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SrHPO涂层Mg-Nd-Zn-Zr合金髓内钉在大鼠股骨干骨折模型中的降解及成骨诱导作用

Degradation and osteogenic induction of a SrHPO-coated Mg-Nd-Zn-Zr alloy intramedullary nail in a rat femoral shaft fracture model.

作者信息

Wang Zhe, Wang Xinyuan, Pei Jia, Tian Yuan, Zhang Jian, Jiang Chang, Huang Junming, Pang Zhiying, Cao Yuanwu, Wang Xiuhui, An Senbo, Wang Xiao, Huang Hua, Yuan Guangyin, Yan Zuoqin

机构信息

Department of Orthopedics, Zhongshan Hospital, Fudan University, Shanghai, 200032, China; Department of Orthopedic Surgery, School of Medicine, Johns Hopkins University, Baltimore, MD, 21205, USA.

Department of Orthopedics, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.

出版信息

Biomaterials. 2020 Jul;247:119962. doi: 10.1016/j.biomaterials.2020.119962. Epub 2020 Mar 31.

Abstract

Magnesium and Mg-based alloys are promising biomaterials for orthopedic implants because of their degradability, osteogenic effects, and biocompatibility. However, the drawbacks of these materials include high hydrogen gas production, unexpected corrosion resistance, and insufficient mechanical strength duration. Surface modification can protect these biomaterials and induce osteogenesis. In this work, a SrHPO coating was developed for our patented biodegradable Mg-Nd-Zn-Zr alloy (abbr. JDBM) through a chemical deposition method. The coating was characterized by in vitro immersion, ion release, and cytotoxicity tests, which showed a slower corrosion behavior and excellent cell viability. RNA sequencing of MC3T3E1 cells treated with SrHPO-coated JDBM ion release test extract showed increased Tlr4, followed by the activation of the downstream PI3K/Akt signaling pathway, causing proliferation and growth of pre-osteoblasts. An intramedullary nail (IMN) was implanted in a femoral fracture rat model. Mechanical test, radiological and histological analysis suggested that SrHPO-coated JDBM has superior mechanical properties, induces more bone formation, and decreases the degradation rate compared with uncoated JDBM and the administration of TLR4 inhibitor attenuated the new bone formation for fracture healing. SrHPO is a promising coating for JDBM implants, particularly for long-bone fractures.

摘要

镁及镁基合金因其可降解性、成骨作用和生物相容性,是用于骨科植入物的有前景的生物材料。然而,这些材料的缺点包括产氢量高、意外的耐腐蚀性和机械强度持续时间不足。表面改性可以保护这些生物材料并诱导成骨。在这项工作中,通过化学沉积法为我们的专利可降解Mg-Nd-Zn-Zr合金(简称JDBM)开发了一种SrHPO涂层。通过体外浸泡、离子释放和细胞毒性测试对该涂层进行了表征,结果表明其腐蚀行为较慢且细胞活力优异。用SrHPO涂层的JDBM离子释放测试提取物处理的MC3T3E1细胞的RNA测序显示Tlr4增加,随后下游PI3K/Akt信号通路被激活,导致前成骨细胞增殖和生长。将一枚髓内钉(IMN)植入股骨骨折大鼠模型中。力学测试、放射学和组织学分析表明,与未涂层的JDBM相比,SrHPO涂层的JDBM具有优异的力学性能,诱导更多的骨形成,并降低降解速率,并且给予TLR4抑制剂会减弱骨折愈合的新骨形成。SrHPO是一种用于JDBM植入物的有前景的涂层,特别是对于长骨骨折。

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