journal article·2025Open access

Osteoimmunomodulation by bone implant materials: harnessing physicochemical properties and chemical composition

Mehdi Sanati, Ines Pieterman, Natacha Levy, Tayebeh Akbari, Mohamadreza Tavakoli, Alireza Hassani Najafabadi, Saber Amin Yavari

Biomaterials Science· Volume 13· Issue 11

Abstract

Chronic inflammation at bone defect sites can impede regenerative processes, but local immune responses can be adjusted to promote healing. Regulating the osteoimmune microenvironment, particularly through macrophage polarization, has become a key focus in bone regeneration research. While bone implants are crucial for addressing significant bone defects, they are often recognized by the immune system as foreign, triggering inflammation that leads to bone resorption and implant issues like fibrous encapsulation and aseptic loosening. Developing osteoimmunomodulatory implants offers a promising approach to transforming destructive inflammation into healing processes, enhancing implant integration and bone regeneration. This review explores strategies based on tuning the physicochemical attributes and chemical composition of materials in engineering osteoimmunomodulatory and pro-regenerative bone implants.
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Research context

OpenAlex topics: Osteoarthritis Treatment and Mechanisms · Protein Hydrolysis and Bioactive Peptides · Mast cells and histamine

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Affiliations

Department of Orthopedics, University Medical Center Utrecht, Utrecht, The Netherlands

Utrecht Institute for Pharmaceutical Sciences, Faculty of Science, Utrecht University, Utrecht, The Netherlands

Metabolic Diseases Pediatrics Division, University Medical Centre Utrecht, Utrecht, The Netherlands

Regenerative Medicine Centre Utrecht, Utrecht University, Utrecht, The Netherlands

Department of Microbiology, Islamic Azad University, North Tehran Branch, Tehran, Iran

Department of Pharmaceutical Nanotechnology, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran

Terasaki Institute for Biomedical Innovation, Los Angeles, CA, USA

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