Synergistically enhanced osteoconductivity and anti-inflammation of PLGA/β-TCP/Mg(OH)2 composite for orthopedic applications

Mater Sci Eng C Mater Biol Appl. 2019 Jan 1:94:65-75. doi: 10.1016/j.msec.2018.09.011. Epub 2018 Sep 6.

Abstract

Synthetic biodegradable polymers including poly(lactide-co-glycolide) (PLGA) have been widely used as alternatives to metallic implantable materials in the orthopedic field due to their superior biocompatibility and biodegradability. However, weak mechanical properties of the biodegradable polymers and inflammatory reaction caused by the acidic degradation products have limited their biomedical applications. In this study, we have developed a PLGA composite containing beta-tricalcium phosphate (β-TCP) and magnesium hydroxide (Mg(OH)2) as additives to improve mechanical, osteoconductivity, and anti-inflammation property of the biopolymer composite simultaneously. The β-TCP has an osteoconductive effect and the Mg(OH)2 has a pH neutralizing effect. The PLGA/inorganic composites were uniformly blended via a twin extrusion process. The mechanical property of the PLGA/β-TCP/Mg(OH)2 composite was improved compared to the pure PLGA. In particular, the addition of Mg(OH)2 suppressed the inflammatory reaction of normal human osteoblast (NHOst) cells and also inhibited the differentiation of pre-osteoclastic cells into osteoclasts. Moreover, synergistically upregulated late osteogenic differentiation of NHOst cells was observed on the PLGA/β-TCP/Mg(OH)2 composite. Taken all together, we believe that the use of β-TCP and Mg(OH)2 as additives with synthetic biodegradable polymers has great potential by the synergistic effect in orthopedic applications.

Keywords: Anti-inflammation; Beta-tricalcium phosphate (β-TCP); Magnesium hydroxide (Mg(OH)(2)); Osteoconduction; Poly(lactic-co-glycolide) (PLGA).

MeSH terms

  • Animals
  • Anti-Inflammatory Agents / pharmacology*
  • Bone Regeneration / drug effects*
  • Calcium Phosphates / chemistry*
  • Cell Differentiation / drug effects
  • Cell Survival / drug effects
  • Humans
  • Hydrogen-Ion Concentration
  • Magnesium Hydroxide / chemistry*
  • Mice
  • Orthopedics*
  • Osteoblasts / cytology
  • Osteoblasts / drug effects
  • Osteogenesis / drug effects
  • Polylactic Acid-Polyglycolic Acid Copolymer / chemistry*
  • RAW 264.7 Cells
  • Surface Properties
  • Temperature

Substances

  • Anti-Inflammatory Agents
  • Calcium Phosphates
  • beta-tricalcium phosphate
  • Polylactic Acid-Polyglycolic Acid Copolymer
  • Magnesium Hydroxide