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Employing Indirect Adenosine 2(A) Receptors (A(2A)R) to Enhance Osseointegration of Titanium Devices: A Pre-Clinical Study

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Pacheco-Vergara, Maria Jesus ; Benalcazar-Jalkh, Ernesto Byron ; Nayak, Vasudev V. ; Bergamo, Edmara T. P. ; Cronstein, Bruce ; Zetola, Andre Luis ; Weiss, Fernando Pessoa ; Grossi, Joao Ricardo Almeida ; Deliberador, Tatiana Miranda ; Coelho, Paulo G. ; Witek, Lukasz
Número total de Autores: 11
Tipo de documento: Artigo Científico
Fonte: JOURNAL OF FUNCTIONAL BIOMATERIALS; v. 14, n. 6, p. 13-pg., 2023-06-01.
Resumo

The present study aimed to evaluate the effect of dipyridamole, an indirect adenosine 2A receptors (A(2A)R), on the osseointegration of titanium implants in a large, translational preclinical model. Sixty tapered, acid-etched titanium implants, treated with four different coatings ((i) Type I Bovine Collagen (control), (ii) 10 mu M dipyridamole (DIPY), (iii) 100 mu M DIPY, and (iv) 1000 mu M DIPY), were inserted in the vertebral bodies of 15 female sheep (weight similar to 65 kg). Qualitative and quantitative analysis were performed after 3, 6, and 12 weeks in vivo to assess histological features, and percentages of bone-to-implant contact (%BIC) and bone area fraction occupancy (%BAFO). Data was analyzed using a general linear mixed model analysis with time in vivo and coating as fixed factors. Histomorphometric analysis after 3 weeks in vivo revealed higher BIC for DIPY coated implant groups (10 mu M (30.42% +/- 10.62), 100 mu M (36.41% +/- 10.62), and 1000 mu M (32.46% +/- 10.62)) in comparison to the control group (17.99% +/- 5.82). Further, significantly higher BAFO was observed for implants augmented with 1000 mu M of DIPY (43.84% +/- 9.97) compared to the control group (31.89% +/- 5.46). At 6 and 12 weeks, no significant differences were observed among groups. Histological analysis evidenced similar osseointegration features and an intramembranoustype healing pattern for all groups. Qualitative observation corroborated the increased presence of woven bone formation in intimate contact with the surface of the implant and within the threads at 3 weeks with increased concentrations of DIPY. Coating the implant surface with dipyridamole yielded a favorable effect with regard to BIC and BAFO at 3 weeks in vivo. These findings suggest a positive effect of DIPY on the early stages of osseointegration. (AU)

Processo FAPESP: 21/08018-2 - Caracterização nanomecânica de compósitos ZTA e ATZ infiltrados por vidro
Beneficiário:Edmara Tatiely Pedroso Bergamo
Modalidade de apoio: Bolsas no Exterior - Estágio de Pesquisa - Pós-Doutorado
Processo FAPESP: 19/08693-1 - Compósitos experimentais à base de alumina e zircônia infiltrados por vidro: caracterização microestrutural e das propriedades ópticas e mecânicas.
Beneficiário:Edmara Tatiely Pedroso Bergamo
Modalidade de apoio: Bolsas no Brasil - Pós-Doutorado
Processo FAPESP: 19/00452-5 - COMPÓSITOS EXPERIMENTAIS 70%Al2O3-30%ZrO2: CARACTERIZAÇÃO MECÂNICA, ESTRUTURAL E TOPOGRÁFICA
Beneficiário:Ernesto Byron Benalcazar Jalkh
Modalidade de apoio: Bolsas no Exterior - Estágio de Pesquisa - Doutorado
Processo FAPESP: 22/07157-1 - Caracterização física e mecânica de um sistema multicamadas utilizando zircônia reciclada
Beneficiário:Ernesto Byron Benalcazar Jalkh
Modalidade de apoio: Bolsas no Brasil - Pós-Doutorado
Processo FAPESP: 18/03072-6 - Compósitos experimentais 70%Al2O3-30%ZrO2: caracterização estrutural e da sobrevida antes e após envelhecimento
Beneficiário:Ernesto Byron Benalcazar Jalkh
Modalidade de apoio: Bolsas no Brasil - Doutorado