Ramanathan Mrunalini, Shijirbold Ankhtsetseg, Okui Tatsuo, Tatsumi Hiroto, Kotani Tatsuhito, Shimamura Yukiho, Morioka Reon, Ayasaka Kentaro, Kanno Takahiro
Department of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine, 89-1, Enya-Cho, Izumo 693-8501, Shimane, Japan.
Nanomaterials (Basel). 2023 Dec 28;14(1):91. doi: 10.3390/nano14010091.
Maxillofacial bone defects are treated by autografting or filling with synthetic materials in various forms and shapes. Electrospun nanobiomaterials are becoming popular due to their easy placement and handling; combining ideal biomaterials extrapolates better outcomes. We used a novel electrospun cotton-like fiber made from two time-tested bioresorbable materials, β-TCP and PLLA/PGA, to check the feasibility of its application to maxillofacial bone defects through an in vivo rat mandibular bone defect model. Novel β-TCP/PLLA/PGA and pure β-TCP blocks were evaluated for new bone regeneration through assessment of bone volume, inner defect diameter reduction, and bone mineral density. Bioactive/osteoconductivity was checked by scoring the levels of Runt-related transcription factor x, Leptin Receptor, Osteocalcin, and Periostin biomarkers. Bone regeneration in both β-TCP/PLLA/PGA and β-TCP was comparable at initial timepoints. Osteogenic cell accumulation was greater in β-TCP/PLLA/PGA than in β-TCP at initial as well as late phases. Periostin expression was more marked in β-TCP/PLLA/PGA. This study demonstrated comparable results between β-TCP/PLLA/PGA and β-TCP in terms of bone regeneration and bioactivity, even with a small material volume of β-TCP/PLLA/PGA and a decreased percentage of β-TCP. Electrospun β-TCP/PLLA/PGA is an ideal nanobiomaterial for inducing bone regeneration through osteoconductivity and bioresorbability in bony defects of the maxillofacial region.
颌面部骨缺损可通过自体骨移植或用各种形式和形状的合成材料填充来治疗。电纺纳米生物材料因其易于放置和操作而越来越受欢迎;将理想的生物材料结合起来可推断出更好的治疗效果。我们使用了一种由两种经过长期测试的生物可吸收材料β - 磷酸三钙(β - TCP)和聚乳酸 - 羟基乙酸共聚物(PLLA/PGA)制成的新型电纺棉状纤维,通过体内大鼠下颌骨缺损模型来检验其应用于颌面部骨缺损的可行性。通过评估骨体积、内部缺损直径减小情况和骨密度,对新型β - TCP/PLLA/PGA和纯β - TCP块体的新骨再生情况进行了评估。通过对与Runt相关的转录因子x、瘦素受体、骨钙素和骨膜蛋白生物标志物的水平进行评分,检查生物活性/骨传导性。在初始时间点,β - TCP/PLLA/PGA和β - TCP中的骨再生情况相当。在初始阶段和后期,β - TCP/PLLA/PGA中促骨生成细胞的积累都比β - TCP中更多。骨膜蛋白在β - TCP/PLLA/PGA中的表达更为明显。这项研究表明,即使β - TCP/PLLA/PGA的材料体积较小且β - TCP的百分比降低,在骨再生和生物活性方面,β - TCP/PLLA/PGA和β - TCP的结果相当。电纺β - TCP/PLLA/PGA是一种理想的纳米生物材料,可通过骨传导性和生物可吸收性在颌面部区域的骨缺损中诱导骨再生。