Inflammation is a critical factor that impairs bone regeneration by suppressing the osteogenic activity of preosteoblastic cells. To address this, this study establishes a plasma-mediated surface engineering strategy to sequester and subsequently rele...
Inflammation is a critical factor that impairs bone regeneration by suppressing the osteogenic activity of preosteoblastic cells. To address this, this study establishes a plasma-mediated surface engineering strategy to sequester and subsequently release naproxen (a nonsteroidal anti- inflammatory drug) from a poly(ε-caprolactone) (PCL) film surface, thereby restoring osteogenic differentiation under inflammatory conditions. Amine plasma polymerization introduced positively charged amine functional groups onto the PCL surface, which enabled electrostatic immobilization of the carboxylate-bearing naproxen molecules thereon. Electrokinetic analysis, atomic force microscopy, Fourier-transform infrared spectroscopy, X-ray photoelectron spectroscopy, and water contact angle measurements of the PCL surface confirmed the successful incorporation of amine groups and subsequent drug attachment. The amine plasma surface-modified PCL films exhibited markedly increased hydrophilicity and demonstrated a characteristic two-phase naproxen release profile under physiological conditions, characterized by a rapid initial discharge succeeded by a continuous and extended elution period. In vitro studies using lipopolysaccharide (LPS)-stimulated MC3T3-E1 preosteoblastic cells demonstrated that the plasma-modified, naproxen- loaded PCL film surface maintained excellent cytocompatibility. Importantly, naproxen released from the functionalized surface moderately reduced the secretion of pro-inflammatory cytokines, specifically interleukin-1 beta (IL- 1β) and interleukin-6 (IL-6), thereby alleviating inflammation-induced suppression of osteogenic differentiation. Consequently, alkaline phosphatase (ALP) activity and the expression of osteogenic marker genes RUNX2, alkaline phosphatase, and osteopontin were significantly restored compared with unmodified controls. Taken together, the results suggest that amine plasma treatment offers a robust strategy for anchoring anti-inflammatory agents onto biodegradable matrices and regulating their subsequent elution. This engineered system exhibits a twofold therapeutic capability by mitigating pro-inflammatory pathways while simultaneously reinstating osteogenic differentiation, thereby demonstrating its applicability as an effective biomaterial for bone tissue engineering in inflamed microenvironments.