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具有由碳酸磷灰石组成的微柱的蚁巢型多孔支架,用于促进骨形成和支架吸收。

Ant-nest type porous scaffold with micro-struts consisting of carbonate apatite for promoting bone formation and scaffold resorption.

机构信息

Faculty of Dental Science, Kyushu University, Fukuoka, Japan.

Institute of Biomaterials and Bioengineering, Tokyo Medical and Dental University, Tokyo, Japan.

出版信息

J Biomed Mater Res A. 2024 Jan;112(1):31-43. doi: 10.1002/jbm.a.37608. Epub 2023 Sep 7.

Abstract

Scaffolds having appropriate mechanical strength and providing a proper microenvironment for osteogenesis are expected to be effective alternatives to autografts for bone regeneration. In this study, ant-nest type porous (ANP) scaffolds consisting of CO Ap were fabricated using calcium carbonate powder or slurry and two types of polyurethane foam through a dissolution-precipitation reaction. ANP-type, three-dimensional, interconnected porous CO Ap scaffolds were fabricated by burning out the struts of polyurethane foams embedded in CaCO , followed by compositional transformation from CaCO to CO Ap. The types of polyurethane foam and impregnation methods of CaCO into polyurethane form affected the geometry of the resulting ANP structures. Mechanical and in vivo biological performances of these scaffolds relied on the geometry of the ANP structures. The ANP structures displayed had a clear structural advantage in bone regeneration, owing to the promotion of cell and tissue migration throughout the scaffolds. In particular, ANP-structured scaffolds, which had highest porosity, interconnectivity, and smallest strut thickness, had a mechanical strength comparable to cancellous bone, formed more new bone, were highly resorbed, resulting in cancellous bone-like bone tissue regeneration at 12 weeks of healing. The results suggest that bone regeneration after the migration of cell and tissue into the entire scaffolds is affected by strut thickness preferentially over porosity and interconnectivity. ANP-structured CO Ap scaffolds are attractive for bone regeneration.

摘要

支架具有适当的机械强度,并为成骨提供适当的微环境,有望成为骨再生的自体移植物的有效替代品。在这项研究中,通过溶解-沉淀反应,使用碳酸钙粉末或浆料和两种类型的聚氨酯泡沫,制造了由 COAp 组成的蚁巢型多孔(ANP)支架。通过烧掉嵌入 CaCO3 中的聚氨酯泡沫的支柱,并将 CaCO3 的组成转化为 COAp,制造出 ANP 型、三维、相互连接的多孔 COAp 支架。聚氨酯泡沫的类型和 CaCO3 浸渍到聚氨酯中的方法影响了所得 ANP 结构的几何形状。这些支架的机械和体内生物性能取决于 ANP 结构的几何形状。由于促进了细胞和组织在整个支架中的迁移,这些 ANP 结构在骨再生中具有明显的结构优势。特别是,具有最高孔隙率、连通性和最小支柱厚度的 ANP 结构的机械强度可与松质骨相媲美,形成更多的新骨,被高度吸收,导致在 12 周的愈合期内产生松质骨样骨组织再生。结果表明,细胞和组织迁移到整个支架后骨再生受支柱厚度的影响优先于孔隙率和连通性。ANP 结构的 COAp 支架在骨再生方面具有吸引力。

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