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Characterising the micro-mechanical behaviour of the carious dentine of primary teeth using nano-indentation.

A better appreciation of the properties of carious dentine would be of clinical advantage in carious assessment and management. The aim of this study is to understand the deterioration of the mechanical properties of carious dentine as a result of bacterial demineralising process as well as change in dentine structures observed under scanning electronic microscope. Eight primary molar teeth with untreated carious dentine were axially sectioned and fine polished for nano-indentation. On each specimen, six lines of indentation, evenly distributed through the lesion, were made from the pulp to lesion cavity floor parallel to tubule direction using nano-indentation (Ultra Micro Indentation System, UMIS-2000), while another two indentation lines were made on an adjacent region of sound dentine in the same manner. All tests were conducted on hydrated specimens. Hardness and elastic modulus decreased significantly and progressively toward the cavity floor varying from 0.56 to 0.001 GPa and 14.55 to 0.015 GPa, respectively. The change in mechanical properties was in a specific pattern as a function of lesion depth, in which the hardness could be fitted to an exponential function, while the variation of the elastic modulus across the entire lesion was fitted to a power law relationship. More critical evaluation of the elastic modulus data indicated that two distinct exponential functions provided an excellent fit to the results. These changes in elastic modulus also matched the structural changes seen across a lesion, which were associated with a change from primarily peritubular to intertubular dissolution.

Child↗

Mechanobiology of soft skeletal tissue differentiation--a computational approach of a fiber-reinforced poroelastic model based on homogeneous and isotropic simplifications.

The material properties of multipotent mesenchymal tissue change dramatically during the differentiation process associated with skeletal regeneration. Using a mechanobiological tissue differentiation concept, and homogeneous and isotropic simplifications of a fiber-reinforced poroelastic model of soft skeletal tissues, we have developed a mathematical approach for describing time-dependent material property changes during the formation of cartilage, fibrocartilage, and fibrous tissue under various loading histories. In this approach, intermittently imposed fluid pressure and tensile strain regulate proteoglycan synthesis and collagen fibrillogenesis, assembly, cross-linking, and alignment to cause changes in tissue permeability (k), compressive aggregate modulus (H(A)), and tensile elastic modulus (E). In our isotropic model, k represents the permeability in the least permeable direction (perpendicular to the fibers) and E represents the tensile elastic modulus in the stiffest direction (parallel to the fibers). Cyclic fluid pressure causes an increase in proteoglycan synthesis, resulting in a decrease in k and increase in H(A) caused by the hydrophilic nature and large size of the aggregating proteoglycans. It further causes a slight increase in E owing to the stiffness added by newly synthesized type II collagen. Tensile strain increases the density, size, alignment, and cross-linking of collagen fibers thereby increasing E while also decreasing k as a result of an increased flow path length. The Poisson's ratio of the solid matrix, nu(s), is assumed to remain constant (near zero) for all soft tissues. Implementing a computer algorithm based on these concepts, we simulate progressive changes in material properties for differentiating tissues. Beginning with initial values of E=0.05 MPa, H(A)=0 MPa, and k=1 x 10(-13) m(4)/Ns for multipotent mesenchymal tissue, we predict final values of E=11 MPa, H(A)=1 MPa, and k=4.8 x 10(-15) m(4)/Ns for articular cartilage, E=339 MPa, H(A)=1 MPa, and k=9.5 x 10(-16) m(4)/Ns for fibrocartilage, and E=1,000 MPa, H(A)=0 MPa, and k=7.5 x 10(-16) m(4)/Ns for fibrous tissue. These final values are consistent with the values reported by other investigators and the time-dependent acquisition of these values is consistent with current knowledge of the differentiation process.

Algorithms↗

Some biophysical properties of the erythrocyte membrane in Duchenne muscular dystrophy.

Inasmuch as prior authors have suggested a 'generalized membrane defect' in patients with Duchenne muscular dystrophy, this study was undertaken to examine some biophysical properties of the erythrocytes in affected individuals. Using the micropipette technique we investigated the rheological properties of erythrocytes from 11 Duchenne muscular dystrophy patients (boys 3-14 years old) and 5 carriers (mothers 20-42 years old). The mean elastic modulus and membrane viscosity of the patient's erythrocytes were not significantly different from those of a group of 8 unaffected age-matched boys. The carrier group did not differ significantly from the adult control group in any of the rheological parameters. A significant increase in the number of stomatocytes was observed in the patient group, and a similar trend (not statistically significant) was observed in the carrier group. The membrane lipid fluidity of erythrocytes from patients, carriers, and normal controls was assessed with three different probes by fluorescence depolarization, and no significant differences were found. Our results indicate that there is a progressive elevation of the membrane elastic modulus with increasing age of the patients: the younger patients have a lower elastic modulus than their age-matched controls, while the older patients have a higher elastic modulus than their age-matched controls.

Adolescent↗

The relationship between three-dimensional connectivity and the elastic properties of trabecular bone.

A finite-element model was used to explore the relationship between connectivity density and the elastic modulus of trabecular bone. Six cubic specimens of trabecular bone, three prepared from human distal radii and three from L1 vertebrae, were imaged with synchrotron microtomography. The three-dimensional images were reconstructed into binary volumes of mineralized bone and soft tissue, and incorporated into the finite-element model. The relationship between three-dimensional connectivity and elastic modulus was explored by uniform thinning (atrophy) and thickening (recovery) of the trabecular bone. Though no functional relationship was found between connectivity and elastic modulus, there was a linear relationship, after a full cycle of atrophy and recovery, between the loss of elastic modulus and the overall loss of connectivity. The results indicate that recovery of mechanical function depends on preserving or restoring trabecular connectivity.

Aged↗

Arterial stiffness and enlargement in mild-to-moderate chronic kidney disease.

Chronic kidney disease (CKD) is associated with an increased risk of cardiovascular morbidity and mortality. Arterial stiffness and remodeling have been well documented in patients with end-stage renal disease, but little is known about arterial phenotype in CKD patients with moderate reduction in glomerular filtration rate (GFR). In total, 95 patients (58+/-15 years, mean+/-s.d.) with CKD and GFR measured by renal clearance of (51)Cr-ethylenediaminetetraacetate were compared to 121 hypertensive patients without CKD (59+/-11 years), and 57 normotensive subjects (56+/-6 years). Common carotid artery diameter, intima-media thickness (IMT), distensibility, and Young's elastic modulus were noninvasively determined with a high-definition echotracking system. Patients with CKD had a significantly larger carotid internal diameter than in hypertensives and normotensives (6.32+/-1.05, 5.84+/-0.74, and 5.50+/-0.64 m x 10(-3), respectively; P<0.001), resulting in 25% and 11% increases in circumferential wall stress, respectively, since no significant difference in IMT was observed. Carotid distensibility and elastic modulus did not significantly differ between CKD and hypertensives; normotensives had significantly higher distensibility and lower elastic modulus than CKD and hypertensive patients. Carotid-femoral pulse wave velocity was significantly higher in CKD patients than in hypertensives and normotensives. In multivariate analyses either involving the entire population or restricted to CKD patients, GFR was independently and strongly related to carotid diameter and elastic modulus. Arterial enlargement and increased arterial stiffness occur in parallel with the decline in renal function in patients with mild-to-moderate CKD.

Adult↗

Biomechanical evaluation in osteoporosis: ovariectomized rat model.

The aim of our study was to investigate the effects of ovariectomy on rat femur biomechanical parameters. Bone mineral density (BMD) and histological investigation were also evaluated. Fourteen female Sprague-Dawley rats (seven ovariectomized, seven control) were used. BMD was measured by dual-energy X-ray absorbsiometry. Bone biomechanical parameters were measured in femoral midshaft with tensile test using a biomaterial testing machine and maximum load, stiffness, energy absorption capacity (structural properties), ultimate stress, ultimate strain, and elastic modulus (material properties) were calculated. Diaphyseal cortical bone thickness was measured by using histological method. The ovariectomized (OVX) rat femur's BMD was 14% lower than control rats (p=0.006). Mean maximum load was 55% less than the control group's (p=0.0001). Stiffness was 72% less in OVX rats (p=0.05). Femurs of rats with OVX had 32% less absorbed energy than controls (p=0.09). From the stress-strain curve ultimate stress, ultimate strain and elastic modulus was calculated. Elastic modulus was 53% less than controls (p=0.05). Ultimate stress decreased 21% in OVX rats (p=0.097). Ultimate strain was 25% less than controls in OVX rats. Cortical thickness was significantly decreased in OVX rats than in controls (p<0.05). In conclusion, femur biomechanical parameters are decreased in osteoporosis.

Animals↗

Nanoindentation of dental composites.

The intent of this project was to evaluate the elastic modulus and hardness of four composites with different fillers, a microfill, a hybrid, a dental resin cement, and a fiber filler, using nanoindentation. An indentation load of 0.001 N was used and 100 indents per specimen were taken. The elastic modulus measured for the Choice composite was 30.2-30.3 GPa, 15.9-16.0 GPa for Micronew, 24.6-27.1 GPa for Renew, and 36.4-47.1 GPa for Restolux. The statistical analysis indicated a significant difference in the elastic modulus for all four composites. Micronew had the lowest hardness (1.2-1.3 GPa) followed by Renew (1.6-1.8 GPa), Choice (2.6-2.8 GPa), and Restolux (2.7-4.0 GPa). The statistical analysis indicated a significant difference between Choice and Restolux from Micronew and Renew, with Renew and Micronew not being significantly different from each other. Nanoindentation of dental composites, using a 10 x 10 matrix of indentations, resulted in a wide range of measured values for the elastic modulus and hardness because of the size of the filler particle, the location of the indenter within the filler particle, the composition of the filler particles, and the location of the indenter within the filler/resin matrix.

Biocompatible Materials↗

Aortic stiffness and left ventricular mass in a rat model of isolated systolic hypertension.

We tested whether cardiac mass can be related to decreased aortic stiffness in an original rat model of isolated systolic hypertension. Increased aortic stiffness was produced by calcium overload of elastic arteries after vitamin D3 plus nicotine treatment. Half of the animals were chronically treated with the angiotensin-converting enzyme inhibitor perindopril (1 mg/kg per day PO). Rats were pithed, and lower body vascular resistance was measured. Blood pressure was then increased by phenylephrine infusion, and carotidofemoral pulse wave velocity was measured. This value together with those for thoracic aorta internal diameter and medial thickness (determined after in situ fixation and histomorphometry) were used to calculate elastic modulus. Vitamin D3 plus nicotine treatment produced parallel increases in cardiac mass and elastic modulus, with a significant correlation between the two. There was no significant change in resistance. Treatment with perindopril reversed the changes in cardiac mass and elastic modulus but had no effect on resistance after calcium overload of the elastic arteries. In this model of isolated systolic hypertension, we showed that cardiac mass is related to arterial elasticity.

Angiotensin-Converting Enzyme Inhibitors↗

Impact of arterial stiffening on left ventricular structure.

Aging of the vasculature results in arterial stiffening and an increase in systolic and pulse pressures. Although pressure load is a stimulus for left ventricular hypertrophy, the extent to which vascular stiffening per se, independent of blood pressure, influences left ventricular structure is uncertain. Two hundred seventy-six subjects (79 normotensive and 197 otherwise healthy hypertensive individuals) underwent echocardiography to assess left ventricular structure. Arterial stiffness was estimated by the pressure-independent stiffness index, beta, and the pressure-dependent elastic modulus derived from simultaneous carotid ultrasound and applanation tonometry. Systemic arterial compliance (the inverse of stiffness) was estimated by the arterial compliance index. In multivariate analysis, beta was related to age (P<0.001) and smoking history (P<0.01) but not mean pressure, whereas elastic modulus was related to age and mean pressure (both P<0.001). The arterial compliance index was only related to age. Whereas systolic and diastolic pressures and the elastic modulus were positively associated with left ventricular mass (all P<0.001), primarily because of increases in wall thicknesses, beta and the arterial compliance index bore no relation to left ventricular mass. beta was inversely related to chamber diameter and directly related to left ventricular relative wall thickness, the ratio of wall thickness to chamber radius. Younger and older hypertensive subjects had comparable left ventricular mass, despite higher systolic and pulse pressures in the older group, whereas older hypertensives had higher mean relative wall thickness, associated with a significant increase in arterial stiffness (beta, 7.06 versus 5.17; elastic modulus, 595 versus 437 dyne/cm(2) x10(-6)) and reduction in the arterial compliance index (0.87 versus 1.05 mL/mm Hg per square meter) (all P<0.001). Thus, the extent to which arterial stiffness relates to left ventricular hypertrophy is dependent on the method by which arterial stiffness is estimated. Pressure-dependent methods show an association with left ventricular hypertrophy, whereas the pressure-independent stiffness index, beta, and the arterial compliance index are most strongly associated with aging and left ventricular concentric remodeling but not hypertrophy.

Aged↗

Effects of fusion-bone stiffness on the mechanical behavior of the lumbar spine after vertebral body replacement.

BACKGROUND: Implants for vertebral body replacement are often inserted together with an additional stabilizing implant, e.g. an internal fixation device. During implantation bone grafts or milled bone is normally added to the anterior implant. Little is known about the stiffening effect of this fusion-bone mass on the mechanical behavior of the corresponding bone region, including the load distribution between the different parts. METHODS: A three-dimensional finite element model of the lumbar spine was created with a vertebral body replacement at L3, a paired internal fixation device between L2 and L4, and left anterolateral fusion bone. The elastic modulus of fusion bone was varied in discrete steps between 0 MPa and 10,000 MPa. The model was loaded to simulate standing, 20 degrees flexion, 15 degrees extension and 6 degrees axial rotation in the lumbar spine. FINDINGS: The elastic modulus of fusion bone has a considerable effect on the compressive force on vertebral body replacement and fusion bone for all loading cases studied. For extension, it also affects intersegmental rotation, the force in the erector spinae muscle, the compressive force on the internal fixator and intradiscal pressure in the adjacent discs. The elastic modulus most strongly affects the different parameters at values between 0 MPa and 500 MPa. INTERPRETATION: Adding bone mass during vertebral body replacement reduces the loads on the ventral implant for all loading cases studied but extension when the fusion-bone stiffens. This protects the implant from fatigue. The load on the fusion bone increases with increasing elastic modulus. Thus bone grafts should be used whenever possible.

Biomechanical Phenomena↗

[Effect of vertebral body stiffness before and after vertebroplasty on intradiscal pressure].

Fractures of osteoporotic vertebral bodies are increasingly stabilized with bone cement. The effects of vertebral-body stiffness before and after augmentation with bone cement and of wedge-shaped vertebral body fractures on intradiscal pressure are insufficiently known. In a finite element model of the lumbar spine the elastic modulus of cancellous bone as well as the amount and the elastic modulus of bone cement were varied and the dependency of intradiscal pressure on these parameters was calculated. In addition, a wedge-shaped vertebral-body fracture was simulated. The bulge of the vertebral-body endplate and thus the intradiscal pressure depends strongly on the grade of osteoporosis in the vertebral body. The influence of amount and elastic modulus of bone cement on intradiscal pressure is small. A wedge-shaped vertebral-body fracture causes an anterior shift of upper-body centre of gravity. If this shift is not compensated, it leads to an increased flexion moment that has to be balanced by muscle forces. In addition, this shift leads to a stronger increase of intradiscal pressure than the augmentation of the vertebral body with bone cement.

Bone Cements↗

The relationship of mechanical properties to morphology in patellar tendon autografts after posterior cruciate ligament replacement in sheep.

In a sheep model the posterior cruciate ligament (PCL) was replaced by a patellar tendon autograft (PTAG) using the central one-third of the ipsilateral patellar tendon (PT). The sheep were sacrificed at 16, 26, 52 and 104 weeks postoperation. The PTAG, and, as controls, the contralateral PCL and PT were harvested. These were examined using biomechanical testing as well as light and transmission electron microscopy, including immunohistological techniques. The material properties (maximum stress, elastic modulus) were compared to the morphological features. The cellular distribution, the distribution of glycosaminoglycans (GAGs), the collagen fibril diameter and the occurrence of Type III collagen were studied. Prior to transplantation, the PTAG was shown to be superior in maximum stress (57.2 +/- 5.5 MPa vs 41.3 +/- 1.9 MPa) and elastic modulus (368.8 +/- 49.3 MPa vs 172.3 +/- 14.6 MPa) to the PCL. The early decline in material properties of the PTAG (maximum stress 22% and elastic modulus 42% of the control) after free grafting paralleled a cell- and capillary-rich PTAG tissue with remnants of necrosis and a poorly organized extracellular matrix. Two years after implantation, with progressive alignment of the tissue matrix, maximum stress and elastic modulus acquired approximately 60 and 70% of the control, respectively. However, there was also an evidence of degenerative changes characterized by acellular areas, loss of the normal bundling pattern of collagen fibers and abnormal accumulation of GAGs. Ultrastructurally, there was a predominant shift to thin collagen fibrils in the PTAG compared to PCL and PT, both consisting of thick and thin collagen fibrils. Thin fibrils were demonstrated to be, in part, split thick fibrils as well as newly formed fibrils. Most of these thin fibrils revealed a positive reaction with antibodies to Type III collagen.

Animals↗

[Mechanical evaluation of various suburethral tapes used for the treatment of stress urinary incontinence].

OBJECTIVE: The objective of this study is to compare the mechanical characteristics of a series of suburethral tapes marketed for the treatment of stress urinary incontinence, often considered to be identical in the clinical practice. MATERIAL AND METHOD: Six suburethral tapes were studied: TVT (Gynecare-Ethicon, USA), IVS (Tyco Healthcare, USA), Sparc (AMS, USA), Uretex (Sofradim, France distributed by BARD), I-stop (CL médical, France), and Uratape (Porgès, France). The surface was studied by scanning electron microscopy. Mechanical properties were evaluated on an Instron traction apparatus equipped with a 500 Newton transducer and elongation was performed at a rate of 10 mm/min. Deformation curves, Young's elastic modulus, and maximum load were calculated. Possible release of particles was investigated by weighing each sample before and after gentle 0.01 kN traction. RESULTS: From a purely mechanical point of view, completely opposite properties were observed. The maximum load ranged from 0.012 +/- 0.002 to 0.047 +/- 0.013 kN. Young's elastic modulus ranged from 4.31 +/- 1.1 to 41.99 +/- 14.3 Mpa. Maximum deformity ranged from 31% to 108%. Release of particles was estimated, according to the tape, to represent a variation of the initial weight of between 0.01% and 8.5%. CONCLUSION: It is difficult to compare tapes that are theoretically marketed for the same application, suggesting that the same tape should probably not be used for the same application. Clinicians must more extensively evaluate the required properties. The authors believe that tapes with a high elastic modulus should be proposed for transobturator procedures to provide real perineal support, while tapes with a lower elastic modulus should be used for retropubic techniques.

Elasticity↗

Structure and deformation properties of red blood cells: concepts and quantitative methods.

The lamellar configuration of the red cell membrane includes a (liquid) superficial bilayer of amphiphilic molecules supported by a (rigid) subsurface protein meshwork. Because of this composite structure, the red cell membrane exhibits very large resistance to changes in surface density or area with very low resistance to in-plane extension and bending deformations. The primary extrinsic factor in cell deformability is the surface area-to-volume ratio which establishes the minimum-caliber vessel into which a cell can deform (without rupture). Within the restriction provided by surface area and volume, the intrinsic properties of the membrane and cytoplasm determine the deformability characteristics of the red cell. Since the cytoplasm is liquid, the static rigidity of the cell is determined by membrane elastic constants. These include an elastic modulus for area compressibility in the range of 300-600 dyn/cm, an elastic modulus for in-plane extension or shear (at constant area) of 5-7 X 10(-3) dyn/cm, and a curvature or bending elastic modulus on the order of 10(-12) dyn.cm. Even though small, the surface rigidity of the cell membrane is sufficient to return the membrane capsule to a discoid shape after deformation by external forces. Viscous dissipation in the peripheral protein structure (cytoskeleton) dominates the dynamic response of the cell to extensional forces. Based on a time constant for recovery after extensional deformation on the order of 0.1 sec, the coefficient of surface viscosity is on the order of 10(-3) dyn.sec/cm. On the other hand, the dynamic resistance to folding of the cell appears to be limited by viscous dissipation in the cytoplasmic and external fluid phases. Dynamic rigidities for both extensional and folding deformations are important factors in the distribution of flow in the small microvessels. Although the red cell membrane normally behaves as a resilient viscoelastic shell, which recovers its conformation after deformation, structural relaxation and failure lead to break-up and fragmentation of the red cell. The levels of membrane extensional force which is two orders of magnitude less than the level of tension necessary to lyse vesicles by rapid area dilation. Each of the material properties ascribed to the red cell membrane plays an important role in the deformability and survivability of the red cell in the circulation over its several-month life span.

Animals↗

Measuring mechanical properties of fine-wire cross-sections used in medical devices.

In this study, it was demonstrated that the nanoindentation technique can be used to measure the elastic modulus and hardness of fine-wire cross-sections with diameters ranging from 100-200 microm. Using miniature optics and a specially developed micrometer positioning system, measurements were successfully performed on the wire cross-sections with an accuracy of 1 microm. Homogeneous wire cross-sections, such as MP35N (high-strength nickel-cobalt alloy), composite wires such as MP35N with a silver core (MP35N/Ag-core), and platinum-clad tantalum (Pt-clad Ta) were studied. From the nanoindentation measurements, the elastic modulus and hardness at different positions and depths were calculated. It was found that both elastic modulus and hardness reached a constant value below the hardened surface, which resulted from mechanical polishing. Material properties obtained from the measurements were compared with the literature values of bulk materials as well as available results on fine wires. The data from the wire cross-sections, especially the uniform material samples, showed that both the elastic modulus and hardness were significantly lower near the outer 10-15 microm of the wire as compared to the rest of the wire, which is due to surface weakening during manufacturing. In addition, both modulus and hardness showed a small but consistent "sawtooth" variation across the diameter of the wires, excluding the outer 10-15 microm, that is postulated to be induced by the distribution of residual stress.

Alloys↗

Effects of specimen load-bearing and free surface layers on the compressive mechanical properties of cellular materials.

The influence of load-bearing surface layers on Young's modulus was determined for cancellous bone and polyurethane foam specimens of three different heights cut from each material: 16, 9, and 5 mm for bone specimens (cross-sectional area A = 81 mm2) ranging in density from 0.04 to 0.32 g cm-3; 20, 10, and 5 mm for foam specimens (A = 100 mm2) ranging in density from 0.064 to 0.64 g cm-3. The compressive elastic modulus of the 5 mm bone specimens was significantly smaller (42%) than that of the 16 mm bone specimens. A similar change in elastic modulus was also observed for the foam specimens, but the height effect diminished in a relatively linear manner as the foam density increased. For a height change from 20 to 5 mm, the foam modulus difference ranged from a 41% decrease for the lowest density specimens (p = 0.064 g cm-3) to an insignificant change (< 1.8%) for the highest foam density specimens (p = 0.64 g cm-3). The specimen height effect on elastic modulus was hypothesized to result from a higher deformation (compliance) of the cellular materials in the load-bearing or contacting surface layer than in the bulk. A mathematical formula was derived to predict the variation in measured elastic modulus (E) caused by the contacting surface layer modulus (Ecs) to bulk modulus (Eb) ratio (Y = Ecs/Eb) and contacting surface layer height (hcs) to sample height (h) ratio (t = hcs/h): E/Eb = Y/[Y(1-t)+t]. Predicted differences in the measured modulus associated with graduated specimen heights were verified experimentally by regional strain measurements of the foam and bone samples using an optical microscope. The influence of free-surface layers was also determined for the foam specimens with cross-sectional areas 1.21 and 10 times the load-bearing area of a load platen, but the measured differences were small (< 10%) compared to that of the load-bearing surface layer influence. In future compressive mechanical testing of cellular materials, specimens < 10 mm in height should be avoided, particularly specimens with low bulk density or high porosity.

Adult↗

Electrostriction of supported lipid films at presence of cationic surfactants, surfactant-DNA and DNA-Mg(2+) complexes.

The method of electrostriction has been applied to study the physical properties of supported lipid membranes (sBLM) during membrane formation at application of negative potential. Application of negative potential -350 mV to the sBLM during its formation resulted in more compact membrane structure as revealed by higher elastic modulus in comparison with sBLM formed without application of this potential. We also studied interaction with sBLM cationic surfactant hexadecylamine (HDA), HDA-DNA and DNA-Mg(2+) complexes. Interaction of HDA with sBLM resulted in decrease of membrane capacitance and two-directional effect on elasticity modulus (increase or decrease), which can be caused by different aggregation state of surfactant at the surface of sBLM. In contrast with effect of HDA, the complexes of HDA-DNA resulted, in most cases, increase of elasticity modulus and increase of membrane capacitance, which can be caused by incorporation of these complexes into the hydrophobic interior of the membrane. Certain part of these complexes can, however, be adsorbed on the sBLM surface. DNA itself does not cause substantial changes of physical properties of sBLM; however, addition of bivalent cations Mg(2+) to the electrolyte-contained DNA caused substantial increase of elasticity modulus and surface potential. These changes are, however, much slower than that observed for HDA-DNA complexes, which can be caused by slow competitive exchange between Na(+) and Mg(2+) ions.

Amines↗

In-situ hardening hydroxyapatite-based scaffold for bone repair.

Musculoskeletal conditions are becoming a major health concern because of an aging population and sports- and traffic-related injuries. While sintered hydroxyapatite implants require machining, calcium phosphate cement (CPC) bone repair material is moldable, self-hardens in situ, and has excellent osteoconductivity. In the present work, new approaches for developing strong and macroporous scaffolds of CPC were tested. Relationships were determined between scaffold porosity and strength, elastic modulus and fracture toughness. A biocompatible and biodegradable polymer (chitosan) and a water-soluble porogen (mannitol) were incorporated into CPC: Chitosan to make the material stronger, fast-setting and anti-washout; and mannitol to create macropores. Flexural strength, elastic modulus, and fracture toughness were measured as functions of mannitol mass fraction in CPC from 0% to 75%. After mannitol dissolution in a physiological solution, macropores were formed in CPC in the shapes of the original entrapped mannitol crystals, with diameters of 50 microm to 200 microm for cell infiltration and bone ingrowth. The resulting porosity in CPC ranged from 34.4% to 83.3% volume fraction. At 70.2% porosity, the hydroxyapatite scaffold possessed flexural strength (mean +/- sd; n = 6) of (2.5 +/- 0.2) MPa and elastic modulus of (0.71 +/- 0.10) GPa. These values were within the range for sintered porous hydroxyapatite and cancellous bone. Predictive equations were established by regression power-law fitting to the measured data (R(2) > 0.98) that described the relationships between scaffold porosity and strength, elastic modulus and fracture toughness. In conclusion, a new graft composition was developed that could be delivered during surgery in the form of a paste to harden in situ in the bone site to form macroporous hydroxyapatite. Compared to conventional CPC without macropores, the increased macroporosity of the new apatite scaffold may help facilitate implant fixation and tissue ingrowth.

Aging↗