Abstract

Bone defects resulting from trauma, disease, surgery or congenital malformations are a significant health problem worldwide. Consequently, bone is the second most transplanted tissue just after blood. Although bone grafts (BGs) have been used for decades to improve bone repairs, none of the currently available BGs possesses all the desirable characteristics. One way to overcome such limitations is to introduce the feature of controlled release of active bone-promoting biomolecules: however, the administration of, e.g., recombinant Bone morphogenetic proteins (BMPs) have been used in concentrations overshooting physiologically occurring concentrations and has thus raised concerns as documented side effects were recorded. Secondly, most such biomolecules are very sensitive to organic solvents and this hinders their use. Here, we present a novel xeno-hybrid bone graft, SmartBonePep®, with a new type of biomolecule (i.e., intrinsically disordered proteins, IDPs) that is both resistant to processing with organic solvent and both triggers bone cells proliferation and differentiation. SmartBonePep® is an advanced and improved modification of SmartBone®, which is a bone substitute produced by combining naturally-derived mineral bone structures with resorbable polymers and collagen fragments. Not only have we demonstrated that Intrinsically Disordered Proteins (IDPs) can be successfully and safely loaded onto a SmartBonePep®, withstanding the hefty manufacturing processes, but also made them bioavailable in a tuneable manner and proved that these biomolecules are a robust and resilient biomolecule family, being a better candidate with respect to other biomolecules for effectively producing the next generation bone grafts. Most other biomolecules which enhances bone formation, e.g., BMP, would not have tolerated the organic solvent used to produce SmartBonePep®.

Highlights

  • A frequently used method to treat bone defects is the use of bone grafts to promote tissue regeneration

  • Have we demonstrated that Intrinsically Disordered Proteins (IDPs) can be successfully and safely loaded onto a SmartBonePep®, withstanding the hefty manufacturing processes, and made them bioavailable in a tuneable manner and proved that these biomolecules are a robust and resilient biomolecule family, being a better candidate with respect to other biomolecules for effectively producing the generation bone grafts

  • This has motivated the search for alternative bone grafts and different sources, where synthetic grafts made of biopolymers, bioceramics and their composites have received a lot of research focus and industrial interest lately [8,9,10,11,12,13]: there’s a common census within the research community on the need of generation bone grafts with higher bioactivity degree [6,14]

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Summary

Introduction

A frequently used method to treat bone defects is the use of bone grafts to promote tissue regeneration. The transplantation of tissue from one site of the patient’s body to another, represents the gold standard [2,3,4] This method has drawbacks such as limited supply and the risk of donor site morbidity, in oncological applications, and hardly applies in paediatric cases [5,6]. The synthetic grafts traditionally tend to lag behind on the biological performance compared to autografts, allografts and xenografts [15,16] This said, a former study comparing sinus floor augmentation with inorganic bovine bone (Bio-Oss®, Geistlich AG, Wolhusen, Switzerland) and biphasic calcium phosphate (Straumann® BoneCeramic, Institute Straumann AG, Basel, Switzerland) showed no statistical difference between the bone formation for the two groups [15], proving that commercial research on synthetic bone grafts are catching up. One of the main advantages with the xeno-hybrid bone grafts is their ability to resorb and remodel, in addition to have high intrinsic mechanical strength

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