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The Implications of Polymer Selection in Regenerative Medicine: A Comparison of Amorphous and Semi‐Crystalline Polymer for Tissue Regeneration
Authors:Michelle D Kofron  Allison Griswold  Sangamesh G Kumbar  Kylie Martin  Xuejun Wen  Cato T Laurencin
Affiliation:1. Department of Biomedical Engineering University of Virginia PO Box 800759, Charlottesville, VA, 22908 (USA);2. Department of Orthopaedic Surgery University of Virginia Health System PO Box 800159, Charlottesville, VA, 22903 (USA);3. Departments of Chemical, Materials, and Biomolecular Engineering University of Connecticut, Storrs, CT, 06269 (USA);4. Department of Orthopaedic Surgery University of Connecticut Health Center Farmington, CT, 06030 (USA);5. Hollings Cancer Center Medical University of South Carolina Charleston, SC, 29425 (USA);6. Departments of Orthopaedic Surgery and Cell Biology and Anatomy Medical University of South Carolina Charleston, SC, 29425 (USA);7. Department of Bioengineering Clemson University, Clemson, SC, 29425 (USA)
Abstract:Biodegradable polymeric scaffolds are being investigated as scaffolding materials for use in regenerative medicine. While the in vivo evaluation of various three‐dimensional (3D), porous, biodegradable polymeric scaffolds has been reported, most studies are ≤3 months in duration, which is typically prior to bulk polymer degradation, a critical event that may initiate an inflammatory response and inhibit tissue formation. Here, a 6 month in vitro degradation and corresponding in vivo studies that characterized scaffold changes during complete degradation of an amorphous, 3D poly(lactide‐co‐glycolide)(3D‐PLAGA) scaffold and near‐complete degradation of a semi‐crystalline3D‐PLAGA scaffold are reported. Using sintered microsphere matrix technology, constructs were fabricated in a tubular shape, with the longitudinal axis void and a median pore size that mimicked the architecture of native bone. Long‐term quantitative measurements of molecular weight, mechanical properties, and porosity provided a basis for theorization of the scaffold degradation process. Following implantation in a critical size ulnar defect model, histological analysis and quantitative microCT indicated early solubilization of the semi‐crystalline polymer created an acidic microenvironment that inhibited mineralized tissue formation. Thus, the use of amorphous over semi‐crystalline PLAGA materials is advocated for applications in regenerative medicine.
Keywords:polymeric materials  regenerative medicine  tissue regeneration
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