Biomaterials 23 (2002) 3733 3740 Effect of metal alloy surface stresses on the viability of ROS-17/2.8 osteoblastic cells . . . Anita Kapanena,*, Anatoli Danilova,c, Petri Lehenkarib, Jorma Ryhanenb, Timo Jamsac, Juha Tuukkanena a Biocenter Oulu and Department of Anatomy and Cell Biology, University of Oulu, P.O. Box 5000 FIN-90014 Oulu, Finland b Department of Surgery, University of Oulu, P.O. Box 5000 FIN-90014 Oulu, Finland c Department of Medical Technology, University of Oulu, P.O. Box 5000 FIN-90014 Oulu, Finland Received 2 July 2001; accepted 14 March 2002 Abstract In this study we compared the effect of structural stresses and surface roughness on biocompatibility of NiTi- and Ti-alloy for ROS-17/2.8 osteoblastic cells. We suggest here that cell viability and cell attachment are linear functions of internal (structural) stress and subgrain size of the implant alloy. However, this is not the case with surface roughness. The two-phase state in these materials is characterized by different mean values of structural stresses (s) in a-martensite and b-phase. We found a straight correlation between cell viability and sb=sa ratio. Atomic force microscopy revealed that, even after equal surface polishing treatments, roughness varied significantly between the different alloys. The effect of the surface structure of the alloy on the osteoblastic ROS-17/2.8 cell survival rate was studied with combined calcein-ethidium-homodimer fluorescence labeling. The possible effects on cell attachment to substrate were studied by staining the focal contacts with paxillin antibody. All the NiTi surfaces were tolerated well and the cells attached most abundantly to the roughest NiTi surface but the smoothest Ti-alloy surface. However, other parameters of the material state, such as the surface stresses created by hot rolling seem to be responsible for some of the attachment and cell survival features observed in this study. r 2002 Elsevier Science Ltd. All rights reserved. Keywords: NiTi; Titanium alloys; Surface stresses; AFM; ROS-17/2.8 1. Introduction (2000) with three different cell lines showed that surface roughness promotes osteogenic differentiation of less A material consisting of nearly equiatomic parts of mature cells. More mature cells exhibit a reduced nickel and titanium (Nitinol) has superelasticity, ther- sensitivity to their substrate, but are still affected by mal shape memory and good damping properties, which changes in surface roughness [8]. However, there are in make it a promising surgical implant material, especially vitro studies that indicate attachment favoring smooth in orthopedics [1 3]. Studies done with human fibro- surfaces [9 14]. Some in vivo studies done with dogs, blasts and human osteoblasts show good in vitro rabbits and pigs indicate that increasing surface rough- biocompatibility of NiTi [4,5]. ness is associated with enhanced bone formation at There are several papers convincing that surface implant surfaces [15 17]. But surface roughness, being a roughness contributes to osteoblast attachment and characteristic of surface topography, could not describe spreading. Rat calvaria-derived osteoblast attachment the whole spectrum of subtle differences in material increased as a function of surface roughness [6]. A study surface state caused by the differences in its structures on chemically pure Ti and Ti-alloy surfaces further and phase composition. At the same time, it is well indicated increased attachment as a function of surface known that the internal or structural stresses are very roughness [7]. The recent study by Lohmann et al. sensitive characteristics of the state of the material. The structural stresses reflect such structural parameters as density and distribution of dislocations, twins and *Corresponding author. Tel.: +358-8-537-5188; fax: +358-8-537- stacking faults. The stresses react on phase composition 5172. E-mail address: anita.kapanen@oulu.fi (A. Kapanen). changes. In addition, the ratios of stresses in different 0142-9612/02/$ - see front matter r 2002 Elsevier Science Ltd. All rights reserved. PII: S 0 14 2 - 9 6 12 ( 0 2 ) 0 0 10 7 - 2 3734 A. Kapanen et al. / Biomaterials 23 (2002) 3733 3740 phases inform about probable consequences of phase cloth with chromium oxide paste (group 1200, n ź 6). transformations on corrosion and electrochemical prop- The rubber wheel was used for NiTi samples to achieve erties. Among the important causes of internal stresses the high polished state, which could not be achieved we may mention mechanical, chemical, heat and only by polishing with cloth because of the high wear- radiation treatments. Therefore, we find it relevant to proofness of NiTi. The test disks were then washed in an apply definition of structural stress to biocompatibility ultrasonic vibrobath, degreased with 70% ethanol for investigations. 10 min and autoclaved at 1201C for 20 min before use. The aim of the present study was to assess the effect of structural stresses in NiTi- and two-phase (a þ b) Ti- 2.2. Surface roughness measurement alloys on the viability of ROS-17/2.8 osteoblastic cells in comparison with the effect of surface roughness. AFM measurements were performed with Explorer Different NiTi surfaces were compared with those of a system (Thermomicroscopes, Sunnyvale, USA) and Ti-alloy with two different hot-rolling treatments. An SPMLabNT software ver. 5.01 Explorer AFM (Ther- atomic force microscope (AFM) and X-ray structural momicroscopes, Sunnyvale, USA). The sizes of scanned analysis was used to examine the surface characteristics. area were 100 100 mm2. The following roughness parameters were measured: Ra is the average roughness is the arithmetic average deviation from the mean line. Rp the maximum peak is 2. Materials and methods the maximum height or the highest peak of the roughness profile above the mean line. Rt the maximum 2.1. Test materials peak to valley is the sum total of the maximum peak and maximum valley measurements of roughness within the The tested materials were binary NiTi shape memory length assessed. Rtm is the more representative mean alloy (Ti 44 wt%, Ni 56 wt%, Unitec) and two phase value of the entire profile. (a þ b) Ti-based alloy (Ti 90.5 wt%, Al 6 wt%, Mo Three disks in each test group were analyzed on three 2.2 wt%, Cr 1.3 wt%, Institute of Light Metals, Mos- randomly chosen lines, and the means of the parameters cow, Russia) vacuum-melted and hot-rolled. The choice were calculated. Table 1 displays the surface roughness of materials was governed by their good perspectives for parameters of the different alloys. biomedical application: NiTi because of its well-known biomechanical and corrosion properties, Ti6Al2.2- Mo1.3Cr alloy seems to be a competitor to wide-spread 2.3. X-ray structural analysis Ti6Al4V-alloy because of toxic vanadium substitution for less toxic elements as Mo and Cr. To initiate X-ray structural analysis of phase composition, different phase composition and thus different structural internal stresses and subgrain sizes (in NiTi and TiI stresses, two rolling temperatures for two groups of Ti- samples) was performed on the X-ray diffractometer alloy were used: 8501C (TiI) and 10501C (TiII). The DRON-3.0 (X-ray equipment Co Burevestnik , Saint- rolling temperature of NiTi was 9501C. Petersburg, Russia) with filtered Cu Ka-radiation. The To initiate further surface stress grades, test disks of mean values of lattice strains (e) that were used for stress 5 mm in diameter and 3 mm in thickness were ground by calculation, and the mean size of subgrains were grinding stone N80 (group 80, n ź 6) followed by determined in accordance with the procedure described carbon silicon paper of decreasing coarseness 240, 320, in [18]. The necessity to separate the effect of stresses 400, 600 (group 600, n ź 6), 800, 1200 and finally and subgrain sizes on diffraction line broadening was polished by rubber wheel (only NiTi-alloy samples) and the initial reason to analyze both of these structural Table 1 Roughness parameters of the tested alloys Alloy Ra (nm) Rp (nm) Rt (nm) Rtm (nm) NiTi 80 362.27209.2 636.67152.6 1434.37501.1 448.4754.8 NiTi 600 156.0720.5 632.77195.2 633.27443.5 506.9741.4 NiTi 1200 95.2741.4 158.0738.9 425.2784.1198.4721.5 TiI 80 1479.5738.9 3120.07583.4 6847.07301.9 2568.0712.7 TiI 600 1428.57173.2 1850.071064.2 5823.07707.1 1198.07142.8 TiI 1200 304.8731.4 846.07548.7 1353.071061.2 539.87161.7 TiII 80 732.1749.12285.07304.13740.0772.1948.1749.9 TiII 600 436.3710.4 1098.07210.2 2244.07318.9 669.0756.1 TiII 1200 339.2739.9 579.8785.8 1381.0711.3 418.2721.4 A. Kapanen et al. / Biomaterials 23 (2002) 3733 3740 3735 parameters. The structural stresses s were calculated (ZYMED Laboratories, Inc., San Francisco, CA, from formula s ź Ee; where Young s modulus E was USA) at 1:100 in PBS for 45 min on ice. Staining was 7 104 MPa for NiTi, 10.3 104 MPa for b-phase and carried out with rhodamine-conjugated rabbit anti- 11.3 104 MPa for a-martensite in titanium alloy. The mouse immunoglobulin secondary antibodies (DAKO, values of structural stresses and subgrain sizes in Glostrup, Denmark) for 30 min on ice. To visualize the martensitic phase of NiTi were not studied because of nuclei, the cells were incubated with the DNA-binding the small amounts of martensite (weak diffraction lines). fluorochrome Hoechst 33258 (1:1000) for 10 min at The analysis of internal stresses in TiII group samples room temperature. The focal contacts were studied was not performed in the present study. under a confocal microscope LSM 510 equipped with an inverted microscope Axiovert 100M and 63 objective 2.4. Cell culture (NA 1.2/water, Zeiss, Germany). From each sample disk, 6 frames were scanned with 1024 1024 frame size Rat osteosarcoma cell line ROS-17/2.8 (a generous (pixel size 0.14 0.14 mm2). The number of focal gift from G.A. Rodan, Merck Research Laboratories, contacts was measured with a digital image analyzer West Point, PA, USA) cultures were carried out in (MCID M4 v.3.0.re.1.1, Imaging Research Inc., Cana- minimal essential medium (MEM, Gibco) supplemented da). The measured region of interest was with 10% fetal calf serum (Bioclear), antibiotics (100 U 146.2 146.2 mm2. The confocal microscope images of penicillin/ml, 100 mg of streptomycin/ml) and l- were segmented based on red color intensity. The glutamine (2 mm) at +371C (5% CO2, 95% air). The interactively defined paxillin-containing focal contacts cultures were allowed to reach confluency before were automatically counted from the region of interest. subculturing onto metal alloy disks. The cells were washed with 371C phosphate-buffered saline (PBS), and 2.7. Statistical analysis adherent cells were detached by using trypsin-EDTA. Five thousand cells were seeded per disk (n ź 6) and Mean values and standard deviations were computed. allowed to attach for 3 h. The cells were allowed to grow Analysis of variance (ANOVA) and Student s t-test for 48 h before staining with a cytotoxicity test kit or were utilized to assess the level of significance of the fixation with 4% paraformaldehyde (PFA). differences between the experimental groups. Bonferro- Because cells grown on disks cannot be seen in normal nis corrections were applied to the t-tests. All statistical light microscopy, the cells were also cultured on glass analyses were performed with commercial software cover slips 10 mm in diameter to assess the time of (Origin 5.0, Microcal Software, Inc., USA). subculture confluency. 2.5. Cytotoxicity test 3. Results The cells on the disks were washed twice with a warm 3.1. X-ray structural analysis PBS solution and stained with a LIVE/DEADsVia- bility/Cytotoxicity kit (Molecular Probes, Oregon, The results of X-ray experiments showed that the USA). The optimal concentration of the ethidium above treatments of tested alloys resulted in different homodimer-1 (EthD-1) dye was 0.1 mm and that of the phase state of samples. The initial hot-rolled state of calcein dye 1 mm. The samples were incubated for 15 min NiTi sample was austenite. The grinding by stone N80 at 371C and viewed under a fluorescence microscope. did not change the phase composition but gave rise to Dead cells (stained red) and live cells (stained green) diffraction line broadening that is typical for cold- counted from six randomly chosen areas (0.849 mm2) on worked metals because of increase in structural stresses. each disk were viewed. The cells were counted visually Further grinding and polishing were accompanied first under a fluorescence microscope (Nikon Eclipse E600, by remarkable decrease of structural stresses (group Nikon, Japan) with a 10 objective, NA 0.25 (Nikon, 600) and then by their negligible increase (group 1200). Japan), and the ratio of dead to live cells was computed. Another structural parameter that was parallel stu- Approximately 350 cells were seen in each area. The died mean size of subgrains changed in opposite number of dead cells per image was expressed as per manner: group 80 was characterized by the smallest 1000 cells. sizes, in group 600 samples subgrain sizes were the biggest and in group 1200 this parameter again became 2.6. Immunofluoresence microscopy of focal contacts smaller (Table 2). Simultaneously, small amounts of martensitic phase appeared in the samples of groups 600 The PFA-fixed cells were permeabilized with 0.1% and 1200. Triton-X-100 in PBS for 10 min on ice. The cells were The same behavior of structural stresses was observed stained by using monoclonal paxillin antibody in the basic martensitic a-phase of titanium alloy. The 3736 A. Kapanen et al. / Biomaterials 23 (2002) 3733 3740 Table 2 The structural stresses and mean values of subgrain size in austenite of NiTi, b-phase and a-martensite of titanium alloy and Ti-alloys sb=sa ratio Sample group NiTi Structural stresses (MPa) Subgrain size (nm) 80 25971935 600 1437988 1200 1627943 Sample groupTiI b-phase a-martensite Structural stresses (MPa) Subgrain size (nm) Structural stresses (MPa) Subgrain size (nm) sb=sa 80 1647628 12477 62 1.32 600 22871339 4573 100 5.07 1200 306722 110 7975 235 3.87 highest values of sa were in samples of group 80, in group 600 they were the smallest and then rose again in group 1200. As a result of the described behavior, the ratio sb=sa had the minimum value in group 80, maximum in group 600, and again decreased in group 1200. Nevertheless, the mean values of stresses in b- phase (sb) steadily increased as well as the subgrain sizes in both b-phase and a-martensite (Table 2). The mechanical treatment of titanium alloy was not accom- panied by changes in phase composition, and initial b- phase content (10 12 vol%) were kept in the samples within investigated groups. 3.2. Cytotoxicity test The cells cultured on sandpapered surfaces appeared larger in a visual examination. On the roughest disks in the TiII group, the cultures did not reach complete confluency in 48 h, as did the cultures on NiTi. The cytotoxicity test showed that the roughest NiTi and TiI surfaces were significantly better in view of cell viability than the other surfaces in the test groups. When we compared the different alloys within the same roughness Fig. 1. (A) Results of the cytotoxicity test. NiTi nickel titanium alloy, TiI titanium alloy with 8501C hot rolling, TiII titanium alloy group, it turned out that, in group 80, NiTi and TiI had with 10501C hot rolling. źpp0:05; ź pp0:01; źpp0:001: significantly fewer dead cells (12721 and 15721, (B) Number of focal adhesions. źpp0:05; ź pp0:01; ź respectively) than TiII (34729), (pp0:001). The 600 pp0:001: and 1200 groups did not differ significantly. Within the NiTi test group, the number of dead cells on the roughest (80) surface (12721) was significantly lower compared to the 600 (23728), (pp0:05) and 1200 the roughest surface, but was also observed on the other (22726), (pp0:05) surfaces. The results in the TiI group surfaces. were similar, with the 80 surface (15721), showing a We determined the number of focal adhesions based significantly lower number of dead cells compared to the on the paxillin staining of the cells. The results showed 600 (34737), (pp0:01) and 1200 surfaces (27727), that NiTi 80 strongly stimulated the formation of focal (pp0.05). The TiII group showed no significant adhesions formation. Only TiI 1200 was equally efficient differences between the three roughness groups as NiTi 80 as a promoter of cell attachment. Overall, TiI (34729, 23729 and 25743, respectively) (Fig. 1A). was a better matrix for osteoblast attachment than TiII. The different surface roughness grades of NiTi did not 3.3. Attachment of cells significantly differ in the number of focal adhesions (6117325, 4607272 and 4857343). In the TiI group, The focal adhesions of the cells grown on the test the number of focal adhesions was significantly lower on materials seemed to locate parallel to the grinding the roughest surface (2697177) compared to the 600 grooves (Fig. 2). This phenomenon was clearly seen on (4237222), (pp0:01) and 1200 (6587355), (pp0:001) A. Kapanen et al. / Biomaterials 23 (2002) 3733 3740 3737 Fig. 2. Confocal microscope image of ROS-17/2.8 cultures on surfaces of different roughness. The small white arrows show the direction of the grinding grooves, to which the focal contacts are parallel. The white arrowheads point out the diffusively stained cells without clear focal contacts. Scale 20 mm. surfaces. The TiI 1200 group had a significantly increased the cell attachment but was in reverse higher number of focal adhesions than the 600 group association to cell death rate (Fig. 3A). Interesting (pp0:01). The TiII 1200 surface had a significantly finding was that in the b-phase of TiI alloy both the higher number of focal adhesions (3517194) than the cell attachment and the cell death rate increased with surfaces of the other two roughness grades (2237151 in increasing structural stress (Fig. 3B). In the a-martensite group 80 and 2487156 in group 600), (pp0:01) phase of TiI alloy the effect of structural stress was (Fig. 1B). opposite (Fig. 3C). 3.4. Effect of surface stress on biological parameters 4. Discussion The analysis of the results obtained from biological tests and X-ray experiments demonstrate that mean To detect common regularities of biocompatibility values of both biocompatibility parameters, cell survival relative to the surface of the implant, our study suggests and cell attachment, seem to be linear functions of that it would be better to characterize surface stress than internal stresses and subgrain sizes, respectively. In roughness. A cyclic recovery effect (structural stress the NiTi group, the increase in structural stress decrease) during permanent deformation of pure metals 3738 A. Kapanen et al. / Biomaterials 23 (2002) 3733 3740 24 28 700 NiTi TiI(²) 600 22 26 600 20 24 550 500 18 22 400 16 500 20 14 300 18 450 12 16 200 140 160 180 200 220 240 260 160 180 200 220 240 260 280 300 320 (a) Structural stress, MPa (b) Structural stress, MPa 700 Ti I(Ä…) 35 600 30 500 25 400 20 300 15 200 40 60 80 100 120 140 (c) Structural stress, MPa Fig. 3. (A) Biocompatibility parameters as functions of structural stresses in NiTi. (B) Biocompatibility parameters as functions of structural stresses of TiI-alloy b-phase. (C) Biocompatibility parameters as functions of structural stresses of TiI-alloy a-martensite. has been long known [18] and is a result of dislocation cobalt chromium, titanium and hydroxyapatite redistribution, which is testified by subgrain sizes [19,20,14]. However, our results on Ti-alloy are in line changes. Further investigations showed that the same with these studies. In both Ti-alloy groups, focal effect takes place as a result of strain-induced phase contacts were less numerous on rough surfaces than reactions. Obviously, both of these mechanisms deter- on smooth ones. mine stress behavior in NiTi alloy, but only the In addition, we found that focal contacts seemed to dislocation redistribution is responsible for stress align with the grinding grooves of the rough NiTi and behavior in titanium alloy, though its details in b-phase TiI surfaces. In cell culture studies, Anselme et al. (2000) and martensite are different because of their different observed that the rougher the surface, the more crystal lattices. disorganized was the cell layer [19]. In our experiments, The initial softness or hardness of the metal alloy no such correlation was seen. affects surface roughness. Therefore, in our study, the We further found that there was a change in cell size roughness of the sandpaper used did not correlate with related to surface roughness. Larger cells were more the measured surface roughness parameters in Table 1. numerous on the roughest surface, especially on NiTi Our results showed the roughest NiTi surface to be disks. Large cells were also seen on the second roughest favorable for osteoblastic cells. Both the low number of surface (600). However, only few of them were noticed dead cells and the high number of focal contacts showed on the smoothest surface (1200) and none on any of the that a rough NiTi surface is well tolerated by ROS-17/ TiII alloy specimens. A study done with human 2.8 cells. Despite the fact that attachment number does osteoblastic MG-63 cells showed that the cells cultured not give data about attachment strength, inverse on the roughest surfaces had more cuboidal morphology correlation between attachment site number and cell and were more differentiated [12]. death rate proves that cells do not tolerate different The regularities of biocompatibility parameters as surfaces on the same manner. Our finding of the effect of functions of structural stresses in NiTi-alloy reveal NiTi surface roughness is contradictory to some earlier that higher stresses promote better biocompatibility studies done with other metal alloys, such as Ti6Al4V, parameters. This result is in contradiction with the Focal adhesions Focal adhesions Focal adhesions Dead cells /1000 cells Dead cells/1000 cells Dead cells/1000 cells A. Kapanen et al. / Biomaterials 23 (2002) 3733 3740 3739 well-known negative effect of stresses on the corrosion 5. Conclusion properties of a material and the straight correlation between these properties and biocompatibility [18]. Our results indicate low cytotoxicity of NiTi, even Small number of experiments does not allow discussion after very rough surface treatment. NiTi disks were well of the structural reasons of this phenomenon. tolerated by osteoblastic ROS-17/2.8 cells. Because the Results obtained for biocompatibility parameters in initial softness or hardness of metal alloys has an impact titanium alloy b-phase point out the existence of on surface roughness, the characterization of surface common structural causes for such behavior in stresses could be a better method for assessing the homogeneous materials with b-phase structure. How- surface state of the implant after equal surface ever, it is possible that unusual NiTi-alloys proper- manipulation. The results of the present study showed ties provide different biochemical interaction with that definition of structural stresses might be a sensitive cells. instrument in biocompatibility investigations. If taken into account that biocompatibility para- meters are the characteristics of whole sample and that the basic phase in titanium alloys sample was a- Acknowledgements martensite, the obtained regularities of biocompatibility parameters behavior in a þ b titanium alloy reflect the This study was supported by Technology Develop- same regularities for basic a-martensite. But the ment Center of Finland (TEKES). behavior of cell viability as function of structural stresses in titanium alloy b-phase remains unexplained. To explain this experimental fact the effect of sb=sa References ratio was analyzed. It is known that sharp difference of structural stresses in two pieces of the same metal may [1] Buehler WJ, Wang FEA. Summary of recent research on the generate the pronounced values of electromotive force Nitinol alloys and their potential application in ocean engineer- (between two wires of the same metal one being in cold- ing. Ocean Eng 1968;1:105 20. drawn state and other annealed, the emf is of the order [2] Castleman LS, Motzkin SM, Alicandri FP, Bonawit VL. Biocompatibility of nitinol alloy as an implant material. J Biomed 10 7 V/1C [18]). This effect may be reinforced by Mater Res 1976;10(5):695 731. chemical composition difference, which undoubtedly [3] Baumgart F, Bensmann G, Haasters J. Memory alloys new exists between b-phase and a-martensite, otherwise b- material for implantation in orthopedic surgery. In: Uthof HK, phase had to transform to martensite. editor. Current concepts of internal fixation of fractures, vol. 1. The present study showed a straight dependence of Berlin: Springer, 1980. p. 122 7. [4] Putters JL, Kaulesar Sukul DM, de Zeeuw GR, Bijma A, amount of dead cells upon values of sb=sa ratio. This Besselink PA. Comparative cell culture effects of shape memory may explains the observed dependence of focal adhesion metal (Nitinol), nickel and titanium: a biocompatibility estima- number on structural stresses in titanium alloy b-phase tion. Eur Surg Res 1992;24(6):378 82. and allows presuming that difference in electrochemical . . [5] Ryhanen J, Niemi E, Serlo W, Niemela E, Sandvik P, Pernu H, properties of phases in heterogeneous materials and Salo T. Biocompatibility of nickel titanium shape memory metal and its corrosion behavior in human cell cultures. J Biomed Mater phase quantity ratio are the main factors which Res 1997;35(4):451 7. determine the cell viability. The results obtained in TiII [6] Bowers KT, Keller JC, Randolph BA, Wick DG, Michaels CM. group samples (25 27 vol% of b-phase) confirmed the Optimization of surface micromorphology for enhanced osteo- above argumentation. Obviously, the same mechanism blast responses in vitro. Int J Oral Maxillofac Implants acts in homogeneous materials, like NiTi. In those, 1992;7:302 10. [7] Keller JC, Stanford CM, Wightman JP, Draughn RA, Zaharias grains and subgrains play the role of different phases R. Characterizations of titanium implant surfaces. III. J Biomed with different concentration of stress. The apparent Mater Res 1994;28(8):939 46. dependence of biocompatibility parameters upon [8] Lohmann CH, Bonewald LF, Sisk M, Sylvia VL, Cochran DL, the mean values of subgrain size in NiTi-alloy may Dean DD, Boyan BD, Schwartz Z. Maturation state determines be commented in terms of more homogeneous the response of osteogenic cells to surface roughness and 1,25- dihydroxyvitamin D3. J Bone Miner Res 2000;15(6):1169 80. stress distribution in structures with smaller subgrain [9] Malik MA, Puleo DO, Bizios R, Doremus RH. Osteoblasts on sizes. hydroxyapatite, alumina and bone surface in vitro: morphology As shown in our previous work, nickel is toxic to during the first 2 h of attachment. Biomaterials 1992;13:123 8. these cells [21]. It is important to notice that the rough [10] Stanford CM, Keller JC, Solursh M. Bone cell expression on surface of a NiTi implant might release a high titanium surfaces is altered by sterilization treatments. J Dent Res 1994;73(5):1061 71. concentration of Ni2+ ions. However, this postulation . [11] Meyer U, Szulczewski DH, Moller K, Heide H, Jones DB. is not supported by our findings of the better attachment Attachment kinetics and differentiation of osteoblasts on different and lower cytotoxicity of rough NiTi. The question biomaterials. Cells Mater 1993;3:129 40. about the mechanisms that prevent nickel ion release, [12] Martin JY, Schwartz Z, Hummert TW, Schraub DM, Simpson J, even on a rough surface, remains to be solved. Lankford Jr J, Dean DD, Cochran DL, Boyan BD. Effect of 3740 A. Kapanen et al. / Biomaterials 23 (2002) 3733 3740 titanium surface roughness on proliferation, differentiation, and [17] Buser D, Nydegger T, Hirt HP, Cochran DL, Nolte LP. protein synthesis of human osteoblast-like cells (MG63). J Removal torque values of titanium implants in the maxilla Biomed Mater Res 1995;29(3):389 401. of miniature pigs. Int J Oral Maxillofac Implants 1998;13(5): [13] Alliott-Licht B, Gregoire M, Orly I, Menanteau J. Cellular 611 9. activity of osteoblasts in the presence of hydroxyapatite: an in [18] Taylor A. X-ray metallography. New York, London: Wiley, 1961, vitro experiment. Biomaterials 1991;12:752 6. p. 993. [14] Desantis D, Guerriero C, Nocini PF, Ungerspock A, Richards G, [19] Anselme K, Bigerelle M, Noel B, Dufresne E, Judas D, Iost A, Gotte P, Armato U. Adult human bone cells from jaw bones Hardouin P. Qualitative and quantitative study of human cultured on plasma-sprayed or polished surfaces of titanium or osteoblast adhesion on materials with various surface roughness. hydroxyapatite discs. J Mater Sci 1996;7:21 8. J Biomed Mater Res 2000;49(2):155 66. . ! [15] Gotfredsen K, Nimb L, Hjorting-Hansen E, Jensen JS, Holmen [20] Naji A, Harmand MF. Study of the effect of the surface state on A. Histomorphometric and removal torque analysis for TiO2- the cytocompatibility of a Co Cr alloy using human osteoblasts blasted titanium implants. An experimental study on dogs. Clin and fibroblasts. J Biomed Mater Res 1990;24:861 71. . Oral Implants Res 1992;3:77 84. [21] Kapanen A, Ilvesaro J, Danilov A, Ryhanen J, Lehenkari P, [16] Wennerberg A, Albrektsson T, Lausmaa J. Torque and histo- Tuukkanen J. Behaviour of Nitinol in osteoblast-like ROS-17 cell morphometric evaluation of c.p. titanium screws blasted with 25- cultures. Biomaterials 2002;23(3):645 50. and 75-microns-sized particles of Al2O3. J Biomed Mater Res 1996;30(2):251 60.