Development of Prevascularized Synthetic Block Graft for Maxillofacial Reconstruction

Cranio-maxillofacial bone reconstruction, especially for large defects, remains challenging. Synthetic biomimetic materials are emerging as alternatives to autogenous grafts. Tissue engineering aims to create natural tissue-mimicking materials, with calcium phosphate-based scaffolds showing promise...

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Main Authors: Borvornwut Buranawat, Abeer Shaalan, Devy F. Garna, Lucy Di Silvio
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Journal of Functional Biomaterials
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Online Access:https://www.mdpi.com/2079-4983/16/1/18
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author Borvornwut Buranawat
Abeer Shaalan
Devy F. Garna
Lucy Di Silvio
author_facet Borvornwut Buranawat
Abeer Shaalan
Devy F. Garna
Lucy Di Silvio
author_sort Borvornwut Buranawat
collection DOAJ
description Cranio-maxillofacial bone reconstruction, especially for large defects, remains challenging. Synthetic biomimetic materials are emerging as alternatives to autogenous grafts. Tissue engineering aims to create natural tissue-mimicking materials, with calcium phosphate-based scaffolds showing promise for bone regeneration applications. This study developed a porous calcium metaphosphate (CMP) scaffold with physicochemical properties mimicking natural bone, aiming to create a prevascularized synthetic bone graft. The scaffold, fabricated using sintered monocalcium phosphate with poly (vinyl alcohol) as a porogen, exhibited pore sizes ranging from 0 to 400 μm, with the highest frequency between 80 and 100 μm. The co-culture of endothelial cells (ECs) with human alveolar osteoblasts (aHOBs) on the scaffold led to the formation of tube-like structures and intrinsic VEGF release, reaching 10,455.6 pg/mL This level approached the optimal dose for vascular formation. Conversely, the co-culture with mesenchymal stem cells did not yield similar results. Combining ECs and aHOBs in the CMP scaffold offers a promising approach to developing prevascularized grafts for cranio-maxillofacial reconstruction. This innovative strategy can potentially enhance vascularization in large tissue-engineered constructs, addressing a critical limitation in current bone regeneration techniques. The prevascularized synthetic bone graft developed in this study could significantly improve the success rate of maxillofacial reconstructions, offering a viable alternative to autogenous grafts.
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spelling doaj-art-61d0b98c640b40bbb4ad15bfdb1520c42025-01-24T13:36:08ZengMDPI AGJournal of Functional Biomaterials2079-49832025-01-011611810.3390/jfb16010018Development of Prevascularized Synthetic Block Graft for Maxillofacial ReconstructionBorvornwut Buranawat0Abeer Shaalan1Devy F. Garna2Lucy Di Silvio3Center for Implant Dentistry and Periodontics, Faculty of Dentistry and Research Unit in Innovations in Periodontics, Oral Surgery and Advanced Technology in Implant Dentistry, Thammasat University, Bangkok 10200, ThailandCenter for Oral, Clinical and Translational Sciences, Faculty of Dentistry, Oral & Craniofacial Sciences, King’s College London, London SE1 9RT, UKCenter for Oral, Clinical and Translational Sciences, Faculty of Dentistry, Oral & Craniofacial Sciences, King’s College London, London SE1 9RT, UKCenter for Oral, Clinical and Translational Sciences, Faculty of Dentistry, Oral & Craniofacial Sciences, King’s College London, London SE1 9RT, UKCranio-maxillofacial bone reconstruction, especially for large defects, remains challenging. Synthetic biomimetic materials are emerging as alternatives to autogenous grafts. Tissue engineering aims to create natural tissue-mimicking materials, with calcium phosphate-based scaffolds showing promise for bone regeneration applications. This study developed a porous calcium metaphosphate (CMP) scaffold with physicochemical properties mimicking natural bone, aiming to create a prevascularized synthetic bone graft. The scaffold, fabricated using sintered monocalcium phosphate with poly (vinyl alcohol) as a porogen, exhibited pore sizes ranging from 0 to 400 μm, with the highest frequency between 80 and 100 μm. The co-culture of endothelial cells (ECs) with human alveolar osteoblasts (aHOBs) on the scaffold led to the formation of tube-like structures and intrinsic VEGF release, reaching 10,455.6 pg/mL This level approached the optimal dose for vascular formation. Conversely, the co-culture with mesenchymal stem cells did not yield similar results. Combining ECs and aHOBs in the CMP scaffold offers a promising approach to developing prevascularized grafts for cranio-maxillofacial reconstruction. This innovative strategy can potentially enhance vascularization in large tissue-engineered constructs, addressing a critical limitation in current bone regeneration techniques. The prevascularized synthetic bone graft developed in this study could significantly improve the success rate of maxillofacial reconstructions, offering a viable alternative to autogenous grafts.https://www.mdpi.com/2079-4983/16/1/18prevascularizationporous calcium phosphate block graftbone tissue engineeringgrowth factors
spellingShingle Borvornwut Buranawat
Abeer Shaalan
Devy F. Garna
Lucy Di Silvio
Development of Prevascularized Synthetic Block Graft for Maxillofacial Reconstruction
Journal of Functional Biomaterials
prevascularization
porous calcium phosphate block graft
bone tissue engineering
growth factors
title Development of Prevascularized Synthetic Block Graft for Maxillofacial Reconstruction
title_full Development of Prevascularized Synthetic Block Graft for Maxillofacial Reconstruction
title_fullStr Development of Prevascularized Synthetic Block Graft for Maxillofacial Reconstruction
title_full_unstemmed Development of Prevascularized Synthetic Block Graft for Maxillofacial Reconstruction
title_short Development of Prevascularized Synthetic Block Graft for Maxillofacial Reconstruction
title_sort development of prevascularized synthetic block graft for maxillofacial reconstruction
topic prevascularization
porous calcium phosphate block graft
bone tissue engineering
growth factors
url https://www.mdpi.com/2079-4983/16/1/18
work_keys_str_mv AT borvornwutburanawat developmentofprevascularizedsyntheticblockgraftformaxillofacialreconstruction
AT abeershaalan developmentofprevascularizedsyntheticblockgraftformaxillofacialreconstruction
AT devyfgarna developmentofprevascularizedsyntheticblockgraftformaxillofacialreconstruction
AT lucydisilvio developmentofprevascularizedsyntheticblockgraftformaxillofacialreconstruction