Greffage de la fibronectine et d'un antibiotique pour limiter les infections sur une prothèse d'amputation transcutanée intra-osseuse

Authors: Ghadhab, Souhaila
Advisor: Laroche, Gaétan
Abstract: The overall goal of this study is to functionalize titanium alloys materials (Ti6Al4V ELI) using biomolecules in order to prevent infections on Intraosseous Transcutaneous Amputation Prosthesis (ITAP). In this context, two strategies have been developed: one to promote attachment of skin cells around the implant and the other to reduce bacterial adhesion at the material-tissue interface. First of all, the Ti6Al4V ELI was modified by fibronectin (Fn), an adhesion glycoprotein found in most extracellular matrices, which promotes cell recognition and adhesion. Fn was adsorbed or grafted onto the surface of Ti6Al4V ELI. Two different linkers were used to graft the Fn, dopamine/glutaric anhydride (TiDopGAg) and phosphonate (TiPhosg). The linking arms lead to terminal carboxylic acid groups on the substrate, allowing covalent grafting with the amine functions of Fn. The success of each modification step was assessed by XPS and contact angle. The quantity of protein and the availability of RGD adhesion sites of the Fn adsorbed or grafted via the two investigated linking arms were evaluated by ELISA. The effect of the Fn-modified surfaces was evaluated on the proliferation and spreading of fibroblast cells and on the attachment strength of the dermal layers. It has been evidenced that Fn grafted via phosphonates has a greater bioactivity and a better biological activity than Fn grafted via dopamine/glutaric anhydride or when adsorbed. The peeling force of the dermal layers was also significantly higher around surfaces grafted with Fn via phosphonates, compared to untreated surfaces. Therefore, this study highlights the importance of appropriate selection of the anchor arm to closely control cellular interactions at the tissue/implant interface. The second part of this study is based on the functionalization of the Ti6Al4V ELI surface by vancomycin (Vanc), a glycopeptide with antibacterial properties. Vanc was covalently grafted via phosphonate (TiPhosgVanc) using a similar methodology to that used to graft Fn. The grafting and stability of the Vanc was confirmed by XPS and contact angle. The Vanc-modified surface reduces the adhesion of Staphylococcus epidermidis bacteria, the bacterium responsible for the majority of skin infections in percutaneous implants, compared to the surface of untreated Ti6Al4V ELI. These results confirm the antibacterial effect of the Ti6Al4V ELI surfaces when covalently functionalized by the Vanc.
Document Type: Thèse de doctorat
Issue Date: 2021
Open Access Date: 12 July 2021
Grantor: Université Laval
Collection:Thèses et mémoires

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