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Yang F, Zhao S, Sun W, Li K, Chen J, Fei Z, Yang Z. Fibrous porous mullite ceramics modified by mullite whiskers for thermal insulation and sound absorption. Ann Ital Chir 2022. [DOI: 10.1016/j.jeurceramsoc.2022.10.025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
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2
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Wang YC, Wang JN, Xiao GY, Huang SY, Xu WL, Yan WX, Lu YP. Investigation of various fatty acid surfactants on the microstructure of flexible hydroxyapatite nanofibers. CrystEngComm 2021. [DOI: 10.1039/d1ce00887k] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
The synthesis of hydroxyapatite nanofibers using various fatty acids and their influences on HA crystal characteristics were systematically explored.
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Affiliation(s)
- Yin-chuan Wang
- Key Laboratory for Liquid–Solid Structural Evolution and Processing of Materials, Ministry of Education, Shandong University, Jinan, 250061, China
- School of Materials Science and Engineering, Shandong University, Jinan, 250061, China
| | - Jian-ning Wang
- Department of VIP Center, Jinan Stomatology Hospital, Jinan, 250001, China
| | - Gui-yong Xiao
- Key Laboratory for Liquid–Solid Structural Evolution and Processing of Materials, Ministry of Education, Shandong University, Jinan, 250061, China
- School of Materials Science and Engineering, Shandong University, Jinan, 250061, China
| | - Sheng-yun Huang
- Department of Oral and Maxillofacial Surgery, Shandong Provincial Hospital, Cheeloo College of Medicine, Shandong University, Jinan, 250021, China
| | - Wei-li Xu
- Key Laboratory for Liquid–Solid Structural Evolution and Processing of Materials, Ministry of Education, Shandong University, Jinan, 250061, China
- School of Materials Science and Engineering, Shandong University, Jinan, 250061, China
| | - Wen-xi Yan
- Key Laboratory for Liquid–Solid Structural Evolution and Processing of Materials, Ministry of Education, Shandong University, Jinan, 250061, China
- School of Materials Science and Engineering, Shandong University, Jinan, 250061, China
| | - Yu-peng Lu
- Key Laboratory for Liquid–Solid Structural Evolution and Processing of Materials, Ministry of Education, Shandong University, Jinan, 250061, China
- School of Materials Science and Engineering, Shandong University, Jinan, 250061, China
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3
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Schröter L, Kaiser F, Stein S, Gbureck U, Ignatius A. Biological and mechanical performance and degradation characteristics of calcium phosphate cements in large animals and humans. Acta Biomater 2020; 117:1-20. [PMID: 32979583 DOI: 10.1016/j.actbio.2020.09.031] [Citation(s) in RCA: 33] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2020] [Revised: 08/21/2020] [Accepted: 09/15/2020] [Indexed: 12/11/2022]
Abstract
Calcium phosphate cements (CPCs) have been used to treat bone defects and support bone regeneration because of their good biocompatibility and osteointegrative behavior. Since their introduction in the 1980s, remarkable clinical success has been achieved with these biomaterials, because they offer the unique feature of being moldable and even injectable into implant sites, where they harden through a low-temperature setting reaction. However, despite decades of research efforts, two major limitations concerning their biological and mechanical performance hamper a broader clinical use. Firstly, achieving a degradation rate that is well adjusted to the dynamics of bone formation remains a challenging issue. While apatite-forming CPCs frequently remain for years at the implant site without major signs of degradation, brushite-forming CPCs are considered to degrade to a greater extent. However, the latter tend to convert into lower soluble phases under physiological conditions, which makes their degradation behavior rather unpredictable. Secondly, CPCs exhibit insufficient mechanical properties for load bearing applications because of their inherent brittleness. This review places an emphasis on these limitations and provides an overview of studies that have investigated the biological and biomechanical performance as well as the degradation characteristics of different CPCs after implantation into trabecular bone. We reviewed studies performed in large animals, because they mimic human bone physiology more closely in terms of bone metabolism and mechanical loading conditions compared with small laboratory animals. We compared the results of these studies with clinical trials that have dealt with the degradation behavior of CPCs after vertebroplasty and kyphoplasty.
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Affiliation(s)
- Lena Schröter
- Institute for Orthopedic Research and Biomechanics, Ulm University Medical Center, Helmholtzstrasse 14, D-89081 Ulm, Germany
| | - Friederike Kaiser
- Department for Functional Materials in Medicine and Dentistry, University of Würzburg, Pleicherwall 2, D-97070 Würzburg, Germany
| | - Svenja Stein
- Institute for Orthopedic Research and Biomechanics, Ulm University Medical Center, Helmholtzstrasse 14, D-89081 Ulm, Germany
| | - Uwe Gbureck
- Department for Functional Materials in Medicine and Dentistry, University of Würzburg, Pleicherwall 2, D-97070 Würzburg, Germany.
| | - Anita Ignatius
- Institute for Orthopedic Research and Biomechanics, Ulm University Medical Center, Helmholtzstrasse 14, D-89081 Ulm, Germany
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4
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Paknahad A, Kucko NW, Leeuwenburgh SC, Sluys LJ. Experimental and numerical analysis on bending and tensile failure behavior of calcium phosphate cements. J Mech Behav Biomed Mater 2020; 103:103565. [DOI: 10.1016/j.jmbbm.2019.103565] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2019] [Revised: 11/26/2019] [Accepted: 11/27/2019] [Indexed: 10/25/2022]
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5
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FERNÁNDEZ MPEÑA, WITTE F, TOZZI G. Applications of X‐ray computed tomography for the evaluation of biomaterial‐mediated bone regeneration in critical‐sized defects. J Microsc 2020; 277:179-196. [DOI: 10.1111/jmi.12844] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2019] [Revised: 10/06/2019] [Accepted: 11/04/2019] [Indexed: 12/16/2022]
Affiliation(s)
- M. PEÑA FERNÁNDEZ
- Zeiss Global Centre, School of Mechanical and Design EngineeringUniversity of Portsmouth Portsmouth UK
| | - F. WITTE
- Biotrics Bioimplants GmbH Berlin Germany
| | - G. TOZZI
- Zeiss Global Centre, School of Mechanical and Design EngineeringUniversity of Portsmouth Portsmouth UK
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6
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Lodoso-Torrecilla I, Grosfeld EC, Marra A, Smith BT, Mikos AG, Ulrich DJ, Jansen JA, van den Beucken JJ. Multimodal porogen platforms for calcium phosphate cement degradation. J Biomed Mater Res A 2019; 107:1713-1722. [PMID: 30920119 PMCID: PMC6618311 DOI: 10.1002/jbm.a.36686] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2018] [Revised: 02/20/2019] [Accepted: 03/22/2019] [Indexed: 11/10/2022]
Abstract
Calcium phosphate cements (CPCs) represent excellent bone substitute materials due to their biocompatibility and injectability. However, their poor degradability and lack of macroporosity limits bone regeneration. The addition of poly(d,l-lactic-co-glycolic acid) (PLGA) particles improves macroporosity and therefore late stage material degradation. CPC degradation and hence, bone formation at an early stage remains challenging, due to the delayed onset of PLGA degradation (i.e., after 2-3 weeks). Consequently, we here explored multimodal porogen platforms based on sucrose porogens (for early pore formation) and PLGA porogens (for late pore formation) to enhance CPC degradation and analyzed mechanical properties, dynamic in vitro degradation and in vivo performance in a rat femoral bone defect model. Porogen addition to CPC showed to decrease compressive strength of all CPC formulations; transition of the crystal phase upon in vitro incubation increased compressive strength. Although dynamic in vitro degradation showed rapid sucrose dissolution within 1 week, no additional effects on CPC degradation or bone formation were observed upon in vivo implantation. © 2019 The Authors. journal Of Biomedical Materials Research Part A Published By Wiley Periodicals, Inc. J Biomed Mater Res Part A: 107A: 1713-1722, 2019.
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Affiliation(s)
- Irene Lodoso-Torrecilla
- Department of Regenerative Biomaterials, Radboud Institute for Molecular Life Sciences, Radboud University Medical Center, 6500 HB Nijmegen, The Netherlands
| | - Eline-Claire Grosfeld
- Department of Regenerative Biomaterials, Radboud Institute for Molecular Life Sciences, Radboud University Medical Center, 6500 HB Nijmegen, The Netherlands
| | - Abe Marra
- Department of Regenerative Biomaterials, Radboud Institute for Molecular Life Sciences, Radboud University Medical Center, 6500 HB Nijmegen, The Netherlands
| | - Brandon T Smith
- Department of Bioengineering, Rice University, Houston, Texas 77030
| | - Antonios G Mikos
- Department of Bioengineering, Rice University, Houston, Texas 77030.,Department of Chemical and Biomolecular Engineering, Rice University, Houston, Texas 77005
| | - Dietmar Jo Ulrich
- Department of Plastic & Reconstructive Surgery, Radboud University Medical Center, 6500 HB Nijmegen, The Netherlands
| | - John A Jansen
- Department of Regenerative Biomaterials, Radboud Institute for Molecular Life Sciences, Radboud University Medical Center, 6500 HB Nijmegen, The Netherlands
| | - Jeroen Jjp van den Beucken
- Department of Regenerative Biomaterials, Radboud Institute for Molecular Life Sciences, Radboud University Medical Center, 6500 HB Nijmegen, The Netherlands
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8
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Driscoll L, Kendrick E, Knight K, Wright A, Slater P. Investigation into the dehydration of selenate doped Na2M(SO4)2·2H2O (M = Mn, Fe, Co and Ni): Stabilisation of the high Na content alluaudite phases Na3M1.5(SO4)3-1.5x(SeO4)1.5x (M = Mn, Co and Ni) through selenate incorporation. J SOLID STATE CHEM 2018. [DOI: 10.1016/j.jssc.2017.09.025] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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9
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Self-Setting Calcium Orthophosphate (CaPO4) Formulations. SPRINGER SERIES IN BIOMATERIALS SCIENCE AND ENGINEERING 2018. [DOI: 10.1007/978-981-10-5975-9_2] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
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10
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Babaie E, Bhaduri SB. Fabrication Aspects of Porous Biomaterials in Orthopedic Applications: A Review. ACS Biomater Sci Eng 2017; 4:1-39. [DOI: 10.1021/acsbiomaterials.7b00615] [Citation(s) in RCA: 99] [Impact Index Per Article: 14.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Elham Babaie
- Department
of Bioengineering, Bioscience Research Collaborative, Rice University, Houston, Texas 77030, United States
| | - Sarit B. Bhaduri
- Department
of Mechanical and Industrial Engineering and Division of Dentistry, University of Toledo, Toledo, Ohio 43606, United States
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11
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Ishikawa K, Putri TS, Tsuchiya A, Tanaka K, Tsuru K. Fabrication of interconnected porous β-tricalcium phosphate (β-TCP) based on a setting reaction of β-TCP granules with HNO3
followed by heat treatment. J Biomed Mater Res A 2017; 106:797-804. [DOI: 10.1002/jbm.a.36285] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2017] [Revised: 10/16/2017] [Accepted: 11/02/2017] [Indexed: 12/27/2022]
Affiliation(s)
- Kunio Ishikawa
- Department of Biomaterials, Faculty of Dental Science; Kyushu University, 3-1-1 Maidashi; Fukuoka Higashi-ku 812-8582 Japan
| | - Tansza Setiana Putri
- Department of Biomaterials, Faculty of Dental Science; Kyushu University, 3-1-1 Maidashi; Fukuoka Higashi-ku 812-8582 Japan
| | - Akira Tsuchiya
- Department of Biomaterials, Faculty of Dental Science; Kyushu University, 3-1-1 Maidashi; Fukuoka Higashi-ku 812-8582 Japan
| | - Keisuke Tanaka
- Department of Biomaterials, Faculty of Dental Science; Kyushu University, 3-1-1 Maidashi; Fukuoka Higashi-ku 812-8582 Japan
| | - Kanji Tsuru
- Department of Biomaterials, Faculty of Dental Science; Kyushu University, 3-1-1 Maidashi; Fukuoka Higashi-ku 812-8582 Japan
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12
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Lodoso-Torrecilla I, van Gestel NAP, Diaz-Gomez L, Grosfeld EC, Laperre K, Wolke JGC, Smith BT, Arts JJ, Mikos AG, Jansen JA, Hofmann S, van den Beucken JJJP. Multimodal pore formation in calcium phosphate cements. J Biomed Mater Res A 2017; 106:500-509. [PMID: 28940662 DOI: 10.1002/jbm.a.36245] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2017] [Revised: 09/08/2017] [Accepted: 09/21/2017] [Indexed: 01/05/2023]
Abstract
Calcium phosphate cements (CPCs) are commonly used as bone substitute materials. However, their slow degradation rate and lack of macroporosity hinders new bone formation. Poly(dl-lactic-co-glycolic acid) (PLGA) incorporation is of great interest as, upon degradation, produces acidic by-products that enhance CPC degradation. Yet, new bone formation is delayed until PLGA degradation occurs a few weeks after implantation. Therefore, the aim of this study was to accelerate the early stage pore formation within CPCs in vitro. With that purpose, we incorporated the water-soluble porogen sucrose at different weight percentages (10 or 20 wt %) to CPC and CPC/PLGA composites. The results revealed that incorporation of sucrose porogens increased mass loss within the first week of in vitro degradation in groups containing sucrose compared to control groups. After week 1, a further mass loss was observed related to PLGA and CPC degradation. Macroporosity analysis confirmed that macroporosity formation is influenced by the dissolution of sucrose at an early stage and by the degradation of PLGA and CPC at a later stage. We concluded that the combination of sucrose and PLGA porogens in CPC is a promising approach to promote early stage bone tissue ingrowth and complete replacement of CPC through multimodal pore formation. © 2017 Wiley Periodicals, Inc. J Biomed Mater Res Part A: 106A: 500-509, 2018.
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Affiliation(s)
| | - Nicole A P van Gestel
- Orthopedic Biomechanics, Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, The Netherlands.,Institute for Complex Molecular Systems, Eindhoven University of Technology, Eindhoven, The Netherlands
| | - Luis Diaz-Gomez
- Departamento de Farmacia y Tecnología Farmacéutica, Facultad de Farmacia, Universidade de Santiago de Compostela, Santiago de Compostela, Spain.,Department of Bioengineering, Rice University, Houston, Texas, 77030
| | | | | | - Joop G C Wolke
- Department of Biomaterials, Radboudumc, Nijmegen, The Netherlands
| | - Brandon T Smith
- Department of Bioengineering, Rice University, Houston, Texas, 77030
| | - Jacobus J Arts
- Orthopedic Biomechanics, Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, The Netherlands.,Department of Orthopaedic Surgery, Research School CAPHRI, Maastricht University Medical Centre, Maastricht, The Netherlands
| | - Antonios G Mikos
- Department of Bioengineering, Rice University, Houston, Texas, 77030.,Department of Chemical and Biomolecular Engineering, Rice University, Houston, Texas, 77005
| | - John A Jansen
- Department of Biomaterials, Radboudumc, Nijmegen, The Netherlands
| | - Sandra Hofmann
- Orthopedic Biomechanics, Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, The Netherlands.,Institute for Complex Molecular Systems, Eindhoven University of Technology, Eindhoven, The Netherlands.,Institute for Biomechanics, Swiss Federal Institute of Technology Zürich (ETHZ), Zürich, Switzerland
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13
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Zhang YG, Zhu YJ, Chen F, Sun TW. Biocompatible, Ultralight, Strong Hydroxyapatite Networks Based on Hydroxyapatite Microtubes with Excellent Permeability and Ultralow Thermal Conductivity. ACS APPLIED MATERIALS & INTERFACES 2017; 9:7918-7928. [PMID: 28240537 DOI: 10.1021/acsami.6b13328] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
In the past decade, ultralight materials such as aerogels have become one of the hottest research topics owing to their unique properties. However, most reported ultralight materials are bioinert. In this work, by using biocompatible, monodisperse, single-crystalline hydroxyapatite (HAP) microtubes as the building blocks, ultralight, strong, highly porous, three-dimensional (3-D) HAP networks have been successfully fabricated through a facile freeze-drying method and subsequent sintering at 1300 °C for 2 h. The as-prepared ultralight, strong, highly porous 3-D HAP microtube networks exhibit superior properties, such as ultrahigh porosity (89% to 96%), low density (94.1 to 347.1 mg/cm3), high compressive strength that can withstand more than 6400 times of their own weight without any fracture and is higher than aerogels with similar densities, and ultralow thermal conductivity (0.05 W/mK). Owing to their high porosity, ultralight, and good mechanical properties and high biocompatibility, the HAP microtube networks reported herein are promising for applications in various fields.
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Affiliation(s)
- Yong-Gang Zhang
- State Key Laboratory of High Performance Ceramics and Superfine Microstructure, Shanghai Institute of Ceramics, Chinese Academy of Sciences , Shanghai, 200050, P. R. China
- University of Chinese Academy of Sciences , Beijing, 100049, China
| | - Ying-Jie Zhu
- State Key Laboratory of High Performance Ceramics and Superfine Microstructure, Shanghai Institute of Ceramics, Chinese Academy of Sciences , Shanghai, 200050, P. R. China
- University of Chinese Academy of Sciences , Beijing, 100049, China
| | - Feng Chen
- State Key Laboratory of High Performance Ceramics and Superfine Microstructure, Shanghai Institute of Ceramics, Chinese Academy of Sciences , Shanghai, 200050, P. R. China
- University of Chinese Academy of Sciences , Beijing, 100049, China
| | - Tuan-Wei Sun
- State Key Laboratory of High Performance Ceramics and Superfine Microstructure, Shanghai Institute of Ceramics, Chinese Academy of Sciences , Shanghai, 200050, P. R. China
- University of Chinese Academy of Sciences , Beijing, 100049, China
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14
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Wang H, Li Q, Wang Q, Zhang H, Shi W, Gan H, Song H, Wang Z. Enhanced repair of segmental bone defects in rabbit radius by porous tantalum scaffolds modified with the RGD peptide. JOURNAL OF MATERIALS SCIENCE. MATERIALS IN MEDICINE 2017; 28:50. [PMID: 28197822 DOI: 10.1007/s10856-017-5860-4] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/15/2016] [Accepted: 01/30/2017] [Indexed: 06/06/2023]
Abstract
Fast and stable repair of segmental bone defects remains a challenge for clinical orthopedic surgery. In recent years, porous tantalum has been widely applied in clinical orthopedics for low modulus of elasticity, with three-dimensional microstructures similar to cancellous bone and excellent biocompatibility. To further improve bone the repairing ability of porous tantalum, the cyclo(-RGDfK-) peptide was coated on the surface of porous tantalum scaffolds. A model of 15 mm segmental defect was made at the midshaft of right radius in New Zealand White rabbits. In the experimental group, defects were implanted (press-fit) using porous tantalum scaffolds modified with cyclo(-RGDfK-) peptide. Control animals were implanted with non-modified porous tantalum scaffolds or xenogeneic cancellous bone scaffolds, respectively. No implant was provided for the blank group. Bone repair was assessed by X-ray and histological observations at 4, 8, and 16 weeks post-operation, with biomechanical tests and micro-computed tomography performed at 16 weeks post-surgery. The results showed that bone formation was increased at the interface and inside the inner pores of modified porous tantalum scaffolds than those of non-modified porous tantalum scaffolds; biomechanical properties in the modified porous tantalum group were superior to those of the non-modified porous tantalum and xenogeneic cancellous bone groups, while new bone volume fractions using micro-computed tomography analysis were similar between the modified porous tantalum and xenogeneic cancellous bone groups. Our findings suggested that modified porous tantalum scaffolds had enhanced repairing ability in segmental bone defect in rabbit radius, and may serve as a potential material for repairing large bone defects.
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Affiliation(s)
- Hui Wang
- Hand Surgery Department, Tangshan orthopaedic hospital affiliated, North China University of Science and Technology, Tangshan, Hebei, 063000, P.R. China
| | - Qijia Li
- Experimental Center, North China University of Science and Technology, Tangshan, Hebei, 063000, P.R. China
| | - Qian Wang
- Department of Anatomy, Basic Medical College, North China University of Science and Technology, Tangshan, Hebei, 063000, P.R. China
| | - Hui Zhang
- Department of Joint Surgery, Tangshan orthopaedic hospital affiliated, North China University of Science and Technology, Tangshan, Hebei, 063000, P.R. China
| | - Wei Shi
- Department of Orthopaedics, Affiliated Hospital, North China University of Science and Technology, Tangshan, Hebei, 063000, P.R. China
| | - Hongquan Gan
- Department of Orthopaedics, Affiliated Hospital, North China University of Science and Technology, Tangshan, Hebei, 063000, P.R. China
| | - Huiping Song
- Department of Orthopaedics, Affiliated Hospital, North China University of Science and Technology, Tangshan, Hebei, 063000, P.R. China
| | - Zhiqiang Wang
- Department of Orthopaedics, Affiliated Hospital, North China University of Science and Technology, Tangshan, Hebei, 063000, P.R. China.
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15
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Love B. Ceramic Biomaterials. Biomaterials 2017. [DOI: 10.1016/b978-0-12-809478-5.00008-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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16
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Driscoll L, Kendrick E, Wright A, Slater P. Investigation into the effect on structure of oxoanion doping in Na2M(SO4)2·2H2O. J SOLID STATE CHEM 2016. [DOI: 10.1016/j.jssc.2016.07.004] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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17
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Buckholtz GA, Reger NA, Anderton WD, Schimoler PJ, Roudebush SL, Meng WS, Miller MC, Gawalt ES. Reducing Escherichia coli growth on a composite biomaterial by a surface immobilized antimicrobial peptide. MATERIALS SCIENCE & ENGINEERING. C, MATERIALS FOR BIOLOGICAL APPLICATIONS 2016; 65:126-34. [PMID: 27157735 DOI: 10.1016/j.msec.2016.04.021] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/09/2015] [Revised: 03/22/2016] [Accepted: 04/06/2016] [Indexed: 10/22/2022]
Abstract
A new composite bioceramic consisting of calcium aluminum oxide (CaAlO) and hydroxyapatite (HA) was functionalized with the synthetic antimicrobial peptide Inverso-CysHHC10. CaAlO is a bioceramic that can be mold cast easily and quickly at room temperature. Improved functionality was previously achieved through surface reactions. Here, composites containing 0-5% HA (by mass) were prepared and the elastic modulus and modulus of rupture were mechanically similar to non-load bearing bone. The addition of hydroxyapatite resulted in increased osteoblast attachment (>180%) and proliferation (>140%) on all composites compared to 100% CaAlO. Antimicrobial peptide (AMP) immobilization was achieved using an interfacial alkene-thiol click reaction. The linked AMP persisted on the composite (>99.6% after 24h) and retained its activity against Escherichia coli based on N-phenylnaphthylamine uptake and bacterial turbidity tests. Overall, this simple scaffold system improves osteoblast activity and reduces bacterial activity.
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Affiliation(s)
- Gavin A Buckholtz
- Department of Chemistry and Biochemistry, Duquesne University, Pittsburgh, PA 15282, USA
| | - Nina A Reger
- Department of Chemistry and Biochemistry, Duquesne University, Pittsburgh, PA 15282, USA
| | - William D Anderton
- Orthopaedic Biomechanics Research Laboratory, Allegheny General Hospital, Pittsburgh, PA 15212, USA
| | - Patrick J Schimoler
- Orthopaedic Biomechanics Research Laboratory, Allegheny General Hospital, Pittsburgh, PA 15212, USA
| | - Shana L Roudebush
- Division of Pharmaceutical Sciences, Duquesne University, Pittsburgh, PA 15282, USA
| | - Wilson S Meng
- Division of Pharmaceutical Sciences, Duquesne University, Pittsburgh, PA 15282, USA
| | - Mark C Miller
- Orthopaedic Biomechanics Research Laboratory, Allegheny General Hospital, Pittsburgh, PA 15212, USA
| | - Ellen S Gawalt
- Department of Chemistry and Biochemistry, Duquesne University, Pittsburgh, PA 15282, USA; McGowan Institute for Regenerative Medicine, University of Pittsburgh, Pittsburgh, PA 15219, USA.
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18
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Zhao YN, Fan JJ, Li ZQ, Liu YW, Wu YP, Liu J. Effects of Pore Size on the Osteoconductivity and Mechanical Properties of Calcium Phosphate Cement in a Rabbit Model. Artif Organs 2016; 41:199-204. [PMID: 27401022 DOI: 10.1111/aor.12742] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2015] [Revised: 01/19/2016] [Indexed: 01/20/2023]
Affiliation(s)
- Yi-Nan Zhao
- Department of Orthopedics Surgery; Xijing Hospital, Fourth Military Medical University; Xi'an China
| | - Jun-Jun Fan
- Department of Orthopedics Surgery; Xijing Hospital, Fourth Military Medical University; Xi'an China
| | - Zhi-Quan Li
- Department of Orthopedics Surgery; Xijing Hospital, Fourth Military Medical University; Xi'an China
| | - Yan-Wu Liu
- Department of Orthopedics Surgery; Xijing Hospital, Fourth Military Medical University; Xi'an China
| | - Yao-Ping Wu
- Department of Orthopedics Surgery; Xijing Hospital, Fourth Military Medical University; Xi'an China
| | - Jian Liu
- Department of Orthopedics Surgery; Xijing Hospital, Fourth Military Medical University; Xi'an China
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19
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Tommasi G, Perni S, Prokopovich P. An Injectable Hydrogel as Bone Graft Material with Added Antimicrobial Properties. Tissue Eng Part A 2016; 22:862-72. [PMID: 27174392 PMCID: PMC4913507 DOI: 10.1089/ten.tea.2016.0014] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Currently, the technique which provides the best chances for a successful bone graft, is the use of bone tissue from the same patient receiving it (autograft); the main limitations are the limited availability and the risks involved in removing living bone tissue, for example, explant site pain and morbidity. Allografts and xenografts may overcome these limitations; however, they increase the risk of rejection. For all these reasons the development of an artificial bone graft material is particularly important and hydrogels are a promising alternative for bone regeneration. Gels were prepared using 1,4-butanediol diacrylate as crosslinker and alpha tricalciumphosphate; ZnCl2 and SrCl2 were added to the aqueous phase. MTT results demonstrated that the addition of strontium had a beneficial effect on the osteoblast cells density on hydrogels, and zinc instead did not increase osteoblast proliferation. The amount of calcium produced by the osteoblast cells quantified through the Alizarin Red protocol revealed that both strontium and zinc positively influenced the formation of calcium; furthermore, their effect was synergistic. Rheology properties were used to mechanically characterize the hydrogels and especially the influence of crosslinker's concentration on them, showing the hydrogels presented had extremely good mechanical properties. Furthermore, the antimicrobial activity of strontium and zinc in the hydrogels against methicillin-resistant Staphylococcus aureus and Staphylococcus epidermidis was determined.
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Affiliation(s)
- Giacomo Tommasi
- School of Pharmacy and Pharmaceutical Sciences, Cardiff University , Cardiff, United Kingdom
| | - Stefano Perni
- School of Pharmacy and Pharmaceutical Sciences, Cardiff University , Cardiff, United Kingdom
| | - Polina Prokopovich
- School of Pharmacy and Pharmaceutical Sciences, Cardiff University , Cardiff, United Kingdom
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20
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Zhang J, Liu W, Gauthier O, Sourice S, Pilet P, Rethore G, Khairoun K, Bouler JM, Tancret F, Weiss P. A simple and effective approach to prepare injectable macroporous calcium phosphate cement for bone repair: Syringe-foaming using a viscous hydrophilic polymeric solution. Acta Biomater 2016; 31:326-338. [PMID: 26631875 DOI: 10.1016/j.actbio.2015.11.055] [Citation(s) in RCA: 51] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2015] [Revised: 10/28/2015] [Accepted: 11/25/2015] [Indexed: 11/18/2022]
Abstract
In this study, we propose a simple and effective strategy to prepare injectable macroporous calcium phosphate cements (CPCs) by syringe-foaming via hydrophilic viscous polymeric solution, such as using silanized-hydroxypropyl methylcellulose (Si-HPMC) as a foaming agent. The Si-HPMC foamed CPCs demonstrate excellent handling properties such as injectability and cohesion. After hardening the foamed CPCs possess hierarchical macropores and their mechanical properties (Young's modulus and compressive strength) are comparable to those of cancellous bone. Moreover, a preliminary in vivo study in the distal femoral sites of rabbits was conducted to evaluate the biofunctionality of this injectable macroporous CPC. The evidence of newly formed bone in the central zone of implantation site indicates the feasibility and effectiveness of this foaming strategy that will have to be optimized by further extensive animal experiments. STATEMENT OF SIGNIFICANCE A major challenge in the design of biomaterial-based injectable bone substitutes is the development of cohesive, macroporous and self-setting calcium phosphate cement (CPC) that enables rapid cell invasion with adequate initial mechanical properties without the use of complex processing and additives. Thus, we propose a simple and effective strategy to prepare injectable macroporous CPCs through syringe-foaming using a hydrophilic viscous polymeric solution (silanized-hydroxypropyl methylcellulose, Si-HPMC) as a foaming agent, that simultaneously meets all the aforementioned aims. Evidence from our in vivo studies shows the existence of newly formed bone within the implantation site, indicating the feasibility and effectiveness of this foaming strategy, which could be used in various CPC systems using other hydrophilic viscous polymeric solutions.
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Affiliation(s)
- Jingtao Zhang
- Université de Nantes, INSERM UMRS 791, Laboratoire d'Ingénierie Ostéo-Articulaire et Dentaire, 1 place Alexis Ricordeau, BP 84215, 44042 Nantes Cedex 1, France; Université de Nantes, Polytech Nantes, Institut des Matériaux Jean Rouxel, CNRS UMR 6502, Rue Christian Pauc, BP 50609, 44306 Nantes Cedex 3, France
| | - Weizhen Liu
- Université de Nantes, INSERM UMRS 791, Laboratoire d'Ingénierie Ostéo-Articulaire et Dentaire, 1 place Alexis Ricordeau, BP 84215, 44042 Nantes Cedex 1, France; Université de Nantes, Polytech Nantes, Institut des Matériaux Jean Rouxel, CNRS UMR 6502, Rue Christian Pauc, BP 50609, 44306 Nantes Cedex 3, France
| | - Olivier Gauthier
- ONIRIS - Ecole Nationale Veterinaire de Nantes, Atlanpole-La Chantrerie, BP 40706, 44307 Nantes cedex 3, France
| | - Sophie Sourice
- Université de Nantes, INSERM UMRS 791, Laboratoire d'Ingénierie Ostéo-Articulaire et Dentaire, 1 place Alexis Ricordeau, BP 84215, 44042 Nantes Cedex 1, France
| | - Paul Pilet
- Université de Nantes, INSERM UMRS 791, Laboratoire d'Ingénierie Ostéo-Articulaire et Dentaire, 1 place Alexis Ricordeau, BP 84215, 44042 Nantes Cedex 1, France; CHU de Nantes, Nantes University Hospital, PHU 4 OTONN, 1 Pl A. Ricordeau Nantes, France
| | - Gildas Rethore
- Université de Nantes, INSERM UMRS 791, Laboratoire d'Ingénierie Ostéo-Articulaire et Dentaire, 1 place Alexis Ricordeau, BP 84215, 44042 Nantes Cedex 1, France; CHU de Nantes, Nantes University Hospital, PHU 4 OTONN, 1 Pl A. Ricordeau Nantes, France
| | - Khalid Khairoun
- Université de Nantes, INSERM UMRS 791, Laboratoire d'Ingénierie Ostéo-Articulaire et Dentaire, 1 place Alexis Ricordeau, BP 84215, 44042 Nantes Cedex 1, France
| | - Jean-Michel Bouler
- Université de Nantes, CEISAM, CNRS UMR 6230, 2 rue de la Houssinière, BP 92208, 44322 Nantes Cedex 3, France
| | - Franck Tancret
- Université de Nantes, Polytech Nantes, Institut des Matériaux Jean Rouxel, CNRS UMR 6502, Rue Christian Pauc, BP 50609, 44306 Nantes Cedex 3, France
| | - Pierre Weiss
- Université de Nantes, INSERM UMRS 791, Laboratoire d'Ingénierie Ostéo-Articulaire et Dentaire, 1 place Alexis Ricordeau, BP 84215, 44042 Nantes Cedex 1, France; CHU de Nantes, Nantes University Hospital, PHU 4 OTONN, 1 Pl A. Ricordeau Nantes, France.
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21
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Unosson J, Montufar EB, Engqvist H, Ginebra MP, Persson C. Brushite foams--the effect of Tween® 80 and Pluronic® F-127 on foam porosity and mechanical properties. J Biomed Mater Res B Appl Biomater 2016; 104:67-77. [PMID: 25615405 PMCID: PMC5024005 DOI: 10.1002/jbm.b.33355] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2014] [Revised: 11/19/2014] [Accepted: 12/02/2014] [Indexed: 11/30/2022]
Abstract
Resorbable calcium phosphate based bone void fillers should work as temporary templates for new bone formation. The incorporation of macropores with sizes of 100 -300 µm has been shown to increase the resorption rate of the implant and speed up bone ingrowth. In this work, macroporous brushite cements were fabricated through foaming of the cement paste, using two different synthetic surfactants, Tween® 80 and Pluronic® F-127. The macropores formed in the Pluronic samples were both smaller and less homogeneously distributed compared with the pores formed in the Tween samples. The porosity and compressive strength (CS) were comparable to previously developed hydroxyapatite foams. The cement foam containing Tween, 0.5M citric acid in the liquid, 1 mass% of disodium dihydrogen pyrophosphate mixed in the powder and a liquid to powder ratio of 0.43 mL/g, showed the highest porosity values (76% total and 56% macroporosity), while the CS was >1 MPa, that is, the hardened cement could be handled without rupture of the foamed structure. The investigated brushite foams show potential for future clinical use, both as bone void fillers and as scaffolds for in vitro bone regeneration.
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Affiliation(s)
- Johanna Unosson
- Department of Engineering Sciences, Division of Applied Materials Science, Uppsala University, Sweden
- Department of Engineering Sciences, Uppsala University, Sweden
| | - Edgar B Montufar
- Biomaterials, Biomechanics and Tissue Engineering Group, Department of Materials Science and Metallurgy, Technical University of Catalonia (UPC), ETSEIB, Spain
- Biomedical Research Networking Center in Bioengineering, Biomaterials and Nanomedicine (CIBER-BBN), Spain
| | - Håkan Engqvist
- Department of Engineering Sciences, Division of Applied Materials Science, Uppsala University, Sweden
- Department of Engineering Sciences, Uppsala University, Sweden
| | - Maria-Pau Ginebra
- Biomaterials, Biomechanics and Tissue Engineering Group, Department of Materials Science and Metallurgy, Technical University of Catalonia (UPC), ETSEIB, Spain
- Biomedical Research Networking Center in Bioengineering, Biomaterials and Nanomedicine (CIBER-BBN), Spain
| | - Cecilia Persson
- Department of Engineering Sciences, Division of Applied Materials Science, Uppsala University, Sweden
- Department of Engineering Sciences, Uppsala University, Sweden
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Martínez-Vázquez F, Cabañas M, Paris J, Lozano D, Vallet-Regí M. Fabrication of novel Si-doped hydroxyapatite/gelatine scaffolds by rapid prototyping for drug delivery and bone regeneration. Acta Biomater 2015; 15:200-9. [PMID: 25560614 DOI: 10.1016/j.actbio.2014.12.021] [Citation(s) in RCA: 100] [Impact Index Per Article: 11.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2014] [Revised: 12/17/2014] [Accepted: 12/23/2014] [Indexed: 10/24/2022]
Abstract
Porous 3-D scaffolds consisting of gelatine and Si-doped hydroxyapatite were fabricated at room temperature by rapid prototyping. Microscopic characterization revealed a highly homogeneous structure, showing the pre-designed porosity (macroporosity) and a lesser in-rod porosity (microporosity). The mechanical properties of such scaffolds are close to those of trabecular bone of the same density. The biological behavior of these hybrid scaffolds is greater than that of pure ceramic scaffolds without gelatine, increasing pre-osteoblastic MC3T3-E1 cell differentiation (matrix mineralization and gene expression). Since the fabrication process of these structures was carried out at mild conditions, an antibiotic (vancomycin) was incorporated in the slurry before the extrusion of the structures. The release profile of this antibiotic was measured in phosphate-buffered saline solution by high-performance liquid chromatography and was adjusted to a first-order release kinetics. Vancomycin released from the material was also shown to inhibit bacterial growth in vitro. The implications of these results for bone tissue engineering applications are discussed.
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Harrison R, Criss ZK, Feller L, Modi SP, Hardy JG, Schmidt CE, Suggs LJ, Murphy MB. Mechanical properties of α-tricalcium phosphate-based bone cements incorporating regenerative biomaterials for filling bone defects exposed to low mechanical loads. J Biomed Mater Res B Appl Biomater 2015; 104:149-57. [PMID: 25677680 DOI: 10.1002/jbm.b.33362] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2014] [Revised: 10/30/2014] [Accepted: 12/17/2014] [Indexed: 12/25/2022]
Abstract
Calcium phosphate-based cements with enhanced regenerative potential are promising biomaterials for the healing of bone defects in procedures such as percutaneous vertebroplasty. With a view to the use of such cements for low load bearing applications such as sinus augmentation or filling extraction sites. However, the inclusion of certain species into bone cement formulations has the potential to diminish the mechanical properties of the formulations and thereby reduce their prospects for clinical translation. Consequently, we have prepared α-tricalcium phosphate (α-TCP)-based bone cements including materials that we would expect to improve their regenerative potential, and describe the mechanical properties of the resulting formulations herein. Formulations incorporated α-TCP, hydroxyapatite, biopolymer-thickened wetting agents, sutures, and platelet poor plasma. The mechanical properties of the composites were composition dependent, and optimized formulations had clinically relevant mechanical properties. Such calcium phosphate-based cements have potential as replacements for cements such as those based on polymethylmethacrylate.
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Affiliation(s)
- Reed Harrison
- Department of Biomedical Engineering, The University of Texas at Austin, Texas, 78712
| | - Zachary K Criss
- Department of Biomedical Engineering, The University of Texas at Austin, Texas, 78712
| | - Lacie Feller
- Department of Biomedical Engineering, The University of Texas at Austin, Texas, 78712
| | - Shan P Modi
- Department of Biomedical Engineering, The University of Texas at Austin, Texas, 78712
| | - John G Hardy
- Department of Biomedical Engineering, The University of Texas at Austin, Texas, 78712.,J. Crayton Pruitt Family Department of Biomedical Engineering, University of Florida, Gainesville, Florida, 32611-6131
| | - Christine E Schmidt
- Department of Biomedical Engineering, The University of Texas at Austin, Texas, 78712.,J. Crayton Pruitt Family Department of Biomedical Engineering, University of Florida, Gainesville, Florida, 32611-6131
| | - Laura J Suggs
- Department of Biomedical Engineering, The University of Texas at Austin, Texas, 78712
| | - Matthew B Murphy
- Department of Biomedical Engineering, The University of Texas at Austin, Texas, 78712
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24
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Huang SC, Wu BC, Ding SJ. Stem cell differentiation-induced calcium silicate cement with bacteriostatic activity. J Mater Chem B 2015; 3:570-580. [DOI: 10.1039/c4tb01617c] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
The calcium silicate cement (CSC) on osteogenic differentiation of hMSCs and bacteriostatic abilities was more effective than calcium phosphate cement (CPC).
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Affiliation(s)
- Shu-Ching Huang
- School of Dentistry
- Chung Shan Medical University
- Taichung City 402
- Taiwan
| | - Buor-Chang Wu
- School of Dentistry
- Chung Shan Medical University
- Taichung City 402
- Taiwan
| | - Shinn-Jyh Ding
- Department of Dentistry
- Chung Shan Medical University Hospital
- Taichung City 402
- Taiwan
- Institute of Oral Science
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25
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Engstrand Unosson J, Persson C, Engqvist H. An evaluation of methods to determine the porosity of calcium phosphate cements. J Biomed Mater Res B Appl Biomater 2014; 103:62-71. [DOI: 10.1002/jbm.b.33173] [Citation(s) in RCA: 50] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2013] [Revised: 03/20/2014] [Accepted: 03/30/2014] [Indexed: 11/09/2022]
Affiliation(s)
- Johanna Engstrand Unosson
- Division of Applied Materials Science, Department of Engineering SciencesUppsala UniversityUppsala Sweden
| | - Cecilia Persson
- Division of Applied Materials Science, Department of Engineering SciencesUppsala UniversityUppsala Sweden
| | - Håkan Engqvist
- Division of Applied Materials Science, Department of Engineering SciencesUppsala UniversityUppsala Sweden
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26
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Prieto EM, Page JM, Harmata AJ, Guelcher SA. Injectable foams for regenerative medicine. WILEY INTERDISCIPLINARY REVIEWS. NANOMEDICINE AND NANOBIOTECHNOLOGY 2014; 6:136-54. [PMID: 24127230 PMCID: PMC3945605 DOI: 10.1002/wnan.1248] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/17/2013] [Revised: 08/13/2013] [Accepted: 09/17/2013] [Indexed: 12/21/2022]
Abstract
The design of injectable biomaterials has attracted considerable attention in recent years. Many injectable biomaterials, such as hydrogels and calcium phosphate cements (CPCs), have nanoscale pores that limit the rate of cellular migration and proliferation. While introduction of macroporosity has been suggested to increase cellular infiltration and tissue healing, many conventional methods for generating macropores often require harsh processing conditions that preclude their use in injectable foams. In recent years, processes such as porogen leaching, gas foaming, and emulsion-templating have been adapted to generate macroporosity in injectable CPCs, hydrogels, and hydrophobic polymers. While some of the more mature injectable foam technologies have been evaluated in clinical trials, there are challenges remaining to be addressed, such as the biocompatibility and ultimate fate of the sacrificial phase used to generate pores within the foam after it sets in situ. Furthermore, while implantable scaffolds can be washed extensively to remove undesirable impurities, all of the components required to synthesize injectable foams must be injected into the defect. Thus, every compound in the foam must be biocompatible and noncytotoxic at the concentrations utilized. As future research addresses these critical challenges, injectable macroporous foams are anticipated to have an increasingly significant impact on improving patient outcomes for a number of clinical procedures.
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Affiliation(s)
- Edna M Prieto
- Department of Chemical and Biomolecular Engineering, Vanderbilt University, Nashville, TN, USA
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27
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Calcium phosphate cements for bone substitution: chemistry, handling and mechanical properties. Acta Biomater 2014; 10:1035-49. [PMID: 24231047 DOI: 10.1016/j.actbio.2013.11.001] [Citation(s) in RCA: 338] [Impact Index Per Article: 33.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2013] [Revised: 10/29/2013] [Accepted: 11/01/2013] [Indexed: 01/02/2023]
Abstract
Since their initial formulation in the 1980s, calcium phosphate cements (CPCs) have been increasingly used as bone substitutes. This article provides an overview on the chemistry, kinetics of setting and handling properties (setting time, cohesion and injectability) of CPCs for bone substitution, with a focus on their mechanical properties. Many processing parameters, such as particle size, composition of cement reactants and additives, can be adjusted to control the setting process of CPCs, concomitantly influencing their handling and mechanical performance. Moreover, this review shows that, although the mechanical strength of CPCs is generally low, it is not a critical issue for their application for bone repair--an observation not often realized by researchers and clinicians. CPCs with compressive strengths comparable to those of cortical bones can be produced through densification and/or homogenization of the cement matrix. The real limitation for CPCs appears to be their low fracture toughness and poor mechanical reliability (Weibull modulus), which have so far been only rarely studied.
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28
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Calcium phosphate based three-dimensional cold plotted bone scaffolds for critical size bone defects. BIOMED RESEARCH INTERNATIONAL 2014; 2014:852610. [PMID: 24719891 PMCID: PMC3955683 DOI: 10.1155/2014/852610] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/18/2013] [Revised: 01/13/2014] [Accepted: 01/13/2014] [Indexed: 11/17/2022]
Abstract
Bone substitutes, like calcium phosphate, are implemented more frequently in orthopaedic surgery to reconstruct critical size defects, since autograft often results in donor site morbidity and allograft can transmit diseases. A novel bone cement, based on β-tricalcium phosphate, polyethylene glycol, and trisodium citrate, was developed to allow the rapid manufacturing of scaffolds, by extrusion freeform fabrication, at room temperature. The cement composition exhibits good resorption properties and serves as a basis for customised (e.g., drug or growth factor loaded) scaffolds for critical size bone defects. In vitro toxicity tests confirmed proliferation and differentiation of ATDC5 cells in scaffold-conditioned culture medium. Implantation of scaffolds in the iliac wing of sheep showed bone remodelling throughout the defects, outperforming the empty defects on both mineral volume and density present in the defect after 12 weeks. Both scaffolds outperformed the autograft filled defects on mineral density, while the mineral volume present in the scaffold treated defects was at least equal to the mineral volume present in the autograft treated defects. We conclude that the formulated bone cement composition is suitable for scaffold production at room temperature and that the established scaffold material can serve as a basis for future bone substitutes to enhance de novo bone formation in critical size defects.
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29
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Fu Q, Saiz E, Rahaman MN, Tomsia AP. Toward Strong and Tough Glass and Ceramic Scaffolds for Bone Repair. ADVANCED FUNCTIONAL MATERIALS 2013; 23:5461-5476. [PMID: 29527148 PMCID: PMC5844579 DOI: 10.1002/adfm.201301121] [Citation(s) in RCA: 101] [Impact Index Per Article: 9.2] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/07/2023]
Abstract
The need for implants to repair large bone defects is driving the development of porous synthetic scaffolds with the requisite mechanical strength and toughness in vivo. Recent developments in the use of design principles and novel fabrication technologies are paving the way to create synthetic scaffolds with promising potential for reconstituting bone in load-bearing sites. This article reviews the state of the art in the design and fabrication of bioactive glass and ceramic scaffolds that have improved mechanical properties for structural bone repair. Scaffolds with anisotropic and periodic structures can be prepared with compressive strengths comparable to human cortical bone (100-150 MPa), while scaffolds with an isotropic structure typically have strengths in the range of trabecular bone (2-12 MPa). However, the mechanical response of bioactive glass and ceramic scaffolds in multiple loading modes such as flexure and torsion - as well as their mechanical reliability, fracture toughness, and fatigue resistance - has received little attention. Inspired by the designs of natural materials such as cortical bone and nacre, glass-ceramic and inorganic/polymer composite scaffolds created with extrinsic toughening mechanisms are showing potential for both high strength and mechanical reliability. Future research should include improved designs that provide strong scaffolds with microstructures conducive to bone ingrowth, and evaluation of these scaffolds in large animal models for eventual translation into clinical applications.
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Affiliation(s)
- Qiang Fu
- Materials Sciences Division, Lawrence Berkeley National Laboratory, Berkeley, CA 94720 (USA)
| | - Eduardo Saiz
- Centre for Advanced Structural Materials, Department of Materials, Imperial College London, London, UK
| | - Mohamed N Rahaman
- Department of Materials Science and Engineering, and Center for Bone and Tissue Repair and Regeneration, Missouri University of Science and Technology, Rolla, MO 65409, USA
| | - Antoni P Tomsia
- Materials Sciences Division, Lawrence Berkeley National Laboratory, Berkeley, CA 94720 (USA)
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30
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Dorozhkin SV. Self-setting calcium orthophosphate formulations. J Funct Biomater 2013; 4:209-311. [PMID: 24956191 PMCID: PMC4030932 DOI: 10.3390/jfb4040209] [Citation(s) in RCA: 125] [Impact Index Per Article: 11.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2013] [Revised: 10/18/2013] [Accepted: 10/21/2013] [Indexed: 01/08/2023] Open
Abstract
In early 1980s, researchers discovered self-setting calcium orthophosphate cements, which are bioactive and biodegradable grafting bioceramics in the form of a powder and a liquid. After mixing, both phases form pastes, which set and harden forming either a non-stoichiometric calcium deficient hydroxyapatite or brushite. Since both of them are remarkably biocompartible, bioresorbable and osteoconductive, self-setting calcium orthophosphate formulations appear to be promising bioceramics for bone grafting. Furthermore, such formulations possess excellent molding capabilities, easy manipulation and nearly perfect adaptation to the complex shapes of bone defects, followed by gradual bioresorption and new bone formation. In addition, reinforced formulations have been introduced, which might be described as calcium orthophosphate concretes. The discovery of self-setting properties opened up a new era in the medical application of calcium orthophosphates and many commercial trademarks have been introduced as a result. Currently such formulations are widely used as synthetic bone grafts, with several advantages, such as pourability and injectability. Moreover, their low-temperature setting reactions and intrinsic porosity allow loading by drugs, biomolecules and even cells for tissue engineering purposes. In this review, an insight into the self-setting calcium orthophosphate formulations, as excellent bioceramics suitable for both dental and bone grafting applications, has been provided.
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31
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Holzapfel BM, Reichert JC, Schantz JT, Gbureck U, Rackwitz L, Nöth U, Jakob F, Rudert M, Groll J, Hutmacher DW. How smart do biomaterials need to be? A translational science and clinical point of view. Adv Drug Deliv Rev 2013; 65:581-603. [PMID: 22820527 DOI: 10.1016/j.addr.2012.07.009] [Citation(s) in RCA: 235] [Impact Index Per Article: 21.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2012] [Revised: 04/29/2012] [Accepted: 07/06/2012] [Indexed: 02/05/2023]
Abstract
Over the last 4 decades innovations in biomaterials and medical technology have had a sustainable impact on the development of biopolymers, titanium/stainless steel and ceramics utilized in medical devices and implants. This progress was primarily driven by issues of biocompatibility and demands for enhanced mechanical performance of permanent and non-permanent implants as well as medical devices and artificial organs. In the 21st century, the biomaterials community aims to develop advanced medical devices and implants, to establish techniques to meet these requirements, and to facilitate the treatment of older as well as younger patient cohorts. The major advances in the last 10 years from a cellular and molecular knowledge point of view provided the scientific foundation for the development of third-generation biomaterials. With the introduction of new concepts in molecular biology in the 2000s and specifically advances in genomics and proteomics, a differentiated understanding of biocompatibility slowly evolved. These cell biological discoveries significantly affected the way of biomaterials design and use. At the same time both clinical demands and patient expectations continued to grow. Therefore, the development of cutting-edge treatment strategies that alleviate or at least delay the need of implants could open up new vistas. This represents the main challenge for the biomaterials community in the 21st century. As a result, the present decade has seen the emergence of the fourth generation of biomaterials, the so-called smart or biomimetic materials. A key challenge in designing smart biomaterials is to capture the degree of complexity needed to mimic the extracellular matrix (ECM) of natural tissue. We are still a long way from recreating the molecular architecture of the ECM one to one and the dynamic mechanisms by which information is revealed in the ECM proteins in response to challenges within the host environment. This special issue on smart biomaterials lists a large number of excellent review articles which core is to present and discuss the basic sciences on the topic of smart biomaterials. On the other hand, the purpose of our review is to assess state of the art and future perspectives of the so called "smart biomaterials" from a translational science and specifically clinical point of view. Our aim is to filter out and discuss which biomedical advances and innovations help us to achieve the objective to translate smart biomaterials from bench to bedside. The authors predict that analyzing the field of smart biomaterials from a clinical point of view, looking back 50 years from now, it will show that this is our heritage in the 21st century.
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Affiliation(s)
- Boris Michael Holzapfel
- Regenerative Medicine, Institute of Health and Biomedical Innovation, Queensland, University of Technology, 60 Musk Avenue, Kelvin Grove, QLD 4059, Australia.
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Shih TC, Teng NC, Wang PD, Lin CT, Yang JC, Fong SW, Lin HK, Chang WJ. In vivo evaluation of resorbable bone graft substitutes in beagles: histological properties. J Biomed Mater Res A 2013; 101:2405-11. [PMID: 23526767 DOI: 10.1002/jbm.a.34540] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2012] [Revised: 09/30/2012] [Accepted: 11/19/2012] [Indexed: 11/07/2022]
Abstract
Calcium phosphate cement (CPC) is a promising material for use in minimally invasive surgery for bone defect repairs due to its bone-like apatitic final setting product, biocompatibility, bioactivity, self-setting characteristics, low setting temperature, adequate stiffness, and easy shaping into complicated geometrics. However, even though CPC is stable in vivo, the resorption rate of this bone cement is very slow and its long setting time poses difficulties for clinical use. Calcium sulfate dehydrate (CSD) has been used as a filler material and/or as a replacement for cancellous bone grafts due to its biocompatibility. However, it is resorbed too quickly to be optimal for bone regeneration. This study examines the invivo response of a hydroxyapatite (HA), [apatitic phase (AP)]/calcium sulfate (CSD) composite using different ratios in the mandibular premolar sockets of beagles. The HA (AP)/CSD composite materials were prepared in the ratios of 30/70, 50/50, and 70/30 and then implanted into the mandibular premolar sockets for terms of 5 and 10 weeks. The control socket was left empty. The study shows better new bone morphology and more new bone area in the histological and the histomorphometric study of the HA (AP)/CSD in the 50/50 ratio.
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Affiliation(s)
- Tsai-Chin Shih
- School of Dentistry, College of Oral Medicine, Taipei Medical University, Taipei, Taiwan, Republic of China
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33
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Sugawara A, Asaoka K, Ding SJ. Calcium phosphate-based cements: clinical needs and recent progress. J Mater Chem B 2013; 1:1081-1089. [DOI: 10.1039/c2tb00061j] [Citation(s) in RCA: 85] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
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Lu L, Zhang Q, Wootton D, Chiou R, Li D, Lu B, Lelkes P, Zhou J. Biocompatibility and biodegradation studies of PCL/β-TCP bone tissue scaffold fabricated by structural porogen method. JOURNAL OF MATERIALS SCIENCE. MATERIALS IN MEDICINE 2012; 23:2217-2226. [PMID: 22669285 DOI: 10.1007/s10856-012-4695-2] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/02/2011] [Accepted: 05/23/2012] [Indexed: 06/01/2023]
Abstract
Three-dimensional printer (3DP) (Z-Corp) is a solid freeform fabrication system capable of generating sub-millimeter physical features required for tissue engineering scaffolds. By using plaster composite materials, 3DP can fabricate a universal porogen which can be injected with a wide range of high melting temperature biomaterials. Here we report results toward the manufacture of either pure polycaprolactone (PCL) or homogeneous composites of 90/10 or 80/20 (w/w) PCL/beta-tricalcium phosphate (β-TCP) by injection molding into plaster composite porogens fabricated by 3DP. The resolution of printed plaster porogens and produced scaffolds was studied by scanning electron microscopy. Cytotoxicity test on scaffold extracts and biocompatibility test on the scaffolds as a matrix supporting murine osteoblast (7F2) and endothelial hybridoma (EAhy 926) cells growth for up to 4 days showed that the porogens removal process had only negligible effects on cell proliferation. The biodegradation tests of pure PCL and PCL/β-TCP composites were performed in DMEM with 10 % (v/v) FBS for up to 6 weeks. The PCL/β-TCP composites show faster degradation rate than that of pure PCL due to the addition of β-TCP, and the strength of 80/20 PCL/β-TCP composite is still suitable for human cancellous bone healing support after 6 weeks degradation. Combining precisely controlled porogen fabrication structure, good biocompatibility, and suitable mechanical properties after biodegradation, PCL/β-TCP scaffolds fabricated by 3DP porogen method provide essential capability for bone tissue engineering.
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Affiliation(s)
- Lin Lu
- Department of Mechanical Engineering and Mechanics, Drexel University, Philadelphia, PA 19104, USA
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Bulk properties and bioactivity assessment of porous polymethylmethacrylate cement loaded with calcium phosphates under simulated physiological conditions. Acta Biomater 2012; 8:3120-7. [PMID: 22588072 DOI: 10.1016/j.actbio.2012.05.007] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2012] [Revised: 05/02/2012] [Accepted: 05/07/2012] [Indexed: 11/21/2022]
Abstract
Polymethylmethacrylate (PMMA) cements are widely used in spinal surgery. Nevertheless, these types of cements present some documented drawbacks. Therefore, efforts have been made to improve the properties and biological performance of solid PMMA. A porous structure would seem to be advantageous for anchoring purposes. This work studied the bulk physicochemical, mechanical and interconnectivity properties of porous PMMA cements loaded with various amounts of calcium phosphate (CaP). As a measure of bioactivity, changes of PMMA cements under simulated physiological conditions were studied in a calcium phosphate solution for 0, 3, 7, 14, 21 and 28 days. Scanning electron microscopy (SEM), X-ray diffraction (XRD), Fourier transform infrared spectroscopy (FTIR), micro-computed tomography (μ-CT) and mechanical compression tests were performed to characterize the morphology, crystallographic and chemical composition, interconnectivity and mechanical properties, respectively. SEM allowed observing the result of loading CaP into the porous PMMA, which was corroborated by XRD, FTIR and μ-CT. No interference of the CaP with the PMMA was detected. μ-CT described similar interconnectivity and pore distribution for all CaP percentages. Mechanical properties were not significantly altered by the CaP percentages or the immersion time. Hence, porous PMMA was effectively loaded with CaP, which provided the material with properties for potential osteoconductivity.
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Barounian M, Hesaraki S, Kazemzadeh A. Development of strong and bioactive calcium phosphate cement as a light-cure organic-inorganic hybrid. JOURNAL OF MATERIALS SCIENCE. MATERIALS IN MEDICINE 2012; 23:1569-1581. [PMID: 22528071 DOI: 10.1007/s10856-012-4637-z] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/05/2010] [Accepted: 03/27/2012] [Indexed: 05/31/2023]
Abstract
In this research, light cured calcium phosphate cements (LCCPCs) were developed by mixing a powder phase (P) consisting of tetracalcium phosphate and dicalcium phosphate and a photo-curable resin phase (L), mixture of hydroxyethylmethacrylate (HEMA)/poly acrylic-maleic acid at various P/L ratios of 2.0, 2.4 and 2.8 g/mL. Mechanical strength, phase composition, chemical groups and microstructure of the cured cements were evaluated at pre-set times, i.e. before and after soaking in simulated body fluid (SBF). The proliferation of Rat-derived osteoblastic cells onto the LCCPCs as well as cytotoxicity of cement extracts were determined by cell counting and 3-{4,5-dimethylthiazol-2yl}-2,5-diphenyl-2H-tetrazolium bromide assay after different culture times. It was estimated from Fourier transforming infrared spectra of cured cements that the setting process is ruled by polymerization of HEMA monomers as well as formation of calcium poly-carboxylate salts. Microstructure of the cured cements consisted of calcium phosphate particles surrounded by polymerized resin phase. Formation of nano-sized needlelike calcium phosphate phase on surfaces of cements with P/L ratios of 2.4 and 2.8 g/mL was confirmed by scanning electron microscope images and X-ray diffractometry (XRD) of the cured specimen soaked in SBF for 21 days. Also, XRD patterns revealed that the formed calcium phosphate layer was apatite phase in a poor crystalline form. Biodegradation of the cements was confirmed by weight loss, change in molecular weight of polymer and morphology of the samples after different soaking periods. The maximum compressive strength of LCCPCs governed by resin polymerization and calcium polycarboxylate salts formation was about 80 MPa for cement with P/L ratio of 2.8 g/mL, after incubation for 24 h. The strength of all cements decreased by decreasing P/L ratio as well as increasing soaking time. The preliminary cell studies revealed that LCCPCs could support proliferation of osteoblasts cultured on their surfaces and no cytotoxic effect was observed for the extracts of them.
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Affiliation(s)
- M Barounian
- Materials and Energy Research Center, Tehran, Iran
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Lee JK, Ko YH, Lee NH. Biocompatibility of porous hydroxyapatite ceramics prepared from bovine bones. JOURNAL OF THE KOREAN CRYSTAL GROWTH AND CRYSTAL TECHNOLOGY 2012. [DOI: 10.6111/jkcgct.2012.22.3.139] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Xie C, Lu H, Li W, Chen FM, Zhao YM. The use of calcium phosphate-based biomaterials in implant dentistry. JOURNAL OF MATERIALS SCIENCE. MATERIALS IN MEDICINE 2012; 23:853-862. [PMID: 22201031 DOI: 10.1007/s10856-011-4535-9] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/26/2011] [Accepted: 12/12/2011] [Indexed: 05/31/2023]
Abstract
Since calcium phosphates (CaPs) were first proposed, a wide variety of formulations have been developed and continuously optimized, some of which (e.g. calcium phosphate cements, CPCs) have been successfully commercialized for clinical applications. These CaP-based biomaterials have been shown to be very attractive bone substitutes and efficient drug delivery vehicles across diverse biomedical applications. In this article, CaP biomaterials, principally CPCs, are addressed as alternatives/complements to autogenous bone for grafting in implant dentistry and as coating materials for enhancing the osteoinductivity of titanium implants, highlighting their performance benefits simultaneously as carriers for growth factors and as scaffolds for cell proliferation, differentiation and penetration. Different strategies for employing CaP biomaterials in dental implantology aim to ultimately reach the same goal, namely to enhance the osseointegration process for dental implants in the context of immediate loading and to augment the formation of surrounding bone to guarantee long-term success.
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Affiliation(s)
- Cheng Xie
- Department of Prosthodontics, School of Stomatology, Fourth Military Medical University, Xi'an, Shaanxi, People's Republic of China
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Lopez-Heredia MA, Sariibrahimoglu K, Yang W, Bohner M, Yamashita D, Kunstar A, van Apeldoorn AA, Bronkhorst EM, Félix Lanao RP, Leeuwenburgh SC, Itatani K, Yang F, Salmon P, Wolke JG, Jansen JA. Influence of the pore generator on the evolution of the mechanical properties and the porosity and interconnectivity of a calcium phosphate cement. Acta Biomater 2012; 8:404-14. [PMID: 21884833 DOI: 10.1016/j.actbio.2011.08.010] [Citation(s) in RCA: 49] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2011] [Revised: 07/09/2011] [Accepted: 08/11/2011] [Indexed: 12/25/2022]
Abstract
Porosity and interconnectivity are important properties of calcium phosphate cements (CPCs) and bone-replacement materials. Porosity of CPCs can be achieved by adding polymeric biodegradable pore-generating particles (porogens), which can add porosity to the CPC and can also be used as a drug-delivery system. Porosity affects the mechanical properties of CPCs, and hence is of relevance for clinical application of these cements. The current study focused on the effect of combinations of polymeric mesoporous porogens on the properties of a CPC, such as specific surface area, porosity and interconnectivity and the development of mechanical properties. CPC powder was mixed with different amounts of PLGA porogens of various molecular weights and porogen sizes. The major factors affecting the properties of the CPC were related to the amount of porogen loaded and the porogen size; the molecular weight did not show a significant effect per se. A minimal porogen size of 40 μm in 30 wt.% seems to produce a CPC with mechanical properties, porosity and interconnectivity suitable for clinical applications. The properties studied here, and induced by the porogen and CPC, can be used as a guide to evoke a specific host-response to maintain CPC integrity and to generate an explicit bone ingrowth.
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Evaluation of the Degradation Properties of Carbonate Substituted Hydroxyapatite-Poly( ε-caprolactone) Composites. ACTA ACUST UNITED AC 2011. [DOI: 10.4028/www.scientific.net/kem.493-494.120] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
The aim of this work is to produce and characterise carbonate substituted hydroxyapatite (CHA) reinforced polycaprolactone (PCL) nanocomposites with a controlled degradation rate in order to match the rate of bone in-growth. The ideal degradation time for this purpose is estimated to be around 5-6 months however, in vivo, PCL degrades over a period of 2 to 3 years. It has been reported that NaOH surface treatment can accelerate the degradation of PCL [1-3]. In order to further modify the degradation rate of PCL, the effects of the incorporation of different volume fractions of CHA in samples surface treated with NaOH was investigated. CHA was produced by wet chemical synthesis. Samples comprising 8, 19, 25 wt% uncalcined CHA-PCL composites were produced by twin screw extrusion which were then injection moulded into cylinders. In order to accelerate the degradation rate of PCL, it was surface treated with 5 M NaOH for 3 days prior to PBS studies. The degradation profile was examined by % weight loss and % water uptake measurements. NaOH treatment was observed to erode the polymer surface and the polymer-filler interface. On subsequently degrading the pre-treated samples in PBS, it was observed that with increasing fraction of CHA, the degradation rate in PBS of the sample increased. Up to 8 wt % CHA filler there appeared to be little change in the degradation properties of the NaOH treated samples with the onset occurring after 60 days. However there was a marked acceleration of degradation for samples containing 19 wt% when degradation appeared to occur immediately. In conclusion, the addition of CHA significantly affects the behaviour of PCL.
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In vitro degradation rate of apatitic calcium phosphate cement with incorporated PLGA microspheres. Acta Biomater 2011; 7:3459-68. [PMID: 21689794 DOI: 10.1016/j.actbio.2011.05.036] [Citation(s) in RCA: 105] [Impact Index Per Article: 8.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2011] [Revised: 05/24/2011] [Accepted: 05/31/2011] [Indexed: 11/23/2022]
Abstract
Calcium phosphate cements (CPCs) are frequently used as bone substitute material. Despite their superior clinical handling and excellent biocompatibility, they exhibit poor degradability, which limits bone ingrowth into the implant. Microspheres were prepared from poly(d,l-lactic-co-glycolic acid) (PLGA) and included in injectable CPCs as porogens in order to enhance its macroporosity after the polymeric microspheres had degraded. Upon degradation of the PLGA microspheres, acid is produced that enhances the dissolution rate of the CPC. However, the effect of the characteristics of PLGA microspheres on the degradation rate of CPCs has never been studied before. Therefore, the purpose of the current study was to investigate the dependence of CPC degradation on the chemical and morphological characteristics of incorporated PLGA microspheres. With respect to the chemical characteristics of the PLGA microspheres, the effects of both PLGA molecular weight (5, 17 and 44kDa) and end-group functionalization (acid-terminated or end-capped) were studied. In addition, two types of PLGA microspheres, differing in morphology (hollow vs. dense), were tested. The results revealed that, although both chemical parameters clearly affected the polymer degradation rate when embedded as hollow microspheres in CPC, the PLGA and CPC degradation rates were mainly dependent on the end-group functionalization. Moreover, it was concluded that dense microspheres were more efficient porogens than hollow ones by increasing the CPC macroporosity during in vitro incubation. By combining all test parameters, it was concluded that dense PLGA microspheres consisting of acid-terminated PLGA of 17kDa exhibited the highest and fastest acid-producing capacity and correspondingly the highest and fastest amount of porosity. In conclusion, the data presented here indicate that the combination of dense, acid-terminated PLGA microspheres with CPC emerges as a successful combination to achieve enhanced apatitic CPC degradation.
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Zhang J, Tancret F, Bouler J. Fabrication and mechanical properties of calcium phosphate cements (CPC) for bone substitution. MATERIALS SCIENCE & ENGINEERING. C, MATERIALS FOR BIOLOGICAL APPLICATIONS 2011. [DOI: 10.1016/j.msec.2010.10.014] [Citation(s) in RCA: 55] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Kim BS, Park IK, Hoshiba T, Jiang HL, Choi YJ, Akaike T, Cho CS. Design of artificial extracellular matrices for tissue engineering. Prog Polym Sci 2011. [DOI: 10.1016/j.progpolymsci.2010.10.001] [Citation(s) in RCA: 207] [Impact Index Per Article: 15.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Roberts SJ, Tomlins PE, Faruqui N, Robinson JAJ. Diffusion of biologically relevant molecules through gel-like tissue scaffolds. Biotechnol Prog 2011; 27:251-61. [DOI: 10.1002/btpr.512] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2010] [Indexed: 11/11/2022]
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Wagoner Johnson AJ, Herschler BA. A review of the mechanical behavior of CaP and CaP/polymer composites for applications in bone replacement and repair. Acta Biomater 2011; 7:16-30. [PMID: 20655397 DOI: 10.1016/j.actbio.2010.07.012] [Citation(s) in RCA: 330] [Impact Index Per Article: 25.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2010] [Revised: 07/09/2010] [Accepted: 07/12/2010] [Indexed: 12/22/2022]
Abstract
Repair of load-bearing defects resulting from disease or trauma remains a critical barrier for bone tissue engineering. Calcium phosphate (CaP) scaffolds are among the most extensively studied for this application. However, CaPs are reportedly too weak for use in such defects and, therefore, have been limited to non-load-bearing applications. This paper reviews the compression, flexural and tensile properties of CaPs and CaP/polymer composites for applications in bone replacement and repair. This review reveals interesting trends that have not, to our knowledge, previously been reported. Data are classified as bulk, scaffolds, and composites, then organized in order of decreasing strength. This allows for general comparisons of magnitudes of strength both within and across classifications. Bulk and scaffold strength and porosity overlap significantly and scaffold data are comparable to bone both in strength and porosity. Further, for compression, all composite data fall below those of the bulk and most of the scaffold. Another interesting trend revealed is that strength decreases with increasing β-tricalcium phosphate (β-TCP) content for CaP scaffolds and with increasing CaP content for CaP/polymer composites. The real limitation for CaPs appears not to be strength necessarily, but toughness and reliability, which are rarely characterized. We propose that research should focus on novel ways of toughening CaPs and discuss several potential strategies.
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New processing approaches in calcium phosphate cements and their applications in regenerative medicine. Acta Biomater 2010; 6:2863-73. [PMID: 20123046 DOI: 10.1016/j.actbio.2010.01.036] [Citation(s) in RCA: 166] [Impact Index Per Article: 11.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2009] [Revised: 01/22/2010] [Accepted: 01/25/2010] [Indexed: 11/22/2022]
Abstract
The key feature of calcium phosphate cements (CPCs) lies in the setting reaction triggered by mixing one or more solid calcium phosphate salts with an aqueous solution. Upon mixture, the reaction takes place through a dissolution-precipitation process which is macroscopically observed by a gradual hardening of the cement paste. The precipitation of hydroxyapatite nanocrystals at body or room temperature, and the fact that those materials can be used as self-setting pastes, have for many years been the most attractive features of CPCs. However, the need to develop materials able to sustain bone tissue ingrowth and be capable of delivering drugs and bioactive molecules, together with the continuous requirement from surgeons to develop more easily handling cements, has pushed the development of new processing routes that can accommodate all these requirements, taking advantage of the possibility of manipulating the self-setting CPC paste. It is the goal of this paper to provide a brief overview of the new processing developments in the area of CPCs and to identify the most significant achievements.
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Dworak C, Koch T, Varga F, Liska R. Photopolymerization of biocompatible phosphorus-containing vinyl esters and vinyl carbamates. ACTA ACUST UNITED AC 2010. [DOI: 10.1002/pola.24072] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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Musha Y, Umeda T, Yoshizawa S, Shigemitsu T, Mizutani K, Itatani K. Effects of blood on bone cement made of calcium phosphate: Problems and advantages. J Biomed Mater Res B Appl Biomater 2010; 92:95-101. [DOI: 10.1002/jbm.b.31493] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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49
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Paxton JZ, Donnelly K, Keatch RP, Baar K. Engineering the bone-ligament interface using polyethylene glycol diacrylate incorporated with hydroxyapatite. Tissue Eng Part A 2009; 15:1201-9. [PMID: 18991487 DOI: 10.1089/ten.tea.2008.0105] [Citation(s) in RCA: 54] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Ligaments and tendons have previously been tissue engineered. However, without the bone attachment, implantation of a tissue-engineered ligament would require it to be sutured to the remnant of the injured native tissue. Due to slow repair and remodeling, this would result in a chronically weak tissue that may never return to preinjury function. In contrast, orthopaedic autograft reconstruction of the ligament often uses a bone-to-bone technique for optimal repair. Since bone-to-bone repairs heal better than other methods, implantation of an artificial ligament should also occur from bone-to-bone. The aim of this study was to investigate the use of a poly(ethylene glycol) diacrylate (PEGDA) hydrogel incorporated with hydroxyapatite (HA) and the cell-adhesion peptide RGD (Arg-Gly-Asp) as a material for creating an in vitro tissue interface to engineer intact ligaments (i.e., bone-ligament-bone). Incorporation of HA into PEG hydrogels reduced the swelling ratio but increased mechanical strength and stiffness of the hydrogels. Further, HA addition increased the capacity for cell growth and interface formation. RGD incorporation increased the swelling ratio but decreased mechanical strength and stiffness of the material. Optimum levels of cell attachment were met using a combination of both HA and RGD, but this material had no better mechanical properties than PEG alone. Although adherence of the hydrogels containing HA was achieved, failure occurs at about 4 days with 5% HA. Increasing the proportion of HA improved interface formation; however, with high levels of HA, the PEG HA composite became brittle. This data suggests that HA, by itself or with other materials, might be well suited for engineering the ligament-bone interface.
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Affiliation(s)
- Jennifer Z Paxton
- Division of Molecular Physiology, University of Dundee, Dundee, United Kingdom
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Romeo HE, Bueno PR, Fanovich MA. Application of impedance spectroscopy to evaluate the effect of different setting accelerators on the developed microstructures of calcium phosphate cements. JOURNAL OF MATERIALS SCIENCE. MATERIALS IN MEDICINE 2009; 20:1619-1627. [PMID: 19347256 DOI: 10.1007/s10856-009-3736-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/22/2008] [Accepted: 03/17/2009] [Indexed: 05/27/2023]
Abstract
The main goal of the present study was to evaluate the effect of different setting accelerator agents on the developed microstructures of calcium phosphate cements (CPCs) by employing the impedance spectroscopy (IS) technique. Six compositions of CPCs were prepared from mixtures of commercial dicalcium phosphate anhydrous (DCPA) and synthesized tetracalcium phosphate (TTCP) as the solid phases. Two TTCP/DCPA molar ratios (1/1 and 1/2) and three liquid phases (aqueous solutions of Na(2)HPO(4), tartaric acid (TA) and oxalic acid (OA), 5% volume fraction) were employed. Initial (I) and final (F) setting times of the cement pastes were determined with Gillmore needles (ASTM standard C266-99). The hardened samples were characterized by X-ray powder diffraction (XRD), Fourier transformed infrared (FTIR) spectroscopy, scanning electron microscopy (SEM), and apparent density measurements. The IS technique was employed as a non-destructive tool to obtain information related to porosity, tortuosity and homogeneity of the cement microstructures. The formulation prepared from a TTCP/DCPA equimolar mixture and OA as the liquid phase presented the shortest I and F (12 and 20 min, respectively) in comparison to the other studied systems. XRD analyses revealed the formation of low-crystallinity hydroxyapatite (HA) (as the main phase) as well as the presence of little amounts of unreacted DCPA and TTCP after 24 h hardening in 100% relative humidity. This was related to the proposed mechanisms of dissolution of the reactants. The bands observed by FTIR allowed identifying the presence of calcium tartrate and calcium oxalate in the samples prepared from TA and OA, in addition to the characteristic bands of HA. High degree of entanglement of the formed crystals was observed by SEM in samples containing OA. SEM images were also correlated to the apparent densities of the hardened cements. Changes in porosity, tortuosity and microstructural homogeneity were determined in all samples, from IS results, when the TTCP/DCPA ratio was changed from 1/1 to 1/2. The cement formulated from an equimolar mixture of TTCP/DCPA and OA as the liquid phase presented setting times, degree of conversion to low-crystallinity HA and microstructural features suitable to be used as potential bone cement in clinical applications. The IS technique was shown to be a very sensitive and non-destructive tool to relate the paste composition to the developed microstructures. This approach could be very useful to develop calcium phosphate bone cements for specific clinical demands.
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Affiliation(s)
- H E Romeo
- Institute of Materials Science and Technology (INTEMA), University of Mar del Plata and National Research Council (CONICET), Mar del Plata, Argentina.
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