PMID- 34884680 OWN - NLM STAT- MEDLINE DCOM- 20220106 LR - 20240226 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 22 IP - 23 DP - 2021 Nov 28 TI - Efficacy for Whitlockite for Augmenting Spinal Fusion. LID - 10.3390/ijms222312875 [doi] LID - 12875 AB - Whitlockite (WH) is the second most abundant inorganic component of human bone, accounting for approximately 25% of bone tissue. This study investigated the role of WH in bone remodeling and formation in a mouse spinal fusion model. Specifically, morphology and composition analysis, tests of porosity and surface area, thermogravimetric analysis, an ion-release test, and a cell viability test were conducted to analyze the properties of bone substitutes. The MagOss group received WH, Group A received 100% beta-tricalcium phosphate (beta-TCP), Group B received 100% hydroxyapatite (HAp), Group C received 30% HAp/70% beta-TCP, and Group D received 60% HAp/40% beta-TCP (n = 10 each). All mice were sacrificed 6 weeks after implantation, and micro-CT, hematoxylin and eosin (HE) staining, and Masson trichome (MT) staining and immunohistochemistry were performed. The MagOss group showed more homogeneous and smaller grains, and nanopores (<500 nm) were found in only the MagOss group. On micro-CT, the MagOss group showed larger fusion mass and better graft incorporation into the decorticate mouse spine than other groups. In the in vivo experiment with HE staining, the MagOss group showed the highest new bone area (mean: decortication group, 9.50%; A, 15.08%; B, 15.70%; C, 14.76%; D, 14.70%; MagOss, 22.69%; p < 0.0001). In MT staining, the MagOss group demonstrated the highest new bone area (mean: decortication group, 15.62%; A, 21.41%; B, 22.86%; C, 23.07%; D, 22.47%; MagOss, 26.29%; p < 0.0001). In an immunohistochemical analysis for osteocalcin, osteopontin, and CD31, the MagOss group showed a higher positive area than other groups. WH showed comparable bone conductivity to HAp and beta-TCP and increased new bone formation. WH is likely to be used as an improved bone substitute with better bone conductivity than HAp and beta-TCP. FAU - Kwon, Su Yeon AU - Kwon SY AD - Department of Neurosurgery, CHA University School of Medicine, CHA Bundang Medical Center, Seongnam-si 13496, Gyeonggi-do, Korea. FAU - Shim, Jung Hee AU - Shim JH AD - R&D Center, OSFIRM Co., Ltd., Seongnam-si 13620, Gyeonggi-do, Korea. FAU - Kim, Yu Ha AU - Kim YH AD - R&D Center, OSFIRM Co., Ltd., Seongnam-si 13620, Gyeonggi-do, Korea. FAU - Lim, Chang Su AU - Lim CS AD - Department of Neurosurgery, CHA University School of Medicine, CHA Bundang Medical Center, Seongnam-si 13496, Gyeonggi-do, Korea. FAU - An, Seong Bae AU - An SB AUID- ORCID: 0000-0002-3706-2075 AD - Department of Neurosurgery, CHA University School of Medicine, CHA Bundang Medical Center, Seongnam-si 13496, Gyeonggi-do, Korea. FAU - Han, Inbo AU - Han I AUID- ORCID: 0000-0002-0834-9325 AD - Department of Neurosurgery, CHA University School of Medicine, CHA Bundang Medical Center, Seongnam-si 13496, Gyeonggi-do, Korea. LA - eng GR - 2020R1A2C4001870/National Research Foundation of Korea/ PT - Evaluation Study PT - Journal Article DEP - 20211128 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (Bone Substitutes) RN - 0 (Calcium Phosphates) RN - 14358-97-5 (whitlockite) SB - IM MH - Animals MH - *Bone Remodeling MH - Bone Substitutes/*therapeutic use MH - Bone and Bones/diagnostic imaging/ultrastructure MH - Calcium Phosphates/*therapeutic use MH - Female MH - Mice, Inbred C57BL MH - *Spinal Fusion MH - X-Ray Microtomography MH - Mice PMC - PMC8657587 OTO - NOTNLM OT - beta-tricalcium phosphate OT - bone substitute OT - calcium phosphate ceramic OT - hydroxyapatite OT - whitlockite COIS- The authors declare no conflict of interest. EDAT- 2021/12/11 06:00 MHDA- 2022/01/07 06:00 PMCR- 2021/11/28 CRDT- 2021/12/10 01:04 PHST- 2021/11/01 00:00 [received] PHST- 2021/11/24 00:00 [revised] PHST- 2021/11/25 00:00 [accepted] PHST- 2021/12/10 01:04 [entrez] PHST- 2021/12/11 06:00 [pubmed] PHST- 2022/01/07 06:00 [medline] PHST- 2021/11/28 00:00 [pmc-release] AID - ijms222312875 [pii] AID - ijms-22-12875 [pii] AID - 10.3390/ijms222312875 [doi] PST - epublish SO - Int J Mol Sci. 2021 Nov 28;22(23):12875. doi: 10.3390/ijms222312875.