Zhao Luyang, Yang Shaopeng, Zhang Xu, Feng Guanying, Lu Jie, Zhang Zhen
Department of Oral and Maxillofacial Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
Shanghai Stomatological Hospital & School of Stomatology, Shanghai Key Laboratory of Craniomaxillofacial Development and Diseases, Fudan University, Shanghai 200032, China.
ACS Appl Mater Interfaces. 2025 Jul 23;17(29):41707-41718. doi: 10.1021/acsami.5c07388. Epub 2025 Jul 14.
Osteochondral tissues have limited self-healing abilities, making it challenging to achieve complete healing following injury. Osteochondral defects present significant clinical challenges. Bredigite (BRT, CaMgSiO) bioceramic scaffolds exhibit excellent physicochemical properties, biocompatibility, osteoinductivity, and osteoconductivity, making them promising candidates for osteochondral repair and regeneration. Herein, a BRT bioceramic was fabricated into structurally ordered scaffolds (BRT-O) and random morphology scaffolds (BRT-R) by using 3D printing techniques, while the tricalcium phosphate (TCP) scaffolds that are used in the clinic were fabricated as controls. The physicochemical properties, effects on bone marrow-derived stem cells (BMSCs) and chondrocytes , and performance in cartilage and subchondral bone regeneration were evaluated and compared among the three scaffolds. The results showed that the BRT-O scaffolds possessed the highest compressive strength, controllable biodegradability, and ability to regulate the local microenvironment by releasing bioactive ion products and altering the pH. , BRT-O scaffolds significantly enhanced the migration and osteogenic/chondrogenic differentiation of BMSCs, as well as the adhesion and maturation of chondrocytes. experiments revealed that the BRT-O scaffolds promoted the simultaneous and effective regeneration of hyaline cartilage and subchondral bone in rabbit osteochondral defect models. In summary, the monophasic BRT-O scaffold demonstrated dual bioactivity, promoting both osteogenesis and chondrogenesis, and thus, it holds significant clinical potential for osteochondral defect repair.
骨软骨组织的自我修复能力有限,因此损伤后实现完全愈合具有挑战性。骨软骨缺损带来了重大的临床挑战。钙镁橄榄石(BRT,CaMgSiO)生物陶瓷支架具有优异的物理化学性质、生物相容性、骨诱导性和骨传导性,使其成为骨软骨修复和再生的有前途的候选材料。在此,通过3D打印技术将BRT生物陶瓷制成结构有序的支架(BRT-O)和随机形态的支架(BRT-R),同时制备临床使用的磷酸三钙(TCP)支架作为对照。对三种支架的物理化学性质、对骨髓间充质干细胞(BMSC)和软骨细胞的影响以及在软骨和软骨下骨再生中的性能进行了评估和比较。结果表明,BRT-O支架具有最高的抗压强度、可控的生物降解性以及通过释放生物活性离子产物和改变pH来调节局部微环境的能力。BRT-O支架显著增强了BMSC的迁移和成骨/软骨分化以及软骨细胞的黏附和成熟。实验表明,BRT-O支架在兔骨软骨缺损模型中促进了透明软骨和软骨下骨的同时有效再生。总之,单相BRT-O支架表现出双重生物活性,促进了成骨和软骨形成,因此,它在骨软骨缺损修复方面具有巨大的临床潜力。