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      Innovative Biomaterials for Bone Regrowth

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          Abstract

          The regenerative medicine, a new discipline that merges biological sciences and the fundamental of engineering to develop biological substitutes, has greatly benefited from recent advances in the material engineering and the role of stem cells in tissue regeneration. Regenerative medicine strategies, involving the combination of biomaterials/scaffolds, cells, and bioactive agents, have been of great interest especially for the repair of damaged bone and bone regrowth. In the last few years, the life expectancy of our population has progressively increased. Aging has highlighted the need for intervention on human bone with biocompatible materials that show high performance for the regeneration of the bone, efficiently and in a short time. In this review, the different aspects of tissue engineering applied to bone engineering were taken into consideration. The first part of this review introduces the bone cellular biology/molecular genetics. Data on biomaterials, stem cells, and specific growth factors for the bone regrowth are reported in this review.

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          Most cited references122

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          An Overview of Poly(lactic-co-glycolic) Acid (PLGA)-Based Biomaterials for Bone Tissue Engineering

          Poly(lactic-co-glycolic) acid (PLGA) has attracted considerable interest as a base material for biomedical applications due to its: (i) biocompatibility; (ii) tailored biodegradation rate (depending on the molecular weight and copolymer ratio); (iii) approval for clinical use in humans by the U.S. Food and Drug Administration (FDA); (iv) potential to modify surface properties to provide better interaction with biological materials; and (v) suitability for export to countries and cultures where implantation of animal-derived products is unpopular. This paper critically reviews the scientific challenge of manufacturing PLGA-based materials with suitable properties and shapes for specific biomedical applications, with special emphasis on bone tissue engineering. The analysis of the state of the art in the field reveals the presence of current innovative techniques for scaffolds and material manufacturing that are currently opening the way to prepare biomimetic PLGA substrates able to modulate cell interaction for improved substitution, restoration, or enhancement of bone tissue function.
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            Platelet-rich plasma: Growth factor enhancement for bone grafts.

            Platelet-rich plasma is an autologous source of platelet-derived growth factor and transforming growth factor beta that is obtained by sequestering and concentrating platelets by gradient density centrifugation. This technique produced a concentration of human platelets of 338% and identified platelet-derived growth factor and transforming growth factor beta within them. Monoclonal antibody assessment of cancellous cellular marrow grafts demonstrated cells that were capable of responding to the growth factors by bearing cell membrane receptors. The additional amounts of these growth factors obtained by adding platelet-rich plasma to grafts evidenced a radiographic maturation rate 1.62 to 2.16 times that of grafts without platelet-rich plasma. As assessed by histomorphometry, there was also a greater bone density in grafts in which platelet-rich plasma was added (74.0% +/- 11%) than in grafts in which platelet-rich plasma was not added (55.1% +/- 8%; p = 0.005).
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              THE DEVELOPMENT OF FIBROBLAST COLONIES IN MONOLAYER CULTURES OF GUINEA-PIG BONE MARROW AND SPLEEN CELLS

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                Author and article information

                Journal
                Int J Mol Sci
                Int J Mol Sci
                ijms
                International Journal of Molecular Sciences
                MDPI
                1422-0067
                31 January 2019
                February 2019
                : 20
                : 3
                : 618
                Affiliations
                [1 ]Department of Morphology, Surgery, and Experimental Medicine, University of Ferrara, 44121 Ferrara, Italy; mariarosa.iaquinta@ 123456unife.it (M.R.I.); elisa.mazzoni@ 123456unife.it (E.M.); marco.manfrini@ 123456unife.it (M.M.)
                [2 ]Department of Surgery, University of Verona, 37129 Verona, Italy; antonio.dagostino@ 123456univr.it (A.D.); lorenzo.trevisiol@ 123456univr.it (L.T.); riccardo.nocini@ 123456gmail.com (R.N.)
                [3 ]Research Centre for the Study of Periodontal and Peri-Implant Diseases, University of Ferrara, 44121 Ferrara, Italy; leonardo.trombelli@ 123456unife.it
                [4 ]IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy; giovanni@ 123456barbantibrodano.com
                Author notes
                [†]

                These authors contributed equally to the work.

                Author information
                https://orcid.org/0000-0001-8269-7937
                Article
                ijms-20-00618
                10.3390/ijms20030618
                6387157
                30709008
                4d79d959-7e0c-4887-9a72-a02f7806cff8
                © 2019 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 09 January 2019
                : 29 January 2019
                Categories
                Review

                Molecular biology
                regenerative medicine,bone,biomaterial,stem cells,growth factors
                Molecular biology
                regenerative medicine, bone, biomaterial, stem cells, growth factors

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