Zhang Yongqiang, Dong Qiangsheng, Zhao Xiao, Sun Yuzhi, Lin Xin, Zhang Xin, Wang Tianming, Yang Tianxiao, Jiang Xiao, Li Jiaxiang, Cao Zhicheng, Cai Tingwen, Liu Wanshun, Zhang Hongjing, Bai Jing, Yao Qingqiang
Department of Orthopedic Surgery, Institute of Digital Medicine, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Key Lab of Additive Manufacturing Technology, Institute of Digital Medicine, Nanjing Medical University, Nanjing, China.
Front Bioeng Biotechnol. 2024 Jul 12;12:1417742. doi: 10.3389/fbioe.2024.1417742. eCollection 2024.
Osteochondral repair poses a significant challenge due to its unique pathological mechanisms and complex repair processes, particularly in bacterial tissue conditions resulting from open injuries, infections, and surgical contamination. This study introduces a biomimetic honeycomb-like scaffold (Zn-AlgMA@Mg) designed for osteochondral repair. The scaffold consists of a dicalcium phosphate dihydrate (DCPD)-coated porous magnesium scaffold (DCPD Mg) embedded within a dual crosslinked sodium alginate hydrogel (Zn-AlgMA). This combination aims to synergistically exert antibacterial and osteochondral integrated repair properties. The Zn-AlgMA@Mg scaffold was fabricated by coating porous magnesium scaffolds with DCPD and embedding them within a dual crosslinked sodium alginate hydrogel. The structural and mechanical properties of the DCPD Mg scaffold were characterized using scanning electron microscopy (SEM) and mechanical testing. The microstructural features and hydrophilicity of Zn-AlgMA were assessed. studies were conducted to evaluate the controlled release of magnesium and zinc ions, as well as the scaffold's osteogenic, chondrogenic, and antibacterial properties. Proteomic analysis was performed to elucidate the mechanism of osteochondral integrated repair. efficacy was evaluated using a rabbit full-thickness osteochondral defect model, with micro-CT evaluation, quantitative analysis, and histological staining (hematoxylin-eosin, Safranin-O, and Masson's trichrome). The DCPD Mg scaffold exhibited a uniform porous structure and superior mechanical properties. The Zn-AlgMA hydrogel displayed consistent microstructural features and enhanced hydrophilicity. The Zn-AlgMA@Mg scaffold provided controlled release of magnesium and zinc ions, promoting cell proliferation and vitality. studies demonstrated significant osteogenic and chondrogenic properties, as well as antibacterial efficacy. Proteomic analysis revealed the underlying mechanism of osteochondral integrated repair facilitated by the scaffold. Micro-CT evaluation and histological analysis confirmed successful osteochondral integration in the rabbit model. The biomimetic honeycomb-like scaffold (Zn-AlgMA@Mg) demonstrated promising results for osteochondral repair, effectively addressing the challenges posed by bacterial tissue conditions. The scaffold's ability to release magnesium and zinc ions in a controlled manner contributed to its significant osteogenic, chondrogenic, and antibacterial properties. Proteomic analysis provided insights into the scaffold's mechanism of action, supporting its potential for integrated osteochondral regeneration. The successful results highlight the scaffold's efficacy, making it a promising biomaterial for future applications in osteochondral repair.
由于其独特的病理机制和复杂的修复过程,骨软骨修复面临着重大挑战,尤其是在开放性损伤、感染和手术污染导致的细菌组织环境中。本研究介绍了一种用于骨软骨修复的仿生蜂窝状支架(Zn-AlgMA@Mg)。该支架由嵌入双交联海藻酸钠水凝胶(Zn-AlgMA)中的二水磷酸二钙(DCPD)涂层多孔镁支架(DCPD Mg)组成。这种组合旨在协同发挥抗菌和骨软骨综合修复特性。Zn-AlgMA@Mg支架是通过用DCPD涂覆多孔镁支架并将其嵌入双交联海藻酸钠水凝胶中制备而成。使用扫描电子显微镜(SEM)和力学测试对DCPD Mg支架的结构和力学性能进行了表征。评估了Zn-AlgMA的微观结构特征和亲水性。进行了研究以评估镁和锌离子的控释情况,以及支架的成骨、软骨生成和抗菌性能。进行了蛋白质组学分析以阐明骨软骨综合修复的机制。使用兔全层骨软骨缺损模型进行了疗效评估,并进行了微型CT评估、定量分析和组织学染色(苏木精-伊红、番红O和Masson三色染色)。DCPD Mg支架呈现出均匀的多孔结构和优异的力学性能。Zn-AlgMA水凝胶表现出一致的微观结构特征并增强了亲水性。Zn-AlgMA@Mg支架实现了镁和锌离子的控释,促进了细胞增殖和活力。研究证明了其显著的成骨和软骨生成特性以及抗菌效果。蛋白质组学分析揭示了支架促进骨软骨综合修复的潜在机制。微型CT评估和组织学分析证实了兔模型中骨软骨的成功整合。仿生蜂窝状支架(Zn-AlgMA@Mg)在骨软骨修复方面显示出有前景的结果,有效应对了细菌组织环境带来的挑战。支架以可控方式释放镁和锌离子的能力促成了其显著的成骨、软骨生成和抗菌特性。蛋白质组学分析为支架的作用机制提供了见解,支持了其在骨软骨再生整合方面的潜力。成功的结果突出了支架的疗效,使其成为未来骨软骨修复应用中有前景的生物材料。