Flavonoid-Loaded Biomaterials in Bone Defect Repair
Abstract
:1. Introduction
2. Bone Defects and Healing Process
3. Classification of Bone Defect Repair Matrices
4. The Biological Activity of Flavonoids
5. Application of Flavonoid-Loaded Biomaterials in Bone Defect Repair
5.1. Hydrogel
5.2. Fibrous Membrane
5.3. Sponges
5.4. Microspheres/Nanoparticles
5.5. Bone Cement/Bioglass
6. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Class | Core Chemical Structure | Typical Compounds |
---|---|---|
Flavones | Luteolin, apigenin, hispidulin, chrysin, diosmin, diosmetin, linarin | |
Flavonols | Quercetin, kaempferol, resveratrol, icariin, rutin, linarin, fisetin, myricetin, isoquercitrin | |
Isoflavones | Genistein, daidzein, puerarin | |
Flavanones | Hesperetin, hesperidin, naringenin, naringin, pinocembrin, dihydroquercetin | |
Flavanes | (+)-Catechin, (-)-epicatechin, (-)-epigallocatechin-3-gallate (EGCG) | |
Anthocyanin | Anthocyanin, delphinidin, cyanidin | |
Chalcones | Cardamonin, xanthohumol | |
Isoflavanes | Glabridin |
Biomaterials | Biomaterial Composition | Flavonoid Types and Sources | Incorporation/Solubilization Methods | Animal Model | Molecular Mechanism | Reference |
---|---|---|---|---|---|---|
Hydrogel | Methacrylated chondroitin sulfate; gelatin | Baicalin (flavones), Scutellaria baicalensis Georgi | Mixing (Solutol HS15 nanocomplex) | Skull defects in rats | Increase the expression of osteoprotegerin (OPG), osteocalcin (OCN), α-smooth muscle actin (α-SMA), and platelet endothelial cell adhesion molecule 1 (CD31); inhibit the levels of sclerosing protein and RANKL | [94] |
Fibrous membrane | Polycaprolactone (PCL) | (+)-Catechin (flavanes), Tea leaves, Coffee beans, cocoa | Mixing (hydrate) | Skull defects in mouse | Alleviate oxidative damage | [95] |
Fibrous membrane | Silk fibroin (SF); poly(DL-lactide-ε-caprolactone) (PLCL) | Icariin (flavones), Epimedium brevicornum Maxim | Mixing | Skull defects in rats | Increase the expression of alkaline phosphatase (ALP) | [96] |
Fibrous membrane | Collagen; polycaprolactone; hydroxyapatite | Icariin (flavones), Epimedium brevicornum Maxim | Mixing (chitosan microspheres) | Tibial defects in rabbits | Increase the expression of ALP, type I collagen (COL-1), osteocalcin (OC) and osteopontin (OPN) | [97] |
Sponge | Small intestine submucosa (SIS) | Icariin (flavones), Epimedium pubescens | Absorption | Skull defects in mouse | Upregulate the expression of ALP, bone sialoprotein (BSP) and OCN; increase the level of CD31 | [98] |
Sponge | Gelatin | Hesperetin (flavanones), citrus fruits | Mixing | Tibial fractures in rabbits | Increase the expression of ALP, OCN, runt-related transcription factor 2 (Runx-2) and COL-1; activate the ERK1/2 and Smad1/5/8 signaling pathways | [99] |
Sponge | Collagen, hydroxyapatite | Quercetin (flavonols), synthetic (organic) | Mixing | Skull defects in rats | Increase the expression of COL-l, OCN and Runx-2 | [100] |
Sponge | Collagen | Naringin (flavanones), grapefruit; quercetin (flavonols), synthetic (organic); puerarin (isoflavones), Pueraria lobata | Mixing | Full-thickness parietal bone defects in rabbits | Promote angiogenesis; increase the activity of ALP | [101,102,103] |
Microspheres | Poly(lactide-co-glycolide) (PLGA) | Icariin (flavones), Herba epimedii | Mixing (MgO/MgCO3 particles) | Skull defects in rats | Increase the levels of ALP, Col-1, Runx-2, OPN and OCN | [104] |
Microspheres | Poly(e-caprolactone) (PCL); poly(ethylene glycol)-block- poly(e-caprolactone) (PEG-b-PCL) | Naringin (flavanones), grapefruit | Mixing | Skull defects in rats | Increase the expression levels of Runx-2 and OCN | [105] |
Microspheres | α-Tricalcium phosphate (α-Ca 3(PO4)2, α-TCP) | Quercetin (flavonols), synthetic (organic) | Mixing | Femoral defects in rats | Increase the activity of ALP; increase the expression of Runx-2, COL-1, BSP, bone morphogenetic protein 2 (BMP-2), OPN, OCN and OPG; activate the ERK, p38 and AKT signaling pathways; upregulate the expression of vascular endothelial growth factor (VEGF), angiopoietin 1 (ANG-1), transforming growth factor-β (TGF-β) and basic fibroblast growth factor (bFGF); downregulate the expression of RANKL | [106] |
Nanoparticles | α-Tricalcium phosphate (α-Ca 3(PO4)2, α-TCP) | Icariin (flavones), Epimedium brevicornum Maxim | Absorption | Femoral defects in rats | Promote the expression of Runx-2, ALP, Col-1, OCN, VEGF and ANG-1; regulate the AKT signaling pathway | [107] |
Bone cement | Biopex-R | Icariin (flavones), extrasynthese | Mixing | Skull defects in mouse | Increase the levels of ALP, Runx-2, OC and BSP; promote angiogenesis | [108] |
Bone cement | Calcium phosphate cement (CPC) | Icariin (flavones), Herba epimedii | Mixing | Skull defects in ovariectomized rats | improve the level of ALP; upregulate OPG expression; inhibit RANKL expression; promote the expression of VEGF and ANG-1 | [109] |
Bone cement | Calcium phosphate cement (CPC) | Icariin (flavones), Herba epimedii | Mixing | Radius defect contaminated by S. aureus in rabbits | Anti-inflammation | [110] |
Bioglass | 45S5 Bioglass | Icariin (flavones), Herba epimedii | Mixing | Skull defects in rats | Increase the expression of COL-1, OPN, CD31 and VEGF | [111] |
Scaffold | Chitosan; hydroxyapatite | Icariin (flavones), Herba epimedii | Mixing | Radial defects in rabbits | Improve the level of ALP | [112] |
Scaffold | Hydroxyapatite; alginate | Icariin (flavones), Herba epimedii | Mixing | Radius defects in rabbits | Upregulate the expression of Runx-2, ALP and OCN; activate the Wnt signaling pathway | [113] |
Scaffold | Titanium (Ti); glass; hyaluronic acid; chitosan | Icariin (flavones), Herba epimedii | Mixing | Femoral defects in rats | Increase the activity of ALP | [114] |
Scaffold | Tricalcium phosphate (TCP) | Icariin (flavones), Herba epimedii | Absorption | Femoral defects in rabbits | Enhance the expression of VEGF | [115] |
Scaffold | Siliceous mesostructured cellular foams-poly(3-hydroxybutyrate-co-3-hydroxyhexanoate) (SMC- PHBHHx) | Icariin (flavones), Herba epimedii | Absorption | Skull defects in rats | Increase the expression of Runx-2, ALP and OCN; promote angiogenesis | [116] |
Scaffold | Poly(lactic-co-glycolic acid) (PLGA); β-calcium phosphate (β-TCP) | Icariin (flavones), Herba epimedii | Mixing | Distal femoral bone defects in rabbits | Increase the expression levels of BSP, OC, OPN and ALP | [117] |
Scaffold | Gelatin; β-tricalcium phosphate | Naringin (flavanones), Citrus fruits | Mixing | Skull defects in rabbits | Enhance the activity of ALP and tartrate-resistant acid phosphatase (TRAP) | [118] |
Scaffold | Poly-L-lactide (PLLA) | Naringin (flavanones), Citrus fruits | Mixing (chitosan microspheres) | Periodontal defects in rats | Reduce the expression of interleukin 6 (IL-6) | [119] |
Scaffold | Nanohydroxyapatite (nHA); collagen (COL) | Naringin (flavanones), Citrus fruits | Mixing | Skull defects in rats | Increase the expression of BMP-2, OPN, OCN, Runx-2 and ALP | [120] |
Scaffold | a-Tricalcium phosphate (a-TCP) | Epigallocate- chin-3-gallate (EGCG) (flavanes), Green tea | Mixing | Skull defects in rats | Anti-inflammation; antioxidation | [121] |
Scaffold | Silk fibroin (SF); hydroxyapatite | Naringin (flavanones), Citrus fruits | Mixing | Distal femoral defect in rabbits | Increase the expression of Runx-2, COL-1 and osterix (OSX); activate the PI3K/AKT, VEGF, and hypoxia-inducible factor 1 (HIF-1) signaling pathways | [122] |
Scaffold | TiO2 | Kaempferol (flavonols), vegetables and fruit | Absorption | Femoral defects in rats | Increase the expression of Runx-2, OCN, OPN, COL-1 and ALP | [123] |
Scaffold | SiO2− CaO bioactive glass−poly(caprolactone) (BG−PCL) | Fisetin (flavones), Vegetables and fruit | Mixing | Skull defects in mice | Increase the expression of ALP, Runx-2 and COL-1 | [124] |
Scaffold | Silk fibroin; hydroxyapatite | Quercetin (flavonols), synthetic (organic) | Mixing | Skull defects in rats | Increase the expression of Col-1, OCN and Runx-2 | [125] |
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Yang, J.; Zhang, L.; Ding, Q.; Zhang, S.; Sun, S.; Liu, W.; Liu, J.; Han, X.; Ding, C. Flavonoid-Loaded Biomaterials in Bone Defect Repair. Molecules 2023, 28, 6888. https://doi.org/10.3390/molecules28196888
Yang J, Zhang L, Ding Q, Zhang S, Sun S, Liu W, Liu J, Han X, Ding C. Flavonoid-Loaded Biomaterials in Bone Defect Repair. Molecules. 2023; 28(19):6888. https://doi.org/10.3390/molecules28196888
Chicago/Turabian StyleYang, Jiali, Lifeng Zhang, Qiteng Ding, Shuai Zhang, Shuwen Sun, Wencong Liu, **hui Liu, **ao Han, and Chuanbo Ding. 2023. "Flavonoid-Loaded Biomaterials in Bone Defect Repair" Molecules 28, no. 19: 6888. https://doi.org/10.3390/molecules28196888