Abstract
The main principle of bone tissue engineering strategy is to use an osteoconductive porous scaffold in combination with osteoinductive molecules or osteogenic cells. The requirements for a scaffold in bone regeneration are: (1) biocompatibility, (2) osteoconductivity, (3) interconnected porous structure, (4) appropriate mechanical strength, and (5) biodegradability. We recently developed a fully interconnected porous hydroxyapatite (IP-CHA) by adopting the “form-gel” technique. IP-CHA has a three-dimensional structure with spherical pores of uniform size that are interconnected by window-like holes; the material also demonstrated adequate compression strength. In animal experiments, IP-CHA showed superior osteoconduction, with the majority of pores filled with newly formed bone. The interconnected porous structure facilitates bone tissue engineering by allowing the introduction of bone cells, osteotropic agents, or vasculature into the pores. In this article, we review the accumulated data on bone tissue engineering using the novel scaffold, focusing especially on new techniques in combination with bone morphogenetic protein (BMP) or mesenchymal stem cells.
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References
DJ Prolo JJ Rodrigo (1985) ArticleTitleContemporary bone graft physiology and surgery Clin Orthop 200 322–342
ED Arrington WJ Smith HG Chambers AL Bucknell NA Davino (1996) ArticleTitleComplications of iliac crest bone graft harvesting Clin Orthop 329 300–309
JC Banwart MA Asher RS Hassanein (1995) ArticleTitleIliac crest bone graft harvest donor site morbidity. A statistical evaluation Spine 20 1055–1060
EM Younger MW Chapman (1989) ArticleTitleMorbidity at bone graft donor sites J Orthop Trauma 3 192–195
RW Bucholz A Carlton RE Holmes (1987) ArticleTitleHydroxyapatite and tricalcium phosphate bone graft substitute Orthop Clin North Am 18 323–334
K Ishihara H Arai N Nakabayashi S Morita KI Furuya (1992) ArticleTitleAdhesive bone cement containing hydroxyapatite particles as bone compatible filter J Biomed Mater Res 26 937–945
DJ Sartoris DH Gershuni WH Akeson RE Holmes D Resnick (1986) ArticleTitleCoralline hydroxyapatite bone graft substitutes: preliminary report of radiographic evaluation Radiology 159 133–137
S Fujibayashi HM Kim M Neo M Uchida T Kokubo T Nakamura (2003) ArticleTitleRepair of segmental long bone defect in rabbit femur using bioactive titanium cylindrical mesh cage Biomaterials 24 3445–3451
CN Cornell JM Lane M Chapman R Merkow D Seligson S Henry R Gustilo K Vincent (1991) ArticleTitleMulticenter trial of Collagraft as bone graft substitute J Orthop Trauma 5 1–8
RE Holmes RW Bucholz V Mooney (1987) ArticleTitlePorous hydroxyapatite as a bone graft substitute in diaphyseal defects: a histometric study J Orthop Res 5 114–121
RW Bucholz A Carlton R Holmes (1989) ArticleTitleInterporous hydroxyapatite as a bone graft substitute in tibial plateau fractures Clin Orthop 240 53–62
A Uchida N Araki Y Shinto H Yoshikawa E Kurisaki K Ono (1990) ArticleTitleThe use of calcium hydroxyapatite ceramic in bone tumour surgery J Bone Joint Surg 72B 298–302
H Yoshikawa A Uchida (1999) Clinical application of calcium hydroxylapatite ceramic in bone tumor surgery DL Wise (Eds) Biomaterials and Bioengineering Handbook Marcel Dekker New York 433–455
A Matsumine A Myoui K Kusuzaki N Araki M Seto H Yoshikawa A Uchida (2004) ArticleTitleCalcium hydroxyapatite ceramic implants in bone tumor surgery. A long-term follow-up study J Bone Joint Surg 86B 719–725
RA Ayers SJ Simske CR Nunes LM Wolford (1998) ArticleTitleLong-term bone ingrowth and residual micro hardness of porous block hydroxyapatite implants in humans J Oral Maxillofac Surg 56 1297–1301
N Tamai A Myoui T Tomita T Nakase J Tanaka T Ochi H Yoshikawa (2002) ArticleTitleNovel hydroxyapatite ceramics with an interconnective porous structure exhibit superior osteoconduction in vivo J Biomed Mater Res 59 110–117
JA Steinkamp KM Hansen HA Crissman (1976) ArticleTitleFlow microfluorometric and light-scatter measurement of nuclear and cytoplasmic size in mammalian cells J Histochem Cytochem 24 292–297
RB Martin MW Chapman NA Sharkey SL Zissimos B Bay EC Shors (1993) ArticleTitleBone ingrowth and mechanical properties of coralline hydroxyapatite 1 year after implantation Biomaterials 14 341–348
A Myoui N Tamai M Nishikawa N Araki T Nakase S Akita H Yoshikawa (2004) Three-dimensionally engineered hydroxyapatite ceramics with interconnected pores as a bone substitute and tissue engineering scaffold MJ Yaszemski DJ Trantolo KU Lewandrowski V Hasirci DE Altobelli DL Wise (Eds) Biomaterials in orthopedics Marcel Dekker New York 287–300
MR Urist (1965) ArticleTitleBone: formation by autoinduction Science 150 893–899
JM Wozney V Rosen (1998) ArticleTitleBone morphogenetic protein and bone morphogenetic protein gene family in bone formation and repair Clin Orthop 346 26–37
S Miyamoto K Takaoka T Okada H Yoshikawa J Hashimoto S Suzuki K Ono (1993) ArticleTitlePolylactic acid–polyethylene glycol block copolymer: a new biodegradable synthetic carrier for bone morphogenetic protein Clin Orthop 294 333–343
N Saito T Okada H Horiuchi N Murakami J Takahashi M Nawata H Ota S Miyamoto K Nozaki K Takaoka (2001) ArticleTitleBiodegradable poly lactic acid–polyethylene glycol block copolymers as a BMP delivery system for inducing bone J Bone Joint Surg 83A S92–S98
T Kaito A Myoui K Takaoka N Saito M Nishikawa N Tamai H Ohgushi H Yoshikawa (2005) ArticleTitlePotentiation of the activity of bone morphogenetic protein-2 in bone regeneration by a PLA-PEG/hydroxyapatite composite Biomaterials 26 73–79
H Ohgushi AI Caplan (1999) ArticleTitleStem cell technology and bioceramics: from cell to gene engineering J Biomed Mater Res 48 913–927
H Ohgushi Y Dohi T Katuda S Tamai S Tabata Y Suwa (1996) ArticleTitleIn vitro bone formation by rat marrow cell culture J Biomed Mater Res 32 333–340
M Nishikawa A Myoui H Ohgushi M Ikeuchi N Tamai H Yoshikawa (2004) ArticleTitleBone tissue engineering using novel interconnected porous hydroxyapatite ceramics combined with marrow mesenchymal cells: Quantitative and three-dimensional image analysis Cell Transplant 13 367–376
M Nishikawa H Ohgushi (2004) Calcium phosphate ceramics in Japan MJ Yaszemski DJ Trantolo KU Lewandrowski V Hasirci DE Altobelli DL Wise (Eds) Biomaterials in orthopedics Marcel Dekker New York 425–436
SL Bernard GJ Picha (1991) ArticleTitleThe use of coralline hydroxyapatite in a “biocomposite” free flap Plast Reconstr Surg 87 96–105
F Casabona I Martin A Muraglia P Berrino P Santi R Cancedda R Quarto (1998) ArticleTitlePrefabricated engineered bone flaps: an experimental model of tissue reconstruction in plastic surgery Plast Reconstr Surg 101 577–581
S Akita N Tamai A Myoui M Nishikawa T Kaito K Takaoka H Yoshikawa (2004) ArticleTitleCapillary vessel network integration by inserting a vascular pedicle enhances bone formation in tissue-engineered bone using interconnected porous hydroxyapatite ceramics Tissue Eng 10 789–795
S Wakitani K Imoto T Yamamoto M Saito N Murata M Yoneda (2002) ArticleTitleHuman autologous culture expanded bone marrow mesenchymal cell transplantation for repair of cartilage defects in osteoarthritic knees Osteoarthritis Cartilage 10 199–206
SD Cook LP Patron SL Salkeld DC Rueger (2003) ArticleTitleRepair of articular cartilage defects with osteogenic protein-1 (BMP-7) in dogs J Bone Joint Surg 85A 116–123
C Hidaka LR Goodrich CT Chen RF Warren RG Crysta AJ Nixon (2003) ArticleTitleAcceleration of cartilage repair by genetically modified chondrocyte overexpressing bone morphogenetic protein-7 J Orthop Res 21 573–583
N Tamai A Myoui M Hirao T Kaito T Ochi J Tanaka K Takaoka H Yoshikawa (2005) ArticleTitleA new biotechnology for articular cartilage repair: subchondral implantation of a composite of interconnected porous hydroxyapatite, synthetic polymer (PLA/PEG), and bone morphogenetic protein-2 (rhBMP-2 Osteoarthritis Cartilage 13 405–417
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Yoshikawa, H., Myoui, A. Bone tissue engineering with porous hydroxyapatite ceramics. J Artif Organs 8, 131–136 (2005). https://doi.org/10.1007/s10047-005-0292-1
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DOI: https://doi.org/10.1007/s10047-005-0292-1