Bone regeneration is a well-orchestrated
process involving
electrical,
biochemical, and mechanical multiple physiological cues. Electrical
signals play a vital role in the process of bone repair. The endogenous
potential will spontaneously form on defect sites, guide the cell
behaviors, and mediate bone healing when the bone fracture occurs.
However, the mechanism on how the surface charges of implant potentially
guides osteogenesis and osteoimmunology has not been clearly revealed
yet. In this study, piezoelectric BaTiO3/β-TCP (BTCP)
ceramics are prepared by two-step sintering, and different surface
charges are established by polarization. In addition, the cell osteogenesis
and osteoimmunology of BMSCs and RAW264.7 on different surface charges
were explored. The results showed that the piezoelectric constant
d33 of BTCP was controllable by adjusting the sintering
temperature and rate. The polarized BTCP with a negative surface charge
(BTCP−) promoted protein adsorption and BMSC extracellular
Ca2+ influx. The attachment, spreading, migration, and
osteogenic differentiation of BMSCs were enhanced on BTCP–.
Additionally, the polarized BTCP ceramics with a positive surface
charge (BTCP+) significantly inhibited M1 polarization of macrophages,
affecting the expression of the M1 marker in macrophages and changing
secretion of proinflammatory cytokines. It in turn enhanced osteogenic
differentiation of BMSCs, suggesting that positive surface charges
could modulate the bone immunoregulatory properties and shift the
immune microenvironment to one that favored osteogenesis. The result
provides an alternative method of synergistically modulating cellular
immunity and the osteogenesis function and enhancing the bone regeneration
by fabricating piezoelectric biomaterials with electrical signals