Comparison of endothelial cell attachment on surfaces of biodegradable polymer-coated magnesium alloys in a microfluidic environment

Vasculature-on-chip for Assessment of Bioresorbable Scaffolds and Endothelial Barrier Integrity

ABSTRACT

Endothelial cells adhere to one another through junctional structures formed by intercellular adhesion molecules. These intercellular proteins regulate barrier function in response to the hemodynamic shear rate and enable the selective passage of solutes and fluids across the endothelium. After endovascular device implantation, the endothelial barrier is compromised and becomes discontinuous, which increases permeability, allowing transmigration of leukocytes and lipoproteins and leading to the accumulation of lipid-laden foamy macrophages in the subendothelial space. Drug-coated bioresorbable vascular scaffold implants have been associated with unexpected thrombotic complications, which were not predicted in animals because of dissimilarities in endothelial regeneration and realignment between animals and humans. The development of a microengineered, microfluidics-based system of patterned channels lined with human endothelial and smooth muscle cells perfused with blood allows for the evaluation of endothelial function and barrier integrity. This review highlights the translational potential of vasculature-on-chip, which recreates the microphysiological milieu to evaluate the impact of drug-eluting bioresorbable vascular scaffolds on endothelial barrier integrity and to characterize polymer biodegradation behavior and drug release kinetic profiles over time.

Preparation and evaluation of osteogenic nano-MgO/PMMA bone cement for bone healing in a rat critical size calvarial defect

The clinical outcomes of polymethylmethacrylate (PMMA) bone cement used to fill gaps or marrow cavities of bones and bone defects are limited due to poor handling properties, mismatched mechanical properties with natural bone and lack of osteogenesis for bone healing. In this study, a series of PMMA bone cements containing active nano-MgO particles (nano-MgO/PMMA) were prepared. The handling and mechanical properties were systemically evaluated according to an International Standardization Organization standard (ISO 5833:2002). The biocompatibility and osteogenic activity of nano-MgO/PMMA were also analysed in vitro. The osteogenic effects of nano-MgO/PMMA were assessed in a rat calvarial critical bone defect model. The addition of less than 15 wt% nano-MgO to PMMA improved the handling properties of PMMA. Compared with PMMA, the compression modulus and strength of 20MP (20 wt% nano-MgO to PMMA) decreased to 0.725 ± 0.023 GPa and 25.38 ± 2.82 MPa, respectively. In vitro studies with MC3T3-E1 showed that nano-MgO/PMMA had better biocompatibility than the PMMA group after 7 days of culture. The nano-MgO/PMMA groups showed more calcium nodules and higher osteogenic gene expression levels than PMMA after 12 days of osteogenic induction of the rat BMSCs. The in vivo studies analysed by micro-CT and histomorphology results proved that nano-MgO/PMMA could significantly enhance new bone formation. The mean new bone mineral density in the nano-MgO/PMMA group was 50% greater than that in the PMMA group. In addition, biomechanical tests showed that nano-MgO/PMMA was superior to PMMA in bone-bonding strength after 12 weeks implantation. Therefore, the nano-MgO/PMMA bone cement has good potential in joint fixation and bone defect filling applications.

Multistep Instead of One-Step: A Versatile and Multifunctional Coating Platform for Biocompatible Corrosion Protection

Magnesium alloys have potential application in cardiovascular stents and orthopedic implants. However, the rapid corrosion rate of magnesium limits their clinical application. In order to improve the corrosion resistance and biocompatibility of the substrate, a protective coating is constructed by alternate immersing of MgZnMn alloy in epigallocatechin gallate (EGCG) and polyethyleneimine (PEI) solution. The conventional method is immersing magnesium alloy into a conversion solution by simple one-step immersion. In the present work, the EGCG/PEI coating is prepared by a novel alternate immersion method. The number of alternate immersions resulted in a different density of phenolic hydroxyl groups and amino groups on the surface. The corrosion resistance and bonding strength of the coating also varied with alternating immersion times. As the corrosion resistance and density of the functional groups varies, endothelial cells (ECs), smooth muscle cells (SMCs), osteoblasts, and macrophages showed a different growth state on EGCG/PEI coatings. In summary, this EGCG/PEI coating addressed the rapid corrosion rate of the magnesium alloy and can adjust its function by controlling the number of alternate immersions. The EGCG/PEI coating exhibited multifunctions: improved corrosion resistance, good compatibility with ECs and osteoblasts, and inhibition of SMC growth and inflammation, and the effective groups on the coating make it possible for further modification by grafting biomolecules. This is an effective method for preparing a multifunctional platform on biomedical magnesium alloys.