Abstract

Guided bone regeneration (GBR) technique is widely used in the treatment of bone defects caused by peri-implantitis, periodontal disease, etc. However, the GBR membranes commonly used in clinical treatments currently have no antibacterial activity. Therefore, in this study, sequential layer-by-layer electrospinning and electrospraying techniques were utilized to prepare a gelatin (Gln) and chitosan (CS) composite GBR membrane containing hydroxyapatite nanoparticles (nHAp) and antimicrobial peptide (Pac-525)-loaded PLGA microspheres (AMP@PLGA-MS), which was supposed to have osteogenic and antibacterial activities. The scanning electron microscope (SEM) observation showed that the morphology of the nanofibers and microspheres could be successfully produced. The diameters of the electrospun fibers with and without nHAp were 359 ± 174 nm and 409 ± 197 nm, respectively, and the mechanical properties of the membrane were measured according to the tensile stress-strain curve. Both the involvement of nHAp and the chemical crosslinking were able to enhance their tensile strength. In vitro cell culture of rat bone marrow mesenchymal stem cells (rBMSCs) indicated that the Gln/CS composite membrane had an ideal biocompatibility with good cell adhesion, spreading, and proliferation. In addition, the Gln/CS membrane containing nHAp could promote osteogenic differentiation of rBMSCs. Furthermore, according to the in vitro drug release assay and antibacterial experiments, the composite GBR membrane containing AMP@PLGA-MS exhibited a long-term sustained release of Pac-525, which had bactericidal activity within one week and antibacterial activity for up to one month against two kinds of bacteria, S. aureus and E. coli. Our results suggest that the antimicrobial peptide-loaded Gln/CS composite membrane (AMP@PLGA-MS@Gln/CS/nHAp) has a great promise in bone generation-related applications for the unique functions of guiding bone regeneration and inhibiting bacterial infection as well.

Highlights

  • Guided tissue regeneration (GTR) generally refers to a surgical procedure, assisting tissue regeneration by utilizing a physical barrier membrane to maintain sufficient space and prevent surrounding undesired fibrous tissue intrusion [1]

  • As for the 4-wk-elution solution, it was 68.26% and 77.36%, respectively. These results demonstrated that the Guided bone regeneration (GBR) membrane had a bactericidal effect on E. coli and S. aureus in the first week, and still had an antibacterial effect four weeks later

  • The aim of the current study is to fabricate an electrospun anti-infective GBR membrane loaded with nHAp and Antimicrobial peptides (AMPs) that would be favorable for bone regeneration, in addition to decreasing bacterial colonization and preventing infection over a long period of time

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Summary

Introduction

Guided tissue regeneration (GTR) generally refers to a surgical procedure, assisting tissue regeneration by utilizing a physical barrier membrane to maintain sufficient space and prevent surrounding undesired fibrous tissue intrusion [1]. The materials used for absorbable membranes, such as polylactic acid (PLA), polyglycolic acid (PGA), PLGA copolymer, and collagen, have good biodegradability and biocompatibility, obviating the necessity of a second operation to remove them [6,7,8]. At present, these membranes, which are extensively utilized in the clinic, are able to meet the requirements for biocompatibility, mechanical barriers, and permeability, as well as for clinical maneuverability. They are not satisfactory, because of their limited osteogenic capacity and antimicrobial activity

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