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Nanoparticle-based model of anti-inflammatory drug releasing LbL coatings for uncemented prosthesis aseptic loosening prevention

Authors Alotaibi HF, Perni S, Prokopovich P

Received 25 May 2019

Accepted for publication 27 July 2019

Published 9 September 2019 Volume 2019:14 Pages 7309—7322

DOI https://doi.org/10.2147/IJN.S217112

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Thiruganesh Ramasamy

Peer reviewer comments 2

Editor who approved publication: Prof. Dr. Anderson Oliveira Lobo


Hadil Faris Alotaibi, Stefano Perni, Polina Prokopovich

School of Pharmacy and Pharmaceutical Sciences, Cardiff University, Cardiff, UK

Correspondence: Polina Prokopovich
School of Pharmacy and Pharmaceutical Sciences, Cardiff University, Redwood Building, King Edward VII Avenue, Cardiff CF10 3NB, UK
Tel +44 29 208 75820
Fax +44 29 208 74149
Email prokopovichp@cardiff.ac.uk

Introduction: The only treatment for aseptic loosening is the replacement of the prosthesis through revision surgery. A preventive approach, achieved through anti-inflammatory drugs released from the device, has shown to be a viable strategy; however, the performance of these devices is not yet satisfactory thus further improvements are necessary.
Methods: We used titanium nanoparticles as a model for implant surfaces and developed a coating containing dexamethasone (DEX) using layer-by-layer deposition.
Results: The amount of deposited drug depended on the number of layers and the release was sustained for months. The efficiency of the released DEX in reducing inflammation markers (tumor necrosis factor alpha and IL-6) produced by human monocytes and macrophages was similar to the pure drug at the same concentration without negative impacts on the viability and morphology of these cells.
Conclusion: These coatings were not inferior to medical grade titanium (the standard material used in uncemented devices) regarding their ability to sustain osteoblasts and fibroblasts growth.

Keywords: titanium, cementless prosthesis, aseptic loosening, dexamethasone

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