可注射高强度聚乳酸-羟基乙酸共聚物/磷酸钙骨水泥负载阿仑膦酸钠/氧化镁用于骨质疏松性骨缺损的骨再生,通过促进成骨和抑制破骨细胞生成来实现。

Injectable and high-strength PLGA/CPC loaded ALN/MgO bone cement for bone regeneration by facilitating osteogenesis and inhibiting osteoclastogenesis in osteoporotic bone defects.

作者信息

Huang Lei, Cai Peihao, Bian Mengxuan, Yu Jieqin, Xiao Lan, Lu Shunyi, Wang Jiayi, Chen Weisin, Han Guanjie, Xiang Xingdong, Liu Xin, Jiang Libo, Li Yulin, Zhang Jian

机构信息

Department of Orthopedic Surgery, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.

The Key Laboratory for Ultrafine Materials of Ministry of Education, Frontiers Science Center for Materiobiology and Dynamic Chemistry, Engineering Research Center for Biomedical Materials of Ministry of Education, School of Materials Science and Engineering, East China University of Science and Technology, Shanghai, 200237, China.

出版信息

Mater Today Bio. 2024 May 25;26:101092. doi: 10.1016/j.mtbio.2024.101092. eCollection 2024 Jun.

Abstract

Osteoporosis (OP) can result in slower bone regeneration than the normal condition due to the imbalance between osteogenesis and osteoclastogenesis, making osteoporotic bone defects healing a significant clinical challenge. Calcium phosphate cement (CPC) is a promising bone substitute material due to its good osteoinductive activity, however, the drawbacks such as fragility, slow degradation rate and incapability to control bone loss restrict its application in osteoporotic bone defects treatment. Currently, we developed the PLGA electrospun nanofiber sheets to carry alendronate (ALN) and magnesium oxide nanoparticle (nMgO) into CPC, therefore, to obtain a high-strength bone cement (C/AM-PL/C). The C/AM-PL/C bone cement had high mechanical strength, anti-washout ability, good injection performance and drug sustained release capacity. More importantly, the C/AM-PL/C cement promoted the osteogenic differentiation of bone marrow mesenchymal stem cells and neovascularization via the release of Mg (from nMgO) and Ca (during the degradation of CPC), and inhibited osteoclastogenesis via the release of ALN . Moreover, the injection of C/AM-PL/C cement significantly improved bone healing in an OP model with femur condyle defects . Altogether, the injectable C/AM-PL/C cement could facilitate osteoporotic bone regeneration, demonstrating its capacity as a promising candidate for treatment of osteoporotic bone defects.

摘要

骨质疏松症(OP)由于成骨与破骨细胞生成之间的失衡,导致骨再生比正常情况更缓慢,这使得骨质疏松性骨缺损的愈合成为一项重大的临床挑战。磷酸钙骨水泥(CPC)因其良好的骨诱导活性而成为一种很有前景的骨替代材料,然而,其脆性、降解速率缓慢以及无法控制骨质流失等缺点限制了它在骨质疏松性骨缺损治疗中的应用。目前,我们制备了聚乳酸-羟基乙酸共聚物(PLGA)电纺纳米纤维片,将阿仑膦酸盐(ALN)和氧化镁纳米颗粒(nMgO)载入CPC中,从而获得一种高强度骨水泥(C/AM-PL/C)。C/AM-PL/C骨水泥具有高机械强度、抗冲刷能力、良好的注射性能和药物缓释能力。更重要的是,C/AM-PL/C骨水泥通过释放Mg(来自nMgO)和Ca(在CPC降解过程中)促进骨髓间充质干细胞的成骨分化和新血管形成,并通过释放ALN抑制破骨细胞生成。此外,注射C/AM-PL/C骨水泥显著改善了股骨髁缺损OP模型中的骨愈合。总之,可注射的C/AM-PL/C骨水泥可促进骨质疏松性骨再生,证明其有潜力成为治疗骨质疏松性骨缺损的候选材料。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3638/11169522/6ce31bf1f901/ga1.jpg

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