Zn and mg increase the bioactivity and osteogenic induction of hydroxyapatite biomaterial in bone repair: Clinical application and mechanism / 中国组织工程研究

ABSTRACT

BACKGROUND: Autologous bones are in high demand in the clinic, but its clinical application is limited because of insufficient sources and donor-site complications. Allogeneic bone and xenogenic bone are also limited because of immune rejection and disease transmission problems. Artificial biomaterials provide an important solution to bone defect repair. OBJECTIVE: To review the latest basic research progress and osteogenic induction mechanism of hydroxyapatite doped with divalent cations such as zinc and magnesium. METHODS: A computer-based online search of Pebmed, Wanfang and CNKI databases was performed to retrieve papers regarding bone repair with hydroxyapatite doped with divalent cations zinc and magnesium with the search terms “Zinc, magnesium, hydroxyapatite, in vivo, in vitro, osteogenic activity” in English and Chinese respectively. RESULTS AND CONCLUSION: Much is reported on the application of degradable active elements Mg and Zn and their application in hydroxyapatite for bone repair. However, most studies focus on metal or alloy implants. Mg-hydroxyapatite and Zn-hydroxyapatite composites are mostly prepared into nano-particles, dense bulk materials or active coatings of biomedical metal mateirals. Little is reported on bone-like porous bone repair materials involving Mg-hydroxyapatite and Zn-hydroxyapatite. At the same time, metal ion materials still face many challenges First, when specific metals are released locally from stents, implants, or other release devices, their role in cell regulation and cell-cell signaling in healthy and diseased tissues should be known. Second, a large number of in vivoexperiments have confirmed that metal ions can be released from the stent without systemic toxicity, but have carcinogenic effects. Third, there is a need to further understand the mechanism linking biological property improvement and metal ion release.