Heterotopic bone formation in the musculus latissimus dorsi of sheep usingβ-tricalcium phosphate scaffolds:evaluation of different seeding techniques

Osseous reconstruction of large bone defects remains a challenge in oral and maxillofacial surgery.In addition to autogenous bone grafts,which despite potential donor-site mobility still represent the gold standard in reconstructive surgery,many studies have investigated less invasive alternatives such as in vitro cultivation techniques.This study compared different types of seeding techniques on pureβ-tricalcium phosphate scaffolds in terms of bone formation and ceramic resorption in vivo.Cylindrical scaffolds loaded with autologous cancellous bone,venous blood,bone marrow aspirate concentrate or extracorporeal in vitro cultivated bone marrow stromal cells were cultured in sheep on a perforator vessel of the musculus latissimus dorsi over a 6-month period.Histological and histomorphometric analyses revealed that scaffolds loaded with cancellous bone were superior at promoting heterotopic bone formation and ceramic degradation,with autogenous bone and bone marrow aspirate concentrate inducing in vivo formation of vital bone tissue.These results confirm that autologous bone constitutes the preferred source of osteoinductive and osteogenic material that can reliably induce heterotopic bone formation in vivo.

Three-dimensional printing of β-tricalcium phosphate/calcium silicate composite scaffolds for bone tissue engineering

Bioactive scaffolds with interconnected porous structures are essential for guiding cell growth and new bone formation. In this work, we successfully fabricated three-dimensional （3D） porous β-tricalcium phosphate （β-TCP）/calcium silicate （CS） composite scaffolds with different ratios by 3D printing technique and further investigated the physiochemical properties, in vitro apatite mineralization properties and degradability of porous β-TCP/CS scaffolds. Moreover, a series of in vitro cell experiments including the attachment, proliferation and osteogenic differentiation of mouse bone marrow stromal cells were conducted to testify their biological performances. The results showed that 3D printed β-TCP/CS scaffolds possessed of controllable internal porous structures and external shape. Furthermore, the introduction of CS decreased the shrinkage of scaffolds and improved the in vitro apatite formation activity and degradation rate. Meanwhile, compared with pure β- TCP scaffold, the β-TCP/CS composite scaffolds were more conducive to promote cell adhesion, spread and osteogenesis differentiation. However, when the content of CS was increased to 45%, the ions dissolution rate of the composite scaffolds was so high that leaded to the increase in pH value, which inhibited the proliferation of cells. Our results suggested that the introduction of appropriate CS into β-TCP bioceramic is an effective strategy to prepare bioactive 3D printed bioceramic scaffolds for hard tissue regeneration.

Incorporation of Sphingosine 1-Phosphate Loaded Mesoporous Silica Nanoparticles into Poly ( L-lactic acid ) Nanofibrous Scaffolds for Bone Tissue Engineering

Controlled release of the functional factors is the key to improve clinical therapeutic efficacy during the tissue repair and regeneration. The thrce-dimensional （3D） scaffold can provide not only physical properties such as high strength and porosity hut also an optimal environment to enhance tissue regeneration. Sphingosine 1-phosphate （SIP）, an angiogenlc factor, was loaded into mesoporous silica nanoparticles （MSNs） and then incorporated into poly （ L-lactic add ） （ PLLA ） nanofibrons scaffold, which was fabricated by thermally induced phase separation （TIPS） method. The prepared scaffolds were examined by attenuated total reflection Fourier transform infrared spectroscopy （ATR-FTIR）, scanning electron microscopy （ SEM）, and transmission electron microscopy （TEM） and compressive mechanical test. The ATR-FTIR result demonstrated the existence of MSNs in the PLLA nanofibrous scaffold. The SEM images showed that PLLA scaffold had regular pore channel, interconnected pores and nanofibrous structure. The addition of MSNs at appropriate content had no visible effect on the structure of scaffold. The compressive modulus of scaffold containing MSNs was higher than that of the scaffold without MSNs. Furthermore, fluorescein isothiocyanate （FTTC） was used as model molecule to investigate the release behavior of SIP from MSNs- incorporated PLLA （MSNs/PLLA） nanofibrons scaffold. The result showed that the composite scaffold largely reduced the initial burst release and exhibited prolonged release of FITC than MSNs. Thus, these results indicated that SIP-loaded composite uanofibrons scaffold has potential applications for bone tissue engneering.

Microstructure and mechanical properties analysis of β-tricalcium phosphate/carbon nanotubes scaffold based on rapid prototyping

β-TCP ceramic scaffolds were fabricated with selective laser sintering (SLS) in this work. Carbon nanotubes (CNTs) were mixed with porous β-TCP matrix to enhance the mechanical performance of the bone tissue engineering scaffolds. Scaffold reconstruction and microstructure analysis were fulfilled based on micro-computed tomography (Micro-CT) scanning data. Results show that the strength of scaffold mixed with 0.2% CNTs reaches 0.819 MPa which has been improved by 85.7% compared with that without CNTs. Micro-CT analysis shows that the scaffold has a good interconnectivity, and pore size mainly distributes in the two regions of 60-340 μm and 500-620 μm.

Osteogenesis and Degradation Behavior of rhBMP-27/β-Tricalcium Phosphate Porous Composite Materials

Ultrafine-tricalcium phosphate(β-TCP)powders with good crystalline structure were produced by a new process through bone tissue engineering approach rorous β-TCPcermic was combined with recombined human bone morphogenetic proteins-2(rhBMP-2)to develop a novel composite material ,osteogenesis capacity of the composite was investigated intramuscularly in rat with histological analyses and SEM examination pureβ-TCP porous carmic wsa investigated as the control results show that the compostie materials possess good bilcompatibility biodegradation and strong osteogenesis capacity through inductive process after implantation material degradation began from 2 weeks post-implantation accompanying with the changing o pore structure with the enwrapping and separation fo materials by hyperplatic mesenchymal cells and fibroblast and with the phagocytose reaction of multinucleated giant cells early in 72h immature cartilage could be found within novel composite mature lamellar bone was induced to generate after 3 weeks with strong osteoinduction capacity and controlable bildegradation the novel rhBMP-2\β-TCP porous ceramic is expected to be a promising bone grafting substitute for bone tissue engineering

Hydroxyapatite/β-tricalcium Phosphate Composite for Guiding Bone Tissue Growth into a Titanium Tube in 8 mm Dog Tibia Cavity Defects

We developed a fixation method and evaluate bone regrowth in the cavities of a Ф4 mm× 8 mm titanium（Ti）tube through porous hydroxyapatite（HAP）/β-tricalcium phosphate（β-TCP）composite filling（group A）,chitosan/calcium phosphate composite filling（group B）,and HAP particle modification（group C）.After 2 and 5 months of implantation in dog tibia defects,new bone formation in the three groups was studied by histology and histomorphometry.Group A displayed the most bone regenerated area in both 2 and 5 months post-operation.The chitosan/calcium phosphate composite in group B mostly degraded 2 months after implantation,leading to fibrous tissue invasion after 5 months.By contrast,less bone formation was observed in group C.These results indicated that filling the cavities of metalprostheses with a porous HAP/β-TCP composite can be used for stable long-term fixation in clinicalsettings.

Microstructure and Mechanical Properties of Calcium Phosphate Cement/Gelatine Composite Scaffold with Oriented Pore Structure for Bone Tissue Engineering

The macroporous calcium phosphate（CPC） cement with oriented pore structure was prepared by freeze casting. SEM observation showed that the macropores in the porous calcium phosphate cement were interconnected aligned along the ice growth direction. The porosity of the as-prepared porous CPC was measured to be 87.6% by Archimede＇s principle. XRD patterns of specimens showed that poorly crystallized hydroxyapatite was the main phase present in the hydrated porous calcium phosphate cement. To improve the mechanical properties of the CPC scaffold, the 15% gelatine solution was infiltrated into the pores under vacuum and then the samples were freeze dried to form the CPC/gelatine composite scaffolds. After reinforced with gelatine, the compressive strength of CPC/gelatine composite increased to 5.12 MPa, around fifty times greater than that of the unreinforced macroporous CPC scaffold, which was only 0.1 MPa. And the toughness of the scaffold has been greatly improved via the gelatine reinforcement with a much greater fracture strain. SEM examination of the specimens indicated good bonding between the cement and gelatine. Participating the external load by the deformable gelatine, patching the defects of the CPC pores wall, and crack deflection were supposed to be the reinforcement mechanisms. In conclusion, the calcium phosphate cement/gelatine composite with oriented rmre structure nrenared in this work might be a potential scaffold for bone tissue engineerinm

Microemulsion Synthesis of Mesoporous β-tricalcium Phosphate Powder with a Novel System

The synthesis of mesoporous β-tricalcium phosphate(β-TCP)powder was performed by using the microemulsion approach,with hexadecyltrimethyl ammonium bromide(CTAB)/cyclohexane/n-octyl alcohol microemulsion system.The influences of different pH values and calcination temperatures on the phase composition of the β-TCP powder were studied.The in vitro proliferation of bone marrow mesenchymal stem cells(BMSCs)in the suspensions of β-TCP powders with meso-structure was studied.The phase composition,mesoporous structure,powder morphology,cell morphology and the optical density(OD)were characterized through X-ray diffraction(XRD),field emission scanning electron microscopy(FESEM),Fourier transform infrared(FTIR)spectroscopy,Nadsorption-desorption isotherms,inverted phase contrast microscopy and Multiskan spectrum,respectively.The mesoporous β-TCP powder with specific surface area of 12.85 m^(2)/g and the average pore size 7.11 nm was obtained through the microemulsion approach(100 g/L CTAB/250 mL/L cyclohexane/250 mL/L n-octyl alcohol)with a controlled pH of 7.0,after calcinating the powder at 800℃.It was confirmed that mesoporous β-TCP powder benefits the activity of BMSCs more than the non-mesoporous β-TCP powder.

Local Application of Alendronate on <i>β</i>-Tricalcium Phosphate Accelerated Induction of Osteogenesis with Formation of Giant Osteoclast-Like Cell

Intrinsic osteoinductivity—the ability to induce bone formation in ectopic sites without addition of osteogenic factors has been reported in various porous materials. Tartrate-resistant acid phosphatase (TRAP)-positive osteoclast-like cells are thought to play an important role in material-induced osteoinduction. To investigate the influence of osteoclastic activity on intrinsic osteoinduction, we loaded alendronate (10–2 , 10–4 , and 10–6 M) onto porous β-tricalcium phosphate (β-TCP) blocks to inhibit osteoclastic activity, and evaluated osteoinductivity by implantation of the blocks into the dorsal muscles of adult beagle dogs. Alendronate-loaded porous β-TCP blocks increased both speed and amount of osteoinduction, as measured 4 weeks after implantation, with the 10–4 M alendronate-loaded β-TCP being especially active. This finding indicates that β-TCP loaded with 10–4 M alendronate might prove crucial in providing the desirable balance between the degradation rate of bone scaffolds and their osteoinductive replacement. Thus, material-induced osteoinduction may be controlled by local application of alendronate, establishing alendronate loading as a promising therapeutic approach.

Microstructure and Mechanical Properties of Calcium Phosphate Cement/gelatine Composite Scaffold with Oriented Pore Structure for Bone Tissue Engineering

In this study,the macroporous calcium phosphate cement with oriented pore structure was prepared by freeze casting.SEM observation showed that the macropores in the porous calcium phosphate cement were interconnected aligned along the ice growth direction.The porosity of the as-prepared porous CPC was measured to be 87.6% by Archimede's principle.XRD patterns of specimens showed that poorly crystallized hydroxyapatite was the main phase present in the hydrated porous calcium phosphate cement.To improve the mechanical properties of the CPC scaffold,the 15% gelatine solution was infiltrated into the pores under vacuum and then the samples were freeze dried to form the CPC/gelatine composite scaffolds.After reinforced with gelatine,the compressive strength of CPC/gelatin composite increased to 5.12 MPa,around 50 times greater than that of the unreinforced macroporous CPC scaffold,which was only 0.1 MPa.And the toughness of the scaffold has been greatly improved via the gelatine reinforcement with a much greater fracture strain.SEM examination of the specimens indicated good bonding between the cement and gelatine.In conclusion,the calcium phosphate cement/gelatine composite with oriented pore structure prepared in this study might be a potential scaffold for bone tissue engineering.

In Vitro Characterizations of PLLA/β-TCP Porous Matrix Materials and RMSC-PLLA-β-TCP Composite Scaffolds

To develop a novel degradable poly (L-lactic acid)/β-tricalcium phosphate (PLLA/β-TCP) bioactive materials for bone tissueengineering, β-TCP powder was produced by a new wet process. Porous scaffolds were prepared by three steps, i.e. solventcasting, compression molding and leaching stage. Factors influencing the compressive strength and the degradation behaviorof the porous scaffold, e.g. weight fraction of pore forming agent-sodium chloride (NaCl), weight ratio of PLLA: β-TCP,the particle size of β-TCP and the porosity, were discussed in details. Rat marrow stromal cells (RMSC) were incorporatedinto the composite by tissue engineering approach. Biological and osteogenesis potential of the composite scaffold weredetermined with MTT assay, alkaline phosphatase (ALP) activity and bone osteocalcin (OCN) content evaluation. Resultsshow that PLLA/β-TCP bioactive porous scaffold has good mechanical and pore structure with adjustable compressive strengthneeded for surgery. RMSCs seeding on porous PLLA/β-TCP composite behaves good seeding efficacy, biocompatibility andosteoinductive potential. Osteoprogenitor cells could well penetrate into the material matrix and begin cell proliferation andosteogenic differentiation. Osseous matrix could be formed on the surface of the composite after culturing in vitro. It isexpected that the PLLA/β-TCP porous composites are promising scaffolds for bone tissue engineering in prosthesis surgery.

Three-dimensionally Perforated Calcium Phosphate Ceramics

Porous calcium phosphate ceramics were produced by compression molding using a special mold followed by sintering. The porous calcium phosphate ceramics have three-dimensional and penetrated open pores 380-400μm in diacneter spaced at intervals of 200μm. The layers of the linear penetration pores alternately lay perpendicular to pore direction. The porosity was 59%-65% . The Ca/ P molar ratios of the porous calcium phos phate ceramics range from 1.5 to 1.85. A binder cantaining methyl cellulose was most effective for preparing the powder compact among vinyl acetate, polyvinyl alcohol, starch, stearic acid, methyl cellulose and their mixtures . Stainless steel, polystyrene, nylon and bamboo were used as the long columnar dies for the penetrated open pores. When polystyrene, nylon and bamboo were used as the long columnar male dies, the dies were burned oat during the sintering process. Using stainless steel as the male dies with the removal of the dies before heat treatment resulted in a higher level of densification of the calcium phosphate ceramic.

Development of an Experimental Phosphate-Calcium Cement with a Whisker-Like Structure

In a previous study, the authors tried to synthesize dental materials from dental waste, which was accomplished with alginate impression materials and gypsum. A powder was set by mixing it with phosphate solution. Fibrous curled crystals were found through SEM observation. The present study shows a detailed analysis of the crystals. XRD analysis indicated the crystals are Brushite. A unique profile of the crystal shows it can be a good apatite precursor or cell scaffold;however, this hypothesis requires further examination.

聚己内酯增强β-磷酸三钙复合支架的制备及力学性能

针对生物陶瓷在大段骨缺损的修复重建中韧性不足的问题,采用数字光处理技术和涂层工艺,制备了集高强度韧性一体化的生物陶瓷β-磷酸三钙/聚己内酯复合支架,并研究了聚己内酯涂层浓度对复合支架抗压抗弯性能和微观形貌的影响。实验结果表明:聚己内酯涂层可有效提高β-磷酸三钙陶瓷支架的力学性能,复合支架的强度和韧性均与聚己内酯涂层浓度呈正相关性;随着聚己内酯涂层浓度的提高,复合支架的可靠性显著提高,涂层效果有明显的改善,但不均匀现象也越明显;结合力学性能和微观形貌评价发现,0.20 g/mL聚己内酯增强β-磷酸三钙复合支架的综合性能最佳。该研究可为制备满足骨生长到骨强化两阶段力学性能要求的复合支架提供参考。

Modulated Degradation Rates of Bone Mineral-Like Calcium Phosphate Glass to Support the Proliferation and Osteogenic Differentiation of Bone Marrow-Derived Stem Cells

With an elemental composition similar to bone mineral,and the ability to release phosphorus and calcium that benefit bone regeneration,Calcium Phosphate Glass(CPG)serves as a promising component of bone tissue engineering scaffolds.However,the degradation of CPG composites typically results in increased acidity,and its impact on bone-forming activity is less studied.In this work,we prepared 3D-printed composite scaffolds comprising CPG,Poly-ε-caprolactone(PCL),and various Magnesium Oxide(MgO)contents.Increasing the MgO content effectively suppressed the degradation of CPG,maintaining a physiological pH of the degradation media.While the degradation of CPG/PCL scaffolds resulted in upregulated apoptosis of Rat Bone Marrow-derived Stem Cells(rBMSC),scaffolds containing MgO were free from these negative impacts,and an optimal MgO content of 1 wt%led to the most pronounced osteogenic differentiation of rBMSCs.This work demonstrated that the rapid degradation of CPG impaired the renewability of stem cells through the increased acidity of the surrounding media,and MgO effectively modulated the degradation rate of CPG,thus preventing the negative effects of rapid degradation and supporting the proliferation and osteogenic differentiation of the stem cells.

明胶/二水磷酸氢钙/二水硫酸钙复合多孔支架材料的制备与性能研究

以二水磷酸氢钙、α-半水硫酸钙为原料,利用搅拌干燥喷雾法制备二水磷酸氢钙/二水硫酸钙核壳结构复合球状颗粒,并将球状颗粒与明胶进行复合,之后在模具成型的方法,最终制备出明胶/二水磷酸氢钙/二水硫酸钙复合多孔生物支架。通过XRD、SEM等方法对制备出的复合多孔支架材料进行了检测,研究分析了支架材料的成分、形貌以及内部的结构特征,并就支架材料的体外降解性、孔隙率、力学性能和细胞毒性等进行了探究。结果表明:明胶/二水磷酸氢钙/二水硫酸钙复合多孔支架有一定的孔洞结构,平均初始孔隙率达到61%,可以满足骨组织工程对于支架材料的要求;并且支架材料具有良好的抗压强度,平均数值达到(6.1±0.05)MPa;该复合多孔支架的体外模拟体液浸泡降解周期约80 d,无细胞毒性,在骨组织修复方面具有良好的应用前景。

Stereolithography printing of bone scaffolds using biofunctional calcium phosphate nanoparticles

Calcium phosphate(CaP)has been widely used for bone defect repair due to good biocompatibility and osteoconductivity.Additive manufacture of calcium phosphate bioceramics with tailored architectures and improved mechanical properties has recently attracted great attention.Herein,calcium phosphate nanoparticles with the size of~89-164 nm were synthesized by the hydrothermal treatment of amorphous calcium phosphate(ACP)precursors at 180°C for 24 h.Biofunctional elements including Mg,Sr and Zn have been doped into these calcium phosphate nanoparticles.Our results revealed that Mg^(2+)ions played critical roles in formation of whitlockite-type calcium phosphate(not hydroxyapatite)from ACP precursors.Moreover,gyroid scaffolds with bionic triply periodic minimal surface structures were fabricated using stereolithography printing of these calcium phosphate nanoparticles,which are likely used as biofunctional scaffolds for bone repair.