Functionalization of a Ti-based alloy with synthesized recombinant fibronectin fragments to improve cellular response

Resumen

According to a study of the European Commission, approximately one million hips are replaced by prostheses worldwide every year. The interaction of the human body with foreign materials that are subjected to alternating mechanical load in a highly corrosive environment still provides challenges. The main factors affecting prosthesis failure are stress shielding effect and poor osseointegration. In this thesis the problem of prosthesis failure has been approached from the material and from the osseointegration point of view trying to give a global solution to the problem. Niobium and hafnium, which are demonstrated to be totally biocompatible, were used to design a Ti-based alloy. The effect of the alloying elements regarding microstructure and elastic modulus was studied and the best composition was deeply characterized in terms of microstructure, elastic modulus, corrosion resistance and superficial energy. Recombinant fragments of fibronectin were synthesised spanning the cell attachment site and the heparin binding domain which are important for cell viability. These motifs were used to functionalise the surface of the TiNbHf alloy. Two tethering methods were studied: physisorption and silanisation. Silanisation was not used before to immobilise fibronectin recombinant fragments onto metallic substrates and in this thesis, its good performance was demonstrated. In vitro studies were made with each fragment and with different combinations of the fragments, which showed the importance of the heparin binding domain to obtain a cell response equivalent to that of fibronectin in terms of cell adhesion, proliferation and differentiation.