Aoki Kaoru, Ideta Hirokazu, Komatsu Yukiko, Tanaka Atsushi, Kito Munehisa, Okamoto Masanori, Takahashi Jun, Suzuki Shuichiro, Saito Naoto
Physical Therapy Division, School of Health Sciences, Shinshu University, Matsumoto 390-8621, Japan.
Department of Orthopaedic Surgery, Shinshu University School of Medicine, Matsumoto 390-8621, Japan.
Bioengineering (Basel). 2024 Feb 13;11(2):180. doi: 10.3390/bioengineering11020180.
Calcium phosphate-based synthetic bone is broadly used for the clinical treatment of bone defects caused by trauma and bone tumors. Synthetic bone is easy to use; however, its effects depend on the size and location of the bone defect. Many alternative treatment options are available, such as joint arthroplasty, autologous bone grafting, and allogeneic bone grafting. Although various biodegradable polymers are also being developed as synthetic bone material in scaffolds for regenerative medicine, the clinical application of commercial synthetic bone products with comparable performance to that of calcium phosphate bioceramics have yet to be realized. This review discusses the status quo of bone-regeneration therapy using artificial bone composed of calcium phosphate bioceramics such as β-tricalcium phosphate (βTCP), carbonate apatite, and hydroxyapatite (HA), in addition to the recent use of calcium phosphate bioceramics, biodegradable polymers, and their composites. New research has introduced potential materials such as octacalcium phosphate (OCP), biologically derived polymers, and synthetic biodegradable polymers. The performance of artificial bone is intricately related to conditions such as the intrinsic material, degradability, composite materials, manufacturing method, structure, and signaling molecules such as growth factors and cells. The development of new scaffold materials may offer more efficient bone regeneration.
磷酸钙基合成骨被广泛用于临床治疗由创伤和骨肿瘤引起的骨缺损。合成骨易于使用;然而,其效果取决于骨缺损的大小和位置。还有许多其他治疗选择,如关节置换术、自体骨移植和异体骨移植。尽管各种可生物降解聚合物也正在作为再生医学支架中的合成骨材料进行开发,但性能与磷酸钙生物陶瓷相当的商业合成骨产品的临床应用尚未实现。本综述讨论了使用由磷酸钙生物陶瓷(如β-磷酸三钙(βTCP)、碳酸磷灰石和羟基磷灰石(HA))组成的人工骨进行骨再生治疗的现状,此外还讨论了磷酸钙生物陶瓷、可生物降解聚合物及其复合材料的最新应用。新的研究引入了潜在材料,如八钙磷酸钙(OCP)、生物衍生聚合物和合成可生物降解聚合物。人工骨的性能与诸如内在材料、可降解性、复合材料、制造方法、结构以及生长因子和细胞等信号分子等条件密切相关。新型支架材料的开发可能会提供更有效的骨再生。