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壳聚糖增强明胶微球改性玻璃离子水门汀(GIC):一种新型异体骨移植材料的合成及体内分析

Chitosan-Reinforced Gelatin Microspheres-Modified Glass Ionomer Cement (GIC): A Novel Bone Alloplast Graft Material Synthesis and an In Vivo Analysis.

作者信息

Surendran Sundaram, Rohinikumar Subhashree, Eswaramoorthy Rajalakshmanan, M Karthik, Nesappan Thiyaneswaran, Rp Abhinav

机构信息

Prosthodontics and Implantology, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Chennai, IND.

出版信息

Cureus. 2023 Dec 12;15(12):e50384. doi: 10.7759/cureus.50384. eCollection 2023 Dec.

Abstract

Aim and objective The study aimed to assess and evaluate the efficacy of glass ionomer modified with chitosan-reinforced gelatin microspheres on bone formation. Materials and methods  The study involved three groups: Group I comprised plain glass ionomer cement; Group II comprised glass ionomer cement/gelatin (70:30 wt%); in Group III, glass ionomer cement/gelatin/chitosan (70:30%) scaffold were made into discs; the gelatin microspheres were synthesized by oil emulsion method. The synthesized scaffold was subjected to the following in vitro testing, Instron Universal Testing Machine (UTM), U3000, (Instron Corporation, Norwood, Massachusetts, United States) to assess compressive strength, scanning electron microscope (SEM) examination, and biocompatibility testing using hemocompatibility assay. The material was then tested in vivo; male Wistar albino rats, a total of nine animals, were utilized for this purpose. Three animals were used in each group; a femoral defect model was the model of choice for the experiment and the animals were observed for a period of four weeks, following which the animals were sacrificed and sent for histopathological analysis. Results The compression testing was carried out using UTM; test group I was 33 MPa, test group II was 2.3 MPa, and test group III was 25.75 MPa. SEM (JSM-IT800 Schottky Field Emission NANO SEM (JEOL, Tokyo, Japan)) analysis was done to observe the porosity of the fabricated scaffold with the average measurement of 0.12 ± 0.2 μm in test group II and 0.29 ± 0.4 μm in test group III. Hemocompatibility reports noted 0.4-0.8% lysis for the synthesized scaffolds. Histopathology staining of the femur defects showed that group III favoured bone formation. One-way analysis of variance (ANOVA) and post hoc Bonferroni test was done on the data. The optical density values of the alizarin red stained slide showed statistical significance for group III. Conclusion In conclusion, the synthesized scaffolds are biocompatible, distribution of porosity and pore characteristics in the glass ionomer cement/gelatin/chitosan group is better than that of the glass ionomer cement/gelatin group. The glass ionomer cement/gelatin/chitosan group had better compressive strength and induced more bone formation compared to the other test group and the control. Thus, the novel glass ionomer modified with chitosan-reinforced gelatin microspheres has optimal properties to be used as a bone graft material.

摘要

目的和目标 本研究旨在评估和评价用壳聚糖增强明胶微球改性的玻璃离子体对骨形成的功效。材料和方法 本研究包括三组:第一组为普通玻璃离子水门汀;第二组为玻璃离子水门汀/明胶(70:30重量%);在第三组中,将玻璃离子水门汀/明胶/壳聚糖(70:30%)支架制成圆盘;明胶微球通过油乳液法合成。将合成的支架进行以下体外测试,使用英斯特朗万能材料试验机(UTM)U3000(美国马萨诸塞州诺伍德市英斯特朗公司)评估抗压强度,进行扫描电子显微镜(SEM)检查,并使用血液相容性测定法进行生物相容性测试。然后将该材料进行体内测试;为此总共使用了9只雄性Wistar白化大鼠。每组使用3只动物;股骨缺损模型是该实验的首选模型,对动物观察4周,之后将动物处死并送去进行组织病理学分析。结果 使用UTM进行压缩测试;第一测试组为33兆帕,第二测试组为2.3兆帕,第三测试组为25.75兆帕。进行了SEM(JSM-IT800肖特基场发射纳米SEM(日本东京JEOL公司))分析以观察制成的支架的孔隙率,第二测试组的平均测量值为0.12±0.2微米,第三测试组为0.29±0.4微米。血液相容性报告指出合成支架的溶血率为0.4 - 0.8%。股骨缺损的组织病理学染色显示第三组有利于骨形成。对数据进行了单因素方差分析(ANOVA)和事后邦费罗尼检验。茜素红染色玻片的光密度值对第三组具有统计学意义。结论 总之,合成的支架具有生物相容性,玻璃离子水门汀/明胶/壳聚糖组的孔隙率分布和孔隙特征优于玻璃离子水门汀/明胶组。与其他测试组和对照组相比,玻璃离子水门汀/明胶/壳聚糖组具有更好的抗压强度并诱导更多的骨形成。因此,用壳聚糖增强明胶微球改性的新型玻璃离子体具有作为骨移植材料使用的最佳性能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89ed/10782189/5a1483b61c7a/cureus-0015-00000050384-i01.jpg

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