Spine Center, Department of Orthopaedics, Changzheng Hospital, Naval Medical University (Second Military Medical University), Shanghai, 200003, P. R. China.
Macromol Biosci. 2021 Mar;21(3):e2000336. doi: 10.1002/mabi.202000336. Epub 2020 Dec 21.
Bone defects remains a challenge for surgeons. Bone graft scaffold can fill the defect and enhance the bone regeneration. Demineralized bone matrix (DBM) is an allogeneic bone graft substitute, which can only be used as a filling material rather than a structural bone graft. Coating of the scaffolds with nanoscale DBM may enhance the osteoinductivity or osteoconductivity. Herein the lyophilization method is presented to coat the nano-DBM on surface of the porous polycaprolactone (PCL)/β-tricalcium phosphate (β-TCP) scaffolds fabricated by 3D printing technology. The morphology, elastic modulus, in vitro cell biocompatibility, and in vivo performance are investigated. Scanning electron microscope (SEM) shows DBM particle clusters with size of 200-500 nm are observed on scaffolds fibers after coating. MC3T3-E1 cells on nano-DBM coated PCL/β-TCP scaffold show better activity than on PCL/β-TCP scaffold. In vivo tests show better infiltration of new bone tissue in nano-DBM coated PCL/β-TCP scaffold than PCL/β-TCP scaffold via the interface. These results show the presence of nano-DBM coating on PCL/β-TCP scaffold could enhance the attachment, proliferation, and viability of cells and benefit for the new bone formation surrounding and deep inside the scaffolds. Nano-DBM could potentially be used as a new kind of biomaterial for bone defect treatment.
骨缺损仍然是外科医生面临的挑战。骨移植支架可以填充缺损并增强骨再生。脱矿骨基质(DBM)是一种同种异体骨移植物替代物,只能用作填充材料,而不能用作结构性骨移植物。支架表面涂覆纳米 DBM 可以增强成骨性或骨传导性。本文提出了一种冻干法,将纳米 DBM 涂覆在通过 3D 打印技术制备的多孔聚己内酯(PCL)/β-磷酸三钙(β-TCP)支架的表面。研究了形态、弹性模量、体外细胞生物相容性和体内性能。扫描电子显微镜(SEM)显示,涂层后支架纤维上观察到大小为 200-500nm 的 DBM 颗粒簇。在纳米 DBM 涂层的 PCL/β-TCP 支架上培养的 MC3T3-E1 细胞比在 PCL/β-TCP 支架上具有更好的活性。体内试验表明,纳米 DBM 涂层的 PCL/β-TCP 支架比 PCL/β-TCP 支架在界面处有更好的新骨组织渗透。这些结果表明,PCL/β-TCP 支架上存在纳米 DBM 涂层可以增强细胞的附着、增殖和活力,并有利于支架周围和内部新骨的形成。纳米 DBM 有可能成为治疗骨缺损的一种新型生物材料。