使用含有成纤维细胞生长因子-2的高度多孔聚乳酸-羟基乙酸共聚物/β-磷酸三钙支架进行骨增量
Bone augmentation using a highly porous PLGA/β-TCP scaffold containing fibroblast growth factor-2.
作者信息
Yoshida T, Miyaji H, Otani K, Inoue K, Nakane K, Nishimura H, Ibara A, Shimada A, Ogawa K, Nishida E, Sugaya T, Sun L, Fugetsu B, Kawanami M
机构信息
Department of Periodontology and Endodontology, Hokkaido University Graduate School of Dental Medicine, Sapporo, Japan.
出版信息
J Periodontal Res. 2015 Apr;50(2):265-73. doi: 10.1111/jre.12206. Epub 2014 Jun 26.
BACKGROUND AND OBJECTIVE
Beta-tricalcium phosphate (β-TCP), a bio-absorbable ceramic, facilitates bone conductivity. We constructed a highly porous three-dimensional scaffold, using β-TCP, for bone tissue engineering and coated it with co-poly lactic acid/glycolic acid (PLGA) to improve the mechanical strength and biological performance. The aim of this study was to examine the effect of implantation of the PLGA/β-TCP scaffold loaded with fibroblast growth factor-2 (FGF-2) on bone augmentation.
MATERIAL AND METHODS
The β-TCP scaffold was fabricated by the replica method using polyurethane foam, then coated with PLGA. The PLGA/β-TCP scaffold was characterized by scanning electron miscroscopy (SEM), transmission electron microscopy (TEM), X-ray diffraction, compressive testing, cell culture and a subcutaneous implant test. Subsequently, a bone-forming test was performed using 52 rats. The β-TCP scaffold, PLGA-coated scaffold, and β-TCP and PLGA-coated scaffolds loaded with FGF-2, were implanted into rat cranial bone. Histological observations were made at 10 and 35 d postsurgery.
RESULTS
SEM and TEM observations showed a thin PLGA layer on the β-TCP particles after coating. High porosity (> 90%) of the scaffold was exhibited after PLGA coating, and the compressive strength of the PLGA/β-TCP scaffold was six-fold greater than that of the noncoated scaffold. Good biocompatibility of the PLGA/β-TCP scaffold was found in the culture and implant tests. Histological samples obtained following implantation of PLGA/β-TCP scaffold loaded with FGF-2 showed significant bone augmentation.
CONCLUSION
The PLGA coating improved the mechanical strength of β-TCP scaffolds while maintaining high porosity and tissue compatibility. PLGA/β-TCP scaffolds, in combination with FGF-2, are bioeffective for bone augmentation.
背景与目的
β-磷酸三钙(β-TCP)是一种可生物吸收的陶瓷,具有促进骨传导性的作用。我们使用β-TCP构建了一种用于骨组织工程的高孔隙率三维支架,并在其上涂覆了聚乳酸/乙醇酸共聚物(PLGA)以提高其机械强度和生物学性能。本研究的目的是考察植入负载成纤维细胞生长因子-2(FGF-2)的PLGA/β-TCP支架对骨增量的影响。
材料与方法
采用聚氨酯泡沫通过复制法制备β-TCP支架,然后涂覆PLGA。通过扫描电子显微镜(SEM)、透射电子显微镜(TEM)、X射线衍射、压缩测试、细胞培养和皮下植入试验对PLGA/β-TCP支架进行表征。随后,使用52只大鼠进行骨形成试验。将β-TCP支架、PLGA涂层支架以及负载FGF-2的β-TCP和PLGA涂层支架植入大鼠颅骨。在术后10天和35天进行组织学观察。
结果
SEM和TEM观察显示涂覆后β-TCP颗粒上有一层薄的PLGA层。PLGA涂覆后支架呈现出高孔隙率(>90%),且PLGA/β-TCP支架的抗压强度是非涂覆支架的6倍。在培养和植入试验中发现PLGA/β-TCP支架具有良好的生物相容性。植入负载FGF-2的PLGA/β-TCP支架后获得的组织学样本显示有明显的骨增量。
结论
PLGA涂层提高了β-TCP支架的机械强度,同时保持了高孔隙率和组织相容性。PLGA/β-TCP支架与FGF-2联合使用对骨增量具有生物有效性。