Biomimetic Mineralized Fiber Bundle-Inspired Scaffolding Surface on Polyetheretherketone Implants Promotes Osseointegration

The stress shielding effect caused by traditional metal implants is circumvented by using polyetheretherketone (PEEK), due to its excellent mechanical properties; however, the biologically inert nature of PEEK limits its application. Endowing PEEK with biological activity to promote osseointegration would increase its applicability for bone replacement implants. A biomimetic study is performed, inspired by mineralized collagen fiber bundles that contact bone marrow mesenchymal stem cells (BMMSCs) on the native trabecular bone surface. The PEEK surface (P) is first sulfonated with sulfuric acid to form a porous network structure (sP). The surface is then encapsulated with amorphous hydroxyapatite (HA) by magnetron sputtering to form a biomimetic scaffold that resembles mineralized collagen fiber bundles (sPHA). Amorphous HA simulates the composition of osteogenic regions in vivo and exhibits strong biological activity. In vitro results show that more favorable cell adhesion and osteogenic differentiation can be attained with the novelsurface of sPHA than with SP. The results of in vivo experiments show that sPHA exhibits osteoinductive and osteoconductive activity and facilitates bone formation and osseointegration. Therefore, the surface modification strategy can significantly improve the biological activity of PEEK, facilitate effective osseointegration, and inspire further bionic modification of other inert polymers similar to PEEK.     

CaCO3/PEEK复合体系的力学行为和热行为研究

以聚醚醚酮和碳酸钙复合体系为研究对象,考察了偶联剂和填料添加量对复合材料力学行为和热行为的影响.发现磺化聚醚醚酮作为偶联剂能有效地改善材料的力学性能,提高基体树脂的玻璃化转变温度,降低基体树脂的熔点,有助于改善聚醚醚酮的加工条件     

Study on the Friction and Wear Properties of PEEK against Cortical Bone Tissue Under Different Lubricating Conditions

The tribological behavior between orthopedic implants and cortical bone is important but usually neglected. Poly(ether-ether-ketone) (PEEK) is a promising material for orthopedic applications. To further understand and improve the interfacial tribological properties between PEEK implant and host bone tissue, a PEEK-cortical bone tribo-pair is designed and fabricated. The frictional and wear performance of such tribo-pair is investigated under different lubricants, i.e., simulated body fluid (SBF), calf serum (CS), hyaluronic acid (HA), and mucin (MUC). The results suggest that MUC solution can be utilized as an artificial natural synovial fluid to improve the tribological properties of PEEK-based implants.     

Mechanical performance and in vivo bioactivity of functionally graded PEEK–HA biocomposite materials

A functionally graded material (FGM) of polyetheretherketone (PEEK)–hydroxyapatite (HA) with a symmetrical three-layer structure containing 8.7, 2.6 and 8.7 vol% HA, respectively, is successfully fabricated by hot pressing and evaluated by scanning electron microscopy and tensile testing. A good bonding between the HA particles and the PEEK matrix is achieved by virtue of an in situ method in fabricating each PEEK–HA composite layer. There are no apparent microcracks and microscopic interfaces within each layer of the FGM. The symmetrical PEEK–HA FGM does not fall apart or delaminate during loading with a tensile strength of 86.2 MPa, and its fracture energy is 56.5 kJ/m². Furthermore, in vivo bioactivity of the FGM sample is also evaluated, showing that it has sound biocompability and bioactivity. Accordingly, the FGM in the future may be a promising biomaterial to be used as replacement implant of human bone through a proper design to balance mechanical properties and bioactivity.     

Improving mechanical and biological properties of macroporous HA scaffolds through composite coatings

Interconnected porous hydroxyapatite (HA) scaffolds are widely used for bone repair and replacement, owing to their ability to support the adhesion, transfer, proliferation and differentiation of cells. In the present study, the polymer impregnation approach was adopted to produce porous HA scaffolds with three-dimensional (3D) porous structures. These scaffolds have an advantage of highly interconnected porosity (≈85%) but a drawback of poor mechanical strength. Therefore, the as-prepared HA scaffolds were lined with composite polymer coatings in order to improve the mechanical properties and retain its good bioactivity and biocompatibility at the same time. The composite coatings were based on poly(d,l-lactide) (PDLLA) polymer solutions, and contained single component or combination of HA, calcium sulfate (CS) and chondroitin sulfate (ChS) powders. The effects of composite coatings on scaffold porosity, microstructure, mechanical property, in vitro mineralizing behavior, and cell attachment of the resultant scaffolds were investigated. The results showed that the scaffolds with composite coatings resulted in significant improvement in both mechanical and biological properties while retaining the 3D interconnected porous structure. The in vitro mineralizing behaviors were mainly related to the compositions of CS and ChS powders in the composite coatings. Excellent cell attachments were observed on the pure HA scaffold as well as the three types of composite scaffolds. These composite scaffolds with improved mechanical properties and bioactivities are promising bone substitutes in tissue engineering fields.     

肝素化丝素支架作为骨形态发生蛋白-2缓释载体的研究

骨形态发生蛋白-2(BMP-2)的缓释载体一直是骨组织工程中的研究热点.本研究通过化学改性制备了两种肝素化丝素支架,并浸渍吸附BMP-2,研究了BMP-2在不同丝素支架样品上的吸附能力、体外释放性能及其对人骨肉瘤细胞MG-63碱性磷酸酶活性(ALP)的影响.结果表明,肝素化丝素支架对BMP-2具有较强的吸附能力,并能保持其体外缓慢释放性能;MG-63细胞在肝素化支架上生长状态良好,并具有显著的增殖能力,负载BMP-2后的肝素化支架能显著促进MG-63细胞的分化.因此,肝素化丝素支架是一种较理想的BMP-2缓释载体.     

Viscoelastic properties of poly(ε‐caprolactone) – hydroxyapatite micro‐ and nano‐composites

Various composites have been proposed in the literature for the fabrication of bioscaffolds for bone tissue engineering. These materials include poly(ε‐caprolactone) (PCL) with hydroxyapatite (HA). Since the biomaterial acts as the medium that transfers mechanical signals from the body to the cells, the fundamental properties of the biomaterials should be characterized. Furthermore, in order to control the processing of these materials into scaffolds, the characterization of the fundamental properties is also necessary. In this study, the physical, thermal, mechanical, and viscoelastic properties of the PCL‐HA micro‐ and nano‐composites were characterized. Although the addition of filler particles increased the compressive modulus by up to 450%, the thermal and viscoelastic properties were unaffected. Furthermore, although the presence of water plasticized the polymer, the viscoelastic behavior was only minimally affected. Testing the composites under various conditions showed that the addition of HA can strengthen PCL without changing its viscoelastic response. The results found in this study can be used to further understand and approximate the time‐dependent behavior of scaffolds for bone tissue engineering. Copyright © 2012 John Wiley & Sons, Ltd.     

Thermally stimulated current study of the microstructure of peek

Thermally Stimulated Current (TSC) spectroscopy and Differential Scanning calorimetry (DSC) have been applied to the characterization of the microstructure of Poly (Ether Ether Ketone)/PEEK. the dielectric relaxation spectra show two modes, dependent upon crystallinity:

* for the mode stuated in the vicinity of the glass transition temperature, two components have been distinguished and attributed to the molecular mobility in the ‘true amorphous phase’ and in the ‘rigid amorphous region’.

* below 0°C, two sub-modes appear, situated around-110°C and-75°C, due to the two different crystal entities, beads and laths.

     

Structure and mechanical performance of in situ synthesized hydroxyapatite/polyetheretherketone nanocomposite materials

Nano-hydroxyapatite (HA) particles were prepared by a sol–gel method and polyetheretherketone (PEEK) composite materials containing a various amount of lab-prepared HA fillers had been successfully synthesized via an in situ synthesis process. The materials structure was characterized by infrared spectroscopy, transmission electron microscopy, scanning electron microscopy, and energy dispersive X-ray spectroscopy and the mechanical performance was investigated by a tensile strength test. The tensile strength of HA/PEEK composites reaches an optimal 108 MPa at 6.1% HA content. The composites with HA content below 17.4% exhibit a plastic break mode, while a brittle break mode above 17.4%. The results exhibit that the strong bonding between hydroxyapatite fillers and PEEK matrix has been achieved. And it was proved that this strong bonding may be mainly attributed to the physical factors, such as mechanical interlock between PEEK molecules and HA surface. The study clearly demonstrates that in situ synthesized HA/PEEK composite materials have the potential for use as an alternative material for hard tissue replacement.     

Fabrication of poly(lactide‐co‐glycolide) scaffold embedded spatially with hydroxyapatite particles on pore walls for bone tissue engineering

Poly(lactide‐co‐glycolide) (PLGA) scaffolds embedded spatially with hydroxyapatite (HA) particles on the pore walls (PLGA/HA‐S) were fabricated by using HA‐coated paraffin spheres as porogens, which were prepared by Pickering emulsion. For comparisons, PLGA scaffolds loaded with same amount of HA particles (2%) in the matrix (PLGA/HA‐M) and pure PLGA scaffolds were prepared by using pure paraffin spheres as porogens. Although the three types of scaffolds had same pore size (450–600 µm) and similar porosity (90%–93%), the PLGA/HA‐S showed the highest compression modulus. The embedment of the HA particles on the pore walls endow the PLGA/HA‐S scaffold with a stronger ability of protein adsorption and mineralization as well as a larger mechanical strength against compression. In vitro culture of rat bone marrow stem cells revealed that cell morphology and proliferation ability were similar on all the scaffolds. However, the alkaline phosphatase activity was significantly improved for the cells cultured on the PLGA/HA‐S scaffolds. Therefore, the method for fabricating scaffolds with spatially embedded nanoparticles provides a new way to obtain the bioactive scaffolds for tissue engineering. Copyright © 2011 John Wiley & Sons, Ltd.     

Mechanical and dynamic viscoelastic properties of hydroxyapatite reinforced poly(ε-caprolactone)

Poly(ε-caprolactone)/hydroxyapatite (PCL/HA) composites as potential bone substitutes were prepared by melt-blending. The melting, crystallization and glass transition temperatures deduced from differential scanning calorimetery and dynamic mechanical thermal analysis (DMTA) were all changed by the addition of HA, suggesting an interaction at the interface of these two phases. Quasi-static mechanical testing shows that the yield strength and Young's modulus of PCL were increased by the addition of the reinforcement filler, HA. Dynamic viscoelastic properties were investigated using DMTA and an advanced rheometric expansion system. The results show that both the storage modulus and viscous modulus are enhanced by HA, and the PCL composite melts still behave like pseudo-plastic liquid.     

Dual Therapy Coating on Micro/Nanoscale Porous Polyetheretherketone to Eradicate Biofilms and Accelerate Bone Tissue Repair

Defective osteogenesis and latent infections continue to be two major issues in the therapy of bone tissue regeneration. In this study, a unique hierarchically micro/nanoscale‐architecture is first proposed and produced on polyetheretherketone (PEEK). Besides, a “simvastatin‐PLLA film‐tobramycin microspheres” delivery system is subsequently fabricated to endow the PEEK implant with osteogenic and antibacterial capabilities. In vitro antibacterial evaluations confirm that the decorated PEEK scaffolds possess excellent resistance against planktonic/adherent bacteria. In vitro cell attachment/proliferation, lactate dehydrogenase (LDH) content, alkaline phosphatase (ALP) activity, calcium mineral deposition experiments, and real‐time PCR analysis all exhibit that the superior proliferation rate and osteo‐differentiation potential of MC3T3‐E1 pre‐osteoblasts are presented on the PEEK samples with dual functional decoration. In the mouse calvarial defect model, the micro‐CT and histological results demonstrate that our scaffolds display a remarkable bone forming capability. Generally, the PEEK scaffolds co‐endowed with simvastatin and tobramycin microspheres possess great potential in clinics.     

Bioactive gelatin cryogels with BMP-2 biomimetic peptide and VEGF:A potential scaffold for synergistically induced osteogenesis

A poor biocompatibility and bioactivity of invasive materials remains major problems for biomaterialbased therapy. In this study, we introduced gelatin scaffolds carrying both bone morphogenetic protein-2(BMP-2) biomimetic peptide and vascular endothelial growth factor-165(VEGF) that achieved controlled release, cell attachment, proliferation and differentiation. To promote osteogenesis with VEGF, we designed the BMP-2 biomimetic peptide that comprised BMP-2 core sequence oligopeptide(SSVPT), ph...     

Incorporating Si3N4 into PEEK to Produce Antibacterial,Osteocondutive, and Radiolucent Spinal Implants

Polyetheretherketone (PEEK) is a popular polymeric biomaterial which is primarily used as an intervertebral spacer in spinal fusion surgery; but it is developed for trauma, prosthodontics, maxillofacial, and cranial implants. It has the purported advantages of an elastic modulus which is similar to native bone and it can be easily formed into custom 3D shapes. Nevertheless, PEEK's disadvantages include its poor antibacterial resistance, lack of bioactivity, and radiographic transparency. This study presents a simple approach to correcting these three shortcomings while preserving the base polymer's biocompatibility, chemical stability, and elastic modulus. The proposed strategy consists of preparing a PEEK composite by dispersing a minor fraction (i.e., 15 vol%) of a silicon nitride (Si₃N₄) powder within its matrix. In vitro tests of PEEK composites with three Si₃N₄ variants—β‐Si₃N₄, α‐Si₃N₄, and β‐SiYAlON—demonstrate significant improvements in the polymer's osteoconductive versus SaOS‐2 cells and bacteriostatic properties versus gram‐positive Staphylococcus epidermidis bacteria. These properties are clearly a consequence of adding the bioceramic dispersoids, according to chemistry similar to that previously demonstrated for bulk Si₃N₄ ceramics in terms of osteogenic behavior (vs both osteosarcoma and mesenchymal progenitor cells) and antibacterial properties (vs both gram‐positive and gram‐negative bacteria).     

Low-temperature air plasma modification of chitosan-coated PEEK biomaterials

Novel chitosan-coated PEEK biomaterials were prepared by air plasma modification. Low-temperature plasma effect on changes of specific thermal, mechanical and adhesive properties of polyetheretherketone (PEEK) was investigated. The topography and surface roughness of the prepared materials were determined using an optical profilometer. The wetting and energetic properties of biomaterials were studied by means of advancing and receding contact angles measurements and then apparent surface free energy (and its components) were evaluated applying the LWAB (Lifshitz–van der Waals Acid Base) theory and contact angle hysteresis model. After air plasma treatment a fairly hydrophobic character of PEEK was changed to strongly hydrophilic one. Significant differences in the wettability and thermal stability of samples were observed. However, hardly any differences in excellent mechanical properties were noticed. The profilometer images showed an increase in the surface roughness of PEEK modified surface due to the change of cross-link density, elasticity and formation of additional polar groups on the surface. Plasma treated polyetheretherketone surfaces had better adhesive features and stable chitosan coating was created. Modification by chitosan improved antibacterial properties, inherent haemostatics and polymer biocompatibility. These advantages allowed to obtain new attractive biomaterials from the same polymer differing in properties for a wide spectrum of applications, mainly regenerative medicine and orthopedic surgery.     

Characterization of hdpe/ha Composites Treated with Titanate and Zirconate Coupling Agents

The development of new materials for bone substitution has been of great interest for the scientific community in the last years. High-density polyethylene (HDPE) and hydroxyapatite (HA) composites have been used in biomedical applications without any inflammatory response. However, the differences in nature of both materials have motivated the use of coupling agents to improve their interfacial interactions. In this work, the effects of adding three different commercial coupling agents (NZ12, Lica01, Lica12) to high-density polyethylene (HDPE)/hydroxyapatite (HA) composites were studied. Composites containing 20 parts per hundred (phr) of HA previously treated with the already mentioned coupling agents were characterized by mechanical tests and their morphologies were analyzed afterwards. Composites with 0.3 and 0.5 wt% of NZ12 unfolded an increase in their Young's modulus and tensile strength, as a consequence of an improved dispersion of the filler into the polymeric matrix. Analysis of the samples by XPS showed that the zirconate coupling agent interacted more with the HA, as reflected in the lower binding energies of the corresponding oxygen atoms, which agrees with their better performance from the mechanical point of view.     

Strontium‐Substituted Hydroxyapatite‐Gelatin Biomimetic Scaffolds Modulate Bone Cell Response

Strontium has a beneficial role on bone remodeling and is proposed for the treatment of pathologies associated to excessive bone resorption, such as osteoporosis. Herein, the possibility to utilize a biomimetic scaffold as strontium delivery system is explored. Porous 3D gelatin scaffolds containing about 30% of strontium substituted hydroxyapatite (SrHA) or pure hydroxyapatite (HA) are prepared by freeze‐drying. The scaffolds display a very high open porosity, with an interconnectivity of 100%. Reinforcement with further amount of gelatin provokes a modest decrease of the average pore size, without reducing interconnectivity. Moreover, reinforced scaffolds display reduced water uptake ability and increased values of mechanical parameters when compared to as‐prepared scaffolds. Strontium displays a sustained release in phosphate buffered saline: the quantities released after 14 d from as‐prepared and reinforced scaffolds are just 14 and 18% of the initial content, respectively. Coculture of osteoblasts and osteoclasts shows that SrHA‐containing scaffolds promote osteoblast viability and activity when compared to HA‐containing scaffolds. On the other hand, osteoclastogenesis and osteoclast differentiation are significantly inhibited on SrHA‐containing scaffolds, suggesting that these systems could be usefully applied for local delivery of strontium in loci characterized by excessive bone resorption.     

Physico-chemical analysis of semi-crystalline PEEK in aliphatic and aromatic solvents

Polyether ether ketone (PEEK) is a semi-crystalline thermoplastic polymer having excellent mechanical and thermal properties. Exposure of this polymer to aliphatic and aromatic solvents can lead to degradation or swelling of the polymeric material. The present work described the plasticization and stability analysis of semi-crystalline PEEK under different aromatic and aliphatic solvent environment. A variety of solvents (acetone, benzene, benzyl alcohol, chloroform, methanol, and toluene), based on their Hildebrand’s Solubility Parameter, were chosen for investigation. The physico-chemical characteristics of virgin and treated polymeric samples were investigated using Gas Chromatography–Mass Spectrometry (GC–MS), Thermogravimetric Analysis (TGA), Differential Scanning Calorimetry (DSC), and Fourier Transform Infrared Spectroscopy (FTIR) techniques. The results indicated that the solvent exposure did not significantly affect the thermal behavior and chemical structure of the polymer. However, it seems that certain components of the polymer were leached into the solvent phase as revealed by the GC–MS analysis. The present study identified PEEK as a potentially suitable polymer for the applications where high resistance to aliphatic and aromatic solvents is needed.     

Miscibility and crystallization behavior of solution-blended PEEK/PI blends

Miscibility and crystallization behavior of solution-blended poly(ether ether ketone)/polyimide (PEEK/PI) blends were investigated by using DSC, optical microscopy and SAXS methods. Two kinds of PIs, YS-30 and PEI-E, which consist of the same diamine but different dianhydrides, were used in this work. The experimental results show that blends of PEEK/YS-30 are miscible over the entire composition range, as all the blends of different compositions exhibit a single glass transition temperature. The crystallization of PEEK was hindered by YS-30 in PEEK/YS-30 blends, of which the dominant morphology is interlamellar. On the other hand, blends of PEEK/PEI-E are immiscible, and the effect of PEI-E on the crystallization behavior of PEEK is weak. The crystallinity of PEEK in the isothermally crystallized PEEK/YS-30 blend specimens decreases with the increase in PI content. But the crystallinity of PEEK in the annealed samples almost keeps unchanged and reaches its maximum value, which is more than 50%. The spherulitic texture of the blends depends on both the blend composition and the molecular structure of the PIs used. The more PI added, the more imperfect the crystalline structure of PEEK. © 1998 John Wiley & Sons, Inc. J. Polym. Sci. B Polym. Phys. 36: 2267–2274, 1998     

组分对含羟基磷灰石/脂肪族聚氨酯复合骨组织工程支架的理化性能及生物学性能的影响

以异佛尔酮二异氰酸酯为聚氨酯硬段,通过原位聚合使聚合过程中释放的气体发泡,制备了用作骨组织工程材料的羟基磷灰石/脂肪族聚氨酯多孔支架.系统考察了不同组成配方,即羟基磷灰石(HA)含量、发泡剂含量以及聚氨酯(PU)软硬段的比例对三维支架材料的机械性能和微观孔隙结构等的影响,并通过体外细胞培养和体内肌肉植入初步评价了该复合...