Synergistic effect of functionalized poly(l-lactide) with surface-modified MgO and chitin whiskers on osteogenesis in vivo and in vitro.

Favorable cytocompatibility and osteogenesis potential are critical for the development of a bone repair material. In this study, two types of surface-modified whiskers, grafted magnesia and chitin (g-MgO and g-CHN) whiskers, were synthesized and introduced into a poly(l-lactide) (PLLA) matrix singly or together to prepare PLLA/g-MgO/g-CHN composite films and bone nails via injection molding. On the account of the synergetic contribution of g-MgO and g-CHN whiskers, the enhanced cell adhesion, spreading, proliferation of mouse embryo osteoblast precursor (MC3T3-E1) cells, as well as the alteration of cell-cycle and inhibition of cell apoptosis, were observed on PLLA/g-MgO/g-CHN film as compared to pure PLLA, PLLA/g-MgO and PLLA/g-CHN films. More importantly, the highest level of the secretion of ALP and the formation of calcium deposition, accompanied with expression of osteogenesis genes (ALP, Runx-2, COL I, OCN) in vitro were obtained for the PLLA/g-MgO/g-CHN film among all of the material groups. Additionally, the PLLA and PLLA composite bone nails were implanted in rabbits' femurs and new bone formation was detected on PLLA/g-MgO/g-CHN group after 16 weeks of implantation by 3D reconstruction of micro-CT and histological analyses. Besides, the bending strength of defected bone repaired by PLLA/g-MgO/g-CHN bone nail was high to 48 MPa, which was far stronger than other bone nail groups. Overall, this study demonstrated the addition of g-MgO and g-CHN whiskers together in PLLA matrix played a synergistic promoting role in cell affinity and osteogenic differentiation, and the developed PLLA/g-MgO/g-CHN composites hold great potential in fields of bone repair.