含锶磷酸钙骨水泥的制备及性能研究

通过混合磷酸四钙、磷酸氢钙、磷酸氢锶及稀磷酸制备了一种含锶磷酸钙骨水泥(Sr-CPC),研究了水泥固/液比、含锶量及仿生浸泡时间对其结构组态及抗压强度的影响.结果表明,不同组分的CPC在调和浆体时均存在最佳固/液比,且对应的凝结时间适合临床手术要求;Sr-CPC试样在模拟体液(SBF)中浸泡24h后固化产物为含锶缺钙羟基磷灰石;适量锶的加入及较短时间仿生浸泡均可显著改善Sr-CPC固化体的抗压强度,并且浸泡过程对固化体抗压强度的影响主要体现在其微观结构的变化.     

多孔Nano-dHA/PLA/BCP复合支架的制备及性能研究

为改善常规的多孔聚乳酸/双相钙磷陶瓷(PLA/BCP)支架表面亲水性不佳及降解时呈酸性等不足,采用马弗炉烧结制备的BCP多孔支架浸入纳米缺钙羟基磷灰石/聚乳酸(nano-dHA/PLA)混悬液后,真空干燥得到多孔纳米缺钙羟基磷灰石/聚乳酸/双相钙磷陶瓷(nano-dHA/PLA/BCP)复合支架,利用万能测试机测试支架抗压强度,阿基米德法测定支架孔隙率,扫描电子显微镜(SEM)观察支架表面形貌,并对其保水率和体外降解过程中pH值的变化情况等进行了研究. 结果表明：多孔nano dHA/PLA/BCP复合支架表面粗糙,保水率和强度均有较大提高,在磷酸盐缓冲液（PBS）浸泡过程中pH值下降较慢,在模拟体液（SBF）中浸泡1个月后发现有较多的类骨磷灰石形成.     

Morphological,mechanical, and biocompatibility characterization of macroporous alumina scaffolds coated with calcium phosphate/PVA

In bone tissue engineering, a highly porous artificial extracellular matrix or scaffold is required to accommodate cells and guide the tissue regeneration in three-dimension. Calcium phosphate (CaP) ceramics are widely used for bone substitution and repair due to their biocompatibility, bioactivity, and osteoconduction. However, compared to alumina ceramics, either in the dense or porous form, the mechanical strength achieved for calcium phosphates is generally lower. In the present work, the major goal was to develop a tri-dimensional macroporous alumina scaffold with a biocompatible PVA/calcium phosphate coating to be potentially used as bone tissue substitute. This approach aims to combine the high mechanical strength of the alumina scaffold with the biocompatibility of calcium phosphate based materials. Hence, the porous alumina scaffolds were produced by the polymer foam replication procedure. Then, these scaffolds were submitted to two different coating methods: the biomimetic and the immersion in a calcium phosphate/polyvinyl alcohol (CaP/PVA) slurry. The microstructure, morphology and crystallinity of the macroporous alumina scaffolds samples and coated with CaP/PVA were characterized by X-ray diffraction (XRD), Fourier Transform Infrared Spectroscopy (FTIR) and Scanning Electron Microscopy (SEM/EDX) analysis. Also, specific surface area was assessed by BET nitrogen adsorption method and mechanical behavior was evaluated by axial compression tests. Finally, biocompatibility and cytotoxicity were evaluated by VERO cell spreading and attachment assays under SEM. The morphological analysis obtained from SEM photomicrograph results has indicated that 3D macroporous alumina scaffolds were successfully produced, with estimated porosity of over 65% in a highly interconnected network. In addition, the mechanical test results have indicated that porous alumina scaffolds with ultimate compressive strength of over 3.0 MPa were produced. Concerning to the calcium phosphate coatings, the results have showed that the biomimetic method was not efficient on producing a detectable layer onto the alumina scaffolds. On the other hand, a uniform and adherent inorganic–organic coating was effectively formed onto alumina macroporous scaffold by the immersion of the porous structure into the CaP/PVA suspension. Viable VERO cells were verified onto the surface of alumina porous scaffold samples coated with PVA–calcium phosphate. In conclusion, a new method was developed to produce alumina with tri-dimensional porous structure and uniformly covered with a biocompatible coating of calcium phosphate/PVA. Such system has high potential to be used in bone tissue engineering.     

含锶磷灰石骨水泥浆体的pH值及其固化体的体外细胞毒性评价

在线测量了自制含锶羟基磷灰石骨水泥(Sr-CPC)浆体在水化过程中的pH值实时变化以及各固化体在培养液中浸泡不同时间后其浸提液的pH值,并利用MTT比色法评价了该水泥固化体的体外细胞毒性.XRD与FTIR分析表明,固化体在SBF中浸泡24h后,水化产物为锶钙羟基磷灰石固溶体,而且该固溶体中含有与骨磷灰石类似的CO₃^2-;各水泥浆体pH值的在线测量表明,不同含锶量水泥浆体的pH基本在6.5-7.8之间变化,接近中性;体外细胞毒性试验表明,不同含锶量水泥固化体的细胞毒性为0或1级,且细胞毒性与各水泥固化体浸提液的浓度、作用时间有一定的关联性.     

明胶/硫酸钙复合生物材料

将具有传骨性的生物可吸收无机材料硫酸钙与具有诱骨性的明胶组合起来,构制新型可吸收复合生物材料。该材料可避免硫酸钙颗粒的脱落,可以作为骨填充物或支架材料。明胶的加入减缓了半水硫酸钙向二水硫酸钙的转化,形成了CSH/CSD/CLG e l复合材料。在该复合材料表面培养了人成骨细胞,细胞在支架表面粘附良好,可见该支架和细胞有较好的生物相容性。硫酸钙吸收后形成一可供细胞生长的多孔支架,所以明胶/硫酸钙(CLG e l/CS)复合材料实为原位成孔支架材料,解决了多孔支架材料初期强度低的致命弱点。     

Fabrication and in vitro evaluations with osteoblast-like MG-63 cells of porous hyaluronic acid-gelatin blend scaffold for bone tissue engineering applications

In this study, hyaluronic acid–gelatin (HyA–Gel) scaffolds were prepared with HyA:Gel ratios of 15:85, 50:50, and 85:15 with the goal of obtaining a porous biocompatible scaffold for bone tissue engineering applications. Scanning electron microscopy and Fourier-transform infrared spectroscopy were done to characterize the morphological orientations of the scaffolds. The biocomposite structure was highly porous and the pores in the scaffolds were interconnected. The compressive strength of the scaffold was 7.39 ± 0.2 MPa for the HyA–Gel when fabricated at a ratio of 15:85. To assess the biocompatibility and cell behavior on the HyA–Gel biocomposite, the proliferation of MG-63 osteoblast cell on the scaffolds was examined using the MTT assay, optical microscopy, and confocal microscopy. Collagen type I and osteopontin expression of cells cultured on the scaffolds were examined using immunoblotting. The scaffolds fabricated with a 15:85—HyA:Gel ratio showed excellent biocompatibility, good mechanical properties, and high porosity, which suggest that the highly porous scaffold holds great promise for use in bone tissue engineering applications.     

Morphology, mechanical properties, and mineralization of rigid thermoplastic polyurethane/hydroxyapatite scaffolds for bone tissue applications: effects of fabrication approaches and hydroxyapatite size

Rigid thermoplastic polyurethane (TPU)/hydroxyapatite (HA) scaffolds were prepared with micro HA (mHA) and nano HA (nHA) particles, respectively, via the thermally induced phase separation method. The effects of solvent and co-solvent, addition of sodium chloride (NaCl) porogen, and HA particle size were studied together with the morphology, compressive properties, and mineralization behavior of the scaffolds. Depending on the solvent, co-solvent, or porogen used, different porous structures were produced. In particular, a ladder-like morphology was obtained when dioxane (Di) was used as the solvent, whereas an interconnected porous structure was obtained by using dioxane and deionized water (DiW) as co-solvents. Rectangular pores with interconnected channels on the pore walls were achieved by using NaCl crystals as porogens. The TPU/nHA scaffolds showed stronger compressive properties than the TPU/mHA scaffolds and the pure TPU scaffolds. The scaffolds prepared using dioxane and water as co-solvents exhibit the greatest compressive modulus. Furthermore, TPU scaffolds with nHA particles had the ability to form bone apatite when soaked in simulated body fluid (SBF). After being soaked in SBF for 3 weeks, the weight percentage of formed apatite in the TPU/nHA-DiW scaffold was 9.2 %wt of the initial TPU content. Preliminary cytotoxicity tests were conducted using NIH 3T3 fibroblast cells. The high survival rate of these cells and the mineralization behavior suggest biocompatibility and high potential of these composites being used in bone tissue engineering applications.     

Static and dynamic cultivation of bone marrow stromal cells on biphasic calcium phosphate scaffolds derived from an indirect rapid prototyping technique

The adequate regeneration of large bone defects is still a major problem in orthopaedic surgery. Synthetic bone substitute materials have to be biocompatible, biodegradable, osteoconductive and processable into macroporous scaffolds tailored to the patient specific defect. Hydroxyapatite (HA) and tricalcium phosphate (TCP) as well as mixtures of both phases, biphasic calcium phosphate ceramics (BCP), meet all these requirements and are considered to be optimal synthetic bone substitute materials. Rapid prototyping (RP) can be applied to manufacture scaffolds, meeting the criteria required to ensure bone ingrowth such as high porosity and defined pore characteristics. Such scaffolds can be used for bone tissue engineering (BTE), a concept based on the cultivation of osteogenic cells on osteoconductive scaffolds. In this study, scaffolds with interconnecting macroporosity were manufactured from HA, TCP and BCP (60 wt% HA) using an indirect rapid prototyping technique involving wax ink-jet printing. ST-2 bone marrow stromal cells (BMSCs) were seeded onto the scaffolds and cultivated for 17 days under either static or dynamic culture conditions and osteogenic stimulation. While cell number within the scaffold pore system decreased in case of static conditions, dynamic cultivation allowed homogeneous cell growth even within deep pores of large (1,440 mm³) scaffolds. Osteogenic cell differentiation was most advanced on BCP scaffolds in both culture systems, while cells cultured under perfusion conditions were generally more differentiated after 17 days. Therefore, scaffolds manufactured from BCP ceramic and seeded with BMSCs using a dynamic culture system are the method of choice for bone tissue engineering.     

磷酸钙相组成对类骨单位复合骨支架的影响

从组成上看, 自然骨是一种无机与有机的复合材料; 从结构上看, 致密骨的基本结构单位为内壁血管化的骨单位。本研究基于组成与结构仿生的原理制备组织工程化支架, 模拟具有复杂结构的密质骨的基本单位——骨单位。为此, 通过静电纺丝和双螺杆挤出相结合的两步制造法, 制备一种具有双层结构的聚己内酯/磷酸钙(PCL/CaP)复合骨支架, 其内层是由电纺纳米纤维组成的空心管, 可贴附内皮细胞层形成与哈佛氏管相类似的结构; 其外层是具有高孔隙率的螺旋状PCL/CaP微丝, 可复合前成骨细胞以模拟骨单位结构中的外层骨样组织。为进一步探索材料组成对于支架生物功能的影响, 分别设计了外层为PCL, PCL/双相磷酸钙(PCL/BCP)和PCL/β-磷酸三钙(PCL/β-TCP)的复合支架, 比较了材料组分变化对外层微丝结构及前成骨细胞(MC3T3-E1)活性的影响。相比于PCL和PCL/β-TCP, PCL/BCP微丝更能显著增强细胞的生长和钙的沉积, 并成功获得可精确调控不同细胞的空间分布的双层复合支架, 实现对复杂结构骨单位的模拟构建, 显示出很好的应用前景。     

Effect of testosterone incorporation on cell proliferation and differentiation for polymer–bioceramic composites

In the current study, we characterized the polycaprolactone (PCL), poly(lactic acid-co-glycolic acid) (PLGA), and biphasic calcium phosphate (BCP) composites coated with testosterone propionate (T) using Fourier transform infrared spectroscopy (FTIR) and powder X-ray diffraction (XRD). Osteoblastic cells were seeded with PCL/BCP, PCL/BCP/T, PLGA/PCL/BCP and PLGA/PCL/BCP/T scaffolds, and cell viability, proliferation, differentiation and adhesion were analyzed. The results of physic-chemical experiments showed no displacements or suppression of bands in the FTIR spectra of scaffolds. The XRD patterns of the scaffolds showed an amorphous profile. The osteoblastic cells viability and proliferation increased in the presence of composites with testosterone over 72?h, and were significantly greater when PLGA/PCL/BCP/T scaffold was tested against PCL/BCP/T. Furthermore alkaline phosphatase production was significantly greater in the same group. In conclusion, the PLGA/PCL/BCP scaffold with testosterone could be a promising option for bone tissue applications due to its biocompatibility and its stimulatory effect on cell proliferation.     

Composite scaffolds of nano calcium deficient hydroxyapatite/multi-(amino acid) copolymer for bone tissue regeneration

In this study, nano calcium deficient hydroxyapatite (n-DA)/multi-(amino acid) copolymer composite scaffolds were prepared by injection molding foaming method using calcium sulphate dihydrate as a foaming agent. The composite scaffolds showed well interconnected macropores with the pore size of ranging from 100 to 600 μm, porosity of 81 % and compressive strength of 12 MPa, and the compressive strength obviously affected by the porosity. The composite scaffolds could be slowly degraded in phosphate buffered solution (PBS), which lost its initial weight of 61 w % after immersion into PBS for 12 weeks, and the porosity significantly affected the degradability of the scaffolds. Moreover, it was found that the composite scaffolds could promote the MG-63 cells growth and proliferation, and enhance its alkaline phosphatase activity. The implantation of the scaffolds into the femoral bone of rabbits confirmed that the composite scaffolds were biocompatibitive, degradable, and osteoconductive in vivo.     

骨组织工程用硅胶/掺锶β-磷酸三钙/硫酸钙复合多孔支架的制备与性能研究

以掺锶β-磷酸三钙/硫酸钙为原料,利用搅拌喷雾干燥法制备出掺锶β-磷酸三钙/硫酸钙复合小球,再将硅胶与制备的复合小球复合,通过在模具中堆垛聚集的方法,制备出硅胶/掺锶β-磷酸三钙/硫酸钙复合生物支架。采用XRD,SEM,FT-IR等方法分析制得复合多孔支架的成分、形貌以及结构特征,并研究复合生物支架的降解性、孔隙率、力学性能和细胞毒性等。结果表明:该复合多孔生物支架具有一定的不规则孔洞结构,小球与小球之间的孔隙约为0.2~1mm,而每个小球上也有大量的微孔,孔径在50~200μm之间,且平均孔隙率达到62%,基本能满足骨组织工程支架对孔隙率的要求;该复合多孔支架无细胞毒性,其降解周期约为80天,抗压强度约为0.1MPa,因此该支架在非承重骨组织修复方面具有良好的应用前景。     

Role of macropore size in the mechanical properties and in vitro degradation of porous calcium phosphate cements

The goal of the present study was to investigate the effect of macropore size on the compressive strength and in vitro degradation of porous calcium phosphate cements (CPCs). For this purpose, a series of porous CPCs with three different macropore sizes (200-300 μm, 300-450 μm and 450-600 μm) and comparable porosity were prepared by salting-out method, and the study of in vitro degradation behavior was carried out under a constant fluid flow environment. The results showed that the increase in macropore size of CPCs with invariant porosity resulted in a decrease in the compressive strength but an increase in the degradation rate of CPCs significantly, suggesting the possibility that the degradation rate and compressive strength of biomaterials can be regulated by varying the macropore size while maintaining the porosity unchanged.     

Mechanical properties and in vitro cellular behavior of zinc-containing nano-bioactive glass doped biphasic calcium phosphate bone substitutes

In the present study, different amounts (0.5–5 wt%) of a sol gel-derived zinc-containing nano-bioactive glass (NBG-Zn) powder were added to biphasic calcium phosphate (BCP). The mixtures were sintered at 1,100–1,300 °C and physical characteristics, mechanical properties, phase composition and morphology of them were studied. The samples were also soaked in human blood plasma for 15 days to evaluate variations in their surface morphologies. Rat calvarium-derived osteoblastic cells were seeded on tops of various samples and cell adhesion, proliferation, and alkaline phosphatase activity were evaluated at different culturing periods. The maximum bending strength (62 MPa) was obtained for BCP containing 0.5 wt% NBG-Zn at temperature 1,200 °C. This value was approximately 80 % higher than that of pure BCP. The bending strength failed when both sintering temperature and amount of added NBG-Zn increased. At 1,100 °C, NBG-Zn additive did not change the phase composition of BCP. At temperatures 1,200 and 1,300 °C, both alpha-tricalcium calcium phosphate (α-TCP) and beta-tricalcium phosphate (β-TCP and) phases were detected. However, adding higher amount of NBG-Zn to BCP resulted in elevation of β-TCP at 1,200 °C and progression of α-TCP at 1,300 °C. Based on the microscopic observations, adding 0.5 wt% NBG-Zn to BCP led to disappearance of grain boundaries, reduction of micropores and formation of a monolithic microstructure. No calcium phosphate precipitation was observed on sample surfaces after soaking in blood plasma, but some pores were produced by phase dissolution. The size and volume of these pores were directly proportional to NBG-Zn content. Based on the cell studies, both BCP and NBG-Zn-added BCP samples supported attachment and proliferation of osteoblasts, but higher alkaline phosphatase enzyme was synthesized within the cells cultured on NBG-Zn-added BCP. Overall, biphasic calcium phosphate materials with improved mechanical and biological properties can be produced by using small quantity of zinc-containing bioactive glass particles.     

壳聚糖/羟基磷灰石表面修饰聚己内酯多孔骨支架的制备及性能

采用选择性激光烧结技术构建多孔聚己内酯(PCL)骨支架,用原位合成的方法制得壳聚糖/羟基磷灰石(CS/HA)悬浮液,并采用真空浸泡、低速离心和冷冻凝胶的方法使CS/HA黏附在PCL支架的表面,以改善骨支架的生物相容性和细胞增殖活性。通过X射线衍射(XRD)和扫描电子显微镜(SEM)观测复合支架的物相和形貌,测量支架的压缩强度和杨氏模量,测量支架表面的水接触角,并通过体外细胞实验研究复合支架的生物学性能。实验结果表明,原位合成的方法制得了羟基磷灰石(HA);CS/HA凝胶与PCL骨支架表面黏附良好;CS/HA改善了PCL支架表面的亲水性,提升了骨支架的生物相容性和细胞增殖活性。     

Construction of collagen II/hyaluronate/chondroitin-6-sulfate tri-copolymer scaffold for nucleus pulposus tissue engineering and preliminary analysis of its physico-chemical properties and biocompatibility

To construct a novel scaffold for nucleus pulposus (NP) tissue engineering, The porous type II collagen (CII)/hyaluronate (HyA)–chondroitin-6-sulfate (6-CS) scaffold was prepared using 1-ethyl-3-(3-dimethylaminopropyl)-carbodiimide (EDC) and N-hydroxysuccinimide (NHS) cross-linking system. The physico-chemical properties and biocompatibility of CII/HyA–CS scaffolds were evaluated. The results suggested CII/HyA–CS scaffolds have a highly porous structure (porosity: 94.8 ± 1.5%), high water-binding capacity (79.2 ± 2.8%) and significantly improved mechanical stability by EDC/NHS crosslinking (denaturation temperature: 74.6 ± 1.8 and 58.1 ± 2.6°C, respectively, for the crosslinked scaffolds and the non-crosslinked; collagenase degradation rate: 39.5 ± 3.4 and 63.5 ± 2.0%, respectively, for the crosslinked scaffolds and the non-crosslinked). The CII/HyA–CS scaffolds also showed satisfactory cytocompatibility and histocompatibility as well as low immunogenicity. These results indicate CII/HyA–CS scaffolds may be an alternative material for NP tissue engineering due to the similarity of its composition and physico-chemical properties to those of the extracellular matrices (ECM) of native NP.     

复合明胶涂层对钙磷陶瓷多孔支架的增强作用

采用有机泡沫浸渍工艺制备了高孔隙率的钙磷多孔陶瓷支架, 将多孔陶瓷样品浸于明胶溶液中渗涂得到陶瓷/明胶复合支架; 采用复合明胶涂层的方法对钙磷多孔陶瓷支架进行增强处理, 在不破坏多孔支架孔隙特征的情况下, 成功地在样品的孔壁上复合了明胶涂层。复合明胶涂层提高了样品的压缩强度和压缩模量, 与未涂覆样品相比, 涂敷样品受压时的应变特性发生了明显变化。尤其是渗涂5%明胶溶液的多孔样品, 在保持高孔隙率(82.8%)的条件下其压缩强度和压缩模量分别由原来的1.04MPa 和 0.105GPa增加到5.17MPa和0.325GPa。研究结果表明, 孔壁上复合明胶涂层可以有效地增强多孔陶瓷支架。      

Novel approach to the fabrication of an artificial small bone using a combination of sponge replica and electrospinning methods

Abstract

In this study, a novel artificial small bone consisting of ZrO₂-biphasic calcium phosphate/polymethylmethacrylate-polycaprolactone-hydroxyapatite (ZrO₂-BCP/PMMA-PCL-HAp) was fabricated using a combination of sponge replica and electrospinning methods. To mimic the cancellous bone, the ZrO₂/BCP scaffold was composed of three layers, ZrO₂, ZrO₂/BCP and BCP, fabricated by the sponge replica method. The PMMA-PCL fibers loaded with HAp powder were wrapped around the ZrO₂/BCP scaffold using the electrospinning process. To imitate the Haversian canal region of the bone, HAp-loaded PMMA-PCL fibers were wrapped around a steel wire of 0.3 mm diameter. As a result, the bundles of fiber wrapped around the wires imitated the osteon structure of the cortical bone. Finally, the ZrO₂/BCP scaffold was surrounded by HAp-loaded PMMA-PCL composite bundles. After removal of the steel wires, the ZrO₂/BCP scaffold and bundles of HAp-loaded PMMA-PCL formed an interconnected structure resembling the human bone. Its diameter, compressive strength and porosity were approximately 12 mm, 5 MPa and 70%, respectively, and the viability of MG-63 osteoblast-like cells was determined to be over 90% by the MTT (3-(4, 5-dimethylthiazol-2-yl)-2, 5-diphenyltetrazolium bromide) assay. This artificial bone shows excellent cytocompatibility and is a promising bone regeneration material.     

磷酸钙/纤维蛋白胶复合支架材料的结构及力学性能分析

用可吸收磷酸钙骨水泥和纤维蛋白胶按一定比例体外构建复合支架材料,通过XRD、SEM、抗压实验和空隙率测试等方法对其结构及力学性能进行分析.结果发现:由于加入纤维蛋白胶,复合支架材料在一定程度上延长了磷酸钙骨水泥的初凝时间,但并不影响磷酸钙骨水泥的终凝时间;同时,加入纤维蛋白胶改变了骨水泥固化体的微观结构,提高了骨水泥的抗压强度,其最大抗压强度达到14MPa,弹性模量在96.64～269.39MPa之间,空隙率为38.8%.与在同样条件下制备的磷酸钙骨水泥比较,复合支架材料的抗压强度增强了55.6%,而空隙率仅仅下降了6.9%;XRD分析显示,复合支架材料并不影响磷酸钙骨水泥的最终的转化,其结晶结构仍是羟基磷灰石结构,是更好的骨组织工程支架材料.     

Porous calcium phosphate ceramics modified with PLGA–bioactive glass

Porous calcium phosphate ceramics (mainly hydroxyapatite) with interconnected macropores (∼1 mm) and micropores (∼5 μm) as well as high porosities (∼80%) were prepared by firing polyurethane foams that were coated with calcium phosphate cement at 1200 °C. In order to improve the mechanical properties such as compressive strength and compressive modulus and maintain the desirable bioactivity (i.e. the ability of apatite layer formation), the open micropores of the struts were infiltrated with poly(lactic-co-glycolic acid) (PLGA) to achieve an interpenetrating bioactive ceramic/biodegradable polymer composite structure. The PLGA filled struts were further coated with a 58S bioactive glass (33 wt.%)–PLGA composite coating. The PLGA–bioactive glass modified porous calcium phosphate ceramics proved to be bioactive and exhibited compressive strengths up to 7.7 MPa and compressive moduli up to 3 GPa, which were comparable to those of natural spongy bones. The obtained complex porous bioactive/biodegradable composites could be used as tissue engineering scaffolds for low-load bearing applications.