Graphene oxide nanofilm to functionalize bioinert high strength ceramics

This study aimed to join the proven osteogenic properties of graphene oxide (GO) with bioinert zirconia implants. The dip-coating technique allows achieving this goal by forming a thin, homogenous, hydrolytically, and mechanically stable GO film onto silanized ceramic-substrates. SEM, AFM, XPS, and contact angle measurements confirmed the presence, transparency, integrity, and homogenous covering character of the GO film. The GO film is hydrolytically stable since it remained intact after a soaking period of 24 days in double-distilled water (ddH(2)O) and phosphate buffered saline and resisted a ten-minute sonication treatment for in ddH(2)O. This strong hydrolytic stability is due to the silanization with 3-amino-propyl-diisopropylethoxy-silane (APDS) enhancing the anchoring of GO flakes onto zirconia surfaces. Besides, the GO film disinfectable in 70% ethanol. Subsequently, we assessed our immobilized GO film as cytocompatible for L929 mouse fibroblast and human mesenchymal stem cells and propitious for the osteogenic differentiation demonstrated by a two times upregulation of the osteogenic transcription factor RunX2. The active hydroxyl and carboxyl groups of the GO film open new perspectives for the functionalization of ceramic implants by immobilization of biological agents, such as growth factors or antibiotics, and thus enhance the osseointegration.