PMID- 28128898 OWN - NLM STAT- MEDLINE DCOM- 20171201 LR - 20171201 IS - 2192-2659 (Electronic) IS - 2192-2640 (Linking) VI - 6 IP - 7 DP - 2017 Apr TI - Tri-Layered Nanocomposite Hydrogel Scaffold for the Concurrent Regeneration of Cementum, Periodontal Ligament, and Alveolar Bone. LID - 10.1002/adhm.201601251 [doi] AB - A tri-layered scaffolding approach is adopted for the complete and concurrent regeneration of hard tissues-cementum and alveolar bone-and soft tissue-the periodontal ligament (PDL)-at a periodontal defect site. The porous tri-layered nanocomposite hydrogel scaffold is composed of chitin-poly(lactic-co-glycolic acid) (PLGA)/nanobioactive glass ceramic (nBGC)/cementum protein 1 as the cementum layer, chitin-PLGA/fibroblast growth factor 2 as the PDL layer, and chitin-PLGA/nBGC/platelet-rich plasma derived growth factors as the alveolar bone layer. The tri-layered nanocomposite hydrogel scaffold is cytocompatible and favored cementogenic, fibrogenic, and osteogenic differentiation of human dental follicle stem cells. In vivo, tri-layered nanocomposite hydrogel scaffold with/without growth factors is implanted into rabbit maxillary periodontal defects and compared with the controls at 1 and 3 months postoperatively. The tri-layered nanocomposite hydrogel scaffold with growth factors demonstrates complete defect closure and healing with new cancellous-like tissue formation on microcomputed tomography analysis. Histological and immunohistochemical analyses further confirm the formation of new cementum, fibrous PDL, and alveolar bone with well-defined bony trabeculae in comparison to the other three groups. In conclusion, the tri-layered nanocomposite hydrogel scaffold with growth factors can serve as an alternative regenerative approach to achieve simultaneous and complete periodontal regeneration. CI - (c) 2017 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim. FAU - Sowmya, S AU - Sowmya S AD - Amrita Centre for Nanosciences and Molecular Medicine, Amrita Institute of Medical Sciences and Research Centre, Amrita Vishwa Vidyapeetham, Amrita University, 682041, Kochi, India. FAU - Mony, Ullas AU - Mony U AD - Amrita Centre for Nanosciences and Molecular Medicine, Amrita Institute of Medical Sciences and Research Centre, Amrita Vishwa Vidyapeetham, Amrita University, 682041, Kochi, India. FAU - Jayachandran, P AU - Jayachandran P AD - Amrita School of Dentistry, Amrita Institute of Medical Sciences and Research Centre, Amrita Vishwa Vidyapeetham, Amrita University, 682041, Kochi, India. FAU - Reshma, S AU - Reshma S AD - Amrita School of Dentistry, Amrita Institute of Medical Sciences and Research Centre, Amrita Vishwa Vidyapeetham, Amrita University, 682041, Kochi, India. FAU - Kumar, R Arun AU - Kumar RA AD - Amrita Centre for Nanosciences and Molecular Medicine, Amrita Institute of Medical Sciences and Research Centre, Amrita Vishwa Vidyapeetham, Amrita University, 682041, Kochi, India. FAU - Arzate, H AU - Arzate H AD - Laboratorio de Biologia Periodontal, Facultad de Odontologia, Universidad Nacional Autonoma de Mexico, D.F 04510, Mexico City, Mexico. FAU - Nair, Shantikumar V AU - Nair SV AD - Amrita Centre for Nanosciences and Molecular Medicine, Amrita Institute of Medical Sciences and Research Centre, Amrita Vishwa Vidyapeetham, Amrita University, 682041, Kochi, India. FAU - Jayakumar, R AU - Jayakumar R AD - Amrita Centre for Nanosciences and Molecular Medicine, Amrita Institute of Medical Sciences and Research Centre, Amrita Vishwa Vidyapeetham, Amrita University, 682041, Kochi, India. LA - eng PT - Journal Article DEP - 20170127 PL - Germany TA - Adv Healthc Mater JT - Advanced healthcare materials JID - 101581613 RN - 0 (Hydrogels) SB - IM MH - *Alveolar Bone Loss/metabolism/pathology/therapy MH - Animals MH - Bone Regeneration/*drug effects MH - *Dental Cementum/injuries/metabolism/pathology MH - *Hydrogels/chemistry/pharmacology MH - *Nanocomposites/chemistry/therapeutic use MH - *Periodontal Ligament/injuries/metabolism/pathology MH - Rabbits MH - Tissue Scaffolds/*chemistry OTO - NOTNLM OT - alveolar bone OT - cementum OT - layered OT - nanocomposite OT - periodontal ligament OT - scaffold EDAT- 2017/01/28 06:00 MHDA- 2017/12/02 06:00 CRDT- 2017/01/28 06:00 PHST- 2016/11/08 00:00 [received] PHST- 2016/12/19 00:00 [revised] PHST- 2017/01/28 06:00 [pubmed] PHST- 2017/12/02 06:00 [medline] PHST- 2017/01/28 06:00 [entrez] AID - 10.1002/adhm.201601251 [doi] PST - ppublish SO - Adv Healthc Mater. 2017 Apr;6(7). doi: 10.1002/adhm.201601251. Epub 2017 Jan 27.