Dual-functional biomimetic periosteum incorporating engineered small extracellular vesicles for treating critical bone defect with soft tissue fenestration via TGF-beta1/SMAD pathway

Critical bone defect with soft tissue fenestration poses a significant therapeutic challenge without the premise of barrier periosteum in situ for the relatively independent repair spaces of soft tissue and bone. Inspired by the regenerative functions of mesenchymal stem cells (MSCs)-derived small e...

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Main Authors: Zhengchuan Zhang, Jiaqi Shen, Ruogu Xu, Yang Yang, Xiaolin Yu, Dongsheng Yu, Feilong Deng
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Materials Today Bio
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Online Access:http://www.sciencedirect.com/science/article/pii/S2590006425004521
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author Zhengchuan Zhang
Jiaqi Shen
Ruogu Xu
Yang Yang
Xiaolin Yu
Dongsheng Yu
Feilong Deng
author_facet Zhengchuan Zhang
Jiaqi Shen
Ruogu Xu
Yang Yang
Xiaolin Yu
Dongsheng Yu
Feilong Deng
author_sort Zhengchuan Zhang
collection DOAJ
description Critical bone defect with soft tissue fenestration poses a significant therapeutic challenge without the premise of barrier periosteum in situ for the relatively independent repair spaces of soft tissue and bone. Inspired by the regenerative functions of mesenchymal stem cells (MSCs)-derived small extracellular vesicles (sEVs) and the guided properties of in situ-generated periosteum, here we report the therapeutic benefits of dual-functional biomimetic periosteum (DBP) incorporating engineered sEVs for treating critical bone defect with soft tissue fenestration. We started our experiment with the construction of engineered sEVs via porous titanium-preconditioned MSCs-derived sEVs (Ti-sEVs). COL1A1 and MMP1 were enriched in Ti-sEVs with enhanced uptake efficiency of fibroblasts and bone marrow-derived MSCs for scarless soft tissue and bone repair abilities via TGF-beta1/SMAD pathway in vitro. DPB was constructed via the chemically crosslinking and lyophilized treatment of a xenogenic acellular dermal matrix. Incorporation and in vivo delivery of Ti-sEVs were successfully achieved via the controlled-release DPB with the characteristics of a loose surface facing the bone defect and a dense surface facing the soft tissue fenestration. DBP incorporating Ti-sEVs promoted the repair of the surrounding native periosteum in situ via the critical skull defect with skin fenestration models in rats. Bone repair with scarless soft tissue was achieved by enhanced angiogenesis and limited osteoclastic activity. Collectively, this dual-functional system could synergistically achieve critical bone defect regeneration with scarless soft tissue repair via TGF-beta1/SMAD pathway with the sustained release of Ti-sEVs, providing a promising strategy of engineered sEVs for preferable tissue regeneration.
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spelling doaj-art-2b45f3f252ba4d4cb17e25ebb13a434f2025-08-20T03:08:56ZengElsevierMaterials Today Bio2590-00642025-06-013210189210.1016/j.mtbio.2025.101892Dual-functional biomimetic periosteum incorporating engineered small extracellular vesicles for treating critical bone defect with soft tissue fenestration via TGF-beta1/SMAD pathwayZhengchuan Zhang0Jiaqi Shen1Ruogu Xu2Yang Yang3Xiaolin Yu4Dongsheng Yu5Feilong Deng6Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou, PR China; Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, PR ChinaHospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou, PR China; Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, PR ChinaHospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou, PR China; Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, PR ChinaHospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou, PR China; Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, PR ChinaHospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou, PR China; Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, PR China; Corresponding author. Department of Oral Implantology, Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, No.56 of LingYuanXiLu, Guangzhou, Guangdong 510055, PR China.Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou, PR China; Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, PR China; Corresponding author. Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, No.56 of LingYuanXiLu, Guangzhou, Guangdong, 510055, PR China.Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou, PR China; Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, PR China; Corresponding author. Department of Oral Implantology, Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, No.56 of LingYuanXiLu, Guangzhou, Guangdong 510055, PR China.Critical bone defect with soft tissue fenestration poses a significant therapeutic challenge without the premise of barrier periosteum in situ for the relatively independent repair spaces of soft tissue and bone. Inspired by the regenerative functions of mesenchymal stem cells (MSCs)-derived small extracellular vesicles (sEVs) and the guided properties of in situ-generated periosteum, here we report the therapeutic benefits of dual-functional biomimetic periosteum (DBP) incorporating engineered sEVs for treating critical bone defect with soft tissue fenestration. We started our experiment with the construction of engineered sEVs via porous titanium-preconditioned MSCs-derived sEVs (Ti-sEVs). COL1A1 and MMP1 were enriched in Ti-sEVs with enhanced uptake efficiency of fibroblasts and bone marrow-derived MSCs for scarless soft tissue and bone repair abilities via TGF-beta1/SMAD pathway in vitro. DPB was constructed via the chemically crosslinking and lyophilized treatment of a xenogenic acellular dermal matrix. Incorporation and in vivo delivery of Ti-sEVs were successfully achieved via the controlled-release DPB with the characteristics of a loose surface facing the bone defect and a dense surface facing the soft tissue fenestration. DBP incorporating Ti-sEVs promoted the repair of the surrounding native periosteum in situ via the critical skull defect with skin fenestration models in rats. Bone repair with scarless soft tissue was achieved by enhanced angiogenesis and limited osteoclastic activity. Collectively, this dual-functional system could synergistically achieve critical bone defect regeneration with scarless soft tissue repair via TGF-beta1/SMAD pathway with the sustained release of Ti-sEVs, providing a promising strategy of engineered sEVs for preferable tissue regeneration.http://www.sciencedirect.com/science/article/pii/S2590006425004521Critical bone defectBiomimetic periosteumSmall extracellular vesiclesSoft tissue fenestrationMesenchymal stem cellsPorous titanium
spellingShingle Zhengchuan Zhang
Jiaqi Shen
Ruogu Xu
Yang Yang
Xiaolin Yu
Dongsheng Yu
Feilong Deng
Dual-functional biomimetic periosteum incorporating engineered small extracellular vesicles for treating critical bone defect with soft tissue fenestration via TGF-beta1/SMAD pathway
Materials Today Bio
Critical bone defect
Biomimetic periosteum
Small extracellular vesicles
Soft tissue fenestration
Mesenchymal stem cells
Porous titanium
title Dual-functional biomimetic periosteum incorporating engineered small extracellular vesicles for treating critical bone defect with soft tissue fenestration via TGF-beta1/SMAD pathway
title_full Dual-functional biomimetic periosteum incorporating engineered small extracellular vesicles for treating critical bone defect with soft tissue fenestration via TGF-beta1/SMAD pathway
title_fullStr Dual-functional biomimetic periosteum incorporating engineered small extracellular vesicles for treating critical bone defect with soft tissue fenestration via TGF-beta1/SMAD pathway
title_full_unstemmed Dual-functional biomimetic periosteum incorporating engineered small extracellular vesicles for treating critical bone defect with soft tissue fenestration via TGF-beta1/SMAD pathway
title_short Dual-functional biomimetic periosteum incorporating engineered small extracellular vesicles for treating critical bone defect with soft tissue fenestration via TGF-beta1/SMAD pathway
title_sort dual functional biomimetic periosteum incorporating engineered small extracellular vesicles for treating critical bone defect with soft tissue fenestration via tgf beta1 smad pathway
topic Critical bone defect
Biomimetic periosteum
Small extracellular vesicles
Soft tissue fenestration
Mesenchymal stem cells
Porous titanium
url http://www.sciencedirect.com/science/article/pii/S2590006425004521
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