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Cem Özel, Ali Can Özarslan, and Sevil Yücel, Rheological behavior and injectability of PEG/glycerol/bioactive glass-based bone grafts incorporating Denosumab, Int. J. Miner. Metall. Mater., 32(2025), No. 12, pp.3086-3104. https://doi.org/10.1007/s12613-025-3263-y
Cem Özel, Ali Can Özarslan, and Sevil Yücel, Rheological behavior and injectability of PEG/glycerol/bioactive glass-based bone grafts incorporating Denosumab, Int. J. Miner. Metall. Mater., 32(2025), No. 12, pp.3086-3104. https://doi.org/10.1007/s12613-025-3263-y
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含Denosumab的PEG/甘油/生物活性玻璃基骨移植物的流变学行为和注射性

摘要: 在本研究中,将细粒和粗粒熔融淬火45S5生物活性玻璃(BG)掺入甘油和聚乙二醇(PEG)组成的载体体系中,制备了可注射骨移植腻子样品。选定的腻子样品进一步加入不同量的Denosumab (5wt%–10wt %),通过数学模型研究其对流变行为和流动性能的影响。所有基于PEG/甘油/45S5的腻子样品都表现出黏弹性行为(储存模量>损失模量)和假塑性行为(n < 1),最佳流动所需的黏度值保持在1000 Pa∙s以下。随着BG含量的增加和BG颗粒尺寸的减小,黏度和触变面积均成比例增加。所有腻子样品通过12G针头的可注射性均超过98%,表明其具有潜在的临床适用性。然而,随着针头尺寸缩小,注射性能逐渐下降:在高BG含量下使用19G针头时降至34.7%–58.3%, 23G针头时进一步降低。添加Denosumab后,黏弹性与注射性能得以保持,但流变特性发生改变——随着Denosumab含量增加,流体从假塑性转变为更接近牛顿流体特性,同时黏度和触变面积也有所降低。在所有测试配方中,含有较少量Denosumab和较小尺寸BG的腻子,展现出最合适的注射性能与流变特性组合。所有腻子样品都可以用幂定律和Herschel-Bulkley流变模型(决定系数> 0.95)很好地描述。这项研究强调了Denosumab对流动性和流变关系的影响,并表明通过BG和Denosumab在微创骨移植系统中的双重协同作用,生物活性可能得到改善。

 

Rheological behavior and injectability of PEG/glycerol/bioactive glass-based bone grafts incorporating Denosumab

Abstract: In this study, injectable bone graft putty samples were developed using fine and coarse melt-quenched 45S5 bioactive glass (BG) incorporated into a carrier system composed of glycerol and polyethylene glycol (PEG) with different average molecular weights. Selected putty samples were further incorporated with varying amounts of Denosumab (5wt%–10wt%) to investigate its influence on rheological behavior and flow properties using mathematical modeling. All PEG/glycerol/45S5-based putty samples exhibited viscoelastic behavior (storage modulus > loss modulus) and pseudoplastic behavior (n < 1), with viscosity values required for optimal flow remaining below 1000 Pa∙s. Both viscosity and thixotropic area increased proportionally with higher BG content and smaller-sized BG particles. All putty samples showed more than 98% injectability through a 12G cannula, suggesting potential clinical suitability. However, injectability decreased with smaller cannulas, dropping to 34.7%–58.3% with a 19G cannula and further decreasing with a 23G cannula at higher BG contents. Incorporation of Denosumab preserved viscoelasticity and injectability but modified the flow behavior, shifting it from pseudoplastic to more Newtonian with higher Denosumab content, while also reducing viscosity and thixotropic area values. Among all tested samples, putty containing a lower amount of Denosumab and smaller-sized BG exhibited the most suitable combination of injectability and rheological features. All putty samples were well described by both the Power law and Herschel–Bulkley rheological models (coefficient of determination > 0.95). This study highlights the influence of Denosumab on flowability and rheological relationships and suggests potential improvements in bioactivity through a dual synergistic effect of BG and Denosumab in minimally invasive bone graft systems.

 

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