Aggregation of Nanosized Hydroxyapatite Particles and Inhibition of Cell Adhesion on this Bio-Active Material as Key Factors that Limit its Biointegration

Abstract

Abstract—Different synthetic calcium phosphate compounds are used as osteoplastic materials for filling of bone defects during surgical reconstruction of bone. Synthetic nanosized hydroxyapatite is of particular interest because of its similarity to the chemical composition of bone and its osteoinductive potential. However, it is also known that nanosized hydroxyapatite can inhibit the processes of biointegration of biomaterials, although we have no clear understanding of the mechanisms that are responsible for this effect. In our in vitro studies suppression of cell adhesion on nanosized hydroxyapatite that may lead to anoikis was shown. Studies in which rat subcutaneous heterotopic implantation methods were used showed that nanosized hydroxyapatite in vivo formed a slightly resorbable agglomerate that blocks cell migration into the material, as well as neocollagenesis processes in it, including the processes of encapsulation of the material. In this case, the processes of neocollagenesis along the periphery of the sample were observed only over a dense layer of dead cells (cellular debris) surrounding the agglomerated nanosized hydroxyapatite. Addition of demineralized bone collagen matrix to nanosized hydroxyapatite as a conductive component contributed to colonization of the material by the cells, resorption of nanosized hydroxyapatite, and active construction of the neocollagen matrix. These results show that modification of nanosized hydroxyapatite with a conductive component is required in order to prevent its agglomeration and thus increase its biointegration and osteoinductive potential in the body.