The effect of tranexamic acid-loaded alginate scaffolds on bone formation: hemostatic and histomorphometric analysis in a rabbit model

IF 3 Q2 PHARMACOLOGY & PHARMACY
Mai El Halawany, Heba Ahmed Saleh, Mohammed Khashaba, Mohamed H. H. AbouGhaly, Randa Latif
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引用次数: 0

Abstract

Background

Bone tissue regeneration based on the use of porous biomaterial scaffolds is considered a promising approach for treating bone defects and fractures healing. A porous alginate scaffold comprising hydroxyapatite nanoparticles loaded with tranexamic acid was formulated. The prepared scaffolds were characterized in terms of the release profile of tranexamic acid and scanning electron microscopy imaging. A cranial bone defect in rabbits (6 defects/3 rabbits/group) was used as a model for the assessment of hemostatic activity of the used scaffolds and the assessment of the bone formation histomorphometrically after its application for 14 days.

Results

The scaffold appeared with irregular porous structure and controlled the release of tranexamic acid over 4 h. The hemostatic time of the medicated and non-medicated scaffolds were 20 and 60 s, respectively. They were significantly lower than the control group (200 s, p < 0.05). The microscopic examination was done after staining histologically prepared sections from the bone defect with Masson trichrome stain and the area % of the newly developed bone was computed. For the medicated group, the new bone area % (75.8 ± 4.9%) was significantly higher than the non-medicated group (58.1 ± 5.9%, p < 0.001). Both groups were significantly larger than the control group that showed bone area % of 43.1 ± 5.6 (p < 0.05). The histomorphometric analysis showed that the medicated scaffold-treated group had more mineralized newly formed bone tissue and smaller amount of soft tissue and residual materials. In contrast, the non-medicated scaffold showed non-mineralized bone cells with larger soft tissue and residual materials.

Conclusion

These results suggested the promising effect of the tranexamic acid-loaded scaffolds in minimizing the time to reach hemostasis by stabilization of the formed hematoma. Additionally, they could improve the quality (mineralization) and the quantity (amount) of the newly formed bone.

Graphical abstract

载氨甲环酸海藻酸酯支架对兔骨形成的影响:止血和组织形态学分析
基于多孔生物材料支架的骨组织再生被认为是治疗骨缺损和骨折愈合的一种很有前途的方法。制备了一种含有羟磷灰石纳米颗粒的多孔藻酸盐支架,该支架负载氨甲环酸。用氨甲环酸释放谱和扫描电镜成像对制备的支架进行了表征。以兔颅骨骨缺损(6个缺损/3只/组)为模型,应用14 d后评价支架的止血活性和骨形成组织形态学。结果支架呈不规则多孔结构,在4 h内氨甲环酸的释放得到控制,给药支架和未给药支架的止血时间分别为20 s和60 s。显著低于对照组(200s, p < 0.05)。用马松三色染色法对组织学制备的骨缺损切片进行显微检查,计算新生骨的面积%。给药组新生骨面积%(75.8±4.9%)显著高于未给药组(58.1±5.9%,p < 0.001)。两组骨面积%(43.1±5.6)均显著大于对照组(p < 0.05)。组织形态学分析显示,药物支架处理组矿化的新生骨组织较多,软组织和残留物质较少。相比之下,非药物支架显示非矿化骨细胞,软组织和残留材料更大。结论负载氨甲环酸支架通过稳定形成的血肿来缩短止血时间,具有良好的止血效果。此外,它们可以提高新形成骨的质量(矿化)和数量(数量)。图形抽象
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来源期刊
自引率
0.00%
发文量
44
审稿时长
23 weeks
期刊介绍: Future Journal of Pharmaceutical Sciences (FJPS) is the official journal of the Future University in Egypt. It is a peer-reviewed, open access journal which publishes original research articles, review articles and case studies on all aspects of pharmaceutical sciences and technologies, pharmacy practice and related clinical aspects, and pharmacy education. The journal publishes articles covering developments in drug absorption and metabolism, pharmacokinetics and dynamics, drug delivery systems, drug targeting and nano-technology. It also covers development of new systems, methods and techniques in pharmacy education and practice. The scope of the journal also extends to cover advancements in toxicology, cell and molecular biology, biomedical research, clinical and pharmaceutical microbiology, pharmaceutical biotechnology, medicinal chemistry, phytochemistry and nutraceuticals.
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