title: Short term in vivo biocompatibility testing of biodegradable poly(D,L-lactide)--growth factor coating for orthopaedic implants.
abstract: Fracture healing can be stimulated by exogenous application of growth factors. Using porcine and rat models the efficacy of locally delivered IGF-I and TGF-beta1 from an implant coating has been demonstrated. A thin and biomechanical stable biodegradable poly(D,L-lactide) was used to coat implants and serve as a drug carrier. Due to reports of possible foreign body reactions caused by polymer materials in orthopedic surgery, this study investigated the biocompatibility of the polylactide implant coating and the locally released growth factors during the time course of rat tibial fracture healing (days 5, 10, 15, and 28 after fracture). Monocytes/macrophages and osteoclast were detected using an monoclonal antibody against ED1 (comparable to CD68 in mice and human). The antibody ED1 stains monocytes, macrophages and osteoclast in the bone marrow and in the newly formed fracture callus. A moderate density of the monocytes/macrophages was seen in the proximal part of the medullary canal, but almost no cells were detectable in the region distal to the fracture. The amount of stained cells increased during the observation time with a maximum at days 10 and 15 followed by a decrease at day 28. No differences were detectable between the investigated groups from day 5 to 15 post fracture indicating, that the used poly(D,L-lactide) or the incorporated growth factors do not evoke an elevated immunological response compared to the uncoated titanium implant at the investigated time points. A significantly higher amount of ED1 positive cells was measured 28 days after fracture in the control group compared to the groups with the coated implants. In conclusion, no indication of a foreign body reaction due to the use of the polylactide or the growth factors was found indicating a good short-term biocompatibility of this bioactive coating.
authors.affiliation: Center for Musculoskeletal Surgery, Charité, University Medicine, Augustenburger Platz 1, Berlin D-13353, Germany. britt.wildemann@charite.de
authors.forename: Britt
authors.initials: B
authors.lastname: Wildemann
authors.forename: Andre
authors.initials: A
authors.lastname: Sander
authors.forename: Philipp
authors.initials: P
authors.lastname: Schwabe
authors.forename: Martin
authors.initials: M
authors.lastname: Lucke
authors.forename: Ulrich
authors.initials: U
authors.lastname: Stöckle
authors.forename: Michael
authors.initials: M
authors.lastname: Raschke
authors.forename: Norbert P
authors.initials: NP
authors.lastname: Haas
authors.forename: Gerhard
authors.initials: G
authors.lastname: Schmidmaier
mesh_terms: D020341:Absorbable Implants; D000818:Animals; D020099:Coated Materials, Biocompatible / Q000008:administration & dosage* / Q000737:chemistry; D004343:Drug Implants / Q000008:administration & dosage* / Q000737:chemistry; D005260:Female; D017102:Fracture Healing / Q000187:drug effects*; D007334:Insulin-Like Growth Factor I / Q000008:administration & dosage* / Q000737:chemistry; D008422:Materials Testing; D011091:Polyesters / Q000737:chemistry*; D051381:Rats; D017207:Rats, Sprague-Dawley; D013552:Swine; D013978:Tibial Fractures / Q000188:drug therapy* / Q000473:pathology; D016212:Transforming Growth Factor beta / Q000008:administration & dosage* / Q000737:chemistry; D053773:Transforming Growth Factor beta1; D016896:Treatment Outcome
chemical_list: D020099:Coated Materials, Biocompatible; D004343:Drug Implants; D011091:Polyesters; C508960:TGFB1 protein, human; C508962:Tgfb1 protein, rat; D016212:Transforming Growth Factor beta; D053773:Transforming Growth Factor beta1; C033616:poly(lactide); D007334:Insulin-Like Growth Factor I