title: Hydroxyapatite-doped polycaprolactone nanofiber membrane improves tendon-bone interface healing for anterior cruciate ligament reconstruction.
abstract: Hamstring tendon autograft is a routine graft for anterior cruciate ligament (ACL) reconstruction. However, ways of improving the healing between the tendon and bone is often overlooked in clinical practice. This issue can be addressed by using a biomimetic scaffold. Herein, a biomimetic nanofiber membrane of polycaprolactone/nanohydroxyapatite/collagen (PCL/nHAp/Col) is fabricated that mimics the composition of native bone tissue for promoting tendon-bone healing. This membrane has good cytocompatibility, allowing for osteoblast cell adhesion and growth and bone formation. As a result, MC3T3 cells reveal a higher mineralization level in PCL/nHAp/Col membrane compared with PCL membrane alone. Further in vivo studies in ACL reconstruction in a rabbit model shows that PCL/nHAp/Col-wrapped tendon may afford superior tissue integration to nonwrapped tendon in the interface between the tendon and host bone as well as improved mechanical strength. This study shows that PCL/nHAp/Col nanofiber membrane wrapping of autologous tendon is effective for improving tendon healing with host bone in ACL reconstruction.
authors.affiliation: Shanghai East Hospital, The Institute for Biomedical Engineering and Nanoscience, Tongji University School of Medicine, Tongji University, Shanghai, People's Republic of China.
authors.forename: Fei
authors.initials: F
authors.lastname: Han
authors.affiliation: Department of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, People's Republic of China.
authors.forename: Peng
authors.initials: P
authors.lastname: Zhang
authors.affiliation: Department of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, People's Republic of China.
authors.forename: Yaying
authors.initials: Y
authors.lastname: Sun
authors.affiliation: Shanghai East Hospital, The Institute for Biomedical Engineering and Nanoscience, Tongji University School of Medicine, Tongji University, Shanghai, People's Republic of China.
authors.forename: Chao
authors.initials: C
authors.lastname: Lin
authors.affiliation: Shanghai East Hospital, The Institute for Biomedical Engineering and Nanoscience, Tongji University School of Medicine, Tongji University, Shanghai, People's Republic of China.
authors.forename: Peng
authors.initials: P
authors.lastname: Zhao
authors.affiliation: Department of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, People's Republic of China.
authors.forename: Jiwu
authors.initials: J
authors.lastname: Chen
mesh_terms: D000818:Animals; D059549:Anterior Cruciate Ligament Reconstruction; D001672:Biocompatible Materials / Q000737:chemistry / Q000494:pharmacology; D001842:Bone and Bones / Q000166:cytology / Q000187:drug effects* / Q000502:physiology; D005260:Female; D006882:Hydroxyapatites / Q000737:chemistry*; D008567:Membranes, Artificial; D051379:Mice; D057139:Nanofibers / Q000737:chemistry*; D010006:Osteoblasts / Q000166:cytology / Q000187:drug effects; D011091:Polyesters / Q000737:chemistry*; D011817:Rabbits; D013710:Tendons / Q000187:drug effects* / Q000502:physiology; D014182:Transplantation, Autologous; D014945:Wound Healing / Q000187:drug effects*
chemical_list: D001672:Biocompatible Materials; D006882:Hydroxyapatites; D008567:Membranes, Artificial; D011091:Polyesters; C016240:polycaprolactone
keywords: anterior cruciate ligament reconstruction; nanofiber; nanohydroxyapatite; polycaprolactone; tissue engineering