Seven million people suffer bone fractures annually in the U.S. Musculoskeletal conditions cost $215 billion/year. These numbers are increasing as the population ages. Calcium phosphate cement (CPC) can be molded and set in-situ to form hydroxyapatite, is osteoconductive, and can be resorbed and replaced by new bone. However, the low strength of CPC limits its use to non-stress locations. In the original five years of this grant, a new group of strong and macroporous CPCs were developed. Scaffolds with long macropores for tissue ingrowth and tailored strength history were generated. Currently, pre-fabricated carriers for stem cell delivery have difficulty in seeding cells deep into the scaffold, and cannot be injected in minimally-invasive procedures. Current injectable carriers are weak and cannot be used in a wide range of load-bearing repairs. Therefore, our objective for the next five years is to develop injectable, strong, tough, and macroporous nano- apatite scaffolds with stem cell and growth factor delivery for dental, craniofacial and orthopedic applications.
In Aim 1, a new class of injectable, strong, tough and macroporous CPCs will be developed. The hypotheses are: (i) CPC composition can be tailored to improve injectability and strength;(ii) Optimizing the reinforcement and macroporosity will yield CPC with high-strain to accommodate for micro-motions within the tissues;(iii) The biomimetic nano-apatite scaffolds will enhance the colonization and differentiation of mesenchymal stem cells (MSCs) derived from rat bone marrow.
Aim 2 will investigate growth factor delivery and test these hypotheses: (i) Fast-setting, strong and macroporous CPC-growth factor carrier can be formulated;(ii) Growth factor release from CPC is proportional to pore volume fraction;(iii) Controlled sequential release of multiple growth factors can be achieved to optimize stem cell function.
Aim 3 will deliver stem cells and test these hypotheses: (i) Stem cells can be encapsulated in hydrogel and incorporated into CPC without decreasing cell viability and differentiation;(ii) Hydrogel beads can dissolve to release the cells and concomitantly create interconnected macropores in CPC;(iii) Stem cells and growth factors can be co-delivered in the same carrier to enhance cell function.
Aim 4 will evaluate bone regeneration in animal models and test these hypotheses: (i) Macroporous CPC delivering stem cells and osteogenic and angiogenic growth factors will be completely resorbed and replaced by new bone across the entire critical-sized cranial defect in rats;(ii) The injectable, strong and macroporous CPCs have much higher resorption and new bone formation rates than traditional CPC;(iii) Optimizing the scaffold composition, macroporosity, and multiple growth factors will greatly enhance bone formation via stem cells. This new generation of injectable, strong and macroporous nano-apatite scaffolds with stem cell and growth factor delivery are expected to have dental, craniofacial and orthopedic applications, with greatly enhanced bone regeneration to improve the health and quality of life for millions of people.

Public Health Relevance

Seven million people suffer bone fractures annually in the U.S. Musculoskeletal conditions cost $215 billion/year. These numbers are increasing as the population ages. This project will develop the first generation of injectable, strong, tough, macroporous, bone mineral-mimicking nano-apatite scaffolds with stem cell and multiple growth factor delivery, and will study bone regeneration in animal models. Potential applications include dental, craniofacial and orthopedic repairs. They include maxillary and mandibular reconstruction and minimally-invasive surgeries such as filling and strengthening osteoporotic bone lesions, with greatly enhanced bone healing and regeneration to improve the health and quality of life for millions of people.

Agency
National Institute of Health (NIH)
Institute
National Institute of Dental & Craniofacial Research (NIDCR)
Type
Research Project (R01)
Project #
2R01DE014190-07A1
Application #
7640147
Study Section
Oral, Dental and Craniofacial Sciences Study Section (ODCS)
Program Officer
Drummond, James
Project Start
2001-07-01
Project End
2014-01-31
Budget Start
2009-04-01
Budget End
2010-01-31
Support Year
7
Fiscal Year
2009
Total Cost
$273,260
Indirect Cost
Name
University of Maryland Baltimore
Department
Dentistry
Type
Schools of Dentistry
DUNS #
188435911
City
Baltimore
State
MD
Country
United States
Zip Code
21201
Qin, Wei; Gao, Xianling; Ma, Tao et al. (2018) Metformin Enhances the Differentiation of Dental Pulp Cells into Odontoblasts by Activating AMPK Signaling. J Endod 44:576-584
Xia, Yang; Chen, Huimin; Zhang, Feimin et al. (2018) Gold nanoparticles in injectable calcium phosphate cement enhance osteogenic differentiation of human dental pulp stem cells. Nanomedicine 14:35-45
Chen, Wenchuan; Liu, Xian; Chen, Qianmin et al. (2018) Angiogenic and osteogenic regeneration in rats via calcium phosphate scaffold and endothelial cell co-culture with human bone marrow mesenchymal stem cells (MSCs), human umbilical cord MSCs, human induced pluripotent stem cell-derived MSCs and human embry J Tissue Eng Regen Med 12:191-203
Xu, Hockin Hk; Wang, Ping; Wang, Lin et al. (2017) Calcium phosphate cements for bone engineering and their biological properties. Bone Res 5:17056
Qin, Wei; Huang, Qi-Ting; Weir, Michael D et al. (2017) Alcohol Inhibits Odontogenic Differentiation of Human Dental Pulp Cells by Activating mTOR Signaling. Stem Cells Int 2017:8717454
Liu, Xian; Chen, Wenchuan; Zhang, Chi et al. (2017) Co-Seeding Human Endothelial Cells with Human-Induced Pluripotent Stem Cell-Derived Mesenchymal Stem Cells on Calcium Phosphate Scaffold Enhances Osteogenesis and Vascularization in Rats. Tissue Eng Part A 23:546-555
Wang, Lin; Zhang, Chi; Li, Chunyan et al. (2016) Injectable calcium phosphate with hydrogel fibers encapsulating induced pluripotent, dental pulp and bone marrow stem cells for bone repair. Mater Sci Eng C Mater Biol Appl 69:1125-36
Wang, Ping; Song, Yang; Weir, Michael D et al. (2016) A self-setting iPSMSC-alginate-calcium phosphate paste for bone tissue engineering. Dent Mater 32:252-63
Wang, Lin; Wang, Ping; Weir, Michael D et al. (2016) Hydrogel fibers encapsulating human stem cells in an injectable calcium phosphate scaffold for bone tissue engineering. Biomed Mater 11:065008
Wang, Ping; Liu, Xian; Zhao, Liang et al. (2015) Bone tissue engineering via human induced pluripotent, umbilical cord and bone marrow mesenchymal stem cells in rat cranium. Acta Biomater 18:236-48

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