The role of macrophage polarization on fibroblast behavior-an in vitro investigation on titanium surfaces.

Wang, Xuzhu; Wang, Yulan; Bosshardt, Dieter; Miron, Richard John; Zhang, Yufeng (2018). The role of macrophage polarization on fibroblast behavior-an in vitro investigation on titanium surfaces. Clinical oral investigations, 22(2), pp. 847-857. Springer-Verlag 10.1007/s00784-017-2161-8

[img] Text
Wang2018_Article_TheRoleOfMacrophagePolarizatio.pdf - Published Version
Restricted to registered users only until 15 July 2021.
Available under License Publisher holds Copyright.

Download (3MB) | Request a copy

OBJECTIVES This study investigated the effect of smooth and rough titanium surface topographies on macrophage polarization and their influence on gingival fibroblast behavior cultured on titanium surfaces. MATERIALS AND METHODS RAW 264.7 macrophages were seeded on smooth (pickled titanium (PT)) and rough Sand-blasted with Large grit particles followed by Acid-etching (SLA) titanium surfaces and first investigated for macrophage polarization towards tissue-inflammatory M1 macrophages or wound-healing M2 macrophages. Thereafter, culture media collected from macrophages on both surfaces were cultured with gingival fibroblasts seeded on their respective topographies. All experiments were performed in triplicate with three independent experiments. RESULTS Macrophages seeded on SLA surfaces polarized towards tissue-inflammatory M1 macrophages at early time points. Immunofluorescent staining and RT-PCR analysis demonstrated higher levels of iNOS and gene expression of IL-1β, IL-6, and TNF-alpha on SLA surfaces at 3 days when compared to both tissue culture plastic (TCP) and PT surfaces (p < 0.001). Very little differences were found between smooth PT surfaces and TCP. Interestingly, proliferation assay (CCK-8) suggested that conditioned media (CM) from macrophages seeded on SLA surfaces drastically inhibited gingival fibroblast proliferation at 3 and 5 days (p < 0.001). Meanwhile, CM from macrophages cultured on SLA surfaces also significantly reduced collagen 1 synthesis on SLA surfaces at 14 days as assessed by immunofluorescent staining (p < 0.001). CONCLUSION The results from this study demonstrate that the polarization of macrophages towards a pro-inflammatory (M1) phenotype on SLA surfaces may have a negative impact on gingival fibroblast behavior on titanium surfaces. Future strategies to better modulate macrophage polarization should be investigated to support a favorable immune response and encourage tissue integration. CLINICAL RELEVANCE As SLA surfaces have a potential to shift macrophages towards tissue-inflammatory M1 macrophages, this might be a negative impact for soft tissue healing. Therefore, SLA surfaces should be kept within the bone, as when in contact with soft tissue, they are prone to support a lack of soft tissue integration leading to inflammation.

Item Type:

Journal Article (Original Article)


04 Faculty of Medicine > School of Dental Medicine > Department of Periodontology
04 Faculty of Medicine > School of Dental Medicine > School of Dental Medicine, Periodontics Research

UniBE Contributor:

Bosshardt, Dieter and Miron, Richard John


600 Technology > 610 Medicine & health








Doris Burri

Date Deposited:

26 Jun 2019 10:34

Last Modified:

23 Oct 2019 13:28

Publisher DOI:


PubMed ID:


Uncontrolled Keywords:

Dental implants Immune response M1 and M2 polarization Macrophages Surface topography




Actions (login required)

Edit item Edit item
Provide Feedback