Phytomolecule icaritin incorporated PLGA/TCP scaffold for steroid-associated osteonecrosis : Proof-of-concept for prevention of hip joint collapse in bipedal emus and mechanistic study in quadrupedal rabbits

Copyright © 2015 Elsevier Ltd. All rights reserved..

Steroid-associated osteonecrosis (SAON) may lead to joint collapse and subsequent joint replacement. Poly lactic-co-glycolic acid/tricalcium phosphate (P/T) scaffold providing sustained release of icaritin (a metabolite of Epimedium-derived flavonoids) was investigated as a bone defect filler after surgical core-decompression (CD) to prevent femoral head collapse in a bipedal SAON animal model using emu (a large flightless bird). The underlying mechanism on SAON was evaluated using a well-established quadrupedal rabbit model. Fifteen emus were established with SAON, and CD was performed along the femoral neck for the efficacy study. In this CD bone defect, a P/T scaffold with icaritin (P/T/I group) or without icaritin (P/T group) was implanted while no scaffold implantation was used as a control. For the mechanistic study in rabbits, the effects of icaritin and composite scaffolds on bone mesenchymal stem cells (BMSCs) recruitment, osteogenesis, and anti-adipogenesis were evaluated. Our efficacy study showed that P/T/I group had the significantly lowest incidence of femoral head collapse, better preserved cartilage and mechanical properties supported by more new bone formation within the bone tunnel. For the mechanistic study, our in vitro tests suggested that icaritin enhanced the expression of osteogenesis related genes COL1α, osteocalcin, RUNX2, and BMP-2 while inhibited adipogenesis related genes C/EBP-ß, PPAR-γ, and aP2 of rabbit BMSCs. Both P/T and P/T/I scaffolds were demonstrated to recruit BMSCs both in vitro and in vivo but a higher expression of migration related gene VCAM1 was only found in P/T/I group in vitro. In conclusion, both efficacy and mechanistic studies show the potential of a bioactive composite porous P/T scaffold incorporating icaritin to enhance bone defect repair after surgical CD and prevent femoral head collapse in a bipedal SAON emu model.

Medienart:

E-Artikel

Erscheinungsjahr:

2015

Erschienen:

2015

Enthalten in:

Zur Gesamtaufnahme - volume:59

Enthalten in:

Biomaterials - 59(2015) vom: 14. Aug., Seite 125-43

Sprache:

Englisch

Beteiligte Personen:

Qin, Ling [VerfasserIn]
Yao, Dong [VerfasserIn]
Zheng, Lizhen [VerfasserIn]
Liu, Wai-Ching [VerfasserIn]
Liu, Zhong [VerfasserIn]
Lei, Ming [VerfasserIn]
Huang, Le [VerfasserIn]
Xie, Xinhui [VerfasserIn]
Wang, Xinluan [VerfasserIn]
Chen, Yang [VerfasserIn]
Yao, Xinsheng [VerfasserIn]
Peng, Jiang [VerfasserIn]
Gong, He [VerfasserIn]
Griffith, James F [VerfasserIn]
Huang, Yanping [VerfasserIn]
Zheng, Yongping [VerfasserIn]
Feng, Jian Q [VerfasserIn]
Liu, Ying [VerfasserIn]
Chen, Shihui [VerfasserIn]
Xiao, Deming [VerfasserIn]
Wang, Daping [VerfasserIn]
Xiong, Jiangyi [VerfasserIn]
Pei, Duanqing [VerfasserIn]
Zhang, Peng [VerfasserIn]
Pan, Xiaohua [VerfasserIn]
Wang, Xiaohong [VerfasserIn]
Lee, Kwong-Man [VerfasserIn]
Cheng, Chun-Yiu [VerfasserIn]

Links:

Volltext

Themen:

1SIA8062RS
26009-03-0
33X04XA5AT
Bioactive composite porous scaffold
Bipedal emus
Flavonoids
Hip collapse
Icaritin
Journal Article
Lactic Acid
Phytomolecule icaritin
Polyglycolic Acid
Polylactic Acid-Polyglycolic Acid Copolymer
Research Support, Non-U.S. Gov't
Steroid-associated osteonecrosis
Steroids
UFE666UELY

Anmerkungen:

Date Completed 26.02.2016

Date Revised 31.03.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.biomaterials.2015.04.038

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM248957007