Ren Yixing, Ma Chunyang, Yu Yao, Yang Dandan, Zhang Lingling, Wang Huitao, Sun Lei
Department of Joint Surgery, The Fourth Central Hospital of Baoding City, Baoding 072350, China.
School of Biological Science and Medical Engineering, Beihang University, Beijing 100083, China.
Regen Biomater. 2023 Oct 27;11:rbad093. doi: 10.1093/rb/rbad093. eCollection 2024.
Bone defect is a serious threat to human health. Osteopractic total flavone (OTF) extracted from Rhizoma Drynariae has the effects of promoting bone formation. Panax notoginseng saponin (PNS) has the function of activating blood circulation and removing blood stasis. Therefore, combining OTF and PNS with poly(l-lactic acid) (PLLA) to prepare scaffolds containing PNS in the outer layer and OTF in the inner layer is a feasible solution to rapidly remove blood stasis and continue to promote bone formation. In addition, degradation rate of the scaffold can affect the release time of two drugs. Adding Mg particles in outer layer can control the degradation rate of the scaffold and the drug release. Therefore, a double-layer drug-loaded PLLA scaffold containing OTF in the inner layer, PNS and Mg particles in the outer layer was prepared and characterized to verify its feasibility. The experimental results showed that the scaffold can realize the rapid release of PNS and the continuous release of OTF. With the increase of Mg content, the drug release rate became faster. Animal experiments showed that the scaffold containing 5% Mg particles could effectively promote the formation of new bone in the bone defect of male New Zealand white rabbits, and the area and density of new bone formed were much better than those in the control group. These results demonstrated that the double-layer drug-loaded scaffold had good ability to promote bone repair.
骨缺损对人类健康构成严重威胁。从骨碎补中提取的骨碎补总黄酮(OTF)具有促进骨形成的作用。三七皂苷(PNS)具有活血化瘀的功能。因此,将OTF和PNS与聚左旋乳酸(PLLA)结合制备外层含PNS、内层含OTF的支架,是快速化瘀并持续促进骨形成的可行解决方案。此外,支架的降解速率会影响两种药物的释放时间。在外层添加镁颗粒可以控制支架的降解速率和药物释放。因此,制备了一种内层含OTF、外层含PNS和镁颗粒的双层载药PLLA支架,并对其进行表征以验证其可行性。实验结果表明,该支架能够实现PNS的快速释放和OTF的持续释放。随着镁含量的增加,药物释放速率加快。动物实验表明,含5%镁颗粒的支架能有效促进雄性新西兰白兔骨缺损处新骨的形成,新骨形成的面积和密度均优于对照组。这些结果表明双层载药支架具有良好的促进骨修复能力。