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treatment, its application is often limited by donor scarcity,   2.2. Preparation of TBM
            surgical site pain, and infection risks.  To overcome   First, 7% silk protein (S26299, Yuanye, China), 2% chitosan
                                             9,10
            these limitations, synthetic bone-filling materials, such as   (C8320, Solarbio, and matrigel (354480, Corning, USA) were
            metals, inorganic salts, organic polymers, and composite   mixed. The mixture was then immediately supplemented
            materials, have been developed.  For example, composite   with an equal quantity of biphasic calcium phosphate
                                      11
            scaffolds based on sodium alginate hydrogel and calcium   (BCP; DULY, China) powder, thoroughly stirred at 65°C,
            phosphate ceramics are widely used due to their excellent   frozen at −80°C, and subsequently lyophilized. Next, the
            osteoconductivity and bioabsorbability. 12,13  However,   mixture was gently soaked in water and lyophilized again
            certain  synthetic  bone-filling  materials  still  require   without freezing to form a core pillar structure (referred
            improvement. For instance, most metallic bone-filling   to as the Core). This structure served as a scaffold and
            materials lack natural degradability, potentially leading to   was coated with the same mixture (supplemented with
            stress-shielding effects. 14                      0.1% acrylated arginine-glycine-aspartate [RGD] peptide
               Recent advancements in bone tissue engineering   [EFL-Pep-RGDfkAC, engineering for life, Spain]) on the
            and organoid technology have led to the development of   peripheral surface. After stirring, heating to 65°C, freezing,
            novel composite bone-filling materials. These materials,   lyophilizing, and soaking, the material underwent a final
            fabricated using tissue engineering approaches, exhibit   lyophilization step following 30 min of freezing at −80°C,
            high biocompatibility, mechanical robustness, and a   resulting in a trabeculae-like porous skeletal structure
            composition similar to natural bone tissue. Enabled by 3D   (referred to as the Porous). A hyaluronic acid methacrylate
            printing and rapid prototyping techniques, they allow for   (HAMA; H398345, Aladdin, China) hydrogel containing
            rapid mass production and customization to fit specific   either a water-soluble drug (dissolved in HAMA solution) or
            bone  defect regions. 15-17  These  characteristics have made   an organic-soluble drug (dissolved in a dimethyl sulfoxide
            them highly significant in the field of bone therapeutics. 18  [DMSO; BioFroxx, China] solution of photoinitiator I2959
                                                              [HY-W013508, MedChemExpress LLC, China]) was then
               In this study, we developed a novel trabeculae-like   overlaid onto the porous structure and crosslinked through
            biomimetic bone-filling material (TBM) with a similar   ultraviolet light to construct the drug-loaded TBM.
            composition and porous structure closely resembling
            natural bone trabecular tissues. The TBM demonstrates   2.3. Characterization of TBM
            high biocompatibility, sufficient mechanical strength,   The micromorphology of the TBM was examined using
            and the ability to carry osteogenic cells, functioning as a   scanning electron microscopy (Gemini 300, ZEISS,
            potential organoid. In addition, it enables the sustained   Germany) at 3  kV. Elemental composition analysis was
            release of small-molecule and nucleic acid drugs tailored   conducted using energy-dispersive spectroscopy (EMX,
            to the primary disease, thereby accelerating bone repair   HORIBA, Japan). Meanwhile, the chemical residues of
            processes. This study highlights the TBM’s potential as a   the TBM were analyzed using Fourier-transform infrared
            functional  organoid  mimicking  natural  trabecular  bone,   spectroscopy (FTIR; Nicolet iS10, Thermo Fisher Scientific,
            demonstrates its efficacy in treating bone defects, and   USA), with a spectral range of 400 – 4,000 cm , a resolution
                                                                                                 −1
            provides a robust framework for the development of bone-  of 4 cm , and a signal-to-noise ratio of 50,000:1.  The
                                                                                                        19
                                                                     −1
            filling materials.                                rheological properties of the TBM were analyzed using
            2. Materials and methods                          an MCR92 rheometer (Anton Paar, Austria) at 25°C.
                                                              Measurements were performed within a shear strain range
            2.1. Stem cells, nucleic acid delivery system, and   of 0.1 – 10%.  The water content of the TBM was calculated
                                                                        19
            animals                                           using the following equation:
            Human mesenchymal stem cells (hMSCs) were purchased   Water content (%) = (W -W )/W  × 100%    (I)
                                                                                        w
                                                                                 w
                                                                                    d
            from Procell (CP-H166, China). Mouse adipose-derived   Where W  is the wet weight of the material, and W  is
            mesenchymal stem cells (ADSCs) were primary cells   the freeze-dried weight. 19               d
                                                                        w
            isolated from mice. Professor Deng Xudong from
            Northwestern Polytechnical University, China, provided   The  swelling  ratio  was  calculated  using  the  following
            the polyvinylamine (PVAm) nucleic acid delivery system.   equation:
            C57BL/6  male mice were purchased from Huafukang   Swelling ratio (%) = (W -W )/W  × 100%      (II)
            Bioscience Co., Ltd. (SCXK 2009-0008, China). All                    N  0   0
            animal protocols received approval from our local Ethics   Where W  is the initial weight of the material, and W  is
                                                                                                          N
                                                                        0
                                                                                      20
            Committee (Reference: 2023078, Date: September 05,   the weight after water soaking.
            2023).  In this  study, a  total of  188 mice  were  used,  and   Degradation ratios were calculated using the following
            animal suffering was minimized.                   equation:

            Volume 1 Issue 2 (2025)                         2                            doi: 10.36922/OR025040003
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