1
|
Li J, Xia T, Zhao Q, Wang C, Fu L, Zhao Z, Tang Z, Yin C, Wang M, Xia H. Biphasic calcium phosphate recruits Tregs to promote bone regeneration. Acta Biomater 2024; 176:432-444. [PMID: 38185232 DOI: 10.1016/j.actbio.2024.01.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2023] [Revised: 12/27/2023] [Accepted: 01/01/2024] [Indexed: 01/09/2024]
Abstract
The use of bone substitute materials is crucial for the healing of large bone defects. Immune response induced by bone substitute materials is essential in bone regeneration. Prior research has mainly concentrated on innate immune cells, such as macrophages. Existing research suggests that T lymphocytes, as adaptive immune cells, play an indispensable role in bone regeneration. However, the mechanisms governing T cell recruitment and specific subsets that are essential for bone regeneration remain unclear. This study demonstrates that CD4+ T cells are indispensable for ectopic osteogenesis by biphasic calcium phosphate (BCP). Subsequently, the recruitment of CD4+ T cells is closely associated with the activation of calcium channels in macrophages by BCP to release chemokines Ccl3 and Ccl17. Finally, these recruited CD4+ T cells are predominantly Tregs, which play a significant role in ectopic osteogenesis by BCP. These findings not only shed light on the immune-regenerative process after bone substitute material implantation but also establish a theoretical basis for developing bone substitute materials for promoting bone tissue regeneration. STATEMENT OF SIGNIFICANCE: Bone substitute material implantation is essential in the healing of large bone defects. Existing research suggests that T lymphocytes are instrumental in bone regeneration. However, the specific mechanisms governing T cell recruitment and specific subsets that are essential for bone regeneration remain unclear. In this study, we demonstrate that activation of calcium channels in macrophages by biphasic calcium phosphate (BCP) causes them to release the chemokines Ccl3 and Ccl17 to recruit CD4+ T cells, predominantly Tregs, which play a crucial role in ectopic osteogenesis by BCP. Our findings provide a theoretical foundation for developing bone substitute material for bone tissue regeneration.
Collapse
Affiliation(s)
- Jiaojiao Li
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China
| | - Ting Xia
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China
| | - Qin Zhao
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China
| | - Can Wang
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China
| | - Liangliang Fu
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China
| | - Zifan Zhao
- Center of Digital Dentistry, Faculty of Prosthodontics, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices & NHC Key Laboratory of Digital Stomatology & Beijing Key Laboratory of Digital Stomatology & Key Laboratory of Digital Stomatology, Chinese Academy of Medical Sciences & NMPA Key Laboratory for Dental Materials, Beijing,100081, China
| | - Ziqiao Tang
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China
| | - Chenghu Yin
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China
| | - Min Wang
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China.
| | - Haibin Xia
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China.
| |
Collapse
|
2
|
Khan R, Jolly R, Fatima T, Shakir M. Extraction processes for deriving cellulose: A comprehensive review on green approaches. POLYM ADVAN TECHNOL 2022. [DOI: 10.1002/pat.5678] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Affiliation(s)
- Ruheen Khan
- Inorganic Chemistry Laboratory, Department of Chemistry Aligarh Muslim University Aligarh India
| | - Reshma Jolly
- Inorganic Chemistry Laboratory, Department of Chemistry Aligarh Muslim University Aligarh India
| | - Tooba Fatima
- Inorganic Chemistry Laboratory, Department of Chemistry Aligarh Muslim University Aligarh India
| | - Mohammad Shakir
- Inorganic Chemistry Laboratory, Department of Chemistry Aligarh Muslim University Aligarh India
| |
Collapse
|
3
|
Fu L, Zhao Q, Li J, Zhao Z, Wang M, Sun H, Xia H. Fibroblasts Mediate Ectopic Bone Formation of Calcium Phosphate Ceramics. MATERIALS 2022; 15:ma15072569. [PMID: 35407901 PMCID: PMC9000332 DOI: 10.3390/ma15072569] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/14/2022] [Revised: 03/09/2022] [Accepted: 03/29/2022] [Indexed: 02/04/2023]
Abstract
Heterogeneity of fibroblasts directly affects the outcome of tissue regeneration; however, whether bioactive ceramics regulate bone regeneration through fibroblasts is unclear. Ectopic bone formation model with biphasic calcium phosphate (BCP) implantation was used to investigate the temporal and spatial distribution of fibroblasts around ceramics. The effect of BCP on L929 fibroblasts was evaluated by EdU assay, transwell assay, and qRT-PCR. Further, the effect of its conditioned medium on osteogenic differentiation of bone marrow mesenchymal stem cells (BMSCs) was confirmed by ALP staining. SEM and XRD results showed that BCP contained abundant micro- and macro-pores and consisted of hydrogen-apatite (HA) and β-tricalcium phosphate (β-TCP) phases. Subsequently, BCP implanted into mice muscle successfully induced osteoblasts and bone formation. Fibroblasts labelled by vimentin gathered around BCP at 7 days and peaked at 14 days post implantation. In vitro, BCP inhibited proliferation of L929 fibroblast but promoted its migration. Moreover, expression of Col1a1, Bmp2, and Igf1 in L929 treated by BCP increased significantly while expression of Tgfb1 and Acta did not change. ALP staining further showed conditioned media from L929 fibroblasts treated by BCP could enhance osteogenic differentiation of BMSCs. In conclusion, fibroblasts mediate ectopic bone formation of calcium phosphate ceramics.
Collapse
Affiliation(s)
- Liangliang Fu
- The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) & Key Laboratory of Oral Biomedicine Ministry of Education, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China; (L.F.); (Q.Z.); (J.L.); (Z.Z.); (M.W.); (H.S.)
- Department of Oral Implantology, School and Hospital of Stomatology, Wuhan University, Wuhan 430079, China
| | - Qin Zhao
- The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) & Key Laboratory of Oral Biomedicine Ministry of Education, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China; (L.F.); (Q.Z.); (J.L.); (Z.Z.); (M.W.); (H.S.)
| | - Jiaojiao Li
- The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) & Key Laboratory of Oral Biomedicine Ministry of Education, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China; (L.F.); (Q.Z.); (J.L.); (Z.Z.); (M.W.); (H.S.)
| | - Zifan Zhao
- The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) & Key Laboratory of Oral Biomedicine Ministry of Education, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China; (L.F.); (Q.Z.); (J.L.); (Z.Z.); (M.W.); (H.S.)
| | - Min Wang
- The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) & Key Laboratory of Oral Biomedicine Ministry of Education, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China; (L.F.); (Q.Z.); (J.L.); (Z.Z.); (M.W.); (H.S.)
- Department of Oral Implantology, School and Hospital of Stomatology, Wuhan University, Wuhan 430079, China
| | - Huifang Sun
- The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) & Key Laboratory of Oral Biomedicine Ministry of Education, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China; (L.F.); (Q.Z.); (J.L.); (Z.Z.); (M.W.); (H.S.)
- Department of Oral Implantology, School and Hospital of Stomatology, Wuhan University, Wuhan 430079, China
| | - Haibin Xia
- The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) & Key Laboratory of Oral Biomedicine Ministry of Education, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China; (L.F.); (Q.Z.); (J.L.); (Z.Z.); (M.W.); (H.S.)
- Department of Oral Implantology, School and Hospital of Stomatology, Wuhan University, Wuhan 430079, China
- Correspondence:
| |
Collapse
|
4
|
Physico-Chemical Characteristics and Posterolateral Fusion Performance of Biphasic Calcium Phosphate with Submicron Needle-Shaped Surface Topography Combined with a Novel Polymer Binder. MATERIALS 2022; 15:ma15041346. [PMID: 35207887 PMCID: PMC8880136 DOI: 10.3390/ma15041346] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/21/2021] [Revised: 02/02/2022] [Accepted: 02/03/2022] [Indexed: 12/04/2022]
Abstract
A biphasic calcium phosphate with submicron needle-shaped surface topography combined with a novel polyethylene glycol/polylactic acid triblock copolymer binder (BCP-EP) was investigated in this study. This study aims to evaluate the composition, degradation mechanism and bioactivity of BCP-EP in vitro, and its in vivo performance as an autograft bone graft (ABG) extender in a rabbit Posterolateral Fusion (PLF) model. The characterization of BCP-EP and its in vitro degradation products showed that the binder hydrolyses rapidly into lactic acid, lactide oligomers and unaltered PEG (polyethylene glycol) without altering the BCP granules and their characteristic submicron needle-shaped surface topography. The bioactivity of BCP-EP after immersion in SBF revealed a progressive surface mineralization. In vivo, BCP-EP was assessed in a rabbit PLF model by radiography, manual palpation, histology and histomorphometry up to 12 weeks post-implantation. Twenty skeletally mature New Zealand (NZ) White Rabbits underwent single-level intertransverse process PLF surgery at L4/5 using (1) autologous bone graft (ABG) alone or (2) by mixing in a 1:1 ratio with BCP-EP (BCP-EP/ABG). After 3 days of implantation, histology showed the BCP granules were in direct contact with tissues and cells. After 12 weeks, material resorption and mature bone formation were observed, which resulted in solid fusion between the two transverse processes, following all assessment methods. BCP-EP/ABG showed comparable fusion rates with ABG at 12 weeks, and no graft migration or adverse reaction were noted at the implantation site nor in distant organs.
Collapse
|
5
|
A multifaceted biomimetic interface to improve the longevity of orthopedic implants. Acta Biomater 2020; 110:266-279. [PMID: 32344174 DOI: 10.1016/j.actbio.2020.04.020] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2020] [Revised: 03/23/2020] [Accepted: 04/09/2020] [Indexed: 01/22/2023]
Abstract
The rise of additive manufacturing has provided a paradigm shift in the fabrication of precise, patient-specific implants that replicate the physical properties of native bone. However, eliciting an optimal biological response from such materials for rapid bone integration remains a challenge. Here we propose for the first time a one-step ion-assisted plasma polymerization process to create bio-functional 3D printed titanium (Ti) implants that offer rapid bone integration. Using selective laser melting, porous Ti implants with enhanced bone-mimicking mechanical properties were fabricated. The implants were functionalized uniformly with a highly reactive, radical-rich polymeric coating generated using a unique combination of plasma polymerization and plasma immersion ion implantation. We demonstrated the performance of such activated Ti implants with a focus on the coating's homogeneity, stability, and biological functionality. It was shown that the optimized coating was highly robust and possessed superb physico-chemical stability in a corrosive physiological solution. The plasma activated coating was cytocompatible and non-immunogenic; and through its high reactivity, it allowed for easy, one-step covalent immobilization of functional biomolecules in the absence of solvents or chemicals. The activated Ti implants bio-functionalized with bone morphogenetic protein 2 (BMP-2) showed a reduced protein desorption and a more sustained osteoblast response both in vitro and in vivo compared to implants modified through conventional physisorption of BMP-2. The versatile new approach presented here will enable the development of bio-functionalized additively manufactured implants that are patient-specific and offer improved integration with host tissue. STATEMENT OF SIGNIFICANCE: Additive manufacturing has revolutionized the fabrication of patient-specific orthopedic implants. Although such 3D printed implants can show desirable mechanical and mass transport properties, they often require surface bio-functionalities to enable control over the biological response. Surface covalent immobilization of bioactive molecules is a viable approach to achieve this. Here we report the development of additively manufactured titanium implants that precisely replicate the physical properties of native bone and are bio-functionalized in a simple, reagent-free step. Our results show that covalent attachment of bone-related growth factors through ion-assisted plasma polymerized interlayers circumvents their desorption in physiological solution and significantly improves the bone induction by the implants both in vitro and in vivo.
Collapse
|
6
|
Kucko NW, Li W, García Martinez MA, Rehman IU, Ulset AST, Christensen BE, Leeuwenburgh SCG, Herber RP. Sterilization effects on the handling and degradation properties of calcium phosphate cements containing poly (D,L
-lactic-co-glycolic acid) porogens and carboxymethyl cellulose. J Biomed Mater Res B Appl Biomater 2019; 107:2216-2228. [DOI: 10.1002/jbm.b.34306] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2018] [Revised: 12/07/2018] [Accepted: 12/19/2018] [Indexed: 02/05/2023]
Affiliation(s)
- Nathan W. Kucko
- Department of Regenerative Biomaterials; Radboud University Medical Center; Philips van Leydenlaan 25, 6525 EX, Nijmegen The Netherlands
- CAM Bioceramics B.V.; Zernikedreef 6, 2333 CL, Leiden The Netherlands
| | - Wenliang Li
- Department of Regenerative Biomaterials; Radboud University Medical Center; Philips van Leydenlaan 25, 6525 EX, Nijmegen The Netherlands
| | - Marcela A. García Martinez
- Department of Materials Science and Engineering; The Kroto Research Institute, The University of Sheffield; North Campus, Broad Lane, S3 7HQ, Sheffield UK
| | - Ihtesham ur Rehman
- Department of Materials Science and Engineering; The Kroto Research Institute, The University of Sheffield; North Campus, Broad Lane, S3 7HQ, Sheffield UK
| | - Ann-Sissel Teialeret Ulset
- NOBIPOL, Department of Biotechnology and Food Science; Norwegian University of Science and Technology; Sem Saeland veg 6/8, NO-7491, Trondheim Norway
| | - Bjørn E. Christensen
- NOBIPOL, Department of Biotechnology and Food Science; Norwegian University of Science and Technology; Sem Saeland veg 6/8, NO-7491, Trondheim Norway
| | - Sander C. G. Leeuwenburgh
- Department of Regenerative Biomaterials; Radboud University Medical Center; Philips van Leydenlaan 25, 6525 EX, Nijmegen The Netherlands
| | - Ralf-Peter Herber
- CAM Bioceramics B.V.; Zernikedreef 6, 2333 CL, Leiden The Netherlands
| |
Collapse
|
7
|
Xu T, He X, Chen Z, He L, Lu M, Ge J, Weng J, Mu Y, Duan K. Effect of magnesium particle fraction on osteoinduction of hydroxyapatite sphere-based scaffolds. J Mater Chem B 2019; 7:5648-5660. [PMID: 31465084 DOI: 10.1039/c9tb01162e] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
HAs-30Mg (incorporation of 30% Mg into HA sphere-based scaffolds) induced the optimum new bone formation.
Collapse
Affiliation(s)
- Taotao Xu
- Key Lab of Advanced Technologies of Materials (MOE)
- School of Materials Science and Engineering
- Southwest Jiaotong University
- Chengdu
- China
| | - Xu He
- Key Lab of Advanced Technologies of Materials (MOE)
- School of Materials Science and Engineering
- Southwest Jiaotong University
- Chengdu
- China
| | - Zhenghui Chen
- Department of Stomatology
- Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital
- Chengdu
- China
| | - Lei He
- Key Lab of Advanced Technologies of Materials (MOE)
- School of Materials Science and Engineering
- Southwest Jiaotong University
- Chengdu
- China
| | - Mengjie Lu
- Sichuan Provincial Lab of Orthopaedic Engineering
- Department of Bone and Joint Surgery
- Affiliated Hospital of Southwest Medical University
- Luzhou
- China
| | - Jianhua Ge
- Sichuan Provincial Lab of Orthopaedic Engineering
- Department of Bone and Joint Surgery
- Affiliated Hospital of Southwest Medical University
- Luzhou
- China
| | - Jie Weng
- Key Lab of Advanced Technologies of Materials (MOE)
- School of Materials Science and Engineering
- Southwest Jiaotong University
- Chengdu
- China
| | - Yandong Mu
- Department of Stomatology
- Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital
- Chengdu
- China
| | - Ke Duan
- Sichuan Provincial Lab of Orthopaedic Engineering
- Department of Bone and Joint Surgery
- Affiliated Hospital of Southwest Medical University
- Luzhou
- China
| |
Collapse
|
8
|
Zhang N, Ma L, Liu X, Jiang X, Yu Z, Zhao D, Zhang L, Zhang C, Huang F. In vitro and in vivo evaluation of xenogeneic bone putty with the carrier of hydrogel derived from demineralized bone matrix. Cell Tissue Bank 2018; 19:591-601. [PMID: 29974309 DOI: 10.1007/s10561-018-9708-z] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2017] [Accepted: 06/29/2018] [Indexed: 02/06/2023]
Abstract
The demineralized bone matrix (DBM) putty is a traditional bone graft utilized to facilitate the repair and reconstruction of bone. Recent studies indicated the DBM putties with the various carriers were different in bone repairing ability. In order to prepare a kind of DBM putty with a good biocompatibility and bioactivity, the DBM gel was processed from the DBM and the feasibility as a carrier for the DBM putty was evaluated. After the bovine DBM gel was prepared, the BMPs content as well as the ability to promote osteogenic differentiation of MC3T3-E1 cells in vitro were investigated. Then the DBM putty was prepared and filled into the rat calvarial defect model to evaluate the bone repairing ability by micro-CT and histology. The result showed there was 2.953 ± 0.054 ng BMP contained in per gram of the DBM gel. And the ALP production of MC3T3-E1 cells in the DBM gels group increased with prolonged culturing, the mineralized nodules formed in MC3T3-E1 cells on 14th day after co-culture. The putty prepared by DBM gel was easy to handle without loss of DBM particles at room temperature. In the rat calvarial bone defect experiment, histological observation showed more mature bone formed in the DBM putty group than that in the type I collagen group at 12 weeks, which indicated the bone putty prepared by DBM gel exhibited a better bone repair capability.
Collapse
Affiliation(s)
- Naili Zhang
- Department of Human Anatomy, School of Basic Medical Science, Binzhou Medical University, 346 Guanhai Road, Laishan, Yantai, 264003, Shandong, China
| | - Lina Ma
- Department of Diagnostics, School of Medicine, Binzhou Medical University, 346 Guanhai Road, Laishan, Yantai, 264003, Shandong, China
| | - Xiaowei Liu
- Department of Human Anatomy, School of Basic Medical Science, Binzhou Medical University, 346 Guanhai Road, Laishan, Yantai, 264003, Shandong, China
| | - Xiaorui Jiang
- Department of Hand and Foot Surgery, Yuhuangding Hospital, 20 Yuhuangding East Road, Zhifu, Yantai, 264000, China
| | - Zhenhai Yu
- Department of Human Anatomy, School of Basic Medical Science, Binzhou Medical University, 346 Guanhai Road, Laishan, Yantai, 264003, Shandong, China
| | - Dongmei Zhao
- Department of Human Anatomy, School of Basic Medical Science, Binzhou Medical University, 346 Guanhai Road, Laishan, Yantai, 264003, Shandong, China
| | - Luping Zhang
- Department of Human Anatomy, School of Basic Medical Science, Binzhou Medical University, 346 Guanhai Road, Laishan, Yantai, 264003, Shandong, China
| | - Chunlei Zhang
- Department of Human Anatomy, School of Basic Medical Science, Binzhou Medical University, 346 Guanhai Road, Laishan, Yantai, 264003, Shandong, China
| | - Fei Huang
- Department of Human Anatomy, School of Basic Medical Science, Binzhou Medical University, 346 Guanhai Road, Laishan, Yantai, 264003, Shandong, China.
| |
Collapse
|
9
|
Application of Calcium Sulfate for Dead Space Management in Soft Tissue: Characterisation of a Novel In Vivo Response. BIOMED RESEARCH INTERNATIONAL 2018; 2018:8065141. [PMID: 29693016 PMCID: PMC5859833 DOI: 10.1155/2018/8065141] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/25/2017] [Accepted: 01/16/2018] [Indexed: 12/03/2022]
Abstract
Management of dead space (DS) is a fundamental aspect of surgery. Residual DS following surgery can fill with hematoma and provide an environment for bacterial growth, increasing the incidence of postoperative infection. Materials for managing DS include polymethyl-methacrylate (PMMA), which is nonresorbing and requires removal in a second surgical procedure. The use of calcium sulfate (CS) offers the advantage of being fully absorbed and does not require subsequent surgical removal. As CS has historically been used as a bone void filler, there are some concerns for the risk of heterotopic ossification (HO) when implanted adjacent to soft tissue. This study assessed the osteoinductive potential of CS and identified and characterised residual material present in muscle tissue using histology, energy-dispersive X-ray spectroscopy analysis, and scanning electron microscopy (SEM). CS beads with and without antibiotic were implanted in intramuscular sites in both athymic rats and New Zealand white rabbits. At 28 days after implantation in the rat model, no signs of osteoinduction were observed. In the rabbit model, at 21 days after implantation, almost complete bead absorption and presence of a “halo” of material in the surrounding muscle tissue were confirmed. Our results suggested that the halo of material was a calcium phosphate precipitate, not HO.
Collapse
|
10
|
Huang YZ, Wang JJ, Huang YC, Wu CG, Zhang Y, Zhang CL, Bai L, Xie HQ, Li ZY, Deng L. Organic composite-mediated surface coating of human acellular bone matrix with strontium. MATERIALS SCIENCE & ENGINEERING. C, MATERIALS FOR BIOLOGICAL APPLICATIONS 2017. [PMID: 29519420 DOI: 10.1016/j.msec.2017.11.002] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Acellular bone matrix (ACBM) provides an osteoconductive scaffold for bone repair, but its osteoinductivity is poor. Strontium (Sr) improves the osteoinductivity of bone implants. In this study, we developed an organic composite-mediated strontium coating strategy for ACBM scaffolds by using the ion chelating ability of carboxymethyl cellulose (CMC) and the surface adhesion ability of dopamine (DOPA). The organic coating composite, termed the CMC-DOPA-Sr composite, was synthesized under a mild condition, and its chemical structure and strontium ion chelating ability were then determined. After surface decoration, the physicochemical properties of the strontium-coated ACBM (ACBM-Sr) scaffolds were characterized, and their biocompatibility and osteoinductivity were determined in vitro and in vivo. The results showed that the CMC-DOPA-Sr composite facilitated strontium coating on the surface of ACBM scaffolds. The ACBM-Sr scaffolds possessed a sustained strontium ion release profile, exhibited good cytocompatibility, and enhanced the osteogenic differentiation of mesenchymal stem cells in vitro. Furthermore, the ACBM-Sr scaffolds showed good histocompatibility after subcutaneous implantation in nude mice. Taken together, this study provided a simple and mild strategy to realize strontium coating for ACBM scaffolds, which resulted in good biocompatibility and improved osteoinductivity.
Collapse
Affiliation(s)
- Yi-Zhou Huang
- Laboratory of Stem Cell and Tissue Engineering, State Key laboratory of biotherapy, West China Hospital, Sichuan University, Chengdu, Sichuan 60041, China
| | - Jing-Jing Wang
- School of Materials Science and Engineering, Tianjin University, Tianjin 300350, China
| | - Yong-Can Huang
- Shenzhen Engineering Laboratory of Orthopaedic Regenerative Technologies, Orthopaedic Research Center, Peking University Shenzhen Hospital, Shenzhen 518036, China; Shenzhen Key Laboratory of Spine Surgery, Department of Spine Surgery, Peking University Shenzhen Hospital, Shenzhen 518036, China; Department of Orthopaedics and Traumatology, The University of Hong Kong, Hong Kong SAR 999077, China
| | - Cheng-Guang Wu
- Laboratory of Stem Cell and Tissue Engineering, State Key laboratory of biotherapy, West China Hospital, Sichuan University, Chengdu, Sichuan 60041, China
| | - Yi Zhang
- Laboratory of Stem Cell and Tissue Engineering, State Key laboratory of biotherapy, West China Hospital, Sichuan University, Chengdu, Sichuan 60041, China
| | - Chao-Liang Zhang
- State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan 60041, China
| | - Lin Bai
- Regenerative Medicine Research Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, China
| | - Hui-Qi Xie
- Laboratory of Stem Cell and Tissue Engineering, State Key laboratory of biotherapy, West China Hospital, Sichuan University, Chengdu, Sichuan 60041, China
| | - Zhao-Yang Li
- School of Materials Science and Engineering, Tianjin University, Tianjin 300350, China.
| | - Li Deng
- Laboratory of Stem Cell and Tissue Engineering, State Key laboratory of biotherapy, West China Hospital, Sichuan University, Chengdu, Sichuan 60041, China.
| |
Collapse
|
11
|
Gabbai-Armelin PR, Renno ACM, Crovace MC, Magri AMP, Zanotto ED, Peitl O, Leeuwenburgh SCG, Jansen JA, van den Beucken JJJP. Putty-like bone fillers based on CaP ceramics or Biosilicate® combined with carboxymethylcellulose: Characterization, optimization, and evaluation. J Biomater Appl 2017; 32:276-288. [DOI: 10.1177/0885328217713354] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Affiliation(s)
- Paulo R Gabbai-Armelin
- Laboratory of Biomaterials and Tissue Engineering, Department of Biosciences, Federal University of São Paulo, Santos, Brazil
- Department of Biomaterials (309), Radboudumc, Nijmegen, The Netherlands
- Department of Physiotherapy, Biotechnology Post-graduate Program, Federal University of São Carlos, São Carlos, Brazil
| | - Ana CM Renno
- Laboratory of Biomaterials and Tissue Engineering, Department of Biosciences, Federal University of São Paulo, Santos, Brazil
| | - Murilo C Crovace
- Vitreous Materials Laboratory (LaMaV), Department of Material Engineering, Federal University of São Carlos, Sao Carlos, Brazil
| | - Angela MP Magri
- Laboratory of Biomaterials and Tissue Engineering, Department of Biosciences, Federal University of São Paulo, Santos, Brazil
- Department of Biomaterials (309), Radboudumc, Nijmegen, The Netherlands
| | - Edgar D Zanotto
- Vitreous Materials Laboratory (LaMaV), Department of Material Engineering, Federal University of São Carlos, Sao Carlos, Brazil
| | - Oscar Peitl
- Vitreous Materials Laboratory (LaMaV), Department of Material Engineering, Federal University of São Carlos, Sao Carlos, Brazil
| | | | - John A Jansen
- Department of Biomaterials (309), Radboudumc, Nijmegen, The Netherlands
| | | |
Collapse
|
12
|
Ma L, Tian M. [Feasibility of an injectable and in situ gelling gelatin hydrogel for demineralized bone matrix powder delivery]. ZHONGGUO XIU FU CHONG JIAN WAI KE ZA ZHI = ZHONGGUO XIUFU CHONGJIAN WAIKE ZAZHI = CHINESE JOURNAL OF REPARATIVE AND RECONSTRUCTIVE SURGERY 2017; 31:300-305. [PMID: 29806258 DOI: 10.7507/1002-1892.201611113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Objective To introduce an injectable and in situ gelling gelatin hydrogel, and to explore the possibility as a carrier for demineralized bone matrix (DBM) powder delivery. Methods First, thiolated gelatin was prepared and the thiol content was determined by Ellman method, and then the injectable and in situ gelling gelatin hydrogel (Gel) was formed by crosslinking of the thiolated gelatin and poly (ethylene oxide) diacrylate and the gelation time was determined by inverted method. Finally, the DBM-Gel composite was prepared by mixing Gel and DBM powder. The cytotoxicity was tested by live/dead staining and Alamar blue assay of the encapsulated cells in the DBM-Gel. For in vitro cell induction, C2C12 cells were firstly incubated onto the surface of the DBM and then the composite was prepared. The experiment included two groups: DBM-Gel and DBM. The alkaline phosphatase (ALP) activity was determined at 1, 3, 5, and 7 days after culture. In vivo osteoinductivity was evaluated using ectopic bone formation model of nude rats. Histological observation and the ALP activity was measured in DBM-Gel and DBM groups at 4 weeks after implantation. Results The thiol content in the thiolated gelatin was (0.51±0.03) mmol/g determined by Ellman method. The gelation time of the hydrogel was (6±1) minutes. DBM powder can be mixed with the hydrogel and injected into the implantation site within the gelation time. The cells in the DBM-Gel exhibited spreading morphology and connected each other in part with increasing culture time. The viability of the cells was 95.4%±1.9%, 97.3%±1.3%, and 96.1%±1.6% at 1, 3, and 7 days after culture, respectively. The relative proliferation was 1.0±0.0, 1.1±0.1, 1.5±0.1, and 1.6±0.1 at 1, 3, 5, and 7 days after culture respectively. In vitro induction showed that the ALP activity of the DBM-Gel group was similar to that of the DBM group, showing no significant difference ( P>0.05). With increasing culture time, the ALP activities in both groups increased gradually and the activity at 5 and 7 days was significantly higher than that at 1 and 3 days ( P<0.05), while there was no significant difference between at 1 and 3 days, and between 5 and 7 days ( P>0.05). At 4 weeks after implantation in vivo, new bone and cartilage were observed, but no bone marrow formation in DBM-Gel group; in DBM group, new bone, new cartilage, and bone marrow formation were observed. The histological osteoinduction scores of DBM-Gel and DBM groups were 4.0 and 4.5, respectively. The ALP activities of DBM-Gel and DBM groups were respectively (119.4±22.7) and (146.7±13.0) μmol/mg protein/min, showing no significant difference ( t=-2.085, P=0.082). Conclusion The injectable and in situ gelling gelatin hydrogel for delivery of DBM is feasible.
Collapse
Affiliation(s)
- Lu Ma
- Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China
| | - Meng Tian
- Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China;Neurosurgery Research Laboratory, West China Hospital, Sichuan University, Chengdu Sichuan, 610041,
| |
Collapse
|
13
|
Self-hardening and thermoresponsive alpha tricalcium phosphate/pluronic pastes. Acta Biomater 2017; 49:563-574. [PMID: 27872015 DOI: 10.1016/j.actbio.2016.11.043] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2016] [Revised: 11/14/2016] [Accepted: 11/17/2016] [Indexed: 11/21/2022]
Abstract
Although calcium phosphate cements (CPCs) are used for bone regeneration in a wide range of clinical applications, various physicochemical phenomena are known to hinder their potential use in minimally invasive surgery or in highly vascularized surgical sites, mainly because of their lack of injectability or their low washout resistance. The present work shows that the combination of CPCs with an inverse-thermoresponsive hydrogel is a good strategy for finely tuning the cohesive and rheological properties of CPCs to achieve clinical acceptable injectability to prevent phase separation during implantation and cohesion to avoid washout of the paste. The thermoresponsive CPC developed combines alpha-tricalcium phosphate with an aqueous solution of pluronic F127, which exhibits an inverse thermoresponsive behaviour, with a gelling transformation at around body temperature. These novel CPCs exhibited temperature-dependent properties. Addition of the polymer enhanced the injectability of the paste, even at a low liquid-to-powder ratio, and allowed the rheological properties of the cement to be tuned, with the injection force decreasing with the temperature of the paste. Moreover, the cohesion of the paste was also temperature-dependent and increased as the temperature of the host medium increased due to gelling induced in the paste. The thermoresponsive cement exhibited excellent cohesion and clinically acceptable setting times at 37°C, irrespective of the initial temperature of the paste. The addition of pluronic F127 slightly delayed the setting reaction in the early stages but did not hinder the full transformation to calcium-deficient hydroxyapatite. Moreover, the frozen storage of premixed thermoresponsive cement pastes was explored, the main physicochemical properties of the cements being maintained upon thawing, even after 18months of frozen storage. This avoids the need to mix the cement in the operating theatre and allows its use off-the-shelf. The reverse thermoresponsive cements studied herein open up new perspectives in the surgical field, where the sequential gelling/hardening of these novel cements could allow for a better and safer clinical application. STATEMENT OF SIGNIFICANCE Calcium phosphate cements are attractive bone substitutes due to their similarity to the bone mineral phase. Although they can be injectable, cohesion and stability of the paste are crucial in terms of performance and safety. A common strategy is the combination with hydrogels. However, this often results in a decrease of viscosity with increasing temperature, which can lead to extravasation and particle leakage from the bone defect. The preferred evolution would be the opposite: a low viscosity would enhance mixing and injection, and an instantaneous increase of viscosity after injection would ensure washout resistance to the blood flow. Here we develop for the first time a calcium phosphate cement exhibiting reverse thermoresponsive properties using a poloxamer featuring inverse thermal gelling.
Collapse
|
14
|
Cheng L, Wang T, Zhu J, Cai P. Osteoinduction of Calcium Phosphate Ceramics in Four Kinds of Animals for 1 Year: Dog, Rabbit, Rat, and Mouse. Transplant Proc 2017; 48:1309-14. [PMID: 27320611 DOI: 10.1016/j.transproceed.2015.09.065] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2015] [Accepted: 09/03/2015] [Indexed: 11/29/2022]
Abstract
INTRODUCTION Bone grafts are in great demand. Synthetic materials have been extensively studied as substitutes for autografts. Calcium phosphate ceramics are promising synthetic bone replacement materials. Because they share chemical similarities with human bone mineral, they show excellent biocompatibility and osteoinductivity. OBJECTIVE Calcium phosphate ceramics have been used to fill bone defects in preclinical study in a variety of animals. This study aimed to investigate the osteogenesis ability of calcium phosphate ceramics in 4 kinds of animals. METHODS Φ3 × 5 mm hydroxyapatite/β-tricalcium phosphate (HA/β-TCP) cylinders were implanted into the dorsal muscle of rats and mice, whereas Φ5 × 10 mm cylinders were implanted into the dorsal muscle of dogs and rabbits. One year after implantation, the ceramics were harvested to perform hematoxylin and eosin (HE) staining and Masson-trichrome staining. The new bone tissues were observed and the area percentage of new bone was compared in the 4 kinds of animals. RESULTS A large number of new bone and bone marrow tissues were observed in dogs, rabbits, and mice, but not in rats; and the area percentage of new bone in mice was significantly higher than that in dogs and rabbits (P < .05). Calcium phosphate ceramics have good biocompability and biological safety, and the degree of ease of osteogenesis was as follows: mouse > dog > rabbit > rat. CONCLUSION To achieve better effects for bone transplantation, mouse should be chosen as the preferred experimental model based on these advantages: economic, convenience, and osteogenesis ability.
Collapse
Affiliation(s)
- L Cheng
- Medical School (Nursing School), Chengdu University, Chengdu, China
| | - T Wang
- Medical School (Nursing School), Chengdu University, Chengdu, China
| | - J Zhu
- Medical School (Nursing School), Chengdu University, Chengdu, China
| | - P Cai
- Medical School (Nursing School), Chengdu University, Chengdu, China.
| |
Collapse
|
15
|
Zhao Y, Han L, Yan J, Li Z, Wang F, Xia Y, Hou S, Zhong H, Zhang F, Gu N. Irradiation Sterilized Gelatin-Water-Glycerol Ternary Gel as an Injectable Carrier for Bone Tissue Engineering. Adv Healthc Mater 2017; 6. [PMID: 27863162 DOI: 10.1002/adhm.201600749] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2016] [Revised: 09/29/2016] [Indexed: 12/18/2022]
Abstract
Injectable gelatin gels offer an attractive option for filling bone defects. The challenge is to fabricate gelatin gels with optimal gelation properties, which can be irradiation sterilized. Here, a gelatin-water-glycerol (GWG) gel is reported for use as a broad-spectrum injectable carrier. This ternary gel is high in glycerol and low in water, and remains stable after gamma irradiation at doses (25 kGy). As an injectable gel, it remains a viscous solution at gelatin concentrations ≤2.0%, at room temperature. Its storage modulus increases dramatically and eventually exceeds the loss modulus around 46-50 °C, indicating a transition from a liquid-like state to an elastic gel-like state. This ternary gel ranges significantly in terms of storage modulus (12-1700 Pa) while demonstrating a narrow pH range (5.58-5.66), depending on the gelatin concentration. Therefore, it can be loaded with a variety of materials. It is highly cytocompatible compared with saline in vivo and culture media in vitro. When loaded with demineralized bone matrix, the composites show favorable injectability, and excellent osteogenesis performance, after irradiation. These features can be attributed to high hydrophilicity and fast degradability. These findings justify that this ternary gel is promising as an irradiation-sterilized and universal injectable delivery system.
Collapse
Affiliation(s)
- Yantao Zhao
- Beijing Engineering Research Center of Orthopaedic Implants; First Affiliated Hospital of CPLA General Hospital; Beijing 100048 P. R. China
| | - Liwei Han
- Beijing Engineering Research Center of Orthopaedic Implants; First Affiliated Hospital of CPLA General Hospital; Beijing 100048 P. R. China
| | - Jun Yan
- School of Stomatology; Fourth Military Medical University; Xi'an 710032 P. R. China
| | - Zhonghai Li
- Beijing Engineering Research Center of Orthopaedic Implants; First Affiliated Hospital of CPLA General Hospital; Beijing 100048 P. R. China
| | - Fuli Wang
- Beijing Engineering Research Center of Orthopaedic Implants; First Affiliated Hospital of CPLA General Hospital; Beijing 100048 P. R. China
| | - Yang Xia
- Jiangsu Key Laboratory of Oral Diseases; Nanjing Medical University; Nanjing 210029 P. R. China
- Suzhou Institute & Collaborative Innovation Center of Suzhou Nano Science and Technology; Southeast University; Suzhou 215000 P. R. China
| | - Shuxun Hou
- Beijing Engineering Research Center of Orthopaedic Implants; First Affiliated Hospital of CPLA General Hospital; Beijing 100048 P. R. China
| | - Hongbin Zhong
- Beijing Engineering Research Center of Orthopaedic Implants; First Affiliated Hospital of CPLA General Hospital; Beijing 100048 P. R. China
| | - Feimin Zhang
- Jiangsu Key Laboratory of Oral Diseases; Nanjing Medical University; Nanjing 210029 P. R. China
- Suzhou Institute & Collaborative Innovation Center of Suzhou Nano Science and Technology; Southeast University; Suzhou 215000 P. R. China
| | - Ning Gu
- Suzhou Institute & Collaborative Innovation Center of Suzhou Nano Science and Technology; Southeast University; Suzhou 215000 P. R. China
- State Key Laboratory of Bioelectronics; Jiangsu Key Laboratory of Biomaterials and Devices; School of Biological Science and Medical Engineering; Southeast University; Nanjing 210009 P. R. China
| |
Collapse
|
16
|
Novel method for fabrication of samples for cell testing of bioceramics in granular form. J Appl Biomater Funct Mater 2016; 14:e449-e454. [PMID: 27373886 DOI: 10.5301/jabfm.5000301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/29/2016] [Indexed: 11/20/2022] Open
Abstract
BACKGROUND Bioceramic granules are a widely studied material for regeneration of human tissues, and their biological assessment with in vitro cell cultures plays a fundamental role in the development of bioceramics. Design of samples for cell testing represents an important aspect of the biological evaluation, as it dictates how cells will interact with the biomaterial. The aim of this study was to develop samples for cell testing of bioceramic granules with a novel design that would enable direct physical contacts between cells and bioceramic and improved handling properties for efficient laboratory work. The goal was to produce a bilayered polycaprolactone-bioceramic composite with polycaprolactone serving as a bottom layer and support for a uniform and dense layer of bioceramic granules (upper layer), which would be only partly embedded and physically stabilized in the polymer with at least one face of granules still free of any polymer residues and available for direct attachment of cells. METHODS A novel method for preparation of samples in six steps was developed. A bilayered design of samples with exposed bioceramic particles was accomplished by the application of a water-soluble alginate as a sacrificial polymer in the method protocol. Samples were analyzed with SEM/EDX and ToF-SIMS. RESULTS Bioceramic granules had a uniform and dense morphology and were partly embedded in the polycaprolactone support. Detailed ToF-SIMS study showed that granules were clean and free of any polymer residues. CONCLUSIONS The developed samples enable direct exposure of bioceramic granules to cells and surrounding physiological solution during cell testing, and possess improved handling characteristics.
Collapse
|
17
|
Janssen NG, de Ruiter AP, van Hout WMMT, van Miegem V, Gawlitta D, Groot FBD, Meijer GJ, Rosenberg AJWP, Koole R. Microstructured β-Tricalcium Phosphate Putty Versus Autologous Bone for Repair of Alveolar Clefts in a Goat Model. Cleft Palate Craniofac J 2016; 54:699-706. [PMID: 27723378 DOI: 10.1597/15-314] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
For the first time it was demonstrated that an osteoinductive calcium phosphate-based putty is effective in the restoration of complex maxillofacial defects. In these defects, adequate mechanical confinement by multiple bony walls and osteoconduction from multiple surfaces are usually lacking. This study compares the efficacy of a microstructured beta-tricalcium phosphate (β-TCP) putty with autologous bone for the repair of alveolar cleft defects. A total of 10 Dutch milk goats were operated on in a split-mouth study design in which two-wall bony alveolar clefts were created and successively repaired with autologous bone (the gold standard) at one side and β-TCP putty at the other. After 24 weeks of implantation, histomorphometric and micro-computer tomography analyses proved that the β-TCP putty group showed equal bone quality and volume to clefts reconstructed with autologous bone. In addition, surgical handling of the putty is superior to the use of calcium phosphates in a granular form. Therefore, the results of this study open a clear trajectory for the clinical use of β-TCP putty in the reconstruction of the alveolar cleft and other challenging two-wall bony defects.
Collapse
|
18
|
Dorozhkin SV. Multiphasic calcium orthophosphate (CaPO 4 ) bioceramics and their biomedical applications. CERAMICS INTERNATIONAL 2016; 42:6529-6554. [DOI: 10.1016/j.ceramint.2016.01.062] [Citation(s) in RCA: 47] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/02/2024]
|
19
|
Petta D, Fussell G, Hughes L, Buechter DD, Sprecher CM, Alini M, Eglin D, D'Este M. Calcium phosphate/thermoresponsive hyaluronan hydrogel composite delivering hydrophilic and hydrophobic drugs. J Orthop Translat 2016; 5:57-68. [PMID: 30035075 PMCID: PMC5987042 DOI: 10.1016/j.jot.2015.11.001] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/05/2015] [Revised: 11/11/2015] [Accepted: 11/17/2015] [Indexed: 01/07/2023] Open
Abstract
BACKGROUND/OBJECTIVE Advanced synthetic biomaterials that are able to reduce or replace the need for autologous bone transplantation are still a major clinical need in orthopaedics, dentistry, and trauma. Key requirements for improved bone substitutes are optimal handling properties, ability to fill defects of irregular shape, and capacity for delivering osteoinductive stimuli. MATERIALS AND METHODS In this study, we targeted these requirements by preparing a new composite of β-tricalcium phosphate (TCP) and a thermoresponsive hyaluronan (HA) hydrogel. Dissolution properties of the composite as a function of the particle size and polymeric phase molecular weight and concentration were analysed to identify the best compositions. RESULTS Owing to its amphiphilic character, the composite was able to provide controlled release of both recombinant human bone morphogenetic protein-2 and dexamethasone, selected as models for a biologic and a small hydrophobic molecule, respectively. CONCLUSION The TCP-thermoresponsive HA hydrogel composite developed in this work can be used for preparing synthetic bone substitutes in the form of injectable or mouldable pastes and can be supplemented with small hydrophobic molecules or biologics for improved osteoinductivity.
Collapse
Affiliation(s)
- Dalila Petta
- AO Research Institute Davos, Clavadelerstrasse 8, 7270 Davos, Switzerland
| | - Garland Fussell
- DePuy Synthes Biomaterials, 1230 Wilson Drive, West Chester, PA 19380, USA
| | - Lisa Hughes
- DePuy Synthes Biomaterials, 1230 Wilson Drive, West Chester, PA 19380, USA
| | | | | | - Mauro Alini
- AO Research Institute Davos, Clavadelerstrasse 8, 7270 Davos, Switzerland
| | - David Eglin
- AO Research Institute Davos, Clavadelerstrasse 8, 7270 Davos, Switzerland
| | - Matteo D'Este
- AO Research Institute Davos, Clavadelerstrasse 8, 7270 Davos, Switzerland
| |
Collapse
|
20
|
Giannoni P, Villa F, Cordazzo C, Zardi L, Fattori P, Quarto R, Fiorini M. Rheological properties, biocompatibility and in vivo performance of new hydrogel-based bone fillers. Biomater Sci 2016; 4:1691-1703. [DOI: 10.1039/c6bm00478d] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Three different heterologous substitutes for bone regeneration, manufactured with equine-derived cortical powder, cancellous chips and demineralized bone matrix granules, were compared in vitro and in vivo.
Collapse
Affiliation(s)
- Paolo Giannoni
- Stem Cell Laboratory
- Dept. of Experimental Medicine
- University of Genova
- c/o Advanced Biotechnology Centre
- 16132–Genova
| | - Federico Villa
- Stem Cell Laboratory
- Dept. of Experimental Medicine
- University of Genova
- c/o Advanced Biotechnology Centre
- 16132–Genova
| | - Cinzia Cordazzo
- Sirius-Biotech S.r.l
- c/o
- Advanced Biotechnology Centre
- 16132 Genova
- Italy
| | - Luciano Zardi
- Sirius-Biotech S.r.l
- c/o
- Advanced Biotechnology Centre
- 16132 Genova
- Italy
| | | | - Rodolfo Quarto
- Stem Cell Laboratory
- Dept. of Experimental Medicine
- University of Genova
- c/o Advanced Biotechnology Centre
- 16132–Genova
| | | |
Collapse
|
21
|
Wang Q, Xia Q, Wu Y, Zhang X, Wen F, Chen X, Zhang S, Heng BC, He Y, Ouyang HW. 3D-Printed Atsttrin-Incorporated Alginate/Hydroxyapatite Scaffold Promotes Bone Defect Regeneration with TNF/TNFR Signaling Involvement. Adv Healthc Mater 2015; 4:1701-8. [PMID: 26085382 DOI: 10.1002/adhm.201500211] [Citation(s) in RCA: 43] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2015] [Revised: 05/18/2015] [Indexed: 01/27/2023]
Abstract
High expression levels of pro-inflammatory tumor necrosis factor (TNF)-α within bone defects can decelerate and impair bone regeneration. However, there are few available bone scaffolds with anti-inflammatory function. The progranulin (PGRN)-derived engineered protein, Atsttrin, is known to exert antagonistic effects on the TNF-α function. Hence, this study investigates whether 3D-printed Atsttrin-incorporated alginate(Alg)/hydroxyapatite(nHAp) scaffolds can facilitate bone healing through affecting the TNF/TNFR signaling. A 3D bioprinting system is used to fabricate Atsttrin-Alg/nHAp composite scaffolds, and the Atsttrin release from this scaffold is characterized, followed by evaluation of its efficacy on bone regeneration both in vitro and in vivo. The 3D-printed Atsttrin-Alg/nHAp scaffold exhibits a precisely defined structure, can sustain Atsttrin release for at least 5 days, has negligible cytotoxicity, and supports cell adhesion. Atsttrin can also attenuate the suppressive effects of TNF-α on BMP-2-induced osteoblastic differentiation in vitro. The 3D-printed Atsttrin-Alg/nHAp scaffold significantly reduces the number of TNF-α positive cells within wound sites, 7 days after post-calvarial defect surgery. Additionally, histological staining and X-ray scanning results also show that the 3D-printed Atsttrin-Alg/nHAp scaffold enhances the regeneration of mice calvarial bone defects. These findings thus demonstrate that the precise structure and anti-inflammatory properties of 3D-printed Atsttrin-Alg/nHAp scaffolds may promote bone defect repair.
Collapse
Affiliation(s)
- Quan Wang
- Center for Stem Cell and Tissue Engineering; School of Medicine; Zhejiang University; Hangzhou P. R. China
- Zhejiang Provincial Key Laboratory of Tissue Engineering and Regenerative Medicine; Hangzhou P. R. China
| | - Qingqing Xia
- Center for Stem Cell and Tissue Engineering; School of Medicine; Zhejiang University; Hangzhou P. R. China
- Zhejiang Provincial Key Laboratory of Tissue Engineering and Regenerative Medicine; Hangzhou P. R. China
| | - Yan Wu
- Center for Stem Cell and Tissue Engineering; School of Medicine; Zhejiang University; Hangzhou P. R. China
- Zhejiang Provincial Key Laboratory of Tissue Engineering and Regenerative Medicine; Hangzhou P. R. China
| | - Xiaolei Zhang
- Center for Stem Cell and Tissue Engineering; School of Medicine; Zhejiang University; Hangzhou P. R. China
- Zhejiang Provincial Key Laboratory of Tissue Engineering and Regenerative Medicine; Hangzhou P. R. China
| | - Feiqiu Wen
- Division of hematology and oncology; Shenzhen Children's Hospital; Shenzhen P. R. China
| | - Xiaowen Chen
- Division of hematology and oncology; Shenzhen Children's Hospital; Shenzhen P. R. China
| | - Shufang Zhang
- Center for Stem Cell and Tissue Engineering; School of Medicine; Zhejiang University; Hangzhou P. R. China
- Zhejiang Provincial Key Laboratory of Tissue Engineering and Regenerative Medicine; Hangzhou P. R. China
| | - Boon Chin Heng
- Department of Biosystems Science & Engineering; ETH-Zurich; Mattenstrasse 26 Basel Switzerland
| | - Yong He
- The State Key Lab of Fluid Power Transmission and Control; School of Mechanical Engineering; Zhejiang University; Hangzhou P. R. China
| | - Hong-Wei Ouyang
- Center for Stem Cell and Tissue Engineering; School of Medicine; Zhejiang University; Hangzhou P. R. China
- Zhejiang Provincial Key Laboratory of Tissue Engineering and Regenerative Medicine; Hangzhou P. R. China
| |
Collapse
|
22
|
Niu CC, Lin SS, Chen WJ, Liu SJ, Chen LH, Yang CY, Wang CJ, Yuan LJ, Chen PH, Cheng HY. Benefits of biphasic calcium phosphate hybrid scaffold-driven osteogenic differentiation of mesenchymal stem cells through upregulated leptin receptor expression. J Orthop Surg Res 2015; 10:111. [PMID: 26179165 PMCID: PMC4506435 DOI: 10.1186/s13018-015-0236-2] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/17/2015] [Accepted: 06/12/2015] [Indexed: 11/20/2022] Open
Abstract
Background The use of mesenchymal stem cells (MSCs) and coralline hydroxyapatite (HA) or biphasic calcium phosphate (BCP) as a bone substitute for posterolateral spinal fusion has been reported. However, the genes and molecular signals by which MSCs interact with their surrounding environment require further elucidation. Methods MSCs were harvested from bone grafting patients and identified by flow cytometry. A composite scaffold was developed using poly(lactide-co-glycolide) (PLGA) copolymer, coralline HA, BCP, and collagen as a carrier matrix for MSCs. The gene expression profiles of MSCs cultured in the scaffolds were measured by microarrays. The alkaline phosphatase (ALP) activity of the MSCs was assessed, and the expression of osteogenic genes and proteins was determined by quantitative polymerase chain reaction (Q-PCR) and Western blotting. Furthermore, we cultured rabbit MSCs in BCP or coralline HA hybrid scaffolds and transplanted these mixtures into rabbits for spinal fusion. We investigated the differences between BCP and coralline HA hybrid scaffolds by dual-energy X-ray absorptiometry (DEXA) and computed tomography (CT). Results Tested in vitro, the cells were negative for hematopoietic cell markers and positive for MSC markers. There was higher expression of 80 genes and lower of 101 genes of MSCs cultured in BCP hybrid scaffolds. Some of these genes have been shown to play a role in osteogenesis of MSCs. In addition, MSCs cultured in BCP hybrid scaffolds produced more messenger RNA (mRNA) for osteopontin, osteocalcin, Runx2, and leptin receptor (leptin-R) than those cultured in coralline HA hybrid scaffolds. Western blotting showed more Runx2 and leptin-R protein expression in BCP hybrid scaffolds. For in vivo results, 3D reconstructed CT images showed continuous bone bridges and fusion mass incorporated with the transverse processes. Bone mineral content (BMC) values were higher in the BCP hybrid scaffold group than in the coralline HA hybrid scaffold group. Conclusions The BCP hybrid scaffold for osteogenesis of MSCs is better than the coralline HA hybrid scaffold by upregulating expression of leptin-R. This was consistent with in vivo data, which indicated that BCP hybrid scaffolds induced more bone formation in a spinal fusion model.
Collapse
Affiliation(s)
- Chi-Chien Niu
- Department of Orthopaedics, Chang Gung Memorial Hospital, No. 5, Fu-Hsing Street 333, Kweishan, Taoyuan, Taiwan. .,College of Medicine, Chang Gung University, Taoyuan, Taiwan.
| | - Song-Shu Lin
- Department of Orthopaedics, Chang Gung Memorial Hospital, No. 5, Fu-Hsing Street 333, Kweishan, Taoyuan, Taiwan.
| | - Wen-Jer Chen
- Department of Orthopaedics, Chang Gung Memorial Hospital, No. 5, Fu-Hsing Street 333, Kweishan, Taoyuan, Taiwan. .,College of Medicine, Chang Gung University, Taoyuan, Taiwan.
| | - Shih-Jung Liu
- Department of Mechanical Engineering, Chang Gung University, Taoyuan, Taiwan.
| | - Lih-Huei Chen
- Department of Orthopaedics, Chang Gung Memorial Hospital, No. 5, Fu-Hsing Street 333, Kweishan, Taoyuan, Taiwan. .,College of Medicine, Chang Gung University, Taoyuan, Taiwan.
| | - Chuen-Yung Yang
- Department of Orthopaedics, Chang Gung Memorial Hospital, No. 5, Fu-Hsing Street 333, Kweishan, Taoyuan, Taiwan.
| | - Chao-Jan Wang
- Department of Radiology, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
| | - Li-Jen Yuan
- Department of Orthopaedics, Chang Gung Memorial Hospital, No. 5, Fu-Hsing Street 333, Kweishan, Taoyuan, Taiwan. .,College of Medicine, Chang Gung University, Taoyuan, Taiwan.
| | - Po-Han Chen
- Department of Orthopaedics, Chang Gung Memorial Hospital, No. 5, Fu-Hsing Street 333, Kweishan, Taoyuan, Taiwan.
| | - Hsiao-Yang Cheng
- Department of Radiology, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
| |
Collapse
|
23
|
Coathup MJ, Edwards TC, Samizadeh S, Lo WJ, Blunn GW. The effect of an alginate carrier on bone formation in a hydroxyapatite scaffold. J Biomed Mater Res B Appl Biomater 2015; 104:1328-35. [PMID: 26118665 DOI: 10.1002/jbm.b.33395] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2014] [Revised: 01/12/2015] [Accepted: 02/08/2015] [Indexed: 12/23/2022]
Abstract
This study investigated the osteoconductive properties of a porous hydroxyapatite (HA) scaffold manufactured using a novel technique similar to the bread-making process, alone and in combination with an alginate polysaccharide fiber gel (HA/APFG putty) and autologous bone marrow aspirate (BMA). The hypothesis was that the HA/APFG putty would be as osteoconductive as granular HA and that the presence of BMA would further enhance bone formation in an ovine femoral condyle critical defect model. Thirty-six defects were created and either (1) porous HA granules, (2) HA/APFG putty, or (3) HA/APFG putty + BMA were implanted. After retrieval at 6 and 12 weeks, image analysis techniques were used to quantify bone apposition rates, new bone area, bone-HA scaffold contact, and implant resorption. At 6 weeks postsurgery, significantly lower bone apposition rates were observed in the HA/APFG putty group when compared to the HA (p = 0.014) and HA/APFG putty + BMA (p = 0.014) groups. At 12 weeks, significantly increased amounts of new bone formation were measured within the HA scaffold (33.56 ± 3.53%) when compared to both the HA/APFG putty (16.69 ± 2.7%; p = 0.043) and the defects containing HA/APFG putty + BMA (19.31 ± 3.8%; p = 0.043). The use of an APFG gel as a carrier for injectable CaP bone substitute materials delayed bone formation in this model compared to HA granules alone which enhanced bone formation especially within the interconnected smaller pores. Our results also showed that the addition of autologous BMA did not further enhance its osteoconductive properties. Further study is required to optimize the degradation rate of this APFG binding agent before using as a directly injectable material for repair of bone defect. © 2015 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater, 104B: 1328-1335, 2016.
Collapse
Affiliation(s)
- Melanie J Coathup
- Division of Surgery and Interventional Science, John Scales Centre for Biomedical Engineering, Institute of Orthopaedics and Musculoskeletal Science, University College London, The Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, Middlesex, HA7, 4LP, UK.
| | - Thomas C Edwards
- Division of Surgery and Interventional Science, John Scales Centre for Biomedical Engineering, Institute of Orthopaedics and Musculoskeletal Science, University College London, The Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, Middlesex, HA7, 4LP, UK
| | - Sorousheh Samizadeh
- Division of Surgery and Interventional Science, John Scales Centre for Biomedical Engineering, Institute of Orthopaedics and Musculoskeletal Science, University College London, The Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, Middlesex, HA7, 4LP, UK
| | - Wei-Jen Lo
- Department of Research and Development, Wollaton Medical Consultancy Ltd., Nottingham, NG8, 2RN, UK
| | - Gordon W Blunn
- Division of Surgery and Interventional Science, John Scales Centre for Biomedical Engineering, Institute of Orthopaedics and Musculoskeletal Science, University College London, The Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, Middlesex, HA7, 4LP, UK
| |
Collapse
|
24
|
Pierini M, Lucarelli E, Duchi S, Prosperi S, Preve E, Piccinini M, Bucciotti F, Donati D. Characterization and cytocompatibility of a new injectable multiphasic bone substitute based on a combination of polysaccharide gel-coated OSPROLIFE(®) HA/TTCP granules and bone marrow concentrate. J Biomed Mater Res B Appl Biomater 2015; 104:894-902. [PMID: 25952003 DOI: 10.1002/jbm.b.33441] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2014] [Revised: 03/20/2015] [Accepted: 04/14/2015] [Indexed: 12/28/2022]
Abstract
The purpose of this study was to examine the in vitro cytocompatibility of a novel injectable multiphasic bone substitute (MBS) based on polysaccharide gel-coated OSPROLIFE(®) hydroxyapatite (HA)/tetracalcium phosphate (TTCP) granules combined with bone marrow concentrate (BMC). Polysaccharide gel-coated granules loaded in syringe were combined with BMC diluted in ionic crosslinking solution. The product was then maintained in culture to investigate the cytocompatibility, distribution, and osteogenic differentiation function of cells contained in the BMC. The in vitro cytocompatibility was assessed after 0, 24, and 96 h from the injectable MBS preparation using the LIVE/DEAD(®) staining kit. The results highlighted that cells remained viable after combination with the polysaccharide gel-coated granules; also, viability was maintained over time. The distribution of the cells in the product, observed using confocal microscopy, showed viable cells immersed in the polysaccharide gel formed between the granules after ionic crosslinking. The mesenchymal stromal cells (MSC) contained in the injectable MBS, the basic elements for bone tissue regeneration, were able to differentiate toward osteoblasts, producing an osteogenic matrix as evidenced by alizarin red-s (AR-S) staining. In conclusion, we found that the injectable MBS may have the potential to be used as a bone substitute by applying a "one-step" procedure in bone tissue engineering applications. © 2015 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater, 104B: 894-902, 2016.
Collapse
Affiliation(s)
- Michela Pierini
- Osteoarticular Regeneration Laboratory, 3rd Orthopaedic and Traumatologic Division, Rizzoli Orthopaedic Institute, Bologna, 40136, Italy.,Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum University of Bologna, Bologna, 40123, Italy
| | - Enrico Lucarelli
- Osteoarticular Regeneration Laboratory, 3rd Orthopaedic and Traumatologic Division, Rizzoli Orthopaedic Institute, Bologna, 40136, Italy
| | - Serena Duchi
- Osteoarticular Regeneration Laboratory, 3rd Orthopaedic and Traumatologic Division, Rizzoli Orthopaedic Institute, Bologna, 40136, Italy.,Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum University of Bologna, Bologna, 40123, Italy
| | - Susanna Prosperi
- Eurocoating Spa, Research and Development Department, Pergine Valsugana, 38057, Trento, Italy
| | - Eleonora Preve
- Eurocoating Spa, Research and Development Department, Pergine Valsugana, 38057, Trento, Italy
| | - Marzio Piccinini
- Eurocoating Spa, Research and Development Department, Pergine Valsugana, 38057, Trento, Italy
| | - Francesco Bucciotti
- Eurocoating Spa, Research and Development Department, Pergine Valsugana, 38057, Trento, Italy
| | - Davide Donati
- Osteoarticular Regeneration Laboratory, 3rd Orthopaedic and Traumatologic Division, Rizzoli Orthopaedic Institute, Bologna, 40136, Italy.,Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum University of Bologna, Bologna, 40123, Italy
| |
Collapse
|
25
|
Al Kayal T, Panetta D, Canciani B, Losi P, Tripodi M, Burchielli S, Ottoni P, Salvadori PA, Soldani G. Evaluation of the effect of a gamma irradiated DBM-pluronic F127 composite on bone regeneration in Wistar rat. PLoS One 2015; 10:e0125110. [PMID: 25897753 PMCID: PMC4405568 DOI: 10.1371/journal.pone.0125110] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2014] [Accepted: 03/20/2015] [Indexed: 11/25/2022] Open
Abstract
Demineralized bone matrix (DBM) is widely used for bone regeneration. Since DBM is prepared in powder form its handling properties are not optimal and limit the clinical use of this material. Various synthetic and biological carriers have been used to enhance the DBM handling. In this study we evaluated the effect of gamma irradiation on the physical-chemical properties of Pluronic and on bone morphogenetic proteins (BMPs) amount in DBM samples. In vivo studies were carried out to investigate the effect on bone regeneration of a gamma irradiated DBM-Pluronic F127 (DBM-PF127) composite implanted in the femur of rats. Gamma irradiation effects (25 kGy) on physical-chemical properties of Pluronic F127 were investigated by rheological and infrared analysis. The BMP-2/BMP-7 amount after DBM irradiation was evaluated by ELISA. Bone regeneration capacity of DBM-PF127 containing 40% (w/w) of DBM was investigated in transcortical holes created in the femoral diaphysis of Wistar rat. Bone porosity, repaired bone volume and tissue organization were evaluated at 15, 30 and 90 days by Micro-CT and histological analysis. The results showed that gamma irradiation did not induce significant modification on physical-chemical properties of Pluronic, while a decrease in BMP-2/BMP-7 amount was evidenced in sterilized DBM. Micro-CT and histological evaluation at day 15 post-implantation revealed an interconnected trabeculae network in medullar cavity and cellular infiltration and vascularization of DBM-PF127 residue. In contrast a large rate of not connected trabeculae was observed in Pluronic filled and unfilled defects. At 30 and 90 days the DBM-PF127 samples shown comparable results in term of density and thickness of the new formed tissue respect to unfilled defect. In conclusion a gamma irradiated DBM-PF127 composite, although it may have undergone a significant decrease in the concentration of BMPs, was able to maintains bone regeneration capability.
Collapse
Affiliation(s)
- Tamer Al Kayal
- Institute of Clinical Physiology- CNR, Pisa, Italy
- * E-mail:
| | | | - Barbara Canciani
- University & IRCCS AOU San Martino—IST, National Institute for Cancer Research, DIMES, Genova, Italy
| | - Paola Losi
- Institute of Clinical Physiology- CNR, Pisa, Italy
| | | | | | | | | | | |
Collapse
|
26
|
Ectopic osteoid and bone formation by three calcium-phosphate ceramics in rats, rabbits and dogs. PLoS One 2014; 9:e107044. [PMID: 25229501 PMCID: PMC4167699 DOI: 10.1371/journal.pone.0107044] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2014] [Accepted: 08/14/2014] [Indexed: 02/05/2023] Open
Abstract
Calcium phosphate ceramics with specific physicochemical properties have been shown to induce de novo bone formation upon ectopic implantation in a number of animal models. In this study we explored the influence of physicochemical properties as well as the animal species on material-induced ectopic bone formation. Three bioceramics were used for the study: phase-pure hydroxyapatite (HA) sintered at 1200°C and two biphasic calcium phosphate (BCP) ceramics, consisting of 60 wt.% HA and 40 wt.% TCP (β-Tricalcium phosphate), sintered at either 1100°C or 1200°C. 108 samples of each ceramic were intramuscularly implanted in dogs, rabbits, and rats for 6, 12, and 24 weeks respectively. Histological and histomorphometrical analyses illustrated that ectopic bone and/or osteoid tissue formation was most pronounced in BCP sintered at 1100°C and most limited in HA, independent of the animal model. Concerning the effect of animal species, ectopic bone formation reproducibly occurred in dogs, while in rabbits and rats, new tissue formation was mainly limited to osteoid. The results of this study confirmed that the incidence and the extent of material-induced bone formation are related to both the physicochemical properties of calcium phosphate ceramics and the animal model.
Collapse
|
27
|
Domingues RMA, Gomes ME, Reis RL. The Potential of Cellulose Nanocrystals in Tissue Engineering Strategies. Biomacromolecules 2014; 15:2327-46. [DOI: 10.1021/bm500524s] [Citation(s) in RCA: 353] [Impact Index Per Article: 35.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Affiliation(s)
- Rui M. A. Domingues
- 3B’s Research Group
- Biomaterials, Biodegradables and Biomimetics, Department of Polymer
Engineering, University of Minho, Headquarters of the European Institute
of Excellence on Tissue Engineering and Regenerative Medicine, AvePark, Zona Indústrial da Gandra, 4806-909 Caldas das Taipas, Guimarães, Portugal
- ICVS/3B's—PT Government Associate Laboratory, Braga/Guimarães, Portugal
| | - Manuela E. Gomes
- 3B’s Research Group
- Biomaterials, Biodegradables and Biomimetics, Department of Polymer
Engineering, University of Minho, Headquarters of the European Institute
of Excellence on Tissue Engineering and Regenerative Medicine, AvePark, Zona Indústrial da Gandra, 4806-909 Caldas das Taipas, Guimarães, Portugal
- ICVS/3B's—PT Government Associate Laboratory, Braga/Guimarães, Portugal
| | - Rui L. Reis
- 3B’s Research Group
- Biomaterials, Biodegradables and Biomimetics, Department of Polymer
Engineering, University of Minho, Headquarters of the European Institute
of Excellence on Tissue Engineering and Regenerative Medicine, AvePark, Zona Indústrial da Gandra, 4806-909 Caldas das Taipas, Guimarães, Portugal
- ICVS/3B's—PT Government Associate Laboratory, Braga/Guimarães, Portugal
| |
Collapse
|
28
|
Tang Z, Wang Z, Qing F, Ni Y, Fan Y, Tan Y, Zhang X. Bone morphogenetic protein Smads signaling in mesenchymal stem cells affected by osteoinductive calcium phosphate ceramics. J Biomed Mater Res A 2014; 103:1001-10. [DOI: 10.1002/jbm.a.35242] [Citation(s) in RCA: 50] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2014] [Accepted: 05/19/2014] [Indexed: 11/06/2022]
Affiliation(s)
- Zhurong Tang
- National Engineering Research Center for Biomaterials; Sichuan University; Chengdu 610064 China
| | - Zhe Wang
- National Engineering Research Center for Biomaterials; Sichuan University; Chengdu 610064 China
| | - Fangzhu Qing
- National Engineering Research Center for Biomaterials; Sichuan University; Chengdu 610064 China
| | - Yilu Ni
- National Engineering Research Center for Biomaterials; Sichuan University; Chengdu 610064 China
| | - Yujiang Fan
- National Engineering Research Center for Biomaterials; Sichuan University; Chengdu 610064 China
| | - Yanfei Tan
- National Engineering Research Center for Biomaterials; Sichuan University; Chengdu 610064 China
| | - Xingdong Zhang
- National Engineering Research Center for Biomaterials; Sichuan University; Chengdu 610064 China
| |
Collapse
|
29
|
Fernandes EM, Pires RA, Mano JF, Reis RL. Bionanocomposites from lignocellulosic resources: Properties, applications and future trends for their use in the biomedical field. Prog Polym Sci 2013. [DOI: 10.1016/j.progpolymsci.2013.05.013] [Citation(s) in RCA: 109] [Impact Index Per Article: 9.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
|
30
|
Moroni L, Nandakumar A, de Groot FB, van Blitterswijk CA, Habibovic P. Plug and play: combining materials and technologies to improve bone regenerative strategies. J Tissue Eng Regen Med 2013; 9:745-59. [PMID: 23671062 DOI: 10.1002/term.1762] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2012] [Revised: 02/12/2013] [Accepted: 04/04/2013] [Indexed: 11/11/2022]
Abstract
Despite recent advances in the development of biomaterials intended to replace natural bone grafts for the regeneration of large, clinically relevant defects, most synthetic solutions that are currently applied in the clinic are still inferior to natural bone grafts with regard to regenerative potential and are limited to non-weight-bearing applications. From a materials science perspective, we always face the conundrum of the preservation of bioactivity of calcium phosphate ceramics in spite of better mechanical and handling properties and processability of polymers. Composites have long been investigated as a method to marry these critical properties for the successful regeneration of bone and, indeed, have shown a significant improvement when used in combination with cells or growth factors. However, when looking at this approach from a clinical and regulatory perspective, the use of cells or biologicals prolongs the path of new treatments from the bench to the bedside. Applying 'smart' synthetic materials alone poses the fascinating challenge of instructing tissue regeneration in situ, thereby tremendously facilitating clinical translation. In the journey to make this possible, and with the aim of adding up the advantages of different biomaterials, combinations of fabrication technologies arise as a new strategy for generating instructive three-dimensional (3D) constructs for bone regeneration. Here we provide a review of recent technologies and approaches to create such constructs and give our perspective on how combinations of technologies and materials can help in obtaining more functional bone regeneration.
Collapse
Affiliation(s)
- Lorenzo Moroni
- Department of Tissue Regeneration, Institute for Biomedical Technology and Technical Medicine (MIRA), University of Twente, Enschede, The Netherlands
| | - Anandkumar Nandakumar
- Department of Tissue Regeneration, Institute for Biomedical Technology and Technical Medicine (MIRA), University of Twente, Enschede, The Netherlands
| | | | - Clemens A van Blitterswijk
- Department of Tissue Regeneration, Institute for Biomedical Technology and Technical Medicine (MIRA), University of Twente, Enschede, The Netherlands
| | - Pamela Habibovic
- Department of Tissue Regeneration, Institute for Biomedical Technology and Technical Medicine (MIRA), University of Twente, Enschede, The Netherlands
| |
Collapse
|
31
|
Suzuki O. Octacalcium phosphate (OCP)-based bone substitute materials. JAPANESE DENTAL SCIENCE REVIEW 2013. [DOI: 10.1016/j.jdsr.2013.01.001] [Citation(s) in RCA: 92] [Impact Index Per Article: 8.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
|
32
|
D'Este M, Eglin D. Hydrogels in calcium phosphate moldable and injectable bone substitutes: Sticky excipients or advanced 3-D carriers? Acta Biomater 2013. [PMID: 23201020 DOI: 10.1016/j.actbio.2012.11.022] [Citation(s) in RCA: 68] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
Abstract
The combination of hydrogels and calcium phosphate particles is emerging as a well-established trend for bone substitutes. Besides acting as binders for the inorganic phase, hydrogels within these hybrid materials can modulate cell colonization physically and biologically. The influence of hydrogels on the healing process can also be exploited through their capability to deliver drugs and cells for tissue engineering approaches. The aim of this review is to collect some recent progress in this field, with an emphasis on design aspects and possible future directions.
Collapse
Affiliation(s)
- M D'Este
- AO Research Institute Davos, Clavadelerstrasse 8, Davos, Switzerland.
| | | |
Collapse
|
33
|
Davison N, Yuan H, de Bruijn JD, Barrere-de Groot F. In vivo performance of microstructured calcium phosphate formulated in novel water-free carriers. Acta Biomater 2012; 8:2759-69. [PMID: 22487931 DOI: 10.1016/j.actbio.2012.04.007] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2011] [Revised: 03/27/2012] [Accepted: 04/02/2012] [Indexed: 10/28/2022]
Abstract
Osteoinductive calcium phosphate (CaP) ceramics can be combined with polymeric carriers to make shapeable bone substitutes as an alternative to autologous bone; however, carriers containing water may degrade the ceramic surface microstructure, which is crucial to bone formation. In this study five novel tricalcium phosphate (TCP) formulations were designed from water-free polymeric binders and osteoinductive TCP granules of different particle sizes (500-1000 μm for moldable putty forms, and 150-500 μm for flowable paste forms). The performance of these novel TCP formulations was studied and compared with control TCP granules alone (both 150-500 and 500-1000 μm). In vitro the five TCP formulations were characterized by their carrier dissolution times and TCP mineralization kinetic profiles in simulated body fluid. In vivo the formulations were implanted in the dorsal muscle and a unicortical femoral defect (Ø=5 mm) of dogs for 12 weeks. The TCP formulation based on a xanthan gum-glycerol carrier exhibited fast carrier dissolution (1 h) and TCP mineralization (7 days) in vitro, but induced inflammation and showed little ectopic bone formation. This carrier chemistry was thus found to disrupt the early cellular response related to osteoinduction by microstructured TCP. TCP formulations based on carboxymethyl cellulose-glycerol and Polyoxyl 15-hydroxystearate-Pluronic(®) F127 allowed the in vitro surface mineralization of TCP by day 7 and produced the highest level of orthotopic bone bridging and ectopic bone formation, which was equivalent to the control. These results demonstrate that water-free carriers can preserve the chemistry, microstructure, and performance of osteoinductive CaP ceramics.
Collapse
|
34
|
Xie C, Lu H, Li W, Chen FM, Zhao YM. The use of calcium phosphate-based biomaterials in implant dentistry. JOURNAL OF MATERIALS SCIENCE. MATERIALS IN MEDICINE 2012; 23:853-862. [PMID: 22201031 DOI: 10.1007/s10856-011-4535-9] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/26/2011] [Accepted: 12/12/2011] [Indexed: 05/31/2023]
Abstract
Since calcium phosphates (CaPs) were first proposed, a wide variety of formulations have been developed and continuously optimized, some of which (e.g. calcium phosphate cements, CPCs) have been successfully commercialized for clinical applications. These CaP-based biomaterials have been shown to be very attractive bone substitutes and efficient drug delivery vehicles across diverse biomedical applications. In this article, CaP biomaterials, principally CPCs, are addressed as alternatives/complements to autogenous bone for grafting in implant dentistry and as coating materials for enhancing the osteoinductivity of titanium implants, highlighting their performance benefits simultaneously as carriers for growth factors and as scaffolds for cell proliferation, differentiation and penetration. Different strategies for employing CaP biomaterials in dental implantology aim to ultimately reach the same goal, namely to enhance the osseointegration process for dental implants in the context of immediate loading and to augment the formation of surrounding bone to guarantee long-term success.
Collapse
Affiliation(s)
- Cheng Xie
- Department of Prosthodontics, School of Stomatology, Fourth Military Medical University, Xi'an, Shaanxi, People's Republic of China
| | | | | | | | | |
Collapse
|
35
|
Dorozhkin SV. Biphasic, triphasic and multiphasic calcium orthophosphates. Acta Biomater 2012; 8:963-77. [PMID: 21945826 DOI: 10.1016/j.actbio.2011.09.003] [Citation(s) in RCA: 144] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2011] [Revised: 08/26/2011] [Accepted: 09/01/2011] [Indexed: 01/01/2023]
Abstract
Biphasic, triphasic and multiphasic (polyphasic) calcium orthophosphates have been sought as biomaterials for reconstruction of bone defects in maxillofacial, dental and orthopedic applications. In general, this concept is determined by advantageous balances of more stable (frequently hydroxyapatite) and more resorbable (typically tricalcium orthophosphates) phases of calcium orthophosphates, while the optimum ratios depend on the particular applications. Therefore, all currently known biphasic, triphasic and multiphasic formulations of calcium orthophosphate bioceramics are sparingly soluble in water and, thus, after being implanted they are gradually resorbed inside the body, releasing calcium and orthophosphate ions into the biological medium and, hence, seeding new bone formation. The available formulations have already demonstrated proven biocompatibility, osteoconductivity, safety and predictability in vitro, in vivo, as well as in clinical models. More recently, in vitro and in vivo studies have shown that some of them might possess osteoinductive properties. Hence, in the field of tissue engineering biphasic, triphasic and multiphasic calcium orthophosphates represent promising biomaterials to construct various scaffolds capable of carrying and/or modulating the behavior of cells. Furthermore, such scaffolds are also suitable for drug delivery applications. This review summarizes the available information on biphasic, triphasic and multiphasic calcium orthophosphates, including their biomedical applications. New formulations are also proposed.
Collapse
|
36
|
Tian M, Yang Z, Kuwahara K, Nimni ME, Wan C, Han B. Delivery of demineralized bone matrix powder using a thermogelling chitosan carrier. Acta Biomater 2012; 8:753-62. [PMID: 22079781 DOI: 10.1016/j.actbio.2011.10.030] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2011] [Revised: 10/20/2011] [Accepted: 10/23/2011] [Indexed: 12/22/2022]
Abstract
Demineralized bone matrix (DBM) powder is widely used for bone regeneration due to its osteoinductivity and osteoconductivity. However, difficulties with handling, its tendency to migrate from graft sites, and lack of stability after surgery can sometimes limit the clinical utility of this material. In this work, the possibility of using a thermogelling chitosan carrier to deliver DBM powder was assessed. The DBM-thermogelling putty improved handling and formed a gel-like composite in situ at body temperature within a clinically relevant time period. The properties of the formed composite, including morphology, porosity, mechanical properties, equilibrium swelling as well as degradability, are significantly influenced by the ratio of DBM to thermogelling chitosan. The in vitro study showed that the alkaline phosphatase activity of C2C12 cells encapsulated in the composite was steadily increased with culture time. The in vivo study showed that increased DBM content in the DBM-thermogelling chitosan induced ectopic bone formation in a nude rat model. The diffusion of growth factor from the DBM-thermogelling chitosan as well as the host-implant interactions are discussed.
Collapse
Affiliation(s)
- Meng Tian
- Department of Biomedical Engineering, College of Polymer Science & Engineering, Sichuan University, Chengdu, People's Republic of China
| | | | | | | | | | | |
Collapse
|
37
|
Scott MA, Levi B, Askarinam A, Nguyen A, Rackohn T, Ting K, Soo C, James AW. Brief review of models of ectopic bone formation. Stem Cells Dev 2012; 21:655-67. [PMID: 22085228 DOI: 10.1089/scd.2011.0517] [Citation(s) in RCA: 135] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
Ectopic bone formation is a unique biologic entity--distinct from other areas of skeletal biology. Animal research models of ectopic bone formation most often employ rodent models and have unique advantages over orthotopic (bone) environments, including a relative lack of bone cytokine stimulation and cell-to-cell interaction with endogenous (host) bone-forming cells. This allows for relatively controlled in vivo experimental bone formation. A wide variety of ectopic locations have been used for experimentation, including subcutaneous, intramuscular, and kidney capsule transplantation. The method, benefits and detractions of each method are summarized in the following review. Briefly, subcutaneous implantation is the simplest method. However, the most pertinent concern is the relative paucity of bone formation in comparison to other models. Intramuscular implantation is also widely used and relatively simple, however intramuscular implants are exposed to skeletal muscle satellite progenitor cells. Thus, distinguishing host from donor osteogenesis becomes challenging without cell-tracking studies. The kidney capsule (perirenal or renal capsule) method is less widely used and more technically challenging. It allows for supraphysiologic blood and nutrient resource, promoting robust bone growth. In summary, ectopic bone models are extremely useful in the evaluation of bone-forming stem cells, new osteoinductive biomaterials, and growth factors; an appropriate choice of model, however, will greatly increase experimental success.
Collapse
Affiliation(s)
- Michelle A Scott
- Orthodontics and Dentofacial Orthopedics, Roseman University of Health Sciences, Henderson, Nevada, USA
| | | | | | | | | | | | | | | |
Collapse
|