J Tissue Eng Regen Med. 2017 Jun 21. doi: 10.1002/term.2491. [Epub ahead of print]

Engineering Human Bone Grafts with New Macroporous Calcium Phosphate Cement Scaffolds.

Sladkova M¹, Palmer M², Öhman C², Cheng J¹, Al-Ansari S¹, Saad M¹, Engqvist H², de Peppo GM¹.

Abstract

Bone engineering opens the possibility to grow large amounts of tissue products by combining patient-specific cells with compliant biomaterials. Decellularized tissue matrices represent suitable biomaterials but availability, long processing time, excessive cost, and concerns on pathogen transmission have led to the development of biomimetic synthetic alternatives. We recently fabricated calcium phosphate cement (CPC) scaffolds with variable macroporosity using a facile synthesis method with minimal manufacturing steps, and demonstrated long-term biocompatibility in vitro. However, there is no knowledge on the potential use of these scaffolds for bone engineering, and whether the porosity of the scaffolds affects osteogenic differentiation and tissue formation in vitro. In this study we explored the bone engineering potential of CPC scaffolds with two different macroporosities using human mesenchymal progenitors derived from induced pluripotent stem cells (iPSC-MP) or isolated from bone marrow (BMSC). Biomimetic decellularized bone scaffolds were used as reference material in all experiments. The results demonstrate that, irrespective of their macroporosity, the CPC scaffolds tested in this study support attachment, viability and growth of iPSC-MP and BMSC cells similarly to decellularized bone. Importantly, the tested materials sustained differentiation of the cells as evidenced by increased expression of osteogenic markers and formation of a mineralized tissue. In conclusion, the results of this study suggest that the CPC scaffolds fabricated using our method are suitable to engineer bone grafts from different cell sources, and could lead to development of safe and more affordable tissue grafts for reconstructive dentistry and orthopedics, and in vitro models for basic and applied research.