Multiscale analyses reveal native-like lamellar bone repair and near perfect bone-contact with porous strontium-loaded bioactive glass
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Published version
Author(s)
Type
Journal Article
Abstract
The efficient healing of critical-sized bone defects using synthetic biomaterial-based strategies is promising but remains challenging as it requires the development of biomaterials that combine a 3D porous architecture and a robust biological activity. Bioactive glasses (BGs) are attractive candidates as they stimulate a biological response that favors osteogenesis and vascularization, but amorphous 3D porous BGs are difficult to produce because conventional compositions crystallize during processing. Here, we rationally designed a porous, strontium-releasing, bioactive glass-based scaffold (pSrBG) whose composition was tailored to deliver strontium and whose properties were optimized to retain an amorphous phase, induce tissue infiltration and encourage bone formation. The hypothesis was that it would allow the repair of a critical-sized defect in an ovine model with newly-formed bone exhibiting physiological matrix composition and structural architecture. Histological and histomorphometric analyses combined with indentation testing showed pSrBG encouraged near perfect bone-to-material contact and the formation of well-organized lamellar bone. Analysis of bone quality by a combination of Raman spectral imaging, small-angle X-ray scattering, X-ray fluorescence and focused ion beam-scanning electron microscopy demonstrated that the repaired tissue was akin to that of normal, healthy bone, and incorporated small amounts of strontium in the newly formed bone mineral. These data show the potential of pSrBG to induce an efficient repair of critical-sized bone defects and establish the importance of thorough multi-scale characterization in assessing biomaterial outcomes in large animal models.
Date Issued
2019-07-01
Date Acceptance
2019-03-22
Citation
Biomaterials, 2019, 209, pp.152-162
ISSN
0142-9612
Publisher
Elsevier
Start Page
152
End Page
162
Journal / Book Title
Biomaterials
Volume
209
Copyright Statement
© 2019 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/BY/4.0/)
Sponsor
Wellcome Trust
Wellcome Trust
Grant Number
204834/Z/16/Z
097816/Z/11/B
Subjects
3D porous bioactive glass
Critical-sized bone repair
FIB-SEM
Raman spectroscopy
SAXS
Strontium-releasing materials
MD Multidisciplinary
Biomedical Engineering
Publication Status
Published
Date Publish Online
2019-03-25