Enhanced healing of critical-sized bone defects using degradable scaffolds with tailored composition through immunomodulation and angiogenesis

The impact of orthopedic scaffolds on bone defect healing, particularly the late-stage bone remodeling process, is pivotal for the therapeutic outcome. This study applies fadditively manufactured scaffolds composed of hydroxyapatite-doped poly(lactide-co-glycolide)-b-poly(ethylene glycol)-b-poly(lac...

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Main Authors: Juncen Zhou, Negar Akrami, Hanbo Wang, Liang Fang, Jie Shen, Cunjiang Yu, Ben Zhang, Donghui Zhu
Format: Article
Language:English
Published: KeAi Communications Co., Ltd. 2025-02-01
Series:Bioactive Materials
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Online Access:http://www.sciencedirect.com/science/article/pii/S2452199X24004638
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author Juncen Zhou
Negar Akrami
Hanbo Wang
Liang Fang
Jie Shen
Cunjiang Yu
Ben Zhang
Donghui Zhu
author_facet Juncen Zhou
Negar Akrami
Hanbo Wang
Liang Fang
Jie Shen
Cunjiang Yu
Ben Zhang
Donghui Zhu
author_sort Juncen Zhou
collection DOAJ
description The impact of orthopedic scaffolds on bone defect healing, particularly the late-stage bone remodeling process, is pivotal for the therapeutic outcome. This study applies fadditively manufactured scaffolds composed of hydroxyapatite-doped poly(lactide-co-glycolide)-b-poly(ethylene glycol)-b-poly(lactide-co-glycolide) (HA-PELGA) with varying properties to treat rat calvarial defects, elucidating their significant role in bone remodeling by modulating physiological responses. We engineered two scaffolds with different polylactic acid (PLA) to polyglycolic acid (PGA) ratio (9/1 and 18/1) to vary in hydrophobicity, degradation rate, mechanical properties, and structural stability. These variations influenced physiological responses, including osteogenesis, angiogenesis, and immune reactions, thereby guiding bone remodeling. Our findings show that the HA-PELGA(18/1) scaffold, with a slower degradation rate, supported bulk bone formation due to a stable microenvironment. Conversely, the HA-PELGA(9/1) scaffold, with a faster degradation rate and more active interfaces, facilitated the formation of a thin bone layer and higher bone infiltration. This study demonstrates these degradable scaffolds help to promote bone healing and reveals how scaffold properties influence the bone remodeling process, offering a potential strategy to optimize scaffold design aiming at late-stage bone defect healing.
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spelling doaj-art-802ee0ae26f74bd3907c7066a3fda0462024-12-14T06:31:44ZengKeAi Communications Co., Ltd.Bioactive Materials2452-199X2025-02-0144371388Enhanced healing of critical-sized bone defects using degradable scaffolds with tailored composition through immunomodulation and angiogenesisJuncen Zhou0Negar Akrami1Hanbo Wang2Liang Fang3Jie Shen4Cunjiang Yu5Ben Zhang6Donghui Zhu7Department of Biomedical Engineering, University of Stony Brook, 100 Nicolls Rd, Stony Brook, NY, 11794, USADepartment of Biomedical Engineering, University of Stony Brook, 100 Nicolls Rd, Stony Brook, NY, 11794, USADepartment of Biomedical Engineering, University of Stony Brook, 100 Nicolls Rd, Stony Brook, NY, 11794, USADepartment of Orthopaedic Surgery, Washington University, St. Louis, MO, 63110, USADepartment of Orthopaedic Surgery, Washington University, St. Louis, MO, 63110, USADepartment of Electrical & Computer Engineering, University of Illinois Urbana-Champaign, Urbana, IL, 61801, USADepartment of Biomedical Engineering, University of Stony Brook, 100 Nicolls Rd, Stony Brook, NY, 11794, USA; Corresponding author.Department of Biomedical Engineering, University of Stony Brook, 100 Nicolls Rd, Stony Brook, NY, 11794, USA; Corresponding author.The impact of orthopedic scaffolds on bone defect healing, particularly the late-stage bone remodeling process, is pivotal for the therapeutic outcome. This study applies fadditively manufactured scaffolds composed of hydroxyapatite-doped poly(lactide-co-glycolide)-b-poly(ethylene glycol)-b-poly(lactide-co-glycolide) (HA-PELGA) with varying properties to treat rat calvarial defects, elucidating their significant role in bone remodeling by modulating physiological responses. We engineered two scaffolds with different polylactic acid (PLA) to polyglycolic acid (PGA) ratio (9/1 and 18/1) to vary in hydrophobicity, degradation rate, mechanical properties, and structural stability. These variations influenced physiological responses, including osteogenesis, angiogenesis, and immune reactions, thereby guiding bone remodeling. Our findings show that the HA-PELGA(18/1) scaffold, with a slower degradation rate, supported bulk bone formation due to a stable microenvironment. Conversely, the HA-PELGA(9/1) scaffold, with a faster degradation rate and more active interfaces, facilitated the formation of a thin bone layer and higher bone infiltration. This study demonstrates these degradable scaffolds help to promote bone healing and reveals how scaffold properties influence the bone remodeling process, offering a potential strategy to optimize scaffold design aiming at late-stage bone defect healing.http://www.sciencedirect.com/science/article/pii/S2452199X24004638Additive manufacturingPolymer scaffoldsBiodegradableBone defect healingBone remodeling
spellingShingle Juncen Zhou
Negar Akrami
Hanbo Wang
Liang Fang
Jie Shen
Cunjiang Yu
Ben Zhang
Donghui Zhu
Enhanced healing of critical-sized bone defects using degradable scaffolds with tailored composition through immunomodulation and angiogenesis
Bioactive Materials
Additive manufacturing
Polymer scaffolds
Biodegradable
Bone defect healing
Bone remodeling
title Enhanced healing of critical-sized bone defects using degradable scaffolds with tailored composition through immunomodulation and angiogenesis
title_full Enhanced healing of critical-sized bone defects using degradable scaffolds with tailored composition through immunomodulation and angiogenesis
title_fullStr Enhanced healing of critical-sized bone defects using degradable scaffolds with tailored composition through immunomodulation and angiogenesis
title_full_unstemmed Enhanced healing of critical-sized bone defects using degradable scaffolds with tailored composition through immunomodulation and angiogenesis
title_short Enhanced healing of critical-sized bone defects using degradable scaffolds with tailored composition through immunomodulation and angiogenesis
title_sort enhanced healing of critical sized bone defects using degradable scaffolds with tailored composition through immunomodulation and angiogenesis
topic Additive manufacturing
Polymer scaffolds
Biodegradable
Bone defect healing
Bone remodeling
url http://www.sciencedirect.com/science/article/pii/S2452199X24004638
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