Bioactive graphene oxide-functionalized self-expandable hydrophilic and osteogenic nanocomposite for orthopaedic applications

Polymethyl methacrylate (PMMA) bone cement (PBC) is commonly used in orthopaedic surgery. However, polymerization volumetric shrinkage, exothermic injury, and low bioactivity prevent PBC from being an ideal material. The developed expandable P(MMA-AA-St) well overcomes the volumetric shrinkage of PB...

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Main Authors: Quan-Chang Tan, Xia-Shu Jiang, Lei Chen, Jin-Feng Huang, Qiu-Xia Zhou, Jing Wang, Yan Zhao, Bo Zhang, Ya-Ni Sun, Min Wei, Xiong Zhao, Zhao Yang, Wei Lei, Yu-Fei Tang, Zi-Xiang Wu
Format: Article
Language:English
Published: Elsevier 2023-02-01
Series:Materials Today Bio
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2590006422002988
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author Quan-Chang Tan
Xia-Shu Jiang
Lei Chen
Jin-Feng Huang
Qiu-Xia Zhou
Jing Wang
Yan Zhao
Bo Zhang
Ya-Ni Sun
Min Wei
Xiong Zhao
Zhao Yang
Wei Lei
Yu-Fei Tang
Zi-Xiang Wu
author_facet Quan-Chang Tan
Xia-Shu Jiang
Lei Chen
Jin-Feng Huang
Qiu-Xia Zhou
Jing Wang
Yan Zhao
Bo Zhang
Ya-Ni Sun
Min Wei
Xiong Zhao
Zhao Yang
Wei Lei
Yu-Fei Tang
Zi-Xiang Wu
author_sort Quan-Chang Tan
collection DOAJ
description Polymethyl methacrylate (PMMA) bone cement (PBC) is commonly used in orthopaedic surgery. However, polymerization volumetric shrinkage, exothermic injury, and low bioactivity prevent PBC from being an ideal material. The developed expandable P(MMA-AA-St) well overcomes the volumetric shrinkage of PBC. However, its biomechanical properties are unsatisfactory. Herein, graphene oxide (GO), a hydrophilic material with favourable biomechanics and osteogenic capability, was added to P(MMA-AA-St) to optimize its biomechanics and bioactivity. The GO-modified self-expandable P(MMA-AA-St)-GO nanocomposite (PGBCs) exhibited outstanding compressive strength (>70 ​MPa), water absorption, and volume expansion, as well as a longer handling time and a reduced setting temperature. The cytocompatibility of PGBCs was superior to that of PBC, as demonstrated by CCK-8 assay, live-dead cell staining, and flow cytometry. In addition, better osteoblast attachment was observed, which could be attributed to the effects of GO. The improved level of osteogenic gene and protein expression further illustrated the improved cell-material interactions between osteoblasts and PGBCs. The results of an in vivo study performed by filling bone defects in the femoral condyles of rabbits with PGBCs demonstrated promising intraoperative handling properties and convenient implantation. Blood testing and histological staining demonstrated satisfactory in vivo biosafety. Furthermore, bone morphological and microarchitecture analyses using bone tissue staining and micro-CT scanning revealed better bone-PGBCs contact and osteogenic capability. The results of this study indicate that GO modification improved the physiochemical properties, cytocompatibility, and osteogenic capability of P(MMA-AA-St) and overcame the drawbacks of PBC, allowing its material derivatives to serve as effective implantable biomaterials.
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spelling doaj.art-3fd893ec82c14b749ec162d84ddb625d2023-02-01T04:27:16ZengElsevierMaterials Today Bio2590-00642023-02-0118100500Bioactive graphene oxide-functionalized self-expandable hydrophilic and osteogenic nanocomposite for orthopaedic applicationsQuan-Chang Tan0Xia-Shu Jiang1Lei Chen2Jin-Feng Huang3Qiu-Xia Zhou4Jing Wang5Yan Zhao6Bo Zhang7Ya-Ni Sun8Min Wei9Xiong Zhao10Zhao Yang11Wei Lei12Yu-Fei Tang13Zi-Xiang Wu14Department of Orthopaedics, Xijing Hospital, The Air Force Medical University, Changlexi Road No. 127, Xi'an, Shaanxi Province, PR China; Department of Orthopaedics, Air Force Hospital of Eastern Theater Command, Malujie Road No. 1, Nanjing, Jiangsu Province, PR ChinaSchool of Materials Science and Engineering, The Xi'an University of Technology, No. 5 Jinhua South Road, Xi'an, Shaanxi Province, PR ChinaSchool of Materials Science and Engineering, The Xi'an University of Technology, No. 5 Jinhua South Road, Xi'an, Shaanxi Province, PR ChinaDepartment of Orthopaedics, Xijing Hospital, The Air Force Medical University, Changlexi Road No. 127, Xi'an, Shaanxi Province, PR ChinaSchool of Materials Science and Engineering, The Xi'an University of Technology, No. 5 Jinhua South Road, Xi'an, Shaanxi Province, PR ChinaDepartment of Orthopaedics, Xijing Hospital, The Air Force Medical University, Changlexi Road No. 127, Xi'an, Shaanxi Province, PR ChinaDepartment of Orthopaedics, Xijing Hospital, The Air Force Medical University, Changlexi Road No. 127, Xi'an, Shaanxi Province, PR ChinaSchool of Materials Science and Engineering, The Xi'an University of Technology, No. 5 Jinhua South Road, Xi'an, Shaanxi Province, PR ChinaSchool of Materials Science and Engineering, The Xi'an University of Technology, No. 5 Jinhua South Road, Xi'an, Shaanxi Province, PR ChinaSchool of Materials Science and Engineering, The Xi'an University of Technology, No. 5 Jinhua South Road, Xi'an, Shaanxi Province, PR ChinaDepartment of Orthopaedics, Xijing Hospital, The Air Force Medical University, Changlexi Road No. 127, Xi'an, Shaanxi Province, PR ChinaDepartment of Orthopaedics, Xijing Hospital, The Air Force Medical University, Changlexi Road No. 127, Xi'an, Shaanxi Province, PR ChinaDepartment of Orthopaedics, Xijing Hospital, The Air Force Medical University, Changlexi Road No. 127, Xi'an, Shaanxi Province, PR China; Corresponding author. Department of Orthopaedics, Xijing Hospital, No. 127 Changlexi Road, Xi'an Shaanxi Province, 710032, PR China.School of Materials Science and Engineering, The Xi'an University of Technology, No. 5 Jinhua South Road, Xi'an, Shaanxi Province, PR China; Corresponding author. School of Materials Science and Engineering, Xi'an University of Technology, No. 5 Jinhua South Road, Xi'an, Shaanxi Province, 710048, PR China.Department of Orthopaedics, Xijing Hospital, The Air Force Medical University, Changlexi Road No. 127, Xi'an, Shaanxi Province, PR China; Corresponding author. Department of Orthopaedics, Xijing Hospital, No. 127 Changlexi Road, Xi'an, Shaanxi Province, 710032, PR China.Polymethyl methacrylate (PMMA) bone cement (PBC) is commonly used in orthopaedic surgery. However, polymerization volumetric shrinkage, exothermic injury, and low bioactivity prevent PBC from being an ideal material. The developed expandable P(MMA-AA-St) well overcomes the volumetric shrinkage of PBC. However, its biomechanical properties are unsatisfactory. Herein, graphene oxide (GO), a hydrophilic material with favourable biomechanics and osteogenic capability, was added to P(MMA-AA-St) to optimize its biomechanics and bioactivity. The GO-modified self-expandable P(MMA-AA-St)-GO nanocomposite (PGBCs) exhibited outstanding compressive strength (>70 ​MPa), water absorption, and volume expansion, as well as a longer handling time and a reduced setting temperature. The cytocompatibility of PGBCs was superior to that of PBC, as demonstrated by CCK-8 assay, live-dead cell staining, and flow cytometry. In addition, better osteoblast attachment was observed, which could be attributed to the effects of GO. The improved level of osteogenic gene and protein expression further illustrated the improved cell-material interactions between osteoblasts and PGBCs. The results of an in vivo study performed by filling bone defects in the femoral condyles of rabbits with PGBCs demonstrated promising intraoperative handling properties and convenient implantation. Blood testing and histological staining demonstrated satisfactory in vivo biosafety. Furthermore, bone morphological and microarchitecture analyses using bone tissue staining and micro-CT scanning revealed better bone-PGBCs contact and osteogenic capability. The results of this study indicate that GO modification improved the physiochemical properties, cytocompatibility, and osteogenic capability of P(MMA-AA-St) and overcame the drawbacks of PBC, allowing its material derivatives to serve as effective implantable biomaterials.http://www.sciencedirect.com/science/article/pii/S2590006422002988Expandable materialGraphene oxideWater absorptionBiomechanicsOsteointegration
spellingShingle Quan-Chang Tan
Xia-Shu Jiang
Lei Chen
Jin-Feng Huang
Qiu-Xia Zhou
Jing Wang
Yan Zhao
Bo Zhang
Ya-Ni Sun
Min Wei
Xiong Zhao
Zhao Yang
Wei Lei
Yu-Fei Tang
Zi-Xiang Wu
Bioactive graphene oxide-functionalized self-expandable hydrophilic and osteogenic nanocomposite for orthopaedic applications
Materials Today Bio
Expandable material
Graphene oxide
Water absorption
Biomechanics
Osteointegration
title Bioactive graphene oxide-functionalized self-expandable hydrophilic and osteogenic nanocomposite for orthopaedic applications
title_full Bioactive graphene oxide-functionalized self-expandable hydrophilic and osteogenic nanocomposite for orthopaedic applications
title_fullStr Bioactive graphene oxide-functionalized self-expandable hydrophilic and osteogenic nanocomposite for orthopaedic applications
title_full_unstemmed Bioactive graphene oxide-functionalized self-expandable hydrophilic and osteogenic nanocomposite for orthopaedic applications
title_short Bioactive graphene oxide-functionalized self-expandable hydrophilic and osteogenic nanocomposite for orthopaedic applications
title_sort bioactive graphene oxide functionalized self expandable hydrophilic and osteogenic nanocomposite for orthopaedic applications
topic Expandable material
Graphene oxide
Water absorption
Biomechanics
Osteointegration
url http://www.sciencedirect.com/science/article/pii/S2590006422002988
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