PMID- 23551638 OWN - NLM STAT- MEDLINE DCOM- 20160627 LR - 20140616 IS - 1600-0501 (Electronic) IS - 0905-7161 (Linking) VI - 25 IP - 7 DP - 2014 Jul TI - Modification of xenogenic bone substitute materials--effects on the early healing cascade in vitro. PG - 852-8 LID - 10.1111/clr.12153 [doi] AB - INTRODUCTION: Initial platelet activation with subsequent cytokine release at the defect site plays a crucial role in tissue integration. The aim of this study was to evaluate the influence of topographic and biomimetic collagen modifications of a xenogenic bone substitute material (BSM) on in vitro platelet activation and cytokine release. MATERIAL AND METHODS: Three types of xenogenic BSM were used. Two BSM with different levels of granularity (large granule BSM [XBSM/L], small granule BSM [XBSM/S]) and a BSM with collagen (XBSM/C). All three samples were incubated with platelet concentrate of four healthy volunteers at room temperature for 15 min. For all groups, highly thrombogenic collagen type 1 served as a reference and an additional preparation with platelet concentrate only (without XBSM) served as control. Platelet count and cytokine release of VEGF, PDGF, TGF-beta, and IGF into the supernatant were measured. RESULTS: Compared with the control group, XBSM/C showed an increase in platelets consumption (mean 41,000 +/- 26,000/ml vs. 471,000 +/- 38,000/ml), cytokine release of VEGF (mean 46.8 +/- 7.2 pg/ml vs. 18.8 +/- 2.7 pg/ml), and PDGF (mean 18,350 +/- 795 pg/ml vs. 2726 +/- 410 pg/ml) but not IGF (194,728 +/- 51,608 pg/ml vs. 1,333,911 +/- 35,314 pg/ml). There was also an increase in cytokine release of TGF-ss in XBSM/C compared with XBSM/S (77,188 +/- 27,413 pg/ml vs. 38,648 +/- 13,191 pg/ml), but no such difference when compared with XBSM/L (77,188 +/- 27,413 pg/ml vs. 53,309 +/- 29,430 pg/ml). XBSM/L showed higher platelets consumption (301,000 +/- 45,000 vs. 415,000 +/- 98,000) and a higher cytokine release of PDGF (3511 +/- 247 pg/ml vs. 3165 +/- 78 pg/ml) compared with XBSM/S. There was no distinct difference in the levels of VEGF, TGF-ss, and IGF between XBSM/L and XBSM/S. CONCLUSIONS: Topographic as well as biomimetic modifications of the xenogenic BSM showed an increased platelet activation and cytokine release in vitro. This effect on the intrinsic healing cascade could result in comparable enhanced soft- and hard-tissue regeneration in vivo. CI - (c) 2013 John Wiley & Sons A/S. Published by Blackwell Publishing Ltd. FAU - Kammerer, Peer W AU - Kammerer PW AD - Harvard Medical School, Boston, MA, USA; Department of Oral, Maxillofacial and Plastic Surgery, University Medical Centre Mainz, Mainz, Germany. FAU - Schiegnitz, Eik AU - Schiegnitz E FAU - Alshihri, Abdulmonem AU - Alshihri A FAU - Draenert, Florian G AU - Draenert FG FAU - Wagner, Wilfried AU - Wagner W LA - eng PT - Journal Article DEP - 20130331 PL - Denmark TA - Clin Oral Implants Res JT - Clinical oral implants research JID - 9105713 RN - 0 (Bio-Oss) RN - 0 (Bone Substitutes) RN - 0 (Cytokines) RN - 0 (IGFBP1 protein, human) RN - 0 (Insulin-Like Growth Factor Binding Protein 1) RN - 0 (Minerals) RN - 0 (Platelet-Derived Growth Factor) RN - 0 (Transforming Growth Factor beta) RN - 0 (Vascular Endothelial Growth Factor A) RN - 9007-34-5 (Collagen) MH - Biomimetic Materials/chemistry/*pharmacology MH - Bone Substitutes/chemistry/*pharmacology MH - Collagen/chemistry/*pharmacology MH - Cytokines/*metabolism MH - Enzyme-Linked Immunosorbent Assay MH - Humans MH - In Vitro Techniques MH - Insulin-Like Growth Factor Binding Protein 1/metabolism MH - Minerals/chemistry/*pharmacology MH - Platelet Activation MH - Platelet Count MH - Platelet-Derived Growth Factor/metabolism MH - Transforming Growth Factor beta/metabolism MH - Vascular Endothelial Growth Factor A/metabolism MH - Wound Healing/drug effects OTO - NOTNLM OT - biomaterials OT - bone regeneration OT - bone substitutes OT - growth factors OT - guided tissue regeneration OT - wound healing EDAT- 2013/04/05 06:00 MHDA- 2016/06/28 06:00 CRDT- 2013/04/05 06:00 PHST- 2013/02/13 00:00 [accepted] PHST- 2013/04/05 06:00 [entrez] PHST- 2013/04/05 06:00 [pubmed] PHST- 2016/06/28 06:00 [medline] AID - 10.1111/clr.12153 [doi] PST - ppublish SO - Clin Oral Implants Res. 2014 Jul;25(7):852-8. doi: 10.1111/clr.12153. Epub 2013 Mar 31.