown in
(ELISA) analyzer (SPR-960) at 540 nm. Percentage (%) of cell Fig. 1a, the characteristic peaks at 485 cm1, 560 cm1, 610
In vitro and in vivo characterization of mineralized hydroxyapatite/polycaprolactone-graphene oxide 963
Fig. 2 XRD pattern of (a) M-HAP (b) M-HAP/GO and (c) M-HAP/PCL/GO composite coated Ti alloys.
964 N. Murugan et al.
that the peak range becomes slightly broader than the peak sig- 3.2. Mechanical characterization of the coatings
nals observed for HAP, which indicates that the M-HAP/PCL/
GO composite had a low crystalline nature. The XRD data 3.2.1. Adhesion strength
confirmed the incorporation of PCL with M-HAP/GO coat- The mechanical strength of the composite coating on the
ing. In addition, the peaks point out the formation of the M- implants is one of the most significant properties for orthope-
HAP/PCL/GO composite on the Ti alloy. dic applications. Here, the adhesion strength of the M-HAP/
PCL and different concentrations of PCL in GO reinforced
3.1.2. Surface morphology analysis M-HAP/PCL composite on Ti alloy was evaluated. Fig. 4
FE-SEM images show the surface morphologies of M-HAP/ shows the adhesion strength for M-HAP/PCL (PCL 10 wt
GO and M-HAP/PCL/GO composite coating obtained with %), M-HAP/PCL/GO (PCL 5 wt%, GO 1 wt%), M-HAP/
various concentration of PCL (5 wt%, 10 wt% and 15 wt%). PCL/GO (PCL 10 wt%, GO 1 wt%) and M-HAP/PCL/GO
The morphology of M-HAP/GO (GO 1 wt%) appeared flake (PCL 15 wt%, GO 1 wt%) coatings were (21.3 ± 0.4 MPa),
like structure with uneven pores in between them (Fig. 3a).
As shown in Fig. 3b, the morphological feature of M-HAP/
PCL/GO (PCL 5 wt%) composite coated Ti alloy exhibits
the well-defined flake like layered film around micro-
structure arrangement with few irregular pores in between
them. Similarly, the morphology of the M-HAP/PCL/GO
composite coated Ti alloy surface (Fig. 3c) showed obvious
evidence that PCL (10 wt%) uniformly covered on GO and
mineralized HAP with porous-like structure. The GO allows
the surface to have the adequate hydrophilicity and numerous
functional groups as nucleation sites. With the higher concen-
tration of PCL up to 15 wt%, this porous-like structure exter-
nally forming on the surface paves the way for the detachment
of the composite coating from the Ti alloy surface (Fig. 3d).
The surface morphological evaluation of the M-HAP/PCL/
GO (10 wt% of PCL) composite coating displayed an entire
surface coverage and uniform arrangement. It was evident that
the porous M-HAP/PCL/GO structure can offer a consider-
able effectiveness in the mechanical strength of the coated sub-
strate. The minerals substituted HAP and GO could be
deposited evenly with the PCL molecules along the surface.
Moreover, the interconnected network like porous structure Fig. 4 Adhesion strength of M-HAP/PCL and M-HAP/PCL/
seemed to be sufficient for orthopedic applications. GO (with different wt.% of PCL) composite coatings on Ti alloys.
Fig. 3 FE-SEM images of (a) M-HAP/GO composite coatings on Ti alloy and M-HAP/PCL/GO composite at different concentrations
of PCL (b) 5 wt%, (c) 10 wt% and (d) 15 wt% composite coatings on Ti alloys.
In vitro and in vivo characterization of mineralized hydroxyapatite/polycaprolactone-graphene oxide 965
(27.5 ± 0.5 MPa), (29.6 ± 0.4 MPa) and (26.8 ± 0.6 MPa),
respectively. These results indicated that GO could effectively
increase the binding strength of the coatings. The high adhe-
sion strength of coated M-HAP/PCL/GO (PCL 10 wt%, GO
1 wt%) (29.6 ± 0.4 MPa) composite can be considered a suit- Fig. 6 The schematic illustration for the formation mechanism
able biomaterial for high load bearing applications. These of M-HAP/PCL/GO composite.
results conclusively proved that even low concentrations of
GO may improve the mechanical property of M-HAP/PCL.
coli (Gram-negative) and Staphylococcus aureus (Gram-
3.2.2. Vickers micro-hardness
positive) bacteria the dominant bacterial causative agents for
The mechanical properties of the composite coated samples postsurgical infections associated with the implants. In Fig. 7
were examined by micro-hardness tester. The micro-hardness (a and b), the graphs show the inhibition zone of different
(Hv) values for the M-HAP, M-HAP/PCL (PCL 10 wt%) composite treatment. Among these, M-HAP/PCL/GO com-
and M-HAP/PCL/GO (PCL 10 wt%) composite coatings are posite treated sample induced higher antibacterial activity.
shown in Fig. 5. The micro-hardness value of M-HAP, M- The antibacterial activity with the agar disc diffusion method
HAP/PCL and M-HAP/PCL/GO material was found to be (at 37 °C for 24 h) can be seen in Fig. 8, which shows the inhi-
(315 ± 4 Hv), (370 ± 3 Hv) and (455 ± 5 Hv), respectively. bition zones for the M-HAP/PCL/GO composite coated sam-
The M-HAP/PCL/GO composite had higher micro-hardness ple with both E. coli (lower panel) and S. aureus (upper panel)
(Hv) value compared to M-HAP and M-HAP/PCL composite. at different doses (25 lL, 50 lL, 75 lL, and 100 lL). It was
This may be due to the presence GO which comprises epoxide noted from the images that for M-HAP/PCL/GO composite
and hydroxyl groups on the basal plane as well as carboxyl and coatings, the inhibitory zone on E. coli strain was 10.5, 12,
carbonyl moieties on its edges. These functional groups 14.5, 16.5 and 20.5 mm and S. aureus strain was 10, 11, 14
favored the interfacial bonding between HAP and polymeric and 16 mm respectively. At the final concentration (100 lL),
matrices. It proved that GO could improve the mechanical the M-HAP/PCL/GO composite coated sample revealed the
property of M-HAP/PCL composite coating (Peng et al., superior rate of antimicrobial activity when compared with
2017). The M-HAP/PCL/GO composite may be employed other doses. In addition, the antibacterial activity of the M-
for biomedical applications. The overall synthetic process of HAP/PCL/GO composite coating against E. coli was slightly
M-HAP/PCL/GO composite is shown in Fig. 6. higher than S. aureus bacteria. This is likely due to variation
in the structure of the bacteria’s’ cell wall. The gram positive
3.3. Biological studies S. aureus cell wall had thickness ranges from 20 to 80 nm
owing to the presence of double layer of peptidoglycan and
3.3.1. Antimicrobial test the cell wall of gram negative E. coli strain had a reduced
To investigate the antibacterial activity of composite, varying thickness ranges from 1.5 to 10 nm because of single layer pep-
doses (25 mL, 50 mL, 75 mL, 100 mL and 125 mL) of control, tidoglycan (Kaviya et al., 2011). The earlier studies suggests
M-HAP, M-HAP/GO (1 wt% GO) and M-HAP/PCL/GO that Mg2+ and Zn2+ may have contributed in targeted killing
(10 wt% PCL) composite were tested against both Escherichia of S. aureus including strains that are antibiotic-resistant
966 N. Murugan et al.
(Xie and Yang 2016). The results of this test confirmed that
these ions improve the antibacterial effect and furthermore,
that the M-HAP/PCL/GO composite has a greater level of Fig. 9 Bar diagrams showing the% cell viability of HOS MG63
antibacterial activity against both E. coli and S. aureus at cells with M-HAP, M-HAP/PCL and 10 wt% PCL/M-HAP/GO
37 °C for 24 h. composite coatings on Ti alloy for 1, 3 and 5 days of incubation.
In vitro and in vivo characterization of mineralized hydroxyapatite/polycaprolactone-graphene oxide 967
Fig. 10 Histological analysis of in vivo bone formation ability for M-HAP/PCL (10 wt% PCL) composite coated Ti alloy group (I) (a, b)
and M-HAP/PCL/GO (PCL 10 wt%) composite coated Ti alloy group (II) (c, d) at 14 and 28 days of implantation.
encompassing fibroblastic cells along with the rim around the was made by 1 wt% of GO and mineral substituted HAP with
implants was found significantly induce newly formed spongy different concentrations (5, 10 and 15 wt%) of PCL. These
bone (trabecular bone) at 14 days and 28 days in M-HAP/ composite coatings showed considerable improvement in the
PCL. In addition, the Wistar rats implant with M-HAP/PCL/ morphological, mechanical and biological properties of the
GO composite coated (Group II) showed no obvious clinical metallic implant. The FT-IR, XRD and FE-SEM confirmed
infection at 14 days and 28 days (Fig. 10c and d). Hence, these that the successful coating of M-HAP/PCL/GO composite
results implied that the Histological observation showed no material on Ti alloy. The addition of GO in the PCL/M-
occurrence of infection in the M-HAP/PCL/GO composite HAP matrix also had its benefits. With the addition of GO,
coated Ti alloy implant samples. The group II implants exhib- the adhesion strength and the hardness for the composite
ited the most constructive healing response by the presence of increased. The cell viability and proliferation activity of M-
newly formed spongy bone and no presence of inflammation HAP/PCL/GO on MG63 osteoblast cells was also evaluated
was observed. It was found that there was new bone formation by MTT assay. The obtained findings revealed M-HAP/
after 28 days post-operation, which suggests that the area of PCL/GO had a superior cell viability rate in contrast to all
newly formed bone gradually increased between 14 and 28 days. the other coated materials. Furthermore, the in vitro and
Besides, the ingrowths of abundant osteoblast like cells detected in vivo studies confirmed the developed M-HAP/PCL/GO
around the implants which suggest that M-HAP/PCL/GO com- composite could establish the direct bonds with bone tissue
posite coated materials offer the scaffolding or the development after implantation. Therefore, these results support that the
of new bone and tissue response. The findings also implied that M-HAP/PCL/GO composite had good biocompatible,
GO not only possess in vitro osteogenesis enhancing ability, but mechanical and bactericidal properties and hence, is a favor-
also excellent in vivo bone-forming ability (Peng et al., 2017). able implant material for future orthopedic and dental
The results displayed no unfavorable local effects such as applications.
marked hematoma or edema with the composites up to 28 days
postoperatively. These results further support that the M-HAP/ Acknowledgements
PCL/GO composite coated Ti alloy has positive outcomes in the
orthopedic application as a better bone regenerator in bone Dr. AKS acknowledges the major financial support from the
replacement material. DST-SERB, New Delhi, India (Ref. No.: ECR/2016/001446).
Dr. NM acknowledges the postdoctoral fellowship from
4. Conclusions SRM Research Institute, SRM Institute of Science and Tech-
nology. Additional thanks for technical writing support to
In summary, we reported a novel porous implant material for Kari Jordan, Department of Biological Systems Engineering,
orthopedic applications. The biomaterial composite coating University of Wisconsin-Madison, Madison, Wisconsin, USA.
968 N. Murugan et al.
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