Ciapetti Gabriela, Di Pompo Gemma, Avnet Sofia, Martini Desirée, Diez-Escudero Anna, Montufar Edgar B, Ginebra Maria-Pau, Baldini Nicola
Orthopaedic Pathophysiology and Regenerative Medicine Unit, Istituto Ortopedico Rizzoli, Bologna, Italy.
Orthopaedic Pathophysiology and Regenerative Medicine Unit, Istituto Ortopedico Rizzoli, Bologna, Italy; Department of Biomedical and Neuromotor Sciences, University of Bologna, Italy.
Acta Biomater. 2017 Mar 1;50:102-113. doi: 10.1016/j.actbio.2016.12.013. Epub 2016 Dec 8.
The design of synthetic bone grafts to foster bone formation is a challenge in regenerative medicine. Understanding the interaction of bone substitutes with osteoclasts is essential, since osteoclasts not only drive a timely resorption of the biomaterial, but also trigger osteoblast activity. In this study, the adhesion and differentiation of human blood-derived osteoclast precursors (OCP) on two different micro-nanostructured biomimetic hydroxyapatite materials consisting in coarse (HA-C) and fine HA (HA-F) crystals, in comparison with sintered stoichiometric HA (sin-HA, reference material), were investigated. Osteoclasts were induced to differentiate by RANKL-containing supernatant using cell/substrate direct and indirect contact systems, and calcium (Ca) and phosphorus (P) in culture medium were measured. We observed that OCP adhered to the experimental surfaces, and that osteoclast-like cells formed at a rate influenced by the micro- and nano-structure of HA, which also modulate extracellular Ca. Qualitative differences were found between OCP on biomimetic HA-C and HA-F and their counterparts on plastic and sin-HA. On HA-C and HA-F cells shared typical features of mature osteoclasts, i.e. podosomes, multinuclearity, tartrate acid phosphatase (TRAP)-positive staining, and TRAP5b-enzyme release. However, cells were less in number compared to those on plastic or on sin-HA, and they did not express some specific osteoclast markers. In conclusion, blood-derived OCP are able to attach to biomimetic and sintered HA substrates, but their subsequent fusion and resorptive activity are hampered by surface micro-nano-structure. Indirect cultures suggest that fusion of OCP is sensitive to topography and to extracellular calcium.
The novelty of the paper is the differentiation of human blood-derived osteoclast precursors, instead of mouse-derived macrophages as used in most studies, directly on biomimetic micro-nano structured HA-based surfaces, as triggered by osteoblast-produced factors (RANKL/OPG), and influenced by chemistry and topography of the substrate(s). Biomimetic HA-surfaces, like those obtained in calcium phosphate cements, are very different from the conventional calcium phosphate ceramics, both in terms of topography and ion exchange. The role of these factors in modulating precursors' differentiation and activity is analysed. The system is closely reproducing the physiological process of attachment of host cells and further maturation to osteoclasts toward resorption of the substrate, which occurs in vivo after filling bone defects with the calcium phosphate grafts.
设计用于促进骨形成的合成骨移植材料是再生医学中的一项挑战。了解骨替代物与破骨细胞之间的相互作用至关重要,因为破骨细胞不仅能及时驱动生物材料的吸收,还能触发成骨细胞活性。在本研究中,我们研究了人血源性破骨细胞前体(OCP)在两种不同的微纳米结构仿生羟基磷灰石材料(由粗大(HA-C)和细小HA(HA-F)晶体组成)上的黏附与分化情况,并与烧结化学计量比HA(sin-HA,参考材料)进行了比较。使用细胞/底物直接和间接接触系统,通过含RANKL的上清液诱导破骨细胞分化,并测量培养基中的钙(Ca)和磷(P)。我们观察到OCP黏附于实验表面,并且类破骨细胞的形成速率受HA的微观和纳米结构影响,这种结构也调节细胞外钙。在仿生HA-C和HA-F上的OCP与其在塑料和sin-HA上的对应物之间发现了质的差异。在HA-C和HA-F上,细胞具有成熟破骨细胞的典型特征,即足体、多核性、抗酒石酸酸性磷酸酶(TRAP)阳性染色以及TRAP5b酶释放。然而,与在塑料或sin-HA上的细胞相比,这些细胞数量较少,并且它们不表达一些特定的破骨细胞标志物。总之,血源性OCP能够附着于仿生和烧结的HA底物,但它们随后的融合和吸收活性受到表面微纳米结构的阻碍。间接培养表明OCP的融合对拓扑结构和细胞外钙敏感。
本文的新颖之处在于,不同于大多数研究中使用的小鼠来源的巨噬细胞,人血源性破骨细胞前体直接在由成骨细胞产生的因子(RANKL/OPG)触发、受底物化学性质和拓扑结构影响的基于仿生微纳米结构HA的表面上进行分化。像在磷酸钙骨水泥中获得的仿生HA表面,在拓扑结构和离子交换方面都与传统磷酸钙陶瓷有很大不同。分析了这些因素在调节前体分化和活性中的作用。该系统紧密再现了宿主细胞附着以及进一步成熟为破骨细胞以吸收底物的生理过程,这一过程在体内用磷酸钙移植物填充骨缺损后发生。