Substitutions of strontium in bioactive calcium silicate bone cements stimulate osteogenic differentiation in human mese
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B I O M A T E R I A L S S Y N T H E S I S A N D CH A R A C T E R I Z A T I O N Original Research
Substitutions of strontium in bioactive calcium silicate bone cements stimulate osteogenic differentiation in human mesenchymal stem cells Tsui-Hsien Huang1,2 Chia-Tze Kao1,2 Yu-Fang Shen3,4 Yi-Ting Lin1 Yen-Ting Liu5 Ssu-Yin Yen6 Chia-Che Ho ●
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Received: 23 October 2018 / Accepted: 27 May 2019 / Published online: 4 June 2019 © Springer Science+Business Media, LLC, part of Springer Nature 2019
Abstract Calcium silicate cements have been considered as alternative bone substitutes owing to its extraordinary bioactivity and osteogenicity. Unfortunately, the major disadvantage of the cements was the slow degradation rate which may limit the efficiency of bone regeneration. In this study, we proposed a facile method to synthesize degradable calcium silicate cements by incorporating strontium into the cements through solid-state sintering. The effects of Sr incorporation on physicochemical and biological properties of the cements were evaluated. Although, our findings revealed that the incorporation of strontium retarded the hardening reaction of the cements, the setting time of different cements (11–19 min) were in the acceptable range for clinical use. The presence of Sr in the CS cements would hampered the precipitation of calcium phosphate products on the surface after immersion in SBF, however, a layer of precipitated calcium phosphate products can be formed on the surface of the Sr-CS cement within 1 day immersion in SBF. More importantly, the degradation rate of the cements increased with increasing content of strontium, consequentially raised the levels of released strontium and silicon ions. The elevated dissolving products may contribute to the enhancement of the cytocompatibility, alkaline phosphatase activity, osteocalcin secretion, and mineralization of human Wharton’s jelly mesenchymal stem cells. Together, it is concluded that the strontium-incorporated calcium silicate cement might be a promising bone substitute that could accelerate the regeneration of irregularly shaped bone defects.
Graphical Abstract
* Ssu-Yin Yen [email protected]
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* Chia-Che Ho [email protected]
Department of Bioinformatics and Medical Engineering, Asia University, Taichung City, Taiwan
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3D Printing Medical Research Institute, Asia University, Taichung City, Taiwan
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School of Medicine, China Medical University, Taichung City, Taiwan
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3D Printing Medical Research Center, China Medical University Hospital, Taichung City, Taiwan
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School of Dentistry, Chung Shan Medical University, Taichung City, Taiwan
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Department of Stomatology, Chung Shan Medical University Hospital, Taichung City, Taiwan
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1 Introduction Bone grafts are required due to bone loss resulted from ablative tumor surgery or traumatic injuries. Although the autografts are ideal for bone substitution to avoid disease transmission and immunogenic rejection, synthetic bone grafts are oft
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