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29 pages, 7735 KB  
Article
Preparation of Ecological Refractory Bricks from Phosphate Washing By-Products
by Mariem Hassen, Raja Zmemla, Mouhamadou Amar, Abdalla Gaboussa, Nordine Abriak and Ali Sdiri
Appl. Sci. 2025, 15(19), 10647; https://doi.org/10.3390/app151910647 - 1 Oct 2025
Abstract
This research is to assess the potential use of phosphate sludge from the Gafsa (Tunisia) phosphate laundries as an alternative raw material for the manufacture of ecological refractory bricks. Feasibility was evaluated through comprehensive physico-chemical and mineralogical characterizations of the raw materials using [...] Read more.
This research is to assess the potential use of phosphate sludge from the Gafsa (Tunisia) phosphate laundries as an alternative raw material for the manufacture of ecological refractory bricks. Feasibility was evaluated through comprehensive physico-chemical and mineralogical characterizations of the raw materials using X-ray diffraction (XRD), X-ray fluorescence (XRF), Fourier-transform infrared spectroscopy (FTIR), and thermal analysis (TGA-DTA). Bricks were formulated by substituting phosphate sludge with clay and diatomite, then activated with potassium silicate solution to produce geopolymeric materials. Specific formulations exhibited mechanical performance ranging from 7 MPa to 26 MPa, highlighting the importance of composition and minimal water absorption values of approximately 17.8% and 7.7%. The thermal conductivity of the bricks was found to be dependent on the proportions of diatomite and clay, reflecting their insulating potential. XRD analysis indicated the formation of an amorphous aluminosilicate matrix, while FTIR spectra confirmed the development of new chemical bonds characteristic of geopolymerization. Thermal analysis revealed good stability of the materials, with mass losses mainly related to dehydration and dehydroxylation processes. Environmental assessments showed that most samples are inert or non-hazardous, though attention is required for those with elevated chromium content. Overall, these findings highlight the viability of incorporating phosphate sludge into fired brick production, offering a sustainable solution for waste valorization in accordance with the circular economy. Full article
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25 pages, 9472 KB  
Article
Alterations in the Physicochemical and Structural Properties of a Ceramic–Polymer Composite Induced by the Substitution of Hydroxyapatite with Fluorapatite
by Leszek Borkowski, Krzysztof Palka and Lukasz Pajchel
Materials 2025, 18(19), 4538; https://doi.org/10.3390/ma18194538 - 29 Sep 2025
Abstract
In recent years, apatite-based materials have garnered significant interest, particularly for applications in tissue engineering. Apatite is most commonly employed as a coating for metallic implants, as a component in composite materials, and as scaffolds for bone and dental tissue regeneration. Among its [...] Read more.
In recent years, apatite-based materials have garnered significant interest, particularly for applications in tissue engineering. Apatite is most commonly employed as a coating for metallic implants, as a component in composite materials, and as scaffolds for bone and dental tissue regeneration. Among its various forms, hydroxyapatite (HAP) is the most widely used, owing to its natural occurrence in human and animal hard tissues. An emerging area of research involves the use of fluoride-substituted apatite, particularly fluorapatite (FAP), which can serve as a direct fluoride source at the implant site, potentially offering several biological and therapeutic advantages. However, substituting HAP with FAP may lead to unforeseen changes in material behavior due to the differing physicochemical properties of these two calcium phosphate phases. This study investigates the effects of replacing hydroxyapatite with fluorapatite in ceramic–polymer composite materials incorporating β-1,3-glucan as a bioactive polymeric binder. The β-1,3-glucan polysaccharide was selected for its proven biocompatibility, biodegradability, and ability to form stable hydrogels that promote cellular interactions. Nitrogen adsorption analysis revealed that FAP/glucan composites had a significantly lower specific surface area (0.5 m2/g) and total pore volume (0.002 cm3/g) compared to HAP/glucan composites (14.15 m2/g and 0.03 cm3/g, respectively), indicating enhanced ceramic–polymer interactions in fluoride-containing systems. Optical profilometry measurements showed statistically significant differences in profile parameters (e.g., Rp: 134 μm for HAP/glucan vs. 352 μm for FAP/glucan), although average roughness (Ra) remained similar (34.1 vs. 27.6 μm, respectively). Microscopic evaluation showed that FAP/glucan composites had smaller particle sizes (1 μm) than their HAP counterparts (2 μm), despite larger primary crystal sizes in FAP, as confirmed by TEM. XRD analysis indicated structural differences between the apatites, with FAP exhibiting a reduced unit cell volume (524.6 Å3) compared to HAP (528.2 Å3), due to substitution of hydroxyl groups with fluoride ions. Spectroscopic analyses (FTIR, Raman, 31P NMR) confirmed chemical shifts associated with fluorine incorporation and revealed distinct ceramic–polymer interfacial behaviors, including an upfield shift of PO43− bands (964 cm−1 in FAP vs. 961 cm−1 in HAP) and OH vibration shifts (3537 cm−1 in FAP vs. 3573 cm−1 in HAP). The glucan polymer showed different hydrogen bonding patterns when combined with FAP versus HAP, as evidenced by shifts in polymer-specific bands at 888 cm−1 and 1157 cm−1, demonstrating that fluoride substitution significantly influences ceramic–polymer interactions in these bioactive composite systems. Full article
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24 pages, 687 KB  
Review
Current Concepts of Local Antibiotic Delivery in Bone and Joint Infections—A Narrative Review of Techniques and Clinical Experiences
by Christof Ernst Berberich
Microorganisms 2025, 13(10), 2276; https://doi.org/10.3390/microorganisms13102276 - 29 Sep 2025
Abstract
Prophylactic measures and treatment strategies of implant-related bone and joint infections frequently involve the local delivery of high doses of antimicrobial drugs into the affected bone tissue or articular space in addition to the use of systemic antibiotics. Antibiotic-loaded biomaterials, such as Polymethyl [...] Read more.
Prophylactic measures and treatment strategies of implant-related bone and joint infections frequently involve the local delivery of high doses of antimicrobial drugs into the affected bone tissue or articular space in addition to the use of systemic antibiotics. Antibiotic-loaded biomaterials, such as Polymethyl Methacrylate (PMMA) cement, calcium sulfate, calcium phosphate, bioglass, and others, have proven to be clinically effective. However, they suffer from important limitations regarding elution and freedom of choice of admixable antimicrobial drugs. In order to overcome these shortcomings, the techniques of direct intraosseous or intra-articular injection/infusion of antibiotics via needles/cannulas or catheters are gaining popularity. Their attractiveness is based on the potential to achieve extremely high drug concentrations in situ, which can be maintained for as long as the catheters are left in place without increased risks of systemic toxicity. Although these methods are still in an experimental stage, reports on their clinical outcomes look promising. This articles summarizes the knowledge of when, how, and in which clinical settings the different modes and philosophies of local antibiotic delivery work best, with the aim to provide surgeons and infectious disease physicians guidance in clinical practice. This will help to optimize the use for the sake of the patients. Full article
(This article belongs to the Section Biofilm)
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24 pages, 4152 KB  
Article
Feasibility Study of Strontium-Containing Calcium Phosphate Coatings on Micro-Arc Oxidized AZ31
by Satish S. Singh, John Ohodnicki, Abhijit Roy, Mitali Patil, Boeun Lee and Prashant N. Kumta
Materials 2025, 18(19), 4509; https://doi.org/10.3390/ma18194509 - 28 Sep 2025
Abstract
Calcium phosphate coatings are known for their osteoconductive prowess. In this work, calcium phosphate coatings were studied on a model biodegradable magnesium alloy of AZ31, primarily to provide improved corrosion protection and, more importantly, to confer in vitro cytocompatibility to the AZ31 alloy. [...] Read more.
Calcium phosphate coatings are known for their osteoconductive prowess. In this work, calcium phosphate coatings were studied on a model biodegradable magnesium alloy of AZ31, primarily to provide improved corrosion protection and, more importantly, to confer in vitro cytocompatibility to the AZ31 alloy. Correspondingly, an aqueous-based approach was developed to deposit Sr2+-substituted calcium phosphates on micro-arc oxidized AZ31. Micro-arc oxidation was used mainly as a pretreatment technique due to improved homogeneity and adhesion strength in comparison to the coatings formed by the traditionally used alkaline and acidic pretreatment. Calcium phosphate coatings with up to 11.5 mol. % Sr were formed on micro-arc oxidized AZ31 substrates. Despite observation of greater than the intended 10 mol. % Sr to the calcium phosphate coatings as measured within the measurement error, biphasic mixtures of dicalcium phosphate dihydrate and poorly crystalline hydroxyapatite were formed. Micro-arc oxidation treatment, nevertheless, provided a slight improvement in corrosion protection compared to uncoated AZ31. However, much-improved corrosion protection was provided by the calcium phosphate coatings prepared either with or without Sr2+. The calcium phosphate coatings prepared with Sr2+ were also observed to support improved MC3T3-E1 murine pre-osteoblast cell proliferation compared to the calcium phosphate coated substrates prepared without Sr2+. Full article
(This article belongs to the Special Issue Surface Technology and Coatings Materials)
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27 pages, 1365 KB  
Systematic Review
Enhancing Osseointegration of Zirconia Implants Using Calcium Phosphate Coatings: A Systematic Review
by Jacek Matys, Ryszard Rygus, Julia Kensy, Krystyna Okoniewska, Wojciech Zakrzewski, Agnieszka Kotela, Natalia Struzik, Hanna Gerber, Magdalena Fast and Maciej Dobrzyński
Materials 2025, 18(19), 4501; https://doi.org/10.3390/ma18194501 - 27 Sep 2025
Abstract
Objective: Yttria-stabilized tetragonal zirconia polycrystal (Y-TZP), a variant of zirconia (ZrO2), has attracted interest as a substitute for titanium in dental and orthopedic implants, valued for its biocompatibility and aesthetics that resemble natural teeth. However, its bioinert surface limits osseointegration, making [...] Read more.
Objective: Yttria-stabilized tetragonal zirconia polycrystal (Y-TZP), a variant of zirconia (ZrO2), has attracted interest as a substitute for titanium in dental and orthopedic implants, valued for its biocompatibility and aesthetics that resemble natural teeth. However, its bioinert surface limits osseointegration, making surface modifications such as calcium phosphate (CaP) coatings highly relevant. Materials and methods: The review process adhered to the PRISMA guidelines. Electronic searches of PubMed, Scopus, Web of Science, Embase, and Cochrane Library (July 2025) identified studies evaluating CaP-coated zirconia implants. Eligible studies included in vitro, in vivo, and preclinical investigations with a control group. Data on coating type, deposition method, and biological outcomes were extracted and analyzed. Results: A total of 27 studies were analyzed, featuring different calcium phosphate (CaP) coatings including β-tricalcium phosphate (β-TCP), hydroxyapatite (HA), octacalcium phosphate (OCP), and various composites. These coatings were applied using diverse techniques such as RF magnetron sputtering, sol–gel processing, biomimetic methods, and laser-based approaches. In multiple investigations, calcium phosphate coatings enhanced osteoblast attachment, proliferation, alkaline phosphatase (ALP) expression, and bone-to-implant contact (BIC) relative to unmodified zirconia surfaces. Multifunctional coatings incorporating growth factors, antibiotics, or nanoparticles showed additional benefits. Conclusion: CaP coatings enhance the bioactivity of zirconia implants and represent a promising strategy to overcome their inertness. Further standardized approaches and long-term studies are essential to verify their translational relevance. Full article
(This article belongs to the Special Issue Calcium Phosphate Biomaterials with Medical Applications)
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19 pages, 7360 KB  
Article
Class 1 Sugar Beet Phytoglobin Shows Strong Affinity to Glyceraldehyde-3-Phosphate Dehydrogenase and DNA In Vitro
by Leonard Groth, Miho Oda and Leif Bülow
Int. J. Mol. Sci. 2025, 26(19), 9404; https://doi.org/10.3390/ijms26199404 - 26 Sep 2025
Abstract
Class 1 phytoglobins (Pgbs) are known for their multifunctional roles in plant stress responses, with recent studies suggesting broader interactions involving metabolic and transcriptional regulation. Interestingly, glyceraldehyde-3-phosphate dehydrogenase (GAPDH) moonlights in many roles in colocalized spaces during cellular stress that are strikingly suitable [...] Read more.
Class 1 phytoglobins (Pgbs) are known for their multifunctional roles in plant stress responses, with recent studies suggesting broader interactions involving metabolic and transcriptional regulation. Interestingly, glyceraldehyde-3-phosphate dehydrogenase (GAPDH) moonlights in many roles in colocalized spaces during cellular stress that are strikingly suitable for supporting Pgb function. This study investigates the molecular interactions of class 1 Pgb from sugar beet (Beta vulgaris), BvPgb 1.2, and an alanine-substituted mutant (C86A), focusing on their ability to bind GAPDH and DNA. Using dual-emission isothermal spectral shift (SpS) analysis, we report strong binding interactions with GAPDH, with dissociation constants (KD) of 260 ± 50 nM for the recombinant wild-type protein (rWT) and a significantly stronger affinity for C86A (120 ± 40 nM), suggesting that the cysteine residue limits the interaction. Remarkably strong DNA-binding affinities were also observed for both variants, displaying biphasic binding. This behavior is characteristic of hexacoordinated globins and reflects the presence of two distinct species: a fast-reacting open pentacoordinated form and a slow-reacting closed hexacoordinated form with high apparent affinity. Here, the KD in the open configuration was 120 ± 50 nm and 50 ± 20 nM for rWT and C86A, respectively. In the closed configuration, however, the cysteine appears to support the interaction, as the KD was measured at 100 ± 10 pM and 230 ± 60 pM for rWT and C86A, respectively. Protein–protein docking studies reinforced these findings, revealing electrostatically driven interactions between BvPgb 1.2 and GAPDH, characterized by a substantial buried surface area indicative of a stable, biologically relevant complex. Protein–DNA docking similarly confirmed energetically favorable binding near the heme pocket without obstructing ligand accessibility. Together, these findings indicate a potential regulatory role for BvPgb 1.2 through its interaction with GAPDH and DNA. Full article
(This article belongs to the Section Biochemistry)
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20 pages, 790 KB  
Systematic Review
The Use of Platelet-Rich Fibrin in Combination with Synthetic Bone Grafting: A Systematic Review
by Rosana Costa, Alicia Carvalho, Paula López-Jarana, Vitória Costa, Marta Relvas, Filomena Salazar, Tomás Infante da Câmara, Miguel Nunes Vasques and Marco Infante da Câmara
Biomedicines 2025, 13(9), 2266; https://doi.org/10.3390/biomedicines13092266 - 15 Sep 2025
Viewed by 372
Abstract
Background: In atrophic posterior maxillary regions, sub-antral surgery is often used for rehabilitation with implants. In order to stimulate bone regeneration, autogenous, xenogenic, alloplastic and platelet-rich fibrin (PRF) grafts are commonly used. Aim: To assess the effectiveness of PRF alone or combination with [...] Read more.
Background: In atrophic posterior maxillary regions, sub-antral surgery is often used for rehabilitation with implants. In order to stimulate bone regeneration, autogenous, xenogenic, alloplastic and platelet-rich fibrin (PRF) grafts are commonly used. Aim: To assess the effectiveness of PRF alone or combination with synthetic bone substitutes on bone formation, implant stability, and survival in sub-antral surgery. Materials and Methods: A literature review was carried out from September 2024 to April 2025, according to PRISMA guidelines using the PubMed, Cochrane Library, Wiley, ScienceDirect, and Web of Science databases. From a total of 601 articles identified, 11 met the inclusion criteria and were selected for analysis. Results: PRF in combination with synthetic materials has shown potential benefits, especially in increasing biomechanical stability and bone formation. Although, most studies have not reported statistically significant differences when comparing the use of synthetic material alone against its combination with PRF. Discussion: The use of synthetic grafts in combination with PRF has become increasingly common in sub-antral implant procedures. PRF promotes angiogenesis, osteoprogenitor cell differentiation and bone regeneration, favouring the healing and remodelling process of the tissues, as well as greater stability and longevity of the implant. Conclusions: The combination of PRF with synthetic bone grafting shows promising results; however, further studies are needed to confirm the efficacy of PRF in maxillary sinus grafts in conjunction with the use of biomaterials. Full article
(This article belongs to the Section Molecular and Translational Medicine)
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18 pages, 6447 KB  
Article
The Synergistic Effect of Polysaccharides and Silane Coupling Agents on the Properties of Calcium Phosphate-Based Bone Substitutes
by Piotr Pańtak, Joanna P. Czechowska, Vladyslav Vivcharenko, Annett Dorner-Reisel and Aneta Zima
Int. J. Mol. Sci. 2025, 26(18), 8910; https://doi.org/10.3390/ijms26188910 - 12 Sep 2025
Viewed by 266
Abstract
In this study, novel hybrid cementitious materials composed of calcium phosphates and polysaccharides were obtained and developed. Moreover, the impact of two distinct silane coupling agents—tetraethyl orthosilicate (TEOS) and 3-glycidoxypropyltrimethoxysilane (GPTMS)—on the physicochemical and biological properties of the resulting materials was systematically analyzed. [...] Read more.
In this study, novel hybrid cementitious materials composed of calcium phosphates and polysaccharides were obtained and developed. Moreover, the impact of two distinct silane coupling agents—tetraethyl orthosilicate (TEOS) and 3-glycidoxypropyltrimethoxysilane (GPTMS)—on the physicochemical and biological properties of the resulting materials was systematically analyzed. Comprehensive assessments were conducted to evaluate the chemical and phase compositions (using XRF, XRD, FTIR), setting behavior, mechanical strength, microstructure (SEM), porosity, in vitro chemical stability, and biological performance of bone cements. Notably, the synergistic effect of polysaccharides and silane coupling agents significantly enhanced the compressive strength of the cements, increasing it to 19.34 MPa. Additionally, the integration of citrus pectin into the liquid phase, along with the inclusion of hybrid hydroxyapatite–chitosan granules, not only enabled the formation of materials with high surgical handiness but also improved the materials’ physicochemical characteristics. The findings from this study emphasize the beneficial role of silane coupling agents in improving the properties of calcium phosphate-based bone substitutes. The developed materials demonstrate substantial potential for use in bone tissue engineering according to ISO 10993. However, further in vitro and in vivo studies are required to confirm their safety and effectiveness. Full article
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48 pages, 1146 KB  
Systematic Review
Types of Bone Substitutes and Their Application in Regenerative Medicine: A Systematic Review
by Nikoleta Ivanova, Stoyan Ivanov, Stefan Peev and Tsanka Dikova
J. Funct. Biomater. 2025, 16(9), 341; https://doi.org/10.3390/jfb16090341 - 9 Sep 2025
Viewed by 810
Abstract
Background: The growing demand for effective methods of bone tissue regeneration highlights the relevance of studying modern bone substitutes and their applications in regenerative medicine. The aim of this work was to conduct a comprehensive analysis of the biological, mechanical, and clinical characteristics [...] Read more.
Background: The growing demand for effective methods of bone tissue regeneration highlights the relevance of studying modern bone substitutes and their applications in regenerative medicine. The aim of this work was to conduct a comprehensive analysis of the biological, mechanical, and clinical characteristics of various types of bone substitutes to determine their potential in regenerative medicine. Methods: The study was performed as a systematic literature review in accordance with PRISMA guidelines, analyzing 68 high-quality scientific sources from 2019 to May 2025, using the PubMed, Scopus, Web of Science, and Google Scholar databases. Results: It was established that autogenous grafts exhibit the highest osteogenic properties due to the presence of growth factors BMP-2, BMP-7, and concentrated growth factors; however, their use is limited by donor site morbidity in 20–30% of patients and the requirement to treat 6% of fractures complicated by non-union. Allogeneic and xenogeneic substitutes provide structural support for large defects but require intensive processing in accordance with European Directives 2004/23/EC and 2006/86/EC to minimize the risk of infection transmission. Synthetic substitutes based on calcium phosphate ceramics with pore sizes ranging from 23 to 210 micrometres demonstrate excellent biocompatibility and controlled degradation, with β-tricalcium phosphate exhibiting optimal characteristics for long-term applications compared to calcium sulphate. Conclusions: The findings of the study highlight the necessity of a personalized approach in selecting bone substitutes, considering the specific requirements of medical specialities, and support the development of hybrid biomaterials to combine structural strength with biological activity. Full article
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13 pages, 1756 KB  
Article
Methylcellulose-Encapsulated Magnesium-Substituted Biphasic Calcium Phosphate Granules for Local Drug Delivery in Bone Tissue Engineering: Modification for Prolonged Release and Antibacterial Behavior
by Daniil O. Golubchikov, Inna V. Fadeeva, Elena S. Trofimchuk, Katia Barbaro, Viktoriya G. Yankova, Iulian V. Antoniac, Valery I. Putlayev, Julietta V. Rau and Vicentiu Saceleanu
Polymers 2025, 17(17), 2422; https://doi.org/10.3390/polym17172422 - 7 Sep 2025
Viewed by 621
Abstract
Bone tissue restoration requires biomaterials, which combine osteoinductivity and the capability to prevent surgical site infections. Magnesium-substituted biphasic calcium phosphate (Mg-BCP) represents a promising solution, as magnesium substitution increases the biodegradation rate of calcium phosphate ceramics and provides inherent antibacterial properties. This study [...] Read more.
Bone tissue restoration requires biomaterials, which combine osteoinductivity and the capability to prevent surgical site infections. Magnesium-substituted biphasic calcium phosphate (Mg-BCP) represents a promising solution, as magnesium substitution increases the biodegradation rate of calcium phosphate ceramics and provides inherent antibacterial properties. This study aimed to achieve wet precipitation synthesis of magnesium-substituted (1–10 mol%) biphasic calcium phosphate and to evaluate its drug delivery potential and antibacterial performance. Porous Mg-BCP granules were fabricated via the gelation of Mg-BCP suspension in sodium alginate followed by polymer removal. Drug delivery potential was evaluated using methylene blue as a model compound, with methylcellulose encapsulation implemented to ensure prolonged release. Magnesium content directly ruled the phase composition: low concentrations (1%) favored hydroxyapatite phase prevalence, while higher concentrations led to the β-tricalcium phosphate formation. Further assessment of drug delivery potential revealed that direct drug loading resulted in burst release, whereas methylcellulose encapsulation successfully enabled prolonged drug delivery. Mg-5BCP formulation demonstrated significant antimicrobial activity with growth inhibition of 17.7 ± 4.1% against C. albicans, 20.8 ± 7.0% against E. faecalis, and 12.9 ± 7.5% against E. coli. Therefore, Mg-5BCP–methylcellulose composite granules present a versatile platform for antibacterial drug delivery for bone tissue engineering applications. Full article
(This article belongs to the Section Biobased and Biodegradable Polymers)
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18 pages, 2057 KB  
Article
Contribution of Second-Shell Residues to PLP-Dependent Transaminase Catalysis: A Case Study of D-Amino Acid Transaminase from Desulfomonile tiedjei
by Alina K. Bakunova, Iuliia V. Rudina, Vladimir O. Popov and Ekaterina Yu. Bezsudnova
Int. J. Mol. Sci. 2025, 26(17), 8536; https://doi.org/10.3390/ijms26178536 - 2 Sep 2025
Viewed by 538
Abstract
Understanding the structure–function relationships of pyridoxal-5′-phosphate (PLP)-dependent transaminases is key to advancing pyridoxal-phosphate-dependent catalysis and engineering transaminases for industrial applications. Despite our extensive knowledge of PLP-dependent enzymatic reactions, engineering transaminase activity and stability remains challenging. Here, we present the functional characterization of a [...] Read more.
Understanding the structure–function relationships of pyridoxal-5′-phosphate (PLP)-dependent transaminases is key to advancing pyridoxal-phosphate-dependent catalysis and engineering transaminases for industrial applications. Despite our extensive knowledge of PLP-dependent enzymatic reactions, engineering transaminase activity and stability remains challenging. Here, we present the functional characterization of a novel PLP-dependent fold type IV transaminase from Desulfomonile tiedjei, alongside a detailed analysis of PLP binding and holoenzyme stability. This new transaminase exhibits activity toward various D-amino acids and (R)-phenylethylamine. Structural modeling and site-directed mutagenesis of residues in the second shell of the PLP-binding site revealed their roles in cofactor binding and the transaminase’s catalytic efficiency. Notably, the T199Q variant demonstrated a fivefold increase in PLP affinity and improved activity under alkaline conditions. This is attributed to a newly formed hydrogen bond that stabilizes the N1-binding region of PLP. Glutamine at position 199 is not observed in homologous transaminases, making this non-natural substitution a novel and beneficial modification. These findings emphasize the importance of second-shell interactions in stabilizing PLP and expand our understanding of the structural diversity within PLP fold type IV transaminases. This paves the way for the engineering of more stable and versatile biocatalysts for industrial applications. Full article
(This article belongs to the Special Issue Advanced Research on Enzymes in Biocatalysis)
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20 pages, 4966 KB  
Article
New Glass-Ceramics in the System Ca2SiO4-Ca3(PO4)2—Phase Composition, Microstructure, and Effect on the Cell Viability
by Irena Mihailova, Petya Dimitrova, Georgi Avdeev, Radostina Ivanova, Hristo Georgiev, Milena Nedkova-Shtipska, Ralitsa Teodosieva and Lachezar Radev
Materials 2025, 18(16), 3887; https://doi.org/10.3390/ma18163887 - 19 Aug 2025
Viewed by 724
Abstract
The CaO-SiO2-P2O5 system is one of the main systems studied aiming for the synthesis of new bioactive materials for bone regeneration. The interest in materials containing calcium-phosphate-silicate phases is determined by their biocompatibility, biodegradability, bioactivity, and osseointegration. The [...] Read more.
The CaO-SiO2-P2O5 system is one of the main systems studied aiming for the synthesis of new bioactive materials for bone regeneration. The interest in materials containing calcium-phosphate-silicate phases is determined by their biocompatibility, biodegradability, bioactivity, and osseointegration. The object of the present study is the synthesis by the sol-gel method of biocompatible glass-ceramics in the Ca2SiO4-Ca3(PO4)2 subsystem with the composition 6Ca2SiO4·Ca3(PO4)2 = Ca15(PO4)2(SiO4)6. The phase-structural evolution of the samples was monitored using X-ray diffraction analysis (XRD), Fourier transform infrared spectroscopy (FTIR), scanning electron microscopy (SEM), energy-dispersive spectroscopy (EDS), and surface area analysis. A powder (20–30 µm) glass-ceramic material containing fine crystalline aggregates of dicalcium silicate and plates of silicon-substituted hydroxyapatite was obtained after heat treatment at 700 °C. After heat treatment at 1200 °C, Ca15(PO4)2(SiO4)6, silicocarnotite Ca5(PO4)2(SiO4), and pseudowollastonite CaSiO3 were identified by XRD, and the particle size varied between 20 and 70 µm. The compact glass-ceramic obtained at 1400 °C contained Ca2SiO4-Ca3(PO4)2 solid solutions with an α-Ca2SiO4 structure as a main crystalline phase. SEM showed the specific morphology of the crystalline phases and illustrated the trend of increasing particle size depending on the synthesis temperature. Effects of the glass-ceramic materials on cell viability of HL-60-derived osteoclast-like cells and on the expression of apoptotic and osteoclast-driven marker suggested that all materials at low concentrations, above 1 µg mL−1, are biocompatible, and S-1400 might have a potential application as a scaffold material for bone regeneration. Full article
(This article belongs to the Section Electronic Materials)
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12 pages, 3255 KB  
Article
Plant-Derived Bone Substitute Presents Effective Osteointegration in Several Clinical Settings: A Pilot Study from a Single Center
by Gianluca Conza, Adriano Braile, Antonio Davide Vittoria, Nicola Di Cristofaro, Annalisa Itro, Gabriele Martin, Gabriella Toro, Pier Francesco Indelli, Vincenzo Salini and Giuseppe Toro
Bioengineering 2025, 12(8), 861; https://doi.org/10.3390/bioengineering12080861 - 11 Aug 2025
Viewed by 586
Abstract
Background: Bone loss management is a tough challenge in orthopedic and trauma surgery that is generally treated using graft or substitute. Bone is the second most common transplanted tissue behind blood. Autologous bone graft represents the gold standard, while allograft is generally used [...] Read more.
Background: Bone loss management is a tough challenge in orthopedic and trauma surgery that is generally treated using graft or substitute. Bone is the second most common transplanted tissue behind blood. Autologous bone graft represents the gold standard, while allograft is generally used as a secondary option, considering their impressive osteoconductive and osteoinductive properties. However, both allograft and autograft sources are limited. Therefore, synthetic bone substitutes gained popularity due to their low cost and ease of application. β-tri-Calcium phosphate (β-TCP) is a promising material implemented as a bone substitute. One of the limits of bone substitutes is related to their three-dimensional organization, which rarely replicates that of the normal bone. b.Bone™ is a novel bone substitute derived from rattan wood with a unique 3D structure that mimics the architecture of the human bone. This study aims to objectively evaluate the osteointegration of b.Bone™ in complex clinical settings. Methods: We retrospectively evaluated eight patients who underwent surgeries requiring filling bone loss through the use of b.Bone™. Osteointegration of the bone substitute was evaluated radiologically using a modified Van Hemert classification. Results: Eight patients were enrolled into this study: five females and three males with a mean age of 53,75 years old. b.Bone™ was applied in the following shapes: granules in four cases, cylinders in three cases and a prism in one. In four patients, the osteointegration reached a grade Van Hemert 4, three a grade 3, and only one a grade 2. Conclusions: β-TCP-based bone substitutes, such as those derived from rattan, appear to facilitate successful osteointegration in various clinical settings. Future studies with larger cohorts and longer follow-ups are necessary to evaluate the long-term efficacy of this promising substitute. Full article
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15 pages, 3316 KB  
Article
Evaluation of Collagenic Porcine Bone Blended with a Collagen Gel for Bone Regeneration: An In Vitro Study
by Tania Vanessa Pierfelice, Chiara Cinquini, Morena Petrini, Emira D’Amico, Camillo D’Arcangelo, Antonio Barone and Giovanna Iezzi
Int. J. Mol. Sci. 2025, 26(15), 7621; https://doi.org/10.3390/ijms26157621 - 6 Aug 2025
Viewed by 512
Abstract
A thermosensitive collagen-based gel (TSV gel), containing type I and III collagen, has been developed to improve the handling and stability of bone graft materials. However, its direct effect on osteoblasts is not well understood. This in vitro study evaluated the biological response [...] Read more.
A thermosensitive collagen-based gel (TSV gel), containing type I and III collagen, has been developed to improve the handling and stability of bone graft materials. However, its direct effect on osteoblasts is not well understood. This in vitro study evaluated the biological response of human oral osteoblasts to four bone substitutes: OsteoBiol® GTO® (larger granules with 20% TSV gel), Gen-OS® (smaller granules), Gen-OS® combined with 50% TSV gel (Gen-OS®+TSV), and TSV gel alone. Cell proliferation, adhesion, morphology, collagen and calcium deposition, alkaline phosphatase (ALP) activity, gene expression of osteogenic markers and integrins, and changes in pH and extracellular calcium and phosphate levels were investigated. All materials supported osteoblast activity, but Gen-OS+TSV and GTO showed the most pronounced effects. These two groups promoted better cell adhesion and proliferation, higher ALP activity, and greater matrix mineralization. GTO improved cell adhesion, while the addition of TSV gel to Gen-OS enhanced biological responses compared with Gen-OS alone. Integrins α2, α5, β1, and β3, important for cell attachment to collagen, were notably upregulated in Gen-OS+TSV and GTO. Both groups also showed increased expression of osteogenic markers such as BMP-2, ALP, and osteocalcin (OCN). Higher extracellular ion concentrations and a more alkaline pH were observed, particularly in conditions without cells, suggesting active ion uptake by osteoblasts. In conclusion, combining TSV gel with collagen-based granules improves the cellular environment for osteoblast activity and may support bone regeneration more effectively than using either component alone. Full article
(This article belongs to the Special Issue Molecular Studies of Bone Biology and Bone Tissue: 2nd Edition)
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Article
Healing Kinetics of Sinus Lift Augmentation Using Biphasic Calcium Phosphate Granules: A Case Series in Humans
by Michele Furlani, Valentina Notarstefano, Nicole Riberti, Emira D’Amico, Tania Vanessa Pierfelice, Carlo Mangano, Elisabetta Giorgini, Giovanna Iezzi and Alessandra Giuliani
Bioengineering 2025, 12(8), 848; https://doi.org/10.3390/bioengineering12080848 - 6 Aug 2025
Viewed by 670
Abstract
Sinus augmentation provides a well-established model for investigating the three-dimensional morphometry and macromolecular dynamics of bone regeneration, particularly when using biphasic calcium phosphate (BCP) graft substitutes. This case series included six biopsies from patients who underwent maxillary sinus augmentation using BCP granules composed [...] Read more.
Sinus augmentation provides a well-established model for investigating the three-dimensional morphometry and macromolecular dynamics of bone regeneration, particularly when using biphasic calcium phosphate (BCP) graft substitutes. This case series included six biopsies from patients who underwent maxillary sinus augmentation using BCP granules composed of 30% hydroxyapatite (HA) and 70% β-tricalcium phosphate (β-TCP). Bone core biopsies were obtained at healing times of 6 months, 9 months, and 12 months. Histological evaluation yielded qualitative and quantitative insights into new bone distribution, while micro-computed tomography (micro-CT) and Raman microspectroscopy (RMS) were employed to assess the three-dimensional architecture and macromolecular composition of the regenerated bone. Micro-CT analysis revealed progressive maturation of the regenerated bone microstructure over time. At 6 months, the apical regenerated area exhibited a significantly higher mineralized volume fraction (58 ± 5%) compared to the basal native bone (44 ± 11%; p = 0.0170), as well as significantly reduced trabecular spacing (Tb.Sp: 187 ± 70 µm vs. 325 ± 96 µm; p = 0.0155) and degree of anisotropy (DA: 0.37 ± 0.05 vs. 0.73 ± 0.03; p < 0.0001). By 12 months, the mineralized volume fraction in the regenerated area (53 ± 5%) was statistically comparable to basal bone (44 ± 3%; p > 0.05), while Tb.Sp (211 ± 20 µm) and DA (0.23 ± 0.09) remained significantly lower (Tb.Sp: 395 ± 41 µm, p = 0.0041; DA: 0.46 ± 0.04, p = 0.0001), indicating continued structural remodelling and organization. Raman microspectroscopy further revealed dynamic macromolecular changes during healing. Characteristic β-TCP peaks (e.g., 1315, 1380, 1483 cm−1) progressively diminished over time and were completely absent in the regenerated tissue at 12 months, contrasting with their partial presence at 6 months. Simultaneously, increased intensity of collagen-specific bands (e.g., Amide I at 1661 cm−1, Amide III at 1250 cm−1) and carbonate peaks (1065 cm−1) reflected active matrix formation and mineralization. Overall, this case series provides qualitative and quantitative evidence that bone regeneration and integration of BCP granules in sinus augmentation continues beyond 6 months, with ongoing maturation observed up to 12 months post-grafting. Full article
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