journal article·2024-01-02Open access

Bio-functional hydroxyapatite-coated 3D porous polyetherketoneketone scaffold for enhanced osteogenesis and osteointegration in orthopedic applications

Huanhuan Liu, Taiqing Liu, Zhicheng Yin, Xiaoyin Liu, Ying Tan, Yuwei Zhao, Haiyang Yu

Abstract

Abstract Polyetherketoneketone (PEKK), a high-performance thermoplastic special engineering material, maintains bone-like mechanical properties and has received considerable attention in the biomedical field. The 3D printing technique enables the production of porous scaffolds with a honeycomb structure featuring precisely controlled pore size, porosity and interconnectivity, which holds significant potential for applications in tissue engineering. The ideal pore architecture of porous PEKK scaffolds has yet to be elucidated. Porous PEKK scaffolds with five pore sizes P200 (225 ± 9.8 μm), P400 (411 ± 22.1 μm), P600 (596 ± 23.4 μm), P800 (786 ± 24.2 μm) and P1000 (993 ± 26.0 μm) were produced by a 3D printer. Subsequently, the optimum pore size, the P600, for mechanical properties and osteogenesis was selected based on in vitro experiments. To improve the interfacial bioactivity of porous PEKK scaffolds, hydroxyapatite (HAp) crystals were generated via in situ biomimetic mineralization induced by the phase-transited lysozyme coating. Herein, a micro/nanostructured surface showing HAp crystals on PEKK scaffold was developed. In vitro and in vivo experiments confirmed that the porous PEKK-HAp scaffolds exhibited highly interconnected pores and functional surface structures that were favorable for biocompatibility and osteoinductivity, which boosted bone regeneration. Therefore, this work not only demonstrates that the pore structure of the P600 scaffold is suitable for PEKK orthopedic implants but also sheds light on a synergistic approach involving 3D printing and biomimetic mineralization, which has the potential to yield customized 3D PEKK-HAp scaffolds with enhanced osteoinductivity and osteogenesis, offering a promising strategy for bone tissue engineering.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Bone Tissue Engineering Materials · Orthopaedic implants and arthroplasty · biodegradable polymer synthesis and properties

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Department of Prosthodontics, State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University , Chengdu, Sichuan 610065, PR China

Department of Pharmacy, State Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University , Chengdu, Sichuan 610065, PR China

Department of Dental Technology, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University , Chengdu, Sichuan 610065, PR China

Department of Neurosurgery, West China Hospital, West China Medical School, Sichuan University , Chengdu, Sichuan 610065, PR China

Funding

National Natural Science Foundation of China · Research Fund of Interdisciplinary Innovation · West China Hospital of Stomatology Sichuan University

References (50)

Show source-provided references
1. Comparison of osteointegration property between PEKK and PEEK: effects of surface structure and chemistry10.1016/j.biomaterials.2018.04.014 ↗
2. Polyetheretherketone (PEEK) cages in cervical applications: a systematic review10.1016/j.spinee.2013.08.030 ↗
3. In vivo osseointegration of nanodesigned composite coatings on titanium implants10.1021/nn200768c ↗
4. 3D printed PEKK bone analogs with internal porosity and surface modification for mandibular reconstruction: an in vivo rabbit model study10.1016/j.bioadv.2023.213455 ↗
5. Hydroxyapatite composited PEEK with 3D porous surface enhances osteoblast differentiation through mediating NO by macrophage10.1093/rb/rbab076 ↗
6. Low-temperature printed hierarchically porous induced-biomineralization polyaryletherketone scaffold for bone tissue engineering10.1002/adhm.202200977 ↗
7. Lotus seedpod-inspired internal vascularized 3D printed scaffold for bone tissue repair
8. The degradation regulation of 3D printed scaffolds for promotion of osteogenesis and in vivo tracking10.1016/j.compositesb.2021.109084 ↗
9. Additive manufacturing approaches for hydroxyapatite-reinforced composites10.1002/adfm.201903055 ↗
10. The contribution of pore size and porosity of 3D printed porous titanium scaffolds to osteogenesis10.1016/j.msec.2022.112651 ↗
11. 3D-printed porous Ti6Al4V scaffolds for long bone repair in animal models: a systematic review10.1186/s13018-022-02960-6 ↗
12. Selective laser melting processed Ti6Al4V lattices with graded porosities for dental applications10.1016/j.jmbbm.2018.08.047 ↗
13. Effect of pore size on bone ingrowth into porous titanium implants fabricated by additive manufacturing: an in vivo experiment10.1016/j.msec.2015.10.069 ↗
14. Porosity of 3D biomaterial scaffolds and osteogenesis10.1016/j.biomaterials.2005.02.002 ↗
15. The design and in vivo testing of a locally stiffness-matched porous scaffold10.1016/j.apmt.2019.02.017 ↗
16. Tuning the mechanics of 3D-printed scaffolds by crystal lattice-like structural design for breast tissue engineering10.1088/1758-5090/ab52ea ↗
17. Cytocompatibility, osseointegration, and bioactivity of three-dimensional porous and nanostructured network on polyetheretherketone10.1016/j.biomaterials.2013.08.071 ↗
18. Improving osteointegration and osteogenesis of three-dimensional porous Ti6Al4V scaffolds by polydopamine-assisted biomimetic hydroxyapatite coating10.1021/acsami.5b00331 ↗
19. Osteoimmunomodulatory effects of biomaterial modification strategies on macrophage polarization and bone regeneration10.1093/rb/rbaa006 ↗
20. Amorphous precursor-mediated calcium phosphate coatings with tunable microstructures for customized bone implants10.1002/adhm.202201248 ↗
21. Topography-supported nanoarchitectonics of hybrid scaffold for systematically modulated bone regeneration and remodeling10.1002/adfm.202206863 ↗
22. Ectopic osteogenesis and angiogenesis regulated by porous architecture of hydroxyapatite scaffolds with similar interconnecting structure in vivo10.1093/rb/rbw031 ↗
23. Fabrication of calcium phosphate coatings by the inflight reaction of precursor feedstocks using plasma spraying10.1007/s11666-023-01582-6 ↗
24. Ion-beam-assisted deposition IBAD of hydroxyapatite coating layer on Ti-based metal substrate10.1016/S0142-9612(99)00186-6 ↗
25. Hydroxyapatite nanocrystals functionalized with alendronate as bioactive components for bone implant coatings to decrease osteoclastic activity10.1016/j.apsusc.2014.12.072 ↗
26. Surface modification of titanium with hydroxyapatite layer induced by phase-transited lysozyme coating10.1016/j.msec.2018.05.055 ↗
27. Microwave-induced biomimetic approach for hydroxyapatite coatings of chitosan scaffolds10.1016/j.carbpol.2016.10.016 ↗
28. Bone-like hydroxyapatite anchored on alginate microspheres for bone regeneration10.1016/j.carbpol.2022.119330 ↗
29. 3D-printed porous functional composite scaffolds with polydopamine decoration for bone regeneration10.1093/rb/rbad062 ↗
30. Phase-transited lysozyme as a universal route to bioactive hydroxyapatite crystalline film
31. Hybrid porous zirconia scaffolds fabricated using additive manufacturing for bone tissue engineering applications10.1016/j.msec.2021.111950 ↗
32. Three-dimensional-printed individualized porous implants: a new “implant-bone” interface fusion concept for large bone defect treatment
33. Autologous bone graft: is it still the gold standard?10.1016/j.injury.2021.01.043 ↗
34. Calcium silicate bioactive ceramics induce osteogenesis through oncostatin M
35. Titanium alloy composited with dual-cytokine releasing polysaccharide hydrogel to enhance osseointegration via osteogenic and macrophage polarization signaling pathways10.1093/rb/rbac003 ↗
36. A unique biomimetic modification endows polyetherketoneketone scaffold with osteoinductivity by activating cAMP PKA signaling pathway10.1126/sciadv.abq7116 ↗
37. Additively-manufactured PEEK/HA porous scaffolds with excellent osteogenesis for bone tissue repairing10.1016/j.compositesb.2021.109508 ↗
38. Magnesium surface-activated 3D printed porous PEEK scaffolds for in vivo osseointegration by promoting angiogenesis and osteogenesis
39. Influence of the pore size and porosity of selective laser melted Ti6Al4V ELI porous scaffold on cell proliferation, osteogenesis and bone ingrowth10.1016/j.msec.2019.110289 ↗
40. Design and performance evaluation of additively manufactured composite lattice structures of commercially pure Ti (CP-Ti)
41. Enhanced bacteriostatic activity, osteogenesis and osseointegration of silicon nitride/polyetherketoneketone composites with femtosecond laser induced micro/nano structural surface10.1016/j.apmt.2019.100523 ↗
42. Tuning the surface immunomodulatory functions of polyetheretherketone for enhanced osseointegration10.1016/j.biomaterials.2019.119642 ↗
43. Ion-association complexes unite classical and non-classical theories for the biomimetic nucleation of calcium phosphate10.1038/ncomms2490 ↗
44. Bone microenvironment-mimetic scaffolds with hierarchical microstructure for enhanced vascularization and bone regeneration10.1002/adfm.202200011 ↗
45. A biomimetically hierarchical polyetherketoneketone scaffold for osteoporotic bone repair10.1126/sciadv.abc4704 ↗
46. Biomineralization from the perspective of ion aggregation: calcium phosphate nucleation in the physiological environment10.1021/acsami.1c15393 ↗
47. A carboxymethyl chitosan and peptide-decorated polyetheretherketone ternary biocomposite with enhanced antibacterial activity and osseointegration as orthopedic/dental implants10.1039/C5TB02782A ↗
48. Hydroxyapatite whisker-reinforced polyetherketoneketone bone ingrowth scaffolds10.1016/j.actbio.2009.08.004 ↗
49. Osteoimmunity-regulating biomimetically hierarchical scaffold for augmented bone regeneration10.1002/adma.202202044 ↗
50. Long-term in vivo integrity and safety of 3D-bioprinted cartilaginous constructs10.1002/jbm.b.34687 ↗