Bioactive Materials · 2020 · 85 citations · 28 references
MedicineMaterials ScienceOrthopaedic SurgeryBiomaterialsBone GraftingBone MetabolismBone SubstitutesBone TissueCeramic BiomaterialsOsteoclast FunctionOsteogenesisOsteoporosisBioceramic Bone SubstitutesBone Defect MorphometryCalcium Phosphate CeramicsCeramic Bone Graft MaterialsNf-κb SignalingOsteoinductive MaterialsResorbable Bone GraftsSilicate-based Bone Substitutes
Abstract Osteoporosis bone defect is a refractory orthopaedic disease which characterized by impaired bone quality and bone regeneration capacity. Current therapies, including antiosteoporosis drugs and artificial bone grafts, are not always satisfactory. Herein, a strontium-substituted calcium phosphate silicate bioactive ceramic (Sr-CPS) was fabricated. In the present study, the extracts of Sr-CPS were prepared for in vitro study and Sr-CPS scaffolds were used for in vivo study. The cytocompatibility, osteogenic and osteoclastogenic properties of Sr-CPS extracts were characterized in comparison to CPS. Molecular mechanisms were also evaluated by Western blot. Sr-CPS extracts were found to promote osteogenesis by upregulating Wnt/β-catenin signal pathways and inhibit osteoclastogenesis through downregulating NF-κB signal pathway. In vivo, micro-CT, histological and histomorphometric observation were conducted after 8 weeks of implantation to evaluate the bone formation using calvarial defects model in ovariectomized rats. Compared with CPS, Sr-CPS significantly promoted critical sized ovariectomy (OVX) calvarial defects healing. Among all the samples, Sr-10 showed the best performance due to a perfect match of bone formation and scaffold degradation rates. Overall, the present study demonstrated that Sr-CPS ceramic can dually modulate both bone formation and resorption, which might be a promising candidate for the reconstruction of osteoporotic bone defect. • Easy-to-perform and cost-effective fabrication of Sr-CPS scaffold. • Dual modulation of bone formation and resorption. • Outstanding performances in the osteoporotic bone defect healing process.
28
Scaffolds in tissue engineering bone and cartilage
Dietmar W. Hutmacher · Biomaterials · 2000 · 4.9K citations