Deepthy Menon, Ph.D.
Associate Professor, Centre for Nanosciences & Molecular Medicine, Health Sciences Campus, Amrita University, Kochi, India
Nanobioengineering of implant materials for improved cellular response and activity
Deepthy Menon, Divyarani V V, Chandini C Mohan, Manitha B Nair, Krishnaprasad C & Shantikumar V Nair
Abstract
Current trends in biomaterials research and development include the use of surfaces with topographical features at the nanoscale (dimensions < 100 nm), which influence biomolecular or cellular level reactions in vitro and in vivo. Progress in nanotechnology now makes it possible to precisely design and modulate the surface properties of materials used for various applications in medicine at the nanoscale. Nanoengineered surfaces, owing to their close resemblance with extracellular matrix, possess the unique capacity to directly affect protein adsorption that ultimately modulates the cellular adhesion and proliferation at the site of implantation. Taking advantage of this exceptional ability, we have nanoengineered metallic surfaces of Titanium (Ti) and its alloys (Nitinol -NiTi), as well as Stainless Steel (SS) by a simple hydrothermal method for generating non-periodic, homogeneous nanostructures. The bio- and hemocompatibility of these nanotextured metallic surfaces suggest their potential use for orthopedic, dental or vascular implants. The applicability of nanotextured Ti implants for orthopedic use was demonstrated in vivo in rat models, wherein early-stage bone formation at the tissue-implant interface without any fibrous tissue intervention was achieved. This nanoscale topography also was found to critically influence bacterial adhesion in vitro, with decreased adherence of staphylococcus aureus. The same surface nanotopography also was found to provide enhanced proliferation and functionality of vascular endothelial cells, suggesting its prospective use for developing an antithrombotic stent surface for coronary applications. Clinical SS & NiTi stents were also modified based on this strategy, which would offer a suitable solution to reduce the probability of late stent thrombosis associated with bare metallic stents. Thus, we demonstrate that nanotopography on implant surfaces has a critical influence on the fate of cells, which in turn dictates the long term success of the implant.
Acknowledgement: Authors gratefully acknowledge the financial support from Department of Biotechnology, Government of India through the Bioengineering program.
Leland H. Hartwell Ph.D.
2001 Nobel Laureate, Physiology & Medicine
Dr. Lee Hartwell received the 2001 Nobel Prize in Physiology / Medicine for his discovery of protein molecules that control the division of cells. He was the President and Director of the Fred Hutchinson Cancer Research Center in Seattle, Washington before moving to Arizona State University’s Center for Sustainable Health.
Dr. Hartwell is also adjunct faculty at Amrita University. He spoke to the delegates at Bioquest from his office in the US, over Amrita’s e-learning platform A-View. Given below are excerpts from his address.
I would like to address the young people in the audience. I know that many of you may have come to this meeting wondering, “How can I become a successful scientist? How can I prepare myself to make a contribution in this world?”
These questions are interesting to me also.
Believe it or not, I am still trying to be a successful scientist. That may surprise you since you probably think that a Nobel laureate must have found the answers. But the problem is that the answers to these questions change with time and the answers are different today than what they were when I began my career fifty years ago. The strategy of the 1960’s doesn’t work so well anymore. What is different now?
First, what we know now is much more. For example, by 1970, no genes from any organisms were sequenced. In 2013, we have the complete sequence of the human genome. Second, not only do we know much more today, accessing that knowledge is easy. Third, obtaining new information is much faster today.
Our rich understanding of science and technology is now needed to solve many serious problems. The human population has reached the size where we are utilizing all available resource of the planet. We are utilizing all of the agricultural land, all of the water, all of the forest and fishing resources. We are also polluting the planet that we live on.
We are polluting the land with fertilizers and pesticides; the oceans with acids and the atmosphere with carbon dioxide. We are using up top soil and ground water, thereby reducing our capacity to feed ourselves. We are using up petroleum, the energy source that our entire economy is dependent on. These are problems we were largely unaware of, fifty years ago. But these are problems that must be solved in your life times.
The big question facing your generation is, how can human beings live sustainably on planet earth. Your two broad goals on sustainability are 1) leave the planet as you first found it for your future generations; don’t use up the resources and don’t pollute the planet 2) everyone deserves to have an equal share of the earth’s resources.
Income strongly determines one’s opportunities in life. Many poor people succumb to chronic diseases and unhealthy environments. This inequality undermines our ability to live sustainably. We can’t ask the poor to leave the planet as they found it if they can’t support their families. Education, healthcare, employment are essential to having a sustainable society.
How can we be a successful scientist in 2013?
1. First choose a problem to solve
2. Ask questions to understand why it is not solved
3. Collaborate with those who can help
4. Develop a solution that works in the real worldChronic diseases are our major burden and this burden will get worse. Heart disease, diabetes, cancer, dementia and other diseases. The good news is that the chronic diseases are largely preventable and more easily curable if detected early. One question that attracts me is how can we detect disease earlier when it can be more easily cured?
Can we use our increasing knowledge in molecular biology to identify biomarkers for early disease detection?
We need to collaborate very closely with clinicians who care for patients to find out exactly where they need help.
I think if we apply our technology to important clinical questions we will actually save medical expenditure and be well on our way to making a great contribution to society.
H S M Kort, J-W J Lammers, S N W Vorrink, T Troosters
Introduction
Chronic Obstructive Pulmonary Disease (COPD) is a disabling airway disease with variable extrapulmonary effects that may contribute to disease severity in individual patients (Rabe et al. 2007). The world health organization predicts that COPD will become the third leading cause of death worldwide by 2030. Patients with COPD demonstrate reduced levels of spontaneous daily physical activity (DPA) compared with healthy controls (Pitta et al. 2005). This results in a higher risk of hospital admission and shorter survival (Pitta et al. 2006). Pulmonary rehabilitation can help to improve the DPA level, however, obtained benefits decline after 1–2 years (Foglio et al. 2007).
Purpose
In order to maintain DPA in COPD patients after rehabilitation, we developed a mobile phone application. This application measures DPA as steps per day, measured by the accelerometer of the smartphone, and shows the information to the patient via the display of the mobile phone. A physiotherapist can monitor the patient via a secure website where DPA measurements are visible for all patients. Here, DPA goals can be adjusted and text messages sent.
Method
Three pilot studies were performed with healthy students and COPD patients to test the application for usability, user friendliness and reliability with questionnaires and focus groups. Subjects also wore a validated accelerometer. For the Randomized Controlled Trial (RCT) 140 COPD patients will be recruited in Dutch physiotherapy practises. They will be randomised in an intervention group that receives the smartphone for 6 months and a control group. Measurements include lungfunction, dyspnea, and exercise capacity and are held at 0, 3, 6 and 12 months.
Results and Discussion
The application was found to be useful, easy to learn and use. Subjects had no problems with health care professionals seeing information on their physical activity performance. They do find it important to be able to determine who can see the information. Correlations between the accelerometer and the measurements on DPA of the smartphone for steps per hour were 0.69 and 0.70 for pilot studies 1 (students) and 2 (COPD patients) respectively. The version of the application in pilot study 3 contained an error, which made correlations with the accelerometer unusable. The RCT study is now being executed.