Bone adhesive with temporally-synchronized degradation for enhanced osteointegration

Bone adhesives have emerged as promising alternatives for complex fracture fixation. However, discrepancies between material degradation rates and the physiological timeline of bone healing remain a critical limitation. Here, a polyurethane-based adhesive (TNC) was developed, synthesized from trimer...

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Detalles Bibliográficos
Autores: Gu, JunTing, Li, ZhiTing, Wang, Yuzhu, Hao, Dongxiao, Dang, Gaopeng, Cao, XiaoQing, Tay, Franklin, Chen, JiHua, Aparicio Bádenas, Conrado José|||0000-0003-2969-6067, Jiao, Kai, Niu, Lina|||0000-0002-6653-0819
Tipo de recurso: artículo
Fecha de publicación:2026
País:España
Institución:Universitat Politècnica de Catalunya (UPC)
Repositorio:UPCommons. Portal del coneixement obert de la UPC
Idioma:inglés
OAI Identifier:oai:dnet:upcommonspor::1e67784fbd8036d08cd5e29e9d88d57f
Acceso en línea:https://hdl.handle.net/2117/460963
https://dx.doi.org/10.1038/s41413-026-00522-8
Access Level:acceso abierto
Palabra clave:Bone
Bone quality and biomechanics
Descripción
Sumario:Bone adhesives have emerged as promising alternatives for complex fracture fixation. However, discrepancies between material degradation rates and the physiological timeline of bone healing remain a critical limitation. Here, a polyurethane-based adhesive (TNC) was developed, synthesized from trimeric hexamethylene diisocyanate, nano-hydroxyapatite, and type I collagen. The TNC demonstrates strong initial adhesion to both wet and blood-contaminated bone surfaces and exhibits excellent biocompatibility. A distinguishing feature of TNC is its capacity to synchronize degradation with the stages of bone healing. During degradation, TNC forms a mineralized surface layer that releases calcium ions. The calcium ions activate cathepsin K, an enzyme integral to bone remodeling. This calcium-mediated mechanism accelerates TNC degradation by 1.9-fold during the remodeling phase compared to the initial phase. In a rat skull fracture model, TNC supported effective fracture stabilization and achieved favorable bone regeneration at 8 weeks after implantation. These findings demonstrate that TNC combines early mechanical stability with phase-specific degradability to facilitate bone regeneration in a temporally-controlled manner. The present work provides a framework for the development of bio-responsive bone adhesives that synchronize degradation behavior with healing phases for orthopedic applications.