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3D-HA Scaffold Functionalized by Extracellular Matrix of Stem Cells Promotes Bone Repair

Authors Chi H, Chen G, He Y, Chen G, Tu H, Liu X, Yan J, Wang X

Received 29 April 2020

Accepted for publication 13 July 2020

Published 6 August 2020 Volume 2020:15 Pages 5825—5838

DOI https://doi.org/10.2147/IJN.S259678

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Dr Mian Wang


Hui Chi,1 Guanghua Chen,1 Yixin He,2 Guanghao Chen,1 Hualei Tu,3 Xiaoqi Liu,1 Jinglong Yan,1 Xiaoyan Wang1

1Department of Orthopedics, The Second Affiliated Hospital of Harbin Medical University, Harbin, People’s Republic of China; 2Department of Nephrology, The Second Affiliated Hospital of Harbin Medical University, Harbin, People’s Republic of China; 3Department of Burn, The Fifth Hospital of Harbin Medical University, Harbin, People’s Republic of China

Correspondence: Xiaoyan Wang; Jinglong Yan
Department of Orthopedics, The Second Affiliated Hospital of Harbin Medical University, 246 XueFu Road, Harbin, Heilongjiang Province, People’s Republic of China
Email wxyg7@hrbmu.edu.cn; yanjinglongg6@126.com

Background and Purpose: The extracellular matrix (ECM) derived from bone marrow mesenchymal stem cells (BMSCs) has been used in regenerative medicine because of its good biological activity; however, its poor mechanical properties limit its application in bone regeneration. The purpose of this study is to construct a three dimensional-printed hydroxyapatite (3D-HA)/BMSC-ECM composite scaffold that not only has biological activity but also sufficient mechanical strength and reasonably distributed spatial structure.
Methods: A BMSC-ECM was first extracted and formed into micron-sized particles, and then the ECM particles were modified onto the surface of 3D-HA scaffolds using an innovative linking method to generate composite 3D-HA/BMSC-ECM scaffolds. The 3D-HA scaffolds were used as the control group. The basic properties, biocompatibility and osteogenesis ability of both scaffolds were tested in vitro. Finally, a critical skull defect rat model was created and the osteogenesis effect of the scaffolds was evaluated in vivo.
Results: The compressive modulus of the composite scaffolds reached 9.45± 0.32 MPa, which was similar to that of the 3D-HA scaffolds (p> 0.05). The pore size of the two scaffolds was 305± 47 um and 315± 34 um (p> 0.05), respectively. A CCK-8 assay indicated that the scaffolds did not have cytotoxicity. The composite scaffolds had good cell adhesion ability, with a cell adhesion rate of up to 76.00± 6.17% after culturing for 7 hours, while that of the 3D-HA scaffolds was 51.85± 4.77% (p< 0.01). In addition, the composite scaffold displayed higher alkaline phosphatase (ALP) activity, osteogenesis-related mRNA expression, and calcium nodule formation, thus confirming that the composite scaffolds had good osteogenic activity. The composite scaffolds exhibited good bone repair in vivo and were superior to the 3D-HA scaffolds.
Conclusion: We conclude that BMSC-ECM is a good osteogenic material and that the composite scaffolds have good osteogenic ability, which provides a new method and concept for the repair of bone defects.

Keywords: bone tissue engineering, extracellular matrix, stem cells, 3D printed scaffold, osteogenesis

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