[Experimental study of repairing rabbit femur defect with NPP/C-HA/ rhBMP-2].

Shanghai Kou Qiang Yi Xue

Department of Oral Implant, Affiliate Haikou Hospital of Xiangya Medical School, Center South University·Hainan Provincial Stomatology Center. Haikou 570208, Hainan Province, China. E-mail:

Published: August 2021

AI Article Synopsis

  • The study aimed to assess the effectiveness of a new artificial bone composed of nano-grade pearl powder, chitosan-hyaluronic acid, and recombinant human bone morphology protein-2 (rhBMP-2) for promoting bone healing.
  • A bone defect was created in the femur of test subjects, with different groups receiving various treatments, including a control group with no material and an experimental group with the new composite.
  • Results showed that after 12 weeks, the experimental group had complete bone repair and significant new bone formation compared to control and blank groups, with no adverse effects, indicating the composite's potential for effective bone repair.

Article Abstract

Purpose: To investigate the osteogenic effect of nano-grade pearl powder(NPP)/chitosan-hyaluronic acid (C-HA)/recombinant human bone morphology protein-2 (rhBMP-2) artificial bone.

Methods: A bone defect model with a diameter of 7 mm and a height of 10 mm was made at the distal end of the femur. NPP/C-HA stent containing rhBMP-2 was prepared according to the shape of the defect. No material was implanted in the defect as blank group. NPP/C-HA was used as the control group, NPP/C-HA/rhBMP-2 was implanted into the experimental group. At 4 weeks, 8 weeks, and 12 weeks, the bone effects of each component were detected by cone-beam CT(CBCT), H-E and Masson staining. Serum ALP activity and OCN in tissues to determine the osteogenic differentiation and osteogenesis maturity were detected. SPSS 18.0 software package was used for statistical analysis.

Results: At 12 weeks, the defect was completely repaired in the experimental group. No immunological side effects such as inflammation and rejection were observed. At 8 and 12 weeks, CBCT showed that the experimental group had a higher CT value (Hounsfield units, HU) compared with the control group and the blank group(P<0.05). H-E and Masson staining showed that the experimental group had obvious new bone formation compared with the control group and the blank group at 8 weeks and 12 weeks, and ALP activity of the experimental group was significantly different from the control group and the blank group at 8 weeks. OCN immunohistochemical scoring of the experimental group was significantly different from the control group and the blank group(P<0.05).

Conclusions: NPP/C-HA/rhBMP-2 has good tissue fusion, osteoinductivity, osteoconductivity and osteogenicity, which is expected to provide more effective treatment for bone repair.

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