复合生物材料的研究进展

从力学性能的改善和降解速率的可调度等角度,总结了复合生物材料与单一组分的材料相比,在生物医学领域应用中所表现出的综合使用性能的优越性。综述了复合生物材料,特别是用于骨修复的各类有机／无机复合材料近年来的研究进展状况。提出将与人骨中磷灰石微晶类似的羟基磷灰石纳米粒子与可降解聚酯材料进行复合,能够得到具有优越骨诱导性能并且能够降解的新型骨修复材料。这方面的研究代表了有机／无机复合生物材料领域新的发展方向。     

Biodegradable elastomers for tissue engineering and cell-biomaterial interactions

Synthetic biomaterials serve as a cornerstone in the development of clinically focused regenerative medicine therapies that aim to reduce suffering and prolong life. Recent improvements in biodegradable elastomeric materials utilize natural extracellular matrix proteins as inspiration to yield a new class of materials with superior degradation kinetics, desirable biocompatibility profiles, and mechanical properties that closely match those of soft tissues. This review describes several classes of synthetic biodegradable elastomers and associated fabrication techniques that are relevant to scaffold development. The application of these materials to select tissue engineering models is also discussed.     

生物可降解及生物材料的电场纺丝及应用

电场纺丝是制备生物可降解及生物材料纳米纤维非织造布的简单工艺,由于纳米纤维具有较大的比表面积,具有多孔结构,使其在生物医学领域,如：组织工程、药物缓释及医用纱布等领域有潜在的应用前景。本文综述了生物降解材料及生物材料的电场纺丝及其应用。     

Enzymatic degradation of 3D scaffolds of starch-poly-(?-caprolactone) prepared by supercritical fluid technology

Starch-based polymers have been proposed for different tissue engineering applications due to their inherent properties. In this work, a polymeric blend of starch-poly-(?-caprolactone) (SPCL) was processed using supercritical fluid technology, namely, by supercritical assisted phase inversion. As SPCL is a biodegradable polymer, the matrices produced are susceptible of undergoing enzymatic degradation upon implantation in the human body. In vitro assessment of the enzymatic degradation of SPCL was carried out in different buffer solutions containing α-amylase and/or lipase. The effect of the presence of these enzymes was studied by monitoring different parameters in order to characterise both bulk and the surface of the scaffolds. As regards to bulk analysis, weight loss of the samples incubated for 1, 3, 7, 14 and 21 days was determined, further differential scanning calorimetry was carried out. The morphology of the scaffolds after these periods was analysed by micro-computed tomography (μ-CT) and surface chemistry was characterised by infra-red spectroscopy and contact angle measurements. Results suggest that SPLC scaffolds undergo bulk degradation, which is typically characterised by hydrolysis of chemical bonds in the polymer chain at the centre of the matrix, resulting in a highly porous material.     

骨组织工程支架材料研究进展*

骨在组织工程中得到了非常广泛、深入的研究.支架材料与许多可降解材料一起也在进行探索性研究.用于骨组织工程的生物材料可以是三维多孔的刚硬材料,也可以是可注射材料.本文从聚合物角度综述了骨组织工程对支架材料的基本要求,用于骨组织工程的可降解生物材料、支架材料的设计和制备技术以及支架材料的表面修饰等方面的研究进展.     

组织工程用可降解生物材料的研究进展

综述了组织工程的背景及组织工程用可降解生物材料的研究进展，重点介绍了当前的研究热点，并对组织工程用生物材料的发展方向进行了探讨。     

Hydroxyapatite/polyurethane composites as promising biomaterials

The biomaterials are intended to augment or replace the function of tissues or organs in human body. Every year millions of people require soft- or hard-tissue regeneration worldwide. Polymers and their composites are a large class of biomaterials appreciated for tissue regeneration. Polyurethane (PUR) is an organic synthetic multifunctional polymer with established biomedical applications. The hydroxyapatite (HA) is one of the biocompatible ceramic materials similar to natural bone material. The amalgamation of hydroxyapatite with polyurethane enhances the bioactivity of final product along with the combination of individual properties. Here, we review the synthesis, characterization, and applications studies of HA/PUR-based biomaterials. We initiate this review with a brief and representative compilation of the chemical composition and methods of preparation for HA/PUR biomaterials. Then, moving ahead, first, we review the simple HA/PUR biomaterials and use of PUR templates. Second, we review the significance of modified HA and PUR in these biomaterials. Third, we discuss the potential of bio-based PUR and inclusion of third constituent in the HA/PUR biomaterials. Then, we appraise the involvement of trace nutrient in deposition of HA on PUR scaffolds. Finally, we consider the other expedient applications of HA/PUR composites such as drug delivery system and sorbent of pollutants.     

An electrically driven jetting technique for diverse high-resolution surface structures of nanometre hydroxyapatite crystals

Nanometre hydroxyapatite (nHA) coated metallic materials have been successfully used for bone tissue implantation for several decades now due to its sound biological and mechanical properties. The microstructure and surface topography of the implant material are well-known to play a crucial role in influencing cellular responses to implants and bone tissue regeneration ultimately. Recently, a novel jet-based patterning technique, template-assisted electrohydrodynamic atomisation (TAEA) spraying, has been devised to prepare depositions with defined surface topography for guiding the cellular response. In this study, an improvement investigation of this patterning process was carried out to precisely control the nHA surface structure in terms of geographies and dimensions via an angular needle jetting during the patterning process. More importantly, the mechanism of such improvement of the TAEA patterning technique was also discussed and uncovered. A range of diverse nHA surface structures with high-resolution was therefore achieved, which paves the way for the research of the new generation implant materials with defined cellular response.     

生物降解高分子/羟基磷灰石复合材料研究进展

由于高分子/HA复合材料兼具HA优良的生物性能和高分子材料良好的力学性能而受到了广泛的重视.本文综述了近年来生物降解高分子/羟基磷灰石复合材料的研究进展,介绍了胶原及其衍生物、聚酯、甲壳素及其衍生物、淀粉等可降解高分子材料与羟基磷灰石复合作为骨修复材料的研究进展,并对此类材料存在的问题和发展前景进行了讨论.     

Effect of starch content on the biodegradation of polycaprolactone/starch composite for fabricating in situ pore-forming scaffolds

Bone tissue engineering is an efficient approach to regenerating bone-related defects. The optimal scaffold used for bone tissue engineering must possess adequate porosity and suitable mechanical properties. This work described the development of a biodegradable polymeric composite based on polycaprolactone (PCL) and starch that can form a porous structure in situ. The scaffold exhibited the required mechanical properties at the initial stage of implantation by controlling in situ degradation and subsequent pore formation. PCL/starch (SPCL) scaffolds with 100/0, 70/30, and 50/50 ratios were developed. Degradation studies were performed in phosphate buffer saline (PBS) containing α-amylase or lipase at 37 °C for 4 weeks. Fourier-transform infrared spectroscopy was used to analyze chemical bonds and their changes after degradation. Differential scanning calorimetry was applied to determine the crystallinity and recrystallization of samples before and after degradation. Mass loss and starch release were observed during degradation, and the porosity of samples was measured by the ethanol replacement method. Morphology was further determined using scanning electron microscopy. Finally, variations in compressive strength and modulus during degradation and pore formation were also measured. The porosity of samples reached 45% after 1 month of degradation, and mechanical properties were still appropriate for human bone tissue. Reduction in mechanical property after mass loss, starch release and pore formation was controlled by the hydrogen bonding and recrystallization effect of PCL after degradation. Results suggested that SPCL composite had potential to form porous scaffold with adequate mechanical properties in situ and is promising for bone tissue engineering applications.     

Carbon nanotubes reinforced with natural/synthetic polymers to mimic the extracellular matrices of bone – a review

The persistent failure of conventional materials used in manufacturing orthopedic implants was due to the deficiency or poor integrations of implant materials to the juxtaposed bone and stress-strain imbalances between the interfaces of tissues and implant materials. Therefore, the fabrication of a suitable bioactive scaffold for bone tissue engineering is considered a vital requisite to mimic the extracellular bone matrix. Numerous researches were reported concerning the fabrication of a suitable bioactive scaffold to improve cell adhesion, proliferation, and differentiation so far. However, for the past two decades, the research on carbon nanotubes (CNTs)-reinforced composites employed in the biomedical field is increasing day-by-day because of its outstanding properties. Moreover, it is essential to choose a biocompatible polymer with greater affinity to act as an extracellular matrix as well as to attract CNTs and in facilitating the homogeneous distribution of CNTs in aqueous and organic solvents. The development of CNTs-based composites in bone tissue engineering is presented in this review based on the last 10 years of research. The detailed information about the structural-functions and defects of bone, and the importance of CNTs-functionalized natural and synthetic polymers, and their potential activity in bone regenerations and bone replacements have been reviewed.     

Micro‐arc oxidation and electrophoretic deposition of nano‐grain merwinite (Ca3MgSi2O8) surface coating on magnesium alloy as biodegradable metallic implant

Magnesium alloys are promising biomaterials as biodegradable implant for orthopedic applications. However, their low corrosion resistance and poor bioactivity have prohibited their implant applications. In order to enhance these two properties, a nano‐grain merwinite coating was prepared on magnesium alloy. Its corrosion and the bioactivity behavior were characterized with electrochemical and immersion tests. The results showed that the nano‐grain merwinite coating can improve both the corrosion resistance and the bioactivity of the magnesium alloy making it an appropriate material for biodegradable bone implants. Copyright © 2014 John Wiley & Sons, Ltd.     

In Vitro and In Vivo Characterization of Biodegradable Reactive Isocyanate‐Terminated Three‐Armed‐ and Hyperbranched Block Copolymeric Tissue Adhesives

Tissue adhesives are an attractive class of biomaterials, which can serve as a treatment for meniscus tears. In this study, physicochemical and adhesive properties of novel biodegradable three‐armed‐ and hyperbranched block copolymeric adhesives are evaluated. Additionally, their degradation in vitro and in vivo, and the tissue reaction after subcutaneous injection in rats are assessed. The developed adhesives have sufficient adhesive strength to meniscus tissue after curing (66–88 kPa). Networks based on the three‐armed adhesive have tensile properties that are in the same range as human meniscus. After 26 weeks, networks based on the hyperbranched adhesive show a faster mass loss (25.4%) compared to networks prepared from the three‐armed ones (5.5%). Both adhesives induce an inflammatory reaction, however, no necrosis and only initial toxic effects on peripheral tissues are observed. The proposed materials are suitable candidates for the use as resorbable tissue adhesives for meniscus repair.     

Biodegradable polymer blends and composites: An overview

Biodegradable polymers belong to a family of polymer materials that found applications ranged from medical applications including tissue engineering, wound management, drugs delivery, and orthopedic devices, to packaging and films applications. For broadening their potential applications, biodegradable polymers are modified utilizing several methods such as blending and composites forming, which lead to new materials with unique properties including high performance, low cost, and good processability. This paper reviews the recent information about the morphology of blends consisting of both biodegradable and non-biodegradable polymers and associated mechanical, rheological, and thermal properties of these systems as well as their degradation behavior. In addition, the mechanical performance of composites based on biodegradable polymers is described.     

Bone‐guided regeneration: from inert biomaterials to bioactive polymer (nano)composites

Natural bone is a unique nanostructured material made of collagen fibre matrix and hydroxyapatite (HA) nanocrystals, providing mechanical support and protection from the vertebrate skeleton. However, in severe cases like bone‐deficiencies, bone needs to be “externally” repaired. Initially, different biological solutions were developed in bone‐guided regeneration. However, due to the limitations with the existing biological grafts, a lot of researches have been devoted toward biomaterials including metals, ceramics, and polymers. On the basis of the interface reactions between the implant and the surrounding tissues, these biomaterials may be classified as “nearly inert” or bioactive. Interestingly, the bioactive materials exhibit a specific biological response, leading to the formation of a natural bonding junction between the bone and the implant during bone regeneration. Recently, a special attention has been paid to a new generation of bioactive materials, i.e. (nano)structured biomaterials composed of a bioresorbable polymer matrix reinforced with bioactive inorganic compounds. While (bio)ceramic component provides the bioactivity, these materials can be readily engineered in such a way that their resorption rate in the body match the formation rate of the new tissue. This review hence reports the different biological and non‐biological solutions developed in bone‐guided regeneration, with a special emphasis on polymer‐based materials, and our recent results obtained in osseointegration The bone physiology, and its natural regeneration are also described. Copyright © 2011 John Wiley & Sons, Ltd.     

Preparation of new biomedical materials and their application in clinics

Biomaterials – tissues interaction is important to study in biomaterials science. The information is indispensable to make medical devises and artificial organs and to predict their performance. It is also very useful to consider a hypothesis to design new biomaterials. New materials have brought big progress in the society as we know. There are few biomaterials specially designed to use in biomedical fields. The most important effort must be preparation of biocompatible materials, that must be essential to develop new type high performance devices and artificial organs. Preparation of new dental biomaterials used in bonding of prostheses to dentinal tissues that require fundamental change in modern dentistry and a new methacrylate, MPC, to develop promising several kinds of biomaterials with unusually excellent biocompatibility and functions are going to present. Topics in tissue engineering are also discussed.     

Dielectric investigations on how Mg salt is dispersed in and released from polylactic acid

Composite biomaterials made of biodegradable polylactic acid （PLA） and bioactive magnesium （Mg） salt are developed for orthopaedic implants or metal implant coatings. The releasing of Mg salt into the biological environment benefits the bone growth, while with the releasing of Mg salt and degradation of PLA there forms a porous scaffold for tissue engineering. The size and morphology of the salt and voids are adjustable with such preparation conditions as salt content, pH of casting solution, and the solidification rate, so that we can control the salt releasing and degradation rate of PLA. Dielectric spectroscopy is used to investigate the dispersive structures of Mg salt and voids in the polymer matrix and to monitor the in situ releasing of Mg salts in the simulated body fluid （SBF）. The current study provides us with an orthopedic biomaterial with controllable multi-phase structures, and a tool to investigate the in vivo behaviors of biomaterials.     

Customized PEG-derived copolymers for tissue-engineering applications

PEG-containing copolymers play a prominent role as biomaterials for different applications ranging from drug delivery to tissue engineering. These custom-designed materials offer enormous possibilities to change the overall characteristics of biomaterials by improving their biocompatibility and solubility, as well as their ability to crystallize in polymer blends and to resist protein adsorption. This article demonstrates various principles of PEG-based material design that are applied to fine tune the properties of biomaterials for different tissue engineering applications. More specifically, strategies are described to develop PEG copolymers with various block compositions and specific bulk properties, including low melting points and improved surface hydrophilicity. Highly hydrated polymer gel networks for promoting cellular growth or suppressing protein adsorption and cell adhesion are introduced. By incorporating selectively cleavable cross-links, these hydrophilic polymers can also serve as smart hydrogel scaffolds, mimicking the natural extracellular matrix for cell cultivation and tissue growth. Ultimately, these developments lead to the creation of biomimetic materials to immobilize bioactive compounds, allowing precise control of cellular adhesion and tissue growth. [image: see text]     

Degradation of Engineering Materials – Implications to Regenerative Medicine

Summary: Materials in general, to some degree are susceptible to environmental degradation. The degradation of biomaterials is one of the most relevant issues in the field of regenerative medicine. In industrial practice, the degradation is always a negative phenomenon. In bioengineering, the degradation may be undesirable (e.g. corrosion of metallic implants, wear of artificial joint implant) or desirable (biodegradable devices and tissue engineering). In both cases, the knowledge of the kinetics of degradation is crucial for safe use of biocomponents. The methods for predicting remaining life commonly used in industrial practice will be presented in the context of biomaterials. Non destructive techniques for monitoring degradation will be discussed and some ideas about their application to bio-environments proposed.     

Calcification mechanism and bony bonding studies of calcium carbonate and composite aluminosilicate/calcium phosphate applied as biomaterials by using radioactivation methods

Bony grafts are used as a filling biomaterial for defective bone. The introduction of new range of synthetic materials offers to surgeons additional possibilities to avoid virus transmission risks by using natural grafts in bony surgery. In this work, two materials, synthetic calcium carbonate and composite aluminosilicate/calcium phosphate were synthesized by an original method and experimented “in vivo” as biomaterials for bony filling. Extracted biopsies were studied by several physico chemical and biological methods. The aim was to evaluate the kinetic resorption and bioconsolidation of these materials. We focused on the bioconsolidation between implant and bone by realising cartographies from the implant to the bone and on the calcification mechanism by determination of the origin of Ca and Sr responsible of the neo-formed bone. Neutron activation analysis (NAA), radiotracers ⁴⁵Ca* and ⁸⁵Sr* and proton-induced X-ray emission (PIXE) were used. Concerning the synthetic calcium carbonate, results show that twelve months after implantation, the mineral composition of implant becomes similar to that of the mature bone. The neoformed bone is composed with Ca and Sr coming from the organism when the Ca and Sr of the implant were progressively eliminated. Concerning the composite geopolymer/calcium phosphate, PIXE and histological studies reveal the intimate links between the bone and the implant starting with the first month after implantation.