PMID- 23684238 OWN - NLM STAT- MEDLINE DCOM- 20140811 LR - 20220330 IS - 1878-1632 (Electronic) IS - 1529-9430 (Print) IS - 1529-9430 (Linking) VI - 13 IP - 11 DP - 2013 Nov TI - Rough titanium alloys regulate osteoblast production of angiogenic factors. PG - 1563-70 LID - S1529-9430(13)00399-9 [pii] LID - 10.1016/j.spinee.2013.03.047 [doi] AB - BACKGROUND CONTEXT: Polyether-ether-ketone (PEEK) and titanium-aluminum-vanadium (titanium alloy) are used frequently in lumbar spine interbody fusion. Osteoblasts cultured on microstructured titanium generate an environment characterized by increased angiogenic factors and factors that inhibit osteoclast activity mediated by integrin alpha2beta1 signaling. It is not known if this is also true of osteoblasts on titanium alloy or PEEK. PURPOSE: The purpose of this study was to determine if osteoblasts generate an environment that supports angiogenesis and reduces osteoclastic activity when grown on smooth titanium alloy, rough titanium alloy, or PEEK. STUDY DESIGN: This in vitro study compared angiogenic factor production and integrin gene expression of human osteoblast-like MG63 cells cultured on PEEK or titanium-aluminum-vanadium (titanium alloy). METHODS: MG63 cells were grown on PEEK, smooth titanium alloy, or rough titanium alloy. Osteogenic microenvironment was characterized by secretion of osteoprotegerin and transforming growth factor beta-1 (TGF-beta1), which inhibit osteoclast activity and angiogenic factors including vascular endothelial growth factor A (VEGF-A), fibroblast growth factor 2 (FGF-2), and angiopoietin-1 (ANG-1). Expression of integrins, transmembrane extracellular matrix recognition proteins, was measured by real-time polymerase chain reaction. RESULTS: Culture on titanium alloy stimulated osteoprotegerin, TGF-beta1, VEGF-A, FGF-2, and angiopoietin-1 production, and levels were greater on rough titanium alloy than on smooth titanium alloy. All factors measured were significantly lower on PEEK than on smooth or rough titanium alloy. Culture on titanium alloy stimulated expression of messenger RNA for integrins that recognize Type I collagen in comparison with PEEK. CONCLUSIONS: Rough titanium alloy stimulated cells to create an osteogenic-angiogenic microenvironment. The osteogenic-angiogenic responses to titanium alloy were greater than PEEK and greater on rough titanium alloy than on smooth titanium alloy. Surface features regulated expression of integrins important in collagen recognition. These factors may increase bone formation, enhance integration, and improve implant stability in interbody spinal fusions. CI - Copyright (c) 2013 Elsevier Inc. All rights reserved. FAU - Olivares-Navarrete, Rene AU - Olivares-Navarrete R AD - Wallace H. Coulter Department of Biomedical Engineering at Georgia Tech and Emory University, Georgia Institute of Technology, 315 Ferst Drive NW, Atlanta, GA 30332-0363, USA. FAU - Hyzy, Sharon L AU - Hyzy SL FAU - Gittens, Rolando A 1st AU - Gittens RA 1st FAU - Schneider, Jennifer M AU - Schneider JM FAU - Haithcock, David A AU - Haithcock DA FAU - Ullrich, Peter F AU - Ullrich PF FAU - Slosar, Paul J AU - Slosar PJ FAU - Schwartz, Zvi AU - Schwartz Z FAU - Boyan, Barbara D AU - Boyan BD LA - eng GR - R01 AR052102/AR/NIAMS NIH HHS/United States GR - AR052102/AR/NIAMS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20130514 PL - United States TA - Spine J JT - The spine journal : official journal of the North American Spine Society JID - 101130732 RN - 0 (Alloys) RN - 0 (Angiopoietin-1) RN - 0 (Benzophenones) RN - 0 (Biocompatible Materials) RN - 0 (Ketones) RN - 0 (Osteoprotegerin) RN - 0 (Polymers) RN - 0 (Transforming Growth Factor beta1) RN - 0 (Vascular Endothelial Growth Factor A) RN - 103107-01-3 (Fibroblast Growth Factor 2) RN - 31694-16-3 (polyetheretherketone) RN - 3WJQ0SDW1A (Polyethylene Glycols) RN - D1JT611TNE (Titanium) SB - IM MH - Alloys/pharmacology MH - Angiopoietin-1/*metabolism MH - Benzophenones MH - Biocompatible Materials MH - Cell Line MH - Cells, Cultured MH - Fibroblast Growth Factor 2/*metabolism MH - Humans MH - Ketones/*pharmacology MH - Osteoblasts/*drug effects/metabolism MH - Osteoprotegerin/metabolism MH - Polyethylene Glycols/*pharmacology MH - Polymers MH - Titanium/*pharmacology MH - Transforming Growth Factor beta1/metabolism MH - Vascular Endothelial Growth Factor A/*metabolism PMC - PMC3785549 MID - NIHMS480504 OTO - NOTNLM OT - Angiogenesis OT - Osteoblast OT - PEEK OT - Polyether-ether-ketone OT - Titanium-aluminum-vanadium alloy EDAT- 2013/05/21 06:00 MHDA- 2014/08/12 06:00 PMCR- 2014/11/01 CRDT- 2013/05/21 06:00 PHST- 2012/03/03 00:00 [received] PHST- 2012/11/28 00:00 [revised] PHST- 2013/03/20 00:00 [accepted] PHST- 2013/05/21 06:00 [entrez] PHST- 2013/05/21 06:00 [pubmed] PHST- 2014/08/12 06:00 [medline] PHST- 2014/11/01 00:00 [pmc-release] AID - S1529-9430(13)00399-9 [pii] AID - 10.1016/j.spinee.2013.03.047 [doi] PST - ppublish SO - Spine J. 2013 Nov;13(11):1563-70. doi: 10.1016/j.spinee.2013.03.047. Epub 2013 May 14.