Effect of proteins and their conformation change during brushite transformation to hydroxyapatite

Hydroxyapatite (HA, Ca5(PO4)3OH) coatings on metallic orthopedic implant are being used to achieve implant integration. However, HA is stable in physiological solutions, other more reactive calcium phosphate ceramics (CPC) such as brushite (CaHPO4·2H 2O) have been found to release calcium and phosphate ions during their transformation to HA. The release of these ions may induce faster bone growth and enhance implant integration. This work examines the biocompatibility of the CPC phases that form during the transformation process. Since biocompatibility is associated with cellular response, which in turn is initiated by protein adsorption, this work focuses on the mutual effect between protein adsorption and CPC transformation. The first part of the study is focused on the influence of protein adsorption on transformation kinetics and chemistry. Brushite coated samples immersed in protein free and proteinaceous physiological solutions were retrieved after different exposures times. These were examined using XRD, EDS and FTIR/reflectance. Results show that the presence of Bovine Serum Albumin (BSA) in physiological solution retards the transformation, but the presence of Fibronectin (FN) accelerates the transformation to HA. Interestingly, neither BSA nor FN alters the transformation chemistry. Due to the limitations of the techniques used, this part of the work does not monitor the effect of transformation on adsorbed proteins but only the effect of adsorbed protein on the transforming calcium phosphate coating. The second part of the work examines in situ conformational changes of adsorbed proteins during the CPC transformation using FTIR/ATR. Protein adsorbed on different surfaces such as germanium, CPC, zinc selenide and titanium shows different conformation indicated by the Amide I and II absorption bands in the infrared spectra. During the transformation of brushite to HA, both BSA and FN show a continuous change in conformation, which suggests that the transformation of CPC coating influences adsorbed protein structure.