1
|
Rathore K, Singh I, Balani K, Sharma S, Verma V. Fabrication and characterization of multi-layered coaxial agar-based electrospun biocomposite mat, novel replacement for transdermal patches. Int J Biol Macromol 2024; 275:133712. [PMID: 38977044 DOI: 10.1016/j.ijbiomac.2024.133712] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2023] [Revised: 06/15/2024] [Accepted: 07/05/2024] [Indexed: 07/10/2024]
Abstract
In the performed study, a novel fabrication of agar-based nanofibers was electrospun in an asymmetric bilayer dressing for biomedical transdermal patches. The optimal parameters for the fabrication of agar-based nanofibers after optimization were a feed rate of 10 μL/min, a 7 cm collector-to-nozzle distance, a 15 kV applied voltage, and a 700-rpm rotating collector speed. Coaxial nanofibers, as a second asymmetric layer, were produced using polyvinyl alcohol (PVA) with cephalexin hydrate, an antibacterial drug, as the core and agar-PCL as the sheath. The morphology of the developed uniaxial and coaxial nanofibrous layers was analysed using a scanning electron microscope and transmission electron microscopy, respectively. For the formation of bilayer asymmetric structures, the agar-PCL uniaxial layer was fabricated over the layer of coaxial PVA and agar-PCL layers for sustained drug release. The agar-based nanofibrous mats exhibited tensile strength of 7 MPa with 40 % elongation failure, 8-fold increased swelling, enhanced wettability (60° contact angle), and a moisture transmission rate of 2174 g/m2/day. The developed coaxial bilayer mats exhibited antimicrobial activity, hemocompatibility, and cytocompatibility. Overall, this novel agar nanofibrous dressing offers promising potential for advanced biomedical applications, particularly as transdermal patches for efficient drug delivery systems.
Collapse
Affiliation(s)
- Kalpana Rathore
- Department of Materials Science and Engineering, Indian Institute of Technology Kanpur, India; Department of Medical Laboratory Sciences, Lovely Professional University, Phagwara, Punjab, India
| | - Indrajeet Singh
- Department of Materials Science and Engineering, Indian Institute of Technology Kanpur, India
| | - Kantesh Balani
- Department of Materials Science and Engineering, Indian Institute of Technology Kanpur, India
| | - Sandeep Sharma
- Department of Medical Laboratory Sciences, Lovely Professional University, Phagwara, Punjab, India.
| | - Vivek Verma
- Department of Materials Science and Engineering, Indian Institute of Technology Kanpur, India; Centre for Environmental Science & Engineering, Indian Institute of Technology Kanpur, India; Samtel Centre for Display Technologies, Indian Institute of Technology Kanpur, India; National Centre for Flexible Electronics, Indian Institute of Technology Kanpur, India.
| |
Collapse
|
2
|
Anselmi C, Mendes Soares IP, Mota RLM, Leite ML, Ribeiro RADO, Fernandes LDO, Bottino MC, de Souza Costa CA, Hebling J. Functionalization of PCL-Based Fiber Scaffolds with Different Sources of Calcium and Phosphate and Odontogenic Potential on Human Dental Pulp Cells. J Funct Biomater 2024; 15:97. [PMID: 38667554 PMCID: PMC11051160 DOI: 10.3390/jfb15040097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/29/2024] [Revised: 04/03/2024] [Accepted: 04/08/2024] [Indexed: 04/28/2024] Open
Abstract
This study investigated the incorporation of sources of calcium, phosphate, or both into electrospun scaffolds and evaluated their bioactivity on human dental pulp cells (HDPCs). Additionally, scaffolds incorporated with calcium hydroxide (CH) were characterized for degradation, calcium release, and odontogenic differentiation by HDPCs. Polycaprolactone (PCL) was electrospun with or without 0.5% w/v of calcium hydroxide (PCL + CH), nano-hydroxyapatite (PCL + nHA), or β-glycerophosphate (PCL + βGP). SEM/EDS analysis confirmed fibrillar morphology and particle incorporation. HDPCs were cultured on the scaffolds to assess cell viability, adhesion, spreading, and mineralized matrix formation. PCL + CH was also evaluated for gene expression of odontogenic markers (RT-qPCR). Data were submitted to ANOVA and Student's t-test (α = 5%). Added CH increased fiber diameter and interfibrillar spacing, whereas βGP decreased both. PCL + CH and PCL + nHA improved HDPC viability, adhesion, and proliferation. Mineralization was increased eightfold with PCL + CH. Scaffolds containing CH gradually degraded over six months, with calcium release within the first 140 days. CH incorporation upregulated DSPP and DMP1 expression after 7 and 14 days. In conclusion, CH- and nHA-laden PCL fiber scaffolds were cytocompatible and promoted HDPC adhesion, proliferation, and mineralized matrix deposition. PCL + CH scaffolds exhibit a slow degradation profile, providing sustained calcium release and stimulating HDPCs to upregulate odontogenesis marker genes.
Collapse
Affiliation(s)
- Caroline Anselmi
- Department of Morphology, Orthodontics, and Pediatric Dentistry, School of Dentistry, São Paulo State University (UNESP), Araraquara 14801-385, SP, Brazil; (C.A.); (R.L.M.M.)
- Department of Cariology, Restorative Sciences, and Endodontics, School of Dentistry, University of Michigan, Ann Arbor, MI 48109, USA; (I.P.M.S.); (M.C.B.)
| | - Igor Paulino Mendes Soares
- Department of Cariology, Restorative Sciences, and Endodontics, School of Dentistry, University of Michigan, Ann Arbor, MI 48109, USA; (I.P.M.S.); (M.C.B.)
- Department of Dental Materials and Prosthodontics, School of Dentistry, São Paulo State University (UNESP), Araraquara 14801-385, SP, Brazil;
| | - Rafaella Lara Maia Mota
- Department of Morphology, Orthodontics, and Pediatric Dentistry, School of Dentistry, São Paulo State University (UNESP), Araraquara 14801-385, SP, Brazil; (C.A.); (R.L.M.M.)
| | - Maria Luísa Leite
- Department of Oral Health Sciences, Faculty of Dentistry, The University of British Columbia (UBC), Vancouver, BC V6T 1Z4, Canada;
| | - Rafael Antonio de Oliveira Ribeiro
- Department of Dental Materials and Prosthodontics, School of Dentistry, São Paulo State University (UNESP), Araraquara 14801-385, SP, Brazil;
| | - Lídia de Oliveira Fernandes
- Department of Restorative Dentistry, School of Dentistry, São Paulo State University (UNESP), Araraquara 14801-385, SP, Brazil;
| | - Marco C. Bottino
- Department of Cariology, Restorative Sciences, and Endodontics, School of Dentistry, University of Michigan, Ann Arbor, MI 48109, USA; (I.P.M.S.); (M.C.B.)
| | - Carlos Alberto de Souza Costa
- Department of Physiology and Pathology, School of Dentistry, São Paulo State University (UNESP), Araraquara 14801-385, SP, Brazil;
| | - Josimeri Hebling
- Department of Morphology, Orthodontics, and Pediatric Dentistry, School of Dentistry, São Paulo State University (UNESP), Araraquara 14801-385, SP, Brazil; (C.A.); (R.L.M.M.)
| |
Collapse
|
3
|
Dos Santos FV, Siqueira RL, de Morais Ramos L, Yoshioka SA, Branciforti MC, Correa DS. Silk fibroin-derived electrospun materials for biomedical applications: A review. Int J Biol Macromol 2024; 254:127641. [PMID: 37913875 DOI: 10.1016/j.ijbiomac.2023.127641] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2023] [Revised: 10/14/2023] [Accepted: 10/22/2023] [Indexed: 11/03/2023]
Abstract
Electrospinning is a versatile technique for fabricating polymeric fibers with diameters ranging from micro- to nanoscale, exhibiting multiple morphologies and arrangements. By combining silk fibroin (SF) with synthetic and/or natural polymers, electrospun materials with outstanding biological, chemical, electrical, physical, mechanical, and optical properties can be achieved, fulfilling the evolving biomedical demands. This review highlights the remarkable versatility of SF-derived electrospun materials, specifically focusing on their application in tissue regeneration (including cartilage, cornea, nerves, blood vessels, bones, and skin), disease treatment (such as cancer and diabetes), and the development of controlled drug delivery systems. Additionally, we explore the potential future trends in utilizing these nanofibrous materials for creating intelligent biomaterials, incorporating biosensors and wearable sensors for monitoring human health, and also discuss the bottlenecks for its widespread use. This comprehensive overview illuminates the significant impact and exciting prospects of SF-derived electrospun materials in advancing biomedical research and applications.
Collapse
Affiliation(s)
- Francisco Vieira Dos Santos
- Nanotechnology National Laboratory for Agriculture, Embrapa Instrumentação, 13560-970 São Carlos, SP, Brazil; Materials Engineering Department, São Carlos School of Engineering, University of São Paulo, 13563-120 São Carlos, SP, Brazil
| | - Renato Luiz Siqueira
- Materials Engineering Department, Federal University of São Carlos, 13565-905 São Carlos, SP, Brazil
| | - Lucas de Morais Ramos
- São Carlos Institute of Physics, University of São Paulo, 13560-970 São Carlos, SP, Brazil
| | - Sérgio Akinobu Yoshioka
- Laboratory of Biochemistry and Biomaterials, São Carlos Institute of Chemistry, University of São Paulo, 13560-970 São Carlos, SP, Brazil
| | - Márcia Cristina Branciforti
- Materials Engineering Department, São Carlos School of Engineering, University of São Paulo, 13563-120 São Carlos, SP, Brazil
| | - Daniel Souza Correa
- Nanotechnology National Laboratory for Agriculture, Embrapa Instrumentação, 13560-970 São Carlos, SP, Brazil; Materials Engineering Department, São Carlos School of Engineering, University of São Paulo, 13563-120 São Carlos, SP, Brazil.
| |
Collapse
|
4
|
Bhattacharjee P, Madden PW, Patriarca E, Ahearne M. Optimization and evaluation of oxygen-plasma-modified, aligned, poly (Є-caprolactone) and silk fibroin nanofibrous scaffold for corneal stromal regeneration. BIOMATERIALS AND BIOSYSTEMS 2023; 12:100083. [PMID: 37731910 PMCID: PMC10507194 DOI: 10.1016/j.bbiosy.2023.100083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2023] [Revised: 08/28/2023] [Accepted: 09/02/2023] [Indexed: 09/22/2023] Open
Abstract
The shortage of human donor corneas for transplantation necessitates the exploration of tissue engineering approaches to develop corneal substitutes. However, these substitutes must possess the necessary strength, transparency, and ability to regulate cell behaviour before they can be used in patients. In this study, we investigated the effectiveness of an oxygen plasma surface-modified poly-ε-caprolactone (PCL) combined with silk fibroin (SF) nanofibrous scaffold for corneal stromal regeneration. To fabricate the electrospun scaffolds, PCL and SF blends were used on a rotating mandrel. The optimization of the blend aimed to replicate the structural and functional properties of the human cornea, focusing on nanofibre alignment, mechanical characteristics, and in vitro cytocompatibility with human corneal stromal keratocytes. Surface modification of the scaffold resulted in improved transparency and enhanced cell interaction. Based on the evaluation, a composite nanofibrous scaffold with a 1:1 blend of PCL and SF was selected for a more comprehensive analysis. The biological response of keratocytes to the scaffold was assessed through cellular adhesion, proliferation, cytoskeletal organization, gene expression, and immunocytochemical staining. The scaffold facilitated the adhesion of corneal stromal cells, supporting cell proliferation, maintaining normal cytoskeletal organization, and promoting increased expression of genes associated with healthy corneal stromal keratocytes. These findings highlight the potential of a surface-modified PCL/SF blend (1:1) as a promising scaffolding material for corneal stromal regeneration. The developed scaffold not only demonstrated favourable biological interactions with corneal stromal cells but also exhibited characteristics aligned with the requirements for successful corneal tissue engineering. Further research and refinement of these constructs could lead to significant advancements in addressing the shortage of corneas for transplantation, ultimately improving the treatment outcomes for patients in need.
Collapse
Affiliation(s)
- Promita Bhattacharjee
- Trinity Centre for Biomedical Engineering, Trinity Biomedical Sciences Institute, Trinity College Dublin, University of Dublin, Dublin, Ireland
- Department of Mechanical, Manufacturing and Biomedical Engineering, School of Engineering, Trinity College Dublin, University of Dublin, Dublin, Ireland
| | - Peter W. Madden
- Trinity Centre for Biomedical Engineering, Trinity Biomedical Sciences Institute, Trinity College Dublin, University of Dublin, Dublin, Ireland
- Department of Mechanical, Manufacturing and Biomedical Engineering, School of Engineering, Trinity College Dublin, University of Dublin, Dublin, Ireland
| | - Enzo Patriarca
- Department of Mechanical, Manufacturing and Biomedical Engineering, School of Engineering, Trinity College Dublin, University of Dublin, Dublin, Ireland
| | - Mark Ahearne
- Trinity Centre for Biomedical Engineering, Trinity Biomedical Sciences Institute, Trinity College Dublin, University of Dublin, Dublin, Ireland
- Department of Mechanical, Manufacturing and Biomedical Engineering, School of Engineering, Trinity College Dublin, University of Dublin, Dublin, Ireland
| |
Collapse
|
5
|
Rajasekaran R, Dutta A, Ray PG, Seesala VS, Ojha AK, Dogra N, Roy S, Banerjee M, Dhara S. High fibroin-loaded silk-PCL electrospun fiber with core-shell morphology promotes epithelialization with accelerated wound healing. J Mater Chem B 2022; 10:9622-9638. [PMID: 36366984 DOI: 10.1039/d2tb01890j] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Silk fibroin (SF) is a widely explored biopolymer for wound-healing applications due to the presence of amino acids in the biodegradable polymer chain with superior mechanical properties. Herein, a high SF-loaded fibrous matrix along with poly(ε-caprolactone) (PCL) was fabricated using electrospinning of emulsion and blend compositions to modulate nanostructure morphology. A comparative study of the physicomechanical properties of electrospun fibers with emulsion (eS7P3) and homogenous blend (bS7P3) was performed as well. In both compositions, SF loading of up to 70% was successfully achieved in the spun fibers while emulsion yielded core-shell morphology, and the blend resulted in monolith fiber architecture as evidenced by TEM microscopy. Further characterization revealed superior mechanical properties in S7P3 fiber with core-shell morphology, as compared to those in the monolith in terms of a higher degree of crystallinity with Young's modulus of 60 MPa under tensile test and nanoindentation modulus of 1.59 ± 0.8 GPa. Further, eS7P3 nanostructure morphology containing silk in the core with a thin outer layer of PCL facilitated relatively faster biodegradation in the lysozyme medium, as compared to that in the monolith. Owing to the presence of a hydrophobic shell, protein adsorption on the fibrous mat presented slow but steady kinetics up to 24 h. When the scaffold was seeded with human placenta-derived mesenchymal stem cells (hPMSCs), in vitro study confirmed that the eS7P3 structure had marginally higher cell proliferation with superior cell infiltration than the monolith. Further, in vivo study involving a rodent model showed the potential of the eS7P3 fiber substrate with a core-shell structure for accelerating full-thickness wound healing by inducing hair follicle and wound closure with less scar formation after 15 days.
Collapse
Affiliation(s)
- Ragavi Rajasekaran
- School of Medical Science and Technology, Indian Institute of Technology Kharagpur, India. .,Rajendra Mishra School of Engineering and Entrepreneurship, Indian Institute of Technology Kharagpur, India
| | - Abir Dutta
- School of Medical Science and Technology, Indian Institute of Technology Kharagpur, India.
| | - Preetam Guha Ray
- School of Medical Science and Technology, Indian Institute of Technology Kharagpur, India.
| | | | - Atul Kumar Ojha
- School of Medical Science and Technology, Indian Institute of Technology Kharagpur, India.
| | - Nantu Dogra
- School of Medical Science and Technology, Indian Institute of Technology Kharagpur, India.
| | - Sabyasachi Roy
- Department of Gynaecology, Midnapore Medical College, Paschim Medinipur, India
| | - Mamoni Banerjee
- Rajendra Mishra School of Engineering and Entrepreneurship, Indian Institute of Technology Kharagpur, India
| | - Santanu Dhara
- School of Medical Science and Technology, Indian Institute of Technology Kharagpur, India.
| |
Collapse
|
6
|
Wu R, Li H, Yang Y, Zheng Q, Li S, Chen Y. Bioactive Silk Fibroin-Based Hybrid Biomaterials for Musculoskeletal Engineering: Recent Progress and Perspectives. ACS APPLIED BIO MATERIALS 2021; 4:6630-6646. [PMID: 35006966 DOI: 10.1021/acsabm.1c00654] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Musculoskeletal engineering has been considered as a promising approach to customize regenerated tissue (such as bone, cartilage, tendon, and ligament) via a self-healing performance. Recent advances have demonstrated the great potential of bioactive materials for regenerative medicine. Silk fibroin (SF), a natural polymer, is regarded as a remarkable bioactive material for musculoskeletal engineering thanks to its biocompatibility, biodegradability, and tunability. To improve tissue-engineering performance, silk fibroin is hybridized with other biomaterials to form silk-fibroin-based hybrid biomaterials, which achieve superior mechanical and biological performance. Herein, we summarize the recent development of silk-based hybrid biomaterials in musculoskeletal tissue with reasonable generalization and classification, mainly including silk fibroin-based inorganic and organic hybrid biomaterials. The applied inorganics are composed of calcium phosphate, graphene oxide, titanium dioxide, silica, and bioactive glass, while the polymers include polycaprolactone, collagen (or gelatin), chitosan, cellulose, and alginate. This article mainly focuses on the physical and biological performances both in vitro and in vivo study of several common silk-based hybrid biomaterials in musculoskeletal engineering. The timely summary and highlight of silk-fibroin-based hybrid biomaterials will provide a research perspective to promote the further improvement and development of silk fibroin hybrid biomaterials for improved musculoskeletal engineering.
Collapse
Affiliation(s)
- Rongjie Wu
- Department of Orthopedics, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Zhongshan Road, Yuexiu District, Guangzhou, 510000, PR China
- Shantou University Medical College, Shantou, 515000, PR China
| | - Haotao Li
- Department of Orthopedics, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Zhongshan Road, Yuexiu District, Guangzhou, 510000, PR China
- Shantou University Medical College, Shantou, 515000, PR China
| | - Yuliang Yang
- College of Pharmaceutical Sciences, Soochow University, Suzhou, 215123, PR China
| | - Qiujian Zheng
- Department of Orthopedics, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Zhongshan Road, Yuexiu District, Guangzhou, 510000, PR China
| | - Shengliang Li
- College of Pharmaceutical Sciences, Soochow University, Suzhou, 215123, PR China
| | - Yuanfeng Chen
- Department of Orthopedics, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Zhongshan Road, Yuexiu District, Guangzhou, 510000, PR China
- Research Department of Medical Science, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510000, PR China
| |
Collapse
|
7
|
Taskin MB, Ahmad T, Wistlich L, Meinel L, Schmitz M, Rossi A, Groll J. Bioactive Electrospun Fibers: Fabrication Strategies and a Critical Review of Surface-Sensitive Characterization and Quantification. Chem Rev 2021; 121:11194-11237. [DOI: 10.1021/acs.chemrev.0c00816] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Affiliation(s)
- Mehmet Berat Taskin
- Department of Functional Materials in Medicine and Dentistry and Bavarian Polymer Institute, University of Würzburg, 97070 Würzburg, Germany
| | - Taufiq Ahmad
- Department of Functional Materials in Medicine and Dentistry and Bavarian Polymer Institute, University of Würzburg, 97070 Würzburg, Germany
| | - Laura Wistlich
- Department of Functional Materials in Medicine and Dentistry and Bavarian Polymer Institute, University of Würzburg, 97070 Würzburg, Germany
| | - Lorenz Meinel
- Institute of Pharmacy and Food Chemistry and Helmholtz Institute for RNA Based Infection Research, 97074 Würzburg, Germany
| | - Michael Schmitz
- Department of Functional Materials in Medicine and Dentistry and Bavarian Polymer Institute, University of Würzburg, 97070 Würzburg, Germany
| | - Angela Rossi
- Department of Functional Materials in Medicine and Dentistry and Bavarian Polymer Institute, University of Würzburg, 97070 Würzburg, Germany
| | - Jürgen Groll
- Department of Functional Materials in Medicine and Dentistry and Bavarian Polymer Institute, University of Würzburg, 97070 Würzburg, Germany
| |
Collapse
|
8
|
Zhang L, Zhang W, Hu Y, Fei Y, Liu H, Huang Z, Wang C, Ruan D, Heng BC, Chen W, Shen W. Systematic Review of Silk Scaffolds in Musculoskeletal Tissue Engineering Applications in the Recent Decade. ACS Biomater Sci Eng 2021; 7:817-840. [PMID: 33595274 DOI: 10.1021/acsbiomaterials.0c01716] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
During the past decade, various novel tissue engineering (TE) strategies have been developed to maintain, repair, and restore the biomechanical functions of the musculoskeletal system. Silk fibroins are natural polymers with numerous advantageous properties such as good biocompatibility, high mechanical strength, and low degradation rate and are increasingly being recognized as a scaffolding material of choice in musculoskeletal TE applications. This current systematic review examines and summarizes the latest research on silk scaffolds in musculoskeletal TE applications within the past decade. Scientific databases searched include PubMed, Web of Science, Medline, Cochrane library, and Embase. The following keywords and search terms were used: musculoskeletal, tendon, ligament, intervertebral disc, muscle, cartilage, bone, silk, and tissue engineering. Our Review was limited to articles on musculoskeletal TE, which were published in English from 2010 to September 2019. The eligibility of the articles was assessed by two reviewers according to prespecified inclusion and exclusion criteria, after which an independent reviewer performed data extraction and a second independent reviewer validated the data obtained. A total of 1120 articles were reviewed from the databases. According to inclusion and exclusion criteria, 480 articles were considered as relevant for the purpose of this systematic review. Tissue engineering is an effective modality for repairing or replacing injured or damaged tissues and organs with artificial materials. This Review is intended to reveal the research status of silk-based scaffolds in the musculoskeletal system within the recent decade. In addition, a comprehensive translational research route for silk biomaterial from bench to bedside is described in this Review.
Collapse
Affiliation(s)
- Li Zhang
- Department of Orthopedic Surgery of The Second Affiliated Hospital and Dr. Li Dak Sum & Yip Yio Chin Center for Stem Cell and Regenerative Medicine, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310009, China.,Department of Orthopaedics, Zhejiang Provincial People's Hospital, People's Hospital of Hangzhou Medical College, Hangzhou, Zhejiang, China
| | - Wei Zhang
- School of Medicine, Southeast University, Nanjing, Jiangsu 210009, China.,Jiangsu Key Laboratory for Biomaterials and Devices, Southeast University, Nanjing, Jiangsu 210096, China
| | - Yejun Hu
- Department of Orthopedic Surgery of The Second Affiliated Hospital and Dr. Li Dak Sum & Yip Yio Chin Center for Stem Cell and Regenerative Medicine, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310009, China.,Orthopaedics Research Institute, Zhejiang Univerisity, Hangzhou, Zhejiang 310000, China
| | - Yang Fei
- Department of Orthopedic Surgery of The Second Affiliated Hospital and Dr. Li Dak Sum & Yip Yio Chin Center for Stem Cell and Regenerative Medicine, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310009, China.,Orthopaedics Research Institute, Zhejiang Univerisity, Hangzhou, Zhejiang 310000, China
| | - Haoyang Liu
- School of Medicine, Southeast University, Nanjing, Jiangsu 210009, China.,Jiangsu Key Laboratory for Biomaterials and Devices, Southeast University, Nanjing, Jiangsu 210096, China
| | - Zizhan Huang
- Department of Orthopedic Surgery of The Second Affiliated Hospital and Dr. Li Dak Sum & Yip Yio Chin Center for Stem Cell and Regenerative Medicine, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310009, China.,Orthopaedics Research Institute, Zhejiang Univerisity, Hangzhou, Zhejiang 310000, China
| | - Canlong Wang
- Department of Orthopedic Surgery of The Second Affiliated Hospital and Dr. Li Dak Sum & Yip Yio Chin Center for Stem Cell and Regenerative Medicine, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310009, China.,Orthopaedics Research Institute, Zhejiang Univerisity, Hangzhou, Zhejiang 310000, China
| | - Dengfeng Ruan
- Department of Orthopedic Surgery of The Second Affiliated Hospital and Dr. Li Dak Sum & Yip Yio Chin Center for Stem Cell and Regenerative Medicine, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310009, China.,Orthopaedics Research Institute, Zhejiang Univerisity, Hangzhou, Zhejiang 310000, China
| | | | - Weishan Chen
- Department of Orthopedic Surgery of The Second Affiliated Hospital and Dr. Li Dak Sum & Yip Yio Chin Center for Stem Cell and Regenerative Medicine, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310009, China.,Orthopaedics Research Institute, Zhejiang Univerisity, Hangzhou, Zhejiang 310000, China
| | - Weiliang Shen
- Department of Orthopedic Surgery of The Second Affiliated Hospital and Dr. Li Dak Sum & Yip Yio Chin Center for Stem Cell and Regenerative Medicine, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310009, China.,Department of Sports Medicine, School of Medicine, Zhejiang University, Hangzhou, Zhejiang 310000, China.,Key Laboratory of Tissue Engineering and Regenerative Medicine of Zhejiang Province, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.,Key Laboratory of Sports System Disease Research and Accurate Diagnosis and Treatment of Zhejiang Province, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.,Orthopaedics Research Institute, Zhejiang Univerisity, Hangzhou, Zhejiang 310000, China.,China Orthopaedic Regenerative Medicine (CORMed), Chinese Medical Association, Hangzhou, Zhejiang, China
| |
Collapse
|
9
|
Luo J, Zhu J, Wang L, Kang J, Wang X, Xiong J. Co-electrospun nano-/microfibrous composite scaffolds with structural and chemical gradients for bone tissue engineering. MATERIALS SCIENCE & ENGINEERING. C, MATERIALS FOR BIOLOGICAL APPLICATIONS 2020; 119:111622. [PMID: 33321664 DOI: 10.1016/j.msec.2020.111622] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/31/2018] [Revised: 09/29/2020] [Accepted: 10/05/2020] [Indexed: 12/18/2022]
Abstract
Recent trends in scaffold design for tissue engineering have focused on providing structural, mechanical and chemical cues for guiding cell behaviors. In this study, we presented a structural/compositional gradient nano-/microfibrous mesh by co-electrospinning, using silk fibroin-poly(ε-caprolactone) (SF-PCL) nanofibers and PCL microfibers. The pore size, porosity, and physical property of the gradient meshes were qualified. Cell proliferation of mouse osteoblast-like MC3T3-E1 cells was carried out to estimate the effect of structural and compositional gradients on biocompatibility. Furthermore, the 2-D mesh was rolled up and the compressive property of 3-D cylinder was investigated. The results suggested that the rolled-up gradient cylinder scaffold exhibited higher osteogenic differentiation compared to the pristine nanofibrous cylinder sample. By incorporating Chinese medicine ginsenoside Rg1, sustained release was achieved in composite meshes. Rg1-containing nanofibrous meshes and Rg1 gradient cylinders enhanced the cell proliferation of human umbilical vein endothelial cells (HUVECs). The developed fibrous scaffold may provide structural, compositional, and chemical gradients for bone regeneration. BRIEFS: Structural and chemical gradient fibrous scaffold fabricated by co-electrospinning.
Collapse
Affiliation(s)
- Jingjing Luo
- College of Textile Science and Engineering, Zhejiang Sci-Tech University, Hangzhou 310018, PR China; College of Life Sciences and Medicine, Zhejiang Sci-Tech University, Hangzhou 310018, PR China
| | - Jiang Zhu
- College of Textile Science and Engineering, Zhejiang Sci-Tech University, Hangzhou 310018, PR China
| | - Lijun Wang
- College of Textile Science and Engineering, Zhejiang Sci-Tech University, Hangzhou 310018, PR China
| | - Jing Kang
- College of Textile Science and Engineering, Zhejiang Sci-Tech University, Hangzhou 310018, PR China
| | - Xin Wang
- College of Textile Science and Engineering, Zhejiang Sci-Tech University, Hangzhou 310018, PR China
| | - Jie Xiong
- College of Textile Science and Engineering, Zhejiang Sci-Tech University, Hangzhou 310018, PR China.
| |
Collapse
|
10
|
Gao H, Huang C, Zhu Y, Ma X, Cao C. Facile synthesis of 3D silk fibroin scaffolds with tunable properties for regenerative medicine. JOURNAL OF BIOMATERIALS SCIENCE-POLYMER EDITION 2020; 31:1272-1286. [DOI: 10.1080/09205063.2020.1758876] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- Haiying Gao
- School of Materials Science and Engineering, Beijing Key Laboratory of Construction Tailorable Advanced Functional Materials and Green Applications Institution, Beijing Institute of Technology, Beijing, P.R. China
| | - Chenghui Huang
- School of Materials Science and Engineering, Beijing Key Laboratory of Construction Tailorable Advanced Functional Materials and Green Applications Institution, Beijing Institute of Technology, Beijing, P.R. China
| | - Youqi Zhu
- School of Materials Science and Engineering, Beijing Key Laboratory of Construction Tailorable Advanced Functional Materials and Green Applications Institution, Beijing Institute of Technology, Beijing, P.R. China
| | - Xilan Ma
- School of Materials Science and Engineering, Beijing Key Laboratory of Construction Tailorable Advanced Functional Materials and Green Applications Institution, Beijing Institute of Technology, Beijing, P.R. China
| | - Chuanbao Cao
- School of Materials Science and Engineering, Beijing Key Laboratory of Construction Tailorable Advanced Functional Materials and Green Applications Institution, Beijing Institute of Technology, Beijing, P.R. China
| |
Collapse
|
11
|
Zhao W, Du Z, Fang J, Fu L, Zhang X, Cai Q, Yang X. Synthetic/natural blended polymer fibrous meshes composed of polylactide, gelatin and glycosaminoglycan for cartilage repair. JOURNAL OF BIOMATERIALS SCIENCE-POLYMER EDITION 2020; 31:1437-1456. [DOI: 10.1080/09205063.2020.1760701] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Affiliation(s)
- Wenwen Zhao
- State Key Laboratory of Organic-Inorganic Composites; Beijing Laboratory of Biomedical Materials, Beijing University of Chemical Technology, Beijing, P.R. China
| | - Zhiyun Du
- State Key Laboratory of Organic-Inorganic Composites; Beijing Laboratory of Biomedical Materials, Beijing University of Chemical Technology, Beijing, P.R. China
| | - Jiajin Fang
- State Key Laboratory of Organic-Inorganic Composites; Beijing Laboratory of Biomedical Materials, Beijing University of Chemical Technology, Beijing, P.R. China
| | - Lei Fu
- State Key Laboratory of Organic-Inorganic Composites; Beijing Laboratory of Biomedical Materials, Beijing University of Chemical Technology, Beijing, P.R. China
| | - Xin Zhang
- Beijing Key Laboratory of Sports Injuries, Institute of Sports Medicine, Peking University Third Hospital, Beijing, P.R. China
| | - Qing Cai
- State Key Laboratory of Organic-Inorganic Composites; Beijing Laboratory of Biomedical Materials, Beijing University of Chemical Technology, Beijing, P.R. China
| | - Xiaoping Yang
- State Key Laboratory of Organic-Inorganic Composites; Beijing Laboratory of Biomedical Materials, Beijing University of Chemical Technology, Beijing, P.R. China
| |
Collapse
|
12
|
Improving mechanical and antibacterial properties of PMMA via polyblend electrospinning with silk fibroin and polyethyleneimine towards dental applications. Bioact Mater 2020; 5:510-515. [PMID: 32322761 PMCID: PMC7163214 DOI: 10.1016/j.bioactmat.2020.04.005] [Citation(s) in RCA: 27] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2020] [Revised: 04/02/2020] [Accepted: 04/05/2020] [Indexed: 12/11/2022] Open
Abstract
Poly(methylmethacrylate) (PMMA) is a widely used material in dental applications, particularly as denture resins. Due to thermally unstable and wet oral cavity, the implanted PMMA based resins occasionally deform and grow bacterial biofilms at the interface between oral cavity and the biomaterial. Several strategies attempted earlier to improve the bacterial resistance and mechanical performance of PMMA. Poly(ethyleneimine) (PEI) is a hyperbranched cationic polymer shown earlier to improve antibacterial activity of resins but do not improve mechanical properties of the resins alone, while silk fibroin (SF) is a natural biopolymer with unique material properties. In this study, we combined SF and PEI towards development of antibacterial and mechanically superior PMMA based materials towards overcoming its drawbacks. Using polyblend electrospinning to combine SF, PEI and PMMA, we successfully developed intrinsically antibacterial and mechanically reinforced nanofiber mats. We propose that the resulting nanofiber mats have the potential to be incorporated into PMMA based denture resin materials to overcome the problems of patients and improve their quality of life. Polyblend electrospinning PMMA with SF and PEI leads to striking decrease in fiber diameter. PMMA+SF+PEI fibers have superior mechanical properties compared to PMMA fibers. PMMA+SF+PEI fibers intrinsically showed antibacterial activity against a pathogenic bacteria with in oral microflora. PMMA+SF+PEI fibers could potentially be used in PMMA based denture materials.
Collapse
|
13
|
Keirouz A, Zakharova M, Kwon J, Robert C, Koutsos V, Callanan A, Chen X, Fortunato G, Radacsi N. High-throughput production of silk fibroin-based electrospun fibers as biomaterial for skin tissue engineering applications. MATERIALS SCIENCE & ENGINEERING. C, MATERIALS FOR BIOLOGICAL APPLICATIONS 2020; 112:110939. [PMID: 32409085 DOI: 10.1016/j.msec.2020.110939] [Citation(s) in RCA: 38] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/09/2019] [Revised: 01/23/2020] [Accepted: 04/06/2020] [Indexed: 11/19/2022]
Abstract
In this work, a nozzle-free electrospinning device was built to obtain high-throughput production of silk fibroin-based biocompatible composite fibers with tunable wettability. Synthetic biomaterials tend to present suboptimal cell growth and proliferation, with many studies linking this phenomenon to the hydrophobicity of such surfaces. In this study, electrospun mats consisting of Poly(caprolactone) blended with variant forms of Poly(glycerol sebacate) (PGS) and regenerated silk fibroin were fabricated. The main aim of this work was the development of fiber mats with tunable hydrophobicity/hydrophilicity properties depending on the esterification degree and concentration of PGS. A variation of the conventional protocol used for the extraction of silk fibroin from Bombyx mori cocoons was employed, achieving significantly increased yields of the protein, in a third of the time required via the conventional extraction protocol. By altering the surface properties of the electrospun membranes, the trinary composite biomaterial presented good in vitro fibroblast attachment behavior and optimal growth, indicating the potential of such constructs towards the development of an artificial skin-like platform that can aid wound healing and skin regeneration.
Collapse
Affiliation(s)
- Antonios Keirouz
- School of Engineering, Institute for Materials and Processes, The University of Edinburgh, King's Buildings, Edinburgh EH9 3FB, United Kingdom; Laboratory for Biomimetic Membranes and Textiles, Empa, Swiss Federal Laboratories for Materials Science and Technology, Lerchenfeldstrasse 5, CH-9014, St. Gallen, Switzerland
| | - Mariia Zakharova
- School of Engineering, Institute for Materials and Processes, The University of Edinburgh, King's Buildings, Edinburgh EH9 3FB, United Kingdom
| | - Jaehoon Kwon
- School of Engineering, Institute for Materials and Processes, The University of Edinburgh, King's Buildings, Edinburgh EH9 3FB, United Kingdom
| | - Colin Robert
- School of Engineering, Institute for Materials and Processes, The University of Edinburgh, King's Buildings, Edinburgh EH9 3FB, United Kingdom
| | - Vasileios Koutsos
- School of Engineering, Institute for Materials and Processes, The University of Edinburgh, King's Buildings, Edinburgh EH9 3FB, United Kingdom
| | - Anthony Callanan
- School of Engineering, Institute for Bioengineering, The University of Edinburgh, King's Buildings, Edinburgh EH9 3JL, United Kingdom
| | - Xianfeng Chen
- School of Engineering, Institute for Bioengineering, The University of Edinburgh, King's Buildings, Edinburgh EH9 3JL, United Kingdom
| | - Giuseppino Fortunato
- Laboratory for Biomimetic Membranes and Textiles, Empa, Swiss Federal Laboratories for Materials Science and Technology, Lerchenfeldstrasse 5, CH-9014, St. Gallen, Switzerland
| | - Norbert Radacsi
- School of Engineering, Institute for Materials and Processes, The University of Edinburgh, King's Buildings, Edinburgh EH9 3FB, United Kingdom.
| |
Collapse
|
14
|
Lamas ML, Lima MS, Pinho AC, Tugushi D, Katsarava R, Costa EC, Correia IJ, Serra AC, Coelho JF, Fonseca AC. Towards the development of electrospun mats from poly(ε-caprolactone)/poly(ester amide)s miscible blends. POLYMER 2018. [DOI: 10.1016/j.polymer.2018.07.050] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
|
15
|
Khosravi A, Ghasemi-Mobarakeh L, Mollahosseini H, Ajalloueian F, Masoudi Rad M, Norouzi MR, Sami Jokandan M, Khoddami A, Chronakis IS. Immobilization of silk fibroin on the surface of PCL nanofibrous scaffolds for tissue engineering applications. J Appl Polym Sci 2018. [DOI: 10.1002/app.46684] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Affiliation(s)
- Alireza Khosravi
- Department of Textile Engineering; Isfahan University of Technology; Isfahan 84156-83111 Iran
| | - Laleh Ghasemi-Mobarakeh
- Department of Textile Engineering; Isfahan University of Technology; Isfahan 84156-83111 Iran
| | - Hossein Mollahosseini
- Department of Textile Engineering; Isfahan University of Technology; Isfahan 84156-83111 Iran
| | - Fatemeh Ajalloueian
- Nano-BioScience Research Group; DTU-Food, Technical University of Denmark, Kemitorvet B202; 2800 Kgs, Lyngby Denmark
| | - Maryam Masoudi Rad
- Department of Chemical Engineering; Isfahan University of Technology; Isfahan 84156-83111 Iran
| | - Mohammad-Reza Norouzi
- Department of Textile Engineering; Isfahan University of Technology; Isfahan 84156-83111 Iran
| | - Maryam Sami Jokandan
- Nano-BioScience Research Group; DTU-Food, Technical University of Denmark, Kemitorvet B202; 2800 Kgs, Lyngby Denmark
| | - Akbar Khoddami
- Department of Textile Engineering; Isfahan University of Technology; Isfahan 84156-83111 Iran
| | - Ioannis S. Chronakis
- Nano-BioScience Research Group; DTU-Food, Technical University of Denmark, Kemitorvet B202; 2800 Kgs, Lyngby Denmark
| |
Collapse
|
16
|
Gu X, Li N, Gu H, Xia X, Xiong J. Polydimethylsiloxane-modified polyurethane-poly(ɛ-caprolactone) nanofibrous membranes for waterproof, breathable applications. J Appl Polym Sci 2018. [DOI: 10.1002/app.46360] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Affiliation(s)
- Xianyuan Gu
- College of Materials and Textiles; Zhejiang Sci-Tech University; Hangzhou China
- Key Laboratory of Advanced Textile Materials and Manufacturing Technology; Zhejiang Sci-Tech University; Hangzhou China
| | - Ni Li
- College of Materials and Textiles; Zhejiang Sci-Tech University; Hangzhou China
- Key Laboratory of Advanced Textile Materials and Manufacturing Technology; Zhejiang Sci-Tech University; Hangzhou China
| | - Haihong Gu
- College of Materials and Textiles; Zhejiang Sci-Tech University; Hangzhou China
- Key Laboratory of Advanced Textile Materials and Manufacturing Technology; Zhejiang Sci-Tech University; Hangzhou China
| | - Xin Xia
- College of Fashion; Zhejiang Sci-Tech University; Hangzhou, People's Republic of China
| | - Jie Xiong
- College of Materials and Textiles; Zhejiang Sci-Tech University; Hangzhou China
- Key Laboratory of Advanced Textile Materials and Manufacturing Technology; Zhejiang Sci-Tech University; Hangzhou China
| |
Collapse
|
17
|
Balogh A, Farkas B, Pálvölgyi Á, Domokos A, Démuth B, Marosi G, Nagy ZK. Novel Alternating Current Electrospinning of Hydroxypropylmethylcellulose Acetate Succinate (HPMCAS) Nanofibers for Dissolution Enhancement: The Importance of Solution Conductivity. J Pharm Sci 2017; 106:1634-1643. [PMID: 28257818 DOI: 10.1016/j.xphs.2017.02.021] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2017] [Revised: 02/01/2017] [Accepted: 02/16/2017] [Indexed: 11/17/2022]
Abstract
Novel, high-yield alternating current electrospinning (ACES) and direct current electrospinning methods were investigated to prepare high-quality hydroxypropylmethylcellulose acetate succinate (HPMCAS) fibers for the dissolution enhancement of poorly soluble spironolactone. Although HPMCAS is of great pharmaceutical importance as a carrier of marketed solid dispersion-based products, it was found to be unprocessable using electrospinning. Addition of small amounts of polyethylene oxide as aid polymer provided smooth fibers with direct current electrospinning but strongly beaded products with ACES. Solution characteristics were thus modified by introducing further excipients. In the presence of sodium dodecyl sulfate, high-quality, HPMCAS-based fibers were obtained even at higher throughput rates of ACES owing to the change in conductivity (rather than surface tension). Replacement of sodium dodecyl sulfate with non-surface-active salts (calcium chloride and ammonium acetate) maintained the fine quality of nanofibers, confirming the importance of conductivity in ACES process. The HPMCAS-based fibers contained spironolactone in an amorphous form according to differential scanning calorimetry and X-ray powder diffraction. In vitro dissolution tests revealed fast drug release rates depending on the salt used to adjust conductivity. The presented results signify that ACES can be a prospective process for high-scale production of fibrous solid dispersions in which conductivity of solution has a fundamental role.
Collapse
Affiliation(s)
- Attila Balogh
- Organic Chemistry and Technology Department, Budapest University of Technology and Economics, Budapest 1111, Hungary
| | - Balázs Farkas
- Organic Chemistry and Technology Department, Budapest University of Technology and Economics, Budapest 1111, Hungary
| | - Ádám Pálvölgyi
- Organic Chemistry and Technology Department, Budapest University of Technology and Economics, Budapest 1111, Hungary
| | - András Domokos
- Organic Chemistry and Technology Department, Budapest University of Technology and Economics, Budapest 1111, Hungary
| | - Balázs Démuth
- Organic Chemistry and Technology Department, Budapest University of Technology and Economics, Budapest 1111, Hungary
| | - György Marosi
- Organic Chemistry and Technology Department, Budapest University of Technology and Economics, Budapest 1111, Hungary
| | - Zsombor Kristóf Nagy
- Organic Chemistry and Technology Department, Budapest University of Technology and Economics, Budapest 1111, Hungary.
| |
Collapse
|
18
|
Zhou L, Hu C, Chen Y, Xia S, Yan J. Investigations of silk fiber/calcium phosphate cement biocomposite for radial bone defect repair in rabbits. J Orthop Surg Res 2017; 12:32. [PMID: 28222750 PMCID: PMC5320665 DOI: 10.1186/s13018-017-0529-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/24/2016] [Accepted: 02/05/2017] [Indexed: 11/24/2022] Open
Abstract
Background This study aimed to investigate the effects of silk fiber (SF)/calcium phosphate cement (CPC) biocomposite on repairing radial bone defects in rabbits. Methods Four-month-old New Zealand rabbits were selected to create a bilateral radial bone defect model and divided into four groups according to implanted material: SF/CPC, SF/CPC/particulate bone (PB), PB, and control (C). The specimens were removed at four and eight postoperative weeks for general observation, X-ray examination, tissue slicing, scanning electron microscopy (SEM), and biomechanical testing. Results Postoperative X-ray showed no bone defect repair in group C and different degrees of bone defect repair in the other three groups. Imaging, histology, and SEM showed the following: group SF/CPC formed fine trabecular bone in week 4, while the maximum bending load in group SF/CPC in week 4 was significantly different from those in the other groups (P < 0.05). Conclusions SF/CPC has good biocompatibility and bone-inducing ability, demonstrating its bone defect-repairing ability.
Collapse
Affiliation(s)
- Lei Zhou
- Department of Orthopedics, The Second Affiliated Hospital of Harbin Medical University, Harbin, 150081, China
| | - Chunjie Hu
- Department of Obstetrics and Gynecology, The Fourth Affiliated Hospital of Harbin Medical University, Harbin, 150081, China
| | - Yingjun Chen
- Department of Orthopedics, The People's Hospital of Shangqiu City, Henan, 476000, China
| | - Shiqi Xia
- Department of Orthopedics, The Second Affiliated Hospital of Harbin Medical University, Harbin, 150081, China
| | - Jinglong Yan
- Department of Orthopedics, The Second Affiliated Hospital of Harbin Medical University, Harbin, 150081, China.
| |
Collapse
|