Abstract
The repair of diabetic bone defects is still challenging as the innate healing process is impaired by adverse microenvironments such as excessive reactive oxygen species (ROS) and insufficient angiogenesis and osteogenesis. Herein, a self-adaptive biocomposite scaffold that can orchestrate sequential regulation of diabetic microenvironment and vascularized bone regeneration was developed for efficient diabetic bone defect repair. The therapeutic scaffold system was meticulously constructed through the incorporation of hydrogel and 3D-printed architecture. In response to the multiple diabetic microenvironment (high level of glucose and ROS), the hydrogel consisting of Vitamin C-loaded phenylboric acid-grafted poly (glutamic acid)/poly (vinyl alcohol) showed adaptive degradation and antioxidative properties by scavenging the intracellular ROS, as well as promoting M2 polarization of macrophages. Furthermore, the copper-doped bioactive glass-contained 3D-printed polycaprolactone within the scaffold system was demonstrated to enhance the mechanical strength and stimulate the in vitro angiogenic and osteogenic performance by releasing copper and silicon ions. Moreover, in a diabetic rat femoral defect model, the biocomposite scaffold showed better angiogenesis and bone regeneration by following diabetic microenvironment remodeling. Therefore, the designed self-adaptive biocomposite scaffold can promote diabetic bone regeneration by sequentially regulating pathological and regenerative cues. This study offers vital insight into the design of a self-adaptive bioactive scaffold for the treatment of diabetic bone defects.
Published Version
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