While bone regenerates itself after
an injury, a critical bone
defect requires external interventions. Engineering approaches to
restore bone provide a temporary scaffold to support the damage and
provide beneficial biological cues for bone repair. Biomimetically
generated scaffolds replicate the naturally occurring phenomena in
bone regeneration. In this study, a gelatin-calcium phosphate nanocomposite
was synthesized by an efficient and cost-effective double-diffusion
biomimetic approach. Calcium and phosphate ions are impregnated in
the gelatin, mimicking the natural bone mineralization process. Glutaraldehyde
from 0.5 to 2 w/v% was used for gelatin cross-linking and mechanical
properties of the scaffold, and its biological support for rat bone
marrow mesenchymal stromal cells was analyzed. Analysis of scanning
electron microscopy images of the nanocomposite scaffolds and Fourier
transform infrared (FTIR) and X-ray diffraction (XRD) characterizations
of these scaffolds confirmed precipitation of calcium phosphates in
the gelatin. Moreover, lysozyme degradation assay showed that scaffold
degradation reversely correlates with the concentration of the cross-linking
agent. Increased glutaraldehyde concentrations enhanced the mechanical
properties of the scaffolds, bringing them closer to those of cancellous
bone. Rat bone marrow mesenchymal stromal cells maintained their viability
on these scaffolds compared to standard cell culture plates. In addition,
these cells showed differentiation into bone lineage as evaluated
from alkaline phosphatase activity up to 21 days and Alizarin red
staining of the cells over 28 days. Eventually, scaffolds were implanted
in a cranial defect in a rat animal model with a 5 mm diameter. Bone
regeneration was studied over 90 days. Analysis of histological sections
of the injury and computer tomography images revealed that nanocomposite
scaffolds cross-linked with 1% w/v glutaraldehyde provide the maximum
bone regeneration after 90 days. Collectively, our data show that
nanocomposite scaffolds developed here provide effective regeneration
for extensive bone defects in vivo.
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