Romagnoli Cecilia, D'Asta Federica, Brandi Maria Luisa
Department of Surgery and Translational Medicine, University of Florence, Florence, Italy.
Department of Neurosciences, Psychology, Drug Area and Child Health, University of Florence, Florence, Italy.
Clin Cases Miner Bone Metab. 2013 Sep;10(3):155-61.
Due to the disadvantages of the current bone autograft and allograft in many clinical condition in which bone regeneration is required in large quantity, engineered biomaterials combined with growth factors, such as bone morphogenetic protein-2 (BMP-2), have been demonstrated to be an effective approach in bone tissue engineering, since they can act both as a scaffold and as a drug delivery system to promote bone repair and regeneration.
Recent advantages in the field of engineered scaffolds have been obtained from the investigation of composite scaffolds designed by the combination of bioceramics, especially hydroxyapatite (HA), and biodegradable polymers, such as poly (D,L-lactide-co-glycolide) (PLGA) and chitosan, in order to realize osteoconductive structures that can mimic the natural properties of bone tissue. Herein it is demonstrated that the incorporation of BMP-2 into different composite scaffolds, by encapsulation, absorption or entrapment, could be advantageous in terms of osteoinduction for new bone tissue engineered scaffolds as drug delivery systems and some of them should be further analyzed to optimized the drug release for future therapeutic applications.
New design concepts and fabrication techniques represent novel challenges for further investigations about the development of scaffolds as a drug delivery system for bone tissue regeneration.
由于目前自体骨移植和异体骨移植在许多需要大量骨再生的临床情况下存在缺点,工程化生物材料与生长因子(如骨形态发生蛋白-2,BMP-2)相结合已被证明是骨组织工程中的一种有效方法,因为它们既可以作为支架,又可以作为药物递送系统来促进骨修复和再生。
通过研究由生物陶瓷(特别是羟基磷灰石,HA)与可生物降解聚合物(如聚(D,L-丙交酯-共-乙交酯),PLGA和壳聚糖)组合设计的复合支架,在工程化支架领域取得了近期优势,以实现能够模拟骨组织天然特性的骨传导结构。本文证明,通过包封、吸附或包埋将BMP-2掺入不同的复合支架中,对于作为药物递送系统的新型骨组织工程支架的骨诱导而言可能是有利的,并且其中一些应进一步分析以优化药物释放以用于未来的治疗应用。
新的设计概念和制造技术对进一步研究作为骨组织再生药物递送系统的支架的开发提出了新的挑战。