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Updated: Mar 28, 2026

Polarization and Characterization of M1 and M2 Human Monocyte-Derived Macrophages on Implant Surfaces
Published on: December 6, 2024
Titanium surface characteristics, including topography and wettability, alter macrophage activation
Kelly M Hotchkiss1, Gireesh B Reddy1, Sharon L Hyzy1
1Department of Biomedical Engineering, School of Engineering, Virginia Commonwealth University, Richmond, VA, USA.
Biomaterial surface wettability and roughness influence macrophage activation. Hydrophilic, rough titanium surfaces promote anti-inflammatory responses, potentially improving implant healing.
Area of Science:
- Biomaterials Science
- Immunology
- Surface Chemistry
Background:
- Titanium (Ti) implants are widely used in orthopedics and dentistry.
- Surface properties like chemistry, topography, and wettability influence cell responses.
- The impact of implant surface properties on immune cells, particularly macrophages, is not well understood.
Purpose of the Study:
- To investigate how surface modifications on titanium affect macrophage activation.
- To determine the influence of surface roughness and wettability on cytokine production by macrophages.
Main Methods:
- Macrophages were cultured on seven different titanium surfaces with varying roughness and wettability.
- Surface chemistries included smooth, microrough, and nano- and micro-rough titanium.
- Cytokine production (IL-1β, IL-6, TNFα, IL-4, IL-10) was measured to assess macrophage activation states (M1-like vs. M2-like).
Main Results:
- Smooth titanium surfaces induced an inflammatory (M1-like) macrophage response, with increased IL-1β, IL-6, and TNFα.
- Hydrophilic, rough titanium surfaces promoted an anti-inflammatory (M2-like) response, indicated by elevated IL-4 and IL-10 levels.
- Surface wettability and roughness significantly altered macrophage activation and cytokine profiles.
Conclusions:
- Macrophage activation is sensitive to biomaterial surface properties, specifically wettability and roughness.
- Hydrophilic and rough titanium surfaces can induce an anti-inflammatory microenvironment.
- Tailoring biomaterial surface properties may be a strategy to control the immune response and enhance implant integration and healing.
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