1
|
Safdari M, Bibak B, Soltani H, Hashemi J. Recent advancements in decellularized matrix technology for bone tissue engineering. Differentiation 2021; 121:25-34. [PMID: 34454348 DOI: 10.1016/j.diff.2021.08.004] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2021] [Revised: 08/17/2021] [Accepted: 08/20/2021] [Indexed: 12/11/2022]
Abstract
The native extracellular matrix (ECM) provides a matrix to hold tissue/organ, defines the cellular fate and function, and retains growth factors. Such a matrix is considered as a most biomimetic scaffold for tissue engineering due to the biochemical and biological components, 3D hierarchical structure, and physicomechanical properties. Several attempts have been performed to decellularize allo- or xeno-graft tissues and used them for bone repairing and regeneration. Decellularized ECM (dECM) technology has been developed to create an in vivo-like microenvironment to promote cell adhesion, growth, and differentiation for tissue repair and regeneration. Decellularization is mediated through physical, chemical, and enzymatic methods. In this review, we describe the recent progress in bone decellularization and their applications as a scaffold, hydrogel, bioink, or particles in bone tissue engineering. Furthermore, we address the native dECM limitations and the potential of non-bone dECM, cell-based ECM, and engineered ECM (eECM) for in vitro osteogenic differentiation and in vivo bone regeneration.
Collapse
Affiliation(s)
- Mohammadreza Safdari
- Department of Surgery, School of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran
| | - Bahram Bibak
- Department of Physiology and Pharmacology, School of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran; Research Center of Natural Products Safety and Medicinal Plants, North Khorasan University of Medical Sciences, Bojnurd, Iran
| | - Hoseinali Soltani
- Department of General Surgery, Imam Ali Hospital, School of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran
| | - Javad Hashemi
- Research Center of Natural Products Safety and Medicinal Plants, North Khorasan University of Medical Sciences, Bojnurd, Iran; Department of Pathobiology and Laboratory Sciences, School of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran.
| |
Collapse
|
2
|
Mendibil U, Ruiz-Hernandez R, Retegi-Carrion S, Garcia-Urquia N, Olalde-Graells B, Abarrategi A. Tissue-Specific Decellularization Methods: Rationale and Strategies to Achieve Regenerative Compounds. Int J Mol Sci 2020; 21:E5447. [PMID: 32751654 PMCID: PMC7432490 DOI: 10.3390/ijms21155447] [Citation(s) in RCA: 127] [Impact Index Per Article: 31.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2020] [Revised: 07/25/2020] [Accepted: 07/28/2020] [Indexed: 02/07/2023] Open
Abstract
The extracellular matrix (ECM) is a complex network with multiple functions, including specific functions during tissue regeneration. Precisely, the properties of the ECM have been thoroughly used in tissue engineering and regenerative medicine research, aiming to restore the function of damaged or dysfunctional tissues. Tissue decellularization is gaining momentum as a technique to obtain potentially implantable decellularized extracellular matrix (dECM) with well-preserved key components. Interestingly, the tissue-specific dECM is becoming a feasible option to carry out regenerative medicine research, with multiple advantages compared to other approaches. This review provides an overview of the most common methods used to obtain the dECM and summarizes the strategies adopted to decellularize specific tissues, aiming to provide a helpful guide for future research development.
Collapse
Affiliation(s)
- Unai Mendibil
- Center for Cooperative Research in Biomaterials (CIC biomaGUNE), Basque Research and Technology Alliance (BRTA), 20014 Donostia-San Sebastian, Spain; (U.M.); (R.R.-H.); (S.R.-C.)
- TECNALIA, Basque Research and Technology Alliance (BRTA), 20009 Donostia-San Sebastian, Spain; (N.G.-U.); (B.O.-G.)
| | - Raquel Ruiz-Hernandez
- Center for Cooperative Research in Biomaterials (CIC biomaGUNE), Basque Research and Technology Alliance (BRTA), 20014 Donostia-San Sebastian, Spain; (U.M.); (R.R.-H.); (S.R.-C.)
| | - Sugoi Retegi-Carrion
- Center for Cooperative Research in Biomaterials (CIC biomaGUNE), Basque Research and Technology Alliance (BRTA), 20014 Donostia-San Sebastian, Spain; (U.M.); (R.R.-H.); (S.R.-C.)
| | - Nerea Garcia-Urquia
- TECNALIA, Basque Research and Technology Alliance (BRTA), 20009 Donostia-San Sebastian, Spain; (N.G.-U.); (B.O.-G.)
| | - Beatriz Olalde-Graells
- TECNALIA, Basque Research and Technology Alliance (BRTA), 20009 Donostia-San Sebastian, Spain; (N.G.-U.); (B.O.-G.)
| | - Ander Abarrategi
- Center for Cooperative Research in Biomaterials (CIC biomaGUNE), Basque Research and Technology Alliance (BRTA), 20014 Donostia-San Sebastian, Spain; (U.M.); (R.R.-H.); (S.R.-C.)
- Ikerbasque, Basque Foundation for Science, 48013 Bilbao, Spain
| |
Collapse
|
3
|
Pettian MS, Plepis AMDG, Martins VDCA, dos Santos GR, Pinto CAL, Galdeano EA, Calegari ARA, de Moraes CA, da Cunha MR. Use of an anionic collagen matrix made from bovine intestinal serosa for in vivo repair of cranial defects. PLoS One 2018; 13:e0197806. [PMID: 30001321 PMCID: PMC6042682 DOI: 10.1371/journal.pone.0197806] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2018] [Accepted: 05/09/2018] [Indexed: 12/15/2022] Open
Abstract
Polymeric biomaterials composed of extracellular matrix components possess osteoconductive capacity that is essential for bone healing. The presence of collagen and the ability to undergo physicochemical modifications render these materials a suitable alternative in bone regenerative therapies. The objective of this study was to evaluate the osteogenic capacity of collagen-based matrices (native and anionic after alkaline hydrolysis) made from bovine intestinal serosa (MBIS). Twenty-five animals underwent surgery to create a cranial defect to be filled with native and anionic collagen matrixes, mmineralized and non mineralized. The animals were killed painlessly 6 weeks after surgery and samples of the wound area were submitted to routine histology and morphometric analysis. In the surgical area there was new bone formation projecting from the margins to the center of the defect. More marked bone neoformation occurred in the anionic matrices groups in such a way that permitted union of the opposite margins of the bone defect. The newly formed bone matrix exhibited good optical density of type I collagen fibers. Immunoexpression of osteocalcin by osteocytes was observed in the newly formed bone. Morphometric analysis showed a greater bone volume in the groups receiving the anionic matrices compared to the native membranes. Mineralization of the biomaterial did not increase its osteoregenerative capacity. In conclusion, the anionic matrix exhibits osteoregenerative capacity and is suitable for bone reconstruction therapies.
Collapse
Affiliation(s)
- Mariane Silva Pettian
- Department of Morphology and Pathology, Faculty of Medicine of Jundiaí, São Paulo, Brazil, Jundiaí –SP, Brazil
| | - Ana Maria de Guzzi Plepis
- Interunit Postgraduate Program in Bioengineering, University of São Paulo, USP, São Carlos-SP, Brazil
- Institute of Chemistry of São Carlos, University of São Paulo, USP, São Carlos-SP, Brazil
| | | | - Geovane Ribeiro dos Santos
- Department of Morphology and Pathology, Faculty of Medicine of Jundiaí, São Paulo, Brazil, Jundiaí –SP, Brazil
| | - Clovis Antônio Lopes Pinto
- Department of Morphology and Pathology, Faculty of Medicine of Jundiaí, São Paulo, Brazil, Jundiaí –SP, Brazil
- Department of Anatomical Pathology, A.C. Camargo Cancer Center, São Paulo, SP, Brazil
| | - Ewerton Alexandre Galdeano
- Department of Morphology and Pathology, Faculty of Medicine of Jundiaí, São Paulo, Brazil, Jundiaí –SP, Brazil
| | | | - Carlos Alberto de Moraes
- Department of Morphology and Pathology, Faculty of Medicine of Jundiaí, São Paulo, Brazil, Jundiaí –SP, Brazil
| | - Marcelo Rodrigues da Cunha
- Department of Morphology and Pathology, Faculty of Medicine of Jundiaí, São Paulo, Brazil, Jundiaí –SP, Brazil
- Interunit Postgraduate Program in Bioengineering, University of São Paulo, USP, São Carlos-SP, Brazil
- * E-mail:
| |
Collapse
|
4
|
Osteoinductive potential of small intestinal submucosa/ demineralized bone matrix as composite scaffolds for bone tissue engineering. ASIAN BIOMED 2018. [DOI: 10.2478/abm-2010-0119] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Abstract
Background: Demineralized bone matrix (DBM) is extensively used in orthopedic, periodontal, and maxillofacial application and investigated as a material to induce new bone formation. Small intestinal submucosa (SIS) derived from the submucosa layer of porcine intestine has widely utilized as biomaterial with minimum immune response. Objectives: Determine the osteoinductive potential of SIS, DBM, SIS/DBM composites in the in vitro cell culture and in vivo animal bioassays for bone tissue engineering. Materials and methods: Human periosteal (HPO) cells were treated in the absence or presence SIS, DBM, and SIS/DBM. Cell proliferation was examined by direct cell counting. Osteoblast differentiation of the HPO cells was analyzed with alkaline phosphatase activity assay. The Wistar rat muscle implant model was used to evaluate the osteoinductive potential of SIS, DBM, and SIS/DBM composites. Results: HPO cells could differentiate along osteogenic lineage when treated with either DBM or SIS/DBM. SIS/ DBM had a tendency to promote more cellular proliferation and osteoblast differentiation than the other treatments. In Wistar rat bioassay, SIS showed no new bone formation and the implants were surrounded by fibrous tissues. DBM demonstrated new bone formation along the edge of old DBM particles. SIS/DBM composite exhibited high osteoinductivity, and the residual SIS/DBM was surrounded by osteoid-like matrix and newly formed bone. Conclusion: DBM and SIS/DBM composites could retain their osteoinductive capability. SIS/DBM scaffolds may provide an alternative approach for bone tissue engineering.
Collapse
|
5
|
Li M, Zhang C, Mao Y, Zhong Y, Zhao J. A Cell-Engineered Small Intestinal Submucosa-Based Bone Mimetic Construct for Bone Regeneration. Tissue Eng Part A 2018; 24:1099-1111. [PMID: 29318958 DOI: 10.1089/ten.tea.2017.0407] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023] Open
Abstract
Extracellular matrix (ECM)-ornamented biomaterials have attracted attention due to their high potential to improve the biofunctionality of original materials. It is thought that ECM with a bone mimetic microenvironment generated by the specific induction of osteoblasts would be more beneficial for bone regeneration than a regular ECM. In this study, we developed an osteogenic and mineralized ECM construct (Os/M-ECM-SIS) under the guidance of osteoblasts on a small intestinal submucosa (SIS) scaffold cotreated with icariin and calcium. The generated Os/M-ECM-SIS scaffolds exhibited similar morphology and inorganic components as natural bone and higher mechanical strength than ECM-SIS. Cell adhesion, proliferation, and differentiation of osteoblasts and fibroblasts were also enhanced in the cells cultured on the Os/M-ECM-SIS scaffolds. The Os/M-ECM-SIS scaffolds even promoted transdifferentiation of fibroblasts with an upregulation of osteogenic differentiation markers. In a calvarial defect model, new bone formation was greatly enhanced in defects implanted with the Os/M-ECM-SIS scaffolds compared with ECM-SIS scaffolds. Further study showed that the Os/M-ECM-SIS scaffolds promoted bone regeneration in vitro and in vivo via the Bmp/Smad-signaling pathway. Thus, this work proposes a valuable method for generating a mineralized bone mimetic scaffold with SIS as off-the-shelf bone graft substitute that provides an excellent osteogenic microenvironment, making it suitable for application in bone tissue engineering.
Collapse
Affiliation(s)
- Mei Li
- 1 Zhejiang Key Laboratory of Pathophysiology, Medical School, Ningbo University , Ningbo, People's Republic of China .,2 Ningbo Institute of Medical Sciences , Ningbo, People's Republic of China
| | - Chi Zhang
- 1 Zhejiang Key Laboratory of Pathophysiology, Medical School, Ningbo University , Ningbo, People's Republic of China
| | - Yuxing Mao
- 1 Zhejiang Key Laboratory of Pathophysiology, Medical School, Ningbo University , Ningbo, People's Republic of China
| | - Yi Zhong
- 1 Zhejiang Key Laboratory of Pathophysiology, Medical School, Ningbo University , Ningbo, People's Republic of China
| | - Jiyuan Zhao
- 1 Zhejiang Key Laboratory of Pathophysiology, Medical School, Ningbo University , Ningbo, People's Republic of China
| |
Collapse
|
6
|
A Novel Approach to Utilize Icariin as Icariin-Derived ECM on Small Intestinal Submucosa Scaffold for Bone Repair. Ann Biomed Eng 2017; 45:2673-2682. [DOI: 10.1007/s10439-017-1900-y] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2017] [Accepted: 08/09/2017] [Indexed: 12/28/2022]
|
7
|
Zhang C, Li M, Zhu J, Luo F, Zhao J. Enhanced bone repair induced by human adipose-derived stem cells on osteogenic extracellular matrix ornamented small intestinal submucosa. Regen Med 2017; 12:541-552. [PMID: 28718708 DOI: 10.2217/rme-2017-0024] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
AIM Our aim was to design an osteogenic extracellular matrix (ECM) coated bioscaffold and to apply it to critical bone defect repair with adipose-derived stem cells (ADSCs). MATERIALS & METHODS Morphology of scaffolds was scanned by scanning electron microscope. Cell adhesion, proliferation and osteogenic differentiation of ADSCs on ECM-small intestinal submucosa (SIS) were evaluated by immunofluorescences staining, cell counting kit-8 and real-time qPCR, respectively. A mouse calvarial defect model was used to assess effects on bone regeneration in vivo. RESULTS Abundant ECM was coated on SIS, which facilitated cell adhesion and proliferation of ADSCs. ECM-SIS induced osteogenic differentiation of ADSCs even without osteogenic inductive factors. Bone regeneration in vivo was enhanced by ECM-SIS + ADSCs via BMP/SMAD pathway. CONCLUSION This work suggested a biofabricated SIS scaffold coated with osteogenic ECM-facilitated bone regeneration with ADSCs synergistically.
Collapse
Affiliation(s)
- Chi Zhang
- Zhejiang Key Laboratory of Pathophysiology, Medical School, Ningbo University, Ningbo, Zhejiang 315211, People's Republic of China
| | - Mei Li
- Zhejiang Key Laboratory of Pathophysiology, Medical School, Ningbo University, Ningbo, Zhejiang 315211, People's Republic of China.,Ningbo Institute of Medical Sciences, Ningbo, Zhejiang 315020, People's Republic of China
| | - Jinjin Zhu
- Zhejiang Key Laboratory of Pathophysiology, Medical School, Ningbo University, Ningbo, Zhejiang 315211, People's Republic of China
| | - Fangmiao Luo
- Zhejiang Key Laboratory of Pathophysiology, Medical School, Ningbo University, Ningbo, Zhejiang 315211, People's Republic of China
| | - Jiyuan Zhao
- Zhejiang Key Laboratory of Pathophysiology, Medical School, Ningbo University, Ningbo, Zhejiang 315211, People's Republic of China
| |
Collapse
|
8
|
Zhao L, Zhao J, Yu J, Sun R, Zhang X, Hu S. In vivo investigation of tissue-engineered periosteum for the repair of allogeneic critical size bone defects in rabbits. Regen Med 2017. [PMID: 28621175 DOI: 10.2217/rme-2016-0157] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023] Open
Abstract
Aim: The aim of the study was to evaluate the efficacy of tissue-engineered periosteum (TEP) in repairing allogenic bone defects in the long term. Materials & methods: TEP was biofabricated with osteoinduced rabbit bone marrow mesenchymal stem cells and porcine small intestinal submucosa (SIS). A total of 24 critical sized defects were created bilaterally in radii of 12 New Zealand White rabbits. TEP/SIS was implanted into the defect site. Bone defect repair was evaluated with radiographic and histological examination at 4, 8 and 12 weeks. Results: Bone defects were structurally reconstructed in the TEP group with mature cortical bone and medullary canals, however this was not observed in the SIS group at 12 weeks. Conclusion: The TEP approach can effectively restore allogenic critical sized defects, and achieve maturity of long-bone structure in 12 weeks in rabbit models.
Collapse
Affiliation(s)
- Lin Zhao
- Orthopaedic Department, Jinshan Branch of the Sixth People’s Hospital of Shanghai, Shanghai Jiao Tong University, Shanghai 201500, China
| | - Junli Zhao
- Department of Nephrology, Shanghai ZhouPu Hospital, Shanghai 201318, China
| | - Jiajia Yu
- Orthopaedic Institute, the Second Hospital of Lanzhou University, Lanzhou 730030, China
| | - Rui Sun
- Orthopaedic Institute, the Second Hospital of Lanzhou University, Lanzhou 730030, China
| | - Xiaofeng Zhang
- Orthopaedic Department, Jinshan Branch of the Sixth People’s Hospital of Shanghai, Shanghai Jiao Tong University, Shanghai 201500, China
| | - Shuhua Hu
- Orthopaedic Department, Jinshan Branch of the Sixth People’s Hospital of Shanghai, Shanghai Jiao Tong University, Shanghai 201500, China
| |
Collapse
|
9
|
Li M, Zhang C, Cheng M, Gu Q, Zhao J. Small intestinal submucosa: A potential osteoconductive and osteoinductive biomaterial for bone tissue engineering. MATERIALS SCIENCE & ENGINEERING. C, MATERIALS FOR BIOLOGICAL APPLICATIONS 2017; 75:149-156. [DOI: 10.1016/j.msec.2017.02.042] [Citation(s) in RCA: 30] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/22/2016] [Revised: 12/26/2016] [Accepted: 02/10/2017] [Indexed: 01/13/2023]
|
10
|
In vitro study of bioactivity of homemade tissue-engineered periosteum. MATERIALS SCIENCE & ENGINEERING. C, MATERIALS FOR BIOLOGICAL APPLICATIONS 2016; 58:1170-6. [DOI: 10.1016/j.msec.2015.09.086] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/20/2015] [Revised: 09/15/2015] [Accepted: 09/23/2015] [Indexed: 11/20/2022]
|
11
|
Tissue Engineering with Decellularized Tissues. Biomater Sci 2013. [DOI: 10.1016/b978-0-08-087780-8.00140-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/24/2023]
|
12
|
Dimitriou R, Mataliotakis GI, Calori GM, Giannoudis PV. The role of barrier membranes for guided bone regeneration and restoration of large bone defects: current experimental and clinical evidence. BMC Med 2012; 10:81. [PMID: 22834465 PMCID: PMC3423057 DOI: 10.1186/1741-7015-10-81] [Citation(s) in RCA: 227] [Impact Index Per Article: 18.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/10/2011] [Accepted: 07/26/2012] [Indexed: 12/27/2022] Open
Abstract
Treatment of large bone defects represents a great challenge in orthopedic and craniomaxillofacial surgery. Although there are several methods for bone reconstruction, they all have specific indications and limitations. The concept of using barrier membranes for restoration of bone defects has been developed in an effort to simplify their treatment by offering a single-staged procedure. Research on this field of bone regeneration is ongoing, with evidence being mainly attained from preclinical studies. The purpose of this review is to summarize the current experimental and clinical evidence on the use of barrier membranes for restoration of bone defects in maxillofacial and orthopedic surgery. Although there are a few promising preliminary human studies, before clinical applications can be recommended, future research should aim to establish the 'ideal' barrier membrane and delineate the need for additional bone grafting materials aiming to 'mimic' or even accelerate the normal process of bone formation. Reproducible results and long-term observations with barrier membranes in animal studies, and particularly in large animal models, are required as well as well-designed clinical studies to evaluate their safety, efficacy and cost-effectiveness.
Collapse
Affiliation(s)
- Rozalia Dimitriou
- Department of Trauma and Orthopaedics, Leeds Teaching Hospitals NHS Trust, Leeds LS1 3EX, UK
| | | | | | | |
Collapse
|
13
|
Nelson MT, Keith JP, Li BB, Stocum DL, Li J. Electrospun composite polycaprolactone scaffolds for optimized tissue regeneration. ACTA ACUST UNITED AC 2012. [DOI: 10.1177/1740349912450828] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
There is evidence to suggest that the development of a stable microvasculature at the site of a critical-sized bone defect or fracture aids in repairing or regenerating bone. Identifying a tissue engineering scaffold that optimizes bone tissue and blood vessel development could improve regenerative capabilities. In this paper we study the proliferation and directed differentiation potentials of endothelial colony forming cells and mesenchymal stem cells cultured on electrospun polycaprolactone matrices and compare them with data obtained for composite polycaprolactone–hydroxyapatite, polycaprolactone–hydroxyapatite/β-tricalcium phosphate and polycaprolactone–small intestine submucosa electrospun matrices. Polycaprolactone–hydroxyapatite and polycaprolactone–hydroxyapatite/β-tricalcium phosphate fibers on average displayed a two-fold increase in fiber diameter and average pore-size area as compared with polycaprolactone or polycaprolactone–small intestine submucosa scaffolds. X-ray diffraction showed that significant additions of hydroxyapatite, hydroxyapatite/β-tricalcium phosphate and small intestine submucosa were present in the composite scaffolds. Incorporating hydroxyapatite or hydroxyapatite/β-tricalcium phosphate into the polycaprolactone fiber increased the modulus and ultimate tensile strength significantly. Both endothelial colony forming cell and mesenchymal stem cell proliferation was two-fold greater on polycaprolactone–small intestine submucosa scaffolds; whereas on polycaprolactone–hydroxyapatite and polycaprolactone–hydroxyapatite/β-tricalcium phosphate scaffolds only endothelial colony forming cell proliferation was observed to be significant. Alkaline phosphatase analysis for mesenchymal stem cell-seeded scaffolds indicated that only polycaprolactone–small intestine submucosa scaffolds displayed significant increases after 10 days of culture, suggesting an osteoblast phenotype. Electrospun polycaprolactone–small intestine submucosa scaffolds stimulated proliferation of both cell types and directed mesenchymal stem cell differentiation, providing a stable platform to investigate the potential of endothelial colony forming cell in directing bone tissue repair or regeneration.
Collapse
Affiliation(s)
- M Tyler Nelson
- Department of Biology, Indiana University–Purdue University Indianapolis, USA
| | - Joshua P Keith
- Department of Biology, Indiana University–Purdue University Indianapolis, USA
| | - Bing-Bing Li
- Department of Chemistry, Central Michigan University, USA
- Center for Regenerative Biology and Medicine, Indiana University–Purdue University Indianapolis, USA
| | - David L Stocum
- Department of Biology, Indiana University–Purdue University Indianapolis, USA
- Center for Regenerative Biology and Medicine, Indiana University–Purdue University Indianapolis, USA
| | - Jiliang Li
- Department of Biology, Indiana University–Purdue University Indianapolis, USA
- Center for Regenerative Biology and Medicine, Indiana University–Purdue University Indianapolis, USA
| |
Collapse
|
14
|
Extracellular matrix as an inductive template for temporomandibular joint meniscus reconstruction: a pilot study. J Oral Maxillofac Surg 2012; 69:e488-505. [PMID: 21684655 DOI: 10.1016/j.joms.2011.02.130] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2010] [Revised: 02/18/2011] [Accepted: 02/27/2011] [Indexed: 11/20/2022]
Abstract
PURPOSE A device consisting of powdered porcine urinary bladder extracellular matrix (UBM-ECM) encapsulated within sheets of the same material was investigated as a scaffold for temporomandibular joint (TMJ) meniscus reconstruction. MATERIALS AND METHODS Five dogs underwent unilateral resection of the native meniscus and replacement with a UBM-ECM device. Necropsies were performed at 3, 4, 8, 12, and 24 weeks. Two additional dogs underwent bilateral resection of the meniscus with replacement with a UBM-ECM device on 1 side, leaving the contralateral side empty as a control. Necropsies were performed at 24 weeks for bilaterally treated animals. RESULTS Macroscopically, the UBM-ECM implants were remodeled rapidly and were indistinguishable from newly deposited host tissue at all time points. Microscopically, remodeling was characterized by a dense infiltration of predominantly CD68(+) mononuclear cells and smooth muscle actin-positive fibroblast-like cells at early time points changing with time to a sparse population of smooth muscle actin-negative spindle-shaped cells resembling those of the native fibrocartilaginous TMJ meniscus. Furthermore, the remodeling process showed deposition of predominantly type I collagen, the density and organization of which resembled those of the native meniscus by the 24-week time point. Ingrowth of calsequestrin-positive skeletal muscle tissue was also observed at the periphery of the remodeled UBM-ECM device and was similar to that found at the attachment site of the native meniscus to the surrounding soft tissues. Histologic results were identical for samples excised from both unilaterally and bilaterally treated animals. No adverse changes in the articulating surfaces of the condyle or fossa were observed in UBM-ECM-implanted joints. In the bilaterally treated animals, the unimplanted control side was characterized by degeneration and pitting of the articulating surfaces of both the condyle and the fossa, with disorganized bands of fibrous connective tissue observed within the joint space. CONCLUSION Results of this study suggest that the UBM-ECM device provides an effective interpositional material while serving as an inductive template for reconstruction of the TMJ meniscus.
Collapse
|
15
|
Zhao L, Zhao J, Wang S, Wang J, Liu J. Comparative study between tissue-engineered periosteum and structural allograft in rabbit critical-sized radial defect model. J Biomed Mater Res B Appl Biomater 2011; 97:1-9. [PMID: 21290569 DOI: 10.1002/jbm.b.31768] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2010] [Revised: 07/27/2010] [Accepted: 08/05/2010] [Indexed: 01/14/2023]
Abstract
The purpose of this study was to compare the efficacy of tissue-engineered periosteum (TEP) to allgeneic bone in repairing segmental bone defect. TEP was fabricated with osteoinduced rabbit bone marrow mesenchymal stem cells (MSCs) and porcine small intestinal submucosa (SIS). Allogrfats were cryopreserved radial segments of New Zealand Rabbits. Forty-eight radial critical-sized defects (CSD) were bilaterally produced in 24 rabbits. The defects were divided into three groups, group A, TEP implantation, group B, SIS implantation, and group C allograft. Bone defect reconstruction was kinetically analyzed at 4, 8, and 12 weeks by radiographic and histological scoring system. In group A, bone defects were radiographically and histologically healed with mature cortex and marrow cavity by 12 weeks, while none of the defects healed in group B. Group C showed a slow process of creeping substitution with lymphocyte infiltration. Statistical comparison confirmed that group A had a more efficient and rapid bone defect reparation as well as remodelling than Group B and C. In conclusion, TEP is superior to structural allograft in reconstruction of allogenic segmental bone defect. Pure SIS cannot guide bone regeneration in this rabbit model.
Collapse
Affiliation(s)
- Lin Zhao
- Department of Orthopaedic Surgery, Orthopaedic Institute of the 2nd Hospital of Lanzhou University, 730030, Lanzhou City, People's Republic of China.
| | | | | | | | | |
Collapse
|
16
|
|
17
|
Repairing critical-sized rat calvarial defects with a periosteal cell-seeded small intestinal submucosal layer. Plast Reconstr Surg 2010; 122:400-409. [PMID: 18626355 DOI: 10.1097/prs.0b013e31817d6206] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
BACKGROUND Small intestinal submucosa was evaluated as a bioscaffold candidate for periosteum-derived osteoblasts, and its suitability as a bone replacement material for cranial defects was investigated. METHODS In the in vitro phase, osteoblasts were expanded in osteogenic medium and were then seeded onto small intestinal submucosa. To confirm osteoblast phenotype, they were tested for alkaline phosphatase, collagen type 1, and calcium expression. In the in vivo phase, calvarial critical-sized defects were created in 35 rats. The defects were either left untreated for surgical control (group 1), treated with small intestinal submucosa alone (group 2), treated with an osteoblast-embedded construct (group 3), or treated with an autogenous bone graft (group 4). The results were evaluated 12 weeks after surgery with radiopacity measurements and with stereologic analysis. RESULTS Periosteal cells grew successfully in vitro. The percentage radiopaque area at the defect was measured to be 42, 74, 76, and 89 percent for groups 1, 2, 3, and 4, respectively. The pixel intensity of the same site was 36.4, 48.1, 47.5, and 54.5 for the same groups, respectively. Tissue-engineered constructs did not achieve enough bone formation and calcification to be effective as autogenous bone grafts and were not superior to the small intestinal submucosa alone. However, both small intestinal submucosa and cell-seeded small intestinal submucosa showed significantly more bone formation compared with the untreated group. CONCLUSIONS Although it was demonstrated that the small intestinal submucosa itself has osteogenic properties, it was not significantly increased by adding periosteum-derived osteoblasts to it. The osteogenic properties of small intestinal submucosa are promising, and its role as a scaffold should be investigated further.
Collapse
|
18
|
A Sustained Release of Lovastatin from Biodegradable, Elastomeric Polyurethane Scaffolds for Enhanced Bone Regeneration. Tissue Eng Part A 2010; 16:2369-79. [DOI: 10.1089/ten.tea.2009.0585] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
|
19
|
Kim KS, Lee JY, Kang YM, Kim E, Kim GH, Rhee SD, Cheon HG, Kim JH, Min BH, Lee HB, Kim MS. Small intestine submucosa sponge for in vivo support of tissue-engineered bone formation in the presence of rat bone marrow stem cells. Biomaterials 2010; 31:1104-13. [DOI: 10.1016/j.biomaterials.2009.10.020] [Citation(s) in RCA: 74] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2009] [Accepted: 10/08/2009] [Indexed: 10/20/2022]
|
20
|
Drosse I, Volkmer E, Seitz S, Seitz H, Penzkofer R, Zahn K, Matis U, Mutschler W, Augat P, Schieker M. Validation of a Femoral Critical Size Defect Model for Orthotopic Evaluation of Bone Healing: A Biomechanical, Veterinary and Trauma Surgical Perspective. Tissue Eng Part C Methods 2008; 14:79-88. [DOI: 10.1089/tec.2007.0234] [Citation(s) in RCA: 52] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023] Open
Affiliation(s)
- Inga Drosse
- Experimental Surgery and Regenerative Medicine, Department of Surgery, University of Munich, Munich, Germany
| | - Elias Volkmer
- Experimental Surgery and Regenerative Medicine, Department of Surgery, University of Munich, Munich, Germany
- Department of Trauma Surgery, University of Munich, Munich, Germany
| | - Sebastian Seitz
- Experimental Surgery and Regenerative Medicine, Department of Surgery, University of Munich, Munich, Germany
- Center for Biomechanics, Experimental Trauma Surgery and Skeletal Biology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Hermann Seitz
- Department of Fluid Technology and Microfluidics University of Rostock, Rostock, Germany
| | | | - Klaus Zahn
- Clinic of Veterinary Surgery, Ludwig-Maximilians-University of Munich, Munich, Germany
| | - Ulrike Matis
- Clinic of Veterinary Surgery, Ludwig-Maximilians-University of Munich, Munich, Germany
| | - Wolf Mutschler
- Experimental Surgery and Regenerative Medicine, Department of Surgery, University of Munich, Munich, Germany
- Department of Trauma Surgery, University of Munich, Munich, Germany
| | | | - Matthias Schieker
- Experimental Surgery and Regenerative Medicine, Department of Surgery, University of Munich, Munich, Germany
- Department of Trauma Surgery, University of Munich, Munich, Germany
| |
Collapse
|
21
|
Norian craniofacial repair system: compatibility with resorbable and nonresorbable plating materials. Plast Reconstr Surg 2007; 120:1487-1495. [PMID: 18040178 DOI: 10.1097/01.prs.0000282034.07517.cc] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND Choice of bone replacement materials is important when reconstructing large craniofacial defects. Hydroxyapatite cements are often used for such reconstructions. Recent advances in the development of these cements have produced locally applied, in situ hardening materials excellent for use in craniofacial defects. To date, there has been a paucity of data comparing the use of calcium phosphate cements in combination with titanium or resorbable plating systems and their combined biocompatibility. An experimental dog model was used to compare these systems. METHODS Two 4 x 4-cm calvarial defects were created in each of 18 mongrel dogs, and defects were reconstructed with calcium phosphate cement with either titanium or resorbable mesh sheets to evaluate their interaction. Specimens were harvested and evaluated histologically for the development of new bone formation at 3, 6, and 12 months. RESULTS At 3 months, no differences were noted in the amount of bone formed between titanium and resorbable plating. By 6 months, the resorbable mesh sheet showed delayed bone formation compared with the titanium mesh. At 12 months, bone formation over the resorbable mesh accelerated to be no different from the titanium mesh. Importantly, new bone formation was seen within the monocalcium phosphate cement Norian Craniofacial Repair System on a reliable basis, regardless of mesh plate used. CONCLUSIONS There are no long-term adverse effects with the use of Norian cement with either titanium or resorbable mesh. However, further studies need to be conducted to determine why there is an arrested healing phase between 3 and 6 months with the Norian cement and resorbable plating materials.
Collapse
|
22
|
Kofron MD, Cooper JA, Kumbar SG, Laurencin CT. Novel tubular composite matrix for bone repair. J Biomed Mater Res A 2007; 82:415-25. [PMID: 17295242 DOI: 10.1002/jbm.a.31148] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Tissue engineering develops organ replacements to overcome the limitations associated with autografts and allografts. The work presented here details the development of biodegradable, porous, three-dimensional polymer-ceramic-sintered microsphere matrices to support bone regeneration. Poly(lactide-co-glycolide)/hydroxyapatite microspheres were formed using solvent evaporation technique. Individual microspheres were placed in a cylindrical mold and sintered at various temperatures. Scaffolds were characterized using scanning electron microscopy, mercury porosimetry, and mechanical testing in compression. After varying the temperature of sintering, a single temperature was selected and the time of sintering was varied. Mechanical testing indicated that as the sintering temperature or time was increased, the elastic modulus, compressive strength, maximum compressive load, and energy at failure significantly increased. Furthermore, increasing the sintering temperature or time resulted in a decreased porosity and the spherical morphology of the microspheres was lost as the microspheres blended together. To more closely mimic the bone marrow cavity observed in native bone tissue, tubular composite-sintered microsphere matrices were formed. These scaffolds demonstrated no statistically significant difference in compressive mechanical properties when compared with cylindrical composite-sintered microsphere matrices of the same dimension. One potential application for these scaffolds is bone regeneration.
Collapse
Affiliation(s)
- M D Kofron
- Department of Biomedical Engineering, University of Virginia, PO Box 800759, Charlottesville, Virginia 22908, USA
| | | | | | | |
Collapse
|
23
|
Jäger M, Sager M, Lensing-Höhn S, Krauspe R. The critical size bony defect in a small animal for bone healing studies (II): implant evolution and surgical technique on a rat's femur. BIOMED ENG-BIOMED TE 2005; 50:137-42. [PMID: 15966618 DOI: 10.1515/bmt.2005.020] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
In the preclinical field of orthopaedic and trauma surgery critical size bony defects (CDS) were used to evaluate the biocompatibility and allow to investigate the osteoinductivity and -conductivity of bone substitutes. Concerning the anatomical size the laboratory rat indicates a lower limit in small animals which are appropriate for experiments on bone. The aim of this study was to define a CSD, to develop a suitable fixation system to stabilize bony fragments in CSD and to point out the specialities of the surgical technique. These informations should help for to design and practice studies concerning bone healing on rat's femur. Based on previously acquired anatomical data of rat's femur, the technical challenges and anatomical specialities of different osteosynthesis techniques in rat's femur surgery are demonstrated. Our experiences with different fixation systems and techniques lead to the development of an external fixator, which guarantees for a stable bone fragment fixation, prevents severe soft tissue damage, allows of a roentgenologic evaluation of the defect zone and prevents from undesired direct biomaterial-implant interactions. Neither the proximal nor the distal femoral nailing technique is appropriate for a stable fixation in CSD of rat's femur. To evaluate the reliability of an own developed external fixator 42 nude rats with a 4.0 mm CSD were investigated clinically and roentgenologically over 10 weeks. The external fixator showed only a small implant failure rate. A solid fusion of the bone fragments was not observed within the 10 weeks follow-up period.
Collapse
Affiliation(s)
- M Jäger
- Department of Orthopaedics, Heinrich-Heine University Hospital Duesseldorf, Moorenstr. 5, D-40225 Duesseldorf, Germany.
| | | | | | | |
Collapse
|
24
|
Nicoli Aldini N, Fini M, Giavaresi G, Guzzardella GA, Giardino R. Prosthetic devices shaped as tubular chambers for the treatment of large diaphyseal defects by guided bone regeneration. Int J Artif Organs 2005; 28:51-7. [PMID: 15742310 DOI: 10.1177/039139880502800109] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Guided tissue regeneration is based on the hypothesis that the different tissues have unequal abilities to penetrate a wounded area during the healing process. The use of a device acting as a chamber allows the growth of a particular tissue and prevents the ingrowth of other tissues which impair the healing process. At the same time the chamber protects and maintains in situ the intrinsic growth factors so that they may perform their specific activity. Guided tissue regeneration currently plays a well-recognized role mostly in dentistry and peripheral nerve surgery but interesting perspectives have also opened up in orthopedics. Considering the possibility of using guided bone regeneration in the repair of diaphyseal bone defects, this updated survey highlights some critical points and pathways related to the state-of-the-art of this promising procedure, focusing particularly on the properties of the material to make the tubular chamber, the use of osteopromotive factors and the most appropriate animal model to be used for the experimental evaluation.
Collapse
Affiliation(s)
- N Nicoli Aldini
- Experimental Surgery Department, Codivilla Putti Research Institute, Rizzoli Orthopedic Institute, Bologna, Italy
| | | | | | | | | |
Collapse
|