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Updated: Sep 22, 2025

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Expansion of Human Peripheral Blood γδ T Cells using Zoledronate
Published on: September 9, 2011
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Titanium alkalinization improves response of osteoblasts to zoledronic acid
Rodrigo Paes Vila Real1, Taisa Nogueira Pansani2, Lais Medeiros Cardoso3
1Department of Dentistry, Ribeirão Preto University (UNAERP), Ribeirão Preto, SP 14096-900, Brazil.
Biointerphases
|May 26, 2022
Summary
NaOH modification of titanium surfaces enhances osteoblast metabolism and viability, even when treated with zoledronic acid (ZA). This surface treatment shows potential for improving osseointegration in patients undergoing ZA therapy.
Area of Science:
- Biomaterials Science
- Orthopedic Research
- Cell Biology
Background:
- Titanium is a common implant material, but its surface properties can influence osseointegration.
- Zoledronic acid (ZA) is used to treat bone diseases but can negatively affect bone cell metabolism.
- Optimizing titanium surface characteristics is crucial for enhancing implant success, especially in patients on ZA therapy.
Purpose of the Study:
- To investigate the effect of NaOH surface modification on titanium disks.
- To evaluate the impact of this modification on osteoblast metabolism and differentiation.
- To determine if NaOH-treated titanium improves osteoblast response in the presence of zoledronic acid (ZA).
Main Methods:
- Titanium disks were treated with NaOH and characterized using SEM, confocal microscopy, and XPS.
- Human osteoblasts were cultured on machined and NaOH-treated disks.
- Cells were treated with zoledronic acid (ZA) for 7 days.
- Cell viability, collagen synthesis, protein production, alkaline phosphatase activity, and mineral nodule deposition were assessed.
Main Results:
- NaOH treatment increased titanium surface roughness and altered surface chemistry.
- Modified surfaces showed significantly higher osteoblast viability, collagen synthesis, protein production, and alkaline phosphatase activity compared to machined surfaces.
- While ZA reduced cellular metabolism on both surfaces, the NaOH-modified surfaces maintained higher metabolic activity and differentiation markers.
- Mineral nodule deposition was an exception, showing no significant difference between surfaces in the presence of ZA.
Conclusions:
- NaOH surface modification of titanium enhances osteoblast adhesion, metabolism, and differentiation.
- This surface treatment mitigates some negative effects of zoledronic acid (ZA) on osteoblasts.
- NaOH-modified titanium holds promise for improving osseointegration, particularly for patients receiving ZA treatment.
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