Suppr超能文献

引导组织工程学在使用基于生物材料的支架和局部骨活性分子递送的组合治疗松质骨和皮质骨中的应用。

Guided tissue engineering for healing of cancellous and cortical bone using a combination of biomaterial based scaffolding and local bone active molecule delivery.

机构信息

Lund University, Faculty of Medicine, Department of Clinical Sciences Lund, Orthopedics, Lund 22185, Sweden.

Indian Institute of Technology Kanpur, Department of Biological Sciences and Bioengineering, Kanpur, UP 208016, India.

出版信息

Biomaterials. 2019 Jan;188:38-49. doi: 10.1016/j.biomaterials.2018.10.004. Epub 2018 Oct 4.

Abstract

A metaphyseal bone defect due to infection, tumor or fracture leads to loss of cancellous and cortical bone. An animal model separating the cancellous and cortical healing was used with a combination of a macroporous gelatin-calcium sulphate-hydroxyapatite (Gel-CaS-HA) biomaterial as a cancellous defect filler, and a thin collagen membrane (CM) guiding cortical bone regeneration. The membrane was immobilized with bone morphogenic protein-2 (rhBMP-2) to enhance the osteoinductive properties. The Gel-CaS-HA cancellous defect filler contained both rhBMP-2 and a bisphosphonate, (zoledronate = ZA) to prevent premature callus resorption induced by the pro-osteoclast effect of rhBMP-2 alone. In the first part of the study, the CM delivering both rhBMP-2 and ZA was tested in a muscle pouch model in rats and the co-delivery of rhBMP-2 and ZA via the CM resulted in higher amounts of bone compared to rhBMP-2 alone. Secondly, an established tibia defect model in rats was used to study cortical and cancellous bone regeneration. The defect was left empty, filled with Gel-CaS-HA alone, Gel-CaS-HA immobilized with ZA or Gel-CaS-HA immobilized with rhBMP-2+ZA. Functionalization of the Gel-CaS-HA scaffold with bioactive molecules produced significantly more bone in the cancellous defect and its surroundings but cortical defect healing was delayed likely due to the protrusion of the Gel-CaS-HA into the cortical bone. To guide cortical regeneration, the cortical defect was sealed endosteally by a CM with or without rhBMP-2. Subsequently, the cancellous defect was filled with Gel-CaS-HA containing ZA and rhBMP-2+ZA. In the groups where the CM was doped with rhBMP-2, significantly higher number of cortices bridged. The approach to guide cancellous as well as cortical bone regeneration separately in a metaphyseal defect using two bioactive molecule immobilized biomaterials is promising and could improve the clinical care of patients with metaphyseal defects.

摘要

由于感染、肿瘤或骨折导致的干骺端骨缺损会导致松质骨和皮质骨的丢失。本研究采用一种将松质骨和皮质骨愈合分开的动物模型,使用多孔明胶-硫酸钙-羟基磷灰石(Gel-CaS-HA)生物材料作为松质骨缺损填充物,并使用薄胶原膜(CM)引导皮质骨再生。该膜通过骨形态发生蛋白-2(rhBMP-2)固定,以增强成骨诱导特性。Gel-CaS-HA 松质骨缺损填充物中既含有 rhBMP-2,也含有双膦酸盐(唑来膦酸=ZA),以防止 rhBMP-2 单独的破骨前效应引起过早的骨痂吸收。在研究的第一部分,在大鼠的肌肉囊模型中测试了同时递送 rhBMP-2 和 ZA 的 CM,与单独使用 rhBMP-2 相比,通过 CM 共递送 rhBMP-2 和 ZA 会导致更多的骨形成。其次,在大鼠建立的胫骨缺损模型中研究了皮质骨和松质骨的再生。该缺损为空,仅填充 Gel-CaS-HA、用 ZA 固定的 Gel-CaS-HA 或用 rhBMP-2+ZA 固定的 Gel-CaS-HA。用生物活性分子功能化 Gel-CaS-HA 支架可显著增加松质骨缺损及其周围的骨形成,但皮质骨缺损的愈合被延迟,可能是由于 Gel-CaS-HA 突出到皮质骨中。为了引导皮质骨再生,通过带有或不带有 rhBMP-2 的 CM 进行内骨端封闭。随后,将松质骨缺损用含有 ZA 和 rhBMP-2+ZA 的 Gel-CaS-HA 填充。在 CM 中掺杂 rhBMP-2 的组中,明显有更多的皮质骨桥接。使用两种固定有生物活性分子的生物材料分别引导干骺端缺损的松质骨和皮质骨再生的方法很有前景,可以改善干骺端缺损患者的临床护理。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验