3D打印聚乳酸(PLA)支架联合可注射骨替代物(IBS)用于结核病药物递送

D. Hikmawati, A. S. Budiatin, Aminatun, Eka Yuliatin, Frazna Parastuti, P. Widiyanti
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摘要

脊髓结核是一种传染病,据世界卫生组织(世卫组织)称,它是造成健康问题的主要原因之一,也是全世界十大死亡原因之一。本研究的目的是制造一个截断六面体设计的3D打印支架,然后与可注射骨替代物(IBS)膏状材料结合,作为脊柱结核病例的药物递送方法。以羟基磷灰石、明胶、羟丙基甲基纤维素(HPMC)和链霉素为原料合成了注射用骨替代物(IBS)膏体。通过数码显微镜和力学试验对IBS膏体支架进行表征,确定支架的机械强度。3D打印支架的结果表明,支架的孔隙之间具有互联性。注入IBS后,可以看到支架孔隙的整个表面被IBS膏体均匀覆盖。扫描电镜(SEM)测试表明,支架表面已被IBS膏体覆盖,并证明孔隙仍在形成。能量色散x射线(EDX)测试结果表明,IBS膏体含有由Ca、P和O元素组成的羟基磷灰石成分。力学试验结果表明,IBS注入前支架的抗压强度为1.49 ~ 3.97 MPa,注入后支架的抗压强度为3.45 ~ 4.77 MPa。然后进行弯曲试验,支架的弯曲强度为16.76 ~ 36.09 MPa,注入IBS后支架的弯曲强度增加到21.57 ~ 40.36 MPa左右。药物释放试验表明,3D打印支架对链霉素的释放率为4.944%-6.547%,达到了能够杀死结核菌的药物释放率。由此可见,3D打印支架结合IBS膏状材料可以作为药物载体,也可以作为治疗脊柱结核的一种方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
3D Printing of PolyLactic Acid (PLA) Scaffold Combined with Injectable Bone Substitute (IBS) for Tuberculosis Drug Delivery
Spinal tuberculosis is one of the infectious diseases which according to the World Health Organization (WHO), is a major cause of health problems and one of the top 10 causes of death worldwide. The aim of this study was to fabricate a 3D printing scaffold with the design of truncated hexahedron, then combined with Injectable Bone Substitute (IBS) paste as a method for drug delivery in the case of spinal tuberculosis. Injectable Bone Substitute (IBS) paste was synthesized by combining some materials including hydroxyapatite, gelatin, hydroxypropyl methylcellulose (HPMC), and streptomycin. The scaffold was characterized with IBS paste through the digital microscope and the mechanical test to determine the mechanical strength of the scaffold. The results of the 3D printing scaffold showed that the scaffold has interconnectivity between pores. After being injected with IBS, it was seen that the entire surface of the scaffold pores was covered by IBS paste evenly. Scanning Electron Microscope (SEM) tests showed that the surface of the scaffold has been covered by IBS paste, and proves that the pores are still formed. Energy Dispersive X-Ray (EDX) test results showed that the IBS paste containing a hydroxyapatite component consisting of Ca, P, and O elements. Mechanical tests showed that the scaffold for all pore sizes had a compressive strength of 1.49-3.97 MPa before IBS injection and increased to 3.45-4.77 MPa after IBS injection. Then the bending test showed that the scaffold had a bending strength of 16.76-36.09 MPa and increased to around 21.57-40.36 MPa after being injected with IBS. The drug release test showed that the 3D printing scaffold could release streptomycin by 4.944%-6.547%, which has met the percentage of drug release that is able to kill tuberculosis bacteria. It can be concluded that 3D printing scaffold combined with IBS paste can be applied as a drug carrier as well as a method of healing spinal tuberculosis.
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