ISSN 0959-9428
0959-9428(2010)20:33;1-L
Volume 20 | N
umber 33 | 2010
Journal of Materials C
hemistry
Pages 6817–7044
www.rsc.org/materials Volume 20 | Number 33 | 7 September 2010 | Pages 6817–7044
PAPERS. Sánchez-Salcedo et al.Biopolymer-coated hydroxyapatite foams: a new antidote for heavy metal intoxication
PAPEREva Enz and Jan LagerwallElectrospun microfibres with temperature senstitive iridescence from encapsulated cholesteric liquid crystal
PAPER www.rsc.org/materials | Journal of Materials Chemistry
Biopolymer-coated hydroxyapatite foams: a new antidote for heavy metalintoxication
S. S�anchez-Salcedo,ab M. Vila,ab I. Izquierdo-Barba,ab M. Cicu�endezab and Mar�ıa Vallet-Reg�ı*ab
Received 29th April 2010, Accepted 17th May 2010
DOI: 10.1039/c0jm01260b
Novel 3D-macroporous biopolymer-coated hydroxyapatite foams are potential devices for the
treatment of heavy-metal intoxication by ingestion. These foams are designed to exhibit a fast and
efficient metal ion immobilization into the HA structure in acidic media. The capture process of metal
ions is stable, not releasing any metal ion when the foams are soaked in clean basic media afterwards.
These two steps mimic a digestion process.
1. Introduction
Nowadays, heavy-metal intoxication via ingestion has become
increasingly prominent due to industrial activities which
endanger population health and result in adverse social impacts.
In addition to this, the high amount of accidental or voluntary
uptake of pesticides has led to the requirement of a fast way of
administrating effective systems able to prevent their absorption
by the gastrointestinal tract.
Heavy metal poisoning can provoke serious effects in health
and, currently, there is no treatment via oral administration that
can be used before intestinal absorption or without requiring
hospital admission. The treatment for most heavy metal
poisoning is chelation therapy1–3 and this process may be lengthy
and with a number of side effects. Other available options
(gastric lavage or activated charcoal uptake) can be painful or
unpleasant and normally are administrated combined with
laxatives.
Here we present novel 3D-macroporous biopolymer-coated
hydroxyapatite (HA) foams as new and potential devices for the
treatment of heavy-metal intoxication by ingestion.
As is well known, HA is biocompatible and its crystal structure
is tolerant to many ionic substitutions and complete replacement
of Ca2+ by Ba2+, Sr2+, Cd2+, Pb2+, Zn2+ and Cu2+ is possible.4–7
Although HA foams are well known in tissue engineering and the
use of polymers is very effective to increase their mechanical
properties,8–10 there are only examples of HA applied in heavy
metal intoxication in the form of powders, although not offering
an excellent alternative for such application.11
Herein, ceramic HA has been designed to be macroporous
foams as those systems should improve and increase the ionic
exchange and heavy metal immobilization due to their higher
diffusion and transport-mass.7 Later, they were biopolymer-
coated for decreasing their solubility (normally very high in
acidic media such as the one in the stomach pH ¼ 1.2) to avoid
toxic large amounts of calcium in the digestive tract, disaggre-
gation of HA pieces and to improve their handling.
aDept. Qu�ımica Inorg�anica y Bioinorg�anica, Facultad de Farmacia,Universidad Complutense de Madrid, Plaza de Ram�on y Cajal s/n, 28040Madrid, Spain. E-mail: [email protected] de Investigaci�on Biom�edica en Red, Bioingenier�ıa, Biomateriales yNanomedicina, CIBER-BBN, Spain
6956 | J. Mater. Chem., 2010, 20, 6956–6961
The strategy was to produce the foams and to analyze their
stability in acidic/basic conditions simulating both gastric and
intestinal fluids as well as the capability to immobilize different
metal ions when such devices are soaked in polluted fluids,
mimicking a serious intoxication case.
2. Experimental
2.1 Synthesis of macroporous hydroxyapatite foams
These biopolymer-coated 3D-macroporous HA foams have been
synthesized by the sol–gel technique12 including a non-ionic
surfactant, Pluronic F127 (EO106PO70EO106), as macropore
inducer in the accelerated evaporation induced self assembly
(EISA) method.
Aqueous sols were prepared hydrolyzing triethylphosphite
P(OCH2CH3)3 (TIP) and adding it onto an ethanol solution of
the non-ionic surfactant. Four different molar ratios x of
F127:TIP have been tested in order to obtain different macro-
porosity. In all cases, the concentration of surfactant in ethanol
has been always kept constant. After 30 min continuous stirring,
an aqueous 4 M calcium nitrate solution Ca(NO3)2$4H2O was
added. In all cases, the Ca/P ratio is 1.67, which corresponds to
HA phase.13 The mixed sol was stirred for 15 min and subse-
quently was aged at 60 �C for 6 h. After that, all sols were diluted
with ethanol to a molar ratio of 30 to improve the homogeneity
of resulting material and then was maintained at 60 �C during
72 h.
The resulting mixture was transferred into an open Petri dish
and placed in an oven for 1 h at 100 �C to evaporate the solvent
and to obtain the 3D-macroporous foams. Finally, in order to
remove the surfactant and to obtain HA phase the samples were
calcined at 550 �C for 6 h in air atmosphere.
Four different molar ratios x of F127:TIP have been tested in
order to obtain different macroporosity as it was observed by
tailoring the F127/TIP ratio the macroporosity of the resulting
HA foams could be controlled.
2.2 Coating of macroporous hydroxyapatite foams with
biopolymers
Foams were coated with different biocompatible polymers
approved by the US Food and Drug Administration (FDA). In
one case, two different gelatine concentrations in water (1.2 and
This journal is ª The Royal Society of Chemistry 2010
2.4% (w/v)) were prepared and mixed with a solution 0.5% (v/v)
of glutaraldehyde in stirring conditions during 1 h at 20 �C.
Gelatine was, previously, crosslinked with glutaraldehyde to
reduce its solubility in water.14,15 The crosslinking rate was
measured by following an indirect method by complex formation
with 2,4,6-trinitrobenzenesulfonic acid which is described else-
where.16
After that, HA foams were soaked in such biopolymer solu-
tions, extracted and dried at room temperature. In the second
case, the coating was made of 3-polycaprolactone (PCL), the
pieces were soaked in a solution of 5% (w/v) of PCL in
dichloromethane.
2.3 In vitro assays
In vitro tests were carried out in two different media with
different pH: simulated gastric fluid (SGF) and phosphate buffer
solution (PBS: (0.15 M NaCl, 2.7 mM KCl, 1.5 mM KH2PO4, 8.1
mM Na2HPO4, pH 7.4)). SGF was prepared by dissolving 6 g of
NaCl with 2 mL of 12 N HCl until 1 L with pH adjusted to 1.2.17
As a first step, swelling assays and degradation were performed
in both media during 24 h and 7 days, respectively at 37 �C with
vigorous orbital stirring.
The HA stability was determined by the study of calcium
concentration variation in both solutions. Calcium concentra-
tion leached to saline solutions versus time was monitored by
colorimetric analysis based on EASY-Ca-01 method at a wave-
length of 620 nm. For these measurements a SmartChem140
automatic discrete analyzer (Alliance Instruments, AMS France)
was employed. Pb2+, Cd2+ and Cu2+ ions were measured by
inductively coupled plasma/optical emission spectrometry (ICP/
OES) in a Perkin Elmer OPTIMA 3300 DV device.
Swelling behaviour of the HA foams after being biopolymer-
coated was determined by gravimetric (%W) analysis as
follows:18,19
%W(SWELLING) ¼ 100 � (Wt � Wd)/Wd (1)
Where Wd is the weight of dried foam and Wt is the weight of
hydrated foams at time t (0–24 h). For this swelling test the
samples were soaked in SGF and PBS solutions, respectively and
subsequently extracted and gently wiped with absorbent paper
and weighed. The weights of the hydrated samples were
measured along time until the foams reached the swelling ratio
equilibrium.
In vitro Pb2+, Cd2+ and Cu2+ immobilization assays were per-
formed by soaking 10 and 20 mg of the coated-HA pieces in 5 mL
of SGF containing 500 ppm of PbCO3, Cd(NO3)2, Cu(NO3)2
salts, respectively, during 2 h at 37 �C in vigorous orbital stirring
(100 rpm), mimicking the gastric step. The variations of Pb2+,
Cd2+, Cu2+and Ca2+ concentration were evaluated at different
times (10 min, 30 min, 1 h and 2 h). After this treatment, each
sample was soaked in clean PBS solution, which does not contain
any Pb2+, Cd2+ or Cu2+ ions, respectively, during 22 h in vigorous
stirring. This last step pretends to mimic the intestinal step giving
information if the captured metal ions in the gastric step are
lixiviated in pH value of 7.4. Metal ions were measured by
inductively coupled plasma/optical emission spectrometry (ICP/
OES) in a Perkin Elmer OPTIMA 3300 DV device.
This journal is ª The Royal Society of Chemistry 2010
2.4 Characterization
The resulting macroporous HA and coated-HA foams were
characterized by X-ray diffraction (XRD) in a Philips X’Pert
diffractometer using Cu-Ka radiation. To determine the quan-
titative phase composition of the samples, after the digestion
process, the XRD patterns were refined by the Rietveld method
using FullProf software.20 Fourier Transform Infrared spec-
trometry was performed in attenuated total reflectance geometry
(ATR-FTIR; Nicolet Nexus) using a Nicolet GoldenGate device
operating with a single germanium crystal.
Scanning electron microscopy (SEM) was performed in
a JEOL JSM 6335F field emission scanning microscope. Trans-
mission electron microscopy (TEM) studies have been performed
and were carried out with a JEOL 3000 FEG electron microscope
operating at 300 kV (Cs 0.6 mm, resolution 1.7 �A) fitted with
a double tilting goniometer stage (�45�) and with an Oxford
LINK EDS analyzer. TEM images were recorded using a CCD
camera (MultiScan model 794, Gatan, 1024 � 1024 pixels, size
24 mm). Elemental analysis was performed in a Perkin Elmer
2400 CHN and Analyzer Thermogravimetric (TG) analyses were
carried out with a Perkin-Elmer Pyris Diamond TG/DTA
instrument, between 30 and 900 �C in air at a flow rate of
100 ml min�1 and a heating rate of 10 �C min�1. Nitrogen
adsorption studies were performed with a Micromeritics
ASAP2010C system. Hg porosimetry measurements were carried
out in an AutoPore III porosimeter (Micromeritics Instrument
Corporation, Norcross, GA, USA).
3. Results and discussion
As four different molar ratios x of F127:TIP were tested in order
to obtain different macroporosity, it was observed that by
tailoring the F127/TIP ratio the macroporosity of the resulting
HA foams could be controlled. The most homogeneous HA
foam, with the highest pore volume and total porosity of 90%
was obtained for x ¼ 11, being x ¼ 0 and 2.5 the other ratios
tested, giving rise to dense or semi-dense samples, respectively.
The optimized foam exhibits a high volume and size of inter-
connected macroporosity in the range 1–400 mm as can be
observed by Digital Imaging and SEM (Fig. 1a and Fig. 1b
respectively). Its XRD pattern corresponds to pure HA phase
and a porous network with a pore size of 10–15 nm is observed by
TEM (Fig. 1c). This fact could be due to the elimination of the
surfactant during the calcination process.
The higher magnification TEM image and FT diffractogram
shown in Fig. 1c and d evidence the presence of pure HA in both
samples, showing the 002, 112 and 211 reflections of an apatite-
like phase. Selected foams were coated with two different gela-
tine/glutaraldehyde concentrations in water (1.2 and 2.4% (w/v))
(samples named HA1.2G/Glu and HA2.4G/Glu), and with 3-poly-
caprolactone (PCL) giving rise to the HAPCL sample. The
obtained crosslinking rates (gelatine/glutaraldehyde) were 20 and
15% for the samples HA1.2G/Glu and HA2.4G/Glu, respectively.
As shown in Fig. 2, the Hg intrusion porosity analysis, before
and after coating the pieces, shows a slight decrease of total
pore volume in the range of 100–300 mm. The amount of
biopolymer corresponding to coated-HA foams was determined
by thermogravimetric analyses showing a 40% polymer in
J. Mater. Chem., 2010, 20, 6956–6961 | 6957
Fig. 1 (a) Digital photograph. (b and inset) SEM micrograph at
different magnifications. (c and d) TEM studies at different magnifica-
tions. (Insets) XRD patterns and FT diffractogram. All corresponding to
a representative HA foam.
HAPCL and HA2.4G/Glu samples and 20% for the HA1.2G/Glu
sample.
HA foams have similar morphology before and after the
coating process (inset of Fig. 2) and it does not affect the struc-
tural characteristics of the formed HA phase.
To evaluate the performance and chemical stability of these
foams, the in vitro degradation and swelling assays tests were
carried out in two different media with different pH: simulated
gastric fluid (SGF: pH ¼ 1.2) and phosphate buffer solution
(PBS: pH ¼7.4).
The upper figure in Fig. 3 shows the calcium concentration in
the acidic media (SGF) as a function of time directly related to
degradation of the foam. The uncoated HA foam exhibits the
highest HA solubility rate media (dissolving the 100% of the
initial calcium in the foam) compared to biopolymer-coated.
These results are in very good agreement with the solubility rate
Fig. 2 Pore size distribution by Hg intrusion corresponding to HA,
HAPCL, HA1.2G/Glu and HA2.4G/Glu samples. (Inset) SEM micrograph
corresponding to a representative coated-foam.
6958 | J. Mater. Chem., 2010, 20, 6956–6961
in acid medium for the HA material.21 A considerable decrease
in the HA solubility rate is observed in SGF assays as
follows HA1.2G/Glu (58%) ¼ HA2.4G/Glu (63%) > HAPCL(29%),
(percentages compared to the initial calcium present in the foam)
showing for the latter a lower calcium concentration in the
medium. This fact could be a function of the hydrophilicity rate
of each polymer which is higher for gelatin crosslinking
compared to 3-polycaprolactone. Therefore, hydrophilic poly-
mers (such as gelatine) allow a higher accessibility of water
molecules increasing the solubility of the foams.
The same stability studies but in PBS (Fig. 3 lower figure)
showed that HAPCL, HA1.2G/Glu and HA2.4G/Glu samples main-
tain their integrity, even after 7 days of test. Although their
solubility in PBS in lower than in the SGF medium, it also
decreases with the biopolymer coating, but there is no significant
differences between the polymers. From Fig. 3 we can also
calculate the percentages of dissolved calcium in the PBS medium
related to the total calcium of the foam being 0.4% HAPCL and
HA2.4G/Glu and 0.03% for HA1.2G/Glu.
Swelling ratio (%W) studies (see Fig. 4) of HAPCL, HA1.2G/Glu
and HA2.4G/Glu in SGF and PBS, show that HA1.2G/Glu foam
absorbs 200%W of solution more than HA2.4G/Glu which
could be explained in base by gelatin content and the degree of
crosslinking reduction that provoke water uptake into the
sample. On the contrary, HAPCL foam exhibits a contraction in
Fig. 3 Upper figure: Variation of calcium concentration as function of
the time in SGF, and in PBS (lower figure), corresponding to HA foam
samples before and after being coated with the different biopolymers.
This journal is ª The Royal Society of Chemistry 2010
both media. This effect is due to a different hydrophobicity
of PCL polymer compared to gelatin and also could explain
the lower calcium solubility rate in SGF exhibited for this
sample.
After the foams showed ability to resist such acid/basic media,
in vitro metal ion immobilization assays were performed to check
their efficiency as ion capturers. Biopolymer-coated HA foams
were immersed in SGF containing a very high concentration of
lead, cadmium and copper, respectively (representative usual
contaminants) as a simulation case of serious intoxication.
In the case of lead immobilization, as can be seen in Fig. 5, for
the 20 mg samples (125 mm3), results show a very efficient and
fast immobilization (done in 2 h) for all samples. The fact that the
capture is performed also demonstrates the permeability of the
polymers to the ions. Is worth to notice that for sample
HA1.2G/Glu, almost the complete Pb2+ capture is made in the first
10 min. Moreover, although the 10 mg (62.5 mm3) samples
capture efficiently the Pb2+, they do it at a slower rate, so we can
conclude that the immobilization of Pb2+ can be faster with the
weight of the foam as it implies more surface available for the
Fig. 4 Swelling ratio (%W) studies of HAPCL, HA1.2G/Glu and HA2.4G/
Glu in SGF and PBS.
Fig. 5 Upper figure: Variation of Pb2+ and Ca2+ (inset) concentration in
SGF as function of time corresponding to the HAPCL, HA1.2G/Glu and
HA2.4G/Glu 10 mg samples after soaking them in Pb2+ containing SGF
(388 ppm). Lower figure: same results for the 20 mg sample.
This journal is ª The Royal Society of Chemistry 2010
uptaking process. In summary, only 20 mg of HA foam equiv-
alent to a very small prism is enough to immobilize in 10 min
(sample HA1.2G/Glu) the total amount of lead in the polluted SGF
in every case.
From the data, it can be seen that the immobilization rate is
faster for the case of HA1.2G/Glu and HA2.4G/Glu than for the
HAPCL. The different immobilization rate between the samples
coated with different polymers could be explained in base by the
mechanism of lead uptake by HA material.22 In this case, the
Pb2+ immobilization implies a partial-dissolution of HA and re-
precipitation mechanism of a pyromorphite phase,
Pb10(PO4)6(Cl)2, which is much more stable than the HA phase.23
This is in agreement with the stability studies above described for
the cases of HA1.2G/Glu and HA2.4G/Glu foams. Those samples
exhibit higher solubility (related to higher hydrophilicity of the
polymer) and therefore higher immobilization rate of lead. To
confirm such mechanism Ca2+ release has been monitored (see
Fig. 5 (inset)). As expected, it is observed a progressive calcium
release versus incubation time being more acute for HA1.2G/Glu
and HA2.4G/Glu than for HAPCL samples.
Comparing calcium and lead releasing and uptaking values
respectively, in the SGF medium, it is observed that there is
J. Mater. Chem., 2010, 20, 6956–6961 | 6959
a higher rate of calcium dissolution than lead immobilization as
calcium release is not only related to lead capture but to foam
dissolution processes (Fig. 3). After the total lead uptaking of the
solution, this calcium dissolution still continues up to a 2% of the
total initial calcium (Fig. 5).
To confirm the phase changes directly related to lead uptake,
XRD studies of these samples after 2 h in polluted-SGF are
displayed in Fig. 6 (upper Fig.). Diffractograms show the
formation of a new phase coexisting with initial HA phase which
has been identified as pyromorphite,24 which confirms such
immobilization mechanism.
After the polluted-SGF treatment during 2 h such samples
were soaked in clean PBS (pH¼ 7.4) during 22 h (intestinal step).
From colorimetric analysis and ICP measurements respectively,
no calcium or lead release has been observed confirming the lead
immobilization even after 22 h of incubation time at pH equal to
7.4. As can be seen in Fig. 6 (lower Fig.), XRD patterns after PBS
exhibit similar profiles to those after polluted SGF treatment
confirming the permanence of both phases (pyromorphite
and HA).
Performing Rietveld refinement on the XRD patterns of the
foams after the complete process, we obtain a representative
34%wt. of pyromorphite phase and a 66%wt. of HA phase for all
the samples. We have to take into account that from the initial
100% of HA phase there is also an amount of HA dissolved to the
medium without posterior reprecipitation as has been com-
mented before.
Fig. 6 XRD patterns corresponding to the HAPCL, HA1.2G/Glu and
HA2.4G/Glu foams after 2 h in SGF containing Pb2+ (upper) and after
treatment in metal ion free PBS (lower). The identified phases correspond
to HA and (*) pyromorphite.
6960 | J. Mater. Chem., 2010, 20, 6956–6961
These results confirm that in the intestine-like pH, biopolymer-
coated HA foams do not release lead, and thus, should be
evacuated by defecation eliminating the total of the polluting
agent captured.
Moreover, as shown by Hg porosimetry in Fig. 7, after the 2 h
study in Pb2+ contaminated SGF (upper fig.), all coated samples
maintain their initial porous structure and the integrity of the
samples. There are no significant changes in the pore volume and
pore diameter centered at 100 mm. However, a slight increase in
the percentage of porosity at values of lower than 1 mm is
observed which could be attributed to partial-dissolution of the
foam-like structure. In addition, after PBS treatment during 22 h
there is a slight decrease of total pore volume and pore diameter.
This fact is very pronounced for the case of HAPCL sample and it
could be related to the contraction behaviour of this sample in
PBS (Fig. 4). It is important to point out that in all the cases a c.a.
70% of the macroporous structure of biopolymer coated HA
foams is maintained along the in vitro digestive process as can be
seen in the inset of Fig. 7. Similar values were obtained for
HA-biopolymer foams in Cd2+ and Cu2+ immobilization assays.
In the case of cadmium and copper a very fast and effective
immobilization of these ions takes place, capturing c.a. 57–60%
of Cd2+ and 62–65% of Cu2+ from polluted SGF after only
10 min. There is not significant variation in this value even when
the incubation time is increased (see Table 1). The different
removal efficiency of Pb2+, Cd2+ and Cu2+ responds basically to
Fig. 7 Upper figure: Pore size distribution by Hg intrusion corre-
sponding to HAPCL, HA1.2G/Glu and HA2.4G/Glu samples after 2 h in
Pb2+containing SGF, and after posterior treatment 22 h in PBS (lower
figure). Inset: representative foam after the simulated digestive process.
This journal is ª The Royal Society of Chemistry 2010
Table 1 Immobilization capability of Cd2+ and Cu2+ metal ions corre-sponding to biopolymer coated HA foam after 10 min and 2 h in SGFcontaining high concentration of metal ions, respectivelya
Samples % Cd2+ % Cu2+
HAPCL (10 min) 60.0 � 0.3 65.6 � 0.2HA1.2G/Glu (10 min) 60.0 � 0.3 63.0 � 0.2HA2.4G/Glu (10 min) 57.0 � 0.3 62.3 � 0.2HAPCL (2 h) 63.0 � 0.3 62.6 � 0.2HA1.2G/Glu (2 h) 67.0 � 0.3 66.4 � 0.2HA2.4G/Glu (2 h) 62.0 � 0.3 61.8 � 0.2
a In all cases 20 mg of each piece have been used for the immobilizationtest.
the pH of the medium, in acid conditions the Pb2+ immobiliza-
tion is facilitated more than that of Cd2+ or Cu2+ ions.25 In these
particular cases, the capture mechanism by HA is different
compared with lead capture, producing in these cases an ion-
exchange mechanism.26,27 As well as in lead immobilization
assays there is an increase in the calcium release after polluted
SGF incubation and no release of metal ions during the PBS
soaking step, confirming again for these ions the immobilization
process.
4. Conclusions
In summary, biopolymer-coated HA foams have shown a fast
and high efficiency for capturing Pb2+, Cd2+ and Cu2+ ions in
acidic media not releasing any metal ions when the samples are
soaked in clean basic media. Both steps mimic the digestion
process. All the processes are carried out without any disinte-
gration of the foam. These systems are here proposed as very
efficient antidotes against metal ion intoxication before intestinal
absorption and hospital treatment.
Acknowledgements
This work has been financially supported by the Spanish CICYT
through project MAT-2008-00736, Spanish National CAM
project S2009/MAT-172 and the Marie Curie FP7-PEOPLE-
2007-2-2-ERG.
This journal is ª The Royal Society of Chemistry 2010
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