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Martin-Piedra MA, Gironés-Camarasa B, España-López A, Fernández-Valadés Gámez R, Blanco-Elices C, Garzón I, Alaminos M, Fernández-Valadés R. Usefulness of a Nanostructured Fibrin-Agarose Bone Substitute in a Model of Severely Critical Mandible Bone Defect. Polymers (Basel) 2021; 13:3939. [PMID: 34833238 PMCID: PMC8618832 DOI: 10.3390/polym13223939] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2021] [Revised: 11/11/2021] [Accepted: 11/13/2021] [Indexed: 11/17/2022] Open
Abstract
Critical defects of the mandibular bone are very difficult to manage with currently available materials and technology. In the present work, we generated acellular and cellular substitutes for human bone by tissue engineering using nanostructured fibrin-agarose biomaterials, with and without adipose-tissue-derived mesenchymal stem cells differentiated to the osteogenic lineage using inductive media. Then, these substitutes were evaluated in an immunodeficient animal model of severely critical mandibular bone damage in order to assess the potential of the bioartificial tissues to enable bone regeneration. The results showed that the use of a cellular bone substitute was associated with a morpho-functional improvement of maxillofacial structures as compared to negative controls. Analysis of the defect site showed that none of the study groups fully succeeded in generating dense bone tissue at the regeneration area. However, the use of a cellular substitute was able to improve the density of the regenerated tissue (as determined via CT radiodensity) and form isolated islands of bone and cartilage. Histologically, the regenerated bone islands were comparable to control bone for alizarin red and versican staining, and superior to control bone for toluidine blue and osteocalcin in animals grafted with the cellular substitute. Although these results are preliminary, cellular fibrin-agarose bone substitutes show preliminary signs of usefulness in this animal model of severely critical mandibular bone defect.
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Affiliation(s)
- Miguel-Angel Martin-Piedra
- Tissue Engineering Group, Department of Histology, Faculty of Medicine, University of Granada, E18016 Granada, Spain; (M.-A.M.-P.); (C.B.-E.); (I.G.)
- Instituto de Investigación Biosanitaria ibs.GRANADA, E18012 Granada, Spain
| | - Belén Gironés-Camarasa
- Division of Pediatric Surgery, University Hospital Virgen de las Nieves, E18014 Granada, Spain;
- Doctoral Program in Biomedicine, University of Granada, E18071 Granada, Spain
| | - Antonio España-López
- Craniofacial Malformations and Cleft Lip and Palate Management Unit, University Hospital Virgen de las Nieves, E18014 Granada, Spain;
| | | | - Cristina Blanco-Elices
- Tissue Engineering Group, Department of Histology, Faculty of Medicine, University of Granada, E18016 Granada, Spain; (M.-A.M.-P.); (C.B.-E.); (I.G.)
- Instituto de Investigación Biosanitaria ibs.GRANADA, E18012 Granada, Spain
| | - Ingrid Garzón
- Tissue Engineering Group, Department of Histology, Faculty of Medicine, University of Granada, E18016 Granada, Spain; (M.-A.M.-P.); (C.B.-E.); (I.G.)
- Instituto de Investigación Biosanitaria ibs.GRANADA, E18012 Granada, Spain
| | - Miguel Alaminos
- Tissue Engineering Group, Department of Histology, Faculty of Medicine, University of Granada, E18016 Granada, Spain; (M.-A.M.-P.); (C.B.-E.); (I.G.)
- Instituto de Investigación Biosanitaria ibs.GRANADA, E18012 Granada, Spain
| | - Ricardo Fernández-Valadés
- Instituto de Investigación Biosanitaria ibs.GRANADA, E18012 Granada, Spain
- Division of Pediatric Surgery, University Hospital Virgen de las Nieves, E18014 Granada, Spain;
- Craniofacial Malformations and Cleft Lip and Palate Management Unit, University Hospital Virgen de las Nieves, E18014 Granada, Spain;
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