IntroductionTreatment of osteoporotic fractures is still challenging and an urgent need
exists for new materials, better adapted to osteoporotic bone by adjusted
Young’s modulus, appropriate surface modification and pharmaceuticals.Materials and methodsTitanium-40-niobium alloys, mechanically ground or additionally etched and
titanium-6-aluminium-4-vanadium were analyzed in combination with
brain-derived neurotrophic factor, acetylcholine and nicotine to determine
their effects on human mesenchymal stem cells in vitro over
21 days using lactate dehydrogenase and alkaline phosphatase assays, live
cell imaging and immunofluorescence microscopy.ResultsCell number of human mesenchymal stem cells of osteoporotic donors was
increased after 14 d in presence of ground titanium-40-niobium or
titanium-6-aluminium-4-vanadium, together with brain-derived neurotrophic
factor. Cell number of human mesenchymal stem cells of non osteoporotic
donors increased after 21 d in presence of titanium-6-aluminium-4-vanadium
without pharmaceuticals. No significant increase was measured for ground or
etched titanium-40-niobium after 21 d. Osteoblast differentiation of
osteoporotic donors was significantly higher than in non osteoporotic donors
after 21 d in presence of etched, ground titanium-40-niobium or
titanium-6-aluminium-4-vanadium accompanied by all pharmaceuticals tested.
In presence of all alloys tested brain-derived neurotrophic factor,
acetylcholine and nicotine increased differentiation of cells of
osteoporotic donors and accelerated it in non osteoporotic donors.ConclusionWe conclude that ground titanium-40-niobium and brain-derived neurotrophic
factor might be most suitable for subsequent in vivo
testing.