Kikawa T, Kashimoto O, Imaizumi H, Kokubun S, Suzuki O
Division of Orthopedic Surgery, Kikawa Hospital, 17 Shimo-cho, Tamachi, Kakunodate-machi, Senboku 014-0312, Japan.
Acta Biomater. 2009 Jun;5(5):1756-66. doi: 10.1016/j.actbio.2008.12.008. Epub 2008 Dec 25.
Previous studies showed that synthetic octacalcium phosphate (OCP) enhances bone formation coupled with its own osteoclastic biodegradation more than non-biodegradable hydroxyapatite (HA), including sintered HA ceramic, when implanted in animal bone defects. The present study was designed to investigate whether synthetic OCP in granule form has biodegradable characteristics when implanted in the subperiosteal area of mouse calvaria in comparison with non-sintered stoichiometric HA, especially in relatively short periods after implantation. OCP crystals exhibited plate-like morphology, whereas HA crystals had a sphere-like structure. Both crystals had large pore volumes >75% in total, with micropores within the granules. Direct bonding of newly formed bone was discernible in HA until 35 days after implantation by element analysis for calcium and phosphorus. However, histomorphometric analysis demonstrated that bone formation was facilitated on OCP surfaces with greater alkaline phosphatase activity than on HA up to 21 days. The surfaces attacked by tartrate-resistant acid phosphatase positive osteoclast-like cells were significantly greater than those of HA. OCP became encapsulated and replaced with new bone with prolonged implantation periods up to 180 days. The results suggest that the enhanced bone formation in mouse calvaria could be associated with the biodegradable nature of OCP, and that OCP could be used in augmenting intramembranous bone volume.
先前的研究表明,当植入动物骨缺损处时,合成八钙磷酸钙(OCP)与其自身的破骨细胞生物降解作用相结合,比不可生物降解的羟基磷灰石(HA),包括烧结HA陶瓷,更能促进骨形成。本研究旨在调查与非烧结化学计量HA相比,颗粒状合成OCP植入小鼠颅骨骨膜下区域时,尤其是在植入后相对较短的时间内,是否具有生物可降解特性。OCP晶体呈现板状形态,而HA晶体具有球状结构。两种晶体的总孔隙率均大于75%,颗粒内有微孔。通过钙和磷的元素分析,在植入后35天内,HA中可观察到新形成骨的直接结合。然而,组织形态计量学分析表明,在OCP表面,直到21天,骨形成比HA表面更活跃,碱性磷酸酶活性更高。抗酒石酸酸性磷酸酶阳性的破骨细胞样细胞攻击的OCP表面明显大于HA表面。随着植入时间延长至180天,OCP被包裹并被新骨替代。结果表明,小鼠颅骨中增强的骨形成可能与OCP的生物可降解性质有关,并且OCP可用于增加膜内骨体积。