Lithium-doped calcium silicate cement regulates the immune microenvironment and promotes M2 macrophage polarization for enhancing bone regeneration

Abstract Bone defects present a significant challenge in orthopedics and trauma surgery, necessitating innovative approaches to stimulate effective bone regeneration. This study investigated the potential of lithium-doped calcium silicate (LiCS) cement to enhance bone regeneration and modulate the i...

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Main Authors: Yen-Hong Lin, Cheng-Yu Chen, Kun-Hao Chen, Ting-You Kuo, Tsung-Li Lin, Ming-You Shie
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Journal of Biological Engineering
Subjects:
Online Access:https://doi.org/10.1186/s13036-024-00467-8
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author Yen-Hong Lin
Cheng-Yu Chen
Kun-Hao Chen
Ting-You Kuo
Tsung-Li Lin
Ming-You Shie
author_facet Yen-Hong Lin
Cheng-Yu Chen
Kun-Hao Chen
Ting-You Kuo
Tsung-Li Lin
Ming-You Shie
author_sort Yen-Hong Lin
collection DOAJ
description Abstract Bone defects present a significant challenge in orthopedics and trauma surgery, necessitating innovative approaches to stimulate effective bone regeneration. This study investigated the potential of lithium-doped calcium silicate (LiCS) cement to enhance bone regeneration and modulate the immune microenvironment to promote tissue repair. We synthesized a LiCS ceramic powder and performed comprehensive analyses of its physicochemical properties, including phase composition, morphology, setting time, and mechanical strength. The results demonstrated that the incorporation of lithium into calcium silicate significantly increased the diametral tensile strength (DTS) and facilitated hydroxyapatite formation compared with undoped calcium silicate. In vitro assays revealed that the LiCS cement enhanced the proliferation, adhesion, and spread of Wharton’s jelly mesenchymal stem cells (WJMSCs). Additionally, Li-CS cement exhibited remarkable immunomodulatory properties by reducing pro-inflammatory cytokines and increasing anti-inflammatory cytokines, promoting the polarization of macrophages towards the M2 phenotype. The presence of Li in the cement also significantly improved the osteogenic differentiation of WJMSCs, as evidenced by elevated levels of alkaline phosphatase and osteocalcin expression. These findings underscore the dual functional capabilities of the LiCS cement in enhancing osteogenesis and modulating the immune environment, making it a promising material for bone tissue engineering and regeneration.
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institution Kabale University
issn 1754-1611
language English
publishDate 2025-01-01
publisher BMC
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series Journal of Biological Engineering
spelling doaj-art-ce68a64be10c46e097a781cd3e2179862025-01-12T12:26:57ZengBMCJournal of Biological Engineering1754-16112025-01-0119111210.1186/s13036-024-00467-8Lithium-doped calcium silicate cement regulates the immune microenvironment and promotes M2 macrophage polarization for enhancing bone regenerationYen-Hong Lin0Cheng-Yu Chen1Kun-Hao Chen2Ting-You Kuo3Tsung-Li Lin4Ming-You Shie5Department of Biomedical Engineering, China Medical UniversityResearch & Development Center for x-Dimensional Extracellular Vesicles, China Medical University HospitalSchool of Medicine, China Medical UniversityGraduate Institute of Biomedical Sciences, China Medical UniversityDepartment of Sports Medicine, College of Health Care, China Medical UniversityDepartment of Biomedical Engineering, China Medical UniversityAbstract Bone defects present a significant challenge in orthopedics and trauma surgery, necessitating innovative approaches to stimulate effective bone regeneration. This study investigated the potential of lithium-doped calcium silicate (LiCS) cement to enhance bone regeneration and modulate the immune microenvironment to promote tissue repair. We synthesized a LiCS ceramic powder and performed comprehensive analyses of its physicochemical properties, including phase composition, morphology, setting time, and mechanical strength. The results demonstrated that the incorporation of lithium into calcium silicate significantly increased the diametral tensile strength (DTS) and facilitated hydroxyapatite formation compared with undoped calcium silicate. In vitro assays revealed that the LiCS cement enhanced the proliferation, adhesion, and spread of Wharton’s jelly mesenchymal stem cells (WJMSCs). Additionally, Li-CS cement exhibited remarkable immunomodulatory properties by reducing pro-inflammatory cytokines and increasing anti-inflammatory cytokines, promoting the polarization of macrophages towards the M2 phenotype. The presence of Li in the cement also significantly improved the osteogenic differentiation of WJMSCs, as evidenced by elevated levels of alkaline phosphatase and osteocalcin expression. These findings underscore the dual functional capabilities of the LiCS cement in enhancing osteogenesis and modulating the immune environment, making it a promising material for bone tissue engineering and regeneration.https://doi.org/10.1186/s13036-024-00467-8LithiumCalcium silicateBone regenerationImmune modulationMacrophage polarizationOsteogenesis
spellingShingle Yen-Hong Lin
Cheng-Yu Chen
Kun-Hao Chen
Ting-You Kuo
Tsung-Li Lin
Ming-You Shie
Lithium-doped calcium silicate cement regulates the immune microenvironment and promotes M2 macrophage polarization for enhancing bone regeneration
Journal of Biological Engineering
Lithium
Calcium silicate
Bone regeneration
Immune modulation
Macrophage polarization
Osteogenesis
title Lithium-doped calcium silicate cement regulates the immune microenvironment and promotes M2 macrophage polarization for enhancing bone regeneration
title_full Lithium-doped calcium silicate cement regulates the immune microenvironment and promotes M2 macrophage polarization for enhancing bone regeneration
title_fullStr Lithium-doped calcium silicate cement regulates the immune microenvironment and promotes M2 macrophage polarization for enhancing bone regeneration
title_full_unstemmed Lithium-doped calcium silicate cement regulates the immune microenvironment and promotes M2 macrophage polarization for enhancing bone regeneration
title_short Lithium-doped calcium silicate cement regulates the immune microenvironment and promotes M2 macrophage polarization for enhancing bone regeneration
title_sort lithium doped calcium silicate cement regulates the immune microenvironment and promotes m2 macrophage polarization for enhancing bone regeneration
topic Lithium
Calcium silicate
Bone regeneration
Immune modulation
Macrophage polarization
Osteogenesis
url https://doi.org/10.1186/s13036-024-00467-8
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AT kunhaochen lithiumdopedcalciumsilicatecementregulatestheimmunemicroenvironmentandpromotesm2macrophagepolarizationforenhancingboneregeneration
AT tingyoukuo lithiumdopedcalciumsilicatecementregulatestheimmunemicroenvironmentandpromotesm2macrophagepolarizationforenhancingboneregeneration
AT tsunglilin lithiumdopedcalciumsilicatecementregulatestheimmunemicroenvironmentandpromotesm2macrophagepolarizationforenhancingboneregeneration
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