组织工程与重建外科杂志 ›› 2025, Vol. 21 ›› Issue (4): 383-.

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双相磷酸钙生物陶瓷材料骨修复的生物机制研究进展

  

  • 出版日期:2025-08-01 发布日期:2025-09-08

Research advances in the biological mechanism of bone repair with biphasic calcium phosphate bioceramic materials

  • Online:2025-08-01 Published:2025-09-08

摘要:

双相磷酸钙(Biphasic calcium phosphates,BCP)是由不同比例的羟基磷灰石和β-磷酸三钙混合构成的生物活性陶瓷,其化学组成与骨组织的无机成分十分相近,因其理化性质、孔隙结构、结晶度及形貌特征,使其具有良好的生物相容性、骨诱导性、骨传导性和可调控的降解速率,已经成为最有前途的骨替代材料。大量研究表明,通过优化BCP生物陶瓷的相组成、离子环境、表面粗糙度等,可增强其骨形成能力,但其潜在的促成骨的分子作用机制仍未阐明。本文综述了BCP生物陶瓷对骨组织周围生物环境相关作用,介绍了BCP生物陶瓷在骨缺损修复过程中间充质干细胞的分化及免疫反应诱导骨及血管的生成,同时也对改性的BCP生陶瓷进行描述,并讨论了该领域的未来前景。

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Abstract:

Biphasic calcium phosphates (BCPs) are bioactive ceramics composed of a mixture of hydroxyapatite and β-tricalcium phosphate in varying proportions, with a chemical composition very similar to the inorganic composition of bone tissue. It has become the most promising bone replacement material due to its excellent biocompatibility, osteoinductivity,osteoconductivity and adjustable degradation rate. This is attributed to the physicochemical properties, pore structure,crystallinity and morphological characteristics of BCP bioceramics. Numerous studies have shown that the bone-forming capacity of BCP bioceramics can be enhanced by optimising their phase composition, ionic environment and surface roughness. However, their potential bone-forming molecular mechanism of action remains a mystery. In this paper, the role of BCP bioceramics in relation to the surrounding biological environment of bone tissues was reviewed, the differentiation of  mesenchymal stem cells and immune response-induced bone and vasculogenesis in BCP bioceramics during the process of bone defect repair were introduced, as well as describing modified BCP bioceramics and discussing the future prospects in this field.

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