“…Similar observations have been made in previous studies [3] and suggest that the effects of the different adaptation of cells to bTi nanopatterns go beyond morphological changes and involve cell metabolism. It has been shown that surface nanotopography affects the molecular diffusion through the cell plasma membrane [52] and furthermore, cell mechanics and metabolism are mutually related [53]. Therefore, further dedicated metabolic studies are required to understand why cells may show lower levels of metabolic activity when cultured on nanopatterned structures.…”