Abstract
The human skeleton has the miraculous capacity of healing itself when needed through a cascade known as bone remodeling. However, bone tissue is not able to regenerate itself in case of a broad variety of defects. In these cases, bone substitution is necessary to enable and support the process of bone remodeling. The gold standard for the regeneration of critical-sized bone defects is the transplantation of patient's own bone tissue harvested from another body region. This harvested bone tissue is called an autograft. Due to its donor site morbidity and limited availability, the use of bone tissue harvested from another individual (allografts) or from another species (xenograft) or synthetic materials that are chemically and structurally mimicking to native bone tissue (alloplastic grafts) has been established. This book chapter covers the physiological phenomenon of bone tissue remodeling and the different bone substitute materials (BSMs). The chapter also sheds a light on tissue responses to biomaterials, as well as inflammation in physiological bone tissue healing and inflammation induced by implanted BSMs. Inflammation generally has a negative connotation, but this chapter intends to elaborate on inflammation as an inherent and important process in bone tissue healing.
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Giannoudis, P.V., Dinopoulos, H., Tsiridis, E.: Bone substitutes: an update. Injury 36(Suppl), S20–S27 (2005). https://doi.org/10.1016/j.injury.2005.07.029
Goldberg, V.M., Akhavan, S.: Biology of bone grafts. In: Friedlaender, J.R., G.E. (eds.) Bone Regeneration and Repair; Liebermann, SpringerLink (2005)
Bauer, T.W., Muschler, G.F.: Bone graft materials. An overview of the basic science. Clin. Orthop. Relat. Res. 10–27 (2000)
Pape, H.C., Evans, A., Kobbe, P.: Autologous bone graft: properties and techniques. J Orthop Trauma 24(Suppl), S36-40 (2010). https://doi.org/10.1097/BOT.0b013e3181cec4a1
Khan, S.N., Cammisa F.P.J., Sandhu, H.S., Diwan, A.D., Girardi, F.P., Lane, J.M.: The biology of bone grafting. J. Am. Acad. Orthop. Surg. 13, 77–86 (2005)
Le, B.Q., Nurcombe, V., Cool, S.M., van Blitterswijk, C.A., de Boer, J., LaPointe, V.L.S.: The components of bone and what they can teach us about regeneration. Mater. 11 (2017). https://doi.org/10.3390/ma11010014
Miron, R.J., Bosshardt, D.D.: OsteoMacs: key players around bone biomaterials. Biomaterials 82, 1–19 (2016). https://doi.org/10.1016/j.biomaterials.2015.12.017
Arrington, E.D., Smith, W.J., Chambers, H.G., Bucknell, A.L., Davino, N.A.: Complications of iliac crest bone graft harvesting. Clin. Orthop. Relat. Res. 300–309 (1996). https://doi.org/10.1097/00003086-199608000-00037
Nkenke, E., Weisbach, V., Winckler, E., Kessler, P., Schultze-, S., Wiltfang, J., Neukam, F.W.: Morbidity of harvesting of bone grafts from the iliac crest for preprosthetic augmentation procedures: a prospective study. Int. J. Oral Maxillofac. Surg. 33, 157–163 (2004). https://doi.org/10.1054/ijom.2003.0465
Schaaf, H., Lendeckel, S., Howaldt, H.P., Streckbein, P.: Donor site morbidity after bone harvesting from the anterior iliac crest. Oral. Surg. Oral. Med. Oral. Pathol Oral. Radiol. Endod. 109, 52–58 (2010). https://doi.org/10.1016/j.tripleo.2009.08.023
Klijn, R.J., Meijer, G.J., Bronkhorst, E.M., Jansen, J.A.: Sinus floor augmentation surgery using autologous bone grafts from various donor sites: a meta-analysis of the total bone volume. Tissue Eng. Part B Rev. 16, 295–303 (2010). https://doi.org/10.1089/ten.TEB.2009.0558
Raghoebar, G.M., Louwerse, C., Kalk, W.W., Vissink, A.: Morbidity of chin bone harvesting. Clin. Oral. Implant. Res. 12, 503–507 (2001). https://doi.org/10.1034/j.1600-0501.2001.120511.x
Raghoebar, G.M., Meijndert, L., Kalk, W.W., Vissink, A.: Morbidity of mandibular bone harvesting: a comparative study. Int. J. Oral. Maxillofac. Implant. 22, 359–365 (2007)
Dimitriou, R., Mataliotakis, G.I., Angoules, A.G., Kanakaris, N.K., Giannoudis, P.: V Complications following autologous bone graft harvesting from the iliac crest and using the RIA: a systematic review. Injury 42(Suppl), S3-15 (2011). https://doi.org/10.1016/j.injury.2011.06.015
Zhang, W.B., Zheng, L.W., Chua, D., Cheung, L.K.: Bone regeneration after radiotherapy in an animal model. J. Oral. Maxillofac. Surg. 68, 2802–2809 (2010). https://doi.org/10.1016/j.joms.2010.04.024
Tarantino, U., Cerocchi, I., Scialdoni, A., Saturnino, L., Feola, M., Celi, M., Liuni, F.M., Iolascon, G., Gasbarra, E.: Bone healing and osteoporosis. Aging. Clin. Exp. Res. 23, 62–64 (2011)
Henriksen, K., Bollerslev, J., Everts, V., Karsdal, M.A.: Osteoclast activity and subtypes as a function of physiology and pathology–implications for future treatments of osteoporosis. Endocr. Rev. 32, 31–63 (2011). https://doi.org/10.1210/er.2010-0006
Ginaldi, L., Di Benedetto, M.C., De Martinis, M.: Osteoporosis, inflammation and ageing. Immun. Ageing. 2, 14 (2005). https://doi.org/10.1186/1742-4933-2-14
Al-Sayyad, M.J., Abdulmajeed, T.M.: Fracture of the anterior iliac crest following autogenous bone grafting. Saudi. Med. J. 27, 254–258 (2006)
Hu, R., Hearn, T., Yang, J.: Bone graft harvest site as a determinant of iliac crest strength. Clin. Orthop. Relat. Res. 252–256 (1995)
Miron, R.J., Bosshardt, D.D.: Osteoinductive potential of a novel biphasic calcium phosphate bone graft in comparison with autographs. Xenografts DFDBA. 668–675 (2015). https://doi.org/10.1111/clr.12647
Stewart, S., Bryant, S.J., Ahn, J., Hankenson, K.D.: Bone regeneration. In: Translational Regenerative Medicine. Elsevier Inc.; pp. 313–333. ISBN: 9780124103962
Roberts, T.T., Rosenbaum, A.J., Roberts, T.T., Rosenbaum, A.J., Roberts, T.T., Rosenbaum, A.J.: Healing bone grafts, bone substitutes and orthobiologics the bridge between basic science and clinical advancements in fracture healing. 6278 (2012). https://doi.org/10.4161/org.23306
Pryor, L.S., Gage, E., Langevin, C.J., Herrera, F., Breithaupt, A.D., Gordon, C.R., Afifi, A.M., Zins, J.E., Meltzer, H., Gosman, A., et al.: Review of bone substitutes. Craniomaxillofac. Trauma. Reconstr. 2, 151–160 (2009). https://doi.org/10.1055/s-0029-1224777
Kao, S.T., Scott, D.D.: A review of bone substitutes. Oral. Maxillofac. Surg. Clin. North Am. 19(vi), 513–521 (2007). https://doi.org/10.1016/j.coms.2007.06.002
Anderson, J.M., Rodriguez, A., Chang, D.T.: Foreign body reaction to biomaterials. Semin. Immunol. 20, 86–100 (2008). https://doi.org/10.1016/j.smim.2007.11.004
Mountziaris, P.M., Mikos, A.G.: Modulation of the inflammatory response for enhanced bone tissue regeneration. Tissue Eng. Part B Rev. 14, 179–186 (2008). https://doi.org/10.1089/ten.teb.2008.0038
Muldashev, E.R., Muslimov, S.A., Musina, L.A., Nigmatullin, R.T., Lebedeva, A.I., Shangina, O.R., Khasanov, R.A.: The role of macrophages in the tissues regeneration stimulated by the biomaterials. Cell Tissue Bank 6, 99–107 (2005). https://doi.org/10.1007/s10561-004-5805-2
Sheikh, Z., Brooks, P.J., Barzilay, O., Fine, N., Glogauer, M.: Macrophages, foreign body giant cells and their response to implantable biomaterials. Mater 8, 5671–5701 (2015). https://doi.org/10.3390/ma8095269
Xia, Z., Triffitt, J.T.: A review on macrophage responses to biomaterials. Biomed. Mater. 1, R1-9 (2006). https://doi.org/10.1088/1748-6041/1/1/r01
Mantovani, A., Biswas, S.K., Galdiero, M.R., Sica, A., Locati, M.: Macrophage plasticity and polarization in tissue repair and remodelling. J. Pathol. 229, 176–185 (2013). https://doi.org/10.1002/path.4133
Forbes, S.J., Rosenthal, N.: Preparing the ground for tissue regeneration: from mechanism to therapy. Nat. Med. 20, 857–869 (2014). https://doi.org/10.1038/nm.3653
Chazaud, B.: Macrophages: supportive cells for tissue repair and regeneration. Immunobiology 219, 172–178 (2014). https://doi.org/10.1016/j.imbio.2013.09.001
Kačarević, Ž.P., Rider, P.M., Alkildani, S., Retnasingh, S., Smeets, R., Jung, O., Ivanišević, Z., Barbeck, M.: An introduction to 3D bioprinting: Possibilities, challenges and future aspects. Materials (Basel) 11 (2018). https://doi.org/10.3390/ma11112199
Barbeck, M., Najman, S., Stojanovic, S., Mitic, Z., Zivkovic, J.M., Choukroun, J., Kovacevic, P., Sader, R., Kirkpatrick, C.J., Ghanaati, S.: Addition of blood to a phycogenic bone substitute leads to increased in vivo vascularization. Biomed. Mater. 10, 55007 (2015). https://doi.org/10.1088/1748-6041/10/5/055007
Peric Kacarevic, Z., Kavehei, F., Houshmand, A., Franke, J., Smeets, R., Rimashevskiy, D., Wenisch, S., Schnettler, R., Jung, O., Barbeck, M.: Purification processes of xenogeneic bone substitutes and their impact on tissue reactions and regeneration. Int. J. Artif. Organs, 391398818771530 (2018). https://doi.org/10.1177/0391398818771530
Hsiong, S.X., Mooney, D.J.: Regeneration of vascularized bone. Periodontol 41, 109–122 (2000 2006). https://doi.org/10.1111/j.1600-0757.2006.00158.x
Bingle, L., Lewis, C.E., Corke, K.P., Reed, M.W., Brown, N.J.: Macrophages promote angiogenesis in human breast tumour spheroids in vivo. Br. J. Cancer 94, 101–107 (2006). https://doi.org/10.1038/sj.bjc.6602901
Anderson, J.M.: Multinucleated giant cells 40–47
Brodbeck, W.G., Anderson, J.M.: Giant cell formation and function. Curr. Opin. Hematol. 16, 53–57 (2009). https://doi.org/10.1097/MOH.0b013e32831ac52e
Miron, R.J., Bosshardt, D.D.: Multinucleated Giant cells: good guys or bad guys? Tissue Eng. Part B Rev. 24, 53–65 (2018). https://doi.org/10.1089/ten.TEB.2017.0242
Barbeck, M., Motta, A., Migliaresi, C., Sader, R., Kirkpatrick, C.J., Ghanaati, S.: Heterogeneity of biomaterial-induced multinucleated giant cells: possible importance for the regeneration process? J. Biomed. Mater. Res. - Part A 104, 413–418 (2016). https://doi.org/10.1002/jbm.a.35579
Miron, R.J., Zohdi, H., Fujioka-Kobayashi, M., Bosshardt, D.D.: Giant cells around bone biomaterials: osteoclasts or multi-nucleated giant cells? Acta Biomater 46, 15–28 (2016). https://doi.org/10.1016/j.actbio.2016.09.029
Ghanaati, S., Barbeck, M., Orth, C., Willershausen, I., Thimm, B.W., Hoffmann, C., Rasic, A., Sader, R.A., Unger, R.E., Peters, F., et al.: Influence of beta-tricalcium phosphate granule size and morphology on tissue reaction in vivo. Acta Biomater 6, 4476–4487 (2010). https://doi.org/10.1016/j.actbio.2010.07.006
Barbeck, M., Dard, M., Kokkinopoulou, M., Markl, J., Booms, P., Sader, R.A., Kirkpatrick, C.J., Ghanaati, S.: Small-sized granules of biphasic bone substitutes support fast implant bed vascularization. Biomatter 5, e1056943 (2015). https://doi.org/10.1080/21592535.2015.1056943
Wissing, T.B., Bonito, V., van Haaften, E.E., van Doeselaar, M., Brugmans, M., Janssen, H.M., Bouten, C.V.C., Smits, A.: Macrophage-driven biomaterial degradation depends on scaffold microarchitecture. Front Bioeng. Biotechnol. 7, 87 (2019). https://doi.org/10.3389/fbioe.2019.00087
Goldberg, V.M., Stevenson, S.: Bone graft options: fact and fancy. Orthopedics 17, 809–810,821 (1994)
Gilbert, T.W., Sellaro, T.L., Badylak, S.F.: Decellularization of tissues and organs. Biomaterials 27, 3675–3683 (2006). https://doi.org/10.1016/j.biomaterials.2006.02.014
Somuncu, O.S.: Decellularization concept in regenerative medicine. Adv. Exp. Med. Biol. (2019). https://doi.org/10.1007/5584_2019_338
Hofmann, G.O., Kirschner, M.H., Wangemann, T., Falk, C., Mempel, W., Hammer, C.: Infections and immunological hazards of allogeneic bone transplantation. Arch. Orthop. Trauma. Surg. 114, 159–166 (1995). https://doi.org/10.1007/bf00443390
Weyts, F.A., Bos, P.K., Dinjens, W.N., van Doorn, W.J., van Biezen, F.C., Weinans, H., Verhaar, J.A.: Living cells in 1 of 2 frozen femoral heads. Acta. Orthop. Scand. 74, 661–664 (2003). https://doi.org/10.1080/00016470310018162
Lorenz, J., Schlee, M., Al-, S., Chia, P., Sader, R.A., Ghanaati, S.: Variant purification of an allogeneic bone block. Acta. Stomatol. Croat. 51, 141–147 (2017). https://doi.org/10.15644/asc51/2/7
Baldini, N., De Sanctis, M., Ferrari, M.: Deproteinized bovine bone in periodontal and implant surgery. Dent. Mater. 27, 61–70 (2011). https://doi.org/10.1016/j.dental.2010.10.017
Wong, M.L., Griffiths, L.G.: Immunogenicity in xenogeneic scaffold generation: antigen removal vs. decellularization. Acta Biomater 10, 1806–1816 (2014). https://doi.org/10.1016/j.actbio.2014.01.028
Badylak, S.F.: Xenogeneic extracellular matrix as a scaffold for tissue reconstruction. Transpl. Immunol. 12, 367–377 (2004). https://doi.org/10.1016/j.trim.2003.12.016
Barbeck, M., Udeabor, S., Lorenz, J., Schlee, M., Holthaus, M.G., Raetscho, N., Choukroun, J., Sader, R., Kirkpatrick, C.J., Ghanaati, S.: High-temperature sintering of xenogeneic bone substitutes leads to increased multinucleated giant cell formation: in vivo and preliminary clinical results. J. Oral. Implant. 41, e212–e222 (2015). https://doi.org/10.1563/aaid-joi-D-14-00168
Barbeck, M., Witte, F., Wenisch, S., Schnettler, R.: Xenogeneic bone grafting materials. Implants, 34–36 (2017)
Kolk, A., Handschel, J., Drescher, W., Rothamel, D., Kloss, F., Blessmann, M., Heiland, M., Wolff, K.D., Smeets, R.: Current trends and future perspectives of bone substitute materials—from space holders to innovative biomaterials. J. Craniomaxillofac. Surg. 40, 706–718 (2012). https://doi.org/10.1016/j.jcms.2012.01.002
Hermann, J.S., Buser, D.: Guided bone regeneration for dental implants. Curr. Opin. Periodontol 3, 168–177 (1996)
Felício-Fernandes, G., Laranjeira, M.C.M.: Calcium phosphate biomaterials from marine algae Hydrothermal synthesis and characterisation. Quim. Nova. 23, 441–446 (2000)
Damien, E., Revell, P.A.: Coralline hydroxyapatite bone graft substitute: a review of experimental studies and biomedical applications. J. Appl. Biomater Biomech. 2, 65–73 (2004)
Lu, L., Bradford, L., Yaszemski, M.J.: Synthetic bone substitutes: current opinion in orthopaedics. Curr. Opin. Orthop. 11, 383–390 (2000)
Eppley, B.L., Pietrzak, W.S., Blanton, M.W.: Allograft and alloplastic bone substitutes: a review of science and technology for the craniomaxillofacial surgeon. J. Craniofac. Surg. 16, 981–989 (2005). https://doi.org/10.1097/01.scs.0000179662.38172.dd
Horowitz, R.A., Mazor, Z., Foitzik, C., Prasad, H., Rohrer, M., Palti, A.: β-tricalcium phosphate as bone substitute material: properties and clinical applications. J. Osseointegration, 2 (2010). https://www.journalofosseointegration.eu/index.php/jo/article/view/65
Ghanaati, S., Barbeck, M., Detsch, R., Deisinger, U., Hilbig, U., Rausch, V., Sader, R., Unger, R.E., Ziegler, G., Kirkpatrick, C.J.: The chemical composition of synthetic bone substitutes influences tissue reactions in vivo: histological and histomorphometrical analysis of the cellular inflammatory response to hydroxyapatite, beta-tricalcium phosphate and biphasic calcium phosphate cer. Biomed. Mater. 7 (2012). https://doi.org/10.1088/1748-6041/7/1/015005
Bouler, J.M., Pilet, P., Gauthier, O., Verron, E.: Biphasic calcium phosphate ceramics for bone reconstruction: a review of biological response. Acta Biomater 53, 1–12 (2017). https://doi.org/10.1016/j.actbio.2017.01.076
Hench, L.L.: The story of Bioglass. J. Mater. Sci. Mater Med. 17, 967–978 (2006). https://doi.org/10.1007/s10856-006-0432-z
Jones, J.R.: Bioactive glasses, Woodhead Publishing Limited (1971)
Abbasi, Z., Bahrololoom, M.E., Shariat, M.H., Bagheri, R.: Bioactive glasses in dentistry: a review. J. Dent. Biomater. 2, 1–9 (2015)
Gerhardt, L.C., Widdows, K.L., Erol, M.M., Burch, C.W., Sanz-Herrera, J.A., Ochoa, I., Stampfli, R., Roqan, I.S., Gabe, S., Ansari, T., et al.: The pro-angiogenic properties of multi-functional bioactive glass composite scaffolds. Biomaterials 32, 4096–4108 (2011). https://doi.org/10.1016/j.biomaterials.2011.02.032
Ohura, K., Nakamura, T., Ebisawa, Y., Kokubo, T., Kotoura, Y., Oka, M.: Bioactivity of CaO·SiO2 glasses added with various ions | SpringerLink. J. Mater. Sci. Mater. Med. 3, 95–100 (1992). https://doi.org/10.1007/BF00705275
Souza, M.T., Crovace, M.C., Schröder, C., Eckert, H., Peitl, O., Zanoto, E.D.: Effect of magnesium ion incorporation on the thermal stability, dissolution behavior and bioactivity in Bioglass-derived glasses. J. Non. Cryst. Solids 382, 57–65 (2013)
Glenske, K., Donkiewicz, P., Kowitsch, A., Milosevic-Oljaca, N., Rider, P., Rofall, S., Franke, J., Jung, O., Smeets, R., Schnettler, R., et al.: Applications of metals for bone regeneration. Int. J. Mol. Sci. 19 (2018). https://doi.org/10.3390/ijms19030826
Asa’ad, F., Pagni, G., Pilipchuk, S.P., Gianni, A.B., Giannobile, W.V., Rasperini, G.: 3D-Printed scaffolds and biomaterials: review of alveolar bone augmentation and periodontal regeneration applications. Int. J. Dent. 2016 1239842 (2016). https://doi.org/10.1155/2016/1239842
Rider, P., Kačarević, Ž.P., Alkildani, S., Retnasingh, S., Schnettler, R., Barbeck, M.: Additive manufacturing for guided bone regeneration: a perspective for alveolar ridge augmentation 19, ISBN 4930206073 (2018)
Dodziuk, H.: Applications of 3D printing in healthcare. Kardiochir Torakochirurgia Pol 13, 283–293 (2016). https://doi.org/10.5114/kitp.2016.62625
Ventola, C.L.: Medical applications for 3D printing: current and projected uses. P t 39, 704–711 (2014)
Rankin, T.M., Giovinco, N.A., Cucher, D.J., Watts, G., Hurwitz, B., Armstrong, D.G.: Three-dimensional printing surgical instruments: are we there yet? J. Surg. Res. 189, 193–197 (2014). https://doi.org/10.1016/j.jss.2014.02.020
Bose, S., Vahabzadeh, S., Bandyopadhyay, A.: Bone tissue engineering using 3D printing. Mater. Today 16, 496–504 (2013)
Klammert, U., Gbureck, U., Vorndran, E., Rodiger, J., Meyer-, P., Kubler, A.C.: 3D powder printed calcium phosphate implants for reconstruction of cranial and maxillofacial defects. J. Craniomaxillofac Surg. 38, 565–570 (2010). https://doi.org/10.1016/j.jcms.2010.01.009
Jariwala, S.H., Lewis, G.S., Bushman, Z.J., Adair, J.H., Donahue, H.J.: 3D Printing of personalized artificial bone scaffolds. 3D Print Addit. Manuf. 2, 56–64 (2015). https://doi.org/10.1089/3dp.2015.0001
Perić, Ž, Rider, P., Alkildani, S., Retnasingh, S., Pejakić, M., Schnettler, R., Gosau, M., Smeets, R., Jung, O., Barbeck, M.: An introduction to bone tissue engineering. Int. J. Artif. Organs 43, 69–86 (2020). https://doi.org/10.1177/0391398819876286
Konta, A.A., Garcia-Pina, M., Serrano, D.R.: Personalised 3D printed medicines: which techniques and polymers are more successful? Bioeng. 4 (2017). https://doi.org/10.3390/bioengineering4040079
Jin, F.L., Hu, R.R., Park, S.J.: Improvement of thermal behaviors of biodegradable poly (lactic acid) polymer. Compos. Part B Eng. 164, 287–296 (2018)
Hamad, K., Kaseem, M., Yang, H.W., Deri, F., Ko, Y.G.: Properties and medical applications of polylactic acid: a review. eXPRESS Polym. Lett. 9, 435–455 (2015) https://doi.org/10.3144/expresspolymlett.2015.42
Venkatesan, J., Kim, S.K.: Nano-hydroxyapatite composite biomaterials for bone tissue engineering–a review. J. Biomed. Nanotechnol. 10, 3124–3140 (2014). https://doi.org/10.1166/jbn.2014.1893
Rasal, R.M., Janorkar, A.V., Hirt, D.E.: Poly(lactic acid) modifications. Prog. Polym. Sci. 35, 338–356 (2010). https://doi.org/10.1016/j.progpolymsci.2009.12.003
Rao, M.G., Bharathi, P., Akila, R.M.: A comprehensive review on biopolymers. Sci. Rev. Chem. Commun. 4(2), 61–68 (2014)
Ricard-blum, S.: The collagen family. Cold Spring Harb Perspect Biol. 1–19 (2011). https://doi.org/10.1101/cshperspect.a004978
Neiders, M.E., Andreana, S., Noble, B.: Collagen as an implantable material in medicine and dentistry. J. Oral Implantol. XXVIII (2002)
Lynn, A.K., Yannas, I.V., Bonfield, W.: Antigenicity and immunogenicity of collagen. J. Biomed. Res. 343–354 (2004). https://doi.org/10.1002/jbm.b.30096
Delmas, S.V.Æ.P.G.Æ.P.D.: The role of collagen in bone strength, 319–336 (2006). https://doi.org/10.1007/s00198-005-2035-9
Parenteau-, R., Gauvin, R., Berthod, F.: Collagen-based biomaterials for tissue engineering applications. Materials (Basel). 3, 1863–1887 (2010). https://doi.org/10.3390/ma3031863
Rebelo, R., Fernandes, M., Fangueiro, R.: Biopolymers in medical implants: a brief review. Procedia Eng. 200, 236–243 (2017)
Ghanaati, S., Unger, R.E., Webber, M.J., Barbeck, M., Orth, C., Kirkpatrick, J.A., Booms, P., Motta, A., Migliaresi, C., Sader, R.A., et al.: Scaffold vascularization in vivo driven by primary human osteoblasts in concert with host inflammatory cells. Biomaterials 32, 8150–8160 (2011). https://doi.org/10.1016/j.biomaterials.2011.07.041
Kundu, B., Rajkhowa, R., Kundu, S.C., Wang, X.: Silk fibroin biomaterials for tissue regenerations. Adv Drug Deliv Rev 65, 457–470 (2013). https://doi.org/10.1016/j.addr.2012.09.043
Barbeck, M., Booms, P., Unger, R., Hoffmann, V., Sader, R., Kirkpatrick, C.J., Ghanaati, S.: Multinucleated giant cells in the implant bed of bone substitutes are foreign body giant cells-New insights into the material-mediated healing process. J. Biomed. Mater. Res. A 105, 1105–1111 (2017). https://doi.org/10.1002/jbm.a.36006
Nair, L.S., Laurencin, C.T.: Biodegradable polymers as biomaterials. Prog. Polym. Sci. 32, 762–798 (2007). https://doi.org/10.1016/j.progpolymsci.2007.05.017
Santana, R.B., Miller, C.: Human intrabony defect regeneration with rhFGF-2 and hyaluronic acid—a randomized controlled clinical trial. Front. Bioeng. Biotechnol. 2 (2015). https://doi.org/10.1111/jcpe.12406
Lee, S.Y., Park, Y., Hwang, S.J.: Effect of bFGF and fibroblasts combined with hyaluronic acid-based hydrogels on soft tissue augmentation : an experimental study in rats. Maxillofac. Plast. Reconstr. Surg. 0 (2019)
Hickey, R.J., Pelling, A.E.: Cellulose biomaterials for. Tissue Eng. 7, 1–15 (2019). https://doi.org/10.3389/fbioe.2019.00045
Miyamoto, T., Takahashi, S., Ito, H., Inagaki, H., Noishiki, Y.: Tissue biocompatibility of cellulose and its derivatives. J Biomed Mater Res 23, 125–133 (1989). https://doi.org/10.1002/jbm.820230110
Yan, H., Jing, W., Fei, Y., Yingnan, S., Xiaoling, Z., Kerong, D.: Modification and evaluation of micro-nano structured porous bacterial cellulose scaffold for bone tissue engineering. Mater. Sci. Eng. C (2017). https://doi.org/10.1016/j.msec.2017.02.174
Venkatesan, J., Bhatnagar, I., Manivasagan, P., Kang, K., Kim, S.: Alginate composites for bone tissue engineering: a review. Int. J. Biol. Macromol. (2014). https://doi.org/10.1016/j.ijbiomac.2014.07.008
Hu, W.J., Eaton, J.W., Ugarova, T.P., Tang, L.: Molecular basis of biomaterial-mediated foreign body reactions. Blood 98, 1231–1238 (2001). https://doi.org/10.1182/blood.v98.4.1231
Andrew, J.G., Andrew, S.M., Freemont, A.J., Marsh, D.R.: Inflammatory cells in normal human fracture healing. Acta. Orthop. Scand. 65, 462–466 (1994). https://doi.org/10.3109/17453679408995493
Kalfas, I.H.: Principles of bone healing. Neurosurg. Focus. 10, E1 (2001). https://doi.org/10.3171/foc.2001.10.4.2
Phillips, A.M.: Overview of the fracture healing cascade. Injury 36(Suppl), S5-7 (2005). https://doi.org/10.1016/j.injury.2005.07.027
Little, N., Rogers, B., Flannery, M.: Bone formation, remodelling and healing. Surg 29, 141–145 (2011). https://doi.org/10.1016/j.mpsur.2011.01.002
Schmidt-Bleek, K., Schell, H., Schulz, N., Hoff, P., Perka, C., Buttgereit, F., Volk, H.D., Lienau, J., Duda, G.N.: Inflammatory phase of bone healing initiates the regenerative healing cascade. Cell Tissue Res. 347, 567–573 (2012). https://doi.org/10.1007/s00441-011-1205-7
Kolar, P., Schmidt-Bleek, K., Schell, H., Gaber, T., Toben, D., Schmidmaier, G., Perka, C., Buttgereit, F., Duda, G.N.: The early fracture hematoma and its potential role in fracture healing. Tissue Eng. Part B Rev. 16, 427–434 (2010). https://doi.org/10.1089/ten.TEB.2009.0687
Bolander, M.E.: Regulation of fracture repair by growth factors. Proc. Soc. Exp. Biol. Med. 200, 165–170 (1992). https://doi.org/10.3181/00379727-200-43410a
Vauhkonen, M., Peltonen, J., Karaharju, E., Aalto, K., Alitalo, I.: Collagen synthesis and mineralization in the early phase of distraction bone healing. Bone Min. 10, 171–181 (1990). https://doi.org/10.1016/0169-6009(90)90260-m
Schlundt, C., El Khassawna, T., Serra, A., Dienelt, A., Wendler, S., Schell, H., van Rooijen, N., Radbruch, A., Lucius, R., Hartmann, S., et al.: Macrophages in bone fracture healing: their essential role in endochondral ossification. Bone 106, 78–89 (2018). https://doi.org/10.1016/j.bone.2015.10.019
Remedios, A.: Bone and bone healing. Vet. Clin. North Am. Small. Anim. Pr. 29, 1029–1044 (1999). https://doi.org/10.1016/s0195-5616(99)50101-0
Wu, A.C., Raggatt, L.J., Alexander, K.A., Pettit, A.R.: Unraveling macrophage contributions to bone repair. Bonekey Rep 2, 373 (2013). https://doi.org/10.1038/bonekey.2013.107
Novosel, E.C., Kleinhans, C., Kluger, P.J.: Vascularization is the key challenge in tissue engineering. Adv. Drug. Deliv. Rev. 63, 300–311 (2011). https://doi.org/10.1016/j.addr.2011.03.004
Almubarak, S., Nethercott, H., Freeberg, M., Beaudon, C., Jha, A., Jackson, W., Marcucio, R., Miclau, T., Healy, K., Bahney, C.: Tissue engineering strategies for promoting vascularized bone regeneration. Bone 83, 197–209 (2016). https://doi.org/10.1016/j.bone.2015.11.011
Krishnan, L., Willett, N.J., Guldberg, R.E.: Vascularization strategies for bone regeneration. Ann. Biomed. Eng. 42, 432–444 (2014). https://doi.org/10.1007/s10439-014-0969-9
Carano, R.A., Filvaroff, E.H.: Angiogenesis and bone repair. Drug. Discov. Today. 8, 980–989 (2003). https://doi.org/10.1016/s1359-6446(03)02866-6
Keramaris, N.C., Calori, G.M., Nikolaou, V.S., Schemitsch, E.H., Giannoudis, P.: V Fracture vascularity and bone healing: a systematic review of the role of VEGF. Injury 39(Suppl), S45-57 (2008). https://doi.org/10.1016/s0020-1383(08)70015-9
Anderson, J.M.: Mechanisms of inflammation and infection with implanted devices. Cardiovasc. Pathol. 2, 33–41 (1993)
Ghanaati, S., Orth, C., Barbeck, M., Willershausen, I., Thimm, B.W., Booms, P., Stubinger, S., Landes, C., Sader, R.A., Kirkpatrick, C.J.: Histological and histomorphometrical analysis of a silica matrix embedded nanocrystalline hydroxyapatite bone substitute using the subcutaneous implantation model in Wistar rats. Biomed. Mater. 5, 35005 (2010). https://doi.org/10.1088/1748-6041/5/3/035005
Ghanaati, S., Barbeck, M., Hilbig, U., Hoffmann, C., Unger, R.E., Sader, R.A., Peters, F., Kirkpatrick, C.J.: An injectable bone substitute composed of beta-tricalcium phosphate granules, methylcellulose and hyaluronic acid inhibits connective tissue influx into its implantation bed in vivo. Acta Biomater. 7, 4018–4028 (2011). https://doi.org/10.1016/j.actbio.2011.07.003
Schaefer, S., Detsch, R., Uhl, F., Deisinger, U., Ziegler, G.: How degradation of calcium phosphate bone substitute materials is influenced by phase composition and porosity—Schaefer—2011—advanced engineering materials—Wiley online library. Adv. Eng. Mater. 13, 342–350 (2011). https://doi.org/10.1002/adem.201000267
Hing, K.A.: Bioceramic bone graft substitutes: influence of porosity and chemistry—hing—international journal of applied ceramic technology—wiley online library. Appl. Ceram. Technol. 2005(2), 84–199 (2005). https://doi.org/10.1111/j.1744-7402.2005.02020.x
Barbeck, M., Hoffmann, C., Sader, R., Peters, F., Hubner, W.D., Kirkpatrick, C.J., Ghanaati, S.: Injectable bone substitute based on beta-TCP combined with a hyaluronan-containing hydrogel contributes to regeneration of a critical bone size defect towards restitutio ad integrum. J. Oral. Implant. 42, 127–137 (2016). https://doi.org/10.1563/aaid-joi-D-14-00203
Lorenz, J., Barbeck, M., Kirkpatrick, C.J., Sader, R., Lerner, H., Ghanaati, S.: Injectable bone substitute material on the basis of beta-TCP and hyaluronan achieves complete bone regeneration while undergoing nearly complete degradation. Int. J. Oral. Maxillofac Implant. 33, 636–644 (2018). https://doi.org/10.11607/jomi.6026
Sieger, D., Korzinskas, T., Jung, O., Stojanovic, S.; Wenisch, S.; Smeets, R.; Gosau, M.; Schnettler, R., Najman, S., Barbeck, M.: The addition of high doses of hyaluronic acid to a biphasic bone substitute decreases the proinflammatory tissue response. Int. J. Mol. Sci. 20, (2019). https://doi.org/10.3390/ijms20081969
Detsch, R., Schaefer, S., Deisinger, U., Ziegler, G., Seitz, H., Leukers, B.: In vitro: osteoclastic activity studies on surfaces of 3D printed calcium phosphate scaffolds. J. Biomater. Appl. 26, 359–380 (2011). https://doi.org/10.1177/0885328210373285
Basle, M.F., Chappard, D., Grizon, F., Filmon, R., Delecrin, J., Daculsi, G., Rebel, A.: Osteoclastic resorption of Ca-P biomaterials implanted in rabbit bone. Calcif Tissue Int 53, 348–356 (1993). https://doi.org/10.1007/bf01351842
Luttikhuizen, D.T., Harmsen, M.C., Van Luyn, M.J.: Cellular and molecular dynamics in the foreign body reaction. Tissue Eng. 12, 1955–1970 (2006). https://doi.org/10.1089/ten.2006.12.1955
Ghanaati, S., Orth, C., Unger, R.E., Barbeck, M., Webber, M.J., Motta, A., Migliaresi, C., James Kirkpatrick, C.: Fine-tuning scaffolds for tissue regeneration: effects of formic acid processing on tissue reaction to silk fibroin. J. Tissue. Eng. Regen. Med. 4, 464–472 (2010). https://doi.org/10.1002/term.257
Shen, Y., Redmond, S.L., Papadimitriou, J.M., Teh, B.M., Yan, S., Wang, Y., Atlas, M.D., Marano, R.J., Zheng, M., Dilley, R.J.: The biocompatibility of silk fibroin and acellular collagen scaffolds for tissue engineering in the ear. Biomed. Mater. 9, 15015 (2014). https://doi.org/10.1088/1748-6041/9/1/015015
Stoppato, M., Stevens, H.Y., Carletti, E., Migliaresi, C., Motta, A., Guldberg, R.E.: Effects of silk fibroin fiber incorporation on mechanical properties, endothelial cell colonization and vascularization of PDLLA scaffolds. Biomaterials 34, 4573–4581 (2013). https://doi.org/10.1016/j.biomaterials.2013.02.009
van Wachem, P.B., van Luyn, M.J., Nieuwenhuis, P., Koerten, H.K., Olde, L., Ten Hoopen, H., Feijen, J.: In vivo degradation of processed dermal sheep collagen evaluated with transmission electron microscopy. Biomaterials 12, 215–223 (1991). https://doi.org/10.1016/0142-9612(91)90203-m
Ziats, N.P., Miller, K.M., Anderson, J.M.: In vitro and in vivo interactions of cells with biomaterials. Biomaterials 9, 5–13 (1988). https://doi.org/10.1016/0142-9612(88)90063-4
Hernandez-Pando, R., Bornstein, Q.L., Aguilar Leon, D., Orozco, E.H., Madrigal, V.K., Martinez Cordero, E.: Inflammatory cytokine production by immunological and foreign body multinucleated giant cells. Immunology 100, 352–358 (2000). https://doi.org/10.1046/j.1365-2567.2000.00025.x
Luttikhuizen, D.T., Dankers, P.Y., Harmsen, M.C., van Luyn, M.J.: Material dependent differences in inflammatory gene expression by giant cells during the foreign body reaction. J. Biomed. Mater Res. A 83, 879–886 (2007). https://doi.org/10.1002/jbm.a.31420
Barbeck, M., Peric-Kacarevic, Z., Kavehei, F., Rider, P., Najman, S., Stojanovic, S., Rimashevskiy D., Wenisch, S., Schnettler, R.: The effect of temperature treatment of xenogeneic bone substitute on the tissue response–a mini review. Acta. Medica Median. 58, 113–137 (2019)
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Barbeck, M., Alkildani, S., Jung, O. (2023). Biology of Ceramic Bone Substitutes. In: Najman, S., et al. Bioceramics, Biomimetic and Other Compatible Materials Features for Medical Applications. Engineering Materials. Springer, Cham. https://doi.org/10.1007/978-3-031-17269-4_2
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