Bovine Hydroxyapatite-Based Bone Scaffold with Gentamicin Accelerates Vascularization and Remodeling of Bone Defect

Osteomyelitis is an infectious disease which is also a major complication of bone defects. This study aims to determine the effect of bovine hydroxyapatite-gelatin-based bone implants with gentamicin as an antibiotic (BHA-GEL-GEN implant) on the regeneration of bone defects in vivo. The BHA-GEL-GEN...

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Main Authors: Aniek S. Budiatin, Maria A. Gani, Samirah, Chrismawan Ardianto, Aulia M. Raharjanti, Indah Septiani, Ni Putu K. P. Putri, Junaidi Khotib
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:International Journal of Biomaterials
Online Access:http://dx.doi.org/10.1155/2021/5560891
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author Aniek S. Budiatin
Maria A. Gani
Samirah
Chrismawan Ardianto
Aulia M. Raharjanti
Indah Septiani
Ni Putu K. P. Putri
Junaidi Khotib
author_facet Aniek S. Budiatin
Maria A. Gani
Samirah
Chrismawan Ardianto
Aulia M. Raharjanti
Indah Septiani
Ni Putu K. P. Putri
Junaidi Khotib
author_sort Aniek S. Budiatin
collection DOAJ
description Osteomyelitis is an infectious disease which is also a major complication of bone defects. This study aims to determine the effect of bovine hydroxyapatite-gelatin-based bone implants with gentamicin as an antibiotic (BHA-GEL-GEN implant) on the regeneration of bone defects in vivo. The BHA-GEL-GEN and BHA-GEL implants were made by direct compression. In vivo study was carried out with Wistar rats. The rats were divided into three groups: negative control, BHA-GEL implant, and BHA-GEL-GEN implants. The defect model used was the burr hole defect model with diameter 2.2 mm and 2 mm deep. After 2, 7, 14, and 28 days, the rats were sacrificed. Bone integrity was carried out using X-ray radiography. Radiological examination was performed using haematoxylin and eosin (HE) staining and immunohistochemical techniques with anti-vascular endothelial growth factor (VEGF) and anti-alkaline phosphatase (ALP) antibodies. Based on the radiograph, the implanted group had accelerated bone growth in the defect area. Semiquantitative data from HE staining showed that the implanted group had accelerated migration of osteoclasts, osteoblasts, and osteocytes in the defect area. The immunoreactive score showed that the BHA-GEL-GEN group had higher VEGF expression compared to two other groups. The three groups did not provide a significant difference in ALP expression. In conclusion, the BHA-GEL-GEN implant causes accelerated bone defects repair by accelerating tissue vascularity and does not interfere with the bone remodeling process. Therefore, the BHA-GEL-GEN implant is potentially a biomedical material for osteomyelitis therapy.
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language English
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spelling doaj-art-dc30dcfa25ed4f69b89c6638e257b0f42025-02-03T01:20:44ZengWileyInternational Journal of Biomaterials1687-87871687-87952021-01-01202110.1155/2021/55608915560891Bovine Hydroxyapatite-Based Bone Scaffold with Gentamicin Accelerates Vascularization and Remodeling of Bone DefectAniek S. Budiatin0Maria A. Gani1Samirah2Chrismawan Ardianto3Aulia M. Raharjanti4Indah Septiani5Ni Putu K. P. Putri6Junaidi Khotib7Department of Clinical Pharmacy, Faculty of Pharmacy, Universitas Airlangga, Surabaya, IndonesiaDoctoral Programme of Pharmaceutical Sciences, Faculty of Pharmacy, Universitas Airlangga, Surabaya, IndonesiaDepartment of Clinical Pharmacy, Faculty of Pharmacy, Universitas Airlangga, Surabaya, IndonesiaDepartment of Clinical Pharmacy, Faculty of Pharmacy, Universitas Airlangga, Surabaya, IndonesiaDepartment of Clinical Pharmacy, Faculty of Pharmacy, Universitas Airlangga, Surabaya, IndonesiaDepartment of Clinical Pharmacy, Faculty of Pharmacy, Universitas Airlangga, Surabaya, IndonesiaDepartment of Clinical Pharmacy, Faculty of Pharmacy, Universitas Airlangga, Surabaya, IndonesiaDepartment of Clinical Pharmacy, Faculty of Pharmacy, Universitas Airlangga, Surabaya, IndonesiaOsteomyelitis is an infectious disease which is also a major complication of bone defects. This study aims to determine the effect of bovine hydroxyapatite-gelatin-based bone implants with gentamicin as an antibiotic (BHA-GEL-GEN implant) on the regeneration of bone defects in vivo. The BHA-GEL-GEN and BHA-GEL implants were made by direct compression. In vivo study was carried out with Wistar rats. The rats were divided into three groups: negative control, BHA-GEL implant, and BHA-GEL-GEN implants. The defect model used was the burr hole defect model with diameter 2.2 mm and 2 mm deep. After 2, 7, 14, and 28 days, the rats were sacrificed. Bone integrity was carried out using X-ray radiography. Radiological examination was performed using haematoxylin and eosin (HE) staining and immunohistochemical techniques with anti-vascular endothelial growth factor (VEGF) and anti-alkaline phosphatase (ALP) antibodies. Based on the radiograph, the implanted group had accelerated bone growth in the defect area. Semiquantitative data from HE staining showed that the implanted group had accelerated migration of osteoclasts, osteoblasts, and osteocytes in the defect area. The immunoreactive score showed that the BHA-GEL-GEN group had higher VEGF expression compared to two other groups. The three groups did not provide a significant difference in ALP expression. In conclusion, the BHA-GEL-GEN implant causes accelerated bone defects repair by accelerating tissue vascularity and does not interfere with the bone remodeling process. Therefore, the BHA-GEL-GEN implant is potentially a biomedical material for osteomyelitis therapy.http://dx.doi.org/10.1155/2021/5560891
spellingShingle Aniek S. Budiatin
Maria A. Gani
Samirah
Chrismawan Ardianto
Aulia M. Raharjanti
Indah Septiani
Ni Putu K. P. Putri
Junaidi Khotib
Bovine Hydroxyapatite-Based Bone Scaffold with Gentamicin Accelerates Vascularization and Remodeling of Bone Defect
International Journal of Biomaterials
title Bovine Hydroxyapatite-Based Bone Scaffold with Gentamicin Accelerates Vascularization and Remodeling of Bone Defect
title_full Bovine Hydroxyapatite-Based Bone Scaffold with Gentamicin Accelerates Vascularization and Remodeling of Bone Defect
title_fullStr Bovine Hydroxyapatite-Based Bone Scaffold with Gentamicin Accelerates Vascularization and Remodeling of Bone Defect
title_full_unstemmed Bovine Hydroxyapatite-Based Bone Scaffold with Gentamicin Accelerates Vascularization and Remodeling of Bone Defect
title_short Bovine Hydroxyapatite-Based Bone Scaffold with Gentamicin Accelerates Vascularization and Remodeling of Bone Defect
title_sort bovine hydroxyapatite based bone scaffold with gentamicin accelerates vascularization and remodeling of bone defect
url http://dx.doi.org/10.1155/2021/5560891
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