PMID- 29113502 OWN - NLM STAT- MEDLINE DCOM- 20190219 LR - 20190320 IS - 2169-141X (Electronic) IS - 2169-1401 (Linking) VI - 46 IP - 8 DP - 2018 Dec TI - Osteogenic and antibacterial properties of vancomycin-laden mesoporous bioglass/PLGA composite scaffolds for bone regeneration in infected bone defects. PG - 1935-1947 LID - 10.1080/21691401.2017.1396997 [doi] AB - Chronic osteomyelitis and infected bone defects are substantial challenges faced by orthopaedic surgeons. In this study, vancomycin was loaded into mesoporous bioactive glass (MBG) to form a local antibiotic delivery system and then a bone tissue-engineering scaffold combining MBG and poly-(L-lactic-co-glycolic acid) (PLGA) was prepared by freeze-drying fabrication. In vitro degradation and water contact angle analysis suggested that the MBG-incorporated PLGA scaffold exhibited controlled degradability, stabilizing the pH of the surrounding environment and improved the hydrophilicity. Moreover, the presence of MBG provides a well-interconnected pore structure, to which human bone marrow-derived mesenchymal stem cells can attach, spread and proliferate, promoting upregulation of the expression of osteogenic markers. Thus, MBG/PLGA scaffolds exhibit better cytocompatibility and osteoblastic difierentiation properties compared with pure PLGA scaffolds. Vancomycin-loaded scaffolds have been found to yield sustained release that lasts for more than eight weeks in vitro. We tested the antibacterial performance of vancomycin-loaded scaffolds against Staphylococcus aureus, the most common bacteria isolated from infected bone. In vitro experiments demonstrated that loading vancomycin onto the scaffold promoted antibacterial activity and inhibited biofilm formation without deleterious effect on cytocompatibility. In conclusion, the novel inorganic-organic composites are considered potential materials for the treatment of infected bone defects. FAU - Cheng, Tao AU - Cheng T AD - a Department of Orthopaedic Surgery , Shanghai Jiao Tong University Affiliated Sixth People's Hospital , Shanghai , China. FAU - Qu, Haiyun AU - Qu H AD - b Analysis and Testing Center for Inorganic Materials , Shanghai Institute of Ceramics, Chinese Academy of Sciences , Shanghai , China. FAU - Zhang, Guoyou AU - Zhang G AD - c Department of Plastic and Reconstructive Surgery , Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine , Shanghai , China. FAU - Zhang, Xianlong AU - Zhang X AD - a Department of Orthopaedic Surgery , Shanghai Jiao Tong University Affiliated Sixth People's Hospital , Shanghai , China. LA - eng PT - Journal Article DEP - 20171107 PL - England TA - Artif Cells Nanomed Biotechnol JT - Artificial cells, nanomedicine, and biotechnology JID - 101594777 RN - 0 (Anti-Bacterial Agents) RN - 0 (Bioglass) RN - 0 (Delayed-Action Preparations) RN - 1SIA8062RS (Polylactic Acid-Polyglycolic Acid Copolymer) RN - 6Q205EH1VU (Vancomycin) SB - IM MH - *Anti-Bacterial Agents/chemistry/pharmacokinetics/pharmacology MH - Biofilms/drug effects/growth & development MH - Bone Regeneration/*drug effects MH - *Ceramics/chemistry/pharmacokinetics/pharmacology MH - Delayed-Action Preparations/chemistry/pharmacokinetics/pharmacology MH - Humans MH - Osteogenesis/*drug effects MH - Osteomyelitis/*drug therapy/metabolism/pathology MH - *Polylactic Acid-Polyglycolic Acid Copolymer/chemistry/pharmacokinetics/pharmacology MH - Porosity MH - Staphylococcal Infections/*drug therapy/metabolism/pathology MH - Staphylococcus aureus/*physiology MH - *Vancomycin/chemistry/pharmacokinetics/pharmacology OTO - NOTNLM OT - Mesoporous bioactive glass OT - antimicrobial OT - infection OT - osteogenesis OT - osteomyelitis EDAT- 2017/11/09 06:00 MHDA- 2019/03/21 06:00 CRDT- 2017/11/09 06:00 PHST- 2017/11/09 06:00 [pubmed] PHST- 2019/03/21 06:00 [medline] PHST- 2017/11/09 06:00 [entrez] AID - 10.1080/21691401.2017.1396997 [doi] PST - ppublish SO - Artif Cells Nanomed Biotechnol. 2018 Dec;46(8):1935-1947. doi: 10.1080/21691401.2017.1396997. Epub 2017 Nov 7.