Scopus (CiteScore 2022 =3.0, Q3) , ISC

Document Type : Original Research Article

Authors

1 Doctoral Program, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia

2 Department of Orthopaedic & Traumatology, Faculty of Medicine Sebelas Maret University, Prof Dr R. Soeharso Orthopaedic Hospital Surakarta

3 Department of Anatomical Pathology, Dr. Moewardi Hospital/Faculty of Medicine UNS, Surakarta, Indonesia

10.48309/ecc.2024.427940.1741

Abstract

Biomaterials, such as hydroxyapatite and platelet-rich fibrin (PRF), are increasingly used in orthopedic treatments due to their beneficial properties. Hydroxyapatite offers osteoconduction, osteointegration, and osteoinduction, while PRF expedites bone healing. This study aims to assess the impact of hydroxyapatite derived from eggshells and PRF on bone healing in Wistar rats. A post-test only control group experimental study was conducted on Wistar rats, divided into five groups: normal (N), control (K), hydroxyapatite-filled bone defect (P1), PRF (P2), and PRF-hydroxyapatite (P3). The subjects underwent immunohistochemical analysis of bone healing biomarkers, including TGFβ and ALP. Mean expressions of each variable were compared using One-Way ANOVA. Hydroxyapatite and PRF significantly increased ALP expression (P<0.05). TGFβ expression increased with PRF and hydroxyapatite, although not statistically significant (P>0.05). The combination of PRF and hydroxyapatite from eggshells can enhance the bone healing process in rat models with bone defects.

Graphical Abstract

Effect of platelet rich fibrin (PRF) and hydroxyapatite from eggshells to TGFβ and ALP in the healing of rat bone defects

Keywords

Main Subjects

[1] (a) D. Rady, R. Mubarak, R.A.A. Moneim, Healing capacity of bone marrow mesenchymal stem cells versus platelet-rich fibrin in tibial bone defects of albino rats: an in vivo study, F1000Research, 2018, 7. [Crossref], [Google Scholar], [Publisher], (b) N. Kalani, S.R. Mousavi, K. Eghbal, A. Kazeminezhad, Fifteen Pearls in treating lumbar disk herniation: A Narrative study, Eurasian Journal of Science and Technology2023, 3, 55-66. [Crossref], [Pdf], [Publisher], (c) A.M. Milani Fard, M. Milani Fard, Evaluation of office stones in kidney patients and how to form and treat them, Eurasian Journal of Science and Technology, 2022, 2, 111-125. [Crossref], [Pdf], [Publisher],  (d) A. Amini, H. Shahpoori Arani, M. Milani Fard, Medical tourism industry: A systematic review on its principles, sequels, and ethical issues, Eurasian Journal of Science and Technology2022, 3, 139-151. [Crossref], [Pdf], [Publisher],  (e) S. El Baakili,  A. Semlali, K. El Mabrouk, M. Bricha, Synthesis method effect on acellular bioactivity of bioglasses: structural analysis and solid-state NMR, Journal of Applied Organometallic Chemistry, 2023, 3, 268-283. [Crossref], [Pdf], [Publisher], (f) H. Shayegan, V. Safari Fard,  H. Taherkhani, M.A. Rezvani, Efficient removal of cobalt(II) ion from aqueous solution using amide-functionalized metal-organic framework, Journal of Applied Organometallic Chemistry, 2022, 2, 109-118. [Crossref], [Pdf], [Publisher]
[2] T.W. Martanto, R.V. Munthe, H. Suroto, S. Bayusentono, A.R. Hidayat, F. Mahyudin, The evaluation of chip freeze-dried cancellous bone allograft of local products usage as a scaffold in completing small defects on long bone, EurAsian Journal of BioSciences, 2020, 14, 3415-3418. [Google Scholar], [Publisher]
[3] Y. Li, S.K. Chen, L. Li, L. Qin, X.L. Wang, Y.X. Lai, Bone defect animal models for testing efficacy of bone substitute biomaterials, Journal of orthopaedic translation, 2015, 3, 95-104. [Crossref], [Google Scholar], [Publisher]
[4] V.S. Kattimani, P.S. Chakravarthi, N.R. Kanumuru, V.V. Subbarao, A. Sidharthan, T.S. Kumar, L.K. Prasad, Eggshell derived hydroxyapatite as bone graft substitute in the healing of maxillary cystic bone defects: a preliminary report, Journal of international oral health: JIOH, 2014, 6, 15-19. [Pdf], [Google Scholar], [Publisher]
[5] A.R. Noviyanti, H. Haryono, R. Pandu, D.R. Eddy, Cangkang telur ayam sebagai sumber kalsium dalam pembuatan hidroksiapatit untuk aplikasi graft tulang, Chimica et Natura Acta, 2017, 5, 107-111. [Crossref], [Google Scholar], [Publisher]
[6] Ł.A. Poniatowski, P. Wojdasiewicz, R. Gasik, D. Szukiewicz, Transforming growth factor Beta family: insight into the role of growth factors in regulation of fracture healing biology and potential clinical applications, Mediators of inflammation, 2015, 2015. [Crossref], [Google Scholar], [Publisher]
[7] Kementerian Pertanian RI. Livestock and Animal Health Statistics 2023. Direktorat Jenderal Peternakan dan Kesehatan Hewan, 2023. [Publisher]
[8] G. Ahlborn, B.W. Sheldon, Identifying the components in eggshell membrane responsible for reducing the heat resistance of bacterial pathogens, Journal of food protection, 2006, 69, 729-738. [Crossref], [Google Scholar], [Publisher]
[9] M. Šupová, Problem of hydroxyapatite dispersion in polymer matrices: a review, Journal of Materials Science: Materials in Medicine, 2009, 20, 1201-1213. [Crossref], [Google Scholar], [Publisher]
[10] A.R. Noviyanti, N. Akbar, Y. Deawati, E.E. Ernawati, Y.T. Malik, R.P. Fauzia, A novel hydrothermal synthesis of nanohydroxyapatite from eggshell-calcium-oxide precursors, Heliyon, 2020, 6. [Crossref], [Google Scholar], [Publisher]
[11] Y.M. Sakti, R. Magetsari, Structural evaluation and animal implantation of porous eggshell wastederived hydroxyapatite graft as bone substitution, Journal of the Medical Sciences, 2013, 45, 17-26. [Crossref], [Google Scholar], [Publisher]
[12] T.A. Einhorn, L.C. Gerstenfeld, Fracture healing: mechanisms and interventions, Nature Reviews Rheumatology, 2015, 11, 45-54. [Crossref], [Google Scholar], [Publisher]
[13] S. Dahlan, Langkah-langkah membuat proposal penelitian bidang kedokteran dan menerapkan hasil penelitian, 2011. [Publisher]
[14] M.V. Enzo, M. Rastrelli, C.R. Rossi, U. Hladnik, D. Segat, The Wnt/β-catenin pathway in human fibrotic-like diseases and its eligibility as a therapeutic target, Molecular and cellular therapies, 2015, 3, 1-13. [Crossref], [Google Scholar], [Publisher]
[15] E.M. Setiawatie, P. Widiyanti, M. Ryan, M. Rubianto, Carbonate hydroxyapatite-hyaluronic acid as bone healing accelerator: In-vitro and in-vivo studies on the alveolar bone of Wistar rats, Journal of International Dental and Medical Research, 2019, 12, 1280-1286. [Google Scholar], [Publisher]
[16] M. Idulhaq, A. Mudigdo, P. Utomo, B. Wasita, The Evidence-based Effect of Platelet-rich Fibrin in Osteogenesis: A Systematic Review and Meta-analysis, Open Access Macedonian Journal of Medical Sciences (OAMJMS), 2022, 10, 66-70. [Crossref], [Google Scholar], [Publisher]
[17] A.A. Alhasyimi, P.S. Pudyani, W. Asmara, I.D. Ana, Effect of carbonated hydroxyapatite incorporated advanced platelet rich fibrin intrasulcular injection on the alkaline phosphatase level during orthodontic relapse, AIP Conference Proceedings, AIP Publishing, 2018. [Crossref], [Google Scholar], [Publisher]
[18] H.A. Varela, J.C. Souza, R.M. Nascimento, R.F. Araújo, R.C. Vasconcelos, R.S. Cavalcante, P.M. Guedes, A.A. Araújo, Injectable platelet rich fibrin: cell content, morphological, and protein characterization, Clinical oral investigations, 2019, 23, 1309-1318. [Crossref], [Google Scholar], [Publisher]
[19] N.N. Kökdere, T. Baykul, Y. Findik, The use of platelet-rich fibrin (PRF) and PRF-mixed particulated autogenous bone graft in the treatment of bone defects: An experimental and histomorphometrical study, Dental research journal, 2015, 12, 418. [Crossref], [Google Scholar], [Publisher]
[20] T.C. Dülgeroglu, H. Metineren, Evaluation of the effect of platelet-rich fibrin on long bone healing: an experimental rat model, Orthopedics, 2017, 40, e479-e484. [Crossref], [Google Scholar], [Publisher]
[21] P. Pripatnanont, T. Nuntanaranont, S. Vongvatcharanon, K. Phurisat, The primacy of platelet-rich fibrin on bone regeneration of various grafts in rabbit's calvarial defects, Journal of Cranio-Maxillofacial Surgery, 2013, 41, e191-e200. [Crossref], [Google Scholar], [Publisher]
[22] M. Oliveira, A.d. Silva, S. Ferreira, C. Avelino, I. Garcia Jr, R. Mariano, Influence of the association between platelet-rich fibrin and bovine bone on bone regeneration. A histomorphometric study in the calvaria of rats, International journal of oral and maxillofacial surgery, 2015, 44, 649-655. [Crossref], [Google Scholar], [Publisher]
[23] A.S. Wardhana, I. Nirwana, H.S. Budi, M.D.C. Surboyo, Role of hydroxyapatite and ellagic acid in the osteogenesis, European Journal of Dentistry, 2020, 15, 008-012. [Crossref], [Google Scholar], [Publisher]
[24] V. Hruschka, S. Tangl, Y. Ryabenkova, P. Heimel, D. Barnewitz, G. Möbus, C. Keibl, J. Ferguson, P. Quadros, C. Miller, Comparison of nanoparticular hydroxyapatite pastes of different particle content and size in a novel scapula defect model, Scientific reports, 2017, 7, 43425. [Crossref], [Google Scholar], [Publisher]