Bioinspired drug-delivery system emulating the natural bone healing cascade for diabetic periodontal bone regeneration

Diabetes mellitus (DM) aggravates periodontitis, resulting in accelerated periodontal bone resorption. Disordered glucose metabolism in DM causes reactive oxygen species (ROS) overproduction resulting in compromised bone healing, which makes diabetic periodontal bone regeneration a major challenge....

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Main Authors: He Wang, Xiaowei Chang, Qian Ma, Boyang Sun, Han Li, Jinmin Zhou, Yiyao Hu, Xiaoyu Yang, Jie Li, Xin Chen, Jinlin Song
Format: Article
Language:English
Published: KeAi Communications Co., Ltd. 2023-03-01
Series:Bioactive Materials
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2452199X22003735
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author He Wang
Xiaowei Chang
Qian Ma
Boyang Sun
Han Li
Jinmin Zhou
Yiyao Hu
Xiaoyu Yang
Jie Li
Xin Chen
Jinlin Song
author_facet He Wang
Xiaowei Chang
Qian Ma
Boyang Sun
Han Li
Jinmin Zhou
Yiyao Hu
Xiaoyu Yang
Jie Li
Xin Chen
Jinlin Song
author_sort He Wang
collection DOAJ
description Diabetes mellitus (DM) aggravates periodontitis, resulting in accelerated periodontal bone resorption. Disordered glucose metabolism in DM causes reactive oxygen species (ROS) overproduction resulting in compromised bone healing, which makes diabetic periodontal bone regeneration a major challenge. Inspired by the natural bone healing cascade, a mesoporous silica nanoparticle (MSN)-incorporated PDLLA (poly(dl-lactide))-PEG-PDLLA (PPP) thermosensitive hydrogel with stepwise cargo release is designed to emulate the mesenchymal stem cell “recruitment-osteogenesis” cascade for diabetic periodontal bone regeneration. During therapy, SDF-1 quickly escapes from the hydrogel due to diffusion for early rat bone marrow stem cell (rBMSC) recruitment. Simultaneously, slow degradation of the hydrogel starts to gradually expose the MSNs for sustained release of metformin, which can scavenge the overproduced ROS under high glucose conditions to reverse the inhibited osteogenesis of rBMSCs by reactivating the AMPK/β-catenin pathway, resulting in regulation of the diabetic microenvironment and facilitation of osteogenesis. In vitro experiments indicate that the hydrogel markedly restores the inhibited migration and osteogenic capacities of rBMSCs under high glucose conditions. In vivo results suggest that it can effectively recruit rBMSCs to the periodontal defect and significantly promote periodontal bone regeneration under type 2 DM. In conclusion, our work provides a novel therapeutic strategy of a bioinspired drug-delivery system emulating the natural bone healing cascade for diabetic periodontal bone regeneration.
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spelling doaj.art-4b866091ed7444338919562134b280942024-04-16T22:18:19ZengKeAi Communications Co., Ltd.Bioactive Materials2452-199X2023-03-0121324339Bioinspired drug-delivery system emulating the natural bone healing cascade for diabetic periodontal bone regenerationHe Wang0Xiaowei Chang1Qian Ma2Boyang Sun3Han Li4Jinmin Zhou5Yiyao Hu6Xiaoyu Yang7Jie Li8Xin Chen9Jinlin Song10Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, College of Stomatology of Chongqing Medical University, Chongqing, 401147, ChinaDepartment of Chemical Engineering, Shaanxi Key Laboratory of Energy Chemical Process Intensification, Institute of Polymer Science in Chemical Engineering, School of Chemical Engineering and Technology, Xi′an Jiaotong University, Xi′an, 710049, ChinaChongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, College of Stomatology of Chongqing Medical University, Chongqing, 401147, ChinaChongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, College of Stomatology of Chongqing Medical University, Chongqing, 401147, ChinaChongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, College of Stomatology of Chongqing Medical University, Chongqing, 401147, ChinaChongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, College of Stomatology of Chongqing Medical University, Chongqing, 401147, ChinaChongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, College of Stomatology of Chongqing Medical University, Chongqing, 401147, ChinaChongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, College of Stomatology of Chongqing Medical University, Chongqing, 401147, ChinaChongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, College of Stomatology of Chongqing Medical University, Chongqing, 401147, China; Corresponding author.Department of Chemical Engineering, Shaanxi Key Laboratory of Energy Chemical Process Intensification, Institute of Polymer Science in Chemical Engineering, School of Chemical Engineering and Technology, Xi′an Jiaotong University, Xi′an, 710049, China; Corresponding author.Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, College of Stomatology of Chongqing Medical University, Chongqing, 401147, China; Corresponding author.Diabetes mellitus (DM) aggravates periodontitis, resulting in accelerated periodontal bone resorption. Disordered glucose metabolism in DM causes reactive oxygen species (ROS) overproduction resulting in compromised bone healing, which makes diabetic periodontal bone regeneration a major challenge. Inspired by the natural bone healing cascade, a mesoporous silica nanoparticle (MSN)-incorporated PDLLA (poly(dl-lactide))-PEG-PDLLA (PPP) thermosensitive hydrogel with stepwise cargo release is designed to emulate the mesenchymal stem cell “recruitment-osteogenesis” cascade for diabetic periodontal bone regeneration. During therapy, SDF-1 quickly escapes from the hydrogel due to diffusion for early rat bone marrow stem cell (rBMSC) recruitment. Simultaneously, slow degradation of the hydrogel starts to gradually expose the MSNs for sustained release of metformin, which can scavenge the overproduced ROS under high glucose conditions to reverse the inhibited osteogenesis of rBMSCs by reactivating the AMPK/β-catenin pathway, resulting in regulation of the diabetic microenvironment and facilitation of osteogenesis. In vitro experiments indicate that the hydrogel markedly restores the inhibited migration and osteogenic capacities of rBMSCs under high glucose conditions. In vivo results suggest that it can effectively recruit rBMSCs to the periodontal defect and significantly promote periodontal bone regeneration under type 2 DM. In conclusion, our work provides a novel therapeutic strategy of a bioinspired drug-delivery system emulating the natural bone healing cascade for diabetic periodontal bone regeneration.http://www.sciencedirect.com/science/article/pii/S2452199X22003735Periodontal bone regenerationDiabetes mellitusBioinspiredHydrogelDrug delivery
spellingShingle He Wang
Xiaowei Chang
Qian Ma
Boyang Sun
Han Li
Jinmin Zhou
Yiyao Hu
Xiaoyu Yang
Jie Li
Xin Chen
Jinlin Song
Bioinspired drug-delivery system emulating the natural bone healing cascade for diabetic periodontal bone regeneration
Bioactive Materials
Periodontal bone regeneration
Diabetes mellitus
Bioinspired
Hydrogel
Drug delivery
title Bioinspired drug-delivery system emulating the natural bone healing cascade for diabetic periodontal bone regeneration
title_full Bioinspired drug-delivery system emulating the natural bone healing cascade for diabetic periodontal bone regeneration
title_fullStr Bioinspired drug-delivery system emulating the natural bone healing cascade for diabetic periodontal bone regeneration
title_full_unstemmed Bioinspired drug-delivery system emulating the natural bone healing cascade for diabetic periodontal bone regeneration
title_short Bioinspired drug-delivery system emulating the natural bone healing cascade for diabetic periodontal bone regeneration
title_sort bioinspired drug delivery system emulating the natural bone healing cascade for diabetic periodontal bone regeneration
topic Periodontal bone regeneration
Diabetes mellitus
Bioinspired
Hydrogel
Drug delivery
url http://www.sciencedirect.com/science/article/pii/S2452199X22003735
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