Abstract
BACKGROUND: Implant-associated infections and inflammation remain significant challenges in the medical field, often leading to implant failure and additional surgical interventions. Graphene-based coatings have garnered attention for their potential to impart antibacterial and anti-inflammatory properties to implants, owing to their unique physicochemical properties. MATERIALS AND METHODS: Graphene-based coatings were synthesized using a chemical vapor deposition technique and applied to titanium implant surfaces. Surface morphology was characterized using scanning electron microscopy (SEM), and hydrophobicity was measured using contact angle analysis. The antibacterial properties were evaluated against Staphylococcus aureus and Escherichia coli using colony-forming unit (CFU) counts and biofilm assays. Anti-inflammatory effects were assessed by measuring cytokine release (e.g., IL-6, TNF-α) from macrophage cultures exposed to the coated implants. A control group of uncoated implants was included for comparative analysis. RESULTS: Graphene-coated implants exhibited a significant reduction in bacterial adhesion compared to uncoated implants, with CFU counts reduced by 80% (P < 0.05) for S. aureus and 75% (P < 0.05) for E. coli. Biofilm formation was reduced by 70% (P < 0.05). Inflammatory cytokine levels were markedly lower in the graphene-coated group, with IL-6 levels reduced by 65% (P < 0.01) and TNF-α levels by 60% (P < 0.01). SEM images confirmed uniform coating distribution and absence of significant surface irregularities. CONCLUSION: Graphene-based coatings demonstrate promising antibacterial and anti-inflammatory properties, significantly reducing bacterial colonization and inflammatory responses. These findings suggest that graphene coatings could enhance the longevity and success of medical implants by mitigating infection and inflammation risks.