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Materials Chemistry B - Journal of - UniCa
Volume 8
                                                                                            Number 4
                                                                                            28 January 2020
                                                                                            Pages 583–828

Journal of
Materials Chemistry B
Materials for biology and medicine
rsc.li/materials-b

                                 ISSN 2050-750X
                                                                                                    lin d in

                                 COMMUNICATION
                                                                                                       e!

                                 Roberto Orru, Christophe Drouet et al.
                                                                                                 ed xe

                                 First successful stabilization of consolidated amorphous
                                                                                                M nde

                                 calcium phosphate (ACP) by cold sintering: toward
                                 highly-resorbable reactive bioceramics
                                                                                               I
Materials Chemistry B - Journal of - UniCa
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                                                                                                                First successful stabilization of consolidated
                                                                                                                amorphous calcium phosphate (ACP) by cold
                                                                     Cite this: J. Mater. Chem. B, 2020,
                                                                     8, 629                                     sintering: toward highly-resorbable reactive
                                                                     Received 27th September 2019,              bioceramics†
                                                                     Accepted 22nd November 2019
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                                                                     DOI: 10.1039/c9tb02121c
                                                                                                                Marina Luginina,ab Roberto Orru, *a Giacomo Cao,a David Grossin,b
                                                                                                                Fabien Brouillet,b Geoffroy Chevallier,bc Carole Thouronb and
                                                                     rsc.li/materials-b                         Christophe Drouet *b

                                                                     In the field of bone regeneration, some clinical conditions require                   allograft and autograft tissue replacement has been a major
                                                                     highly-resorbable, reactive bone substitutes to rapidly initiate tissue               subject of research.1–3 Hydroxyapatite (HAp), (Ca10(PO4)6(OH)2),
                                                                     neo-formation. In this view, Amorphous Calcium Phosphates (ACP)                       due to its good biocompatibility and structural similarity to the
                                                                     appear as well suited bioceramics taking into account their high                      mineral part of calcified tissues, is one of the most commonly
                                                                     metastability. However, the metastability also leads to difficulties of                 used bioactive ceramics as of today.4 However, it is thermo-
                                                                     sintering without transformation into crystalline compounds. In this                  dynamically stable under physiological conditions and thus
                                                                     work, various calcium phosphate samples (co)doped with carbonate                      exhibits a low resorption rate in vivo. Additionally, due to the
                                                                     (CO32 ) and magnesium ions were synthesized by the double decom-                      low surface area and limited surface reactivity HAp bioactivity is
                                                                     position method in alkaline media using ammonium and potassium                        hindered after implantation.5,6 Such differences with respect to
                                                                     hydroxide solutions. The obtained amorphous powders possess an                        bone mineral, also called biological apatite, are ascribed to the
                                                                     exceptionally-high carbonate content up to 18.3 wt%. Spark Plasma                     fact that the latter consists of nanocrystalline non-stoichiometric
                                                                     Sintering (SPS) at very low temperature (150 8C) was then utilized to                 polysubstituted apatite.7 Besides carbonate (CO32 ), which is the
                                                                     consolidate initial powders with the view to preserve their amorphous                 main substituting ionic group in biological apatite (5–9 wt%),8–10
                                                                     character. The influence of the introduction of different apatite growth               other ions such as HPO42, Mg2+, Sr2+, Na+ and F are also
                                                                     inhibitors such as carbonate (CO32 ) and magnesium ions was studied.                  encountered.11,12 According to Legros et al.,13 the composition
                                                                     XRD and FTIR analyses revealed that sintered ceramics generally con-                  of bone mineral is characterized by significant vacancy contents
                                                                     sisted in highly carbonated low-crystallinity apatites, which are expected            in Ca and OH sites, and can be described (omitting trace
                                                                     to have higher solubility than conventional apatite-based systems.                    elements) by the general formula Ca8.3(PO4)4.3(CO3,HPO4)1.7-
                                                                     However, most interestingly, modulation of the doping conditions                      (CO3,OH)0.3. A recent report analyzing a fresh bone specimen
                                                                     allowed us to retain, for the first time, the amorphous character of                  by NMR and vibrational spectroscopies pointed in particular to
                                                                     ACP powders after SPS. Such consolidated ACP compounds may now                        a high amount of HPO42 ions besides carbonates.14 In apatites,
                                                                     be considered as a new family of bioceramics with high metastability                  whether biological or synthetic, hydroxide (OH ) and phosphate
                                                                     allowing the fast release of bioactive ions upon resorption.                          (PO43 or HPO42 ) ionic groups can indeed be replaced by
                                                                                                                                                           carbonate ions, leading respectively to A and B-type carbonated
                                                                                                                                                           apatites. Additionally, AB mixed-type apatites are often reported.15
                                                                                                                                                           One important feature of nanocrystalline apatites, whether in bone
                                                                     Introduction                                                                          or dentine or their synthetic biomimetic analogs, is the presence of
                                                                     In the past few decades, the development of synthetic calcium-                        a hydrated non-apatitic ionic layer covering the surface of the
                                                                     phosphate-based bioceramics as an alternative approach for                            nanocrystals and conferring very reactive properties.16,17 In bone,
                                                                                                                                                           this is used for maintaining ion homeostasis in body fluids, and
                                                                     a
                                                                       Dipartimento di Ingegneria Meccanica, Chimica, e dei Materiali, Unità di Ricerca   in synthetic analogs these characteristics can be tailored and
                                                                       del Consorzio Interuniversitario Nazionale per la Scienza e Tecnologia dei          exploited to modulate the reactivity/bioactivity of the nano-
                                                                       Materiali (INSTM), Università degli Studi di Cagliari, Via Marengo 2,              crystals in view of a variety of biomedical applications, like
                                                                       09123 Cagliari, Italy. E-mail: roberto.orru@dimcm.unica.it
                                                                     b
                                                                                                                                                           bone regeneration but also nanomedicine.18,19 This may also
                                                                       CIRIMAT, Université de Toulouse, CNRS, INPT, UPS, Toulouse, France.
                                                                       E-mail: christophe.drouet@cirimat.fr
                                                                                                                                                           imply ionic substitutions to modulate the bioactivity of the
                                                                     c
                                                                       PNF2, CNRS, Toulouse, France                                                        nanocrystals, which may be achieved either for impacting the
                                                                     † Electronic supplementary information (ESI) available. See DOI: 10.1039/c9tb02121c   stability/degree of crystallinity/thermodynamic properties of

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                                                                     the apatitic phase,18 or for modulating biological properties, or          In this light, the goal of this study was to investigate the
                                                                     both. For example, doping with Mg2+ ions can activate osteoblast        consolidation ability by SPS at low temperature, of amorphous
                                                                     cells, and Mg-doped apatites also exhibit a less pronounced             CaP compounds, with the general aim of producing ACP-based
                                                                     crystallinity (lower maturation state) than Mg-free ones, thus          highly reactive and resorbable biomaterials as a novel family of
                                                                     leading to a higher reactivity. Like magnesium, carbonate ions          bone substitutes. All previous attempts to stabilize ACP after
                                                                     are also growth inhibitors for the apatite structure, having also an    sintering, including by SPS at low temperature,34 have failed since
                                                                     impact on apatite nanocrystals reactivity/solubility.20                 the crystallization into apatite was systematically observed. This
                                                                         These substitutions and subsequent structural disorder              may be related to several factors such as inadequate synthesis
                                                                     provide thus a way to prepare biomaterials with a higher solubility     protocols or too low carbonate contents, thus not playing fully
                                                                     compared to stoichiometric hydroxyapatite, which may be parti-          their crystallization inhibition role.
                                                                     cularly appealing to rapidly confer constitutive building blocks of        In the present work, we have explored alternative synthesis
                                                                     mineral in view of activated bone regrowth.                             routes to prepare very highly carbonated ACP powder precursors,
                                                                         Although the mechanisms of bone mineralization have not             eventually also containing magnesium ions, so as to allow
                                                                     yet been fully clarified, it was suggested that the formation of        stabilization and retain the amorphous character even after
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                                                                     new bone may involve amorphous calcium phosphate (ACP)                  SPS consolidation. Indeed, carbonate and magnesium ions are
                                                                     reactive precursors.21–23 Such ACP are not crystallized but possess     two crystallization inhibitors for the apatitic structure, but
                                                                     short-range order in the form of small organized units with             their cumulated effect on low temperature sintering had not
                                                                     average size of about 0.9 nm, known as Posner’s clusters of             been investigated so far. We show here, for the first time, the
                                                                     chemical formula Ca9(PO4)6nH2O.24 Despite the relevance of ACP         possibility to obtain still-amorphous compounds, in this case
                                                                     to the field of bone regeneration, these amorphous compounds            calcium phosphates, after SPS treatment via ‘‘low temperature
                                                                     have not found as yet the development they deserve – except as an       sintering’’. This new family of compounds is intended to allow
                                                                     ingredient in bone cement formulation.25,26 This can probably be        the preparation of highly resorbable CaP ceramics for very fast
                                                                     linked to the difficulty to process ACP to make granules or 3D          release of bioactive building blocks relevant to bone tissue
                                                                     pieces while avoiding their crystallization into crystallized CaP       regeneration. The main physicochemical characteristics of the
                                                                     such as apatite. Two main techniques have been proposed so far          obtained samples are also investigated in this paper by taking
                                                                     to obtain synthetic ACP, i.e. a wet route in aqueous medium27,28        advantage of complementary techniques.
                                                                     and a dry method carried out at high temperatures.29 The
                                                                     consolidation of ACP represents a difficult goal to achieve due
                                                                     to the thermal instability of this amorphous precursor. Therefore,      Experimental
                                                                     relatively mild conditions are required to consolidate it while
                                                                     preserving its metastable character. Overcoming this challenge          Synthesis of amorphous (ACP) powders
                                                                     could then provide a new family of CaP compounds with even              The synthesis of five types of ACP-based powders was carried
                                                                     greater reactivity and bioresorbability (resorbability in vivo being    out by double decomposition method,36,37 with and without
                                                                     directly related to solubility3).                                       carbonate and eventually magnesium ions.
                                                                         Since years 2000s, the use of Spark Plasma Sintering (SPS) at           The starting materials used to this aim are listed in Table 1,
                                                                     very low temperature (150 1C) was reported to be effective for the       along with the selected relative amounts.
                                                                     consolidation of biomimetic nanocrystalline apatite powders,30–32           Two different solutions, indicated as A and B, respectively,
                                                                     opening the way to ‘‘cold sintering’’ approaches exploiting the         were prepared individually by dissolving the precursors in
                                                                     water contained in the compounds. These initial experiments             deionized water. The pH of both solutions was adjusted to
                                                                     were performed on non-carbonated apatites. More recently, the           B10 (experimental value 9.9). To this purpose, either ammonium
                                                                     possibility to adjoin natural polymers such as cellulose fibers to      hydroxide (NH4OH 20%, Fisher Chemical) (method 1) or potas-
                                                                     obtain reinforced biomimetic apatite/polymer composites has             sium hydroxide solution (KOH, Fisher Chemical) (method 2) were
                                                                     also been demonstrated.33 In addition, this low temperature SPS         utilized as mentioned in the text. As explained in the Result and
                                                                     exploration has been extended to the obtainment of carbonated           discussion section, the Mg30-cACP powders were prepared
                                                                     apatites.34                                                             according to both methods. To this purpose, di-ammonium
                                                                         The SPS technique is based on the application of a uniaxial         hydrogen phosphate (NH4)2HPO4 was also replaced in the initial
                                                                     mechanical pressure simultaneously with a pulsed current, which         solution B by di-potassium phosphate (K2HPO4), in the same
                                                                     causes heating by Joule effect through the electrically conductive       proportion, leading to the sample denoted Mg30-cACP-K. To
                                                                     die.35 This method allows consolidating different types of materials     reach pH 9.9, KOH solutions with pH = 13 or 15 were added to
                                                                     including ceramics, metals and polymers under lower temperatures        solutions A and B, respectively. Solution B containing HPO42
                                                                     than those usually employed in conventional hot pressing                ions exhibited buffer properties, so that a stronger initial alkaline
                                                                     techniques. Despite the possibilities of SPS, very few reports have     solution was required to increase its pH. The rest of the synthesis
                                                                     been focused on cold sintering. Sintering at very low temperature       procedure was the same for both methods. In each case, solution
                                                                     (o300 1C) was yet found to be especially relevant for consolidating     A was added to solution B at room temperature (B22 1C). The
                                                                     biomimetic apatites so as to preserve their nanocrystalline, hydrated   resulting mixture was stirred for few minutes and then immediately
                                                                     and thermodynamically metastable features.32                            filtered on a Buchner funnel, washed with alkalinized deionized

                                                                     630 | J. Mater. Chem. B, 2020, 8, 629--635                                               This journal is © The Royal Society of Chemistry 2020
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                                                                     Table 1 Starting reactants used to synthesize amorphous calcium phos-      were recorded in a range 10–901 with a step of 0.021 and dwell
                                                                     phates (ACP)                                                               time 1 s. In addition, vibrational spectroscopy analysis was
                                                                                        Composition                                             conducted on a Nicolet 5700 Fourier transform infrared (FTIR)
                                                                                                                                                spectrometer. Spectra were recorded in transmission mode in
                                                                                        Solution A                         Solution B
                                                                                                                       1
                                                                                                                                                the 400–4000 cm 1 range with 64 scans and 4 cm 1 resolution,
                                                                                     Molar concentration, mol L
                                                                     Sample name                                                                the KBr pellet method was used. Obtained FTIR spectra were
                                                                     (method number) Ca(NO3)24H2O Mg(NO3)26H2O (NH4)2HPO4 NaHCO3              analyzed using the OMNIC software (Thermo Fisher Scientific).
                                                                     ACP 27(1)          0.3a           0                   0.13b        0       Ca2+ and Mg2+ titrations were carried out by atomic absorption
                                                                     cACP (1)           0.3a           0                   0.65b        0.1b    spectroscopy (AAS, in flame mode) using an Analytik Jena
                                                                     Mg5-cACP (1)       0.29a          0.017a              0.65b        0.1b
                                                                     Mg15-cACP (1)      0.26a          0.05a               0.65b        0.1b
                                                                                                                                                contrAA 300 high-resolution continuum source spectrometer.
                                                                     Mg30-cACP (1,2)    0.22a          0.1a                0.65b        0.1b    Mechanical evaluations (determination of the tensile strength s)
                                                                     a                                             b                            were carried out on the SPS pellets (B8 mm diameter and 2 mm
                                                                       Refers to a 1 vol% NH3 aqueous solution.        Refers to a 2 vol% NH3
                                                                     aqueous solution.                                                          height) via diametral compression tests, aka Brazilian tests, as
                                                                                                                                                previously reported30 on disk-shape samples not suitable for
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                                                                                                                                                regular axial compression tests. These measurements were per-
                                                                     water (pH 9.9) and freeze-dried. Pure ACP powder was prepared as a         formed using a Hounsfield press (model H25K-S) equipped with a
                                                                     reference using the method described by Heughebaert.27                     25 kN force sensor and at a loading speed of 0.5 mm min 1.
                                                                     Spark plasma sintering (SPS)
                                                                     SPS experiments for the consolidation of amorphous precursors
                                                                                                                                                Results and discussion
                                                                     were carried out by means of a 2080 Sumitomo Coal Mining
                                                                     equipment under argon atmosphere. This equipment provides                  Powder synthesis and physicochemical characterization
                                                                     uniaxial pressing and simultaneous heating via DC pulsed                   The first systems considered in this study were synthesized
                                                                     current (maximum 8000 A and 10 V). During the experiments,                 using ammonium hydroxide solution as alkalinization medium.
                                                                     current was limited to 1000 A, and the sequencing of pulses was            XRD patterns of the corresponding powders are shown in Fig. 2.
                                                                     12 : 2 (12 pulses of 3.3 ms followed by two time intervals without         Standard ACP is shown on Fig. 2a. All other compounds were
                                                                     current). Powder samples (0.35 g) were placed in a graphite die            precipitated in the presence of carbonate ions, hence the denomi-
                                                                     with internal diameter equal to 8 mm covered with a graphite               nation cACP, and with increasing magnesium concentrations. For
                                                                     foil to facilitate sample release after SPS.                               magnesium contents in the starting powder mixture system equal
                                                                         Sintering runs were performed with temperature and pressure            or less than 15 wt% (Fig. 2b–d), corresponding to experimental
                                                                     programmed sequences (Fig. 1) similar to those used in previous            Mg/(Mg + Ca) molar ratios between 0 and 0.13, our results
                                                                     studies aimed to the consolidation of biomimetic apatites and              indicated that no defined peaks could be detected by XRD,
                                                                     derived composites.32,33                                                   confirming the preservation of the amorphous character of these
                                                                                                                                                carbonated or non-carbonated ‘‘ACP’’ samples. On the other hand,
                                                                     Physicochemical characterization                                           the XRD pattern of Mg30-cACP (Fig. 2e) showed, in addition to the
                                                                     Initial powders and sintered samples obtained after SPS were               broad halo with maximum 2y value at around 301, several other
                                                                     first characterized by X-ray diffraction, using a BRUKER D8                 prominent peaks, which are attributed to the presence of a
                                                                     Advanced diffractometer with CuKa radiation. XRD spectra                    secondary NH4MgPO46H2O, struvite, crystalline phase (ICDD-
                                                                                                                                                PDF 01-077-2303).

                                                                                                                                                Fig. 2 Diffraction patterns of powders synthesized using ammonia for pH
                                                                     Fig. 1   SPS conditions (temperature and pressure programs).               stabilization: (a) ACP; (b) cACP; (c) Mg5-cACP; (d) Mg15-cACP; (e) Mg30-cACP.

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                                                                          The formation of undesired struvite beyond a limit Mg content
                                                                     may be related to the use of ammonium hydroxide in the synthesis
                                                                     protocol, thus providing the necessary NH4+ ions. Therefore, this
                                                                     biphasic Mg30-cACP sample formed in the presence of NH4+ ions
                                                                     will not be further considered in the study.
                                                                          FTIR analyses were also carried out for complementary char-
                                                                     acterization, and the related spectra are presented in Fig. 3. All
                                                                     the spectra reveal broad bands which are similar to those
                                                                     reported in previous work for ACP obtained by precipitation in
                                                                     an alkaline medium.34,38 The broad band between 3700 and
                                                                     2800 cm 1 and the one at B1640 cm 1 can be attributed to the
                                                                     presence of water (respectively O–H stretching and H–O–H
                                                                     bending modes) associated to Posner clusters.39
                                                                          The amorphous character of the samples leads to poorly
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                                                                     defined phosphate vibration bands, especially related to the
                                                                     n3(PO4) and n4(PO4) modes, as opposed to observations with                Fig. 4 FTIR spectra of the cACP powder: (a)(I) initial powder, (a)(II) sample
                                                                     crystalline CaP compounds like apatites,40 and also to a position         after SPS; (b) zoom on the n3(CO3) band; (c) zoom on the n2(CO3) band. A,
                                                                     of the n1(PO4) band close to 959 cm 1 (instead of B961–962 cm 1           B, and L stand respectively for A-type, B-type and Labile carbonates
                                                                     for apatites).41 For carbonated compounds, additional bands               species.
                                                                     assignable to the CO32 ionic group are also detected (Fig. 3).
                                                                     In particular, typical regions of the spectra where signals of
                                                                                                                                               amorphous domains and not embedded into the crystallo-
                                                                     carbonate ions can be observed are 850–900 cm 1 and 1350–
                                                                                                                                               graphic apatitic structure. It is interesting to note that, in case
                                                                     1550 cm 1, related to the n2(CO3) and n3(CO3) vibration modes,
                                                                                                                                               of this cACP amorphous precursor, carbonate species seem to
                                                                     respectively. Details of these regions are given in Fig. 4(I) for the
                                                                                                                                               mostly correspond to such labile CO3 (see Fig. 4), pointing to their
                                                                     cACP synthesized powder. For comparative purposes, the char-
                                                                                                                                               similarity to the labile surface carbonates found in the amorphous
                                                                     acteristic features of A and B-type carbonate environments in
                                                                                                                                               hydrated layer on nanocrystalline apatites. The same behavior
                                                                     carbonated apatite, respectively corresponding to carbonate ions
                                                                                                                                               was also observed in the cases of Mg5-cACP and Mg15-cACP
                                                                     replacing some hydroxyl and phosphate groups in the apatite
                                                                                                                                               initial powders.
                                                                     structure, have also been pointed out on this figure, and the
                                                                                                                                                   The overall content of CO32 ions was estimated for all samples
                                                                     wavenumbers corresponding to CO32 ionic groups in nano-
                                                                                                                                               by exploiting the FTIR features in a quantitative way, according to
                                                                     crystalline apatites are summarized in Table 2. In addition, the
                                                                                                                                               Grunenwald et al.’s updated methodology43 (Table 3). In particular,
                                                                     estimated position of IR bands corresponding to surface carbonates
                                                                                                                                               the ratio rC/P between the integrated intensity of n3(CO3) (1550–
                                                                     (i.e. CO32 ions located on the hydrated layer on apatite nano-
                                                                                                                                               1350 cm 1 domain) and n3(PO4) band (1230–912 cm 1) was
                                                                     crystals),42,43 also known as ‘‘labile’’ has also been indicated on
                                                                                                                                               measured and compared to the calibration curve. For the carbo-
                                                                     Fig. 4 and Table 2.
                                                                                                                                               nated ACP (cACP), the total amount of CO3 was found around
                                                                          Such labile carbonates are indeed characteristic of meta-
                                                                                                                                               17 wt%, while for Mg15-cACP it reached 18.3 wt%. To the best of
                                                                     stable chemical environments that may be found in hydrated
                                                                                                                                               our knowledge such highly carbonated amorphous calcium
                                                                                                                                               phosphate powders have been synthesized in the present work
                                                                                                                                               for the first time. By comparison, amorphous powders with carbo-
                                                                                                                                               nate content reaching around 3.1 wt% was reported by Ortali et al.,
                                                                                                                                               although such level was found insufficient to allow preservation of
                                                                                                                                               the amorphous character after SPS consolidation.34 The obtained
                                                                                                                                               augmentation of the carbonation level can be explained on the basis
                                                                                                                                               of several modifications in the synthesis procedure employed here
                                                                                                                                               as compared to literature reports: unheated synthesis (room tem-
                                                                                                                                               perature B22 1C), high alkaline pH raised close to 10, high starting
                                                                                                                                               C/P ratio B1.6 (as opposed to a maximum of 0.5 in ref. 34),

                                                                                                                                               Table 2 Overview of characteristic wavenumbers (in cm 1) of n2(CO3)
                                                                                                                                               and n3(CO3) vibration modes in apatites

                                                                                                                                               Vibrational band         A-type                  B-type       Labile CO32
                                                                                                                                               n241,44,45               882                     872          866
                                                                     Fig. 3 FTIR spectra of synthesized powders: (a) ACP; (b) cACP; (c) Mg5-   n342,46                  1465        1412        1417
                                                                     cACP; (d) Mg15-cACP.                                                                               1542        1462        1480

                                                                     632 | J. Mater. Chem. B, 2020, 8, 629--635                                                   This journal is © The Royal Society of Chemistry 2020
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                                                                     Table 3 Carbonate contents of as-synthesized powders as well as after
                                                                     SPS (evaluated by FTIR; uncertainties estimated to 0.5 wt%)

                                                                     Name of the                                             CO3 wt% samples
                                                                     sample              CO3 wt% initial powders             after SPS
                                                                     ACP                 0                                   0
                                                                     cACP                17.0                                14.0
                                                                     Mg5-cACP            15.9                                11.3
                                                                     Mg15-cACP           18.3                                14.1

                                                                     low starting Ca/P ratio close to 1.1, and absence of precipitate
                                                                                                                                               Fig. 6 XRD patterns of Mg30-cACP-K synthesized with KOH solution:
                                                                     maturation. These conditions thus favor carbonation by providing
                                                                                                                                               (a) initial powder; (b) after SPS.
                                                                     not only fewer cations and more carbonate ions per unit volume,
                                                                     but also by providing a more stable chemical environment for
                                                                     limiting CO2 release (high pH, absence of maturation).                    that the applications aimed with these compounds are not to
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                                                                        In order to avoid the precipitation of Struvite during the             treat large bone defects in load-bearing sites. Typical values of
                                                                     synthesis of Mg30-cACP, the preparation of the latter was                 tensile strength s evaluated via diametral compression tests
                                                                     attempted substituting NH4OH by KOH as described in the                   reached 13  3 MPa, which are comparable to previous data on
                                                                     Materials and methods section. FTIR spectra of the synthesized            CaP compounds (ACP and nanocrystalline apatite) measured in
                                                                     powder and the corresponding sample consolidated by SPS are               similar conditions.30 Exploration of the SPS data (ESI,† Fig. SI1)
                                                                     given in Fig. 5a and b, respectively. The carbonation level of raw        confirmed the occurrence of an actual sintering stage when
                                                                     Mg30-cACP-K powder was found to be around 13.8 wt%, while                 approaching the 150 1C plateau, totally distinct from the powder
                                                                     its amorphous character was confirmed by XRD analysis                     compression stage noticeable upon applying mechanical pressure.
                                                                     (Fig. 6a); and its Mg/(Mg + Ca) molar ratio was close to 0.14.                The XRD pattern of the ceramic obtained from pure ACP
                                                                        The above data thus allowed us to prepare single-phased, highly        (Fig. 7a) revealed, as anticipated, that crystallization into an
                                                                     carbonated ACP powders, with or without co-incorporation of Mg2+          apatite phase (ICDD-PDF 00-009-0432) occurred on this sample
                                                                     ions. The next step therefore consisted of checking their con-            during SPS. Attempts to avoid this crystallization were then
                                                                     solidation by low temperature SPS treatment, and to char-                 made by investigating the effect of the carbonation and magnesium
                                                                     acterize the obtained bioceramic pellets. This is the object of           contents of the amorphous precursor powder. Apatite formation
                                                                     the following section.                                                    was also noticed for the cases of cACP exempt of magnesium
                                                                                                                                               (Fig. 7b) as well as for low amounts of Mg, namely for samples
                                                                     Characterization of spark plasma sintered bioceramics
                                                                                                                                               Mg5-cACP (Fig. 7c) and Mg15-cACP (Fig. 7d). However, it may be
                                                                     SPS was tested on each of the carbonated/magnesium ACP                    noted that the related low resolution of the peaks evidences their
                                                                     compositions prepared (see Fig. 1). In all cases, successful              low crystallinity character (similarly to bone mineral47) as
                                                                     consolidation was achieved, with the obtainment of hardened               opposed to pure ACP. This low crystallinity can be related to
                                                                     pellets. Densification rates (ratio of apparent density to theore-        several factors as nonstoichiometry, ion substitutions and nano-
                                                                     tical) of ca. 60% were attained for cACP, with a decreasing trend         sized crystallites. This tendency toward lower apatite crystallinity
                                                                     down to ca. 45% when increasing the Mg initial content up to              is all the more obvious that the Mg content increases (Fig. 7). It can
                                                                     30%. These values point to the residual porosity within the
                                                                     pellets, which can be advantageously exploited for the loading
                                                                     and release of drug/active molecules, also taking into account

                                                                                                                                               Fig. 7 Diffraction patterns of the SPS samples obtained from the amorphous
                                                                     Fig. 5 FTIR spectra of Mg30-cACP-K synthesized with KOH solution:         powders in presence of ammonium hydroxide solution: (a) ACP; (b) cACP;
                                                                     (a) initial powder; (b) after SPS.                                        (c) Mg5-cACP; (d) Mg15-cACP.

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                                                                     thus be stated that in these conditions, carbonate and magnesium             SPS is thought to be related to the strong inhibiting effect of the
                                                                     ions limit, but do not block the progression of apatite crystal-             Mg2+ ions on apatite crystallization combined to that of carbonates.
                                                                     lization during SPS. This conclusion agrees with previous results            The carbonation level on this sample after SPS was found to be kept
                                                                     reported in the literature;20,48 however these findings indicate             around 9 wt%. The typical morphology of such sintered ACP is
                                                                     that these starting CO3/Mg compositions were not sufficient to                 shown on Fig. 8, evidencing in particular a submicron porosity.
                                                                     stabilize amorphous CaP after SPS.                                               The mechanism of sintering at such low temperatures is not
                                                                         FTIR spectra also revealed the occurrence of the transformation          fully elucidated. But, similarly to the case of biomimetic apatite
                                                                     of amorphous powders into low-crystallinity apatite after SPS treat-         nanocrystals which contain water molecules in a surface hydrated
                                                                     ment for these samples (Fig. 4a-II). Carbonate ions can then enter           layer as well as labile surface ions,30–32 the presence of water
                                                                     the apatite lattice leading to the formation of either A or B-types of       molecules associated to amorphous clusters of ACPs most likely
                                                                     substitution. In particular, based on the FTIR spectral analysis,            plays a key role in the formation of interparticle bridges resulting
                                                                     partial transformation into mostly B-type apatite can be noted               in ACP cold sintering. The role of (added) water was also shown
                                                                     after SPS of these samples in domains 1462 cm 1 (Fig. 4b-II) and             to favor sintering (although not via SPS) in the case of crystallized
                                                                     872 cm 1 (Fig. 4c-II). FTIR spectra relative to the specimens                calcium carbonate, when using high pressure compaction.49 In
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                                                                     consolidated by SPS evidenced also a decreasing in the carbonation           ACPs, the absence of long-range order could allow a high mobility of
                                                                     level (Table 3), albeit samples still remained highly carbonated.            the constitutive ions and H2O molecules, which could facilitate ion
                                                                     This diminution can be linked to the partial decomposition of                diffusion despite the low temperature, and thus the consolidation
                                                                     carbonate ions followed by expulsion of CO2 gas.                             process. The occurrence of dissolution-reprecipitation on the other
                                                                         In order to continue our attempts to stabilize ACP even after            hand cannot be, at this stage, neither eliminated nor confirmed in
                                                                     SPS, greater levels of Mg were tested. SPS treatment at 150 1C               the absence of direct evidence.
                                                                     was again found to be effective in the consolidation of the
                                                                     sample Mg30-cACP-K synthesized with the KOH solution. However,
                                                                     in this case, the initial amorphous character of calcium phosphate
                                                                                                                                                  Conclusions
                                                                     powder could be successfully maintained even after SPS, as con-              Carbonated and magnesium co-doped amorphous calcium
                                                                     firmed by XRD analysis (Fig. 6b). To the best of our knowledge, this         phosphate powders with different compositions were synthesized
                                                                     outcome is obtained for the first time in the literature, thus opening       by an adapted precipitation method and then consolidated by Spark
                                                                     the way for identifying new families of bioceramic/composite                 Plasma Sintering at low temperature in view of cold sintering. The
                                                                     materials with high metastability/surface reactivity/resorption              high content of carbonate ions was demonstrated (maximum
                                                                     abilities. The preservation of this amorphous state even after               carbonate content B18.3 wt%). Cold-sintering at 150 1C by SPS
                                                                                                                                                  was effective to consolidate all powders prepared. The influence of
                                                                                                                                                  the introduction of carbonate and magnesium ions in ACP on the
                                                                                                                                                  consolidation process was also investigated. The high carbonation
                                                                                                                                                  was preserved after SPS allowing one to expect high resorption rates
                                                                                                                                                  in vivo.50 Our main finding is the determination of experimental
                                                                                                                                                  conditions allowing, for the first time, to retain the amorphous
                                                                                                                                                  nature of ACP compounds after SPS. Suitable SPS conditions
                                                                                                                                                  associated to adequate Mg2+ and CO32 substitutions are needed
                                                                                                                                                  to obtain this original outcome. These findings open the way to
                                                                                                                                                  the development of consolidated ACP-based bioceramics with
                                                                                                                                                  high (bio)reactivity.

                                                                                                                                                  Conflicts of interest
                                                                                                                                                  There are no conflicts to declare.

                                                                                                                                                  Acknowledgements
                                                                                                                                                  One of the authors (M. L.) performed her activity in the framework
                                                                                                                                                  of the International PhD in Innovation Sciences and Technologies at
                                                                                                                                                  the University of Cagliari, and wishes also to thank the ERASMUS
                                                                                                                                                  Placedoc program for allowing mobility to France.

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