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Locally controlled delivery of TNFα antibody from a novel glucose-sensitive scaffold enhances alveolar bone healing in diabetic conditions.

Abstract
Diabetic patients are often accompanied with severe alveolar bone destruction and an increased local TNFα level. Bone repair is a major challenge in those with poor glycemic control. Herein, we report a glucose-sensitive TNFα-antibody-delivery system based on quaternized chitosan and collagen for local long-term control of inflammation and improving osteogenesis in diabetes. We demonstrated that the glucose-sensitive delivery system was a honeycomb-shaped scaffold with pores suitable for bone regeneration. It was capable of attenuating inflammatory response of bone marrow stromal cells under the condition of hyperglucose and TNFα. Additionally, a special diabetic rat model with fluctuation of blood glucose level was established to investigate biological effects of the scaffold. Our results showed that this TNFα-antibody-delivery strategy effectively reduced inflammation by decreasing expression of local TNFα and inflammatory factors. More importantly, with the enhancement of osteogenesis-associated proteins, promoted alveolar bone healing was achieved in the diabetic rat model. The data indicate that such a delivery system possibly provides a potential therapeutic strategy for diabetic patients with severe alveolar bone defects.
AuthorsQi Wang, Hao Li, Yu Xiao, Shuan Li, Bo Li, Xiaowen Zhao, Lin Ye, Bin Guo, Xinmin Chen, Yi Ding, Chongyun Bao
JournalJournal of controlled release : official journal of the Controlled Release Society (J Control Release) Vol. 206 Pg. 232-42 (May 28 2015) ISSN: 1873-4995 [Electronic] Netherlands
PMID25796348 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
CopyrightCopyright © 2015 Elsevier B.V. All rights reserved.
Chemical References
  • Antibodies
  • Delayed-Action Preparations
  • Tumor Necrosis Factor-alpha
  • Chitosan
Topics
  • Alveolar Bone Loss (complications, immunology, pathology, therapy)
  • Animals
  • Antibodies (administration & dosage, immunology, therapeutic use)
  • Bone Regeneration
  • Cells, Cultured
  • Chitosan (analogs & derivatives)
  • Delayed-Action Preparations (chemistry)
  • Diabetes Complications (complications, immunology, pathology, therapy)
  • Drug Delivery Systems
  • Male
  • Mesenchymal Stem Cells (cytology)
  • Rats, Wistar
  • Tissue Scaffolds (chemistry)
  • Tumor Necrosis Factor-alpha (immunology)

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