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Li G, Luo Y, Hu Z, Shi Z, Cao X, Xu R, Mi Y, Yao Y, Mao H, Zhang H, Zhu Y. Recent Advances in Peptide-Functionalized Hydrogels for Bone Tissue Engineering. ACS Biomater Sci Eng 2025; 11:1970-1989. [PMID: 40178194 PMCID: PMC12002065 DOI: 10.1021/acsbiomaterials.4c02198] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2024] [Revised: 03/28/2025] [Accepted: 03/28/2025] [Indexed: 04/05/2025]
Abstract
Efficient therapeutic approaches for bone regeneration are urgently required to address the significant challenges associated with the repair of large-scale or long-segment bone defects. Peptide-functionalized hydrogels (PFHs) have emerged as important bioactive materials in bone tissue engineering because they produce biomimetic microenvironments enriched with multiple biochemical signals. This review summarizes the key fabrication techniques for PFHs and discusses their diverse applications in different fields. Furthermore, we systematically highlighted the biochemical functionalization of PFHs, which includes basic functions such as cell adhesion, cell recruitment, and osteoinduction; improved functions such as angiogenesis, biomineralization, immune regulation, and hormone regulation; and other functions, including antimicrobial and antitumor effects. Finally, critical biosafety considerations associated with PFHs and perspectives on developing intelligent PFHs are addressed. This review aims to inspire further research on PFHs and accelerate their applications in bone tissue engineering.
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Affiliation(s)
- Guanrong Li
- Department
of Orthopaedic Surgery, The First Affiliated
Hospital of Ningbo University, Ningbo, Zhejiang 315010, China
- Research
Institute of Smart Medicine and Biological Engineering, Health Science Center, Ningbo University, Ningbo, Zhejiang 315211, China
| | - Yang Luo
- Research
Institute of Smart Medicine and Biological Engineering, Health Science Center, Ningbo University, Ningbo, Zhejiang 315211, China
| | - Zeming Hu
- Research
Institute of Smart Medicine and Biological Engineering, Health Science Center, Ningbo University, Ningbo, Zhejiang 315211, China
| | - Zheyuan Shi
- Department
of Orthopaedic Surgery, The First Affiliated
Hospital of Ningbo University, Ningbo, Zhejiang 315010, China
- Research
Institute of Smart Medicine and Biological Engineering, Health Science Center, Ningbo University, Ningbo, Zhejiang 315211, China
| | - Xu Cao
- Research
Institute of Smart Medicine and Biological Engineering, Health Science Center, Ningbo University, Ningbo, Zhejiang 315211, China
| | - Rong Xu
- Research
Institute of Smart Medicine and Biological Engineering, Health Science Center, Ningbo University, Ningbo, Zhejiang 315211, China
| | - Yunfeng Mi
- Department
of Orthopaedic Surgery, The First Affiliated
Hospital of Ningbo University, Ningbo, Zhejiang 315010, China
| | - Yudong Yao
- Research
Institute of Smart Medicine and Biological Engineering, Health Science Center, Ningbo University, Ningbo, Zhejiang 315211, China
| | - Haijiao Mao
- Department
of Orthopaedic Surgery, The First Affiliated
Hospital of Ningbo University, Ningbo, Zhejiang 315010, China
| | - Hua Zhang
- Research
Institute of Smart Medicine and Biological Engineering, Health Science Center, Ningbo University, Ningbo, Zhejiang 315211, China
- State
Key Laboratory of Molecular Engineering of Polymers, Fudan University, Shanghai 200438, China
| | - Yingchun Zhu
- Department
of Orthopaedic Surgery, The First Affiliated
Hospital of Ningbo University, Ningbo, Zhejiang 315010, China
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Li XL, Zhao YQ, Miao L, An YX, Wu F, Han JY, Han JY, Tay FR, Mu Z, Jiao Y, Wang J. Strategies for promoting neurovascularization in bone regeneration. Mil Med Res 2025; 12:9. [PMID: 40025573 PMCID: PMC11874146 DOI: 10.1186/s40779-025-00596-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/13/2024] [Accepted: 01/26/2025] [Indexed: 03/04/2025] Open
Abstract
Bone tissue relies on the intricate interplay between blood vessels and nerve fibers, both are essential for many physiological and pathological processes of the skeletal system. Blood vessels provide the necessary oxygen and nutrients to nerve and bone tissues, and remove metabolic waste. Concomitantly, nerve fibers precede blood vessels during growth, promote vascularization, and influence bone cells by secreting neurotransmitters to stimulate osteogenesis. Despite the critical roles of both components, current biomaterials generally focus on enhancing intraosseous blood vessel repair, while often neglecting the contribution of nerves. Understanding the distribution and main functions of blood vessels and nerve fibers in bone is crucial for developing effective biomaterials for bone tissue engineering. This review first explores the anatomy of intraosseous blood vessels and nerve fibers, highlighting their vital roles in bone embryonic development, metabolism, and repair. It covers innovative bone regeneration strategies directed at accelerating the intrabony neurovascular system over the past 10 years. The issues covered included material properties (stiffness, surface topography, pore structures, conductivity, and piezoelectricity) and acellular biological factors [neurotrophins, peptides, ribonucleic acids (RNAs), inorganic ions, and exosomes]. Major challenges encountered by neurovascularized materials during their clinical translation have also been highlighted. Furthermore, the review discusses future research directions and potential developments aimed at producing bone repair materials that more accurately mimic the natural healing processes of bone tissue. This review will serve as a valuable reference for researchers and clinicians in developing novel neurovascularized biomaterials and accelerating their translation into clinical practice. By bridging the gap between experimental research and practical application, these advancements have the potential to transform the treatment of bone defects and significantly improve the quality of life for patients with bone-related conditions.
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Affiliation(s)
- Xin-Ling Li
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi Engineering Research Center for Dental Materials and Advanced Manufacture, Department of Oral Implants, School of Stomatology, The Fourth Military Medical University, Xi'an, 710032, China
| | - Yu-Qing Zhao
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi Engineering Research Center for Dental Materials and Advanced Manufacture, Department of Oral Implants, School of Stomatology, The Fourth Military Medical University, Xi'an, 710032, China
| | - Li Miao
- Department of Stomatology, The Seventh Medical Center of PLA General Hospital, Beijing, 100700, China
| | - Yan-Xin An
- Department of General Surgery, The First Affiliated Hospital of Xi'an Medical University, Xi'an, 710077, China
| | - Fan Wu
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi Engineering Research Center for Dental Materials and Advanced Manufacture, Department of Oral Implants, School of Stomatology, The Fourth Military Medical University, Xi'an, 710032, China
| | - Jin-Yu Han
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi Engineering Research Center for Dental Materials and Advanced Manufacture, Department of Oral Implants, School of Stomatology, The Fourth Military Medical University, Xi'an, 710032, China
| | - Jing-Yuan Han
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi Engineering Research Center for Dental Materials and Advanced Manufacture, Department of Oral Implants, School of Stomatology, The Fourth Military Medical University, Xi'an, 710032, China
| | - Franklin R Tay
- Graduate School of Augusta University, Augusta, GA, 30912, USA
| | - Zhao Mu
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, School of Stomatology, The Fourth Military Medical University, Xi'an, 710032, China.
| | - Yang Jiao
- Department of Stomatology, The Seventh Medical Center of PLA General Hospital, Beijing, 100700, China.
| | - Jing Wang
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi Engineering Research Center for Dental Materials and Advanced Manufacture, Department of Oral Implants, School of Stomatology, The Fourth Military Medical University, Xi'an, 710032, China.
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Keshavarz M, Mohammadi M, Shokrolahi F. Progress in injectable hydrogels for hard tissue regeneration in the last decade. JOURNAL OF BIOMATERIALS SCIENCE. POLYMER EDITION 2025:1-39. [PMID: 39853308 DOI: 10.1080/09205063.2024.2436292] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/25/2024] [Accepted: 11/26/2024] [Indexed: 01/26/2025]
Abstract
Bone disorders have increased with increasing the human lifespan, and despite the tissue's ability to self-regeneration, in many congenital problems and hard fractures, bone grafting such as autograft, allograft, and biomaterials implantation through surgery is traditionally used. Because of the adverse effects of these methods, the emergence of injectable hydrogels without the need for surgery and causing more pain for the patient is stunning to develop a new pattern for hard tissue engineering. These materials are formed with various natural and synthetic polymers with a crosslinked network through various chemical methods such as click chemistry, Michael enhancement, Schiff's base and enzymatic reaction and physical interactions with high water absorption which can mimic the environment of cells. The purpose of this research is to review the capabilities of this class of materials in hard tissue regeneration in the last decade through adaptable physical and chemical properties, the ability to fill defect sites with an irregular shape, and the ability to grow hormones or release drugs, in response to external stimuli.
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Affiliation(s)
- Mahya Keshavarz
- Department of Polymer Engineering, Faculty of Engineering, Qom University of Technology, Qom, Iran
| | - Mohsen Mohammadi
- Department of Polymer Engineering, Faculty of Engineering, Qom University of Technology, Qom, Iran
| | - Fatemeh Shokrolahi
- Department of Biomaterials, Faculty of Science, Iran Polymer and Petrochemical Institute, Tehran, Iran
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Zhan Y, Yang K, Zhao J, Wang K, Li Z, Liu J, Liu H, Liu Y, Li W, Su X. Injectable and In Situ Formed Dual-Network Hydrogel Reinforced by Mesoporous Silica Nanoparticles and Loaded with BMP-4 for the Closure and Repair of Skull Defects. ACS Biomater Sci Eng 2024; 10:2414-2425. [PMID: 38446137 DOI: 10.1021/acsbiomaterials.3c01685] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/07/2024]
Abstract
Bone defects are a common and challenging orthopedic problem with poor self-healing ability and long treatment cycles. The difficult-to-heal bone defects cause a significant burden of medical expenses on patients. Currently, biomaterials with mechanical stability, long-lasting action, and osteogenic activity are considered as a suitable way to effectively heal bone defects. Here, an injectable double network (DN) hydrogel prepared using physical and chemical cross-linking methods is designed. The first rigid network is constructed using methylpropenylated hyaluronic acid (HAMA), while the addition of chitosan oligosaccharide (COS) forms a second flexible network by physical cross-linking. The mesoporous silica nanoparticles (MSN) loaded with bone morphogenetic protein-4 (BMP-4) were embedded into DN hydrogel, which not only enhanced the mechanical stability of the hydrogel, but also slowly released BMP-4 to achieve long-term skull repair. The designed composite hydrogel showed an excellent compression property and deformation resistance. In vitro studies confirmed that the HAMA/COS/MSN@BMP-4 hydrogel had good biocompatibility and showed great potential in supporting proliferation and osteogenic differentiation of mouse embryo osteoblast precursor (MC3T3-E1) cells. Furthermore, in vivo studies confirmed that the DN hydrogel successfully filled and closed irregular skull defect wounds, effectively promoted bone regeneration, and significantly promoted bone repair compared with the control group. In addition, HAMA/COS/MSN@BMP-4 hydrogel precursor solution can quickly form hydrogel in situ at the wound by ultraviolet light, which can be applied to the closure and repair of wounds of different shapes, which provides the new way for the treatment of bone defects.
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Affiliation(s)
- Yi Zhan
- Clinical Research Center, The First Dongguan Affiliated Hospital of Guangdong Medical University, Dongguan, Guangdong 523710, P. R. China
| | - Keqin Yang
- Department of Orthopedics, Guigang City People's Hospital, Guigang, Guangxi 537100, P. R. China
| | - Jun Zhao
- Department of Orthopedics, The 10th Affiliated Hospital of Southern Medical University (Dongguan People's Hospital), Dongguan, Guangdong 523000, P. R. China
| | - Kelie Wang
- Department of Orthopedics, Longgang Orthopedics Hospital of Shenzhen, Shenzhen, Guangdong 518116, P. R. China
| | - Zhidong Li
- Laboratory Animal Center, Guangdong Medical University, Dongguan, Guangdong 523109, P. R. China
| | - Jizhen Liu
- Laboratory Animal Center, Guangdong Medical University, Dongguan, Guangdong 523109, P. R. China
| | - Hongsheng Liu
- Guangdong Huayan Biomedical Science and Technology Center, Guangzhou, Guangdong 511441, P. R. China
| | - Ying Liu
- Guangdong Huayan Biomedical Science and Technology Center, Guangzhou, Guangdong 511441, P. R. China
| | - Wenqiang Li
- Department of Dermatology, Skin Research Institute of Peking University Shenzhen Hospital, Shenzhen 518036, P. R. China
| | - Xiaohua Su
- Clinical Research Center, The First Dongguan Affiliated Hospital of Guangdong Medical University, Dongguan, Guangdong 523710, P. R. China
- Laboratory Animal Center, Guangdong Medical University, Dongguan, Guangdong 523109, P. R. China
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