High strength HA-PEG/NAGA-Gelma double network hydrogel for annulus fibrosus rupture repair

The low back pain (LBP) caused by intervertebral disc (IVD) herniation and degeneration bring huge physical and economic burden to individuals and families. Since current clinical treatment methods could not change the degeneration process of the intervertebral disc, annulus fibrosus (AF) repair as...

Full description

Bibliographic Details
Main Authors: Yichen Zhang, Huichang Gao, Huitong Luo, Dafu Chen, Zhiyu Zhou, Xiaodong Cao
Format: Article
Language:English
Published: KeAi Communications Co., Ltd. 2022-01-01
Series:Smart Materials in Medicine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2590183421000508
_version_ 1811173317588025344
author Yichen Zhang
Huichang Gao
Huitong Luo
Dafu Chen
Zhiyu Zhou
Xiaodong Cao
author_facet Yichen Zhang
Huichang Gao
Huitong Luo
Dafu Chen
Zhiyu Zhou
Xiaodong Cao
author_sort Yichen Zhang
collection DOAJ
description The low back pain (LBP) caused by intervertebral disc (IVD) herniation and degeneration bring huge physical and economic burden to individuals and families. Since current clinical treatment methods could not change the degeneration process of the intervertebral disc, annulus fibrosus (AF) repair as a method to seal defects of the IVD and prevent reherniation after lumbar discectomy has attracted increasing interest. In this study, a porous HA-PEG/NAGA-GelMA double network hydrogel with the multiple hydrogen bonds was designed and prepared by a two-step method, in which the multiple hydrogen bonds produced by NAGA endowed excellent mechanical properties (compressive strength up to 1.19 ​MPa and compressive modulus up to 0.55 ​MPa) to resist the pressure from the AF and the hyaluronic acid provided good biological activity. In vitro cell experiment indicated that the double network hydrogel possessed good cytocompatibility and supported cell proliferation and penetration. In addition, further organ experiments also showed that the double network hydrogel could restore the disc height and mechanical function of the injured intervertebral disc, and display good integration with the host AF, showing a promising application in annulus fibrosus tissue repair after lumbar discectomy.
first_indexed 2024-04-10T17:45:59Z
format Article
id doaj.art-ef371afe601240cb946e4ac1d477cce4
institution Directory Open Access Journal
issn 2590-1834
language English
last_indexed 2024-04-10T17:45:59Z
publishDate 2022-01-01
publisher KeAi Communications Co., Ltd.
record_format Article
series Smart Materials in Medicine
spelling doaj.art-ef371afe601240cb946e4ac1d477cce42023-02-03T05:01:01ZengKeAi Communications Co., Ltd.Smart Materials in Medicine2590-18342022-01-013128138High strength HA-PEG/NAGA-Gelma double network hydrogel for annulus fibrosus rupture repairYichen Zhang0Huichang Gao1Huitong Luo2Dafu Chen3Zhiyu Zhou4Xiaodong Cao5School of Materials Science and Engineering, South China University of Technology, Guangzhou, 510641, PR China; National Engineering Research Centre for Tissue Restoration and Reconstruction, Guangzhou, 510006, PR ChinaSchool of Medicine, South China University of Technology, Guangzhou, 510006, PR China; National Engineering Research Centre for Tissue Restoration and Reconstruction, Guangzhou, 510006, PR ChinaSchool of Materials Science and Engineering, South China University of Technology, Guangzhou, 510641, PR China; National Engineering Research Centre for Tissue Restoration and Reconstruction, Guangzhou, 510006, PR ChinaLaboratory of Bone Tissue Engineering, Beijing Laboratory of Biomedical Materials, Beijing Research Institute of Orthopaedics and Traumatology, Beijing JiShuiTan Hospital, Beijing, 100035, PR ChinaInnovation Platform of Regeneration and Repair of Spinal Cord and Nerve Injury, Department of Orthopedic Surgery, The Seventh Affiliated Hospital of Sun Yat-sen University, Shenzhen, PR China; Guangdong Provincial Key Laboratory of Orthopedics and Traumatology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, PR ChinaSchool of Materials Science and Engineering, South China University of Technology, Guangzhou, 510641, PR China; National Engineering Research Centre for Tissue Restoration and Reconstruction, Guangzhou, 510006, PR China; Key Laboratory of Biomedical Engineering of Guangdong Province, South China University of Technology, Guangzhou, 510006, PR China; Key Laboratory of Biomedical Materials and Engineering of the Ministry of Education, South China University of Technology, Guangzhou, 510006, PR China; Corresponding author. School of Materials Science and Engineering, South China University of Technology, Guangzhou, 510641, PR China.The low back pain (LBP) caused by intervertebral disc (IVD) herniation and degeneration bring huge physical and economic burden to individuals and families. Since current clinical treatment methods could not change the degeneration process of the intervertebral disc, annulus fibrosus (AF) repair as a method to seal defects of the IVD and prevent reherniation after lumbar discectomy has attracted increasing interest. In this study, a porous HA-PEG/NAGA-GelMA double network hydrogel with the multiple hydrogen bonds was designed and prepared by a two-step method, in which the multiple hydrogen bonds produced by NAGA endowed excellent mechanical properties (compressive strength up to 1.19 ​MPa and compressive modulus up to 0.55 ​MPa) to resist the pressure from the AF and the hyaluronic acid provided good biological activity. In vitro cell experiment indicated that the double network hydrogel possessed good cytocompatibility and supported cell proliferation and penetration. In addition, further organ experiments also showed that the double network hydrogel could restore the disc height and mechanical function of the injured intervertebral disc, and display good integration with the host AF, showing a promising application in annulus fibrosus tissue repair after lumbar discectomy.http://www.sciencedirect.com/science/article/pii/S2590183421000508annulus fibrosus repairHyaluronic acidDouble network hydrogelSpine biomechanicsIntervertebral disc degeneration
spellingShingle Yichen Zhang
Huichang Gao
Huitong Luo
Dafu Chen
Zhiyu Zhou
Xiaodong Cao
High strength HA-PEG/NAGA-Gelma double network hydrogel for annulus fibrosus rupture repair
Smart Materials in Medicine
annulus fibrosus repair
Hyaluronic acid
Double network hydrogel
Spine biomechanics
Intervertebral disc degeneration
title High strength HA-PEG/NAGA-Gelma double network hydrogel for annulus fibrosus rupture repair
title_full High strength HA-PEG/NAGA-Gelma double network hydrogel for annulus fibrosus rupture repair
title_fullStr High strength HA-PEG/NAGA-Gelma double network hydrogel for annulus fibrosus rupture repair
title_full_unstemmed High strength HA-PEG/NAGA-Gelma double network hydrogel for annulus fibrosus rupture repair
title_short High strength HA-PEG/NAGA-Gelma double network hydrogel for annulus fibrosus rupture repair
title_sort high strength ha peg naga gelma double network hydrogel for annulus fibrosus rupture repair
topic annulus fibrosus repair
Hyaluronic acid
Double network hydrogel
Spine biomechanics
Intervertebral disc degeneration
url http://www.sciencedirect.com/science/article/pii/S2590183421000508
work_keys_str_mv AT yichenzhang highstrengthhapegnagagelmadoublenetworkhydrogelforannulusfibrosusrupturerepair
AT huichanggao highstrengthhapegnagagelmadoublenetworkhydrogelforannulusfibrosusrupturerepair
AT huitongluo highstrengthhapegnagagelmadoublenetworkhydrogelforannulusfibrosusrupturerepair
AT dafuchen highstrengthhapegnagagelmadoublenetworkhydrogelforannulusfibrosusrupturerepair
AT zhiyuzhou highstrengthhapegnagagelmadoublenetworkhydrogelforannulusfibrosusrupturerepair
AT xiaodongcao highstrengthhapegnagagelmadoublenetworkhydrogelforannulusfibrosusrupturerepair