Hematological Response to Particle Debris Generated During Wear–Corrosion Processes of CoCr Surfaces Modified with Graphene Oxide and Hyaluronic Acid for Joint Prostheses

Various surface modifications to increase the lifespan of cobalt–chromium (CoCr) joint prostheses are being studied to reduce the wear rate in bone joint applications. One recently proposed modification involves depositing graphene oxide functionalized with hyaluronic acid (a compound present in joi...

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Main Authors: María L. Escudero, Maria C. García-Alonso, Belén Chico, Rosa M. Lozano, Luna Sánchez-López, Manuel Flores-Sáenz, Soledad Cristóbal-Aguado, Rafael Moreno-Gómez-Toledano, Soledad Aguado-Henche
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Language:English
Published: MDPI AG 2024-11-01
Series:Nanomaterials
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Online Access:https://www.mdpi.com/2079-4991/14/22/1815
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author María L. Escudero
Maria C. García-Alonso
Belén Chico
Rosa M. Lozano
Luna Sánchez-López
Manuel Flores-Sáenz
Soledad Cristóbal-Aguado
Rafael Moreno-Gómez-Toledano
Soledad Aguado-Henche
author_facet María L. Escudero
Maria C. García-Alonso
Belén Chico
Rosa M. Lozano
Luna Sánchez-López
Manuel Flores-Sáenz
Soledad Cristóbal-Aguado
Rafael Moreno-Gómez-Toledano
Soledad Aguado-Henche
author_sort María L. Escudero
collection DOAJ
description Various surface modifications to increase the lifespan of cobalt–chromium (CoCr) joint prostheses are being studied to reduce the wear rate in bone joint applications. One recently proposed modification involves depositing graphene oxide functionalized with hyaluronic acid (a compound present in joints) on CoCr surfaces, which can act as a solid lubricant. This paper analyzes the biological alterations caused by wear–corrosion phenomena that occur in joints, both from the perspective of the worn surface (in vitro model) and the particles generated during the wear processes (in vivo model). The analysis of the inflammatory response of macrophage was performed on CoCr surfaces modified with graphene oxide and functionalized with hyaluronic acid (CoCr-GO-HA), before and after wear–corrosion processes. The wear particles released during the wear–corrosion tests of the CoCr-GO-HA/CoCr ball pair immersed in 3 g/L hyaluronic acid were intra-articularly injected into the experimental animals. The hematological analysis in vivo was made considering a murine model of intra-articular injection into the left knee in male adult Wistar rats, at increasing concentrations of the collected wear particles dispersed in 0.9% NaCl. Non-significant differences in the inflammatory response to unworn CoCr-GO-HA surfaces and control (polystyrene) were obtained. The wear–corrosion of the CoCr-GO-HA disk increased the inflammatory response at both 72 and 96 h of material exposure compared to the unworn CoCr-GO-HA surfaces, although the differences were not statistically significant. The pro-inflammatory response of the macrophages was reduced on the worn surfaces of the CoCr modified and functionalized with graphene oxide (GO) and hyaluronic acid (HA), compared to the worn surfaces of the unmodified CoCr. The hematological analysis and tissue reactions after intra-articular injection did not reveal pathological damage, with average hematological values recorded, although slight reductions in creatinine and protein within non-pathological ranges were found. Some traces of biomaterial particles in the knee at the highest concentration of injected particles were only found but without inflammatory signs. The results show the potential benefits of using graphene in intra-articular prostheses, which could improve the quality of life for numerous patients.
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spelling doaj-art-51bef3c86313476abfdcda81ba136d2a2025-08-20T02:05:06ZengMDPI AGNanomaterials2079-49912024-11-011422181510.3390/nano14221815Hematological Response to Particle Debris Generated During Wear–Corrosion Processes of CoCr Surfaces Modified with Graphene Oxide and Hyaluronic Acid for Joint ProsthesesMaría L. Escudero0Maria C. García-Alonso1Belén Chico2Rosa M. Lozano3Luna Sánchez-López4Manuel Flores-Sáenz5Soledad Cristóbal-Aguado6Rafael Moreno-Gómez-Toledano7Soledad Aguado-Henche8Centro Nacional de Investigaciones Metalúrgicas (CENIM), Consejo Superior de Investigaciones Científicas (CSIC), Avenida Gregorio del Amo, 8, 28040 Madrid, SpainCentro Nacional de Investigaciones Metalúrgicas (CENIM), Consejo Superior de Investigaciones Científicas (CSIC), Avenida Gregorio del Amo, 8, 28040 Madrid, SpainCentro Nacional de Investigaciones Metalúrgicas (CENIM), Consejo Superior de Investigaciones Científicas (CSIC), Avenida Gregorio del Amo, 8, 28040 Madrid, SpainCentro de Investigaciones Biológicas-Margarita Salas (CIB Margarita Salas), Consejo Superior de Investigaciones Científicas (CSIC), C/Ramiro de Maeztu, 28040 Madrid, SpainCentro Nacional de Investigaciones Metalúrgicas (CENIM), Consejo Superior de Investigaciones Científicas (CSIC), Avenida Gregorio del Amo, 8, 28040 Madrid, SpainProgram in Translational Medicine, Doctoral School, Universidad de Alcalá, 28801 Alcalá de Henares, Madrid, SpainUniversidad de Alcalá, Department of Nursery, Campus Científico-Tecnológico, Crta. Madrid-Barcelona, Km. 33,600, 28805 Alcalá de Henares, Madrid, SpainUniversidad de Alcalá, Area of Human Anatomy and Embryology, Department of Surgery, Medical and Social Sciences, Campus Científico-Tecnológico, Crta. Madrid-Barcelona, Km. 33,600, 28805 Alcalá de Henares, Madrid, SpainUniversidad de Alcalá, Area of Human Anatomy and Embryology, Department of Surgery, Medical and Social Sciences, Campus Científico-Tecnológico, Crta. Madrid-Barcelona, Km. 33,600, 28805 Alcalá de Henares, Madrid, SpainVarious surface modifications to increase the lifespan of cobalt–chromium (CoCr) joint prostheses are being studied to reduce the wear rate in bone joint applications. One recently proposed modification involves depositing graphene oxide functionalized with hyaluronic acid (a compound present in joints) on CoCr surfaces, which can act as a solid lubricant. This paper analyzes the biological alterations caused by wear–corrosion phenomena that occur in joints, both from the perspective of the worn surface (in vitro model) and the particles generated during the wear processes (in vivo model). The analysis of the inflammatory response of macrophage was performed on CoCr surfaces modified with graphene oxide and functionalized with hyaluronic acid (CoCr-GO-HA), before and after wear–corrosion processes. The wear particles released during the wear–corrosion tests of the CoCr-GO-HA/CoCr ball pair immersed in 3 g/L hyaluronic acid were intra-articularly injected into the experimental animals. The hematological analysis in vivo was made considering a murine model of intra-articular injection into the left knee in male adult Wistar rats, at increasing concentrations of the collected wear particles dispersed in 0.9% NaCl. Non-significant differences in the inflammatory response to unworn CoCr-GO-HA surfaces and control (polystyrene) were obtained. The wear–corrosion of the CoCr-GO-HA disk increased the inflammatory response at both 72 and 96 h of material exposure compared to the unworn CoCr-GO-HA surfaces, although the differences were not statistically significant. The pro-inflammatory response of the macrophages was reduced on the worn surfaces of the CoCr modified and functionalized with graphene oxide (GO) and hyaluronic acid (HA), compared to the worn surfaces of the unmodified CoCr. The hematological analysis and tissue reactions after intra-articular injection did not reveal pathological damage, with average hematological values recorded, although slight reductions in creatinine and protein within non-pathological ranges were found. Some traces of biomaterial particles in the knee at the highest concentration of injected particles were only found but without inflammatory signs. The results show the potential benefits of using graphene in intra-articular prostheses, which could improve the quality of life for numerous patients.https://www.mdpi.com/2079-4991/14/22/1815wear–corrosion particleshematological analysisgraphene oxidehyaluronic acidCoCrinflammatory response
spellingShingle María L. Escudero
Maria C. García-Alonso
Belén Chico
Rosa M. Lozano
Luna Sánchez-López
Manuel Flores-Sáenz
Soledad Cristóbal-Aguado
Rafael Moreno-Gómez-Toledano
Soledad Aguado-Henche
Hematological Response to Particle Debris Generated During Wear–Corrosion Processes of CoCr Surfaces Modified with Graphene Oxide and Hyaluronic Acid for Joint Prostheses
Nanomaterials
wear–corrosion particles
hematological analysis
graphene oxide
hyaluronic acid
CoCr
inflammatory response
title Hematological Response to Particle Debris Generated During Wear–Corrosion Processes of CoCr Surfaces Modified with Graphene Oxide and Hyaluronic Acid for Joint Prostheses
title_full Hematological Response to Particle Debris Generated During Wear–Corrosion Processes of CoCr Surfaces Modified with Graphene Oxide and Hyaluronic Acid for Joint Prostheses
title_fullStr Hematological Response to Particle Debris Generated During Wear–Corrosion Processes of CoCr Surfaces Modified with Graphene Oxide and Hyaluronic Acid for Joint Prostheses
title_full_unstemmed Hematological Response to Particle Debris Generated During Wear–Corrosion Processes of CoCr Surfaces Modified with Graphene Oxide and Hyaluronic Acid for Joint Prostheses
title_short Hematological Response to Particle Debris Generated During Wear–Corrosion Processes of CoCr Surfaces Modified with Graphene Oxide and Hyaluronic Acid for Joint Prostheses
title_sort hematological response to particle debris generated during wear corrosion processes of cocr surfaces modified with graphene oxide and hyaluronic acid for joint prostheses
topic wear–corrosion particles
hematological analysis
graphene oxide
hyaluronic acid
CoCr
inflammatory response
url https://www.mdpi.com/2079-4991/14/22/1815
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