Table 1. Survey of the in vitro and in vivo studies about embroidered and surface modified PCL scaffolds as bioartificial bone substitute.
Study | Study design | Methods | Main results | Reference |
---|---|---|---|---|
In vitro studies |
Material: non-coated, NaOH treated, Coll I and Coll I/CS coated PCL scaffolds Scaffold design: round, 1 mm thick, 14 mm outer and 4 mm inner diameter or 19 mm outer and 10 mm inner diameter Cells: MSC Analysis: - Scaffold properties (structure, porosity, pore size), - Adherence, proliferation and differentiation of MSC |
- Micro computered tomography, - Scanning electron microscopy, - Contact angle measurement, - Quantification of CS and Coll I (toluidine blue and sirius red), - Measurement of lactate dehydrogenase and alkaline phosphatase, - Calcium measurement (o-cresolphthalein complexone) and histology (von Kossa), - Reverse transcriptase polymerase chain reaction (alkaline phosphatase, bone sialoprotein) |
- Adequate porosity and pore size - Coll I enhanced cell attachment and proliferation - Coll I/CS induced osteogenic differentiation of MSC without differentiation additives |
7, 8, 9 |
In vivo study, orthotopic (femur), immunodeficient nude rat |
Material/groups: non-coated, Coll I and Coll I/CS coated and Coll I/CS coated/hMSC seeded PCL scaffolds, 5 animals per group Scaffold design: round, 0.5 mm thick, 5 mm diameter, stack of 10 scaffolds per defect Cells: hMSC undifferentiated Animal model: 5 mm critical size defect, duration12 weeks |
- Radiography, computered tomography and final bone volume quantification - Histology/immunohistology: estimation of new bone formation (trichrome masson-goldner, osteopontin, osteonectin, collagen II), quantification of vessel formation (smooth muscle actin), cells survival (human nuclei), quantification of matrix deposition (histomorphometry) |
- Coll I coating acts as matrix for cell adhesion and proliferation - Coll I/CS coating allowed recruiting of cells, osteogenic stimulation and induction of new bone formation - Additional cell seeding showed higher matrix accumulation and vascularization, but could not clearly improve new bone formation |
10 |
Pilot in vivo study, orthotopic (tibia), sheep |
Material/groups: Coll I/CS coated PCL, scaffolds, 5 animals per group and time point Scaffold design: 1 mm thick, 19 mm outer, 10 mm inner diameter, stack of 30 scaffolds Animal model: 3 cm critical size defect, duration12 and 48 weeks |
- Radiography, computered tomography, micro computered tomography, - Bone volume quantification - Histology (trichrome masson-goldner), - Biomechanics |
- Appropriate network of pores to permit a complete vascularization and bone tissue formation - New bone formation at the proximal and distal tibia fragments increasing over time - Bridging the defect up to defect healing in 50 % of the animals |
Polycaprolactone-co-lactide (trade name: PCL, Catgut GmbH), Collagen I (Coll I), chondroitin sulfate A (CS), mesenchymal stem cells (hMSC).