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Rincón-López JA, Hermann-Muñoz JA, Detsch R, Rangel-López R, Muñoz-Saldaña J, Jiménez-Sandoval S, Alvarado-Orozco JM, Boccaccini AR. Mineral matrix deposition of MC3T3-E1 pre-osteoblastic cells exposed to silicocarnotite and nagelschmidtite bioceramics: In vitro comparison to hydroxyapatite. J Biomed Mater Res A 2024; 112:1124-1137. [PMID: 38433700 DOI: 10.1002/jbm.a.37699] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2023] [Revised: 02/16/2024] [Accepted: 02/23/2024] [Indexed: 03/05/2024]
Abstract
This work presents the effect of the silicocarnotite (SC) and nagelschmidtite (Nagel) phases on in vitro osteogenesis. The known hydroxyapatite of biological origin (BHAp) was used as a standard of osteoconductive characteristics. The evaluation was carried out in conventional and osteogenic media for comparative purposes to assess the osteogenic ability of the bioceramics. First, the effect of the material on cell viability at 24 h, 7 and 14 days of incubation was evaluated. In addition, cell morphology and attachment on dense bioceramic surfaces were observed by fluorescence microscopy. Specifically, alkaline phosphatase (ALP) activity was evaluated as an osteogenic marker of the early stages of bone cell differentiation. Mineralized extracellular matrix was observed by calcium phosphate deposits and extracellular vesicle formation. Furthermore, cell phenotype determination was confirmed by scanning electron microscope. The results provided relevant information on the cell attachment, proliferation, and osteogenic differentiation processes after 7 and 14 days of incubation. Finally, it was demonstrated that SC and Nagel phases promote cell proliferation and differentiation, while the Nagel phase exhibited a superior osteoconductive behavior and could promote MC3T3-E1 cell differentiation to a higher extent than SC and BHAp, which was reflected in a higher number of deposits in a shorter period for both conventional and osteogenic media.
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Affiliation(s)
- July Andrea Rincón-López
- Centro de Investigación y de Estudios Avanzados del IPN, Unidad Queretaro, Santiago de Querétaro, Mexico
| | - Jennifer Andrea Hermann-Muñoz
- Centro de Investigación y de Estudios Avanzados del IPN, Unidad Queretaro, Santiago de Querétaro, Mexico
- Institute of Biomaterials, University of Erlangen-Nuremberg, Erlangen, Germany
| | - Rainer Detsch
- Institute of Biomaterials, University of Erlangen-Nuremberg, Erlangen, Germany
| | - Raúl Rangel-López
- Laboratorio de Inmunología y Virología, Facultad de Ciencias Biológicas, Universidad Autónoma de Nuevo León, San Nicolás de los Garza, Mexico
| | - Juan Muñoz-Saldaña
- Centro de Investigación y de Estudios Avanzados del IPN, Unidad Queretaro, Santiago de Querétaro, Mexico
| | - Sergio Jiménez-Sandoval
- Centro de Investigación y de Estudios Avanzados del IPN, Unidad Queretaro, Santiago de Querétaro, Mexico
| | | | - Aldo R Boccaccini
- Institute of Biomaterials, University of Erlangen-Nuremberg, Erlangen, Germany
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Juntha S, Tungsawat P, Wongwatanasanti N, Suksaphar W, Lertnantapanya S. Evaluation of Setting Time, Flowability, Film Thickness, and Radiopacity of Experimental Monocalcium Silicate-Based Root Canal Sealers. Int J Dent 2024; 2024:8541653. [PMID: 38681823 PMCID: PMC11055647 DOI: 10.1155/2024/8541653] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2023] [Revised: 03/12/2024] [Accepted: 03/14/2024] [Indexed: 05/01/2024] Open
Abstract
Introduction This study aimed to evaluate the efficacy of a formulation of premixed calcium silicate-based sealer (CSBS) with monocalcium silicate (Mono-CS) as the main component. Its properties were compared with those of a control group (iRoot SP) according to ISO 6876/2012 standards for root canal sealers. Materials and Methods The CSBS formulation consisted of two components (powder and liquid). The powder was a mixture of Mono-CS, a radiopacifier, and a thickening agent, and the liquid components were nonaqueous liquid agent and setting accelerator. Three formulation groups with different powder-liquid ratios were prepared: group A, 2 : 1; group B, 3 : 1; and group C, 2 : 1, which also contained calcium chloride as a setting accelerator. The setting time, flow rate, film thickness, and radiopacity of the three CSBS groups and the control group were evaluated and compared. Each test was repeated five times for each group. Results The minimum values of setting time (i.e., working time, initial setting time, and final setting time) were ranked in order of significance as group B, the control group, group C, and group A. The control group had the lowest film thickness at 20 μm, with a nonsignificant difference to group C. The flow rates in group A, group C, and the control group were >20 mm. Furthermore, the experimental groups showed a similar amount of radiopacity as the control group (p > 0.05). Conclusion Mono-CS and calcium chloride can be used in the formulation of root canal sealers, and their properties, including working time, initial setting time, final setting time, flow rate, film thickness, and radiopacity, are consistent with those of iRoot SP and ISO 6876/2012 standards.
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Affiliation(s)
- Sukanya Juntha
- College of Dental Medicine, Rangsit University, Bangkok, Pathum Thani, Thailand
| | - Pakit Tungsawat
- College of Dental Medicine, Rangsit University, Bangkok, Pathum Thani, Thailand
| | | | - Warattama Suksaphar
- College of Dental Medicine, Rangsit University, Bangkok, Pathum Thani, Thailand
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Jiang X, Lei L, Sun W, Wei Y, Han J, Zhong S, Yang X, Gou Z, Chen L. Bioceramic scaffolds with two-step internal/external modification of copper-containing polydopamine enhance antibacterial and alveolar bone regeneration capability. J Zhejiang Univ Sci B 2024; 25:65-82. [PMID: 38163667 PMCID: PMC10758211 DOI: 10.1631/jzus.b23d0004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2023] [Accepted: 04/28/2023] [Indexed: 01/03/2024]
Abstract
Magnesium-doped calcium silicate (CS) bioceramic scaffolds have unique advantages in mandibular defect repair; however, they lack antibacterial properties to cope with the complex oral microbiome. Herein, for the first time, the CS scaffold was functionally modified with a novel copper-containing polydopamine (PDA(Cu2+)) rapid deposition method, to construct internally modified (*P), externally modified (@PDA), and dually modified (*P@PDA) scaffolds. The morphology, degradation behavior, and mechanical properties of the obtained scaffolds were evaluated in vitro. The results showed that the CS*P@PDA had a unique micro-/nano-structural surface and appreciable mechanical resistance. During the prolonged immersion stage, the release of copper ions from the CS*P@PDA scaffolds was rapid in the early stage and exhibited long-term sustained release. The in vitro evaluation revealed that the release behavior of copper ions ascribed an excellent antibacterial effect to the CS*P@PDA, while the scaffolds retained good cytocompatibility with improved osteogenesis and angiogenesis effects. Finally, the PDA(Cu2+)-modified scaffolds showed effective early bone regeneration in a critical-size rabbit mandibular defect model. Overall, it was indicated that considerable antibacterial property along with the enhancement of alveolar bone regeneration can be imparted to the scaffold by the two-step PDA(Cu2+) modification, and the convenience and wide applicability of this technique make it a promising strategy to avoid bacterial infections on implants.
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Affiliation(s)
- Xiaojian Jiang
- Department of Oral Medicine, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, China
| | - Lihong Lei
- Department of Oral Medicine, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, China
| | - Weilian Sun
- Department of Oral Medicine, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, China
| | - Yingming Wei
- Department of Oral Medicine, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, China
| | - Jiayin Han
- Department of Oral Medicine, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, China
| | - Shuaiqi Zhong
- Department of Oral Medicine, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, China
| | - Xianyan Yang
- Bio-nanomaterials and Regenerative Medicine Research Division, Zhejiang‒California International Nanosystem Institute, Zhejiang University, Hangzhou 310058, China
| | - Zhongru Gou
- Bio-nanomaterials and Regenerative Medicine Research Division, Zhejiang‒California International Nanosystem Institute, Zhejiang University, Hangzhou 310058, China. ,
| | - Lili Chen
- Department of Oral Medicine, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, China.
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Yin H, Yang X, Peng L, Xia C, Zhang D, Cui F, Huang H, Li Z. Trends of calcium silicate biomaterials in medical research and applications: A bibliometric analysis from 1990 to 2020. Front Pharmacol 2022; 13:991377. [PMID: 36313285 PMCID: PMC9614043 DOI: 10.3389/fphar.2022.991377] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2022] [Accepted: 10/03/2022] [Indexed: 11/21/2022] Open
Abstract
Background: Calcium silicate biomaterials (CSB) have witnessed rapid development in the past 30 years. This study aimed to accomplish a comprehensive bibliometric analysis of the published research literature on CSB for biomedical applications and explore the research hotspot and current status. Methods: Articles related to CSB published in the last three decades (1990–2020) were retrieved from Web of Science Core Collection. The R bibliometrix package and VOSviewer were used to construct publication outputs and collaborative networking among authors, their institutes, countries, journals’ matrices and keywords plus. Results: A total of 872 publications fulfilling the search criteria were included. CSB is mainly reported for bone tissues and dental applications. Among researchers, Chang J from Chinese Academy of Sciences and Gandolfi MG from the University of Bologna are the most productive author in these two fields, respectively. China was the leading contributor to the research on CSB in the medical field. A total of 130 keywords appeared more ten or more times were identified. The term “mineral trioxide aggregate” ranked first with 268 occurrences. The co-occurrence analysis identified three major clusters: CSB in dentistry, bone tissue and vitro bioactivity. Conclusion: Calcium silicate biomaterials have a promising scope for various biomedical applications ranging from regeneration of hard tissues (bone and teeth) to skin, tumor, cardiac muscle and other soft tissues. This study may help researchers further understand the frontiers of the field.
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Affiliation(s)
- Hua Yin
- Department of Gastroenterology, General Hospital of Ningxia Medical University, Yinchuan, China
- Department of Gastroenterology, Changhai Hospital, Second Military Medical University, Shanghai, China
- Postgraduate Training Base in Shanghai Gongli Hospital, Ningxia Medical University, Shanghai, China
| | - Xiaoli Yang
- Department of Gastroenterology, General Hospital of Ningxia Medical University, Yinchuan, China
- Department of Gastroenterology, Changhai Hospital, Second Military Medical University, Shanghai, China
- Postgraduate Training Base in Shanghai Gongli Hospital, Ningxia Medical University, Shanghai, China
| | - Lisi Peng
- Department of Gastroenterology, Changhai Hospital, Second Military Medical University, Shanghai, China
| | - Chuanchao Xia
- Department of Gastroenterology, Changhai Hospital, Second Military Medical University, Shanghai, China
| | - Deyu Zhang
- Department of Gastroenterology, Changhai Hospital, Second Military Medical University, Shanghai, China
| | - Fang Cui
- Department of Gastroenterology, Changhai Hospital, Second Military Medical University, Shanghai, China
| | - Haojie Huang
- Department of Gastroenterology, Changhai Hospital, Second Military Medical University, Shanghai, China
- *Correspondence: Haojie Huang, ; Zhaoshen Li,
| | - Zhaoshen Li
- Department of Gastroenterology, Changhai Hospital, Second Military Medical University, Shanghai, China
- *Correspondence: Haojie Huang, ; Zhaoshen Li,
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Taha SK, Abdel Hamid MA, Hamzawy EM, Kenawy SH, El-Bassyouni GT, Hassan EA, Tarek HE. Osteogenic potential of calcium silicate-doped iron oxide nanoparticles versus calcium silicate for reconstruction of critical-sized mandibular defects: An experimental study in dog model. Saudi Dent J 2022; 34:485-493. [PMID: 36092524 PMCID: PMC9453517 DOI: 10.1016/j.sdentj.2022.06.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2021] [Revised: 06/22/2022] [Accepted: 06/23/2022] [Indexed: 11/27/2022] Open
Abstract
Objective To evaluate bioactivity and osteogenic potential of calcium silicate (CS)-doped iron oxide (Fe2O3) nanoparticles versus pure CS in the reconstruction of induced critical-sized mandibular defects. Design CS-doped Fe2O3 was prepared; morphological and microstructure identification of nanoparticles were made. An in vivo randomised design was developed on 24 adult male dogs where four critical-sized mandibular defects were created in each dog. Bone defects were allocated into control, CS, CS-3% Fe2O3 and CS-10% Fe2O3 group. Dogs were euthanized at 1 and 3 months (12 dog/time) for histopathologic and histomorphometric evaluation. Results At three months, bone formation and maturation were evident where mean ± SD percent of mature bone was 2.66 ± 1.8, 9.9 ± 2.5, 22.9 ± 4.9, and 38.6 ± 8.1 in control, CS, CS-3% Fe2O3, and CS-10% Fe2O3 groups respectively. A high significant (P < 0.001) increase in area percent of mature bone was recorded in CS, CS-3% Fe2O3, and CS- 10% Fe2O3 groups compared to control group (73%, 88% and 93.3% respectively). Significant increase (P < 0.001) in area of mature bone was recorded in CS-3% Fe2O3 and CS-10% Fe2O3 groups compared to CS group. A significant increase (P < 0.001) in area of mature bone formation was detected in CS-10% Fe2O3 group compared to other groups. Conclusion CS-doped Fe2O3 has good osteoconductive, biocompatible properties with promoted bone regeneration. Fe2O3 has synergistic effect in combination with CS to promote bone formation. Increasing concentration of Fe2O3 nanoparticles resulted in improved osteogenesis and maturation. Results suggests that the novel CS-Fe2O3 alloplasts could be used for reconstruction of critical-sized bone defects.
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Affiliation(s)
- Said K. Taha
- Surgery and Oral Medicine Department, Oral and Dental Research Institute, National Research Centre, 33 El Buhouth St, Dokki, Giza 12622, Egypt
| | - Mohamed A. Abdel Hamid
- Department of Surgery, Anesthesiology and Radiology, Faculty of Veterinary Medicine, Cairo University, Giza 12211, Egypt
| | - Esmat M.A. Hamzawy
- Glass Research Department, Advanced Materials Technology and Mineral Resources Research Institute, National Research Centre, 33 El Buhouth St, Dokki, Giza, 12622, Egypt
| | - Sayed H. Kenawy
- Refractories, Ceramics and Building Materials Department, Advanced Materials Technology and Mineral Resources Research Institute, National Research Centre, 33 El Buhouth St., Dokki, Giza 12622, Egypt
| | - Gehan T. El-Bassyouni
- Refractories, Ceramics and Building Materials Department, Advanced Materials Technology and Mineral Resources Research Institute, National Research Centre, 33 El Buhouth St., Dokki, Giza 12622, Egypt
| | - Elham A. Hassan
- Department of Surgery, Anesthesiology and Radiology, Faculty of Veterinary Medicine, Cairo University, Giza 12211, Egypt
- Corresponding author.
| | - Heba E. Tarek
- Basic Dental Science Department, Oral and Dental Research Institute, National Research Centre, 33 El Buhouth St, Dokki, Giza 12622, Egypt
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Vrchovecká K, Pávková-Goldbergová M, Engqvist H, Pujari-Palmer M. Cytocompatibility and Bioactive Ion Release Profiles of Phosphoserine Bone Adhesive: Bridge from In Vitro to In Vivo. Biomedicines 2022; 10:biomedicines10040736. [PMID: 35453486 PMCID: PMC9044752 DOI: 10.3390/biomedicines10040736] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2022] [Revised: 03/09/2022] [Accepted: 03/18/2022] [Indexed: 02/06/2023] Open
Abstract
One major challenge when developing new biomaterials is translating in vitro testing to in vivo models. We have recently shown that a single formulation of a bone tissue adhesive, phosphoserine modified cement (PMC), is safe and resorbable in vivo. Herein, we screened many new adhesive formulations, for cytocompatibility and bioactive ion release, with three cell lines: MDPC23 odontoblasts, MC3T3 preosteoblasts, and L929 fibroblasts. Most formulations were cytocompatible by indirect contact testing (ISO 10993-12). Formulations with larger amounts of phosphoserine (>50%) had delayed setting times, greater ion release, and cytotoxicity in vitro. The trends in ion release from the adhesive that were cured for 24 h (standard for in vitro) were similar to release from the adhesives cured only for 5−10 min (standard for in vivo), suggesting that we may be able to predict the material behavior in vivo, using in vitro methods. Adhesives containing calcium phosphate and silicate were both cytocompatible for seven days in direct contact with cell monolayers, and ion release increased the alkaline phosphatase (ALP) activity in odontoblasts, but not pre-osteoblasts. This is the first study evaluating how PMC formulation affects osteogenic cell differentiation (ALP), cytocompatibility, and ion release, using in situ curing conditions similar to conditions in vivo.
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Affiliation(s)
- Kateřina Vrchovecká
- Department of Pathology Physiology, Faculty of Medicine, Masaryk University, 62500 Brno, Czech Republic; (K.V.); (M.P.-G.)
| | - Monika Pávková-Goldbergová
- Department of Pathology Physiology, Faculty of Medicine, Masaryk University, 62500 Brno, Czech Republic; (K.V.); (M.P.-G.)
| | - Håkan Engqvist
- Department of Materials Science and Engineering, Applied Material Science, Uppsala University, 75103 Uppsala, Sweden
- Correspondence: (H.E.); (M.P.-P.)
| | - Michael Pujari-Palmer
- Department of Materials Science and Engineering, Applied Material Science, Uppsala University, 75103 Uppsala, Sweden
- Correspondence: (H.E.); (M.P.-P.)
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Qin H, Wei Y, Han J, Jiang X, Yang X, Wu Y, Gou Z, Chen L. 3D printed bioceramic scaffolds: Adjusting pore dimension is beneficial for mandibular bone defects repair. J Tissue Eng Regen Med 2022; 16:409-421. [PMID: 35156316 DOI: 10.1002/term.3287] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2021] [Revised: 12/27/2021] [Accepted: 01/26/2022] [Indexed: 12/18/2022]
Affiliation(s)
- Hongling Qin
- Department of Periodontics The Second Affiliated Hospital Zhejiang University School of Medicine Hangzhou China
| | - Yingming Wei
- Department of Periodontics The Second Affiliated Hospital Zhejiang University School of Medicine Hangzhou China
| | - Jiayin Han
- Department of Periodontics The Second Affiliated Hospital Zhejiang University School of Medicine Hangzhou China
| | - Xiaojian Jiang
- Department of Periodontics The Second Affiliated Hospital Zhejiang University School of Medicine Hangzhou China
| | - Xianyan Yang
- Bio‐nanomaterials and Regenerative Medicine Research Division Zhejiang‐California International Nanosystem Institute Zhejiang University Hangzhou China
| | - Yanmin Wu
- Department of Periodontics The Second Affiliated Hospital Zhejiang University School of Medicine Hangzhou China
| | - Zhongru Gou
- Bio‐nanomaterials and Regenerative Medicine Research Division Zhejiang‐California International Nanosystem Institute Zhejiang University Hangzhou China
| | - Lili Chen
- Department of Periodontics The Second Affiliated Hospital Zhejiang University School of Medicine Hangzhou China
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Procter P, Hulsart-Billström G, Alves A, Pujari-Palmer M, Wenner D, Insley G, Engqvist H, Larsson S. Gluing Living Bone Using a Biomimetic Bioadhesive: From Initial Cut to Final Healing. Front Bioeng Biotechnol 2021; 9:728042. [PMID: 34820360 PMCID: PMC8606677 DOI: 10.3389/fbioe.2021.728042] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2021] [Accepted: 09/24/2021] [Indexed: 01/12/2023] Open
Abstract
Osteoporotic fractures are a growing issue due to the increasing incidence of osteoporosis worldwide. High reoperation rates in osteoporotic fractures call for investigation into new methods in improving fixation of osteoporotic bones. In the present study, the strength of a recently developed bone bioadhesive, OsStictm, was evaluated in vivo using a novel bone core assay in a murine animal model at 0, 3, 7, 14, 28, and 42 days. Histology and micro-CT were obtained at all time points, and the mean peak pull-out force was assessed on days 0–28. The adhesive provided immediate fixation to the bone core. The mean peak bone core pull-out force gradually decreased from 6.09 N (σ 1.77 N) at day 0 to a minimum of 3.09 N (σ 1.08 N) at day 7, recovering to 6.37 N (σ 4.18 N) by day 28. The corresponding fibrin (Tisseel) control mean peak bone core pull-out characteristic was 0.27 N (σ 0.27 N) at day 0, with an abrupt increase from 0.37 N (σ 0.28) at day 3, 6.39 N (σ 5.09 N) at day 7, and continuing to increase to 11.34 N (σ 6.5 N) by day 28. The bone cores failed either through core pull-out or by the cancellous part of the core fracturing. Overall, the adhesive does not interrupt healing with pathological changes or rapid resorption. Initially, the adhesive bonded the bone core to the femur, and over time, the adhesive was replaced by a vascularised bone of equivalent quality and quantity to the original bone. At the 42 day time point, 70% of the adhesive in the cancellous compartment and 50% in the cortical compartment had been replaced. The adhesive outwith the bone shell was metabolized by cells that are only removing the material excess with no ectopic bone formation. It is concluded that the adhesive is not a physical and biochemical barrier as the bone heals through the adhesive and is replaced by a normal bone tissue. This adhesive composition meets many of the clinical unmet needs expressed in the literature, and may, after further preclinical assessments, have potential in the repair of bone and osteochondral fragments.
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Affiliation(s)
- Philip Procter
- Department of Engineering Sciences, Division of Applied Material Science, Uppsala University, Uppsala, Sweden.,Biomimetic Innovations Ltd, Shannon, Ireland
| | - Gry Hulsart-Billström
- Department of Surgical Sciences, Division of Orthopaedics, Uppsala University, Uppsala, Sweden
| | | | - Michael Pujari-Palmer
- Department of Engineering Sciences, Division of Applied Material Science, Uppsala University, Uppsala, Sweden
| | - David Wenner
- Department of Engineering Sciences, Division of Applied Material Science, Uppsala University, Uppsala, Sweden
| | - Gerard Insley
- Department of Engineering Sciences, Division of Applied Material Science, Uppsala University, Uppsala, Sweden.,Biomimetic Innovations Ltd, Shannon, Ireland
| | - Håkan Engqvist
- Department of Engineering Sciences, Division of Applied Material Science, Uppsala University, Uppsala, Sweden
| | - Sune Larsson
- Department of Surgical Sciences, Division of Orthopaedics, Uppsala University, Uppsala, Sweden
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Rahimnejad M, Rezvaninejad R, Rezvaninejad R, França R. Biomaterials in bone and mineralized tissue engineering using 3D printing and bioprinting technologies. Biomed Phys Eng Express 2021; 7. [PMID: 34438382 DOI: 10.1088/2057-1976/ac21ab] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2021] [Accepted: 08/26/2021] [Indexed: 12/29/2022]
Abstract
This review focuses on recently developed printable biomaterials for bone and mineralized tissue engineering. 3D printing or bioprinting is an advanced technology to design and fabricate complex functional 3D scaffolds, mimicking native tissue forin vivoapplications. We categorized the biomaterials into two main classes: 3D printing and bioprinting. Various biomaterials, including natural, synthetic biopolymers and their composites, have been studied. Biomaterial inks or bioinks used for bone and mineralized tissue regeneration include hydrogels loaded with minerals or bioceramics, cells, and growth factors. In 3D printing, the scaffold is created by acellular biomaterials (biomaterial inks), while in 3D bioprinting, cell-laden hydrogels (bioinks) are used. Two main classes of bioceramics, including bioactive and bioinert ceramics, are reviewed. Bioceramics incorporation provides osteoconductive properties and induces bone formation. Each biopolymer and mineral have its advantages and limitations. Each component of these composite biomaterials provides specific properties, and their combination can ameliorate the mechanical properties, bioactivity, or biological integration of the 3D printed scaffold. Present challenges and future approaches to address them are also discussed.
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Affiliation(s)
- Maedeh Rahimnejad
- Biomedical Engineering Institute, Université de Montreal, Montreal, QC, Canada
| | - Raziyehsadat Rezvaninejad
- Department of Oral Medicine, Faculty of Dentistry, Hormozgan University of Medical Sciences, Hormozgan, Iran
| | | | - Rodrigo França
- Department of Restorative Dentistry, College of Dentistry, Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada
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Zhang H, Jiao C, Liu Z, He Z, Mengxing Ge, Zongjun Tian, Wang C, Wei Z, Shen L, Liang H. 3D-printed composite, calcium silicate ceramic doped with CaSO4·2H2O: Degradation performance and biocompatibility. J Mech Behav Biomed Mater 2021; 121:104642. [PMID: 34174680 DOI: 10.1016/j.jmbbm.2021.104642] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2021] [Revised: 05/31/2021] [Accepted: 06/05/2021] [Indexed: 12/22/2022]
Abstract
Calcium silicate is a common implant material with excellent mechanical strength and good biological activity. In recent years, the addition of strengthening materials to calcium silicate has been proven to promote bone tissue regeneration, but its degradation properties require further improvements. In this paper, calcium silicate was used as the matrix, and 10 wt% hydroxyapatite and 10 wt% strontium phosphate were added to im prove the biological activity of the scaffold. The effect of adding different amounts of calcium sulfate dihydrate (CaSO4·2H2O) on the degradation of the scaffold was explored. A porous ceramic scaffold was prepared by digital light processing (DLP) technology, and its performance was evaluated. Cell experiments showed that the addition of calcium sulfate improved cell proliferation and differentiation. Simulated body fluid (SBF) immersion tests showed that small amounts of apatite deposits appeared on the fourth day, larger deposits appeared on the 14th day, and degradation occurred on the surface after 28 days of immersion. Mechanical tests showed that the addition of 5 wt% CaSO4·2H2O improved the compressibility of the composite. After soaking in SBF for 14 days, it retained its compressive strength (11.8 MPa), which meets the requirements of cancellous bone, demonstrating its potential application value for bone repair.
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Affiliation(s)
- Hanxu Zhang
- College of Mechanical and Electrical Engineering, Nanjing University of Aeronautics and Astronautics, Nanjing, 210016, China; Jiangsu Key Laboratory of Digital Medical Equipment Technology, Nanjing University of Aeronautics and Astronautics, Nanjing, 210016, China
| | - Chen Jiao
- College of Mechanical and Electrical Engineering, Nanjing University of Aeronautics and Astronautics, Nanjing, 210016, China; Jiangsu Key Laboratory of Digital Medical Equipment Technology, Nanjing University of Aeronautics and Astronautics, Nanjing, 210016, China
| | - Zibo Liu
- College of Mechanical and Electrical Engineering, Nanjing University of Aeronautics and Astronautics, Nanjing, 210016, China
| | - Zhijing He
- College of Mechanical and Electrical Engineering, Nanjing University of Aeronautics and Astronautics, Nanjing, 210016, China; Jiangsu Key Laboratory of Digital Medical Equipment Technology, Nanjing University of Aeronautics and Astronautics, Nanjing, 210016, China
| | - Mengxing Ge
- College of Mechanical and Electrical Engineering, Nanjing University of Aeronautics and Astronautics, Nanjing, 210016, China
| | - Zongjun Tian
- College of Mechanical and Electrical Engineering, Nanjing University of Aeronautics and Astronautics, Nanjing, 210016, China; Jiangsu Key Laboratory of Digital Medical Equipment Technology, Nanjing University of Aeronautics and Astronautics, Nanjing, 210016, China
| | - Changjiang Wang
- Department of Engineering and Design, University of Sussex, Brighton, BN1 9RH, United Kingdom
| | - Zhen Wei
- Jiangsu Pharmaceutical Association, Zhongshan East Road, 210002, Nanjing, China
| | - Lida Shen
- College of Mechanical and Electrical Engineering, Nanjing University of Aeronautics and Astronautics, Nanjing, 210016, China; Jiangsu Key Laboratory of Digital Medical Equipment Technology, Nanjing University of Aeronautics and Astronautics, Nanjing, 210016, China.
| | - Huixin Liang
- State Key Laboratory of Pharmaceutical Biotechnology, Department of Sports Medicine and Adult Reconstructive Surgery, Drum Tower Hospital Affiliated to Medical School of Nanjing University, Nanjing, 210008, China; Jiangsu Engineering Research Center for 3D Bioprinting, Nanjing, 210016, China
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11
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Zhang R, Hu J, Chen H, Ding Z, Ouyang Y, Zhang Q, Yan Y. A novel degradable tricalcium silicate/calcium polyphosphate/polyvinyl alcohol organic-inorganic composite cement for bone filling. J Biomater Appl 2021; 36:772-788. [PMID: 34102909 DOI: 10.1177/08853282211020399] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
In this study, tricalcium silicate (C3S) calcium/polyphosphate/polyvinyl alcohol organic-inorganic self-setting composites were successfully designed. A variety of tests were conducted to characterize their self-setting properties, mechanical properties, degradation properties, and related biological properties. The composite bone cements showed a short setting time (5.5-37.5 min) with a 5:5-6:4 ratio of C3S/CPP to maintain a stable compressive strength (28 MPa). In addition, PVA effectively reduced the brittleness of the inorganic phase. Degradation experiments confirmed the sustainable surface degradation of bone cement. A maximum degradation rate of 49% was reached within 56 days, and the structure remained intact without collapse. Culturing MC3T3 cells with bone cement extracts revealed that the composite bone cements had excellent biological properties in vitro. The original extract showed a proliferation promotion effect on cells, whereas most of the other original extracts of degradable bone cements were toxic to the cells. Meanwhile, extracellular matrix mineralization and alkaline phosphatase expression showed remarkable effects on cell differentiation. In addition, a good level of adhesion of cells to the surfaces of materials was observed. Taken together, these results indicate that C3S/CPP/PVA composite bone cements have great potential in bone defect filling for fast curing.
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Affiliation(s)
- Rongguang Zhang
- School of Chemical Engineering, Sichuan University, Chengdu, P.R. China
| | - Jinbo Hu
- School of Chemical Engineering, Sichuan University, Chengdu, P.R. China
| | - Hong Chen
- College of Physical Science and Technology, Sichuan University, Chengdu, P.R. China
| | - Zhengwen Ding
- College of Physical Science and Technology, Sichuan University, Chengdu, P.R. China
| | - Yalan Ouyang
- School of Chemical Engineering, Sichuan University, Chengdu, P.R. China
| | - Qiyi Zhang
- School of Chemical Engineering, Sichuan University, Chengdu, P.R. China
| | - Yonggang Yan
- College of Physical Science and Technology, Sichuan University, Chengdu, P.R. China
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12
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Chen Y, Huang J, Liu J, Wei Y, Yang X, Lei L, Chen L, Wu Y, Gou Z. Tuning filament composition and microstructure of 3D-printed bioceramic scaffolds facilitate bone defect regeneration and repair. Regen Biomater 2021; 8:rbab007. [PMID: 33738121 PMCID: PMC7955715 DOI: 10.1093/rb/rbab007] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2020] [Revised: 01/03/2021] [Accepted: 01/17/2021] [Indexed: 12/24/2022] Open
Abstract
It is still a challenge to optimize the component distribution and microporous structures in scaffolds for tailoring biodegradation (ion releasing) and enhancing bone defect repair within an expected time stage. Herein, the core–shell-typed nonstoichiometric wollastonite (4% and 10% Mg-doping calcium silicate; CSiMg4, CSiMg10) macroporous scaffolds with microporous shells (adding ∼10 μm PS microspheres into shell-layer slurry) were fabricated via 3D printing. The initial mechanical properties and bio-dissolution (ion releasing) in vitro, and osteogenic capacity in vivo of the bioceramic scaffolds were evaluated systematically. It was shown that endowing high-density micropores in the sparingly dissolvable CSiMg10 or dissolvable CSiMg4 shell layer inevitably led to nearly 30% reduction of compressive strength, but such micropores could readily tune the ion release behaviour of the scaffolds (CSiMg4@CSiMg10 vs. CSiMg4@CSiMg10-p; CSiMg10@CSiMg4 vs. CSiMg10@CSiMg4-p). Based on the in rabbit femoral bone defect repair model, the 3D μCT reconstruction and histological observation demonstrated that the CSiMg4@CSiMg10-p scaffolds displayed markedly higher osteogenic capability than the other scaffolds after 12 weeks of implantation. It demonstrated that core–shell bioceramic 3D printing technique can be developed to fabricate single-phase or biphasic bioactive ceramic scaffolds with accurately tailored filament biodegradation for promoting bone defect regeneration and repair in some specific pathological conditions.
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Affiliation(s)
- Yi Chen
- Department of Stomotology, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China
| | - Jiaping Huang
- Department of Stomotology, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China
| | - Jiamei Liu
- Department of Stomotology, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China
| | - Yingming Wei
- Department of Stomotology, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China
| | - Xianyan Yang
- Zhejiang-California International Nanosystems Institute, Zhejiang University, Hangzhou 310058, China
| | - Lihong Lei
- Department of Stomotology, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China
| | - Lili Chen
- Department of Stomotology, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China
| | - Yanmin Wu
- Department of Stomotology, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China
| | - Zhongru Gou
- Zhejiang-California International Nanosystems Institute, Zhejiang University, Hangzhou 310058, China
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13
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Hulsart-Billström G, Stelzl C, Procter P, Pujari-Palmer M, Insley G, Engqvist H, Larsson S. In vivo safety assessment of a bio-inspired bone adhesive. JOURNAL OF MATERIALS SCIENCE. MATERIALS IN MEDICINE 2020; 31:24. [PMID: 32036502 PMCID: PMC7007900 DOI: 10.1007/s10856-020-6362-3] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/15/2019] [Accepted: 01/08/2020] [Indexed: 05/14/2023]
Abstract
A new class of materials, bone adhesives, could revolutionise the treatment of highly fragmented fractures. We present the first biological safety investigation of a bio-inspired bone adhesive. The formulation was based upon a modified calcium phosphate cement that included the amino acid phosphoserine. This material has recently been described as substantially stronger than other bioresorbable calcium phosphate cements. Four adhesive groups with the active substance (phosphoserine) and two control groups without phosphoserine were selected for in vitro and in vivo biocompatibility testing. The test groups were subject for cell viability assay and subcutaneous implantation in rats that was followed by gene expression analysis and histology assessment after 6 and 12 weeks. All adhesive groups supported the same rate of cell proliferation compared to the α-TCP control and had viability between 45-64% when compared to cell control. There was no evidence of an increased immune response or ectopic bone formation in vivo. To conclude, this bio-inspired bone adhesive has been proven to be safe, in the present study, without any harmful effects on the surrounding soft tissue.
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Affiliation(s)
- Gry Hulsart-Billström
- Division of Orthopaedics, Department of Surgical Sciences, Uppsala University, Uppsala, 751 85, Sweden.
| | - Christina Stelzl
- Division of Orthopaedics, Department of Surgical Sciences, Uppsala University, Uppsala, 751 85, Sweden
| | - Philip Procter
- Division of Applied Material Science, Department of Engineering Sciences, Uppsala University, Uppsala, 751 21, Sweden
| | - Michael Pujari-Palmer
- Division of Applied Material Science, Department of Engineering Sciences, Uppsala University, Uppsala, 751 21, Sweden
| | - Gerard Insley
- GPBio Ltd, Unit 4D, Western Business Park, Shannnon, Co. Clare, Ireland
| | - Håkan Engqvist
- Division of Applied Material Science, Department of Engineering Sciences, Uppsala University, Uppsala, 751 21, Sweden
| | - Sune Larsson
- Division of Orthopaedics, Department of Surgical Sciences, Uppsala University, Uppsala, 751 85, Sweden
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14
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Ge R, Xun C, Yang J, Jia W, Li Y. In vivo
therapeutic effect of wollastonite and hydroxyapatite on bone defect. Biomed Mater 2019; 14:065013. [DOI: 10.1088/1748-605x/ab4238] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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15
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Götz W, Tobiasch E, Witzleben S, Schulze M. Effects of Silicon Compounds on Biomineralization, Osteogenesis, and Hard Tissue Formation. Pharmaceutics 2019; 11:E117. [PMID: 30871062 PMCID: PMC6471146 DOI: 10.3390/pharmaceutics11030117] [Citation(s) in RCA: 78] [Impact Index Per Article: 15.6] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2019] [Revised: 02/25/2019] [Accepted: 03/03/2019] [Indexed: 12/19/2022] Open
Abstract
Bioinspired stem cell-based hard tissue engineering includes numerous aspects: The synthesis and fabrication of appropriate scaffold materials, their analytical characterization, and guided osteogenesis using the sustained release of osteoinducing and/or osteoconducting drugs for mesenchymal stem cell differentiation, growth, and proliferation. Here, the effect of silicon- and silicate-containing materials on osteogenesis at the molecular level has been a particular focus within the last decade. This review summarizes recently published scientific results, including material developments and analysis, with a special focus on silicon hybrid bone composites. First, the sources, bioavailability, and functions of silicon on various tissues are discussed. The second focus is on the effects of calcium-silicate biomineralization and corresponding analytical methods in investigating osteogenesis and bone formation. Finally, recent developments in the manufacturing of Si-containing scaffolds are discussed, including in vitro and in vivo studies, as well as recently filed patents that focus on the influence of silicon on hard tissue formation.
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Affiliation(s)
- Werner Götz
- Department of Orthodontics, Oral Biology Laboratory, School of Dentistry, Rheinische Wilhelms University of Bonn, Welschnonnenstr. 17, D-53111 Bonn, Germany.
| | - Edda Tobiasch
- Department of Natural Sciences, Bonn-Rhine-Sieg University of Applied Sciences, D-53359 Rheinbach, Germany.
| | - Steffen Witzleben
- Department of Natural Sciences, Bonn-Rhine-Sieg University of Applied Sciences, D-53359 Rheinbach, Germany.
| | - Margit Schulze
- Department of Natural Sciences, Bonn-Rhine-Sieg University of Applied Sciences, D-53359 Rheinbach, Germany.
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16
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Luo S, Jiang T, Yang X, Yang Y, Zhao J. Treatment of tumor-like lesions in the femoral neck using free nonvascularized fibular autografts in pediatric patients before epiphyseal closure. J Int Med Res 2018; 47:823-835. [PMID: 30556444 PMCID: PMC6381492 DOI: 10.1177/0300060518813510] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023] Open
Abstract
Objectives Surgical resection of benign bone tumors and tumor-like lesions at the
femoral neck presents a difficult reconstructive challenge. However, the
safety and efficacy of free nonvascularized fibular autografts (FNFAs) in
the treatment of femoral neck tumor-like lesions before epiphyseal closure
in young patients remain unknown. Methods Sixteen pediatric patients who had not yet undergone epiphyseal closure were
treated with FNFAs after resection of tumor-like lesions in the femoral neck
from August 2012 to September 2016. All patients underwent supplementary
skeletal traction through the supracondylar femur for 4 to 6 weeks after
resection. Demographic data were recorded and clinical and radiological
outcomes were evaluated during the follow-up. Results All patients could walk with partial weight bearing 4 weeks postoperative,
and full weight bearing was permitted after a mean of 8 weeks. Graft union
was attained in all 16 patients at a mean of 2 months. The donor site of the
fibular cortical strut showed good regeneration in all patients. The Harris
hip score significantly improved from 65% to 95%. Conclusions Application of an FNFA is a feasible method in the treatment of tumor-like
lesions in the femoral neck before epiphyseal closure in pediatric
patients. Level of Evidence Level IV.
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Affiliation(s)
- Shanchao Luo
- Yulin Orthopedics Hospital of Chinese and Western Medicine,
Yulin, China
- Postdoctoral Innovation Practice Base, The Ninth Affiliated
Hospital of Guangxi Medical University, Beihai, China
- Guangxi Engineering Center in Biomedical Materials for Tissue
and Organ Regeneration & Guangxi Collaborative Innovation Center for
Biomedicine, Life Sciences Institute, Guangxi Medical University, Nanning,
China
- *These authors contributed equally to this
work
| | - Tongmeng Jiang
- Guangxi Engineering Center in Biomedical Materials for Tissue
and Organ Regeneration & Guangxi Collaborative Innovation Center for
Biomedicine, Life Sciences Institute, Guangxi Medical University, Nanning,
China
- Department of Orthopaedics & Guangxi Key Laboratory of
Regenerative Medicine, International Joint Laboratory on Regeneration of Bone
and Soft Tissue, The First Affiliated Hospital of Guangxi Medical University,
Nanning, China
- School of Materials Science and Engineering, Zhejiang
University, Hangzhou, China
- *These authors contributed equally to this
work
| | - Xiaoping Yang
- Yulin Orthopedics Hospital of Chinese and Western Medicine,
Yulin, China
| | - Yingnian Yang
- Yulin Orthopedics Hospital of Chinese and Western Medicine,
Yulin, China
| | - Jinmin Zhao
- Postdoctoral Innovation Practice Base, The Ninth Affiliated
Hospital of Guangxi Medical University, Beihai, China
- Guangxi Engineering Center in Biomedical Materials for Tissue
and Organ Regeneration & Guangxi Collaborative Innovation Center for
Biomedicine, Life Sciences Institute, Guangxi Medical University, Nanning,
China
- Department of Orthopaedics & Guangxi Key Laboratory of
Regenerative Medicine, International Joint Laboratory on Regeneration of Bone
and Soft Tissue, The First Affiliated Hospital of Guangxi Medical University,
Nanning, China
- Jinmin Zhao, Department of Orthopaedics
& Guangxi Key Laboratory of Regenerative Medicine, International Joint
Laboratory on Regeneration of Bone and Soft Tissue, The First Affiliated
Hospital of Guangxi Medical University, Shuangyong Road #22, Nanning 530021,
China.
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