Materials 13 04817 v2
Materials 13 04817 v2
Article
Titanium Dioxide Thin Films Obtained by Atomic
Layer Deposition Promotes Osteoblasts’ Viability and
Differentiation Potential While Inhibiting Osteoclast
Activity—Potential Application for Osteoporotic
Bone Regeneration
Agnieszka Smieszek 1 , Aleksandra Seweryn 2, * , Klaudia Marcinkowska 1 ,
Mateusz Sikora 1 , Krystyna Lawniczak-Jablonska 2 , Bartlomiej. S. Witkowski 2 ,
Piotr Kuzmiuk 2 , Marek Godlewski 2 and Krzysztof Marycz 3,4, *
 1   Department of Experimental Biology, Wroclaw University of Environmental and Life Sciences, Norwida St.
     27 B, PL-50375 Wroclaw, Poland; agnieszka.smieszek@upwr.edu.pl (A.S.);
     klaudia.marcinkowska@upwr.edu.pl (K.M.); mateusz.sikora@upwr.edu.pl (M.S.)
 2   Institute of Physics, Polish Academy of Sciences, Aleja Lotnikow 32/46, PL-02668 Warsaw, Poland;
     jablo@ifpan.edu.pl (K.L.-J.); bwitkow@ifpan.edu.pl (B.S.W.); kuzmiuk@ifpan.edu.pl (P.K.);
     godlew@ifpan.edu.pl (M.G.)
 3   International Institute of Translational Medicine, Jesionowa 11 Street, 55-124 Malin, Poland
 4   Collegium Medicum, Institute of Medical Science, Cardinal Stefan Wyszynski University (UKSW),
     Wóycickiego 1/3, 01-938 Warsaw, Poland
 *   Correspondence: aseweryn@ifpan.edu.pl (A.S.); krzysztof.marycz@upwr.edu.pl (K.M.)
                                                                                                   
 Received: 18 September 2020; Accepted: 26 October 2020; Published: 28 October 2020                
 Abstract: Atomic layer deposition (ALD) technology has started to attract attention as an efficient
 method for obtaining bioactive, ultrathin oxide coatings. In this study, using ALD, we have
 created titanium dioxide (TiO2 ) layers. The coatings were characterised in terms of physicochemical
 and biological properties. The chemical composition of coatings, as well as thickness, roughness,
 wettability, was determined using XPS, XRD, XRR. Cytocompatibillity of ALD TiO2 coatings was
 accessed applying model of mouse pre-osteoblast cell line MC3T3-E1. The accumulation of transcripts
 essential for bone metabolism (both mRNA and miRNA) was determined using RT-qPCR. Obtained
 ALD TiO2 coatings were characterised as amorphous and homogeneous. Cytocompatibility of
 the layers was expressed by proper morphology and growth pattern of the osteoblasts, as well as
 their increased viability, proliferative and metabolic activity. Simultaneously, we observed decreased
 activity of osteoclasts. Obtained coatings promoted expression of Opn, Coll-1, miR-17 and miR-21
 in MC3T3-E1 cells. The results are promising in terms of the potential application of TiO2 coatings
 obtained by ALD in the field of orthopaedics, especially in terms of metabolic- and age-related bone
 diseases, including osteoporosis.
 Keywords: atomic layer deposition; titanium dioxide; ultrathin layers; oxide layers; TiO2 coating;
 improved viability; osteogenic properties
1. Introduction
    The coating of surgical implants is designed to improve their biocompatibility and bioactivity.
The promotion of bone healing and the restoration of tissue homeostasis are essential factors to be
considered when designing new coatings for bone regeneration. Much attention is paid to novel
modified coatings with improved biological activity that affects the metabolism of progenitor cells
by enhancing their viability and proliferation, as well as supporting cellular adhesion and increasing
cellular differentiation. This aspect is crucial, especially in relation to bone metabolic disorders, such
as osteoporosis. A thorough analysis of cells’ response to a biomaterial surface can provide some
insight into the cellular mechanisms controlling bone metabolism and homeostasis. Insufficient
integration of bone tissue with the implant surface can cause the implant to be rejected, leading to
severe complications, most often requiring revision surgeries [1]. Thus, tailoring biocompatibility of
biomaterials is usually associated with modifying its surface in order to improve the cells’ adhesion,
proliferation, and tissue-specific differentiation. Mechanical modifications are aimed at introducing
changes in the material’s topography to achieve optimal cell adhesion to the surface, while chemical
methods, for example those associated with anodising the titanium surface, yield nanotubes that
improve the biological and anti-microbial properties of the biomaterial [2]. Furthermore, sol-gel
methods were shown to improve the corrosion resistance of metal substrates and to enhance
the osteogenic differentiation of progenitor cells [3,4]. In addition, magnetron sputtering is a useful tool
for biofunctionalization of implant surfaces. However, it recently has been shown that the TiO2 obtained
by ALD technology provides better anti-corrosion properties independent of surface topography in
comparison to sputtered TiO2 [5]. It is also possible to obtain the high quality layer of TiO2 with
a Pulsed Laser Deposition (PLD) technique. PLD allows for depositing the films with variable porosity
and density [6].
      Recently, there has been a growing interest in the application of atomic layer deposition (ALD)
technology for tissue-engineering applications and improving implants’ surfaces. ALD technology
allows us to fabricate ultrathin, highly uniform, and reproducible coverings with a broad range of
potential biological applications thanks to their biomimetic features [7]. Additionally, conformal
growth provides the possibility for functionalising the multidimensional surfaces [8]. Furthermore,
ALD technology can be used for temperature sensible materials that support tissue regeneration, e.g.,
polymer-based scaffolds, or composites. It was reported that homogenous ALD layers can be created
even at room temperature, which significantly extends their application in terms of scaffold modification
and the functionalisation of biomolecules, as well as other temperature-sensitive nanoparticles [9]. For
instance, ALD technology was previously used for the deposition of titanium dioxide (TiO2 ) coverings
onto tobacco mosaic virus (TMV) and ferritin. The application of ALD yielded pores and channels with
diameters less than 4 nm on the TMV, while nanotubes were fabricated with ferritin molecules [10].
      The applicability of ALD technology is emerging in the field of bioengineering and regenerative
medicine, especially in the light of the significant advantages of this method over other techniques used
for depositing oxide coatings onto sensitive substrates. Previously, ALD technology was used to obtain
uniform TiO2 coatings with controllable thickness, not exceeding 2 nm. The coatings were deposited
on porous materials and three-dimensional objects, which indicated their high potential for application
in the functionalisation of implants designed for dentistry and orthopaedics [11]. However, Liu et
al. for the first time used ALD technology to obtain TiO2 nano-coatings with anti-bacterial properties
and high bioactivity. Their study showed a wide range of anti-microbial efficacy of ALD TiO2 coatings
that inhibit the growth of gram-positive bacteria (S. aureus), Gram-negative bacteria (E. coli), and
antibiotic-resistant bacteria (MRSA). Moreover, it was shown that ALD TiO2 coatings have a potential
selective function, promoting osteoblasts while suppressing fibroblast adhesion and proliferation. This
feature is of the utmost importance for orthopaedic implants that are designed to minimise fibrous
tissue formation and simultaneously maximise the formation of functional bone tissue [12].
      In addition, a study by Yang et al. indicated further potential biomedical application of TiO2
coatings, showing that these nano-layers can be deposited on Mg-Zn alloy stents to enhance human
coronary artery endothelial cell adhesion and growth. The study revealed that an optimised processing
temperature control of the ALD TiO2 coatings is essential in order to achieve the proper biological
function of the biomaterial. Yang et al. have indicated that coatings deposited at 150 ◦ C have a greater
potential to promote the proliferation of endothelial cells than coatings deposited at 200 ◦ C [13].
Furthermore, Basiaga et al. indicated that the mechanical properties of TiO2 coatings obtained by
Materials 2020, 13, 4817                                                                             3 of 20
ALD technology strictly depend on the number of cycles during the process of deposition [14]. This
information is also of practical importance in terms of the application of ALD coatings for designing
implants, both for bone regeneration as well as for contact with blood, such as coronary stents.
Recently, Motola et al. showed the possibility to enhance the functionality of the Ti surface. They
investigated flat and nanotubular interfaces modified with ALD processes and considered the influence
of osteoblast, fibroblast, and neuroblast cells’ growth and proliferation [15]. Thin TiO2 coatings
obtained by photocatalytic patterning can also be improved by flower-like hierarchical Au structures
that promote the adhesion and proper growth of the osteoblast cells [16]. Moreover, the TiO2 coatings
covered with Au nanoparticles may significantly improve their photocatalytic activity [17] and increase
their potential application for example as a sensitive detectors of 17β-estradiol [6].
      The response of cells to the contact surface is induced with both chemical and physical properties.
Wettability, roughness, and isotropic qualities of the materials are an important factor which can
determine cell response to the solid state surface and should be taken into account when designing
multifunctional coatings [18]. Mendonca et al. analyze the influence of nanoscale roughness and
chemical composition on the osteogenesis gene expression [19]. Given the emerging importance of
ALD technology in preparing TiO2 coatings for contact with bone tissue, we aimed to obtain TiO2
coatings that regulate the activity of both bone-forming and bone-resorbing cells. In the current
research, we were able to produce homogenous coatings at low temperatures with a thickness of 90 nm.
We have investigated their cytocompatibility using a model of mice pre-osteoblasts (MC3T3-E1 cell
line) as well as a co-culture with pre-osteoclasts (i.e., 4B12 cell line). We have established the influence
of TiO2 coatings obtained by ALD and MC3T3-E10 s viability, proliferative potential, metabolic activity,
morphology, and growth pattern. In the co-culture model of osteoblasts and osteoclasts, we have also
evaluated the influence of TiO2 coatings on the expression of markers associated with bone metabolism.
The biomarkers were evaluated at the messenger ribonucleic acid (mRNA) and micro ribonucleic acid
miRNA levels. This study shows, for the first time, the modulatory effect of TiO2 coatings obtained by
ALD on the osteoblast–osteoclast coupling.
2.1. Substrate
     The thin TiO2 films were deposited on glass coverslips 13 mm in diameter for biological testing
and physicochemical characterisation. The adhesion and quality of the layer deposited by the ALD
may be limited by possible surface contamination. This is why all the substrates were thoroughly
washed in an ultrasonic cleaner and then dried before the ALD process. The first bath took place in
isopropanol, the next two in deionised water. All wash cycles were carried out for 5 min in a temperature
bath of 37 ◦ C. Subsequently, nitrogen gas with a purity of 5.0 was used to dry the substrates after
the cleaning process.
processes, the samples were vacuum packed and transferred to further biological and physical research.
There were no additional cleaning procedures before the physical measurements.
a Muse Cell Analyser (Merck, Sigma-Aldrich, Poznan, Poland). The apoptotic cell distribution was
evaluated by identifying four populations: non-apoptotic (viable) cells: Annexin V (−), 7-AAD (−);
early apoptotic cells: Annexin V (+), 7-AAD (−); late apoptotic/dead cells: Annexin V (+), 7-AAD (+);
and dead cells: Annexin V (−) and 7-AAD (+).
       The influence of TiO2 coatings obtained by ALD on cell proliferation: The proliferative activity
was evaluated using a MUSE Cell Cycle Kit (Merck, Sigma-Aldrich, Poznan, Poland) according
to the manufacturer’s instructions. A detailed protocol was published by other authors [22]. For
the analysis, the cells were collected after detachment from the culture flask with trypsin solution,
centrifuged (5 min, 300× g), washed with 1X PBS, fixed with 1 mL of 70% cold ethanol, and incubated
overnight. Then, the cells were centrifuged and washed, as described previously [22]. The cell pellet
was suspended in 200 µL of Muse Cell Cycle Reagent (Merck, Warsaw, Poland) and incubated at
room temperature for 30 min in the dark. The distribution of cells in G0/G1, S, and G2/M phases was
estimated using a Muse Cell Analyser (Merck, Sigma-Aldrich, Poznan, Poland).
       The influence of TiO2 coatings obtained by ALD on the cells’ metabolic activity: The metabolic
activity of the cells was estimated using a TOX-8 resazurin-based in vitro Toxicology Assay Kit (Sigma
Aldrich, Munich, Germany) according to the manufacturer’s instructions and previously published
protocols [23]. The complete growth medium was replaced with fresh CGM supplemented with 10%
resazurin solution (Sigma Aldrich, Munich, Germany). The cells were incubated for 2 h at 37 ◦ C
in a CO2 incubator. Then, the supernatants were transferred to a 96-well plate (100 µL per well).
The absorbance was measured as indicated before [4,21,22]. The effect of TiO2 coatings on the cells’
metabolic activity was assessed after 24, 48, 72, 96, and 168 h of culture (not all data are shown).
       The influence of TiO2 coatings obtained by ALD on mitochondrial potential: changes in
the mitochondrial potential of MC3T3-E1 cells cultured in TiO2 were monitored using a MUSE
MitoPotential Kit (Merck, Warsaw, Poland) according to the supplier’s protocols. The cells were
harvested by trypsinisation, centrifuged (5 min, 300× g), and suspended in 100 µL of Assay Buffer
(Merck, Warsaw, Poland). Next, 95 µL of MitoPotential working solution was added to the cell
suspension. Assay tubes were vortexed for 3 s and incubated for 20 min in a CO2 incubator at 37 ◦ C.
Then, 5 µL of Muse MitoPotential 7-AAD reagent (Merck, Warsaw, Poland) was added to the cell
suspension and the samples were incubated for 5 min at room temperature. The mitochondrial
potential was assessed using a Muse Cell Analyser (Merck, Warsaw, Poland) by the identification
of four populations: live cells with depolarised mitochondrial membrane: MitoPotential (-), 7-AAD
(-); live cells with intact mitochondrial membrane: MitoPotential (+), 7-AAD (-); dead cells with
depolarised mitochondrial membrane: MitoPotential (+), 7-AAD (+); and dead cells with disturbed
mitochondrial membrane potential: MitoPotential (-) and 7-AAD (+).
       Determination of the TiO2 coatings’ obtained by ALD influence on cell morphology, ultrastructure,
and adhesion rate: The morphology and ultrastructure of the MC3T3-E1 cells were analysed after
72 h of culturing. The detailed protocol of culture staining and preparation for confocal imaging was
described by other authors [24]. The specimens were analysed using a confocal microscope (Leica TCS
SPE, Leica Microsystems, KAWA.SKA Sp. z o.o., Zalesie Gorne, Poland) and the microphotographs
obtained were then analysed using Fiji (ImageJ 1.52n, Wayne Rasband, National Institute of Health,
Bethesda, Maryland, USA), as described previously [22]. The figures presented herein were obtained
using the maximum intensity projection (Z-projection). In addition, the ultrastructure of cultures was
examined with a scanning electron microscope (SEM, Zeiss Evo LS 15, Oberkochen, Germany). Before
SEM analysis, the cells were fixed (in 4% paraformaldehyde [PFA] as described above) and dehydrated
in an ethanol series (concentrations from 50% to 100%, each incubation for 5 min). The specimens were
sputtered with gold and observed using an SE1 detector at 10 kV of filament tension [4]. The adhesion
rate of the MC3T3-E1 cells was determined using the protocol published by Huang et al. [25] and used
previously [26,27].
       Co–culture with pre-osteoclastic cell line 4B12: The osteoclast precursor cell line 4B12 was kindly
provided by Shigeru Amano from the Department of Oral Biology and Tissue Engineering, Meikai
Materials 2020, 13, 4817                                                                           6 of 20
University School of Dentistry. The detailed description of the culture method was published before [22].
The cells used in the experiment were at passage number 28 (p28). The 4B12 cells were cultured with
pre-seeded MC3T3 cells. For co-culturing, the 4B12 cells were inoculated at a density equal to 3.5 × 104
in a chamber of an 8-µm Transwell system membrane (Corning, Biokom, Warsaw, Poland). The cells
were maintained in 0.3 mL of α-MEM with 10% FBS and 30% CSCM; half of the medium was changed
3 times per week. Th edetailed protocol of co-culturing was described elsewhere [22]. The invasion of
4B12 was determined based on SEM images.
      The influence of TiO2 coatings obtained by ALD on osteogenesis marker gene expression
and miRNA levels: To determine the mRNA and miRNA levels, the experimental cultures were
homogenised using 1 mL of Extrazol® (Blirt DNA, Gdansk, Poland). The protocol for total RNA isolation
was performed according to the manufacturer’s instructions and the modified phenol-chloroform
method described by Chomczyński and Sacchi [28]. The resulting RNA was diluted in DEPC-treated
water. The quantity and purity of RNA specimens were determined spectrophotometrically at 260-
and 280-nm wavelengths (Epoch, Biotek, Bad Friedrichshall, Germany). Before reverse transcription,
the total RNA obtained (500 ng) was purified using DNAse I (PrecisionDNAse, PrimerDesign, BLIRT
S.A. Gdansk, Poland). The reverse transcription was performed using a Tetro cDNA Synthesis Kit
(Bioline Reagents Limited, London, UK). Both processes were performed according to well-established
protocols [14,15]. The DNA digestion and cDNA synthesis were carried out in a T100 Thermal
Cycler (Bio-Rad, Hercules, CA, USA). The resulting matrices were used for RT-qPCR analysis using
a SensiFAST SYBR® &Fluorescein Kit (Bioline Reagents Ltd., London, UK). The final reaction volume
was 10 ul, where 1 ul of cDNA was used and the concentration of primers was 0.5 µM. Quantitative
PCR was performed in a CFX Connect Real-Time PCR Detection System (Bio-Rad, Hercules, CA,
USA). The details of the protocols and the reaction conditions were described previously [22].
Additionally, to evaluate the miRNA levels, cDNA was also synthesised using 375 ng of total RNA
with a Mir-X™ miRNA First-Strand Synthesis Kit (Takara Bio Europe, Saint-Germainen, Laye, France)
as described by other authors [21]. The primer sequences are summarised in Table S1. All qPCR
reactions were carried out in at least three repetitions. The relative values of gene expression were
determined with the RQMAX algorithm as described previously [29]; for normalisation, Gapdh
(glyceraldehyde 3-phosphatedehydrogenase) was used as a reference gene and U6snRNA (Takara Bio
Europe, Saint-Germainen, Laye, France) was used to determine the levels of miRNA.
3. Results
have resulted from the adsorption of water and carbon oxide on the surface. The result was confirmed
by analysis of the oxygen 1s line Figure 1b). Two components fit this line well: the main component at
BE = 530.8 eV covers 86% of the line and the second component BE = 532 eV covers only 14%. Taking
into account only the main component at 530.8 eV of energy—which is close to the oxygen-binding
energy in TiO2 [30,31]—the corrected ratio of oxygen to titanium is 2.04. It confirms the formation of
an amorphous titanium dioxide with stoichiometry close to the ideal. The energy positions (459 eV
and 464 eV) and the separation in the Ti 2p spin-orbit doublet (5.6 eV) agree within the limit of energy
calibration error (± 0.2 eV) with the values reported in the reference table and other publications
(Figure 1c) [32]. Moreover, in the case when the many O defects are present and stoichiometry of ALD
layer is strongly changed, the presence of Ti+3 is observed in Ti 2p line as e.g., in [5].
      Figure 1. The XPS data plot of TiO2 obtained by ALD on a glass substrate: (a) wide XPS spectra—only
      lines of O, Ti, and C were detected, C 1s binding energy (BE) 285.6 eV was used for energy scale
      calibration; (b) O1s experimental and fitting line; (c) Ti 2p experimental and fitting line.
     The XRR measurement was performed on the coverslip deposited with the TiO2 coating as well
as on the coverslip. We observed a change in the surface roughness of the samples. The simulation of
experimental data indicates that the roughness of the surface of the coverslip is 0.7 nm (Figure 2b);
for the TiO2 coating, the roughness parameter was simulated to the value of 2.4 nm (Figure 2c).
The simulated density is equal to 3.88 g/cm3 , which is lower than the table data from bulk 4.23 g/cm3
titanium dioxide material. The thickness of the deposited coating was estimated to 90 nm.
      Figure 2. The XRR data plots of TiO2 obtained by ALD on a glass substrate (green colour) and uncoated
      coverslip (magenta colour): (a) the experimental line; (b) the fitting line (blue colour): for the coverslip
      sample; (c) the fitting line for TiO2 on the coverslip sample (fit simulation made using Parratt’s theory).
     To determine the quality of the coating, we performed SEM measurements. The images presented
in Figure 3 show a very high uniformity (Figure 3a) of the coating. No larger crystallites are visible on
the surface, which is characteristic of amorphous layers (Figure 3a,b).
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      Figure 3. The SEM images of TiO2 obtained by ALD on Si substrate as a reference: cross-section view
      (a)Figure
          and 3.
      Figure     3.The
               top  TheSEM
                   view  SEM    images were
                          (b). Images
                                images of
                                        ofTiO 2 obtained
                                            taken
                                           TiO           by by
                                                   at 15 kV
                                                2 obtained
                                                            ALD
                                                            of    on Si
                                                                      onsubstrate
                                                               accelerating
                                                                ALD                asusing
                                                                          Si voltage a reference:
                                                                             substrate             cross-section
                                                                                        as aa detector           view
                                                                                                       of secondary
                                                                                              reference:   cross-section
         (a) and
      electrons. top  view  (b). Images  were  taken at 15 kV of accelerating voltage using   a detector
      view (a) and top view (b). Images were taken at 15 kV of accelerating voltage using a detector of  of secondary
         electrons.electrons.
      secondary
      Additionally, to confirm the amorphous phase of the coating, we performed X-ray diffraction
         Additionally,
 measurements
     Additionally,        totoconfirm
                     in the     confirmthe
                                Theta/2Thetatheamorphous
                                                 amorphous
                                                   configuration. phaseWe
                                                                  phase  of
                                                                          of the
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                                                                             the   not detect
                                                                                  coating,   we
                                                                                              weperformed
                                                                                                   any additional
                                                                                                   performed      X-ray
                                                                                                                    X-ray diffraction
                                                                                                                          signal   in
                                                                                                                            diffraction
   measurements
 comparison
measurements    to the  in
                    in the  the peak
                         broad    Theta/2Theta
                            Theta/2Theta             configuration.
                                         of anconfiguration.
                                                uncoated     coverWe glassWe
                                                                        did     did
                                                                            (Figure
                                                                             not     not any
                                                                                     S1).
                                                                                  detect   Adetect
                                                                                              broad any
                                                                                                      peakadditional
                                                                                                additional   from
                                                                                                               signal      signal in
                                                                                                                     theinsubstrate
                                                                                                                           comparison
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 confirmed
   the broad  the  to
                 peak theofbroad
                   amorphous       peak ofof
                                   nature
                            an uncoated        an uncoated
                                                 glass,
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                                                        and (Figure
                                                       glass    the    glass
                                                                         S1).(Figure
                                                                    absence   of
                                                                               A abroadS1).
                                                                                   signal    A broad
                                                                                            from
                                                                                           peak    the peak
                                                                                                  from  layer   from  the substrate
                                                                                                                 also points
                                                                                                         the substrate         to an
                                                                                                                             confirmed
   confirmedstructure.
 amorphous       the amorphous The    nature ofresult
                                    obtained       glass,isandin  the
                                                                  goodabsence   of a signal
                                                                         agreement     with   from
                                                                                               our   the layer report
                                                                                                    previous      also points
                                                                                                                           [33] to an
                                                                                                                                and
the amorphous nature of glass, and the absence of a signal from the layer also points to an amorphous
   amorphous
 other research    structure.
                    [9].         The   obtained     result   is  in good   agreement     with   our   previous     report   [33]  and
structure.   The obtained       result is in good agreement with our previous report [33] and other research [9].
   other  research
      The evaluation  [9].
            evaluationof    ofthe
                                thewettability
                                     wettabilitydata data   (Figure    4) shows    that,  in relation
     The                                                 (Figure    4) shows   that, in relation   to thetosurface
                                                                                                             the surface
                                                                                                                      of theof   the
                                                                                                                              coverslip
         The(Figure
 coverslip     evaluation
                        4a),   of the
                              the TiO   2wettability
                                          sample       data (Figure
                                                   (Figure     4b)  has  4)much
                                                                         a   shows   that, value
                                                                                   higher    in relation
                                                                                                    of the tocontact
                                                                                                                the surface
                                                                                                                        angle. ofThe
                                                                                                                                   the
(Figure 4a), the TiO2 sample (Figure 4b) has a much higher value of the contact angle. The value
   coverslip
 value  of the(Figure
                 contact4a),    the is
                            angle    TiOfor2 sample   (Figure
                                              coverslip   62.9°   4b)
                                                                   andhas  a
                                                                        93.3°much
                                                                               for   higher
                                                                                   TiO         value
                                                                                          sample.     of
                                                                                                     Thisthe   contact
                                                                                                            finding       angle.
                                                                                                                       indicates  The
                                                                                                                                    a
                                                                                        2
of the contact angle is for coverslip 62.9◦ and 93.3◦ for TiO2 sample. This finding indicates a more
   value   of the   contact    angle   is  for  coverslip   62.9°   and   93.3°
 more substantial hydrophobic property of TiO2 compared to a pure coverslip.     for TiO  2 sample.    This   finding    indicates    a
substantial    hydrophobic
   more substantial               property
                          hydrophobic           of TiO2ofcompared
                                             property      TiO2 compared to a pure
                                                                                to a coverslip.
                                                                                     pure coverslip.
      Figure     Theimages
              4. The
      Figure 4.       imagesofofwater
                                  watercontact
                                        contactangle
                                                 angle(wettability)
                                                        (wettability) measurement
                                                                    measurement forfor
                                                                                    (a)(a)  a coverslip
                                                                                        a coverslip andand  (b) TiO
                                                                                                        (b) TiO 2   2
      on Figure
          a      4. The
            coverslip   images
                       (CA  leftof water contact
                                 indicates       angle
                                           measured     (wettability)
                                                        links’ contactmeasurement
                                                                       angle,     for
                                                                              while CA(a) a coverslip
                                                                                         right        and
                                                                                                indicates
      on a coverslip (CA left indicates measured links’ contact angle, while CA right indicates measured  (b) TiO
                                                                                                          measured2
         on a coverslip
      right              (CA left indicates measured links’ contact angle, while CA right indicates measured
      right contact angle).
                     angle).
         right contact angle).
3.2.
 3.2. Cytocompatibility
      Cytocompatibility ofofthe
                              theTiO
                                   TiO2 2Coatings
                                          CoatingsObtained
                                                   Obtained byby  ALD
                                                                ALD
   3.2. Cytocompatibility of the TiO2 Coatings Obtained by ALD
      The
       The analysis
            analysis ofofcell
                           cellviability
                                 viabilityindicated  that
                                             indicated     thethe
                                                        that   TiOTiO
                                                                    2 coating   exhibited non-toxic properties toward
                                                                        2 coating exhibited non-toxic properties
the      The analysis     of (Figure
                              cell viability   indicated  thatsignificantly
                                                                the TiO2 coating      exhibited    non-toxic   properties
 toward the MC3T3-E1 cell line (Figure 5). The biomaterial significantly the
     MC3T3-E1    cell line             5). The  biomaterial                   improved         viability
                                                                                          improved     theof viability
                                                                                                             preosteoblasts
                                                                                                                       of
   toward
(Figure      the Moreover,
         4a,b).  MC3T3-E1 we    cell line (Figure   5). The apoptosis
                                                             biomaterial  in significantly improved      the viability  of 2
 preosteoblasts   (Figure 4a,b).observed
                                      Moreover,  decreased
                                                   we observed      decreasedMC3T3-E1
                                                                                 apoptosiscultures    propagated
                                                                                              in MC3T3-E1            on TiO
                                                                                                                cultures
   preosteoblasts
obtained   by on
               ALD, (Figure     4a,b).   Moreover,   we  observed     decreased    apoptosis    in  MC3T3-E1      cultures
 propagated       TiOthough
                       2 obtained thebydifferences
                                         ALD, thoughwerethenot  statistically
                                                            differences    weresignificant  (Figure
                                                                                 not statistically    5c).
                                                                                                    significant  (Figure
   propagated on TiO2 obtained by ALD, though the differences were not statistically significant (Figure
 5c).
   5c).
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     Figure 5. The cell viability and apoptosis profile in the control culture (TiOALD      ALD coatings-) and
      Figure 5. The cell viability and apoptosis profile   in the control culture (TiO2 2 coatings-) and the
     the culture propagated on TiO2 coatings (TiO2ALD coatings +; experimental culture): (a) representative
                                                     ALD
      culture propagated on TiO2 coatings (TiO2         coatings +; experimental culture): (a) representative
     graphs obtained during analysis, showing the distribution of cells on four populations: live
      graphs obtained during analysis, showing the distribution of cells on four populations: live (Live—
     (Live—bottom-left corner), early apoptotic (Early Apop.—bottom-right corner), late apoptotic (Late
      bottom-left corner), early apoptotic (Early Apop.—bottom-right corner), late apoptotic (Late
     Apop./Dead—upper-right corner), and dead (Dead—upper-left corner); results of statistical analysis
      Apop./Dead—upper-right corner), and dead (Dead—upper-left corner); results of statistical analysis
     showing a comparison of viable cells (b) and apoptotic cells (c) in control and experimental cultures
      showing a comparison of viable cells (b) and apoptotic cells (c) in control and experimental cultures
     (significant differences are marked with asterisks (* p < 0.05), non-significant results are marked as ns).
      (significant differences are marked with asterisks (* p < 0.05), non-significant results are marked as
      ns). analysis of the distribution of cells in the cell cycle revealed that preosteoblast MC3T3-E1 cells
     The
cultured on TiO2 surfaces obtained by ALD (Figure 6) showed increased proliferative activity, which
      The analysis of the distribution of cells in the cell cycle revealed that preosteoblast MC3T3-E1
was reflected in the accumulation of cells in the S phase (Figure 6a,c). Moreover, in cultures propagated
cells cultured on TiO2 surfaces obtained by ALD (Figure 6) showed increased proliferative activity,
on TiO2 coatings obtained by ALD, we observed more cells in the G2/M phase (Figure 6a,d). The shift
which was reflected in the accumulation of cells in the S phase (Figure 6a,c). Moreover, in cultures
of cells toward the G2/M phase was accompanied by fewer cells in the G0/G1 phase (Figure 6a,b).
propagated on TiO2 coatings obtained by ALD, we observed more cells in the G2/M phase (Figure
6a,d). The shift of cells toward the G2/M phase was accompanied by fewer cells in the G0/G1 phase
(Figure 6a,b).
Materials 2020, 13, x FOR PEER REVIEW                                                                                            10 of 20
     Figure 6. The results of the analysis of the control culture (TiO2 ALD coatings-) and a culture propagated
     on TiO2 coatings (TiO2 ALD coatings +; experimental culture), showing the distribution of cells in the
                  6. The    results of thehistograms
                                            analysis of show
                                                         the control     culture (TiOof  ALD coatings-) and a culture propagated
     cellFigure
          cycle: (a)   Representative                            the distribution      2 MC3T3       cells in the cell cycle phase
          Figure
         on  TiO    6. The
                     coatingsresults
                                 (TiO of  the
                                          ALD analysis
                                               coatingsof  the
                                                          +;    control
                                                              experimental culture  (TiO
                                                                                 culture),2 ALD coatings-)
                                                                                             showing         and
                                                                                                         theG0/G1 a culture propagated
                                                                                                              distribution   of cells
                  2
     under both culture conditions.    2      The cells were separated into three populations:                       phase (the  left in
          on
         the  TiO
             cell   2 coatings
                  cycle:   (a)    (TiO  2 ALD coatings +; experimental culture), showing the distribution of cells in the
                               Representative     histograms     show     the distribution   of  MC3T3    cells in the cell cycle  phase
     side), S phase (the middle), and G2/M phase (the right side). The results of statistical analysis revealed
          cell cycle:   (a)  Representative     histograms     show     the distribution     of populations:
                                                                                                MC3T3 cells G0/G1
                                                                                                                in the cell  cycle  phase
     differences in cell distribution during the (b) G0/G1 phase, (c) S phase, and (d) G2/M phase. left
         under   both    culture   conditions.   The  cells  were    separated    into  three                           phase   (the
          under
         side), S  both culture
                   phase    (the    conditions.
                                 middle),    and  The cells
                                                  G2/M   phasewere(the separated
                                                                         right     into
                                                                               side). Thethree   populations:
                                                                                             results  of         G0/G1
                                                                                                         statistical      phase
                                                                                                                     analysis     (the left
                                                                                                                               revealed
     (significant differences are marked with asterisks (*** p < 0.001; ** p < 0.01; * p < 0.05).
          side), S phase
         differences         (the
                        in cell    middle), and
                                distribution       G2/M
                                                during  thephase    (the right
                                                             (b) G0/G1          side).
                                                                            phase, (c) SThe   results
                                                                                          phase,   andof(d)
                                                                                                          statistical analysis
                                                                                                            G2/M phase.         revealed
                                                                                                                            (significant
          differences
     Thedifferences
           Alamar Blue
                           in  cell
                        are marked   distribution
                                        with asterisks
                               test indicated            (*** p <metabolic
                                                     during
                                                   increased
                                                               the    (b)   G0/G1< 0.01; * pof< MC3T3-E1
                                                                                     phase,
                                                                    0.001; ** p activity       (c)  S phase,
                                                                                                  0.05).        and   (d)  G2/M     phase.
                                                                                                                 cells cultured in the
          (significant differences are marked with asterisks (*** p < 0.001; ** p < 0.01; * p < 0.05).
presence of TiO2 coatings (Figure 7). The MC3T3-E1 cells demonstrated a significantly faster
        The Alamar Blue test indicated increased metabolic activity of MC3T3-E1 cells cultured in
metabolism in response to TiO2 coating obtained by ALD at the initial stage of culturing, i.e., after 24
         The Alamar
   the presence  of TiOBlue  test indicated
                        2 coatings    (Figureincreased    metabolic activity
                                                7). The MC3T3-E1                of MC3T3-E1a cells
                                                                       cells demonstrated              culturedfaster
                                                                                                  significantly    in the
h of propagation (Figure 7a), but also after 72 h and 168 h of culturing (Figure 7c,e).
    presence ofin TiO
   metabolism         2 coatings
                  response   to TiO(Figure
                                    2 coating  7).  The
                                                obtained MC3T3-E1
                                                          by ALD   at cells
                                                                      the    demonstrated
                                                                           initial stage of    a   significantly
                                                                                            culturing,  i.e., after faster
                                                                                                                     24 h
   ofmetabolism
      propagationin(Figure
                    response   tobut
                            7a),  TiOalso
                                       2 coating
                                            after obtained  by ALD
                                                   72 h and 168       at the initial
                                                                h of culturing        stage7c,e).
                                                                                  (Figure   of culturing, i.e., after 24
    h of propagation (Figure 7a), but also after 72 h and 168 h of culturing (Figure 7c,e).
         Figure 7. The metabolic activity in the control culture (TiO2 ALD coatings-) and a culture propagated on
         TiO2 . coatings (TiO2 ALD coatings +; experimental culture): comparative analysis of metabolic activity
         after (a) 24 h, (b) 48 h, (c) 72 h, (d) 96 h, and (e) 168 h of propagation. (significant differences are marked
     Figure 7. The metabolic activity in the control culture (TiO2 ALD coatings-) and a culture propagated on
                              p < 0.001; ** p < 0.01; * p < 0.05), non-significant results are marked as ns).
         with asterisks (***ALD
     TiO2. coatings (TiO2        coatings +; experimental culture): comparative analysis of metabolic activity
     after (a)
         The    24  h,
               analysis(b) 48 h, (c) morphology
                           of cells   72 h, (d) 96 h,showed
                                                         and (e) 168   h of propagation.
                                                                   no significant           (significant
                                                                                      influence  of aTiO differenceson arethe cells’
          Figure   7. The metabolic    activity in the control culture     (TiO2 ALD coatings-) and      2 coating
                                                                                                      culture  propagated    on
     marked with asterisks (***      p < 0.001;  ** p < 0.01; * p < 0.05), non-significant  results are marked    as ns).
   morphology       or mitochondrial
          TiO2. coatings                   network
                            (TiO2 ALD coatings         development
                                                  +; experimental        (Figure
                                                                      culture):    8a). Our observations
                                                                                comparative                   revealedactivity
                                                                                               analysis of metabolic      that both
   the control
          after (a)cultures
                     24 h, (b)and   the(c)experimental
                                48 h,      72 h, (d) 96 h,cultures      hadh aofproperly
                                                              and (e) 168                    expanded
                                                                                  propagation.            network
                                                                                                 (significant         of theare
                                                                                                               differences    actin
          marked with asterisks (*** p < 0.001; ** p < 0.01; * p < 0.05), non-significant results are marked as ns).
Materials 2020, 13, x FOR PEER REVIEW                                                                                  11 of 20
     The analysis of cells morphology showed no significant influence of TiO2 coating on the cells’
Materials 2020, 13, 4817                                                                                          11 of 20
morphology or mitochondrial network development (Figure 8a). Our observations revealed that both
the control cultures and the experimental cultures had a properly expanded network of the actin
cytoskeleton, maintained
cytoskeleton,  maintainedcell–cell
                               cell–cellcontact,
                                          contact, andand   appropriately
                                                         appropriately        adhered
                                                                          adhered        to substrate.
                                                                                     to the  the substrate.   Moreover,
                                                                                                         Moreover,  both
both
the  the MC3T3-E1
    MC3T3-E1           cells cultured
               cells cultured            on coverslip
                                on a plain   a plain coverslip
                                                         and those and  those
                                                                    coated    bycoated
                                                                                 ALD withby ALD
                                                                                              TiO2 with   TiO2 had well-
                                                                                                    had well-developed
developed mitochondrial
mitochondrial     networks networks
                              (Figure 8a). (Figure
                                                 The8a).   The MC3T3-E1
                                                       MC3T3-E1               cells maintained
                                                                     cells maintained       proper proper   morphology
                                                                                                      morphology     and
and ultrastructure
ultrastructure        in the
                in both   both   the control
                              control             and experimental
                                       and experimental        cultures.cultures.     In addition,
                                                                           In addition,               no occurrence
                                                                                          no occurrence     of apoptoticof
apoptotic
bodies  wasbodies
            observed wasinobserved
                           the MC3T3  in cultures
                                           the MC3T3        cultures
                                                      (Figure         (Figure 8b). we
                                                               8b). Nevertheless,      Nevertheless,     we found cells
                                                                                          found that MC3T3-E1        that
MC3T3-E1 cells
propagated   ontopropagated
                   TiO2 surfaces onto
                                    wereTiO  2 surfaces were
                                           characterised     by characterised     by lower
                                                                 lower mitochondrial           mitochondrial
                                                                                           potential            potential
                                                                                                       in comparison    to
in comparison
the              to thethis
    control cultures;   control   cultures;
                            difference    wasthis  difference
                                                statistically   was statistically
                                                              significant   (Figure significant
                                                                                      8c,d). At the(Figure  8c,d).we
                                                                                                     same time,   At did
                                                                                                                      the
same
not   time, we
    observe       did notdifferences
             significant    observe significant        differences
                                         in the percentage          in the
                                                               of total       percentage
                                                                        depolarised     cellsofbetween
                                                                                                total depolarised
                                                                                                         the controlcells
                                                                                                                     and
between  the  control  and  experimental       cultures   propagated
experimental cultures propagated on TiO2 layers (Figure 8c,e).           on  TiO 2 layers  (Figure   8c,e).
     Figure
     Figure 8.    Theresults
              8. The     resultsofofthe
                                      theultrastructural
                                           ultrastructuralanalysis
                                                            analysis
                                                                   of of  MC3T3
                                                                       MC3T3      cells
                                                                                cells in in
                                                                                         thethe  control
                                                                                             control      culture
                                                                                                      culture      (TiO
                                                                                                                (TiO 2 ALD
                                                                                                                         2
      ALD  coatings   -)  and  a culture   propagated    on  TiO   coatings   obtained   by  ALD   (TiO   ALD coatings
     coatings -) and a culture propagated on TiO2 coatings      2          obtained by ALD (TiO2 2ALD coatings +;
     +;  experimental
     experimental          culture):
                      culture):        (a) confocal
                                 (a) confocal        imaging
                                                imaging        showing
                                                         showing    nucleinuclei  organisation
                                                                            organisation          (blue—stained
                                                                                          (blue—stained             with
                                                                                                            with DAPI),
     DAPI),   an  actin  cytoskeleton    (green—Atto    488  Phalloidin),  and the  distribution  of the
     an actin cytoskeleton (green—Atto 488 Phalloidin), and the distribution of the mitochondrial networkmitochondrial
     network    (red—mitoRed).
     (red—mitoRed).                   Thewere
                           The pictures    pictures  were captured
                                                 captured             under magnification
                                                           under magnification                 equal
                                                                                   equal to 630×     to 630×
                                                                                                   (scale bar (scale  bar
                                                                                                               = 40 μm);
     =  40  µm);   (b)  the  ultrastructure    of the MC3T3-E1     cells.  The  pictures   were  captured
     (b) the ultrastructure of the MC3T3-E1 cells. The pictures were captured using SEM under 500×           using  SEM
     under   500× magnification
     magnification     (scale bar = (scale
                                        100 μm      = 100
                                               barand      µm and magnification
                                                       magnification                  equal (c)
                                                                         equal to 2500×);     to 2500×);
                                                                                                  Dot-plots(c)presenting
                                                                                                               Dot-plots
     presenting
     distributiondistribution
                     of cells basedof cells based on mitochondrial
                                        on mitochondrial     membranemembrane
                                                                          potential. potential.
                                                                                      Cells wereCells  were separated
                                                                                                   separated   into four
     into four populations: live (Live—bottom-right corner), live with the depolarised mitochondrial
     populations: live (Live—bottom-right corner), live with the depolarised mitochondrial membrane
     membrane (Depolarized/Live—bottom-left corner), dead with the depolarised mitochondrial membrane
     (Depolarized/Live—bottom-left corner), dead with the depolarised mitochondrial membrane
     (Depolarised/Dead—upper-left corner), and dead (Dead—upper-right corner). The results of
     (Depolarised/Dead—upper-left corner), and dead (Dead—upper-right corner). The results of the
     the statistical analysis showing the percentage of cells with (d) high mitochondrial potential and
     statistical analysis showing the percentage of cells with (d) high mitochondrial potential and (e) total
     (e) total depolarised cells. (significant differences are marked with asterisks (* p < 0.05), non-significant
     depolarised cells. (significant differences are marked with asterisks (* p < 0.05), non-significant results
     results are marked as ns).
     are marked as ns).
     The analysis of preosteoclast invasion properties indicated that the number of preosteoclasts
      The analysis of preosteoclast invasion properties indicated that the number of preosteoclasts is
is significantly lower in the cultures of the preosteoblast MC3T3 propagated on a TiO2 coating,
significantly lower in the cultures of the preosteoblast MC3T3 propagated on a TiO2 coating, (Figure
(Figure 9a,b). In addition, the measurement of MC3T3-E1 adhesion indicated that TiO2 coatings
9a,b). In addition, the measurement of MC3T3-E1 adhesion indicated that TiO2 coatings promote
promote osteoblast attachment to surfaces. The results are in agreement with the increased metabolic
osteoblast attachment to surfaces. The results are in agreement with the increased metabolic activity
activity of MC3T3-E1 preosteoblasts propagated on a TiO2 layer, measured when they first interact
of MC3T3-E1 preosteoblasts propagated on a TiO2 layer, measured when they first interact with the
with the biomaterial, which strictly depends on the adhesive properties of the surface.
biomaterial, which strictly depends on the adhesive properties of the surface.
Materials 2020, 13, 4817                                                                                          12 of 20
Materials 2020, 13, x FOR PEER REVIEW                                                                            12 of 20
     Figure
     Figure 9.9. The
                 The invasion
                     invasionof
                              ofpreosteoclasts
                                 preosteoclastsininthe
                                                    thecontrol
                                                        controlco-culture (TiO
                                                                 co-culture    2 -)2and
                                                                            (TiO         thethe
                                                                                    -) and   culture  propagated
                                                                                                culture           on
                                                                                                         propagated
     TiO                                     ALD
         2 coatings
     on TiO          obtained by ALD (TiO2 2ALDcoatings+;
             2 coatings obtained by ALD (TiO        coatings+;experimental
                                                                experimentalco-culture):
                                                                              co-culture): (a)(a) the
                                                                                                  the representative
                                                                                                      representative
     pictures of MC3T3-E1 co-cultured with pre-osteoclasts. 4B12 cells were visualised and coloured
     pictures of MC3T3-E1 co-cultured with pre-osteoclasts. 4B12 cells were visualised and coloured red
     red (GNU Image Manipulation Program 2.10.18). The pictures were captured using SEM under
     (GNU Image Manipulation Program 2.10.18). The pictures were captured using SEM under 500×
     500× magnification (scale bar = 20 µm); (b) the results of statistical analysis showing the number of
     magnification (scale bar = 20 µ m); (b) the results of statistical analysis showing the number of
     preosteoclasts. (significant differences are marked with asterisks (** p < 0.01)).
     preosteoclasts. (significant differences are marked with asterisks (** p < 0.01)).
     The pro-osteogenic properties of the TiO2 coatings were confirmed by the expression of genes
      The pro-osteogenic properties of the TiO2 coatings were confirmed by the expression of genes
involved in the process of osteogenesis and proper bone mineralisation. The analysis was performed
involved in the process of osteogenesis and proper bone mineralisation. The analysis was performed
for the MC3T3-E1 cell line, as well as for co-cultures of MC3T3-E1 with pre-osteoclastic cell line
for the MC3T3-E1 cell line, as well as for co-cultures of MC3T3-E1 with pre-osteoclastic cell line 4B12.
4B12. In the MC3T3-E1 cultures propagated on TiO2 surfaces, we observed a higher expression of late
In the MC3T3-E1 cultures propagated on TiO2 surfaces, we observed a higher expression of late
osteogenesis markers, such as osteopontin (Opn) and osteocalcin (Ocl) (Figure 10b,d). Simultaneously,
osteogenesis markers, such as osteopontin (Opn) and osteocalcin (Ocl) (Figure 10b,d).
the same cultures were characterised by lower levels of mRNA for other osteogenic markers, i.e.,
Simultaneously, the same cultures were characterised by lower levels of mRNA for other osteogenic
collagen type 1 (Coll-1) and runt-related transcription factor 2 (Runx2) (Figure 10a,c). Interestingly,
markers, i.e., collagen type 1 (Coll-1) and runt-related transcription factor 2 (Runx2) (Figure 10a,c).
the profile of osteogenic markers for MC3T3-E1 cultured with 4B12 was maintained in the cultures
Interestingly, the profile of osteogenic markers for MC3T3-E1 cultured with 4B12 was maintained in
propagated on the TiO2 coating. As a result of the paracrine effects of preosteoclasts, MC3T3-E1
the cultures propagated on the TiO2 coating. As a result of the paracrine effects of preosteoclasts,
cultured in control conditions had lower levels of osteogenic genes. Obtained results correspond with
MC3T3-E1 cultured in control conditions had lower levels of osteogenic genes. Obtained results
the increased invasiveness of 4B12 noted in the control cultures. In turn, the MC3T3-E1 propagated on
correspond with the increased invasiveness of 4B12 noted in the control cultures. In turn, the MC3T3-
TiO2 and in direct contact with 4B12 were characterised by a higher accumulation of transcripts for
E1 propagated on TiO2 and in direct contact with 4B12 were characterised by a higher accumulation
Opn, Ocl, and Runx2 (Figure 9b,c and Figure 10a–d).
of transcripts for Opn, Ocl, and Runx2 (Figures 9b,c and 10a–d).
 Materials
Materials   2020,
          2020, 13,13, x FOR PEER REVIEW
                    4817                                                                                                     1313ofof
                                                                                                                                    2020
     Figure
        Figure10.10.The
                     ThemRNA
                          mRNAexpression
                                    expression of  of genes
                                                      genes associated with osteogenic
                                                                                    osteogenic potential.
                                                                                                  potential. The
                                                                                                              Theanalysis
                                                                                                                   analysisofofthe
     thecontrol
          controlculture
                  culture(TiO      ALD coatings -) and the culture propagated on TiO coatings (TiO ALD
                           (TiO22ALD                                                                                   coatings +;
                                      coatings -) and the culture propagated                 TiO22coatings (TiO22 ALD coatings
     +; experimental
        experimental culture) examined
                                   examined (a) (a)Coll-1,
                                                     Coll-1,(b) (b)Opn,
                                                                   Opn,(c) (c)Runx-2,
                                                                               Runx-2,andand(d)
                                                                                              (d)Ocl.
                                                                                                  Ocl.The
                                                                                                       Thetranscripts’
                                                                                                            transcripts’profiles
                                                                                                                          profiles
     were   measured    using   the RT-qPCR      technique.       The  relative  quantification
        were measured using the RT-qPCR technique. The relative quantification (RQ) was performed (RQ)  was  performed    using
                                                                                                                            using
     the  RQMAX
        the RQMAX    method
                       method  andandthe results
                                       the  resultsarearepresented
                                                             presented inin
                                                                          a log  scale.
                                                                             a log      (significant
                                                                                   scale.             differences
                                                                                           (significant           areare
                                                                                                        differences    marked
                                                                                                                         marked
     with  asterisks
        with asterisks(*** p <p 0.001;
                         (***   < 0.001;  p<
                                       ****       0.01;* p* p<<0.05),
                                             p <0.01;           0.05),non-significant
                                                                       non-significantresults
                                                                                          resultsare
                                                                                                   aremarked
                                                                                                       markedasasns).
                                                                                                                  ns).
     TheThelevels
             levelsofofmicroRNAs
                          microRNAsinvolvedinvolvedininbone
                                                          bonemetabolism
                                                                metabolismwerewerealsoalsoaltered
                                                                                             alteredininresponse
                                                                                                           responsetotoTiOTiO
                                                                                                                            2 2
coatings   (Figure     11).    In  the MC3T3-E1     cells  cultured
  coatings (Figure 11). In the MC3T3-E1 cells cultured onto TiO        onto TiO    obtained      by   ALD     surfaces,
                                                                                 2 2 obtained by ALD surfaces, we        we
observed
  observeda asignificantly
                significantlyhigher
                                  higher expression
                                          expression of ofmiR-17
                                                           miR-17(Figure
                                                                     (Figure11c)
                                                                              11c)
                                                                                 andand    miR-21(Figure
                                                                                       miR-21(Figure           11d),
                                                                                                            11d),     while
                                                                                                                  while  miR-
miR-124   (Figure    11b)   levels   were lowered.   This  profile  corresponds   with    mRNA
  124 (Figure 11b) levels were lowered. This profile corresponds with mRNA levels for osteogenic   levels    for osteogenic
markers,      i.e.,Opn
  markers,i.e.,     Opnand andOcl,Ocl,showing
                                        showingthat
                                                  thatthetheTiO 2 layer
                                                              TiO        may provide pro-osteogenic conditions,
                                                                  2 layer may provide pro-osteogenic conditions,
inducing
  inducing differentiation
               differentiation  of MC3T3-E1    cells into
                                     of MC3T3-E1           osteoblasts.
                                                       cells             However, However,
                                                               into osteoblasts.     the MC3T3-E1    the cells  propagated
                                                                                                           MC3T3-E1       cells
onpropagated
    ALD covered         with     TiO   samples   and   influenced     by the  paracrine      activity
                   on ALD covered with TiO2 samples and influenced by the paracrine activity of
                                     2                                                                  of  preosteoclasts
showed    significantly
  preosteoclasts      showed lower   levels of miR-7
                                   significantly  lowerandlevels
                                                             miR-21,
                                                                   of which
                                                                        miR-7 are
                                                                               andconsidered
                                                                                      miR-21, whichosteogenic     miRNAs.
                                                                                                             are considered
Nevertheless,    the lower Nevertheless,
  osteogenic miRNAs.            levels of miRNAs
                                               the promoting
                                                    lower levels  osteoclast activity,
                                                                     of miRNAs          i.e., miR-7
                                                                                  promoting            and miR-124,
                                                                                                  osteoclast           were
                                                                                                                 activity, i.e.,
significantly   lower,   a finding    which  also correlates   with  the decreased   invasion
  miR-7 and miR-124, were significantly lower, a finding which also correlates with the decreased of  4B12   preosteoclasts
ininvasion
   this condition.
             of 4B12 preosteoclasts in this condition.
 Materials 2020, 13, x FOR PEER REVIEW                                                                                 14 of 20
Materials 2020, 13, 4817                                                                                              14 of 20
     Figure 11. The expression of miRNA associated with osteogenic potential. The analysis of the control
     cultures (TiO2 ALD coatings -) and the cultures propagated on TiO2 coatings obtained by ALD (TiO2
       Figure 11. The expression of miRNA associated with osteogenic potential. The analysis of the control
     ALD  coatings +; experimental culture) examined (a) miR-7, (b) miR-124, (c) miR-17, and (d) miR-21.
       cultures (TiO2 ALD coatings -) and the cultures propagated on TiO2 coatings obtained by ALD (TiO2 ALD
     The transcripts’ profiles were measured using the RT-qPCR technique. The relative quantification (RQ)
       coatings +; experimental culture) examined (a) miR-7, (b) miR-124, (c) miR-17, and (d) miR-21. The
    was performed using the RQMAX method, and the results are presented in a log scale. (significant
       transcripts’ profiles were measured using the RT-qPCR technique. The relative quantification (RQ)
     differences are marked with asterisks (*** p < 0.001; ** p < 0.01), non-significant results are marked as
       was performed using the RQMAX method, and the results are presented in a log scale. (significant
     ns).
       differences are marked with asterisks (*** p < 0.001; ** p < 0.01), non-significant results are marked as
4. Discussion
       ns).
     Currently, much interest can be observed in the development and application of ALD technology
  4. Discussion
as a method for creating bioactive coatings for orthopaedic implants. Mounting evidence indicates
       Currently,
that ALD   technologymuch    interest
                         provides        canoption
                                     a new     be observed         in the development
                                                       for functionalising                      and application
                                                                                  the biomaterials’                     of ALD
                                                                                                       surface, improving
  technology   as a method    for  creating   bioactive    coatings     for  orthopaedic   implants.
the metabolism of bone progenitor cells, and promoting osseointegration. In this study, we used          Mounting      evidence
  indicates
ALD          that ALD
      technology         technology
                   to obtain   thin TiO provides    a new optionby
                                         2 films distinguished           forselective
                                                                              functionalising
                                                                                       biological theproperties:
                                                                                                      biomaterials’     surface,
                                                                                                                  activating
pro-osteogenic signals and inhibiting the invasion of osteoclast precursors. TiO2 coatings study,
  improving    the metabolism      of bone   progenitor      cells,   and   promoting    osseointegration.      In  this   had
  we used ALD
previously   beentechnology
                    described and to obtain   thin TiO2 in
                                       characterised       films
                                                               termsdistinguished      by selectiveproperties
                                                                         of their antibacterial        biological and
                                                                                                                   properties:
                                                                                                                          their
  activating pro-osteogenic
cytocompatibility                signals and
                     toward progenitor          inhibiting
                                             cells, including  thepreosteoblasts
                                                                     invasion of osteoclast       precursors.
                                                                                       [1,2]. It was   indicatedTiOthat
                                                                                                                     2 coatings
                                                                                                                          thin,
  had  previously   been   described    and  characterised       in  terms    of their antibacterial
ALD-fabricated TiO2 meets the criteria of pro-osteogenic coatings that promote bone-forming cell        properties    and   their
  cytocompatibility
growth                 toward
         and proliferation  [12].progenitor
                                    The quality cells,
                                                  of theincluding
                                                           TiO2 layers preosteoblasts[1,2].
                                                                            obtained by ALDItmeets was indicated      that thin,
                                                                                                          the requirements
ofALD-fabricated     TiO2 meets
   coatings for implant             the criteria
                            materials.    A thin ofTiO pro-osteogenic
                                                         2 layer    was       coatings
                                                                           deposited    that
                                                                                        on     promote
                                                                                            scaffolds      bone-forming
                                                                                                         made   of  titanium cell
  growth   and  proliferation   [12]. The  quality   of  the  TiO     layers  obtained   by  ALD
powder, mimicking the biological functions of the substrate. The TiO2 was coated on the porous
                                                                   2                                 meets  the requirements
  of coatings
metallic        for implant
          biomaterial         materials.
                       uniformly            A thin
                                     and with    highTiO   2 layer
                                                         quality       wasAdditionally,
                                                                   [11].     deposited on  TiO scaffolds   made of titanium
                                                                                                 2 films deposited     on 316
  powder,    mimicking    the   biological   functions     of   the   substrate.    The  TiO    was
LVM steel surfaces have been investigated mechanically. Basiaga et al. demonstrated that modifying
                                                                                              2       coated  on   the   porous
  metallic biomaterial uniformly and with high quality [11]. Additionally, TiO2 films deposited on 316
  LVM steel surfaces have been investigated mechanically. Basiaga et al. demonstrated that modifying
Materials 2020, 13, 4817                                                                           15 of 20
the surface of vascular stents is possible; the mechanical properties of such layers—the thicknesses of
the layers—depend on the number of ALD cycles used in the process [14].
     The ALD technique attracts attention as a promising technology that allows for tailored, unique
biocompatible coatings to be fabricated. However, the TiO2 coatings obtained by ALD and designed
for potential biomedical application are usually created in temperatures significantly higher than
100 ◦ C. For example, Liu et al. deposited TiO2 at 200 ◦ C [34], while Liu et al. created coatings
with ALD in the 120–190 ◦ C temperature range [35]. In this study, we performed the TiO2 growth
process at a temperature of 100 ◦ C. The selection of precursors, the metal precursor in particular, and
the temperature during the ALD growth process are the key parameters which determine the phase
composition of the thin TiO2 coating. The tetrakisdimethyloamino used by us in this study has a low
growth rate of TiO2 , indicating inefficient surface reactions. For comparison, the growth rate when
using tetrakisdimethyloamino of metals such as hafnium or zirconium is twice as high [33]. However,
despite the low growth rate, the high quality of the coating indicates the stoichiometry of this dioxide
was preserved. TiO2 occurs in various crystallographic phases—amorphous, rutile, anatase, and
brookite—or it can coexist in several phases [35]. The crystal phase of TiO2 obtained by ALD depends
strongly on the deposition temperature [9], while the amorphous layer is formed at low deposition
temperatures, anatase at medium temperatures, and rutile at the highest temperatures. It has also
been proven that crystallography influences the biological properties of the coating. For example,
Rossi et al. have shown that TiO2 coating which contains an anatase and rutile phase absorbing
the proteins from physiological fluids better [36]. The initial protein adhesion to the surface determines
the developmental phases of the cells (differentiation and proliferation) and whether osseointegration
is successful. Despite a lack of noticeable crystallographic order of the Ti and O atoms, we found
excellent osteogenic properties of the TiO2 coating.
     An amorphous structure leads to better adhesion to the substrate as compared to the corresponding
crystalline layer [33]. Moreover, a low temperature of deposition is a significant advantage, allowing
such a coating to be applied on polymer surfaces that can change their structure at high temperatures.
Amorphous oxides obtained by low temperature are often far from stoichiometric. Park et al. showed
in their work the formation of crystallites with higher oxygen content while depositing TiO2 with
plasma-enhanced ALD. While the TiO1.6 layer was amorphous, the increased oxygen content (TiO1.7 )
resulted in the formation of crystallites [37]. In our study, we obtained amorphous TiO2 coating close
to ideal stoichiometry. The reason for this phenomena can be the fact that the generation of oxygen
vacancies was thermodynamically blocked at low temperatures during the growth process.
     The TiO2 coating increased the hydrophobicity of the surface. This result is contrary to data
reported by Liu et al. They found a lower water contact angle with the deposition of an ALD layer.
However, in such a case, the wettability was determined by the substantial increase of surface roughness
rather than the surface chemistry. Cell adhesion is generally strongly correlated with the hydrophilic
properties of the materials. We found better cell adhesion despite the higher water contact angle. It
appears that their finding depended on the surface chemistry, and that the nearly ideal stoichiometry
may influence the biological properties of TiO2 .
     In this study, we found that 90-nm TiO2 coatings obtained by ALD may promote proper bone
formation and may enhance the viability, proliferation, and metabolic activity of preosteoblasts. We
were able to determine the influence of TiO2 coatings obtained by ALD on both osteoblast and osteoclast
activity. We have indicated that TiO2 layers improve the metabolic activity and viability at the early
stages of cell–biomaterial contact and that they lesson the invasion of osteoclast progenitors. These
features are extremely desirable and are required for bone implant coverings, as they can ensure
the proper integration of biomaterials with bone tissue and can guarantee active bone remodelling. We
have also found that TiO2 coatings promote the adhesion of preosteoblasts and have the features of
a biomimetic structure, allowing for the control of cell–surface interaction.
     The improved adhesion of osteoblast to TiO2 coverings was noted previously. For example,
Shokuhfar et al. reported that Ti surfaces treated with amorphous and crystalline TiO2 nanotube
Materials 2020, 13, 4817                                                                          16 of 20
are effective in increasing the number of attached MC3T3-E1 preosteoblasts. In addition, using SEM
and FIB analysis, Shokuhfaret al. provided direct evidence on the interlocked mechanism between
the cell and TiO2 . It was shown that osteoblasts growing on nanostructured TiO2 coatings create
filopodia extensions, increasing the contact area and resulting in better anchorage to the surfaces [38].
The increased adhesion of osteoblasts to TiO2 coatings was also described by Rivera-Chacon et al., who
explained this phenomenon by the selective absorbance of vitronectin and fibronectin by substrates
with nanostructures [39]. This finding partially explains our results, which indicate the improved
attachment of osteoblasts into the TiO2 layer and the inhibited invasion of osteoclasts. Vitronectin was
shown to promote osteoblast differentiation and activity, whilst concomitantly restraining osteoclast
differentiation and resorptive function [40].
      The increased adhesion, as well as the improved proliferation and viability of progenitor cells,
ensures the guided regeneration of bone and the formation of functional tissue. In this study, we
showed that TiO2 coatings exert an anti-apoptotic effect towards preosteoblasts, significantly increasing
their viability and promoting cellular metabolism. Such features were described previously in relation
to the cytocompatibility of TiO2 coatings. TiO2 coatings obtained through ALD had been reported as
bioactive layers that modulate the metabolism of progenitor cells, affecting their osteogenic potential.
In this study, we confirmed that TiO2 coatings obtained by ALD activate transcripts associated with
preosteoblast differentiation into bone-forming cells. We found that TiO2 layers increased the mRNA
levels of osteopontin and osteocalcin in the pre-osteoblastic MC3T3-E1 cell line, which is in line with
the results presented by Vercellino et al., who showed that titanium dioxide nanostructured coatings
promote the differentiation of bone marrow stromal cells, elevating the expression of osteopontin and
osteocalcin [41].
      In addition, we found that the gene expression pattern correlates with higher levels of regulatory
microRNAs, such as miR-17 and miR-21. It was previously reported that TiO2 -nanotube arrays regulate
the miRNA levels in human adipose-tissue-derived stem cells (hASCs) propagated under osteogenic
conditions. The increasing interest in microRNA involvement in the regulation of pro-osteogenic signals
also reinforces the studies on the effect of biomaterial and nanotopography-guided differentiation of
progenitor cells. Understanding mRNA–miRNA networks as an axis regulating the fate of progenitor
cells can be paramount when designing biomaterial-based therapies for metabolic disorders, including
osteoporosis. For example, it was previously reported by various groups, including ours, that miR-21
promotes osteogenesis, but also acts as a regulator of osteoclastogenesis and a promoter of osteoclast
differentiation [22,42]. Similarly, it was indicated that miR-17-5p improves cell proliferation and
osteoblastic differentiation of human multipotent stromal cells. Furthermore, it was shown that
decreased expression of miR-17-5p is correlated with worse clinical characteristics and poor survival
rate in patients with non-traumatic osteonecrosis [43]. Instead, miR-7 levels have not been thoroughly
described in terms of osteoblast biology, and it was found that it can be differentially expressed,
depending on bone metabolism [44,45]. It seems that the inhibition of miR-7 targeting the epidermal
growth factor receptor (EGFR) may inhibit the development of osteoporosis [45]. This conclusion is in
agreement with the profile of miR-124, which is an essential molecule regulating osteoclastogenesis.
The overexpression of miR-124 could inhibit osteoclastogenic differentiation of bone-marrow-derived
monocyte cells, indicating that the inhibition of miR-124 expression might be a potential therapeutic
strategy for the treatment of osteoporosis [46].
      Pro-osteogenic properties of TiO2 layers obtained by ALD can also be expressed by decreased
mitochondrial membrane potential. This is the characteristic feature of differentiated MC3TC3-E1
osteoblasts, as described by Guntur et al. Moreover, a lack of a significant increase in mitochondrial
volume fraction during the differentiation of MC3T3-E1 cells to osteoblasts was also observed, which
can be explained by the fact that differentiated osteoblasts are not programmed to use oxidative
phosphorylation to supply their ATP demand [47]. Our results indicated that TiO2 coatings obtained
by ALD can play the role of a regulator mitochondrial adaptation and can exert anti-apoptotic
Materials 2020, 13, 4817                                                                                      17 of 20
effects toward osteoblast precursors. This suggests that their potential application in metabolic- and
age-related bone diseases.
5. Conclusions
      Nanoscale and biomimetic TiO2 coatings obtained by ALD have displayed promising
pro-osteogenic properties, activating the osteogenic biomarkers associated with proper bone
remodelling and regulating mitochondrial activity. We demonstrated that TiO2 coverings significantly
promote the adhesion of preosteoblast cells and inhibit the invasion of preosteoclasts, lowering
the levels of microRNAs (miR-7 and miR-124), which are crucial for osteoclast survival and maturation.
The TiO2 coatings obtained by ALD can be a suitable layer for enhancing the osteogenic properties and
biofunctionality of substrates used in the field of orthopaedics, especially in terms of metabolic- and
age-related bone diseases.
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