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  1. Article ; Online: Tailoring Additively Manufactured Titanium Implants for Short-Time Pediatric Implantations with Enhanced Bactericidal Activity.

    Maher, Shaheer / Linklater, Denver / Rastin, Hadi / Le Yap, Pei / Ivanova, Elena P / Losic, Dusan

    ChemMedChem

    2021  Volume 17, Issue 2, Page(s) e202100580

    Abstract: Paediatric titanium (Ti) implants are used for the short-term fixation of fractures, after which they are removed. However, bone overgrowth on the implant surface can complicate their removal. The current Ti implants research focuses on improving their ... ...

    Abstract Paediatric titanium (Ti) implants are used for the short-term fixation of fractures, after which they are removed. However, bone overgrowth on the implant surface can complicate their removal. The current Ti implants research focuses on improving their osseointegration and antibacterial properties for long-term use while overlooking the requirements of temporary implants. This paper presents the engineering of additively manufactured Ti implants with antibacterial properties and prevention of bone cell overgrowth. 3D-printed implants were fabricated followed by electrochemical anodization to generate vertically aligned titania nanotubes (TNTs) on the surface with specific diameters (∼100 nm) to reduce cell attachment and proliferation. To achieve enhanced antibacterial performance, TNTs were coated with gallium nitrate as antibacterial agent. The physicochemical characteristics of these implants assessed by the attachment, growth and viability of osteoblastic MG-63 cells showed significantly reduced cell attachment and proliferation, confirming the ability of TNTs surface to avoid cell overgrowth. Gallium coated TNTs showed strong antibacterial activity against S. aureus and P. aeruginosa with reduced bacterial attachment and high rates of bacterial death. Thus a new approach for the engineering of temporary Ti implants with enhanced bactericidal properties with reduced bone cell attachment is demonstrated as a new strategy toward a new generation of short-term implants in paediatrics.
    MeSH term(s) Anti-Bacterial Agents/chemistry ; Anti-Bacterial Agents/pharmacology ; Cell Survival ; Dental Implants ; Dose-Response Relationship, Drug ; Humans ; Microbial Sensitivity Tests ; Molecular Structure ; Nanotubes/chemistry ; Particle Size ; Printing, Three-Dimensional ; Prostheses and Implants ; Pseudomonas aeruginosa/drug effects ; Staphylococcus aureus/drug effects ; Structure-Activity Relationship ; Surface Properties ; Titanium/chemistry ; Titanium/pharmacology ; Tumor Cells, Cultured
    Chemical Substances Anti-Bacterial Agents ; Dental Implants ; Titanium (D1JT611TNE)
    Language English
    Publishing date 2021-11-03
    Publishing country Germany
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2218496-X
    ISSN 1860-7187 ; 1860-7179
    ISSN (online) 1860-7187
    ISSN 1860-7179
    DOI 10.1002/cmdc.202100580
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Advancing of Additive-Manufactured Titanium Implants with Bioinspired Micro- to Nanotopographies.

    Maher, Shaheer / Wijenayaka, Asiri R / Lima-Marques, Luis / Yang, Dongqing / Atkins, Gerald J / Losic, Dusan

    ACS biomaterials science & engineering

    2021  Volume 7, Issue 2, Page(s) 441–450

    Abstract: There is an increasing demand for low-cost and more efficient titanium (Ti) medical implants that will provide improved osseointegration and at the same time reduce the likelihood of infection. In the past decade, additive manufacturing (AM) using metal ... ...

    Abstract There is an increasing demand for low-cost and more efficient titanium (Ti) medical implants that will provide improved osseointegration and at the same time reduce the likelihood of infection. In the past decade, additive manufacturing (AM) using metal selective laser melting (SLM) or three-dimensional (3D) printing techniques has emerged to enable novel implant geometries or properties to overcome such potential challenges. This study presents a new surface engineering approach to create bioinspired multistructured surfaces on SLM-printed Ti alloy (Ti6Al4V) implants by combining SLM technology, electrochemical anodization, and hydrothermal (HT) processes. The resulting implants display unique surfaces with a distinctive dual micro- to nano-topography composed of micron-sized spherical features, fabricated by SLM and vertically aligned nanoscale pillar structures as a result of combining anodization and HT treatment. The fabricated implants enhanced hydroxyapatite-like mineral deposition from simulated body fluid (SBF) compared to control. In addition, normal human osteoblast-like cells (NHBCs) showed strong adhesion to the nano-/microstructures and displayed greater propensity to mineralize compared to control surfaces. This engineering approach and the resulting nature-inspired multiscale-structured surface offers desired features for improving osseointegration and antibacterial performance toward the development of next-generation orthopedic and dental implants.
    MeSH term(s) Humans ; Materials Testing ; Osseointegration ; Prostheses and Implants ; Surface Properties ; Titanium
    Chemical Substances Titanium (D1JT611TNE)
    Language English
    Publishing date 2021-01-25
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 2373-9878
    ISSN (online) 2373-9878
    DOI 10.1021/acsbiomaterials.0c01210
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Engineered titanium implants for localized drug delivery: recent advances and perspectives of Titania nanotubes arrays.

    Maher, Shaheer / Mazinani, Arash / Barati, Mohammad Reza / Losic, Dusan

    Expert opinion on drug delivery

    2018  Volume 15, Issue 10, Page(s) 1021–1037

    Abstract: Introduction: Therapeutics delivery to bones to treat skeletal diseases or prevent postsurgical infections is challenging due to complex and solid bone structure that limits blood supply and diffusion of therapeutics administered by systemic routes to ... ...

    Abstract Introduction: Therapeutics delivery to bones to treat skeletal diseases or prevent postsurgical infections is challenging due to complex and solid bone structure that limits blood supply and diffusion of therapeutics administered by systemic routes to reach effective concentration. Titanium (Ti) and their alloys are employed as mainstream implant materials in orthopedics and dentistry; having superior mechanical/biocompatibility properties which could provide an alternative solution to address this problem.
    Areas covered: This review presents an overview of recent development of Ti drug-releasing implants, with emphasis on nanoengineered Titania nanotubes (TNTs) structures, for solving key problems to improve implants osseointegration, overcome inflammation and infection together with providing localized drug delivery (LDD) for bone diseases including cancer. Critical analysis of the advantages/disadvantages of developed concepts is discussed, their drug loading/releasing performances and specific applications.
    Expert opinion: LDD to bones can address many disorders and postsurgical conditions such as inflammation, implants rejection and infection. To this end, TNTs-Ti implants represent a potential promise for the development of new generation of multifunctional implants with drug release functions. Even this concept is extensively explored recently, there is a strong need for more preclinical studies using animal models to confirm the long-term safety and stability of TNTs-Ti implants for real-life medical applications.
    MeSH term(s) Animals ; Drug Delivery Systems ; Drug Implants ; Drug Liberation ; Humans ; Nanotubes ; Osseointegration/drug effects ; Surface Properties ; Titanium/chemistry
    Chemical Substances Drug Implants ; titanium dioxide (15FIX9V2JP) ; Titanium (D1JT611TNE)
    Language English
    Publishing date 2018-10-08
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 2167286-6
    ISSN 1744-7593 ; 1742-5247
    ISSN (online) 1744-7593
    ISSN 1742-5247
    DOI 10.1080/17425247.2018.1517743
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Diatom Silica for Biomedical Applications: Recent Progress and Advances.

    Maher, Shaheer / Kumeria, Tushar / Aw, Moom Sin / Losic, Dusan

    Advanced healthcare materials

    2018  Volume 7, Issue 19, Page(s) e1800552

    Abstract: Diatoms are unicellular photosynthetic algae enclosed in porous 3D nanopatterned silica enclosures called "frustules." The diatom frustules are made from biosilica self-assembled into intricate porous shells that feature unique properties including high ... ...

    Abstract Diatoms are unicellular photosynthetic algae enclosed in porous 3D nanopatterned silica enclosures called "frustules." The diatom frustules are made from biosilica self-assembled into intricate porous shells that feature unique properties including high specific surface area, biocompatibility, tailorable surface chemistry, thermal stability, and high mechanical and chemical resistance. The ability to cultivate diatoms in artificial environments and their abundant availability of diatom frustules as mineable fossilized mineral deposits (diatomite or diatomaceous earth; DE) make diatom silica a promising natural alternative to synthetic porous silica for a broad range of biomedical, environmental, agricultural, and energy applications. This review article provides a comprehensive and current account of the use of natural DE silica materials in biomedical applications focused mainly on drug delivery with some highlights on biosensing, tissue engineering, and clotting agents. The article also covers some basic physical and chemical aspects of DE material such as purification, surface chemical functionalization, biocompatibility, and cellular uptake that are critical for the development of an efficient drug carrier.
    MeSH term(s) Diatoms/chemistry ; Drug Carriers/chemistry ; Drug Delivery Systems/methods ; Porosity ; Silicon Dioxide/chemistry
    Chemical Substances Drug Carriers ; Silicon Dioxide (7631-86-9)
    Language English
    Publishing date 2018-08-17
    Publishing country Germany
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 2649576-4
    ISSN 2192-2659 ; 2192-2640
    ISSN (online) 2192-2659
    ISSN 2192-2640
    DOI 10.1002/adhm.201800552
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Porous silicon for drug delivery applications and theranostics: recent advances, critical review and perspectives.

    Kumeria, Tushar / McInnes, Steven J P / Maher, Shaheer / Santos, Abel

    Expert opinion on drug delivery

    2017  Volume 14, Issue 12, Page(s) 1407–1422

    Abstract: Introduction: Porous silicon (pSi) engineered by electrochemical etching has been used as a drug delivery vehicle to address the intrinsic limitations of traditional therapeutics. Biodegradability, biocompatibility, and optoelectronic properties make ... ...

    Abstract Introduction: Porous silicon (pSi) engineered by electrochemical etching has been used as a drug delivery vehicle to address the intrinsic limitations of traditional therapeutics. Biodegradability, biocompatibility, and optoelectronic properties make pSi a unique candidate for developing biomaterials for theranostics and photodynamic therapies. This review presents an updated overview about the recent therapeutic systems based on pSi, with a critical analysis on the problems and opportunities that this technology faces as well as highlighting pSi's growing potential. Areas covered: Recent progress in pSi-based research includes drug delivery systems, including biocompatibility studies, drug delivery, theranostics, and clinical trials with the most relevant examples of pSi-based systems presented here. A critical analysis about the technical advantages and disadvantages of these systems is provided along with an assessment on the challenges that this technology faces, including clinical trials and investors' support. Expert opinion: pSi is an outstanding material that could improve existing drug delivery and photodynamic therapies in different areas, paving the way for developing advanced theranostic nanomedicines and incorporating payloads of therapeutics with imaging capabilities. However, more extensive in-vivo studies are needed to assess the feasibility and reliability of this technology for clinical practice. The technical and commercial challenges that this technology face are still uncertain.
    MeSH term(s) Drug Delivery Systems/methods ; Humans ; Porosity ; Reproducibility of Results ; Silicon/chemistry ; Theranostic Nanomedicine/methods
    Chemical Substances Silicon (Z4152N8IUI)
    Language English
    Publishing date 2017-04-17
    Publishing country England
    Document type Journal Article ; Review ; Research Support, Non-U.S. Gov't
    ZDB-ID 2167286-6
    ISSN 1744-7593 ; 1742-5247
    ISSN (online) 1744-7593
    ISSN 1742-5247
    DOI 10.1080/17425247.2017.1317245
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Advancing of 3D-Printed Titanium Implants with Combined Antibacterial Protection Using Ultrasharp Nanostructured Surface and Gallium-Releasing Agents.

    Maher, Shaheer / Linklater, Denver / Rastin, Hadi / Liao, Sandy Tzu-Ying / Martins de Sousa, Karolinne / Lima-Marques, Luis / Kingshott, Peter / Thissen, Helmut / Ivanova, Elena P / Losic, Dusan

    ACS biomaterials science & engineering

    2021  Volume 8, Issue 1, Page(s) 314–327

    Abstract: This paper presents the development of advanced Ti implants with enhanced antibacterial activity. The implants were engineered using additive manufacturing three-dimensional (3D) printing technology followed by surface modification with electrochemical ... ...

    Abstract This paper presents the development of advanced Ti implants with enhanced antibacterial activity. The implants were engineered using additive manufacturing three-dimensional (3D) printing technology followed by surface modification with electrochemical anodization and hydrothermal etching, to create unique hierarchical micro/nanosurface topographies of microspheres covered with sharp nanopillars that can mechanically kill bacteria in contact with the surface. To achieve enhanced antibacterial performance, fabricated Ti implant models were loaded with gallium nitrate as an antibacterial agent. The antibacterial efficacy of the fabricated substrates with the combined action of sharp nanopillars and locally releasing gallium ions (Ga
    MeSH term(s) Anti-Bacterial Agents/pharmacology ; Gallium ; Printing, Three-Dimensional ; Surface Properties ; Titanium
    Chemical Substances Anti-Bacterial Agents ; Gallium (CH46OC8YV4) ; Titanium (D1JT611TNE)
    Language English
    Publishing date 2021-12-29
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 2373-9878
    ISSN (online) 2373-9878
    DOI 10.1021/acsbiomaterials.1c01030
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Conversion of titania (TiO

    Gulati, Karan / Maher, Shaheer / Chandrasekaran, Soundarrajan / Findlay, David M / Losic, Dusan

    Journal of materials chemistry. B

    2015  Volume 4, Issue 3, Page(s) 371–375

    Abstract: The conversion of titania ( ... ...

    Abstract The conversion of titania (TiO
    Language English
    Publishing date 2015-11-26
    Publishing country England
    Document type Journal Article
    ZDB-ID 2702241-9
    ISSN 2050-7518 ; 2050-750X
    ISSN (online) 2050-7518
    ISSN 2050-750X
    DOI 10.1039/c5tb02108a
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Titania nanotubes for orchestrating osteogenesis at the bone-implant interface.

    Gulati, Karan / Maher, Shaheer / Findlay, David M / Losic, Dusan

    Nanomedicine (London, England)

    2016  Volume 11, Issue 14, Page(s) 1847–1864

    Abstract: Titanium implants can fail due to inappropriate biomechanics at the bone-implant interface that leads to suboptimal osseointegration. Titania nanotubes (TNTs) fabricated on Ti implants by the electrochemical process have emerged as a promising ... ...

    Abstract Titanium implants can fail due to inappropriate biomechanics at the bone-implant interface that leads to suboptimal osseointegration. Titania nanotubes (TNTs) fabricated on Ti implants by the electrochemical process have emerged as a promising modification strategy to facilitate osseointegration. TNTs enable augmentation of bone cell functions at the bone-implant interface and can be tailored to incorporate multiple functionalities including the loading of active biomolecules into the nanotubes to target anabolic processes in bone conditions such as osteoporotic fractures. Advanced functions can be introduced, including biopolymers, nanoparticles and electrical stimulation to release growth factors in a desired manner. This review describes the application of TNTs for enhancing osteogenesis at the bone-implant interface, as an alternative approach to systemic delivery of therapeutic agents.
    MeSH term(s) Animals ; Anti-Bacterial Agents/administration & dosage ; Anti-Bacterial Agents/therapeutic use ; Bone Substitutes/chemistry ; Bone-Implant Interface/physiology ; Drug Delivery Systems/methods ; Humans ; Intercellular Signaling Peptides and Proteins/administration & dosage ; Intercellular Signaling Peptides and Proteins/therapeutic use ; Nanotechnology/methods ; Nanotubes/chemistry ; Nanotubes/ultrastructure ; Osseointegration/drug effects ; Osteogenesis/drug effects ; Titanium/chemistry
    Chemical Substances Anti-Bacterial Agents ; Bone Substitutes ; Intercellular Signaling Peptides and Proteins ; titanium dioxide (15FIX9V2JP) ; Titanium (D1JT611TNE)
    Language English
    Publishing date 2016-07
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2277839-1
    ISSN 1748-6963 ; 1743-5889
    ISSN (online) 1748-6963
    ISSN 1743-5889
    DOI 10.2217/nnm-2016-0169
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Engineering of Micro- to Nanostructured 3D-Printed Drug-Releasing Titanium Implants for Enhanced Osseointegration and Localized Delivery of Anticancer Drugs

    Maher, Shaheer / Kaur Gagandeep / Lima-Marques Luis / Evdokiou Andreas / Losic Dusan

    ACS applied materials & interfaces. 2017 Sept. 06, v. 9, no. 35

    2017  

    Abstract: Primary and secondary bone cancers are major causes of pathological bone fractures which are usually treated through implant fixation and chemotherapy. However, both approaches face many limitations. On one hand, implants may suffer from poor ... ...

    Abstract Primary and secondary bone cancers are major causes of pathological bone fractures which are usually treated through implant fixation and chemotherapy. However, both approaches face many limitations. On one hand, implants may suffer from poor osseointegration, and their rejection results in repeated surgery, patient’s suffering, and extensive expenses. On the other hand, there are severe systemic adverse effects of toxic chemotherapeutics which are administrated systemically. In this paper, in order to address these two problems, we present a new type of localized drug-releasing titanium implants with enhanced implants’ biointegration and drug release capabilities that could provide a high concentration of anticancer drugs locally to treat bone cancers. The implants are fabricated by 3D printing of Ti alloy followed by an anodization process featuring unique micro- (particles) and nanosurface (tubular arrays) topography. We successfully demonstrate their enhanced bone osseointegration and drug loading capabilities using two types of anticancer drugs, doxorubicin (DOX) and apoptosis-inducing ligand (Apo2L/TRAIL). In vitro study showed strong anticancer efficacy against cancer cells (MDA-MB-231-TXSA), confirming that these drug-releasing implants can be used for localized chemotherapy for treatment of primary and secondary bone cancers together with fracture support.
    Keywords adverse effects ; alloys ; bone fractures ; doxorubicin ; drug therapy ; engineering ; in vitro studies ; ligands ; neoplasm cells ; neoplasms ; patients ; surgery ; titanium ; topography ; toxicity
    Language English
    Dates of publication 2017-0906
    Size p. 29562-29570.
    Publishing place American Chemical Society
    Document type Article
    ISSN 1944-8252
    DOI 10.1021%2Facsami.7b09916
    Database NAL-Catalogue (AGRICOLA)

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  10. Article ; Online: Engineering of Micro- to Nanostructured 3D-Printed Drug-Releasing Titanium Implants for Enhanced Osseointegration and Localized Delivery of Anticancer Drugs.

    Maher, Shaheer / Kaur, Gagandeep / Lima-Marques, Luis / Evdokiou, Andreas / Losic, Dusan

    ACS applied materials & interfaces

    2017  Volume 9, Issue 35, Page(s) 29562–29570

    Abstract: Primary and secondary bone cancers are major causes of pathological bone fractures which are usually treated through implant fixation and chemotherapy. However, both approaches face many limitations. On one hand, implants may suffer from poor ... ...

    Abstract Primary and secondary bone cancers are major causes of pathological bone fractures which are usually treated through implant fixation and chemotherapy. However, both approaches face many limitations. On one hand, implants may suffer from poor osseointegration, and their rejection results in repeated surgery, patient's suffering, and extensive expenses. On the other hand, there are severe systemic adverse effects of toxic chemotherapeutics which are administrated systemically. In this paper, in order to address these two problems, we present a new type of localized drug-releasing titanium implants with enhanced implants' biointegration and drug release capabilities that could provide a high concentration of anticancer drugs locally to treat bone cancers. The implants are fabricated by 3D printing of Ti alloy followed by an anodization process featuring unique micro- (particles) and nanosurface (tubular arrays) topography. We successfully demonstrate their enhanced bone osseointegration and drug loading capabilities using two types of anticancer drugs, doxorubicin (DOX) and apoptosis-inducing ligand (Apo2L/TRAIL). In vitro study showed strong anticancer efficacy against cancer cells (MDA-MB-231-TXSA), confirming that these drug-releasing implants can be used for localized chemotherapy for treatment of primary and secondary bone cancers together with fracture support.
    MeSH term(s) Drug Liberation ; Nanotubes ; Osseointegration ; Prostheses and Implants ; Surface Properties ; Titanium
    Chemical Substances Titanium (D1JT611TNE)
    Language English
    Publishing date 2017-08-24
    Publishing country United States
    Document type Journal Article
    ISSN 1944-8252
    ISSN (online) 1944-8252
    DOI 10.1021/acsami.7b09916
    Database MEDical Literature Analysis and Retrieval System OnLINE

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