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Promoting lacunar bone regeneration with an injectable hydrogel adaptive to the microenvironment

查看全文 作  者:Ao [1]Zheng;Xiao [1]Wang;Xianzhen [1]Xin;Lingjie [1]Peng;Tingshu [1]Su;Lingyan [1]Cao;Xinquan [1]Jiang 高影响力作者 机构地区:[1]Department of Prosthodontics,Shanghai Ninth People’s Hospital,Shanghai Jiao Tong University School of Medicine,College of Stomatology,Shanghai Jiao Tong University,National Center for Stomatology,National Clinical Research Center for Oral Diseases,Shanghai Key Laboratory of Stomatology,Shanghai Engineering Research Center of Advanced Dental Technology and Materials,639 Zhizaoju Road,Shanghai,200011,China高影响力机构 出  处:《Bioactive Materials》索引2023年第3期,共19页高影响力期刊 基  金:National Natural Science Foundation of China(Nos.82130027,82100963,82270953,81991505 and 81921002);Shanghai Rising-Star Program(21QA1405400);Natural Science Foundation of Shanghai(22ZR1436400);Innovative Research Team of High-Level Local Universities in Shanghai. 摘  要:Injectable hydrogel is suitable for the repair of lacunar bone deficiency.This study fabricated an injectable,self-adaptive silk fibroin/mesoporous bioglass/sodium alginate(SMS)composite hydrogel system.With controllable and adjustable physical and chemical properties,the SMS hydrogel could be easily optimized adaptively to different clinical applications.The SMS hydrogel effectively showed great injectability and shapeability,allowing defect filling with no gap.Moreover,the SMS hydrogel displayed self-adaptability in mechanical reinforcement and degradation,responsive to the concentration of Ca2+and inflammatory-like pH value in the microenvi-ronment of bone deficiency,respectively.In vitro biological studies indicated that SMS hydrogel could promote osteogenic differentiation of bone marrow mesenchymal stem cells by activation of the MAPK signaling pathway.The SMS hydrogel also could improve migration and tube formation of human umbilical vein endothelial cells.Investigations of the crosstalk between osteoblasts and macrophages confirmed that SMS hydrogel could regulate macrophage polarization from M1 to M2,which could create a specific favorable environment to induce new bone formation and angiogenesis.Meanwhile,SMS hydrogel was proved to be antibacterial,especially for gram-negative bacteria.Furthermore,in vivo study indicated that SMS could be easily applied for maxillary sinus elevation,inducing sufficient new bone formation.Thus,it is convincing that SMS hydrogel could be potent in a simple,minimally invasive and efficient treatment for the repair of lacunar bone deficiency. 关 键 词:Injectable hydrogel Oral and maxillofacial Silk fibroin Lacunar bone deficiency Bone regeneration
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