Restoration of electrical microenvironment enhances bone regeneration under diabetic conditions by modulating macrophage polarization

Macrophage-mediated inflammation compromises bone repair in diabetic patients. Electrical signaling cues are known to regulate macrophage functions. However, the biological effects of electrical microenvironment from charged biomaterials on the immune response for regulating osteogenesis under diabe...

Full description

Bibliographic Details
Main Authors: Xiaohan Dai, Boon Chin Heng, Yunyang Bai, Fuping You, Xiaowen Sun, Yiping Li, Zhangui Tang, Mingming Xu, Xuehui Zhang, Xuliang Deng
Format: Article
Language:English
Published: KeAi Communications Co., Ltd. 2021-07-01
Series:Bioactive Materials
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2452199X20303455
_version_ 1797203305043066880
author Xiaohan Dai
Boon Chin Heng
Yunyang Bai
Fuping You
Xiaowen Sun
Yiping Li
Zhangui Tang
Mingming Xu
Xuehui Zhang
Xuliang Deng
author_facet Xiaohan Dai
Boon Chin Heng
Yunyang Bai
Fuping You
Xiaowen Sun
Yiping Li
Zhangui Tang
Mingming Xu
Xuehui Zhang
Xuliang Deng
author_sort Xiaohan Dai
collection DOAJ
description Macrophage-mediated inflammation compromises bone repair in diabetic patients. Electrical signaling cues are known to regulate macrophage functions. However, the biological effects of electrical microenvironment from charged biomaterials on the immune response for regulating osteogenesis under diabetic conditions remain to be elucidated. Herein the endogeneous electrical microenvironment of native bone tissue was recapitulated by fabricating a ferroelectric BaTiO3/poly (vinylidene fluoridetrifluoroethylene) (BTO/P(VDF-TrFE)) nanocomposite membrane. In vitro, the polarized BaTiO3/poly (vinylidene fluoridetrifluoroethylene) (BTO/P(VDF-TrFE)) nanocomposite membranes inhibited high glucose-induced M1-type inflammation, by effecting changes in cell morphology, M1 marker expression and pro-inflammatory cytokine secretion in macrophages. This led to enhanced osteogenic differentiation of human bone marrow mesenchymal stem cells (BM-MSCs). In vivo, the biomimetic electrical microenvironment recapitulated by the polarized nanocomposite membranes switched macrophage phenotype from the pro-inflammatory (M1) into the pro-healing (M2) phenotype, which in turn enhanced bone regeneration in rats with type 2 diabetes mellitus. Mechanistic studies revealed that the biomimetic electrical microenvironment attenuated pro-inflammatory M1 macrophage polarization under hyperglycemic conditions by suppressing expression of AKT2 and IRF5 within the PI3K-AKT signaling pathway, thereby inducing favorable osteo-immunomodulatory effects. Our study thus provides fundamental insights into the biological effects of restoring the electrical microenvironment conducive for osteogenesis under DM conditions, and offers an effective strategy to design functionalized biomaterials for bone regeneration therapy in diabetic patients.
first_indexed 2024-04-24T08:17:13Z
format Article
id doaj.art-7db8e6cf696d447a83d66335cab665a6
institution Directory Open Access Journal
issn 2452-199X
language English
last_indexed 2024-04-24T08:17:13Z
publishDate 2021-07-01
publisher KeAi Communications Co., Ltd.
record_format Article
series Bioactive Materials
spelling doaj.art-7db8e6cf696d447a83d66335cab665a62024-04-17T03:06:46ZengKeAi Communications Co., Ltd.Bioactive Materials2452-199X2021-07-016720292038Restoration of electrical microenvironment enhances bone regeneration under diabetic conditions by modulating macrophage polarizationXiaohan Dai0Boon Chin Heng1Yunyang Bai2Fuping You3Xiaowen Sun4Yiping Li5Zhangui Tang6Mingming Xu7Xuehui Zhang8Xuliang Deng9Hunan Key Laboratory of Oral Health Research & Hunan 3D Printing Engineering Research Center of Oral Care & Hunan Clinical Research Center of Oral Major Diseases and Oral Health & Xiangya Stomatological Hospital & Xiangya School of Stomatology, Central South University, Changsha, 410008, PR China; Department of Dental Materials & Dental Medical Devices Testing Center, Peking University School and Hospital of Stomatology, Beijing, 100081, PR China; Department of Geriatric Dentistry, Peking University School and Hospital of Stomatology, Beijing, 100081, PR ChinaCentral Laboratory, Peking University School and Hospital of Stomatology, Beijing, 100081, PR ChinaDepartment of Geriatric Dentistry, Peking University School and Hospital of Stomatology, Beijing, 100081, PR ChinaInstitute of Systems Biomedicine, Department of Immunology, School of Basic Medical Sciences, Beijing Key Laboratory of Tumor Systems Biology, Peking University Health Science Center, Beijing, 100191, PR ChinaDepartment of Dental Materials & Dental Medical Devices Testing Center, Peking University School and Hospital of Stomatology, Beijing, 100081, PR ChinaHunan Key Laboratory of Oral Health Research & Hunan 3D Printing Engineering Research Center of Oral Care & Hunan Clinical Research Center of Oral Major Diseases and Oral Health & Xiangya Stomatological Hospital & Xiangya School of Stomatology, Central South University, Changsha, 410008, PR ChinaHunan Key Laboratory of Oral Health Research & Hunan 3D Printing Engineering Research Center of Oral Care & Hunan Clinical Research Center of Oral Major Diseases and Oral Health & Xiangya Stomatological Hospital & Xiangya School of Stomatology, Central South University, Changsha, 410008, PR ChinaDepartment of Geriatric Dentistry, Peking University School and Hospital of Stomatology, Beijing, 100081, PR China; Corresponding author. Department of Geriatric Dentistry, Peking University School and Hospital of Stomatology, Beijing, 100081, PR China.Department of Dental Materials & Dental Medical Devices Testing Center, Peking University School and Hospital of Stomatology, Beijing, 100081, PR China; National Engineering Laboratory for Digital and Material Technology of Stomatology, NMPA Key Laboratory for Dental Materials, Beijing Laboratory of Biomedical Materials & Beijing Key Laboratory of Digital Stomatology, Peking University School and Hospital of Stomatology, Beijing, 100081, PR China; Corresponding author. Department of Dental Materials & Dental Medical Devices Testing Center, Peking University School and Hospital of Stomatology, Beijing, 100081, PR China.Department of Geriatric Dentistry, Peking University School and Hospital of Stomatology, Beijing, 100081, PR China; National Engineering Laboratory for Digital and Material Technology of Stomatology, NMPA Key Laboratory for Dental Materials, Beijing Laboratory of Biomedical Materials & Beijing Key Laboratory of Digital Stomatology, Peking University School and Hospital of Stomatology, Beijing, 100081, PR China; Corresponding author. Department of Geriatric Dentistry, Peking University School and Hospital of Stomatology, Beijing, 100081, PR China.Macrophage-mediated inflammation compromises bone repair in diabetic patients. Electrical signaling cues are known to regulate macrophage functions. However, the biological effects of electrical microenvironment from charged biomaterials on the immune response for regulating osteogenesis under diabetic conditions remain to be elucidated. Herein the endogeneous electrical microenvironment of native bone tissue was recapitulated by fabricating a ferroelectric BaTiO3/poly (vinylidene fluoridetrifluoroethylene) (BTO/P(VDF-TrFE)) nanocomposite membrane. In vitro, the polarized BaTiO3/poly (vinylidene fluoridetrifluoroethylene) (BTO/P(VDF-TrFE)) nanocomposite membranes inhibited high glucose-induced M1-type inflammation, by effecting changes in cell morphology, M1 marker expression and pro-inflammatory cytokine secretion in macrophages. This led to enhanced osteogenic differentiation of human bone marrow mesenchymal stem cells (BM-MSCs). In vivo, the biomimetic electrical microenvironment recapitulated by the polarized nanocomposite membranes switched macrophage phenotype from the pro-inflammatory (M1) into the pro-healing (M2) phenotype, which in turn enhanced bone regeneration in rats with type 2 diabetes mellitus. Mechanistic studies revealed that the biomimetic electrical microenvironment attenuated pro-inflammatory M1 macrophage polarization under hyperglycemic conditions by suppressing expression of AKT2 and IRF5 within the PI3K-AKT signaling pathway, thereby inducing favorable osteo-immunomodulatory effects. Our study thus provides fundamental insights into the biological effects of restoring the electrical microenvironment conducive for osteogenesis under DM conditions, and offers an effective strategy to design functionalized biomaterials for bone regeneration therapy in diabetic patients.http://www.sciencedirect.com/science/article/pii/S2452199X20303455Electrical microenvironmentDiabetesFerroelectric nanocompositesBone regenerationMacrophage polarization
spellingShingle Xiaohan Dai
Boon Chin Heng
Yunyang Bai
Fuping You
Xiaowen Sun
Yiping Li
Zhangui Tang
Mingming Xu
Xuehui Zhang
Xuliang Deng
Restoration of electrical microenvironment enhances bone regeneration under diabetic conditions by modulating macrophage polarization
Bioactive Materials
Electrical microenvironment
Diabetes
Ferroelectric nanocomposites
Bone regeneration
Macrophage polarization
title Restoration of electrical microenvironment enhances bone regeneration under diabetic conditions by modulating macrophage polarization
title_full Restoration of electrical microenvironment enhances bone regeneration under diabetic conditions by modulating macrophage polarization
title_fullStr Restoration of electrical microenvironment enhances bone regeneration under diabetic conditions by modulating macrophage polarization
title_full_unstemmed Restoration of electrical microenvironment enhances bone regeneration under diabetic conditions by modulating macrophage polarization
title_short Restoration of electrical microenvironment enhances bone regeneration under diabetic conditions by modulating macrophage polarization
title_sort restoration of electrical microenvironment enhances bone regeneration under diabetic conditions by modulating macrophage polarization
topic Electrical microenvironment
Diabetes
Ferroelectric nanocomposites
Bone regeneration
Macrophage polarization
url http://www.sciencedirect.com/science/article/pii/S2452199X20303455
work_keys_str_mv AT xiaohandai restorationofelectricalmicroenvironmentenhancesboneregenerationunderdiabeticconditionsbymodulatingmacrophagepolarization
AT boonchinheng restorationofelectricalmicroenvironmentenhancesboneregenerationunderdiabeticconditionsbymodulatingmacrophagepolarization
AT yunyangbai restorationofelectricalmicroenvironmentenhancesboneregenerationunderdiabeticconditionsbymodulatingmacrophagepolarization
AT fupingyou restorationofelectricalmicroenvironmentenhancesboneregenerationunderdiabeticconditionsbymodulatingmacrophagepolarization
AT xiaowensun restorationofelectricalmicroenvironmentenhancesboneregenerationunderdiabeticconditionsbymodulatingmacrophagepolarization
AT yipingli restorationofelectricalmicroenvironmentenhancesboneregenerationunderdiabeticconditionsbymodulatingmacrophagepolarization
AT zhanguitang restorationofelectricalmicroenvironmentenhancesboneregenerationunderdiabeticconditionsbymodulatingmacrophagepolarization
AT mingmingxu restorationofelectricalmicroenvironmentenhancesboneregenerationunderdiabeticconditionsbymodulatingmacrophagepolarization
AT xuehuizhang restorationofelectricalmicroenvironmentenhancesboneregenerationunderdiabeticconditionsbymodulatingmacrophagepolarization
AT xuliangdeng restorationofelectricalmicroenvironmentenhancesboneregenerationunderdiabeticconditionsbymodulatingmacrophagepolarization