New use for old drug: Local delivery of puerarin facilitates critical-size defect repair in rats by promoting angiogenesis and osteogenesis

Bibliographic Details
Title: New use for old drug: Local delivery of puerarin facilitates critical-size defect repair in rats by promoting angiogenesis and osteogenesis
Authors: Huijuan Cao, Lingli Li, Ling Li, Xiangbo Meng, Yanzhi Liu, Wenxiang Cheng, Peng Zhang, Yongbo Gao, Ling Qin, Xinluan Wang
Source: Journal of Orthopaedic Translation, Vol 36, Iss , Pp 52-63 (2022)
Publisher Information: Elsevier, 2022.
Publication Year: 2022
Collection: LCC:Diseases of the musculoskeletal system
Subject Terms: Puerarin, PLGA/TCP, Angiogenesis, Osteogenesis, Drug/device combination implant, Diseases of the musculoskeletal system, RC925-935
More Details: Objectives: Large bone defect repair is a challenging clinical problem due to limited self-repair ability. A well-designed bone filling product should possess the ability to induce tissue in-growth and facilitate neovascularization and new bone formation. Puerarin has been used in clinics for a long time, and recently it was found to be able to promote osteogenesis. This study aimed to investigate a puerarin-based drug/delivery combination implant for promoting large bone defect repair. Methods: Puerarin was incorporated into the poly (lactic-co-glycolic acid)/β-calcium phosphate (PLGA/TCP, PT) to form a porous PLGA/TCP/Puerarin (PTP) composite scaffold by low-temperature rapid prototyping technology. Its structural and degradation were analyzed in vitro. Then we employed a rat calvarial critical size defect model to assess the potency of the PTP scaffold. MC3T3-E1 cells and EA. hy 926 ​cells were used to investigate the underlying mechanism. Results: PTP scaffold inherited all advantages of PT scaffold in structural, mechanical, and biodegradation, meanwhile puerarin stably and continuously released from PTP scaffold and lasted for 5 months in vitro. At 8 weeks after implantation, the PTP scaffold triggered new bone formation in the macro-pores of the scaffold and inside the scaffold accompanied by the degrading materials. The underlying mechanism revealed that the PTP scaffold induced vascular infiltration and recruit repair cells through stimulating vascular endothelial growth factor (VEGF) and bone morphogenetic protein 2 (BMP-2) expressions to promote angiogenesis and osteogenesis. Conclusion: Puerarin-enriched porous PTP scaffold was a promising local delivery system with sustained release of puerarin for facilitating defect repair through getting synergistic angiogenic and osteogenic effects. The Translational Potential of this Article: The PTP scaffold presents a potential drug/device combination medical implant for large bone defect repair, which also provides a new and innovative application for the “old drug” puerarin.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2214-031X
Relation: http://www.sciencedirect.com/science/article/pii/S2214031X22000407; https://doaj.org/toc/2214-031X
DOI: 10.1016/j.jot.2022.05.003
Access URL: https://doaj.org/article/ee38ff1cec5e42edbb66e920d50d8004
Accession Number: edsdoj.38ff1cec5e42edbb66e920d50d8004
Database: Directory of Open Access Journals
More Details
ISSN:2214031X
DOI:10.1016/j.jot.2022.05.003
Published in:Journal of Orthopaedic Translation
Language:English