Authors: Rainer Detsch, Helmar Mayr, Daniel Seitz, Günter Ziegler
Abstract: Bone remodelling is a coupled process of bone formation and resorption. This process is
physiologically controlled and involves the synthesis of bone matrix by osteoblasts and bone
resorption by giant cells called osteoclasts. It includes a complex interaction of cells, with specific
chemokine signalling. In order to study bone remodelling in vitro, we cultivated two precursor cellline
types in a model coculture system on synthetic hydroxyapatite ceramic (HA) for 14 days. The
monocytes have the capacity to differentiate into osteoclast-like cells, and the bone marrow stromal
cells can differentiate into osteoblast-like cells. This coculture was used to analyse the in vitro cell
interaction between monocytes and stromal cells. Furthermore, the attachment of the bone marrow
stromal cells to the resorbed HA-surfaces was studied. In this in vitro study we demonstrated
osteoclast-like differentiation and bone marrow stromal growth in a coculture system on a synthetic
bone substitute material. Under optimal conditions, HA can be resorbed and bone marrow cells can
grow into the lacunas to form new bone. These results give important cues for the adjustment of
synthetic bone substitute materials for optimal remodelling behaviour.
1123
Authors: Edgar Benjamin Montufar, C. Gil, Tania Traykova, Maria-Pau Ginebra, Josep A. Planell
Abstract: The design and processing of 3D macroporous bioactive scaffolds is one of the
milestones for the progress of bone tissue engineering and bone regeneration. Calcium phosphate
based ceramics are among the most suitable materials, due to their similarity to the bone mineral.
Specifically, beta-tricalcium phosphate (β-TCP) is known to be a resorbable and bioactive material, with
well established applications as bone regeneration material. The aim of this work is to explore a new
route to obtain β-TCP macroporous scaffolds starting from calcium phosphate cements. To this end
foamed calcium phosphate cement, composed of alpha tricalcium phosphate as starting powder was
used as initial material. The set foamed structures, made of calcium deficient hydroxyapatite
(CDHA) were sintered to obtain the final β-TCP macroporous architecture. The interconnected
macroporosity was maintained, whereas the porosity in the nanometric range was strongly reduced
by the sintering process. The sintering produced also an increase in the mechanical properties of the
scaffold.
323
Authors: David Shepherd, Serena Best
Abstract: Zinc substituted hydroxyapatite of varying wt% was produced using a precipitation
method based on reacting calcium and zinc nitrate with ammonium phosphate. Characterisation
results from X-ray diffraction (XRD) and X-ray fluorescence spectroscopy (XRF) showed that zinc
was successfully substituted up to 0.8wt% using this method. Rietveld analysis showed that the alattice
parameter was reduced and c-lattice parameter was increased with increasing zinc content.
Initial mechanical test results showed samples with a zinc content of 0.4% had the greatest
compressive strength.
159
Authors: Y.H. Hsu, I.G. Turner, A.W. Miles
Abstract: Several novel methods for the production of calcium phosphate based functional gradient
materials have been explored. The processes involved the use of polyurethane foams with a different
number of pores per inch which were joined together in a variety of ways to form unique templates
prior to vacuum impregnation with a ceramic slip. Before processing, rectangular blocks of foam
were joined by stitching or trapezoidal blocks were compressed into rectangular shapes to produce a
gradient of porosity along the length of the template. Four-point bend testing of the sintered samples
which combined two porous structures showed them to have comparable mechanical properties to
homogeneous ceramics based on foam templates with uniform pore sizes, with no evidence of
weakness at the interface. The method was further developed to make a cylindrical sample with two
diverse porous structures which more closely mimic the natural bone morphology. The two very
different areas, which represented cortical and cancellous bone, had good structural integrity at the
interface.
123
Authors: Y.H. Hsu, I.G. Turner, A.W. Miles
Abstract: Ceramic slips with powder loadings in the range of 80-140 wt% were used to investigate
the effect of slip loading on the physical and mechanical properties of open pore HA/TCP
bioceramics. The results indicated that increasing the slip loading had an effect on the properties of
the samples. The average apparent density, the work of fracture and compressive strength all
increased with slip loading. In contrast, the effect of increasing slip loading on the four-point bending
strength was not significant.
19
Authors: J.H. Robinson, Serena Best, Z. Ahmad, Mohan J. Edirisinghe
Abstract: The production of nano-scale hydroxyapatite (HA) suspensions to be used for the
reticulated foam method of scaffold production was investigated at temperatures of between 10 and
60OC. An increase in reaction temperature was associated with an increase in the particle size and
some decrease in the aspect ratio of the particles. Pre-treatment of the polyurethane foam template
using PPDS (potassium peroxodisulfate) solution resulted in a significantly improved coating of
HA when compared to the untreated samples or those treated with ethanol. Initial trials coating the
polyurethane with HA produced at the different reaction temperatures showed a superior coating
with the suspension produced at 10OC compared to that at 60OC. A scaffold was produced using the
HA suspension produced at room temperature, but further understanding of the suspension
properties and the optimum conditions for coating of the PU foam are required for improved
mechanical performance.
3
Authors: C.Y. Bao, Jin Feng Yao, Hong Song Fan, L.Y. Sun, Bi Zhang, Xin Long Wang, Xing Dong Zhang
Abstract: The study is aimed at to explore the construction of bone graft with calcium phosphate
ceramics implanted in subcutaneous fat, and provide applying technique for the in vivo bone tissue
engineering. Forty-eight calcium phosphate ceramics (Ca-P ceramics) columns with Φ 5×8 mm
were prepared, and eight dogs were used in this experiment. Six samples were implanted in each
dog. Three in dorsal muscles while the others in subcutaneous fat. The specimens were harvested at
4, 6, 12 and 24 weeks post operation, for gross observation, SPECT and histological studies. The
osseous or osteoid tissue formation at different times in the two non-osseous sites was compared
and the new bone grafts in subcutaneous fat and intramuscular implantations were evaluated. The
results demonstrated that the bone graft could be constructed not only in muscle but also in
subcutaneous fat. Compared to that in muscle, constructing bone graft in subcutaneous fat could
have brighter prospect to clinical application.
641
Authors: Jin Feng Yao, C.Y. Bao, R. Sun, Y.Z. Zhang, L.Y. Sun, Guo Min Ou, C.D. Xiong
Abstract: The purpose of this study is to explore the osteoinductivity of the composite materials (calcium
phosphate ceramics/PLA or collagen composites) with similar physical character of osteoinductive
calcium phosphate ceramics and the influence of the chemical composition of the composite materials on
osteoinductivity, and also to provide an experimental evidence for optimizing the design of the composite
materials. Two kinds of composite materials were prepared. One (BCP/PLA) is fabricated with different
ratio of BCP (biphasic calcium phosphate) ceramics powder and PDLLA powder through the particulateleaching
technique. The other (BCP/collagen) is that BCP ceramics sintered at 1250oC and modified with
collagen. The porous materials cylinders with Φ 5×8 mm were prepared. SEM was used to observe the
microstructure and physical morphology of the composite materials. The two groups of composite
materials cylinders were implanted in the dorsal muscles of four dogs. Six samples of each group were
implanted in each dog respectively. The specimens were harvested at 2, 4, 12 and 24 weeks post operation,
and thin decalcified sections were prepared for light microscopy (LM) analysis to evaluate their
osteoinductivity and compare the capability of osteoinduction. The fibro-tissue and bone-like tissue were
observed in the two composites, but no obvious bone formation was found in the tested periods. The
results indicated that the composite materials could modify the mechanical property of ceramics.
However, if the composite materials were biodegraded soon, new bone could not form into the scaffold,
and the calcium phosphate should be the major component of osteoinductive materials.
1638
Authors: Yan Fei Tan, Gang Wang, Hong Song Fan, Xin Long Wang, Jian Lu, Xing Dong Zhang
Abstract: The mRNA expression of Cbfa1 and osteocalcin gene induced by calcium phosphate
ceramics (Ca/P) were quantitative analyzed according to real-time RT-PCR method in this work.
C2C12 cells were co-culture with four kinds of porous Ca/P ceramics for 2 and 5d without adding
other growth factors. The four kinds of Ca/P ceramics were pure hydroxyapatite (HA) sintered at
1250°C and HA/TCP with a ratio of 60/40 sintered at 1100°C (HT1), 1200°C (HT2) and 1250°C
(HT3) respectively. Real-time RT-PCR analysis found the Ca/P ceramics induced positive
expression of Cbfa1 and osteocalcin in C2C12 cells, After 5 days culture, Cbfa1 and osteocalcin
showed obvious higher expression compared with that in 2 days. Cbfa1 and osteocalcin expression
in BCP was much higher than HA, and the expression level of osteocalcin was
HT1>HT2>HT3>HA. Our results showed that Ca/P ceramics alone were sufficient to induce
C2C12 cells to osteoblastic differentiation and the sinter temperature and phase composition of
Ca/P ceramics could affect their osteoindctive capacity significantly.
1067
Authors: Borhane H. Fellah, Olivier Gauthier, Pierre Weiss, Daniel Chappard, Pierre Layrolle
Abstract: Autologous bone chips are widely used in orthopedic surgery to fill large defects due to
osteoinductive property but are limited in quantity. Several groups have reported the formation of
mineralized bone after implantation of bioceramics in ectopic sites of different animals. However,
osteoinduction by bioceramics has not yet proved to be equivalent to those of autologous bone. In
this study, we compare the bone inducing capability of autologous bone chips and synthetic
biphasic calcium phosphate (BCP) ceramics granules sintered at various temperatures. Both
materials were implanted in muscles and femurs of goats inside hollow containers for 6, 12 and 24
weeks and analyzed by histology. This study showed that bone tissue formed in contact with micro
porous ceramics sintered at low temperature as well as autologous bone chips both in ectopic and
intrafemoral sites of goats.
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