纳米硅酸镁锂在组织再生中的应用*

许雄程,骆凯

中国生物工程杂志 ›› 2022, Vol. 42 ›› Issue (12) : 61-68.

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PDF(425 KB)
中国生物工程杂志 ›› 2022, Vol. 42 ›› Issue (12) : 61-68. DOI: 10.13523/j.cb.2207003
综述

纳米硅酸镁锂在组织再生中的应用*

作者信息 +

Application of Laponite in Tissue Regeneration

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文章历史 +

摘要

因外伤、肿瘤和先天发育异常等导致的组织缺损会严重影响患者的生理功能和心理健康。组织再生修复过程复杂,随着年龄的增长,机体本身再生修复的能力逐渐减弱,缺损组织的修复多以纤维结构混乱的瘢痕修复为主。硅酸镁锂(laponite,LAP)因其独特的纳米层状结构和表面电化学特点,能够与多种生物分子和药物相互作用,展现了较好的细胞相容性和生物活性,已被广泛应用于组织再生生物材料的功能化改性。综述LAP的性质特点及其在组织再生修复领域的应用,以期推进LAP研究成果更好地向临床转化。

Abstract

Tissue defects caused by trauma, tumors and congenital developmental abnormalities seriously affect the physiological function and mental health of patients. Processes of tissue regeneration and repair are complex. The body’s ability to regenerate and repair tissue defects gradually weakens, which is mainly based on scar repair with fibrous capsule. Laponite (LAP) has been widely used for functionalized modification of tissue regeneration biomaterials due to its unique nano-layered structure and surface electrochemical characteristics, which can interact with a variety of biomolecules and drugs and exhibit better cytocompatibility and bioactivity. The properties and characteristics of LAP and its application in the field of tissue regeneration and repair are reviewed in order to promote better clinical translation of LAP research outcomes.

关键词

硅酸镁锂 / 组织再生 / 干细胞 / 免疫调控

Key words

Laponite / Tissue regeneration / Stem cell / Immunoregulation

引用本文

导出引用
许雄程, 骆凯. 纳米硅酸镁锂在组织再生中的应用*[J]. 中国生物工程杂志, 2022, 42(12): 61-68 https://doi.org/10.13523/j.cb.2207003
Xiong-cheng XU, Kai LUO. Application of Laponite in Tissue Regeneration[J]. China Biotechnology, 2022, 42(12): 61-68 https://doi.org/10.13523/j.cb.2207003
中图分类号: R318   
因外伤、肿瘤或先天发育异常等导致的组织缺损会严重影响患者的生理功能和心理健康[1]。组织再生修复过程复杂,需要多种细胞的共同参与来完成胞外基质的形成与改建。人体组织再生修复能力在出生后即开始下降,并随着年龄的增加而逐渐减弱。机体有限的组织再生修复能力常导致各种组织多以纤维结构混乱的瘢痕修复为主[2]。再生医学研究的发展为组织缺损的再生修复带来了希望。当前,众多研究致力于探索能够直接主导局部组织再生的生物材料[3-5]。硅酸镁锂(laponite,LAP)作为一种人工合成的层状纳米硅酸盐,近年来被逐渐应用于组织再生的研究[3,6 -7]。LAP表面独特的电化学特性使之能够非特异性吸附生物分子与药物发挥生物学作用[8],其降解产物亦被证实具有促进组织再生修复的功能[9]。因此,LAP被广泛应用于组织再生生物材料的功能化改性[3-4,10]。本文综述了LAP在组织再生修复中的作用及研究进展,以期推进LAP研究成果更好地向临床转化。

1 组织再生修复过程

组织再生是细胞生长、分化和组织发生协同进行的过程。该过程错综复杂,不仅涉及组织的再生,还包含受损细胞与组织的清除,涉及众多类型的细胞、生长因子以及代谢产物。组织再生大致可分为三个阶段:炎症阶段、新生组织形成阶段和组织改建阶段[2,11]。在炎症阶段,免疫系统可发挥多重作用,包括参与清除受损组织、释放趋化因子与生长因子等。炎症细胞通过吞噬、清除坏死细胞与感染组织,降低局部炎症反应,从而启动组织的修复过程。在新生组织形成阶段,内源性祖细胞和干细胞可迁移至受损区域,在局部增殖分化,进而修复和替代受损的细胞外基质,促进新生血管的长入,实现组织的血管化。在组织改建阶段,新形成的胞外基质通过反复降解与再合成过程,最终实现与周围组织的整合。组织改建阶段持续的时间较久,个别组织的改建甚至长达两年[12]
组织再生程度与周期取决于受损组织的部位和组织的发育阶段。胚胎组织拥有完全再生修复受损组织的潜力。从出生后,机体组织再生修复能力将逐渐下降,甚至仅是形成纤维化的瘢痕替代受损组织。免疫系统在组织再生修复中扮演重要角色,可参与组织结构与功能的修复和瘢痕组织的形成[13]。受损组织内的局部免疫反应与组织类型和组织的发育阶段有关[14]。在组织损伤早期,局部巨噬细胞会释放损伤相关模式分子与病原相关模式分子,之后循环系统内的巨噬细胞、单核细胞和中性粒细胞可被募集至局部受损组织处。免疫细胞大体分为两种类型:促炎型细胞(包括单核细胞、M1型巨噬细胞和TH1细胞)和抗炎型细胞(包括M2型巨噬细胞和TH2细胞)[15]。促炎型细胞主要负责清除受损组织,而抗炎型细胞则参与胞外基质的改建、血管再生和内源性干细胞分化。这两种免疫细胞的协作平衡决定了组织再生的程度。随着对组织再生过程中机体免疫反应的深入认识,许多再生生物材料的研发重点将聚焦于通过调控再生部位免疫细胞的反应来最终实现组织缺损的再生修复[2,14,16]
内源性干细胞在组织再生修复过程中发挥着重要作用。研究发现,内源性干细胞缺失将无法实现理想的组织再生修复[17]。局部组织再生修复过程中,内源性干细胞可被募集至再生位点参与组织的再生修复。调控内源性干细胞实现组织再生修复也可避免常规细胞疗法中使用外源性细胞移植的缺点。基于当前对机体本身再生潜能的认识,各种各样的生物材料被研发用于调控局部免疫反应并募集内源性干细胞,从而实现组织再生[12,15,18 -19]。具有免疫调控功能的生物材料移植体内后,可调节组织再生修复过程中免疫细胞的功能与细胞因子的表达,从而参与组织再生过程[15,20]。有研究致力于对细胞的趋化过程进行调控,通过制备有利于细胞生长的支架材料,募集内源性干细胞参与局部组织再生修复[21-22]。智能化反应性生物材料的研究表明,通过同时调节免疫反应与内源性干细胞归巢实现组织的再生是切实可行的[23-24]

2 LAP性质特点

LAP,又称锂皂石或锂皂土,呈三八面体结构,是人工合成的粘土矿物[25]。与天然粘土不同,LAP的成分和性质可控,易于批量生产[26]。LAP是由无机矿物盐提取合成的层状硅酸盐,化学式为N a0.7+[(Si8Mg5.5Li0.3)O20(OH)4 ]0.7-,呈盘状,直径约25~30 nm,厚度1~2 nm[27]。与石墨烯、二氧化钛等相似,LAP属于2D纳米材料。LAP的盘状结构使之呈现双电荷分布,在盘状颗粒的两面为负电荷,边缘为正电荷。LAP属于2∶1型结构的硅酸盐矿物,每层由两片平行硅氧四面体夹一片镁氧八面体构成。在镁氧八面体的两边各有一个共用氧原子的硅氧四面体,其中部分二价的镁原子被一价锂原子置换,使粒子表面带有永久负电荷。LAP的电化学特性使其能够非特异性吸附不同生物分子和药物,发挥缓释作用。
LAP的生物活性与其降解产物紧密相关。降解过程中,OH-最先自片层边缘解离,随后逐渐降解产生锂、镁和硅[28]。由于锂的稳定性不及镁和硅,所以锂的释放要早于镁和硅。LAP的降解也受细胞内外环境的影响[3]。LAP经胞吞作用进入细胞内,在酸性囊泡中转运降解,并释放离子产物[9]。LAP降解后产生的离子不仅直接促进细胞内活性氧的产生,加速LAP降解,还能够增加局部离子浓度,提高片层间的引力,加速LAP老化与降解[29-32]。LAP降解后产生的锂、镁和硅这类可溶性产物还可调控细胞的功能。研究表明,镁通过上调细胞整合素分子表达的水平来促进细胞黏附[33],镁进入胞浆后还可辅助肌动蛋白聚合[34]。全基因组测序分析表明,经LAP刺激后的人间充质干细胞肌动蛋白的聚合与迁移率均获得显著升高,这可能与材料降解后释放的镁有关[9]。锂通过上调胞浆中β-Catenin的表达来激活WNT通路,促进成骨分化[35-37]。但Mousa等[38]的体外细胞实验结果表明,LAP降解产物中锂的作用有限,锂在LAP发挥生物学活性中的作用还有待进一步验证。硅可参与骨再生、骨组织矿化和血管再生[39-40]

3 LAP在组织再生修复中的应用

3.1 皮肤创伤再生修复

生物材料对皮肤创伤再生修复过程的调控与多种因素有关,包括生物材料的可降解性、可注射性、抗感染性、局部pH变化、再生相关细胞的募集和对局部免疫反应的调控等[41]。LAP在酸性环境中可直接加速降解产生锂、镁和硅[28],LAP降解后产生的镁可进入创伤位点内诱导局部炎症反应,促进细胞增殖和创伤愈合[42]。LAP还能够促进受损组织局部细胞表达血管内皮生长因子A(vascular endothelial growth factor A,VEGFA),增强皮肤成纤维细胞的增殖与血管再生[43-44]。在皮肤创伤修复早期阶段,局部产生的活性氧(reactive oxygen species,ROS)有利于炎症细胞的趋化与迁移,从而吞噬清除病原体与坏死组织[45]。LAP对细胞内的ROS表达有促进作用,且呈剂量依赖性,在生理范围内无明显细胞毒性[46]。然而,细胞内过量的ROS会影响局部营养代谢与血供,损伤组织与细胞,最终影响局部皮肤创伤的愈合,因此,在皮肤创伤修复过程中维持适量的ROS水平有利于组织再生修复。Ghadiri等[47]研究发现含LAP氨基凝胶在轻微上调ROS水平的同时,能够促进成纤维细胞的增殖,有望作为皮肤创伤修复材料。
理想的皮肤创伤修复材料应兼具可注射性与抗剪切性,便于修复不规则的皮肤缺损。皮肤创伤修复材料还应具有可粘结性,能够维持局部创伤修复环境的湿度以利于细胞增殖与迁移[48]。在聚乙烯醇-藻酸盐凝胶中添加LAP能够提高其机械性能,降低膨胀率和降解率,形成有利于皮肤再生修复细胞增殖迁移的微环境,也为组织改建提供了时间[49]。Huang等[50]通过在水凝胶中掺杂LAP以增强水凝胶的硬度与弹性,并作为敷料应用于糖尿病大鼠皮肤缺损修复,10~12 d后,即可观察到大鼠皮肤缺损实现完全上皮化,并有新的结缔组织形成。Huang等[46]研究发现含LAP水凝胶还可促进伴有感染的全层皮肤缺损在组织学水平实现皮肤组织的再生修复。LAP在皮肤缺损再生修复中展现了巨大潜力,对于LAP生物材料在皮肤缺损再生修复的应用,尤其是LAP在组织再生过程中的内在调控机理有待进一步深入研究。

3.2 骨组织再生

LAP在一定浓度范围内可上调间充质干细胞的增殖能力,无明显细胞毒性[3,51]。LAP无需成骨诱导液即可直接诱导成骨细胞前体、间充质干细胞和脂肪干细胞的成骨分化[35,52 -53]。尽管LAP在与巨噬细胞的直接接触实验中表现出促炎作用,但该材料仍可通过调控间充质干细胞的旁分泌抑制巨噬细胞的炎症反应,从而促进骨组织再生[54]
LAP经高温烧结后可获得光滑多孔的LAP支架,并且保留了良好的亲水性、细胞相容性和血液相容性。将LAP支架浸泡于模拟体液后,表面可形成更多矿化结节。研究发现,LAP可诱导干细胞在无成骨诱导液的培养液中成骨分化,且与LAP支架共培养的干细胞碱性磷酸酶活性与矿化结节形成量均获得显著增加[55]。LAP支架浸提液经腹腔注射于SD大鼠体内,未见明显的毒性作用。为进一步探索LAP支架在骨再生中的作用,研究人员在猪股骨制备极限骨缺损,并植入LAP支架,24周后实现了骨组织的再生修复[55]。上述研究表明,LAP生物支架可应用于体内骨组织的再生。
LAP掺杂于人工合成高分子材料不仅能够提高组织工程支架的机械性能,还可促进细胞的黏附与成骨分化[56-57]。水凝胶与明胶具有可降解性,并且含有细胞黏附所需的细胞结合域,从而被广泛用于生物材料研究。尽管水凝胶与明胶的可降解性有益于组织工程支架植入后组织的改建,但明胶降解周期过短,降解时间为2~4周[58],且水凝胶与明胶机械性能较差,不利于骨组织再生。为克服这些问题,有研究通过LAP掺杂实现了生物支架增韧[59-61],还有研究将甲基丙烯酰化明胶水凝胶与LAP混合以加强机械性能,并加载成骨细胞获得生物墨水,利用3D生物打印技术制备生物支架,从而实现骨组织再生修复[61]。研究人员通过溶液共混法合成LAP掺杂聚己内酯(polycaprolactone,PCL),实验结果发现PCL/LAP复合材料内LAP分散良好,无明显团聚,PCL的机械性能获得提升,该复合材料不仅直接促进成骨细胞的成骨分化与胞外基质形成,还可调控成骨细胞的旁分泌功能,促进血管新生和抑制破骨分化[62]。随后,研究人员利用3D打印技术制备了PCL/LAP多孔支架用于大鼠颅骨缺损的再生修复,发现PCL/LAP多孔支架能够实现大鼠颅骨的血管化骨再生修复[63]
LAP表面带电荷,亲水性良好,表面积大,能够直接吸附生物分子和药物。Zheng等[64]在含LAP生物玻璃中加载去铁胺,不仅可以实现去铁胺的缓释,还能够促进脂肪干细胞的成骨分化和成血管,将该负载去铁胺的含LAP生物玻璃用于小鼠颅骨极限骨缺损的修复,可观察到血管化骨组织的再生。LAP还可与骨形成蛋白-2(bone morphogenetic protein-2,BMP-2)以强静电结合力形成稳定的复合体,这一复合体可在长达4周的时间里缓慢释放BMP-2,并且不影响BMP-2的活性。体内动物实验表明,LAP-BMP-2复合体能够加速颅骨缺损的骨再生修复[65]

3.3 软骨再生

软骨组织由软骨细胞和其外面包绕着的含黏多糖和蛋白多糖的胞外基质共同组成。软骨作为非血管化组织,再生能力极其有限。常用透明质酸、蛋白聚糖和II型胶原等模拟胞外基质成分来研究软骨组织再生[66]。LAP掺杂于各种水凝胶可提高其机械性能,并且LAP掺杂后的水凝胶内部网状结构更有利于细胞的迁移[1]。研究人员将负载人间充质干细胞的水凝胶经微创手术注射入关节内,可观察到更高水平的软骨相关胞外基质蛋白产生[67]。为进一步明确含LAP水凝胶在体内成软骨分化中的作用,研究人员将软骨细胞与含LAP水凝胶复合后,移植于裸鼠皮下,结果发现该水凝胶植入体内后,软骨细胞始终保持较高活性,在组织学水平能够观察到类软骨基质的产生[68]。Zhang等[69]将LAP掺杂于丝素蛋白,结果发现LAP不仅可以增强丝素蛋白的机械性能,还可在体内外实验中促进软骨的生成。LAP在溶液中分散剥脱后可呈现为独立的纳米片层结构,掺杂于水凝胶后,能够发挥纳米填料作用,进而提升水凝胶材料的机械性能,使之更接近天然软骨[70-71]。Nojoomi等[70]研究发现LAP掺杂于马来酰亚胺改性聚乙二醇后可获得机械性能与天然软骨相似的水凝胶。但体外细胞实验发现该水凝胶对细胞的活性略有抑制作用,这可能与LAP的吸附作用导致水凝胶交联剂残留有关。Kilian等[72]将LAP掺杂于水凝胶以实现转化生长因子-β3(transforming growth factor-β3,TGF-β3)和BMP-2的缓释,通过生物打印技术构建包含成骨区与成软骨区的“双区”水凝胶,然后在成骨区内加载BMP-2与成骨细胞,在成软骨区域加载TGF-β3与成软骨细胞,从而获得骨-软骨组织工程复合物。
LAP可通过多种途径调控软骨组织再生过程。一方面,LAP通过发挥纳米填料作用调节支架材料的机械性能,使之更为接近天然软骨基质。另一方面,LAP本身的载药能力与降解后的离子产物也可直接调控软骨组织再生。现有研究为软骨组织再生支架材料的应用带来了希望,未来还需进一步探索更加接近临床应用的支架材料,尤其是LAP在调控成软骨分化以及软骨特异性胞外基质的形成机理方面有待深入研究。

3.4 牙体牙髓牙周组织再生

近年来LAP逐渐被应用于口腔组织再生修复的研究。陈羽浓等[73]发现在LAP的作用下,成牙本质细胞不仅增殖与迁移能力得到增强,成牙本质相关基因的表达水平和钙化结节形成量亦显著上升,该结果表明LAP能够促进成牙本质细胞的生物矿化。Zhang等[74]将LAP复合海藻酸钠水凝胶制备成微球,同时搭载牙髓干细胞和血管内皮生长因子用于牙髓组织的再生修复,研究发现搭载牙髓干细胞和血管内皮生长因子的LAP-海藻酸钠微球在体内外实验中均能够促进牙本质形成与血管再生。
LAP还可被用于引导性组织再生(guided tissue regeneration,GTR)屏障膜的功能化改性以实现牙周组织的再生。Shang等[75-76]将LAP掺杂于聚乳酸-羟基乙酸后,通过静电纺丝技术制备屏障膜。牙周膜细胞与这一屏障膜共培养后,细胞的成骨分化能力获得显著提高。将该屏障膜应用于大鼠牙周缺损的GTR治疗,可实现牙周组织的再生。研究人员通过静电纺丝技术制备PCL/LAP电纺膜并应用于牙周组织再生研究,结果发现该电纺膜不仅能够促进牙周膜细胞的成骨分化功能,还可通过调控牙周膜细胞抑制巨噬细胞的炎症反应,促进再生型M2巨噬细胞形成,最终实现牙周组织的功能化再生。可见,PCL/LAP电纺膜有望应用于牙周组织再生材料的功能化改性以实现理想的牙周组织再生。

4 展望

组织再生修复的复杂性使得再生生物材料的研究充满挑战。LAP因其独特的纳米层状结构和表面电化学特点,能够与多种生物分子和药物相互作用,展现了较好的细胞相容性与生物活性。研究发现,LAP可参与调控多种组织的再生修复,且LAP的骨诱导性能有望减少或替代骨再生生长因子的使用。目前,LAP在组织再生与创伤修复等生物医学领域的研究取得了一定突破,但LAP与细胞之间相互作用的具体机理尚不明确,LAP降解产物也会影响其对细胞的作用以及治疗潜能。随着转录组学、蛋白组学和代谢组学技术的发展,未来还需要深入探索LAP与细胞之间相互作用的内在机理,以及进一步明确LAP的各种降解产物在组织再生中的作用。尽管已有研究将LAP应用于GTR屏障膜的制备,并成功实现牙周的再生修复,但考虑到口腔致病菌可能影响临床牙周组织再生治疗的效果,如何利用LAP结构与成分的特殊性,研发兼顾抗菌与促再生的多功能牙周组织再生生物材料也是未来研究的重点。

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摘要
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The fluorescence of N-acetyl-N'-(sulfo-1-naphthyl)ethylenediamine (AEDANS) covalently bound to Cys-374 of actin is used as a probe for different conformational states of G-actin according to whether Ca-ATP, Mg-ATP, or unchelated ATP is bound to the nucleotide site. Upon addition of large amounts (greater than 10(2)-fold molar excess) of EDTA to G-actin, metal ion-free ATP-G-actin is obtained with EDTA bound. Metal ion free ATP-G-actin is characterized by a higher AEDANS fluorescence than Mg-ATP-G-actin, which itself has a higher fluorescence than Ca-ATP-G-actin. Evidence for EDTA binding to G-actin is shown using difference spectrophotometry. Upon binding of EDTA, the rate of dissociation of the divalent metal ion from G-actin is increased (2-fold for Ca2+, 10-fold for Mg2+) in a range of pH from 7.0 to 8.0. A model is proposed that quantitatively accounts for the kinetic data. The affinity of ATP is weakened 10(6)-fold upon removal of the metal ion. Metal ion-free ATP-G-actin is in a partially open conformation, as indicated by the greater accessibility of -SH residues, yet it retains functional properties of polymerization and ATP hydrolysis that appear almost identical to those of Ca-ATP-actin, therefore different from those of Mg-ATP-actin. These results are discussed in terms of the role of the ATP-bound metal ion in actin structure and function.
[35]
Liu L, Liu Y Q, Feng C, et al. Lithium-containing biomaterials stimulate bone marrow stromal cell-derived exosomal miR-130a secretion to promote angiogenesis. Biomaterials, 2019, 192: 523-536.
The chemical signals of biomaterials could influence bone marrow stromal cells (BMSCs)-endothelial cells (ECs) communication during vascularized bone regeneration. However, the underlying mechanisms still remain unknown. Exosomes, a series of extracellular vesicles, have recently emerged as potential paracrine mediators in cell-cell communication. However, whether exosomes and exosomal microRNAs (miRNAs) are involved in the chemical signals of biomaterials-modulated BMSCs-ECs communication are unknown. Hence, in the present study, a model Li-incorporated bioactive glass ceramic (Li-BGC) was applied to explore the chemical signals of biomaterials mediated cell-cell communication between BMSCs and ECs. Our results showed that Li-BGC directly promoted the pro-angiogenic capability of HUVECs in vitro and new blood vessel ingrowth in vivo. Moreover, Li-BGC activated Wnt/β-catenin, AKT and NF-κB signaling pathways, while AKT signaling pathway might function as the upstream of Wnt/β-catenin and NF-κB signaling pathways. More importantly, Li-BGC further facilitated the pro-angiogenic capacity of HUVECs by eliciting the expression of exosomal pro-angiogenic miR-130a in BMSCs-derived exosomes, which subsequently leading to the downregulation of PTEN protein and activation of AKT pathway, ultimately resulting in the elevated proliferation, migration and tube formation of endothelial cells, as well as the upregulated expression of pro-angiogenic genes. Our findings may provide new insights into the regulatory roles of the chemical signals of biomaterials in BMSCs-ECs communication via stimulating exosomal miR-130a secretion and PTEN/AKT signaling pathway in the angiogenic process of bone remodelling.Copyright © 2018. Published by Elsevier Ltd.
[36]
Zhang F, Phiel C J, Spece L, et al. Inhibitory phosphorylation of glycogen synthase kinase-3 (GSK-3) in response to lithium: evidence for autoregulation of GSK-3. Journal of Biological Chemistry, 2003, 278(35): 33067-33077.
Glycogen synthase kinase-3 (GSK-3) is a critical, negative regulator of diverse signaling pathways. Lithium is a direct inhibitor of GSK-3 and has been widely used to test the putative role of GSK-3 in multiple settings. However, lithium also inhibits other targets, including inositol monophosphatase and structurally related phosphomonoesterases, and thus additional approaches are needed to attribute a given biological effect of lithium to a specific target. For example, lithium is known to increase the inhibitory N-terminal phosphorylation of GSK-3, but the target of lithium responsible for this indirect regulation has not been identified. We have characterized a short peptide derived from the GSK-3 interaction domain of Axin that potently inhibits GSK-3 activity in vitro and in mammalian cells and robustly activates Wnt-dependent transcription, mimicking lithium action. We show here, using the GSK-3 interaction domain peptide, as well as small molecule inhibitors of GSK-3, that lithium induces GSK-3 N-terminal phosphorylation through direct inhibition of GSK-3 itself. Reduction of GSK-3 protein levels, either by RNA interference or by disruption of the mouse GSK-3beta gene, causes increased N-terminal phosphorylation of GSK-3, confirming that GSK-3 regulates its own phosphorylation status. Finally, evidence is presented that N-terminal phosphorylation of GSK-3 can be regulated by the GSK-3-dependent protein phosphatase-1.inhibitor-2 complex.
[37]
Clevers H. Wnt/β-catenin signaling in development and disease. Cell, 2006, 127(3): 469-480.
A remarkable interdisciplinary effort has unraveled the WNT (Wingless and INT-1) signal transduction cascade over the last two decades. Wnt genes encode small secreted proteins that are found in all animal genomes. Wnt signaling is involved in virtually every aspect of embryonic development and also controls homeostatic self-renewal in a number of adult tissues. Germline mutations in the Wnt pathway cause several hereditary diseases, and somatic mutations are associated with cancer of the intestine and a variety of other tissues.
[38]
Mousa M, Milan J A, Kelly O, et al. The role of lithium in the osteogenic bioactivity of clay nanoparticles. Biomaterials Science, 2021, 9(8): 3150-3161.
LAPONITE® clay nanoparticles are known to exert osteogenic effects on human bone marrow stromal cells (HBMSCs), most characteristically, an upregulation in alkaline phosphatase activity and increased calcium deposition. The specific properties of LAPONITE® that impart its bioactivity are not known. In this study the role of lithium, a LAPONITE® degradation product, was investigated through the use of lithium salts and lithium modified LAPONITE® formulations. In contrast to intact particles, lithium ions applied at concentrations equivalent to that present in LAPONITE®, failed to induce any significant increase in alkaline phosphatase (ALP) activity. Furthermore, no significant differences were observed in ALP activity with modified clay structures and the positive effect on osteogenic gene expression did not correlate with the lithium content of modified clays. These results suggest that other properties of LAPONITE® nanoparticles, and not their lithium content, are responsible for their bioactivity.
[39]
Hoppe A, Güldal N S, Boccaccini A R. A review of the biological response to ionic dissolution products from bioactive glasses and glass-ceramics. Biomaterials, 2011, 32(11): 2757-2774.
Several inorganic materials such as special compositions of silicate glasses, glass-ceramics and calcium phosphates have been shown to be bioactive and resorbable and to exhibit appropriate mechanical properties which make them suitable for bone tissue engineering applications. However, the exact mechanism of interaction between the ionic dissolution products of such inorganic materials and human cells are not fully understood, which has prompted considerable research work in the biomaterials community during the last decade. This review comprehensively covers literature reports which have investigated specifically the effect of dissolution products of silicate bioactive glasses and glass-ceramics in relation to osteogenesis and angiogenesis. Particularly, recent advances made in fabricating dense biomaterials and scaffolds doped with trace elements (e.g. Zn, Sr, Mg, and Cu) and investigations on the effect of these elements on the scaffold biological performance are summarized and discussed in detail. Clearly, the biological response to artificial materials depends on many parameters such as chemical composition, topography, porosity and grain size. This review, however, focuses only on the ion release kinetics of the materials and the specific effect of the released ionic dissolution products on human cell behaviour, providing also a scope for future investigations and identifying specific research needs to advance the field. The biological performance of pure and doped silicate glasses, phosphate based glasses with novel specific compositions as well as several other silicate based compounds are discussed in detail. Cells investigated in the reviewed articles include human osteoblastic and osteoclastic cells as well as endothelial cells and stem cells.Copyright © 2011 Elsevier Ltd. All rights reserved.
[40]
Reffitt D M, Ogston N, Jugdaohsingh R, et al. Orthosilicic acid stimulates collagen type 1 synthesis and osteoblastic differentiation in human osteoblast-like cells in vitro. Bone, 2003, 32(2): 127-135.
Silicon deficiency in animals leads to bone defects. This element may therefore play an important role in bone metabolism. Silicon is absorbed from the diet as orthosilicic acid and concentrations in plasma are 5-20 microM. The in vitro effects of orthosilicic acid (0-50 microM) on collagen type 1 synthesis was investigated using the human osteosarcoma cell line (MG-63), primary osteoblast-like cells derived from human bone marrow stromal cells, and an immortalized human early osteoblastic cell line (HCC1). Collagen type 1 mRNA expression and prolyl hydroxylase activity were also determined in the MG-63 cells. Alkaline phosphatase and osteocalcin (osteoblastic differentiation) were assessed both at the protein and the mRNA level in MG-63 cells treated with orthosilicic acid. Collagen type 1 synthesis increased in all treated cells at orthosilicic acid concentrations of 10 and 20 microM, although the effects were more marked in the clonal cell lines (MG-63, HCCl 1.75- and 1.8-fold, respectively, P < 0.001, compared to 1.45-fold in the primary cell lines). Treatment at 50 microM resulted in a smaller increase in collagen type 1 synthesis (MG-63 1.45-fold, P = 0.004). The effect of orthosilicic acid was abolished in the presence of prolyl hydroxylase inhibitors. No change in collagen type 1 mRNA level was seen in treated MG-63 cells. Alkaline phosphatase activity and osteocalcin were significantly increased (1.5, 1.2-fold at concentrations of 10 and 20 microM, respectively, P < 0.05). Gene expression of alkaline phosphatase and osteocalcin also increased significantly following treatment. In conclusion, orthosilicic acid at physiological concentrations stimulates collagen type 1 synthesis in human osteoblast-like cells and enhances osteoblastic differentiation.
[41]
Jankau J, Błažyńska-Spychalska A, Kubiak K, et al. Bacterial cellulose properties fulfilling requirements for a biomaterial of choice in reconstructive surgery and wound healing. Frontiers in Bioengineering and Biotechnology, 2022, 9: 805053.
[42]
Ghadiri M, Chrzanowski W, Rohanizadeh R. Antibiotic eluting clay mineral (Laponite®) for wound healing application: an in vitro study. Journal of Materials Science: Materials in Medicine, 2014, 25(11): 2513-2526.
Different materials in form of sponge, hydrogel and film have been developed and formulated for treating and dressing burn wounds. In this study, the potential of Laponite, a gel forming clay, in combination with an antimicrobial agent (mafenide), as a wound dressing material was tested in vitro. Laponite/mafenide (Lap/Maf) hydrogel was formulated in three different ratios of Lap/Maf 1:1, 1:2, 1:3. Laponite/mafenide/alginate (Lap/Maf/Alg) film was also formulated by combining Lap/Maf gel (1:1) with alginate. Intercalation rate of mafenide into the layers of Laponite nanoparticles and physico-chemical properties, including wound dressing characteristics of materials were studied using various analytical methods. Furthermore, the degradation of materials and the release profile of mafenide were investigated in simulated wound exudates fluid and antibacterial effectiveness of the eluted mafenide was tested on a range of bacterial species. The cytotoxicity of materials was also evaluated in skin fibroblast culture. The results showed that mafenide molecules were intercalated between the nano-sized layers of Laponite. The eluted mafenide showed active antibacterial effects against all three tested bacteria. All intercalated mafenide released from Lap/Maf 1:1 and 1:2 gel formulations and nearly 80% release from 1:3 formulation during test period. No significant difference was observed in release profile of mafenide between Lap/Maf/Alg film and Lap/Maf formulations. Wound dressing tests on Lap/Maf/Alg film showed it is a breathable dressing and has capacity to absorb wound exudates. The study showed that prepared Lap/Maf composite has the potential to be used as an antibiotic eluting gel or film for wound healing application. Additionally, Laponite has shown benefits in wound healing processes by releasing Mg(2+) ions and thereby reducing the cytotoxic effect of mafenide on fibroblast cells.
[43]
Dai Z B, Zhang Y H, Chen C, et al. An antifouling and antimicrobial zwitterionic nanocomposite hydrogel dressing for enhanced wound healing. ACS Biomaterials Science & Engineering, 2021, 7(4): 1621-1630.
[44]
Lin X J, Li Y M, Luo W, et al. Leucine-activated nanohybrid biofilm for skin regeneration via improving cell affinity and neovascularization capacity. Journal of Materials Chemistry B, 2020, 8(35): 7966-7976.
The accumulation of skin diseases has increased the need for biomimicking materials with high bioactivity and biosafety for wound healing, where how to improve the cell affinity of the skin regenerative materials as well as their neovascularization capacity is a key factor for rapid regeneration of the injured skin tissue. In the current study, we developed an advanced type of biodegradable nanofibrous biofilm which can attract skin-related cells and accelerate blood vessel formation for skin regeneration. Firstly, bioactive nanohybrids (LEU@LP) were fabricated via in situ doping of the nutrient amino acid leucine (beneficial for fibroblast proliferation and protein synthesis) into LAPONITE® nanodisks (enriched in Mg and Si favorable for vascularization). LEU@LP nanoparticles were then hybridized with a biodegradable polylactide (PLA) nanofibrous mesh via an airbrushing technique, followed by a subsequent ammonia plasma surface treatment to improve PLA's hydrophilicity to increase cell affinity. The resulting hybrid biofilms with skin-biomimicking nanofibrous structural networks can promote cell adhesion, spreading, migration and proliferation of fibroblasts, leading to the ideal skin wound healing (with blood vessel formation and hair follicle regeneration), probably attributed to their better hydrophilicity to promote cell affinity and the capacity of sustainable release of leucine (beneficial for fibroblasts proliferation) and the composition provision (Mg and Si which are beneficial for neovascularization).
[45]
Ji J Y, Ren D Y, Weng Y Z. Efficiency of multifunctional antibacterial hydrogels for chronic wound healing in diabetes: a comprehensive review. International Journal of Nanomedicine, 2022, 17: 3163-3176.
[46]
Huang J T, Chang L C, Cheng C S, et al. Cytotoxicity produced by silicate nanoplatelets: study of cell death mechanisms. Toxins, 2020, 12(10): 623.
[47]
Ghadiri M, Chrzanowski W, Lee W H, et al. Layered silicate clay functionalized with amino acids: wound healing application. RSC Advances, 2014, 4(67): 35332-35343.
[48]
Koehler J, Brandl F P, Goepferich A M. Hydrogel wound dressings for bioactive treatment of acute and chronic wounds. European Polymer Journal, 2018, 100: 1-11.
[49]
Golafshan N, Rezahasani R, Esfahani M T, et al. Nanohybrid hydrogels of laponite: PVA-Alginate as a potential wound healing material. Carbohydrate Polymers, 2017, 176: 392-401.
The aim of this study was to develop a novel nanohybrid interpenetrating network hydrogel composed of laponite:polyvinyl alcohol (PVA)-alginate (LAP:PVA-Alginate) with adjustable mechanical, physical and biological properties for wound healing application. Results demonstrated that compared to PVA-Alginate, mechanical strength of LAP:PVA-Alginate significantly enhanced (upon 2 times). Moreover, incorporation of 2wt.% laponite reduced swelling ability (3 times) and degradation ratio (1.2 times) originating from effective enhancement of crosslinking density in the nanohybrid hydrogels. Furthermore, nanohybrid hydrogels revealed admirable biocompatibility against MG63 and fibroblast cells. Noticeably, MTT assay demonstrated that fibroblast proliferation significantly enhanced on 0.5wt.% LAP:PVA-alginate compared to PVA-alginate. Moreover, hemolysis and clotting tests indicated that the nanohybrid hydrogels promoted hemostasis which could be helpful in the wound dressing. Therefore, the synergistic effects of the nanohybrid hydrogels such as superior mechanical properties, adjustable degradation rate and admirable biocompatibility and hemolysis make them a desirable candidate for wound healing process.Copyright © 2017 Elsevier Ltd. All rights reserved.
[50]
Huang K T, Fang Y L, Hsieh P S, et al. Zwitterionic nanocomposite hydrogels as effective wound dressings. Journal of Materials Chemistry B, 2016, 4(23): 4206-4215.
[51]
Tomás H, Alves C S, Rodrigues J. Laponite ® : a key nanoplatform for biomedical applications. Nanomedicine: Nanotechnology, Biology and Medicine, 2018, 14(7): 2407-2420.
[52]
Gaharwar A K, Mihaila S M, Swami A, et al. Bioactive silicate nanoplatelets for osteogenic differentiation of human mesenchymal stem cells. Advanced Materials, 2013, 25(24): 3329-3336.
[53]
Mihaila S M, Gaharwar A K, Reis R L, et al. The osteogenic differentiation of SSEA-4 sub-population of human adipose derived stem cells using silicate nanoplatelets. Biomaterials, 2014, 35(33): 9087-9099.
How to surpass in vitro stem cell differentiation, reducing cell manipulation, and lead the in situ regeneration process after transplantation, remains to be unraveled in bone tissue engineering (bTE). Recently, we showed that the combination of human bone marrow stromal cells with bioactive silicate nanoplatelets (sNPs) promotes the osteogenic differentiation without the use of standard osteogenic inductors. Even more, using SSEA-4(+) cell-subpopulations (SSEA-4(+)hASCs) residing within the adipose tissue, as a single-cellular source to obtain relevant cell types for bone regeneration, was also proposed. Herein, sNPs were used to promote the osteogenic differentiation of SSEA-4(+)hASCs. The interactions between SSEA-4(+)hASCs and sNPs, namely the internalization pathway and effect on cells osteogenic differentiation, were evaluated. SNPs below 100 μg/mL showed high cytocompatibility and fast internalization via clathrin-mediated pathway. SNPs triggered an overexpression of osteogenic-related markers (RUNX2, osteopontin, osteocalcin) accompanied by increased alkaline phosphatase activity and deposition of a predominantly collagen-type I matrix. Consequently, a robust matrix mineralization was achieved, covering >90% of the culturing surface area. Overall, we demonstrated the high osteogenic differentiation potential of SSEA-4(+)hASCs, further enhanced by the addition of sNPs in a dose dependent manner. This strategy endorses the combination of an adipose-derived cell-subpopulation with inorganic compounds to achieve bone matrix-analogs with clinical relevance. Copyright © 2014 Elsevier Ltd. All rights reserved.
[54]
Li T, Liu Z L, Xiao M, et al. Impact of bone marrow mesenchymal stem cell immunomodulation on the osteogenic effects of laponite. Stem Cell Research & Therapy, 2018, 9(1): 100.
[55]
Wang C S, Wang S G, Li K, et al. Preparation of laponite bioceramics for potential bone tissue engineering applications. PLoS One, 2014, 9(6): e99585.
[56]
Cidonio G, Alcala-Orozco C R, Lim K S, et al. Osteogenic and angiogenic tissue formation in high fidelity nanocomposite laponite-gelatin bioinks. Biofabrication, 2019, 11(3): 035027.
[57]
Zandi N, Sani E S, Mostafavi E, et al. Nanoengineered shear-thinning and bioprintable hydrogel as a versatile platform for biomedical applications. Biomaterials, 2021, 267: 120476.
[58]
Dong L L, Bu Z H, Xiong Y Z, et al. Facile extrusion 3D printing of gelatine methacrylate/laponite nanocomposite hydrogel with high concentration nanoclay for bone tissue regeneration. International Journal of Biological Macromolecules, 2021, 188: 72-81.
The extrusion 3D printing of hydrogels has evolved as a promising approach that can be applied for specific tissue repair. However, the printing process of hydrogel scaffolds with high shape fidelity is inseparable from the complex crosslinking strategy, which significantly increases the difficulty and complexity of printing. The aim of this study was to develop a printable hydrogel that can extrude at room temperature and print scaffolds with high shape fidelity without any auxiliary crosslinking during the printing process. To this end, a novel formulation consisting of a Laponite suspension with a high solid concentration and a gelatine methacrylate (GelMA) nanocomposite hydrogel was developed. A homogeneously dispersed high-concentration (up to 20% w/v) Laponite suspension was obtained by stirring at 0 °C. The addition of Laponite with high concentration improved the rheological properties, the degradation stability, and the mechanical strength of the hydrogel. The formulation of 15% (w/v) GelMA and 8% (w/v) Laponite nanocomposite hydrogel exhibited desirable printability and biocompatibility. The GelMA/Laponite hydrogels significantly promoted bone marrow mesenchymal stem cell (BMSC) proliferation and osteogenic differentiation. Both desirable printability under mild conditions and cyto-compatibility enable composite hydrogel a potential candidate as biomaterial inks to be applied for bone tissue regeneration.Copyright © 2021. Published by Elsevier B.V.
[59]
Chen T Y, Ou S F, Chien H W. Biomimetic mineralization of tannic acid-supplemented HEMA/SBMA nanocomposite hydrogels. Polymers, 2021, 13(11): 1697.
[60]
Cidonio G, Cooke M, Glinka M, et al. Printing bone in a gel: using nanocomposite bioink to print functionalised bone scaffolds. Materials Today Bio, 2019, 4: 100028.
[61]
Zhai X Y, Ruan C S, Ma Y F, et al. 3D-bioprinted osteoblast-laden nanocomposite hydrogel constructs with induced microenvironments promote cell viability, differentiation, and osteogenesis both in vitro and in vivo. Advanced Science, 2018, 5(3): 1700550.
[62]
Xu X C, Zhuo J, Xiao L, et al. Nanosilicate-functionalized polycaprolactone orchestrates osteogenesis and osteoblast-induced multicellular interactions for potential endogenous vascularized bone regeneration. Macromolecular Bioscience, 2022, 22(2): e2100265.
[63]
Xu X C, Xiao L, Xu Y M, et al. Vascularized bone regeneration accelerated by 3D-printed nanosilicate-functionalized polycaprolactone scaffold. Regenerative Biomaterials, 2021, 8(6): rbab061.
[64]
Zheng X, Zhang X R, Wang Y T, et al. Hypoxia-mimicking 3D bioglass-nanoclay scaffolds promote endogenous bone regeneration. Bioactive Materials, 2021, 6(10): 3485-3495.
Large bone defect repair requires biomaterials that promote angiogenesis and osteogenesis. In present work, a nanoclay (Laponite, XLS)-functionalized 3D bioglass (BG) scaffold with hypoxia mimicking property was prepared by foam replication coupled with UV photopolymerization methods. Our data revealed that the incorporation of XLS can significantly promote the mechanical property of the scaffold and the osteogenic differentiation of human adipose mesenchymal stem cells (ADSCs) compared to the properties of the neat BG scaffold. Desferoxamine, a hypoxia mimicking agent, encourages bone regeneration via activating hypoxia-inducible factor-1 alpha (HIF-1α)-mediated angiogenesis. GelMA-DFO immobilization onto BG-XLS scaffold achieved sustained DFO release and inhibited DFO degradation. Furthermore, data demonstrated increased HIF-1α and vascular endothelial growth factor (VEGF) expressions on human adipose mesenchymal stem cells (ADSCs). Moreover, BG-XLS/GelMA-DFO scaffolds also significantly promoted the osteogenic differentiation of ADSCs. Most importantly, our data indicated BG-XLS/GelMA-DFO scaffolds strongly increased bone healing in a critical-sized mouse cranial bone defect model. Therefore, we developed a novel BG-XLS/GelMA-DFO scaffold which can not only induce the expression of VEGF, but also promote osteogenic differentiation of ADSCs to promote endogenous bone regeneration.© 2021 The Authors.
[65]
Zhang Y H, Chen M J, Dai Z B, et al. Sustained protein therapeutics enabled by self-healing nanocomposite hydrogels for non-invasive bone regeneration. Biomaterials Science, 2020, 8(2): 682-693.
Bone tissue engineering based on stem cells, growth factors and bioactive scaffolds presents an appealing but challenging approach for rehabilitation of patients with bone defects. A versatile system with the capability for easy operation and precise protein delivery in specific locations is attractive for enhancing bone regeneration. Here, we develop a non-invasive delivery system based on injectable and self-healing nanocomposite hydrogels for sustained protein release, which has the potential to improve the current orthopedic strategy. Specifically, LAPONITE® (LAP) nanoplatelets are able to accelerate the gelation process through hydrogen bonds with polysaccharide matrices, endowing hydrogels with superior mechanical and rheological behaviors, along with better injectability and self-healing ability. Attractively, the strong static binding between LAP nanoplatelets and bone morphogenetic protein-2 (BMP-2) can form stable LAP@BMP-2 complexes. The results indicate that the complexes effectively preserve the intrinsic bioactivity of BMP-2 and prolong the release period for more than four weeks. Moreover, hydrogels incorporating with the LAP@BMP-2 complexes synergistically boost cell spreading, proliferation activity and osteogenesis, both in vitro and in vivo, compared with LAP or BMP-2 alone. Overall, this study proposes a valid platform for protein therapeutics and non-invasive bone repair.
[66]
O’Shea D G, Curtin C M, O’Brien F J. Articulation inspired by nature: a review of biomimetic and biologically active 3D printed scaffolds for cartilage tissue engineering. Biomaterials Science, 2022, 10(10): 2462-2483.
[67]
Thakur A, Jaiswal M K, Peak C W, et al. Injectable shear-thinning nanoengineered hydrogels for stem cell delivery. Nanoscale, 2016, 8(24): 12362-12372.
Injectable hydrogels are investigated for cell encapsulation and delivery as they can shield cells from high shear forces. One of the approaches to obtain injectable hydrogels is to reinforce polymeric networks with high aspect ratio nanoparticles such as two-dimensional (2D) nanomaterials. 2D nanomaterials are an emerging class of ultrathin materials with a high degree of anisotropy and they strongly interact with polymers resulting in the formation of shear-thinning hydrogels. Here, we present 2D nanosilicate reinforced kappa-carrageenan (κCA) hydrogels for cellular delivery. κCA is a natural polysaccharide that resembles native glycosaminoglycans and can form brittle hydrogels via ionic crosslinking. The chemical modification of κCA with photocrosslinkable methacrylate groups renders the formation of a covalently crosslinked network (MκCA). Reinforcing the MκCA with 2D nanosilicates results in shear-thinning characteristics, and enhanced mechanical stiffness, elastomeric properties, and physiological stability. The shear-thinning characteristics of nanocomposite hydrogels are investigated for human mesenchymal stem cell (hMSC) delivery. The hMSCs showed high cell viability after injection and encapsulated cells showed a circular morphology. The proposed shear-thinning nanoengineered hydrogels can be used for cell delivery for cartilage tissue regeneration and 3D bioprinting.
[68]
Boyer C, Figueiredo L, Pace R, et al. Laponite nanoparticle-associated silated hydroxypropylmethyl cellulose as an injectable reinforced interpenetrating network hydrogel for cartilage tissue engineering. Acta Biomaterialia, 2018, 65: 112-122.
Articular cartilage is a connective tissue which does not spontaneously heal. To address this issue, biomaterial-assisted cell therapy has been researched with promising advances. The lack of strong mechanical properties is still a concern despite significant progress in three-dimensional scaffolds. This article's objective was to develop a composite hydrogel using a small amount of nano-reinforcement clay known as laponites. These laponites were capable of self-setting within the gel structure of the silated hydroxypropylmethyl cellulose (Si-HPMC) hydrogel. Laponites (XLG) were mixed with Si-HPMC to prepare composite hydrogels leading to the development of a hybrid interpenetrating network. This interpenetrating network increases the mechanical properties of the hydrogel. The in vitro investigations showed no side effects from the XLG regarding cytocompatibility or oxygen diffusion within the composite after cross-linking. The ability of the hybrid scaffold containing the composite hydrogel and chondrogenic cells to form a cartilaginous tissue in vivo was investigated during a 6-week implantation in subcutaneous pockets of nude mice. Histological analysis of the composite constructs revealed the formation of a cartilage-like tissue with an extracellular matrix containing glycosaminoglycans and collagens. Overall, this new hybrid construct demonstrates an interpenetrating network which enhances the hydrogel mechanical properties without interfering with its cytocompatibility, oxygen diffusion, or the ability of chondrogenic cells to self-organize in the cluster and produce extracellular matrix components. This composite hydrogel may be of relevance for the treatment of cartilage defects in a large animal model of articular cartilage defects.Articular cartilage is a tissue that fails to heal spontaneously. To address this clinically relevant issue, biomaterial-assisted cell therapy is considered promising but often lacks adequate mechanical properties. Our objective was to develop a composite hydrogel using a small amount of nano reinforcement (laponite) capable of gelling within polysaccharide based self-crosslinking hydrogel. This new hybrid construct demonstrates an interpenetrating network (IPN) which enhances the hydrogel mechanical properties without interfering with its cytocompatibility, O diffusion and the ability of chondrogenic cells to self-organize in cluster and produce extracellular matrix components. This composite hydrogel may be of relevance for the treatment of cartilage defects and will now be considered in a large animal model of articular cartilage defects.Copyright © 2017. Published by Elsevier Ltd.
[69]
Zhang W, Zhang Y N, Zhang A N, et al. Enzymatically crosslinked silk-nanosilicate reinforced hydrogel with dual-lineage bioactivity for osteochondral tissue engineering. Materials Science and Engineering C, Materials for Biological Applications, 2021, 127: 112215.
[70]
Nojoomi A, Tamjid E, Simchi A, et al. Injectable polyethylene glycol-laponite composite hydrogels as articular cartilage scaffolds with superior mechanical and rheological properties. International Journal of Polymeric Materials and Polymeric Biomaterials, 2017, 66(3): 105-114.
[71]
Wu C J, Gaharwar A K, Chan B K, et al. Mechanically tough pluronic F127/laponite nanocomposite hydrogels from covalently and physically cross-linked networks. Macromolecules, 2011, 44(20): 8215-8224.
[72]
Kilian D, Cometta S, Bernhardt A, et al. Core-shell bioprinting as a strategy to apply differentiation factors in a spatially defined manner inside osteochondral tissue substitutes. Biofabrication, 2022, 14(6): 014108.
[73]
陈羽浓, 苏俭生. 层状纳米颗粒Laponite对成牙本质细胞矿化促进作用的研究. 牙体牙髓牙周病学杂志, 2018, 28(9): 497-503.
Chen Y N, Su J S. Experimental study on the biomineralization of odontoblast-lineage cells promoted by the nanoplatelet laponite. Chinese Journal of Conservative Dentistry, 2018, 28(9): 497-503.
[74]
Zhang R T, Xie L, Wu H, et al. Alginate/Laponite hydrogel microspheres co-encapsulating dental pulp stem cells and VEGF for endodontic regeneration. Acta Biomaterialia, 2020, 113: 305-316.
Considering the complicated and irregular anatomical structure of root canal systems, injectable microspheres have received considerable attention as cell carriers in endodontic regeneration. Herein, we developed injectable hybrid RGD-alginate/laponite (RGD-Alg/Lap) hydrogel microspheres, co-encapsulating human dental pulp stem cells (hDPSCs) and vascular endothelial growth factor (VEGF). These microspheres were prepared by the electrostatic microdroplet method with an average size of 350~450 μm. By adjusting the content of laponite, the rheological properties and the degradation rate of the microspheres in vitro could be conditioned. The release of VEGF from the RGD-Alg/0.5%Lap microspheres was in a sustained manner for 28 days while the bioactivity of VEGF was preserved. In addition, the encapsulated hDPSCs were evenly distributed in microspheres with a cell viability exceeding 85%. The deposition of abundant extracellular matrix such as fibronectin (FN) and collagen type I (Col-I) was shown in microspheres after 7 days. The laponite in the system significantly up-regulated the expression of odontogenic-related genes of hDPSCs at day 7. Furthermore, after subcutaneous implantation with tooth slices in a nude mouse model for 1 month, the hDPSCs-laden RGD-Alg/0.5%Lap+VEGF microspheres significantly promoted the regeneration of pulp-like tissues as well as the formation of new micro-vessels. These results demonstrated the great potential of laponite-enhanced hydrogel microspheres in vascularized dental pulp regeneration. STATEMENT OF SIGNIFICANCE: Injectable cell-laden microspheres have recently gained great attention in endodontic regeneration. Here we first developed hybrid alginate/laponite hydrogel microspheres (size about 350~450 μm) by electrostatic microdroplet method, which exhibited tunability in mechanical property and sustained release ability. The incorporation of laponite and the sustained release of VEGF supported not only dental pulp stem cells differentiation in vitro but neotissue regeneration in vivo. These features combined with the simplicity in preparation, made the microspheres ideally suited to simultaneous cells and growth factors delivery in dental pulp regeneration and even other tissue regeneration application.Copyright © 2020. Published by Elsevier Ltd.
[75]
Shang L L, Liu Z Q, Ma B J, et al. Dimethyloxallyl glycine/nanosilicates-loaded osteogenic/angiogenic difunctional fibrous structure for functional periodontal tissue regeneration. Bioactive Materials, 2021, 6(4): 1175-1188.
The coupled process of osteogenesis-angiogenesis plays a crucial role in periodontal tissue regeneration. Although various cytokines or chemokines have been widely applied in periodontal tissue engineering, most of them are macromolecular proteins with the drawbacks of short effective half-life, poor stability and high cost, which constrain their clinical translation. Our study aimed to develop a difunctional structure for periodontal tissue regeneration by incorporating an angiogenic small molecule, dimethyloxalylglycine (DMOG), and an osteoinductive inorganic nanomaterial, nanosilicate (nSi) into poly (lactic-co-glycolic acid) (PLGA) fibers by electrospinning. The physiochemical properties of DMOG/nSi-PLGA fibrous membranes were characterized. Thereafter, the effect of DMOG/nSi-PLGA membranes on periodontal tissue regeneration was evaluated by detecting osteogenic and angiogenic differentiation potential of periodontal ligament stem cells (PDLSCs). Additionally, the fibrous membranes were transplanted into rat periodontal defects, and tissue regeneration was assessed with histological evaluation, micro-computed tomography (micro-CT), and immunohistochemical analysis. DMOG/nSi-PLGA membranes possessed preferable mechanical property and biocompatibility. PDLSCs seeded on the DMOG/nSi-PLGA membranes showed up-regulated expression of osteogenic and angiogenic markers, higher alkaline phosphatase (ALP) activity, and more tube formation in comparison with single application. Further, study showed that the DMOG/nSi-PLGA membranes promoted recruitment of CD90+/CD34- stromal cells, induced angiogenesis and osteogenesis, and regenerated cementum-ligament-bone complex in periodontal defects. Consequently, the combination of DMOG and nSi exerted admirable effects on periodontal tissue regeneration. DMOG/nSi-PLGA fibrous membranes could enhance and orchestrate osteogenesis-angiogenesis, and may have the potential to be translated as an effective scaffold in periodontal tissue engineering.© 2020 [The Author/The Authors].
[76]
Liu Z Q, Shang L L, Ge S H. Immunomodulatory effect of dimethyloxallyl glycine/nanosilicates-loaded fibrous structure on periodontal bone remodeling. Journal of Dental Sciences, 2021, 16(3): 937-947.

基金

*国家自然科学基金(81870766)
福建省科技创新联合资金(2020Y9032)
福建省医学创新课题资助项目(2020CXA048)

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