Evidence map›Paper›PMID 39880075›Full record

ArticleJournal of advanced research2025

Zn-doped CaP coating equips Ti implants with corrosion resistance, biomineralization, antibacterial and immunotolerant activities.

Anca C Parau, Senem Büyüksungur, Guanhao Li, Quan Liu, Ernesto Badillo, Laura Blum, Jürgen Schmidt, Iulian Pana, Catalin Vitelaru, Ioana M Marinescu and 8 more

Abstract read
In one paragraph

Article in Journal of advanced research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Anca C ParauNational Institute of Research and Development for Optoelectronics - INOE 2000, 409 Atomistilor St. 077125 Magurele, Romania. Electronic address: anca.parau@inoe.ro.
Senem BüyüksungurMiddle East Technical University (METU), BIOMATEN - Biomaterials and Tissue Engineering Center of Excellence, Ankara 06800, Turkey. Electronic address: senemb@metu.edu.tr.
Guanhao LiInstitute of Transfusion Medicine and Immunology, Mannheim Institute for Innate Immunoscience (MI3), Medical Faculty Mannheim, Heidelberg University, 68167, Germany. Electronic address: guanhao.li@medma.uni-heidelberg.de.
Quan LiuInstitute of Transfusion Medicine and Immunology, Mannheim Institute for Innate Immunoscience (MI3), Medical Faculty Mannheim, Heidelberg University, 68167, Germany. Electronic address: quan.liu@medma.uni-heidelberg.de.
Ernesto BadilloInstitute of Transfusion Medicine and Immunology, Mannheim Institute for Innate Immunoscience (MI3), Medical Faculty Mannheim, Heidelberg University, 68167, Germany. Electronic address: laura.blum@medma.uni-heidelberg.de.
Laura BlumInstitute of Transfusion Medicine and Immunology, Mannheim Institute for Innate Immunoscience (MI3), Medical Faculty Mannheim, Heidelberg University, 68167, Germany. Electronic address: ernesto.badillo@medma.uni-heidelberg.de.
Jürgen SchmidtINNOVENT e.V. Technology Development, Group-Leader Electrochemistry, Ilmstraße 18 07743, Germany. Electronic address: JS@innovent-jena.de.
Iulian PanaNational Institute of Research and Development for Optoelectronics - INOE 2000, 409 Atomistilor St. 077125 Magurele, Romania. Electronic address: iulian.pana@inoe.ro.
Catalin VitelaruNational Institute of Research and Development for Optoelectronics - INOE 2000, 409 Atomistilor St. 077125 Magurele, Romania. Electronic address: catalin.vitelaru@inoe.ro.
Ioana M MarinescuNational Institute of Research and Development for Optoelectronics - INOE 2000, 409 Atomistilor St. 077125 Magurele, Romania.
Mihaela DinuNational Institute of Research and Development for Optoelectronics - INOE 2000, 409 Atomistilor St. 077125 Magurele, Romania. Electronic address: mihaela.dinu@inoe.ro.
Michael SmuglovInstitute of Transfusion Medicine and Immunology, Mannheim Institute for Innate Immunoscience (MI3), Medical Faculty Mannheim, Heidelberg University, 68167, Germany. Electronic address: michael.smuglov@medma.uni-heidelberg.de.
Christina SchmuttermaierInstitute of Transfusion Medicine and Immunology, Mannheim Institute for Innate Immunoscience (MI3), Medical Faculty Mannheim, Heidelberg University, 68167, Germany. Electronic address: christina.schmuttermaier@medma.uni-heidelberg.de.
Tugba E TanirMiddle East Technical University (METU) Central Laboratory, Ankara 06800, Turkey. Electronic address: endogan@metu.edu.tr.
Harald KlüterInstitute of Transfusion Medicine and Immunology, Mannheim Institute for Innate Immunoscience (MI3), Medical Faculty Mannheim, Heidelberg University, 68167, Germany; German Red Cross Blood Service Baden-Württemberg - Hessen, Mannheim, Germany. Electronic address: harald.klueter@medma.uni-heidelberg.de.
Nesrin HasirciMiddle East Technical University (METU), BIOMATEN - Biomaterials and Tissue Engineering Center of Excellence, Ankara 06800, Turkey; Middle East Technical University, Department of Chemistry, Ankara, Turkey; Near East University, Department of Bioengineering, Nicosia, TRNC, Mersin 10, Turkey. Electronic address: nhasirci@metu.edu.tr.
Julia KzhyshkowskaInstitute of Transfusion Medicine and Immunology, Mannheim Institute for Innate Immunoscience (MI3), Medical Faculty Mannheim, Heidelberg University, 68167, Germany; German Red Cross Blood Service Baden-Württemberg - Hessen, Mannheim, Germany. Electronic address: julia.kzhyshkowska@medma.uni-heidelberg.de.
Alina Vladescu DragomirNational Institute of Research and Development for Optoelectronics - INOE 2000, 409 Atomistilor St. 077125 Magurele, Romania. Electronic address: alinava@inoe.ro.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionChronic inflammation leading to implant failure present major challenges in orthopedics, dentistry, and reconstructive surgery. Titanium alloys, while widely used, often provoke inflammatory complications. Zinc (Zn)-doped calcium phosphate (CaP) coatings offer potential to enhance implant integration by improving corrosion resistance, bioactivity, and immunocompatibility.

objectivesThe objective of the study was to develope novel coating composition based on zinc-doped CaP coatings on Ti64 alloy implants that for the first time combines improved corrosion resistance, antibacterial properties and principally improved compatibility with the innate immunity primarily due to the proper programming of resident tissue macrophages to promote long-term implant acceptance.

methodsTi64 substrates were coated with CaP and Zn-doped CaP using the microarc oxidation (MAO) technique. The adhesion between substrate and coatings are investigated by the progressive scratch test. The corrosion resistance and bioactivity were evaluated through electrochemical tests and simulated body fluid immersion. RNA sequencing was used to assess inflammatory responses in human primary macrophages. Antibacterial efficacy was tested against Escherichia coli and Staphylococcus aureus.

resultsZn addition significantly increased the adhesion of the coatings to Ti64 alloy, doubling up the critical load (from 4 N to 11 N). Zn-doped CaP coatings demonstrated enhanced corrosion resistance and increased biomineralization. RNA sequencing revealed that Zn addition suppressed inflammatory and promoted tolerogenic macrophage programming. Most pronounced effects was compensatory effect Zn on the CaP-supressed oxidative phosphorylation and lysosomal pathways in healing macrophages, and by upregulation of metallothioneins. Zn-doped coatings also exhibited superior antibacterial efficacy, reducing E. coli and S. aureus colonization by 99 % and 90 %, respectively.

conclusionZn-doped CaP coatings on Ti64 implants significantly improved corrosion resistance, bioactivity, and antibacterial performance. We developed an advanced multifunctional biomaterial equipped with beneficial anti-inflammatory and tissue integrative programming of innate immunity providing principal advantages for the long-term implant integration and reducing the implant failure risks.

Indexed as

Anti-Bacterial AgentsCalcium PhosphatesCoated Materials, BiocompatibleTitaniumZincAlloysCorrosionEscherichia coliHumansImmunity, InnateMacrophagesMaterials TestingProstheses and ImplantsStaphylococcus aureusSurface PropertiesAlloysAnti-Bacterial Agentscalcium phosphateCalcium PhosphatesCoated Materials, BiocompatibleTitaniumZincBioceramicsImplantInflammationMacrophagesMetallothioneinsRNA sequencing

Identifiers

PMID39880075
PMCPMC12627863

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.