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Bezerra Melo MC, Spirandeli BR, Barbosa L, Ribeiro Dos Santos V, Bastos de Campos TM, Thim GP, de Sousa Trichês E. Enhanced mechanical strength and bioactivity of 3D-printed β-TCP scaffolds coated with bioactive glasses. J Mech Behav Biomed Mater 2025; 163:106850. [PMID: 39644802 DOI: 10.1016/j.jmbbm.2024.106850] [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] [Received: 10/04/2024] [Revised: 11/26/2024] [Accepted: 11/30/2024] [Indexed: 12/09/2024]
Abstract
3D printing in scaffold production offers a promising approach, enabling precise architectural design that closely mimics the porosity and interconnectivity of natural bone. β-Tricalcium phosphate (β-Ca₃(PO₄)₂, β-TCP), with a chemical composition similar to the inorganic component of bone, is a widely used material for scaffold fabrication. Recent advances have made it possible to functionalize ceramic scaffolds to improve bone regeneration and repair while enabling the in situ release of therapeutic agents to treat bone infections. In this study, 3D-printed β-TCP scaffolds were coated with bioactive glasses, 45S5 (45SiO₂ - 24.5Na₂O - 24.5CaO - 6P₂O₅, wt.%) and 58S (58SiO₂ - 33CaO - 9P₂O₅, wt.%), using sol-gel solutions through a vacuum impregnation technique. The β-TCP ink exhibited pseudoplastic behavior, which facilitated its 3D printing. The resulting scaffolds demonstrated high fidelity to the designed model, featuring well-aligned filaments and minimal collapse of the lower layers after sintering. Elemental mapping revealed that 45S5 glass formed a surface coating around the scaffold struts, whereas 58S glass penetrated the internal structure, this occurred due to their differing viscosities at high temperatures. Compared to uncoated β-TCP scaffolds, the coatings significantly improved mechanical strength, with increases of 63% and 126% for scaffolds coated with 45S5 and 58S, respectively. Bioactivity was confirmed through an apatite mineralization assay in simulated body fluid, which demonstrated hydroxyapatite precipitation on both coated scaffolds, albeit with distinct morphologies. Since this study focused on acellular scaffolds, further research is necessary to fully explore the potential of these bioactive scaffolds with optimized mechanical properties in biological systems.
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Affiliation(s)
- Márcia Cristina Bezerra Melo
- Federal University of São Paulo, Institute of Science and Technology, Bioceramics Laboratory, 330 Talim St, 12231-280, São José dos Campos, SP, Brazil
| | - Bruno Roberto Spirandeli
- Federal University of São Paulo, Institute of Science and Technology, Bioceramics Laboratory, 330 Talim St, 12231-280, São José dos Campos, SP, Brazil; Federal Institute of São Paulo (IFSP), São José dos Campos, 12223-201, São Paulo, Brazil
| | - Lucas Barbosa
- Federal University of São Paulo, Institute of Science and Technology, Bioceramics Laboratory, 330 Talim St, 12231-280, São José dos Campos, SP, Brazil
| | - Verônica Ribeiro Dos Santos
- Federal University of São Paulo, Institute of Science and Technology, Bioceramics Laboratory, 330 Talim St, 12231-280, São José dos Campos, SP, Brazil; Sao Paulo State University, Institute of Science and Technology, Department of Bioscience and Buccal Diagnose, 12245-700, São José dos Campos, SP, Brazil
| | | | - Gilmar Patrocínio Thim
- Aeronautic Technological Institute, Plasmas and Processes Laboratory, São José dos Campos, SP, 12228-900, Brazil
| | - Eliandra de Sousa Trichês
- Federal University of São Paulo, Institute of Science and Technology, Bioceramics Laboratory, 330 Talim St, 12231-280, São José dos Campos, SP, Brazil.
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Amaral SS, Lima BSDS, Avelino SOM, Spirandeli BR, Campos TMB, Thim GP, Trichês EDS, Prado RFD, Vasconcellos LMRD. β-TCP/S53P4 Scaffolds Obtained by Gel Casting: Synthesis, Properties, and Biomedical Applications. Bioengineering (Basel) 2023; 10:bioengineering10050597. [PMID: 37237667 DOI: 10.3390/bioengineering10050597] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2023] [Revised: 05/05/2023] [Accepted: 05/08/2023] [Indexed: 05/28/2023] Open
Abstract
The objective of this study was to investigate the osteogenic and antimicrobial effect of bioactive glass S53P4 incorporated into β-tricalcium phosphate (β-TCP) scaffolds in vitro and the bone neoformation in vivo. β-TCP and β-TCP/S53P4 scaffolds were prepared by the gel casting method. Samples were morphologically and physically characterized through X-ray diffraction (XRD) and scanning electron microscope (SEM). In vitro tests were performed using MG63 cells. American Type Culture Collection reference strains were used to determine the scaffold's antimicrobial potential. Defects were created in the tibia of New Zealand rabbits and filled with experimental scaffolds. The incorporation of S53P4 bioglass promotes significant changes in the crystalline phases formed and in the morphology of the surface of the scaffolds. The β-TCP/S53P4 scaffolds did not demonstrate an in vitro cytotoxic effect, presented similar alkaline phosphatase activity, and induced a significantly higher protein amount when compared to β-TCP. The expression of Itg β1 in the β-TCP scaffold was higher than in the β-TCP/S53P4, and there was higher expression of Col-1 in the β-TCP/S53P4 group. Higher bone formation and antimicrobial activity were observed in the β-TCP/S53P4 group. The results confirm the osteogenic capacity of β-TCP ceramics and suggest that, after bioactive glass S53P4 incorporation, it can prevent microbial infections, demonstrating to be an excellent biomaterial for application in bone tissue engineering.
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Affiliation(s)
- Suelen Simões Amaral
- Institute of Science and Technology, São Paulo State University (UNESP), 777 Eng. Francisco José Longo Avenue, São José dos Campos 12245-000, SP, Brazil
| | - Beatriz Samara de Sousa Lima
- Institute of Science and Technology, São Paulo State University (UNESP), 777 Eng. Francisco José Longo Avenue, São José dos Campos 12245-000, SP, Brazil
| | - Sarah Oliveira Marco Avelino
- Institute of Science and Technology, São Paulo State University (UNESP), 777 Eng. Francisco José Longo Avenue, São José dos Campos 12245-000, SP, Brazil
| | - Bruno Roberto Spirandeli
- Bioceramics Laboratory, Federal University of São Paulo (UNIFESP), 330 Talim St, São José dos Campos 12231-280, SP, Brazil
| | - Tiago Moreira Bastos Campos
- Division of Fundamental Sciences, Technological Institute of Aeronautics (ITA), 50 Mal. Eduardo Gomes Plaza, São José dos Campos 12228-900, SP, Brazil
| | - Gilmar Patrocínio Thim
- Division of Fundamental Sciences, Technological Institute of Aeronautics (ITA), 50 Mal. Eduardo Gomes Plaza, São José dos Campos 12228-900, SP, Brazil
| | - Eliandra de Sousa Trichês
- Bioceramics Laboratory, Federal University of São Paulo (UNIFESP), 330 Talim St, São José dos Campos 12231-280, SP, Brazil
| | - Renata Falchete do Prado
- Institute of Science and Technology, São Paulo State University (UNESP), 777 Eng. Francisco José Longo Avenue, São José dos Campos 12245-000, SP, Brazil
| | - Luana Marotta Reis de Vasconcellos
- Institute of Science and Technology, São Paulo State University (UNESP), 777 Eng. Francisco José Longo Avenue, São José dos Campos 12245-000, SP, Brazil
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He F, Qiu C, Lu T, Shi X, Ye J. Conjunction of gallium doping and calcium silicate mediates osteoblastic and osteoclastic performances of tricalcium phosphate bioceramics. Biomed Mater 2021; 17. [PMID: 34826832 DOI: 10.1088/1748-605x/ac3d9a] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2021] [Accepted: 11/26/2021] [Indexed: 12/12/2022]
Abstract
Gallium-containing biomaterials are considered promising for reconstructing osteoporotic bone defects, owing to the potent effect of gallium on restraining osteoclast activities. Nevertheless, the gallium-containing biomaterials were demonstrated to disturb the osteoblast activities. In this study, tricalcium phosphate (TCP) bioceramics were modified by gallium doping in conjunction with incorporation of calcium silicate (CS). The results indicated that the incorporation of CS promoted transition ofβ-TCP toα-TCP, and accelerated densification process, but did not improve the mechanical strength of bioceramics. The silicon released from the composite bioceramics diminished the inhibition effect of released gallium on osteoblast activities, and maintained its effect on restraining osteoclast activities. The TCP-based bioceramics doped with 2.5 mol% gallium and incorporated with 10 mol% CS are considered suitable for treating the bone defects in the osteoporotic environment.
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Affiliation(s)
- Fupo He
- School of Electromechanical Engineering, Guangdong University of Technology, Guangzhou 510006, People's Republic of China
| | - Chao Qiu
- School of Electromechanical Engineering, Guangdong University of Technology, Guangzhou 510006, People's Republic of China
| | - Teliang Lu
- School of Materials Science and Engineering, South China University of Technology, Guangzhou 510641, People's Republic of China
| | - Xuetao Shi
- School of Materials Science and Engineering, South China University of Technology, Guangzhou 510641, People's Republic of China
| | - Jiandong Ye
- School of Materials Science and Engineering, South China University of Technology, Guangzhou 510641, People's Republic of China
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Effects of Synthesis Conditions on the Formation of Si-Substituted Alpha Tricalcium Phosphates. Int J Mol Sci 2020; 21:ijms21239164. [PMID: 33271907 PMCID: PMC7729989 DOI: 10.3390/ijms21239164] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2020] [Revised: 11/21/2020] [Accepted: 11/27/2020] [Indexed: 11/26/2022] Open
Abstract
Powders of α-TCP containing various amounts of silicon were synthesized by two different methods: Wet chemical precipitation and solid-state synthesis. The obtained powders were then physico–chemically studied using different methods: Scanning and transmission electron microscopy (TEM and SEM), energy-dispersive X-ray spectroscopy (EDS), powder X-ray diffractometry (PXRD), infrared and Raman spectroscopies (FT-IR and R), and solid-state nuclear magnetic resonance (ssNMR). The study showed that the method of synthesis affects the morphology of the obtained particles, the homogeneity of crystalline phase and the efficiency of Si substitution. Solid-state synthesis leads to particles with a low tendency to agglomerate compared to the precipitation method. However, the powders obtained by the solid-state method are less homogeneous and contain a significant amount of other crystalline phase, silicocarnotite (up to 7.33%). Moreover, the microcrystals from this method are more disordered. This might be caused by more efficient substitution of silicate ions: The silicon content of the samples obtained by the solid-state method is almost equal to the nominal values.
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Chappell HF, Jugdaohsingh R, Powell JJ. Physiological silicon incorporation into bone mineral requires orthosilicic acid metabolism to SiO 44. J R Soc Interface 2020; 17:20200145. [PMID: 32486955 DOI: 10.1098/rsif.2020.0145] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023] Open
Abstract
Under physiological conditions, the predominant form of bioavailable silicon (Si) is orthosilicic acid (OSA). In this study, given Si's recognized positive effect on bone growth and integrity, we examined the chemical form and position of this natural Si source in the inorganic bone mineral hydroxyapatite (HA). X-ray diffraction (XRD) of rat tibia bone mineral showed that the mineral phase was similar to that of phase-pure HA. However, theoretical XRD patterns revealed that at the levels found in bone, the 'Si effect' would be virtually undetectable. Thus we used first principles density functional theory calculations to explore the energetic and geometric consequences of substituting OSA into a large HA model. Formation energy analysis revealed that OSA is not favourable as a neutral interstitial substitution but can be incorporated as a silicate ion substituting for a phosphate ion, suggesting that incorporation will only occur under specific conditions at the bone-remodelling interface and that dietary forms of Si will be metabolized to simpler chemical forms, specifically [Formula: see text]. Furthermore, we show that this substitution, at the low silicate concentrations found in the biological environment, is likely to be a driver of calcium phosphate crystallization from an amorphous to a fully mineralized state.
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Affiliation(s)
- Helen F Chappell
- School of Food Science and Nutrition, University of Leeds, Woodhouse Lane, Leeds LS2 9JT, UK
| | - Ravin Jugdaohsingh
- Biomineral Research Group, Department of Veterinary Medicine, University of Cambridge, Madingley Road, Cambridge CB3 0ES, UK
| | - Jonathan J Powell
- Biomineral Research Group, Department of Veterinary Medicine, University of Cambridge, Madingley Road, Cambridge CB3 0ES, UK
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Bhattacharjee A, Fang Y, Hooper TJN, Kelly NL, Gupta D, Balani K, Manna I, Baikie T, Bishop PT, White TJ, Hanna JV. Crystal Chemistry and Antibacterial Properties of Cupriferous Hydroxyapatite. MATERIALS 2019; 12:ma12111814. [PMID: 31167438 PMCID: PMC6600772 DOI: 10.3390/ma12111814] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/06/2019] [Revised: 05/27/2019] [Accepted: 05/31/2019] [Indexed: 11/16/2022]
Abstract
Copper-doped hydroxyapatite (HA) of nominal composition Ca10(PO4)6[Cux(OH)2-2xOx] (0.0 ≤ x ≤ 0.8) was prepared by solid-state and wet chemical processing to explore the impact of the synthesis route and mode of crystal chemical incorporation of copper on the antibacterial efficacy against Escherichia coli (E. coli) and Staphylococcus aureus (S. aureus) strains. Apatites prepared by solid-state reaction showed unit cell volume dilation from 527.17 Å3 for copper-free HA to 533.31 Å3 for material of the putative composition Ca10(PO4)6[Cu0.8(OH)0.4O0.8] consistent with Cu+ insertion into the [001] hydroxyapatite channel. This was less pronounced (528.30 Å3 to 529.3 Å3) in the corresponding wet chemical synthesised products, suggesting less complete Cu tunnel incorporation and partial tenancy of Cu in place of calcium. X-ray absorption spectroscopy suggests fast quenching is necessary to prevent oxidation of Cu+ to Cu2+. Raman spectroscopy revealed an absorption band at 630 cm−1 characteristic of symmetric O-Cu+-O units tenanted in the apatite channel while solid-state 31P magic-angle-spinning nuclear magnetic resonance (MAS NMR) supported a vacancy-Cu+ substitution model within the apatite channel. The copper doping strategy increases antibacterial efficiency by 25% to 55% compared to undoped HA, with the finer particle sizes and greater specific surface areas of the wet chemical material demonstrating superior efficacy.
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Affiliation(s)
- Arjak Bhattacharjee
- Department of Materials Science and Engineering, Indian Institute of Technology, Kanpur 208016, India.
| | - Yanan Fang
- School of Materials Science and Engineering, Nanyang Technological University, Nanyang Avenue, Singapore 639798, Singapore.
| | - Thomas J N Hooper
- School of Materials Science and Engineering, Nanyang Technological University, Nanyang Avenue, Singapore 639798, Singapore.
| | - Nicole L Kelly
- Department of Physics, University of Warwick, Coventry CV4 7AL, UK.
| | - Disha Gupta
- School of Materials Science and Engineering, Nanyang Technological University, Nanyang Avenue, Singapore 639798, Singapore.
| | - Kantesh Balani
- Department of Materials Science and Engineering, Indian Institute of Technology, Kanpur 208016, India.
| | - Indranil Manna
- Department of Metallurgical and Materials Engineering, Indian Institute of Technology, Kharagpur 721302, India.
| | - Tom Baikie
- Energy Research Institute @ NTU (ERI@N), Research Technoplaza, Nanyang Technological University, Nanyang Drive, Singapore 637553, Singapore.
| | - Peter T Bishop
- Johnson Matthey Technology Centre, Blounts Court Rd., Sonning Common, Reading RG4 9NH, UK.
| | - Timothy J White
- School of Materials Science and Engineering, Nanyang Technological University, Nanyang Avenue, Singapore 639798, Singapore.
| | - John V Hanna
- Department of Physics, University of Warwick, Coventry CV4 7AL, UK.
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Evaluation of the sintering temperature on the mechanical behavior of β-tricalcium phosphate/calcium silicate scaffolds obtained by gelcasting method. J Mech Behav Biomed Mater 2018; 90:635-643. [PMID: 30502672 DOI: 10.1016/j.jmbbm.2018.11.014] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2018] [Revised: 11/15/2018] [Accepted: 11/16/2018] [Indexed: 02/07/2023]
Abstract
Scaffolds have been studied during the last decades as an alternative method to repair tissues. They are porous structures that act as a substrate for cellular growth, proliferation and differentiation. In this study, scaffolds of β-tricalcium phosphate with calcium silicate fibers were prepared by gel casting method in order to be characterized and validated as a better choice for bone tissue treatment. Gel-casting led to scaffolds with high porosity (84%) and pores sizes varying from 160 to 500 µm, which is an important factor for the neovascularization of the growing tissue. Biocompatible and bioactive calcium silicate fibers, which can be successfully produced by molten salt method, were added into the scaffolds as a manner to improve its mechanical resistance and bioactivity. The addition of 5 wt% of calcium silicate fibers associated with a higher sintering temperature (1300 °C) increased by 64.6% the compressive strength of the scaffold and it has also led to the formation of a dense and uniform apatite layer after biomineralization assessment.
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Pawlik J, Ziąbka M, Lach R, Łączka M, Cholewa-Kowalska K. Tailoring the porosity, mechanical and bioactive properties of sol-gel bioactive glasses, hydroxyapatite and titanium dioxide porous composites. J Mech Behav Biomed Mater 2018; 87:40-49. [PMID: 30031362 DOI: 10.1016/j.jmbbm.2018.07.012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2018] [Revised: 07/04/2018] [Accepted: 07/05/2018] [Indexed: 10/28/2022]
Affiliation(s)
- Justyna Pawlik
- AGH University of Science and Technology, Faculty of Materials Science and Ceramics, Department of Glass Technology and Amorphous Coatings, 30 Mickiewicza Ave., 30-059 Krakow, Poland.
| | - Magdalena Ziąbka
- AGH University of Science and Technology, Faculty of Materials Science and Ceramics, Department of Ceramics and Refractory Materials, 30 Mickiewicza Ave., 30-059 Krakow, Poland
| | - Radosław Lach
- AGH University of Science and Technology, Faculty of Materials Science and Ceramics, Department of Ceramics and Refractory Materials, 30 Mickiewicza Ave., 30-059 Krakow, Poland
| | - Maria Łączka
- AGH University of Science and Technology, Faculty of Materials Science and Ceramics, Department of Glass Technology and Amorphous Coatings, 30 Mickiewicza Ave., 30-059 Krakow, Poland
| | - Katarzyna Cholewa-Kowalska
- AGH University of Science and Technology, Faculty of Materials Science and Ceramics, Department of Glass Technology and Amorphous Coatings, 30 Mickiewicza Ave., 30-059 Krakow, Poland
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Laskus A, Kolmas J. Ionic Substitutions in Non-Apatitic Calcium Phosphates. Int J Mol Sci 2017; 18:E2542. [PMID: 29186932 PMCID: PMC5751145 DOI: 10.3390/ijms18122542] [Citation(s) in RCA: 41] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2017] [Revised: 11/22/2017] [Accepted: 11/24/2017] [Indexed: 12/25/2022] Open
Abstract
Calcium phosphate materials (CaPs) are similar to inorganic part of human mineralized tissues (i.e., bone, enamel, and dentin). Owing to their high biocompatibility, CaPs, mainly hydroxyapatite (HA), have been investigated for their use in various medical applications. One of the most widely used ways to improve the biological and physicochemical properties of HA is ionic substitution with trace ions. Recent developments in bioceramics have already demonstrated that introducing foreign ions is also possible in other CaPs, such as tricalcium phosphates (amorphous as well as α and β crystalline forms) and brushite. The purpose of this paper is to review recent achievements in the field of non-apatitic CaPs substituted with various ions. Particular attention will be focused on tricalcium phosphates (TCP) and "additives" such as magnesium, zinc, strontium, and silicate ions, all of which have been widely investigated thanks to their important biological role. This review also highlights some of the potential biomedical applications of non-apatitic substituted CaPs.
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Affiliation(s)
- Aleksandra Laskus
- Department of Inorganic and Analytical Chemistry, Faculty of Pharmacy with Laboratory Medicine Division, Medical University of Warsaw, ul. Banacha 1, 02-097 Warsaw, Poland.
| | - Joanna Kolmas
- Department of Inorganic and Analytical Chemistry, Faculty of Pharmacy with Laboratory Medicine Division, Medical University of Warsaw, ul. Banacha 1, 02-097 Warsaw, Poland.
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Hierarchical structures of β-TCP/45S5 bioglass hybrid scaffolds prepared by gelcasting. J Mech Behav Biomed Mater 2016; 62:10-23. [DOI: 10.1016/j.jmbbm.2016.04.028] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2016] [Revised: 04/20/2016] [Accepted: 04/22/2016] [Indexed: 12/22/2022]
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Kamitakahara M, Tatsukawa E, Shibata Y, Umemoto S, Yokoi T, Ioku K, Ikeda T. Effect of silicate incorporation on in vivo responses of α-tricalcium phosphate ceramics. JOURNAL OF MATERIALS SCIENCE. MATERIALS IN MEDICINE 2016; 27:97. [PMID: 27003839 DOI: 10.1007/s10856-016-5706-5] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/02/2015] [Accepted: 03/10/2016] [Indexed: 06/05/2023]
Abstract
In addition to calcium phosphate-based ceramics, glass-based materials have been utilized as bone substitutes, and silicate in these materials has been suggested to contribute to their ability to stimulate bone repair. In this study, a silicate-containing α-tricalcium phosphate (α-TCP) ceramic was prepared using a wet chemical process. Porous granules composed of silicate-containing α-TCP, for which the starting composition had a molar ratio of 0.05 for Si/(P + Si), and silicate-free α-TCP were prepared and evaluated in vivo. When implanted into bone defects that were created in rat femurs, α-TCP ceramics either with or without silicate were biodegraded, generating a hybrid tissue composed of residual ceramic granules and newly formed bone, which had a tissue architecture similar to physiological trabecular structures, and aided regeneration of the bone defects. Supplementation with silicate significantly promoted osteogenesis and delayed biodegradation of α-TCP. These results suggest that silicate-containing α-TCP is advantageous for initial skeletal fixation and wound regeneration in bone repair.
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Affiliation(s)
- Masanobu Kamitakahara
- Graduate School of Environmental Studies, Tohoku University, 6-6-20 Aoba, Aramaki, Aoba-ku, Sendai, 980-8579, Japan.
| | - Eri Tatsukawa
- Department of Oral Pathology and Bone Metabolism, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8588, Japan
| | - Yasuaki Shibata
- Department of Oral Pathology and Bone Metabolism, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8588, Japan
| | - Shota Umemoto
- Graduate School of Environmental Studies, Tohoku University, 6-6-20 Aoba, Aramaki, Aoba-ku, Sendai, 980-8579, Japan
| | - Taishi Yokoi
- Graduate School of Environmental Studies, Tohoku University, 6-6-20 Aoba, Aramaki, Aoba-ku, Sendai, 980-8579, Japan
| | - Koji Ioku
- Faculty of Economics, Keio University, Building #2-101B, 4-1-1 Hiyoshi, Kohoku-ku, Yokohama, 223-8521, Japan
| | - Tohru Ikeda
- Department of Oral Pathology and Bone Metabolism, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8588, Japan
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