Yan Feifei, Liu Zhibo, Zhang Tie, Zhang Qi, Chen Yan, Xie Yuanlong, Lei Jun, Cai Lin
Department of Spine Surgery and Musculoskeletal Tumor, Zhongnan Hospital of Wuhan University, No. 169, Donghu Road, Wuhan City 430071, Hubei Province, P. R. China.
Hubei Osteolink Biomaterial Co., Ltd. (Wuhan Hi-Tech Research Center of Medical Tissues), Wuhan 430206, P. R. China.
ACS Biomater Sci Eng. 2019 Nov 11;5(11):5833-5843. doi: 10.1021/acsbiomaterials.9b00472. Epub 2019 Oct 17.
Minimally invasive surgery will be gradually applied to the surgical treatment of bone tumors. One of the difficulties in the minimally invasive treatment of bone tumors is the lack of injectable materials that can be used to treat tumor-induced bone defects. Therefore, it is imperative to develop an injectable bone filler that can not only be injected into the defect site by minimally invasive methods to provide strong support and repair bone tissue but also inactivate residual tumor cells around the defect. To achieve this aim, in our study, for the first time, we doped FeO/graphene oxide (GO) nanocomposites into α-tricalcium phosphate (α-TCP)/calcium sulfate (CS) biphasic bone cement to prepare an injectable magnetic bone cement (α-TCP/CS/FeO/GO, αCFG), which can be applied in bone tumor minimally invasive surgery and fit ideally even if the area is irregular. The magnetothermal performance of the αCFG bone cement could be well adjusted by altering the content of FeO/GO nanocomposites and the magnetic field parameters, but a 10 wt % FeO/GO content formed the most stable bone cement with excellent magnetothermal performance. The αCFG bone cement not only promotes bone regeneration but also exhibits enhanced tumor treatment effects. Such multifunctional bone cement could provide a promising clinical strategy for the minimally invasive treatment of tumor-induced bone destruction.
微创手术将逐渐应用于骨肿瘤的外科治疗。骨肿瘤微创治疗的难点之一是缺乏可用于治疗肿瘤性骨缺损的可注射材料。因此,开发一种可注射骨填充材料势在必行,这种材料不仅可以通过微创方法注射到缺损部位,为骨组织提供强力支撑并进行修复,还能使缺损周围的残留肿瘤细胞失活。为实现这一目标,在我们的研究中,首次将FeO/氧化石墨烯(GO)纳米复合材料掺入α-磷酸三钙(α-TCP)/硫酸钙(CS)双相骨水泥中,制备出一种可注射磁性骨水泥(α-TCP/CS/FeO/GO,αCFG),其可应用于骨肿瘤微创手术,即使在不规则区域也能完美适配。通过改变FeO/GO纳米复合材料的含量和磁场参数,可以很好地调节αCFG骨水泥的磁热性能,但10 wt%的FeO/GO含量形成了具有优异磁热性能且最稳定的骨水泥。αCFG骨水泥不仅能促进骨再生,还表现出增强的肿瘤治疗效果。这种多功能骨水泥可为肿瘤性骨破坏的微创治疗提供一种有前景的临床策略。