Biomaterials and Their Classification
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Questions and Answers

What is the definition of a biomaterial?

  • A material that is used for non-biological purposes
  • A material that can function independently of any tissue or organ system
  • A material that can function as part of a system and augments, repairs, or replaces any tissue or organ system (correct)
  • A material that replaces only organ systems
  • Define bioinert as related to biomaterials.

    Bioinert biomaterials are materials that the body largely ignores, and this was a primary goal in biomaterial design until recent years.

    Polymerization process involves combining __________ into a polymer.

    monomers

    Match the following classification of polymers with their descriptions:

    <p>Thermoplastic = Polymers that flow more easily when squeezed, pushed, or stretched, and can be reheated to change shape Thermoset = Polymers that initially flow and can be molded, but their shape becomes set upon curing and reheating causes irreversible change Elastomer = Polymers that are elastic like rubbers</p> Signup and view all the answers

    What are some uses of metals in biomaterials?

    <p>bone and joint replacement, dental implants, facial reconstruction, cardiovascular devices, external prostheses, surgical instruments</p> Signup and view all the answers

    Which of the following are physical properties of metals? Select all that apply.

    <p>Good conductors of heat and electricity</p> Signup and view all the answers

    Point defects in crystal structures involve only one or two atoms.

    <p>True</p> Signup and view all the answers

    Solid state diffusion is the movement of atoms due to thermal __________.

    <p>energy</p> Signup and view all the answers

    Match the following material strengthening mechanisms with their descriptions:

    <p>Grain size reduction = Improves toughness through finer and more homogeneous grain size Solid solution strengthening = Adding another element to increase strength Strain hardening = Strengthening by deforming metal plastically below melting point</p> Signup and view all the answers

    What does Anoikis refer to?

    <p>Death due to lack of cell matrix interactions</p> Signup and view all the answers

    Which of the following are components of the innate immune system defense?

    <p>Acute inflammation</p> Signup and view all the answers

    Elastin is the most elastic protein and can last for decades.

    <p>True</p> Signup and view all the answers

    What is the primary function of fibroblasts? They are responsible for the synthesis of ________.

    <p>extracellular matrix (ECM)</p> Signup and view all the answers

    Match the following cell-cell contact types with their descriptions:

    <p>Tight junction = Forms a tight seal between two cells to prevent leakage Gap junction = Allows passage of small molecules and ions between cells Hemidesmosome junction = Anchors cell to the matrix Adherens junction and desmosome junction = Join internal features of two cells</p> Signup and view all the answers

    What is mechanosignaling?

    <p>Physical force converted to biochemical/electrical signals resulting in cell response</p> Signup and view all the answers

    What are the methods of mechanosignaling?

    <p>All of the above</p> Signup and view all the answers

    What is a hydrogel?

    <p>Water-swollen network of polymers with high water content</p> Signup and view all the answers

    Match the crosslinking types with their descriptions:

    <p>Chemical crosslinking = Join polymers by covalent bonds Physical crosslinking = Joined by weak physical interactions like ionic bonds Entanglements = Polymers joined in a spaghetti-like manner</p> Signup and view all the answers

    Intra-molecular forces are stronger than intermolecular forces.

    <p>True</p> Signup and view all the answers

    Why does surface tension occur?

    <p>Attraction of particles in the liquid surface layer</p> Signup and view all the answers

    Study Notes

    Biomaterials

    • Definition: A material that can function as a whole or part of a system which augments, repairs, or replaces any tissue or organ system.
    • Examples: knee/hip implants, contact lenses, dental implants, 3D printed tissues, heart valves, skin grafts, hearing aids, hair implants, stents, eyeballs, and prosthetics.

    Classification of Biomaterials

    • Metals: Metallic bonding (sea of electrons), sharing of free electrons. Examples: iron, gold, silver.
    • Ceramics: Ionic bonding, non-directional, electrons are taken from the outer level. Examples: salt, silica/sand, alumina, hydroxyapatite.
    • Polymers: Covalent bonding, directional, electrons are shared. Examples: PEG, hyaluronic acid.

    Properties of Biomaterials

    • Mechanical: includes stiffness, soft, hard, viscoelasticity.
    • Chemical: NMR, Raman spectroscopy, Fourier-transform infrared spectroscopy.

    Equations

    • Stress: σ = F/A
    • Strain: ε = Δl/lo

    Polymers

    • Definition: many units, larger macromolecule.
    • Polymerization: combining monomers (repeat unit) into a polymer.
    • Types of polymerization:
      • Addition: chain polymerization, no by-products.
      • Condensation: step polymerization, water is a byproduct.
    • Examples of common polymers:
      • Polyester
      • Polyether
      • Polyanhydride
      • Polyamide
      • Polyurethane
      • Polyurea

    Polymer Weight

    • Molecular weight
    • Polydispersity: shows how uniform the population of polymers are.
      • Monodisperse: ideal polymer, small polydispersity.
      • Polydisperse: large polydispersity.

    Classification of Polymers

    • Thermoplastic: polymers that flow more easily when squeezed, pushed, or stretched.
    • Thermoset: polymers that flow and can be molded initially, but their shape becomes set upon curing.
    • Elastomer: polymers that are elastic like rubbers.

    Copolymers

    • Random: uncontrolled order, randomly positioned.
    • Alternating: one after the other in a pattern.
    • Block: large blocks alternate.
    • Graft: chains of one polymer grafted onto the backbone of another polymer.

    Polymer Structures

    • Linear: in terms of packing, linear can be more densely packed.
    • Branched: has a variety of branching.
    • Cross-linked: still has points of connection.
    • Network: has many points of connection.
    • Order of strength: branched < linear < cross-linked < network.

    Polymer Crystallinity

    • Chain folded structure.
    • Linear polymers can form ordered repeating regions of crystal.

    Natural vs Synthetic Polymers

    • Natural: examples are gelatin, proteins, zein, hyaluronic acid, mucin.
    • Protein synthesis: an example of condensation polymerization.

    Protein Classification

    • Globular, membrane bound, fibrous.

    Levels of Protein Structure

    • Primary: sequence of amino acids.
    • Secondary: includes alpha helix and beta sheets.

    Degradation Types

    • Surface erosion: poly(ortho)esters and polyanhydrides, most water sensitive.
    • Bulk degradation: PLA, PGA, PLGA, or PCL, faster than surface erosion.

    Biodegradable Polymers

    • Broken down by hydrolysis.
    • Rate of erosion is determined by chemical bond stability, hydrophobicity, and morphology.

    PEGylation

    • Increases drug size, reduces hydrophobicity, and increases stability.
    • Widely used in drug modification and protein therapeutics.

    Bioconjugation

    • Attachment of one molecule to another, usually through a covalent bond.

    Immunocytochemistry

    • Detection and visualization of proteins, including immunohistochemistry, immunofluorescence, and immunocytochemistry.

    Amino Acids

    • Sites for potential conjugation.
    • Functional groups: amine, carboxyl, thiol, alcohol.

    Orthopedics

    • Fixture vs replacement: fixture stops movement, replacement replaces function/movement.
    • Osteoconductive: enables integration of new bone with the host bone.
    • Osteoinductive: promotes new bone growth.

    Properties of Orthopedic Implants

    • No toxicity.
    • Suitable for mechanical strength.
    • High wear resistance.
    • Minimize stress shielding.
    • Osseointegration abilities.

    Corrosion

    • Process that transfers electrons from one substance to another.
    • Mechanism: in acidic and neutral environments.
    • Prevention: avoid using combinations of metals, use metals with similar nobility, and use passive methods.

    Suitable Mechanics

    • Cyclic loading: material needs to withstand years of repeated loading.

    Wear Resistance

    • Aseptic loosening: joints and orthopedics damage over time.

    Stress Shielding

    • Creates osteopenia: decrease in bone density.

    Osseointegration

    • Formation of a direct interface between an implant and bone without intervening soft tissue.

    Metals

    • Uses: bone and joint replacement, dental implants, facial reconstruction, cardiovascular devices, external prostheses, surgical instruments.

    Properties of Metals

    • Physical: luster, good conductors of heat and electricity, high density, high melting point, ductile, malleable.
    • Chemical: easily lose electrons, surface reactive, loss of mass, change in mechanical properties.

    Crystal Structures

    • Unit cell: the smallest repeating unit within a crystal lattice.
    • BCC, FCC, and HCP structures.

    Metal Processing

    • Casting: contained nucleation starts at the edge.
    • Formation of crystals: nucleation, growth, and grain boundaries.

    Crystal Defects

    • Point defects: one or two atoms.
    • Solid solution: normal crystal structure is maintained with impurity.

    Rules for Solid Solution

    • Size difference should be within 15%.
    • Electronegativities should be similar.
    • Valence charges should be similar.
    • Crystal structures should be the same.

    Solid State Diffusion

    • Movement of atoms due to thermal energy.
    • Through diffusion, atoms can move to select locations.

    Strengthening Mechanisms

    • Grain size reduction: improves toughness.
    • Solid solution strengthening: increases strength.
    • Strain hardening: ductile metals become stronger when deformed plastically.
    • Recovery-annealing: relieves internal strains, reduces dislocations, and makes metal weaker.

    Ceramics

    • Uses: orthopedic implant, coatings and thin films, bone cements, scaffolds and bone grafts, dental screws, porous scaffolds.

    Properties of Ceramics

    • Generally inert.
    • Resists chemical reactivity.
    • Strong.
    • Sensitive to deformation.
    • Advantages: inert, wear-resistant, high modulus, and compressive strength.
    • Disadvantages: brittle, low fracture resistance, poor fatigue resistance.

    Structures

    • Crystalline ceramic: long-range order, organized structure of grains.
    • Glassy ceramic: short-range order, typically do not form grains.
    • Glass-ceramics: combination of crystalline grains surrounded by amorphous material.

    Pauling's Rules

    • Magnitude of charge: ceramic crystals are neutral.
    • Relative size of the ions: cations typically smaller.

    Crystal Structure

    • Larger the cation is relative to the anion, the more anions that surround it.
    • Coordination number and ratio of cation radius to anion radius.

    Linear Defects

    • Edge dislocation: occurs when there is termination of a plane of atoms in a crystal.

    Bio ceramic-tissue Interaction

    • Morphological fixation: dense, inert, nonporous ceramics attach to bone.
    • Biological fixation: porous inert ceramic attaches by bone growth.
    • Bioactive fixation: dense, non-porous surface-reactive ceramics attach directly to bone.

    Types of Bio ceramics

    • Bioinert: stable and non-reactive.
    • Bioactive: direct bone implant bond.
    • Bioerodible: gradual degradation.

    Material Characterization

    • Types of forces: tension, compression, shear, torsion.
    • Stress and strain.
    • Elastic deformation: linear, reversible strain.
    • Plastic deformation: non-linear, irreversible strain.
    • Viscoelastic: viscous liquid + elastic solid-like.

    Time-dependent Properties

    • Creep: plastic deformation of material under constant load over time.
    • Stress relaxation: decrease in stress over time under constant strain.

    Viscoelastic Behaviors

    • Why stiffness and viscoelasticity matter: important for biomaterials because they mimic tissue.### Cellular Morphology and Development

    • Viscoelasticity drives cellular morphology and development, including stem cell division and differentiation.

    Surface Analysis Techniques

    • Contact angle analysis:
      • Hydrophilic: θ < 90°
      • Hydrophobic: θ > 90°
      • Superhydrophobic: θ > 150°, typically requires texture
    • Single point: equilibrium between liquid droplet and solid surface has been reached
    • Dynamic contact angle:
      • Advancing angle: contact angle of the liquid with dry surface
      • Receding angle: contact angle with the water-absorbed surface

    Microscopy Techniques

    • Optical microscopy:
      • Advantages: low magnification, quick, non-destructive, color differentiation available
      • Disadvantages: limited resolution, smaller depth of field, light reflections can mask certain features
    • Scanning Electron Microscopy (SEM):
      • Advantages: greater depth of field, high magnification, sub-nanometer resolution available
      • Disadvantages: slower inspection time, grayscale only
    • Transmission Electron Microscopy (TEM):
      • Advantages: create higher resolution images, allow users to examine more characteristics of a sample, higher magnification
      • Disadvantages: more expensive, slower speed, more complicated operation
    • Scanning probe microscopy → atomic force microscopy (AFM):
      • AFM: uses Van der Waals forces to promote interaction of a cantilever tip with the surface, scanning across the surface gives atomic detail of the topography

    Spectroscopy Techniques

    • X-ray photoelectron spectroscopy (XPS)
    • Fourier transform infrared spectroscopy (FTIR):
      • Measures vibrational modes in molecules with infrared light (stretching, twisting, scissoring, rocking, wagging)
    • Matrix assisted laser desorption ionization (MALDI) mass spectrometry:
      • Laser desorption of material on a surface complexed with ionizable small molecules (the matrix)
    • Secondary ion mass spectrometry (SIMS):
      • Useful technique for measuring the composition of a material
      • Ions are shot at a sample, stripping off the surface layer of material, and these secondary ions are then analyzed using MS principles

    Biological Characterization

    • Analytical techniques:
      • Types of assays:
        • Scratch assay (wound healing assay): measures a cell's ability to close the wound
        • MTT Assay: measures metabolism, reduction potential
        • PicoGreen assay: measures cell quantity by quantifying DNA amount
        • Alamar Blue Assay: measures cell viability and proliferation
        • Live/Dead Assay: simultaneous determination of live and dead cells
        • BrdU Assay: shows cell division, incorporates BrdU into the cell's DNA
        • Generic cell division assay: measures cell division

    Cell Death and Inflammation

    • Anoikis: death due to lack of cell-matrix interactions
    • Apoptosis: programmed cell death
    • Necrosis: chaotic cell death
    • Autophagy: recycle components
    • Inflammation:
      • 4 main components of the innate immune system:
        • Anatomic barriers: skin, mucus membranes
        • Physiological barriers: temperature (37°C)
        • Phagocytic cells: engulf, granulocytes → neutrophils, monocytes → macrophages
        • Acute inflammation
      • 4 main cardinal signs of inflammation:
        • Rubor (redness)
        • Tumor (swelling)
        • Calore (heat)
        • Dolore (pain)
      • Common cells involved in inflammation:
        • Granulocytes: family of cells that can phagocytose foreign invaders
        • Monocytes: phagocytic capability
        • Macrophages: monocytes that have migrated or been born within a tissue
        • Megakaryocytes: break apart to form platelets

    Blood-Material Interactions

    • When a biomaterial is put into the body:
      • Injury
      • Blood-biomaterial interaction
      • Provisional matrix formation
      • Acute inflammation
      • Chronic inflammation
      • Granulation tissue
      • Foreign body response
      • Fibrous capsule formation
    • Sequence of events:
      • Biomaterial implantation
      • Protein adsorption
      • Macrophage adhesion
      • Encapsulation
      • Capsular contracture
    • What regulates protein-material interactions and adsorption:
      • Properties of the protein:
        • Size
        • Charge
        • Hydrophobicity
        • Stability
      • Properties of the material:
        • Surface hydrophobicity
        • Surface charge
        • Topology
        • Composition
        • Heterogeneity
        • Potential
    • Vroman effect: order of protein binding
      • Small, abundant molecules bind first, such as Albumin

    Coagulation

    • Thrombosis: blood coagulation
      • 4 steps to coagulation:
        • Injury
        • Activation of platelets
        • Formation of platelet plug
        • Blood coagulation
      • Intrinsic and extrinsic pathways → common pathway (fibrin polymer network)
      • Calcium dependence for both pathways
      • How to design material to regulate coagulation: capture calcium, decrease protein binding

    Innate Immune System

    • 4 main defense components:
      • Anatomic barriers
      • Physiological barriers
      • Phagocytic cells
      • Acute inflammation
    • Common cells involved in inflammation:
      • Granulocytes
      • Monocytes
      • Macrophages
      • Megakaryocytes
    • Order of cell activation:
      • Neutrophils
      • Macrophages
      • Foreign body giant cells (FBGCs)

    Wound Healing

    • Granulation: formation of many new blood vessels, making tissue look granular
    • Neovascularization: formation of new vasculature (blood vessels, vasculogenesis, angiogenesis)
    • Fibroblasts: responsible for synthesis of ECM (collagen)
    • Foreign Body reaction:
      • Continuation of granulation process, attempting to phagocytose the biomaterial
      • Monocytes/macrophages fuse into a big multinuclear cell called Foreign Body Giant Cells (FBGCs)
    • Fibrous encapsulation: final stage of healing, considered acceptable for biomaterial implants

    Case Study on Breast Implants

    • Different surface textures (smooth and textured) and can quantify these through SEM and profilometry
    • After some time, a fibrous encapsulation forms around the implant

    ECM and Mechanotransduction

    • Extracellular Matrix (ECM):
      • A large network of proteins and other molecules that surround, support, and give structure to cells and tissues in the body
      • Transport is regulated by ECM
      • Cell + ECM = Tissue
    • Emergent behavior: collective property of individual components, commonly used to describe both material and biological properties
    • ECM enables emergent behavior from a single cell to an organized structure with functionality
    • Primary components of the ECM:
      • Fiber-forming elements: collagen
      • Link forming elements: proteoglycans, hyaluronan, glycoproteins
      • Space-filling elements: same as above
      • Free and sequestered factors: growth factors, ions
    • Functions of ECM:
      • Cell adhesion
      • Cell-cell communication
      • Cell-matrix communication
      • Differentiation
    • Why do we care about ECM and biomaterials?:
      • Overall design new biomaterial to include aspects of ECM to direct the tissue response

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    Learn about biomaterials, their definitions, and examples. Understand how they are classified into metals, ceramics, and polymers. This quiz covers the basics of biomaterials and their applications.

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