Mechanical force enhanced bony formation in defect implanted with calcium sulphate cement

Jie Zhang , Fan He , Wen Zhang , Meng Zhang , Huilin Yang , Zong-Ping Luo

Bone Research ›› 2015, Vol. 3 ›› Issue (1) : 14048

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Bone Research ›› 2015, Vol. 3 ›› Issue (1) : 14048 DOI: 10.1038/boneres.2014.48
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Mechanical force enhanced bony formation in defect implanted with calcium sulphate cement

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Abstract

To improve the osteogenic property of bone repairing materials and to accelerate bone healing are major tasks in bone biomaterials research. The objective of this study was to investigate if the mechanical force could be used to accelerate bone formation in a bony defect in vivo. The calcium sulfate cement was implanted into the left distal femoral epiphyses surgically in 16 rats. The half of rats were subjected to external mechanical force via treadmill exercise, the exercise started at day 7 postoperatively for 30 consecutive days and at a constant speed 8 m·min−1 for 45 min·day−1, while the rest served as a control. The rats were scanned four times longitudinally after surgery using microcomputed tomography and newly formed bone was evaluated. After sacrificing, the femurs had biomechanical test of three-point bending and histological analysis. The results showed that bone healing under mechanical force were better than the control with residual defect areas of 0.64±0.19 mm2 and 1.78±0.39 mm2 (P<0.001), and the ultimate loads to failure under mechanical force were 69.56±4.74 N, stronger than the control with ultimate loads to failure of 59.17±7.48 N (P=0.039). This suggests that the mechanical force might be used to improve new bone formation and potentially offer a clinical strategy to accelerate bone healing.

Bone repair: Mechanical force enhances bone healing

When damaged bone that has been repaired with cement is put under mechanical stress, healing is enhanced, report Chinese researchers. Previous evidence showed that mechanical force has a positive effect on bone formation. Zong-Ping Luo and colleagues from Soochow University in Suzhou therefore investigated whether external mechanical force could be used to accelerate bone healing in damaged rat femur bones implanted with bone-repairing material. Results showed that rats that ran on a treadmill for 45 minutes a day had a significant reduction in the defective area of bone at 30 days compared with a control group of rats that did not exercise. External mechanical force could be used to promote the bone-forming properties of bone-repairing materials and could be used as an effective non-invasive way of accelerating bone healing, concluded the authors.

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Jie Zhang, Fan He, Wen Zhang, Meng Zhang, Huilin Yang, Zong-Ping Luo. Mechanical force enhanced bony formation in defect implanted with calcium sulphate cement. Bone Research, 2015, 3(1): 14048 DOI:10.1038/boneres.2014.48

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References

[1]

Porter JR, Ruckh TT, Popat KC. Bone tissue engineering: a review in bone biomimetics and drug delivery strategies. Biotechnol Prog, 2009, 25: 1539-1560

[2]

Young S, Patel ZS, Kretlow JD et al Does effect of dual delivery of vascular endothelial growth factor and bone morphogenetic protein-2 on bone regeneration in a rat critical-size defect model. Tissue Eng Part A, 2009, 15: 1

[3]

Patel ZS, Young S, Tabata Y, Jansen JA, Wong M, Mikos AG. Dual delivery of an angiogenic and osteogenic growth factor for bone regeneration in a critical size defect model. Bone, 2008, 43: 931

[4]

Kanczler JM, Oreffo RO. Osteogenesis and angiogenesis: the potential for engineering bone. Eur Cell Mater, 2008, 15: 100-114

[5]

Meikle MC, Papaioannou S, Ratledge TJ et al Effect of poly DL-lactide-coglycolide implants and xenogeneic bone matrix-derived growth factors on calvarial bone repair in the rabbit. Biomaterials, 1994, 15: 513-521

[6]

Seto I, Asahina I, Oda M, Enomoto S. Reconstruction of the primate mandible with a combination graft of recombinant human bone morphogenetic protein 2 and bone marrow. J Oral Maxillofac Surg, 2001, 59: 53-61

[7]

Bass SL, Saxon L, Daly RM et al The effect of mechanical loading on the size and shape of bone in pre-, peri-, and postpubertal girls: a study in tennis players. J Bone Miner Res, 2002, 17: 2274-2280

[8]

Dodge T, Wanis M, Ayoub R et al Mechanical loading, damping, and load-driven bone formation in mouse tibiae. Bone, 2012, 51: 810-818

[9]

Chen HH, Morrey BF, An KN, Luo ZP. Bone remodeling characteristics of a short-stemmed total hip replacement. J Arthroplasty, 2009, 24: 945-950

[10]

Westerlind KC, Wronski TJ, Ritman EL et al Estrogen regulates the rate of bone turnover but bone balance in ovariectomized rats is modulated by prevailing mechanical strain. Proc Natl Acad Sci USA, 1997, 94: 4199-4204

[11]

Chen JH, Liu C, You L, Simmons CA. Boning up on Wolff’s Law: mechanical regulation of the cells that make and maintain bone. J Biomech, 2010, 43: 108-118

[12]

Ferreri SL, Talish R, Trandafir T, Qin YX. Mitigation of bone loss with ultrasound induced dynamic mechanical signals in an OVX induced rat model of osteopenia. Bone, 2011, 48: 1095-1102

[13]

Dewi AH, Ana ID, Wolke J, Jansen J. Behavior of plaster of Paris-calcium carbonate composite as bone substitute. A study in rats. J Biomed Mater Res A, 2013, 101: 2143-2150

[14]

Oxlund H, Andersen NB, Ørtoft G, Ørskov H, Andreassen TT. Growth hormone and mild exercise in combination markedly enhance cortical bone formation and strength in old rats. Endocrinology, 1998, 139: 1899-1904

[15]

Roshan-Ghias A, Terrier A, Bourban PE, Pioletti DP. In vivo cyclic loading as a potent stimulatory signal for bone formation inside tissue engineering scaffold. Eur Cell Mater, 2010, 19: 41-49

[16]

Reich KM, Gay CV, Frangos JA. Fluid shear stress as a mediator of osteoblast cyclic adenosine monophosphate production. J Cell Physiol, 1990, 143: 100-104

[17]

Turner CH, Forwood MR, Otter MW. Mechanotransduction in bone: do bone cells act as sensors of fluid flow? FASEB J, 1994, 8: 875-878

[18]

Johnson DL, McAllister TN, Frangos JA. Fluid flow stimulates rapid and continuous release of nitric oxide in osteoblasts. Am J Physiol, 1996, 271: E205-E208

[19]

Klein-Nulend J, Burger EH, Semeins CM, Raisz LG, Pilbeam CC. Pulsating fluid flow stimulates prostaglandin release and inducible prostaglandin G/H synthase mRNA expression in primary mice bone cells. J Bone Miner Res, 1997, 12: 45-51

[20]

Pitsillides AA, Rawlinson SC, Suswillo RF, Bourrin S, Zaman G, Lanyon LE. Mechanical strain-induced NO production by bone cells: a possible role in adaptive bone (re)modeling? FASEB J, 1995, 9: 1614-1622

[21]

Somjen D, Binderman I, Berger E, Harell A. Bone remodeling induced by physical stress is prostaglandin E2 mediated. Biochim Biophys Acta, 1980, 627: 91-100

[22]

Kasten TP, Collin-Osdoby P, Patel N et al Potentiation of osteoclast bone-resorption activity by inhibition of nitric oxide synthase. Proc Natl Acad Sci USA, 1994, 91: 3569-3573

[23]

MacIntyre I, Zaidi M, Alam AS et al Osteoclastic inhibition: an action of nitric oxide not mediated by cyclic GMP. Proc Natl Acad Sci USA, 1991, 88: 2936-2940

[24]

Riancho JA, Salas E, Zarrabeitia MT et al Expression and functional role of nitric oxide synthase in osteoblast-like cells. J Bone Miner Res, 1995, 10: 439-446

[25]

Riancho JA, Zarrabeitia MT, Fernandez-Luna JL, Gonzalez-Macias J. Mechanisms controlling nitric oxide synthesis in osteoblasts. Mol Cell Endocrinol, 1995, 107: 87-92

[26]

Imamura K, Ozawa H, Hiraide T et al Continuously applied compressive pressure induces bone resorption by a mechanism involving prostaglandin E2 synthesis. J Cell Physiol, 1990, 142: 177-185

[27]

Yao Z, Lafage-Proust MH, Plouët J, Bloomfield S, Alexandre C, Vico L. Increase of both angiogenesis and bone mass in response to exercise depends on VEGF. J Bone Miner Res, 2004, 19: 1471-1480

[28]

Gardner MJ, van der Meulen MC, Demetrakopoulos D, Wright TM, Myers ER, Bostrom MP. In vivo cyclic axial compression affects bone healing in the mouse tibia. J Orthop Res, 2006, 24: 1679-1686

[29]

Claes L, Eckert-Hübner K, Augat P. The effect of mechanical stability on local vascularization and tissue differentiation in callus healing. J Orthop Res, 2002, 20: 1099-1105

[30]

Goodship AE, Cunningham JL, Kenwright J. Strain rate and timing of stimulation in mechanical modulation of fracture healing. Clin Orthop Relat Res, 1998, 355: S105-S115

[31]

Hente R, Cordey J, Rahn BA, Maghsudi M, von Gumppenberg S, Perren SM. Fracture healing of the sheep tibia treated using a unilateral external fixator. Comparison of static and dynamic fixation. Injury, 1999, 30 Suppl 1: A44-A51

[32]

Wolf JW, White AA, Panjabi MM, Southwick WO. Comparison of cyclic loading versus constant compression in the treatment of long-bone fractures in rabbits. J Bone Joint Surg, 1981, 63: 805-810

[33]

Wallace AL, Draper ERC, Strachan RK, McCarthy ID, Hughes SPF. The vascular response to fracture micromovement. Clin Orthop Relat Res, 1994, 301: 281-290

[34]

Turner TM, Urban RM, Gitelis S, Kuo KN, Andersson GB. Radiographic and histologic assessment of calcium sulfate in experimental animal models and clinical use as a resorbable bone-graft substitute, a bone-graft expander, and a method for local antibiotic delivery. One institution’s experience. J Bone Joint Surg Am, 2001, 83-A Suppl 2(Pt 1): 8-18

[35]

Glazer PA, Spencer UM, Alkalay RN, Schwardt J. In vivo evaluation of calcium sulfate as a bone graft substitute for lumbar spinal fusion. Spine J, 2001, 1: 395-401

[36]

Tay BK, Patel VV, Bradford DS. Calcium sulfate- and calcium phosphate-based bone substitutes. Mimicry of the mineral phase of bone. Orthop Clin North Am, 1999, 30: 615-623

[37]

Murashima Y, Yoshikawa G, Wadachi R, Sawada N, Suda H. Calcium sulphate as a bone substitute for various osseous defects in conjunction with apicectomy. Int Endod J, 2002, 35: 768-774

[38]

Melo LG, Nagata MJ, Bosco AF, Ribeiro LL, Leite CM. Bone healing in surgically created defects treated with either bioactive glass particles, a calcium sulfate barrier, or a combination of both materials. A histological and histometric study in rat tibias. Clin Oral Implants Res, 2005, 16: 683-691

[39]

Schulte FA, Lambers FM, Kuhn G, Müller R. In vivo micro-computed tomography allows direct three-dimensional quantification of both bone formation and bone resorption parameters using time-lapsed imaging. Bone, 2011, 48: 433-442

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