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Fabrication of Anti-Aging TiO2 Nanotubes on Biomedical Ti Alloys

The primary objective of this study was to fabricate a TiO2 nanotubular surface, which could maintain hydrophilicity over time (resist aging). In order to achieve non-aging hydrophilic surfaces, anodization and annealing conditions were optimized. This is the first study to show that anodization and annealing condition affect the stability of surface hydrophilicity. Our results indicate that maintenance of hydrophilicity of the obtained TiO2 nanotubes was affected by anodization voltage and annealing temperature. Annealing sharply decreased the water contact angle (WCA) of the as-synthesized TiO2 nanotubular surface, which was correlated to improved hydrophilicity. TiO2 nanotubular surfaces are transformed to hydrophilic surfaces after annealing, regardless of annealing and anodization conditions; however, WCA measurements during aging demonstrate that surface hydrophilicity of non-anodized and 20 V anodized samples decreased after only 11 days of aging, while the 60 V anodized samples maintained their hydrophilicity over the same time period. The nanotubes obtained by 60 V anodization followed by 600 °C annealing maintained their hydrophilicity significantly longer than nanotubes which were obtained by 60 V anodization followed by 300 °C annealing.


Introduction
Different categories of biomaterials have been employed to repair bone loss injuries. Among various biomaterials used in implant materials in orthopedics and dentistry [1], titanium and its alloys have recently attracted attention because of several advantages [2]. Compared with other biometals used as implants, titanium and its alloys provide biocompatibility in terms of low ion release [3], excellent corrosion resistance [4], great mechanical properties in terms of high hardness, low elastic modulus and low density [5][6][7][8][9][10]. The biocompatibility of titanium is a result of the presence of surface native oxide layer (TiO 2 ; titania; passive film) of 2-5 nm thickness which is naturally formed as titanium is exposed to air. This native oxide layer protects the bulk material from corrosion [11] and makes it bioinert [12]. Despite their bioinertness, titanium implants are sometimes encapsulated by fibrous tissue in vivo and show lack of osseointegration which can lead to infection and implant failure [13]. In addition, low pH and presence of lipopolysaccharide in saliva enhances corrosion rate of titanium dental implants [14]. In order to develop bioactivity and osseointegration, various surface modifications have been per-formed including hydroxyapatite (HA) and calcium phosphate coatings [15]; however these coatings could be delaminated at their interface with Ti because of difference in mechanical moduli [16].
To improve implant viability, nanotechnology holds certain advantages via modification of implant surfaces [17]. Recently, anodization techniques have been employed for formation of TiO 2 nanotubes on titanium surfaces [18][19][20]. The anodized nanotubular surface shows promise for biomedical application due to increased osteoblast cell adhesion and function [18][19][20], increased growth of hydroxyapatite [21,22], and improved cellular behavior and tissue integration [23]. Compared with a flat surface (low surface roughness), a nanostructured surface provides more surface area for protein adsorption and as a result cellular interaction is enhanced [24]. Due to their integration with bulk substrate, TiO 2 nanotubes do not suffer from delamination [25] and improve osseointegration of the implant.
Formation of TiO 2 nanotubes on Ti substrate has been shown to decrease water contact angle (WCA) [26]. Reduction of WCA is significantly desirable because low WCA is correlated with enhanced bone cell interaction with the surface after implantation [27]. The initial interaction between implant surface and its physiological environment can play a key role in preventing implant failure. It is known that biomaterials are immediately covered with proteins from blood and interstitial fluids following exposure to physiologic environment [28]. When a biomaterial is exposed to in vitro or in vivo conditions, proteins that are present in the cell culture media or fluids of the body adsorb on its surface in less than 1 s. Then, adsorbed protein functional groups (ligands) bond with cell surface receptors (integrins) [29]. Specifically, fibronectin and vitronectin are absorbed on the surface and form an intermediate layer that promotes cell adhesion [30,31]. Steele et al. showed that amount of protein adsorption is higher on hydrophilic surface compared with hydrophobic surface [32]. Other studies report that favorable response of cells is increased on hydrophilic surface compared with hydrophobic surface [33][34][35][36]. Surface modification using anodization has shown strong impact on improving hydrophilicity and cell interaction. Desirable cellular response of various cell lines is increased on nanotubular surfaces compared to flat machined surfaces. Such enhancement is due to an increase of surface area, which results in expansion of available area for cell-substrate interaction, surface energy, hydrophilicity, protein adsorption and consequently cell adhesion [5,25,[37][38][39].
Crystallinity is another factor that affects cellular behavior [40]. Under most anodization conditions, as-formed TiO 2 nanotube structure is amorphous after anodization. Annealing at 450 and 600 uC for 3 h leads to formation of crystalline phases of anatase and rutile respectively. The relative amount of anatase formation is higher for the samples anodized with a higher voltage compared to the samples anodized at a lower voltage [26]. Crystallization of as formed TiO 2 nanotubes further enhances desirable response of cells. MC3T3-E1 preosteoblast activity and tendency to spread increases as nanotube structure changes from amorphous to pure anatase, and is maximized when pure anatase transforms to an anatase-rutile mixture. Cell proliferation increases with increasing annealing temperature and apatite mineralization and corrosion resistance is maximized on rutile structure [5,41]; however, the highest amount of filopodia formation and extension occurs on anatase structure [5,41].
Similar to other tissues of body, natural bone structure possesses nano, micro, and macro scale features. In the current study, hierarchical micro-nano scale topography of titania (TiO 2 ) is formed on the substrate via acid-etching and anodization respectively, in order to mimic natural bone morphology. In addition, cell functions, such as cell adhesion and gene expression, are promoted on acid-etched surfaces [42] and micro-nano scale structure of titanium surface increases hydroxyapatite formation and protein adsorption [43]. Although it is expected that a roughened surface on titanium and its alloys provides long term mechanical interlocking ability, it has not been explored to the extent of polished surfaces.
Previous studies have shown that hydrophobic Ti surfaces become hydrophilic after anodization, and hydrophilicity is further increased as the anodized surface is annealed [44]. Interestingly, the nanotubular surface loses part of its hydrophilicity after aging in air over a period of three months [44]. Considering the correlation between WCA and cellular response on bone implants, the aim of this study was to design hydrophilic surfaces that are able to maintain their low WCA. We hypothesized that optimized annealing and anodization parameters would improve hydrophilicity and minimize aging effect. Our results suggest that surface structure affects hydrophilicity and aging effect. Consequently, it is expected that such surfaces will maintain protein adsorption, cell adhesion, and osseointegration benefits of TiO 2 nanotubes even after aging.

Fabrication of TiO 2 nanotubes
In this study Ti-6Al-4V alloy (Ti-V) disks (McMaster-Carr) with 15 mm diameter and 1 mm thickness were used. Disks were sandblasted with alumina powder (Trinity Tool Company) and acid-etched with a 1:1 ratio of sulfuric acid (Fisher) and hydrogen peroxide (30% Fisher) for 2 h. Samples were then washed with DIwater, sonicated in acetone for 30 minutes and dried in air.
In order to perform anodization, samples were connected to a voltage source (Keithley 2400 SourceMeter) as the working electrode and copper rod was used as the counter electrode. Both electrodes were immersed in electrolyte mixture of ethylene glycol (Fisher), 0.3 wt% NH 4 F (Fisher) and 2 vol% DI water. In order to investigate the effect of anodization voltage on WCA, two groups of samples were anodized at 20 and 60 V at room temperature for 4 h and a third group was left non-anodized for control. Table 1 shows the categorization of samples into different groups.
In order to verify effect of anodization voltage on TiO 2 nanotubes dimension, a separate group of samples were anodized at 20, 40, 60, 70 and 90 V for 1 h in the electrolyte with same composition mentioned above.

Annealing Treatment
To investigate the effect of annealing temperature and duration on WCA, anodized and non-anodized samples were annealed at 300, 450 and 600 uC for 1.5 and 3 h durations. A temperature controller was used to set and maintain the furnace temperature. Prior to annealing, samples were cleaned for 30 seconds with DIwater followed by N 2 gas drying. The samples were then loaded into the furnace for thermal oxidization at the determined temperatures in ambient air. After heat treatment, samples were slow-cooled by moving them out of the furnace tube slowly at 5 cm every 7 minutes. This prevents the generation of microcracks caused by abrupt temperature change on the samples' surface. Table 1 shows how samples were categorized into different groups.

Field Emission Scanning Electron Microscopy (FESEM)
Structural characterization of the prepared TiO 2 nanotubes was performed using a FESEM (JEOL JSM-6320F). The samples were mounted on an aluminum stub with double-sided conductive carbon tape for imaging.
In order to image dimension of TiO 2 nanotubes and determine their aspect ratio, TiO 2 nanotubes were removed from substrate by scratching. Detached bundles of nanotubes were placed on a double-sided conductive carbon tape and attached to an aluminum stub for imaging. Finally, ImageJ software was used to measure dimensions of nanotubes.

Energy Dispersive X-Ray (EDX)
EDX analysis was performed using JEOL JSM-6320F detector. A non-anodized sample and scratched-off nanotubes from surface of an anodized sample placed on carbon tape were verified to evaluate effect of anodization on chemical composition. Noran Voyager EDX software of the instrument was used to determine weight percentage of present elements according to their energy lines.

White Light Interferometry
Surface roughness tests were performed on all of the samples after annealing using white light interferometry (NewView 6300, Zygo Corporation, Middlefield, Connecticut, USA). This optical microscope gathers light from the test area of the sample. The objective divides light into 2 paths (one that shines onto the surface of the test material, and another into an internal reference surface). Surface irregularities on the test material cause the measurement wave-front to travel different distances than the reference wave front, which cause interference bands when they are combined. This interference is read by a photo-detector, which translates the interference wave-front into a 3D image.

Fourier Transform Infrared (FTIR) Spectroscopy
Crystalline structure and surface composition of all annealed samples were studied using diffused reflectance FTIR (FTIR, Nicolet, Model #ADU9700221). Prior to conducting FTIR scans, each sample was left inside the FTIR chamber for 1 h per purging in order to reduce noise. FTIR spectrum was obtained with 1 cm 21 resolution and 512 scans.

Water Contact Angle measurement
To perform WCA measurements sessile drop method was used as standard protocol using a Rame'-Hart NRL CA Goniometer (M#100-0, S#2067). A micro-syringe (Hamilton, 802RN) was used to place a 5 mL of DI-water droplet onto surfaces. Wettability of the samples were monitored by taking WCA measurements (i) after anodization, (ii) after annealing and (iii) after annealed samples were aged in air.

Statistical Analysis
In order to determine the differences in surface hydrophilicity and average surface roughness of various surfaces of Ti-6Al-4V samples, one-way ANOVA test was used. Tukey HSD post hoc analysis was used for pair-wise comparisons within these groups. Statistical software (SPSS v. 20.0, SPSS Inc., Chicago, IL, USA) was used for descriptive and statistical analyses. For all analyses, pvalues ,0.05 was considered statistically significant.

Results
The surfaces have been characterized by various techniques as explained above. The obtained results are as follows. show that vanadium-rich beta phase is dissolved. Dissolution of vanadiumrich phase of Ti-V during anodization in acidic electrolyte has previously been reported [45]. Presence of pores formed after dissolution, along with micro-scale roughness formed due to sandblasting and acid-etching provide a substrate that can establish long term mechanical bonding after implantation.  Table 1. Breakdown of samples into different groups in order to determine the optimal fabrication conditions.

Non-annealed #2
Annealed at 300 C for 1.5h #2 Annealed at 300 C for 3h #2 Non-anodized #14 Annealed at 450 C for 1.5h #2 anodized sample (Figure 2-C) and 90 V anodized sample (Figure 2-D). These images demonstrate length and diameter of TiO 2 nanotubes increase as the anodization voltage is increased. As expected for nanotubes formed in organic electrolyte, TiO 2 nanotubes are closely packed and have smooth walls without any perforation. Round bottom of nanotubes is observed at one side of detached layer while open top of nanotubes is noticed on the other side of nanotubular layer. Length and diameter of nanotubes were measured using ImageJ software and aspect ratio of tubes was calculated. At the bottom of Figure 2, the diameter of TiO 2 nanotubes, length and aspect ratio are plotted versus voltage ( Figure 2E-G). It can be observed that length and diameter are directly influenced by voltage and aspect ratio also seems to follow the same trend.
Using the EDX detector, chemical composition analysis was carried out on the surface of a non-anodized sample and scratched-off nanotubes from surface of an anodized sample placed on carbon tape (Figure 3). A peak indicating the presence of carbon can be seen; the carbon can be either residue of organic electrolyte decomposition or contamination from carbon tape. Comparison of chemical composition of surface before and after anodization suggests that vanadium is dissolved during anodization while oxide is formed (Table 2).
Roughness measurements were performed after annealing samples (Figure 4). Roughness test results are illustrated for nonanodized samples annealed at 450 uC for 3 h (Figure 4-A), 20 V anodized sample annealed at 450 uC for 3 h (Figure 4-B) and 60 V anodized sample annealed at 450 uC for 3 h (Figure 4-C).   Obtained spectra confirm the presence of TiO 2 along with CO 2 and H 2 O from the FTIR system. CO 2 peaks are found at ,2367 and ,667 cm 21 . H 2 O peaks are found at ,3600-3900 and ,1300-1900 cm 21 . As annealing temperature is increased, the intensity of the TiO 2 peak is enhanced. In addition, the TiO 2 peak shifts from 898 cm 21 for non-annealed samples to 870 cm 21 for annealed samples at 300 and 450 uC. Finally, the TiO 2 peak shifts to 830 cm 21 for the samples annealed at 600 uC. This is indicative of the presence of amorphous TiO 2 on non-annealed samples, and formation of anatase structure TiO 2 after annealing at 300 and 450 uC. Anatase TiO 2 , (870 cm 21 ) transforms into rutile TiO 2 , (830 cm 21 ) as annealing temperature is increased [47]. This behavior is observed for all samples regardless of anodization condition. For samples annealed at 300 and 450 uC, TiO 2 with crystalline anatase structure is formed as well as rutile structure. Using WCA measurements, surface wettability behavior was investigated for anodized samples at various voltages along with different annealing temperatures and durations ( Figure 6A-C). WCA of non-anodized ( Figure 6-A) and 20 V anodized samples ( Figure 6-B) were high, ranging from 50 to 120 uC. However, 60 V anodized samples show WCA below 5 uC (Figure 6-C). After annealing, all groups demonstrated WCA below 5 uC. WCA measurements of the samples after being aged in air for 11 days, show increase in WCA for non-anodized and 20 V anodized samples, ranging from 50 to 120 uC. However, 60 V anodized samples, maintained their low WCA after aging up to 11 days, regardless of annealing condition.
In order to verify effect of annealing temperature on aging behavior of TiO 2 nanotubes, WCA measurements were performed up to 60 days. WCA measurements after prolonged aging indicate that annealing condition affects the ability of surface to maintain its hydrophilicity ( Figure 7). As expected, 60 V anodized samples, annealed at 300uC for 3 h, are more able to maintain surface hydrophilicity compared with non-annealed samples. Interestingly, the 60 V anodized samples annealed at 600 uC for 3 h provide the highest ability in maintaining surface hydrophilicty. The samples that were prepared under optimum conditions (60 V anodized samples annealed at 600 uC for 3 h) provide stable, non-aging, hydrophilic surfaces, which maintain hydrophilicity for at least up to 60 days.

Discussion
EDX results confirm the presence of titanium, vanadium and aluminum as components of Ti-V on non-anodized surface. However, scratched-off nanotubes show presence of oxygen; and relatively lower weight percentage of vanadium possibly due to the dissolution of vanadium during anodization ( Table 2). The fluorine is hypothesized to be either residual or part of the chemical structure on the surface. The electrolyte is ammonium fluoride in ethylene glycol and water, and the fluorine is part of the chemical process of nanotube formation. The nitrogen may also be from the electrolyte. It should be noted that Ti is 44 g/mol and O 2 is 32 g/mol, or oxygen weight% is 72% of the weight% of Ti. Therefore for the TiO 2 nanotube values, the 20 weight% given for O is about 63% of the weight% for Ti, which indicates presence of oxygen equivalent to TiO 1.7 . In literature, the nanotube surface is a mixture of TiO 2 and TiOH, which may explain the lower oxygen count. The Noran Voyager EDX software of the FESEM instrument was used to determine weight percentage of the elements according to their energy lines. The software fits a Ka+ Kb peak shape to the data to arrive at the K intensities. While Ti Kb 1 peak (4.93 keV) overlaps with V Ka 1,2 (4.93 keV), the V Kb 1 peak (5.42 keV) has no overlap so it is possible to conclude V is decreased during anodization. Considering that the ratios of Ka to Kb are very well known for transition metal K shells, the software is capable of deconvoluting Ti Kb from V Ka. However, while the precision of oxygen quantification is questionable since Ti La (0.45 keV) and V La (0.51 keV) overlap the O Ka (0.52 keV), we are able to observe a relative increase in oxygen between the nonanodized and anodized samples.
Our results indicate that hydrophilicity after anodization is highly affected by applied anodization voltage. Before annealing, 60 V anodized samples show higher hydrophilicity compared to control (non-anodized) and 20 V anodized samples ( Figure 6). Previous studies also show that surfaces of both Ti and Ti-V become hydrophilic after anodization and hydrophilicity is further increased as anodized surface in annealed [44,55]. This behavior can be attributed to the increase in surface area after anodization, which results in enhancement of hydrophilicity, available area for adsorption, interaction, and consequently cell adhesion [5,25,37,38]. Enhancement of roughness can generally lead to either the increase or decrease of water contact angle. In the case of formation of nanotubes on the surface of titanium dioxide, it has been widely reported that formation of nanotubes results in reduction of water contact angle [26,44], due to presence of OH -  Table 2. Comparison of chemical composition of non-anodized surface and nanotubes.

Sample
Weight% of elements  [44]. Therefore, it is assumed that air is not trapped underneath the liquid and Wenzel's equation can be applied for the TiO 2 nanotubular surface. Based on the Wenzel relation, as surface roughness of a hydrophilic surface is enhanced, surface hydrophilicty is increased [56]. Our results, in compliance with previous studies [25,26], show that surface roughness is increased after anodization ( Figure 4). As anodization voltage increased, the surface area and nanotube size was also increased proportionally ( Figure 1E-G). Thus, 60 V anodized samples show higher hydrophilicity compared to that of control (non-anodized) and 20 V anodized samples. In addition, application of higher voltage during anodization of both Ti and Ti-V materials can result in formation of as-anodizaed TiO 2 nanotubes with some amount of crystalline structure [26] which, in turn, plays an important role in surface hydrophilicity. Higher anodization voltage also promotes formation of anatase crystalline structure obtained after heat treatment [55].
Our results indicate that annealing significantly decreases WCA ( Figure 6). Nanotubular surfaces (WCA.50u) are transformed to superhydrophilic surfaces (WCA,5u) after annealing, regardless of annealing and anodization conditions. It seems surface structurein terms of crystallinity and morphology -is the main influence on hydrophilicity, while electrolyte components present on the surface do not crucially affect WCA. When NH 4 F containing electrolyte is used for anodization, fluorine is present on the anodized surfaces. The fluorinated compound formed during anodization is water soluble and potentially affects hydrophilicity. Atsuta et al. reported hydrophilicity is improved after treatment with NH 4 F [57]; however, fluorine is thermally decomposed during annealing [5,[58][59][60] and cannot be responsible for hydrophilicity of annealed surfaces. Crystallinity and morphology are the factors that control surface hydrophilicity.
WCA measurements after aging ( Figure 6) demonstrate that surface hydrophilicity of non-anodized and 20 V anodized samples decreases after 11 days of aging in air; however, annealed 60 V anodized samples maintain their hydrophilicity up to 11 days aging in air, regardless of annealing condition. The effect of annealing temperature demonstrated that the nanotubes that are obtained by 60 V anodization and annealing at 300 uC lose their hydrophilicity after 16 days of aging ( Figure 7). Nevertheless, nanotubes that are obtained by 60 V anodization and annealing at 600 uC maintain their hydrophilicity even after 60 days of aging.
It is known that hydrophilicity is related to the presence of OHgroups on the surface in the form of Ti(OH) 4 after anodization. When anodized surface is aged in air, hydroxyl groups are transmitted to air to reach surface hydroxylation/dehydroxylation equilibrium. Since TiO 2 is more stable than the Ti(OH) 4 , following reaction occurs: Ti(OH) 4 R TiO 2 +2H 2 O [44]. Consequently, aged surfaces lose their hydrophilicity. Our data suggests that a relation exists between surface hydroxylation/dehydroxylation equilibrium and surface crystalline structure. Anatase crystalline structure is more potent in preventing the establishment of hydroxylation/dehydroxylation equilibrium compared with amorphous TiO 2 , while rutile crystalline structure provides the greatest resistance to the hydroxylation/dehydroxylation equilibrium process ( Figure 5).
Dissolution of b phase of Ti-V along with micro-scale roughness of surface formed by sand-blasting would in turn assist mechanical

Conclusions
Hydrophilic nanotubular surfaces obtained by anodization improve cellular interaction. Considering the key role of surface hydrophilicity, we have studied optimization of anodization and annealing conditions. The following conclusions can be made from this study: Our results indicate that the hydrophilicity of TiO 2 nanotubes before annealing is highly affected by the anodization voltage. Before annealing, 60 V anodized samples show low WCA (, 5u), while non-anodized and 20 V anodized samples show high WCA (.50u). Lower WCA of 60 V anodized samples can be due to presence of nanotubes with larger dimensions and  The obtained spectra confirm the presence of TiO 2 along with CO 2 and H 2 O from the FTIR system. As annealing temperature is increased, the intensity of the TiO 2 peak is enhanced. In addition, the TiO2 peak shifts from 898 cm 21 for non-annealed samples with amorphous structure to 870 cm 21 for annealed samples at 300 and 450 uC. Finally, the TiO 2 peak shifts to 830 cm 21 for the samples annealed at 600 uC. doi:10.1371/journal.pone.0096213.g005 higher surface roughness. However, the main factor that affects the maintenance and stability of the obtained hydrophilic TiO 2 nanotubular surfaces is the annealing temperature. Annealing significantly decreases the WCA (,5u). Nanotubular surfaces are transformed to hydrophilic surfaces after annealing, regardless of annealing and anodization conditions. However, WCA measurements after aging demonstrate that surface hydrophilicity of non-anodized and 20 V anodized samples decreases within 11 days of aging, while 60 V anodized samples maintain their hydrophilicity longer than 11 days. Anodization at high voltages partially promotes formation of crystalline structure which in turn enhances surface hydrophilicity. The effect of annealing temperature demonstrated that nanotubular surfaces that are obtained by 60 V anodization and annealing at 300 uC lose their hydrophilicity after 16 days of aging. Nevertheless, nanotubeular surfaces that are obtained by 60 V anodization and annealing at 600 uC maintain their hydrophilicity up to 60 days. This behavior suggest that hydroxylation/dehydroxylation equilibrium on surface is established slower as amorphous structure is transformed to anatase crystalline structure and the slowest equilibrium process occurs when anatase is transformed to rutile. Therefore, we conclude that in order to obtain nanotubes that do not age for several weeks in ambient conditions, an annealing temperature of 450 uC above is required. Figure 7. Effect of annealing temperature on aging behavior of 60 V anodized samples. Gray bars are non-anodized samples, light red bars are anodized samples that are then annealed at 300 uC for 3 h (60 V+300 uC) and dark red bars are anodized samples that are then annealed at 600 uC for 3 h (60 V+600 uC). 60 V anodized samples that are then annealed at 600 uC for 3 h, are significantly more able to maintain their hydrophilicity. a: p,0.05 compared to 60 V+300 uC group, b: p,0.05 compared to 60 V+600 uC group, c: p,0.05 compared to 60 V+600 uC group. Error bars show standard deviation for n = 2 samples. doi:10.1371/journal.pone.0096213.g007