Macromolecular Research, Vol.25, No.7, 756-762, July, 2017
Pattern-Coated Titanium Bone Fixation Plate for Dual Delivery of Vancomycin and Alendronate
E-mail:
Metallic bone-fixation devices have been widely used in the treatment of fractured bones. However, there are still some unmet clinical needs associated with post-surgical infection and hampered bone repair. Therefore, to both prevent infection and enhance bone formation, we propose a titanium (Ti)-based bone plate for dual delivery of an antibiotic, vancomycin (VAN), and a bone-forming drug, alendronate (AL). In this work, we prepared the coating with a blend of a biodegradable polymer, poly(lactic-co-glycolic acid) (PLGA), and a drug, VAN or AL. Instead of coating the whole surface, we patterned the coatings each in the shape of a dot, on a flat surface of the Ti bone plate currently in clinical use (BP0001-PT, U&I, Korea). This way, we could prevent detachment of the polymeric coating from the metallic plate surface while being immersed in an aqueous medium for 23 days. Both VAN and AL were released in a sustained manner for more than 28 days, maintaining their own activity without being influenced by their co-existence in the medium. Thus, the coated plate showed an antibacterial activity against Staphylococcus aureus, while also promoting osteoblast proliferation and alkaline phosphate activity in MG-63 cells. Therefore, we conclude that a Ti-based bone plate coated with patterned dots, each for delivery of VAN or AL, can be a promising strategy to allow for both antibacterial and bone-forming activities.
- Niinomi M, Sci. Technol. Adv. Mater., 4, 445 (2003)
- Rack HJ, Qazi J, Mater. Sci. Eng. C-Biomimetic Supramol. Syst., 26, 1269 (2006)
- Harris LG, Richards RG, Injury, 37, S3 (2006)
- Ha KY, Chung YG, Ryoo SJ, Spine, 30, 38 (2005)
- Delmi M, Vaudaux P, Lew DP, Vasey H, J. Orthop. Res., 12, 432 (1994)
- Calori G, Mazza E, Colombo M, Ripamonti C, Injury, 42, S56 (2011)
- Ruszczak Z, Friess W, Adv. Drug Deliv. Rev., 55, 1679 (2003)
- Price J, Tencer A, Arm D, Bohach G, J. Biomed. Mater. Res., 30, 281 (1996)
- Abrahamsen B, Calcif. Tissue Int., 86, 421 (2010)
- Henry SL, Galloway KP, Clin. Pharmacokinet., 29, 36 (1995)
- Wang CZ, Chen SM, Chen CH, Wang CH, Wang GJ, Chang JK, Ho ML, Biomaterials, 31, 8674 (2010)
- Zilberman M, Elsner JJ, J. Control. Release, 130, 202 (2008)
- Joseph TN, Chen AL, Di Cesare PE, J. Am. Acad. Orthop. Surg., 11, 38 (2003)
- Armstrong MS, Spencer RF, Cunningham JL, Gheduzz S, Miles AW, Learmonth ID, Acta Orthop. Scand., 73, 688 (2002)
- Vester H, Wildemann B, Schmidmaier G, Stockle U, Lucke M, Injury, 41, 1053 (2010)
- Gollwitzer K, Ibrahim K, Meyer H, Mittelmeier W, Busch R, Stemberger A, J. Antimicrob. Chemoter., 51, 585 (2003)
- Moon HJ, Yun YP, Han CW, Kim MS, Kim SE, Bae MS, Kim GT, Choi YS, Hwang EH, Lee JW, Lee JM, Lee CH, Kim DS, Kwon IK, Biochem. Biophys. Res. Commun., 413(2), 194 (2011)
- Lucke M, Schmidmaier G, Sadoni S, Wildemann B, Schiller R, Haas N, Raschke M, Bone, 32, 521 (2003)
- Lee DW, Yun YP, Park K, Kim SE, Bone, 50, 974 (2012)
- Piskounova S, Forsgren J, Brohede U, Engqvist H, Strømme M, J. Biomed. Mater. Res., 91, 780 (2009)
- Park M, Lee JE, Park CG, Lee SH, Seok HK, Choy YB, J. Coat. Technol., 10, 695 (2013)
- Hogmark S, Jacobson S, Larsson M, Wiklund U, in Modern Tribology Handbook, CRC Press, Boca Raton, 2001, p 931.
- Lee JE, Park S, Park M, Kim MH, Park CG, Lee SH, Choi SY, Kim BH, Park HJ, Park JH, Acta Biomater., 9, 8318 (2013)
- Park S, Park M, Kim BH, Lee JE, Park HJ, Lee SH, Park CG, Kim MH, Kim R, Kim EH, J. Control. Release, 200, 125 (2015)
- Lee SH, Lee JE, Baek WY, Lim JO, J. Control. Release, 96, 1 (2004)
- Haleem AA, Rouse MS, Lewallen DG, Hanssen AD, Steckelberg JM, Patel R, Clin. Orthop. Rel. Res, 427, 22 (2004)
- Siris E, J. Womens Health Gend. Based Med., 9, 599 (2000).
- Fleisch H, Bisphosphonates in Bone Disease: From the Laboratory to the Patient, Academic Press, San Diego, 2000.
- Saadatian-Elahi M, Teyssou R, Vanhems P, Int. J. Surg., 6, 238 (2008)
- Tariq M, Naureen H, Abbas N, Akhlaq M, J. Anal. Bioanal. Tech., 6, 2 (2015)
- Al Deeb KS, Hamdan II, Al Najjar SM, Talanta, 64, 695 (2004)
- Strobel C, Bormann N, Kadow-Romacker A, Schmidmaier G, Wildemann B, J. Control. Release, 156, 37 (2011)
- Liu SJ, Ueng SWN, Chan EC, Lin SS, Tsai CH, Wei FC, Shih CH, J. Biomed. Mater. Res., 48, 613 (1999)
- Xiong Y, Yang H, Feng J, Shi Z, Wu L, Int. J. Biomed. Res., 37, 407 (2009)
- Kluin OS, van der Mei HC, Busscher HJ, Neut D, iomaterials, 30, 4738 (2009)
- Goodman SB, Yao Z, Keeney M, Yang F, Biomaterials, 34, 3174 (2013)
- Kinloch A, Adhesion and Adhesives: Science and Technology, Springer Science & Business Media, 2012.
- Antoci V, Adams CS, Hickok NJ, Shapiro IM, Parvizi J, Clin. Orthop. Rel. Res, 462, 200 (2007)