de Souza Joyce R, Anselmi Caroline, Cardoso Lais M, Kito Letícia T, Dos Reis-Prado Alexandre H, de Oliveira Pedro H C, Dal-Fabbro Renan, Rahimnejad Maedeh, Campos Tiago M B, Cintra Luciano T A, Borges Alexandre L S, Bottino Marco C
Department of Cariology, Restorative Sciences and Endodontics, University of Michigan School of Dentistry, Ann Arbor, MI, USA; Department of Dental Materials and Prosthodontics, Institute of Science and Technology of São José dos Campos, São Paulo State University, São José dos Campos, SP, Brazil.
Department of Cariology, Restorative Sciences and Endodontics, University of Michigan School of Dentistry, Ann Arbor, MI, USA; Department of Morphology and Pediatric Dentistry, School of Dentistry, São Paulo State University, Araraquara, São Paulo, Brazil.
J Mech Behav Biomed Mater. 2025 Apr;164:106929. doi: 10.1016/j.jmbbm.2025.106929. Epub 2025 Feb 6.
Bone regeneration remains a critical challenge in regenerative medicine, particularly in dentistry, where conditions such as periodontal disease and trauma can lead to significant bone defects. Traditional treatment methods, such as autogenous bone grafting, face limitations, including donor site morbidity and postoperative complications. Recent advancements in biomaterials, particularly silk fibroin-based scaffolds, have shown promise due to their excellent biocompatibility and tunable mechanical properties. Incorporating bioactive glass and metal ions, such as cobalt, into these scaffolds can enhance osteogenic properties and antibacterial effects, creating an optimal environment for bone regeneration. The primary objective of this study was to develop and characterize SilkMA/silicated-chlorinated cobalt-doped bioactive glass composites with the potential for bone regeneration applications. Utilizing the sol-gel method, we synthesized cobalt-doped bioglass, enhancing its bioactivity and antibacterial properties. Mechanical testing, swelling assessments, degradation analysis, and in vitro evaluations using alveolar bone-derived mesenchymal stem cells (aBMSCs) demonstrated the scaffolds' cytocompatibility and favorable physical properties. The structural integrity of the electrospun fibers was confirmed through Scanning Electron Microscopy (SEM), Fourier Transform Infrared Spectroscopy (FTIR), and Raman Spectroscopy analyses. Incorporating bioglass reduced swelling ratios, while in vitro assays showed that cobalt ions effectively inhibited the biofilm formation of Porphyromonas gingivalis. In vivo analysis using hematoxylin-eosin and von Kossa (vK) staining demonstrated that the SilkMA + 20% BGCo scaffold elicited a minimal inflammatory response, confirming its biocompatibility. However, the absence of positively stained structures in the vK analysis indicated its lack of mineralization potential. In sum, SilkMA/BGCo scaffolds showed promising in vitro potential for bone tissue regeneration and excellent biocompatibility in vivo despite lacking calcium deposition. Further studies with alternative in vivo models are needed to confirm their efficacy.
骨再生仍然是再生医学中的一项关键挑战,尤其是在牙科领域,诸如牙周病和创伤等情况可导致严重的骨缺损。传统治疗方法,如自体骨移植,存在局限性,包括供体部位发病和术后并发症。生物材料的最新进展,特别是基于丝素蛋白的支架,因其优异的生物相容性和可调的机械性能而显示出前景。将生物活性玻璃和金属离子(如钴)掺入这些支架中可增强成骨性能和抗菌效果,为骨再生创造最佳环境。本研究的主要目的是开发和表征具有骨再生应用潜力的丝素蛋白/硅化氯化钴掺杂生物活性玻璃复合材料。利用溶胶-凝胶法,我们合成了钴掺杂生物玻璃,增强了其生物活性和抗菌性能。使用牙槽骨来源的间充质干细胞(aBMSCs)进行的力学测试、肿胀评估、降解分析和体外评估证明了支架的细胞相容性和良好的物理性能。通过扫描电子显微镜(SEM)、傅里叶变换红外光谱(FTIR)和拉曼光谱分析证实了电纺纤维的结构完整性。掺入生物玻璃降低了肿胀率,而体外试验表明钴离子有效抑制牙龈卟啉单胞菌的生物膜形成。使用苏木精-伊红和冯·科萨(vK)染色的体内分析表明,丝素蛋白+20%BGCo支架引发的炎症反应最小,证实了其生物相容性。然而,vK分析中缺乏阳性染色结构表明其缺乏矿化潜力。总之,尽管缺乏钙沉积,丝素蛋白/BGCo支架在体外显示出有希望的骨组织再生潜力和体内优异的生物相容性。需要用替代的体内模型进行进一步研究以证实其疗效。