Department of Orthopedics, The First Affiliated Hospital of Anhui Medical University, Anhui Medical University, Hefei 230032, P. R. China.
Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing 210008, P. R. China.
ACS Appl Mater Interfaces. 2023 Apr 26;15(16):19951-19965. doi: 10.1021/acsami.3c00655. Epub 2023 Apr 12.
Critical-size bone defects are an important problem in clinical practice, which usually occurs in severe trauma, or tumor resection, and cannot heal completely and autonomously. Implantation of grafts is often required to promote the regeneration of critical-size bone defects. Metal ions play an important role in human health, as they affect the body's metabolism and the tissue function. Strontium ions (Sr) can promote osteogenesis and angiogenesis. Herein, we prepared nano-hydroxyapatite (nHA)/chitosan (CS) composite microspheres with a uniform particle size distribution and an extracellular matrix-like nanofiber structure using microfluidic technology and direct alkali-induced gelation. Strontium ions were stably added into the microspheres by using polydopamine (PDA) to chelate metal ions forming a bone repair material (nHA/CS@PDA-Sr) with good bioactivity. The coordination reaction of PDA can effectively control the release of strontium ions and avoid the negative effects caused by the high strontium concentration. Our in vitro experiments showed that the composite microspheres had good biocompatibility and that the PDA coating promotes cell adhesion. The slow release of strontium ions can effectively promote mesenchymal stem cells osteogenic differentiation and the vascularization of endothelial cells. In addition, we injected composite microspheres into cranial defects of rats to evaluate osseointegration in vivo. The results showed that nHA/CS@PDA-Sr could effectively promote bone regeneration in the defect area. This study demonstrates that composite microspheres stimulate bone repair providing a promising way for bone-defect regeneration.
临界尺寸骨缺损是临床实践中的一个重要问题,通常发生在严重创伤或肿瘤切除后,无法完全和自主愈合。通常需要植入移植物来促进临界尺寸骨缺损的再生。金属离子在人体健康中起着重要作用,因为它们影响身体的新陈代谢和组织功能。锶离子(Sr)可促进成骨和血管生成。在此,我们使用微流控技术和直接碱诱导凝胶化制备了具有均匀粒径分布和细胞外基质样纳米纤维结构的纳米羟基磷灰石(nHA)/壳聚糖(CS)复合微球。通过使用聚多巴胺(PDA)螯合金属离子,将锶离子稳定地添加到微球中,形成具有良好生物活性的骨修复材料(nHA/CS@PDA-Sr)。PDA 的配位反应可以有效地控制锶离子的释放,避免高锶浓度引起的负面影响。我们的体外实验表明,复合微球具有良好的生物相容性,并且 PDA 涂层促进细胞黏附。锶离子的缓慢释放可以有效地促进间充质干细胞的成骨分化和内皮细胞的血管化。此外,我们将复合微球注射到大鼠颅缺损部位,以评估体内的骨整合情况。结果表明,nHA/CS@PDA-Sr 可有效促进缺损区域的骨再生。这项研究表明,复合微球刺激骨修复,为骨缺损再生提供了一种有前途的方法。