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1.
FGF23: Is It Another Biomarker for Phosphate-Calcium Metabolism?
RodrÃguez, M
Advances in therapy. 2020;(Suppl 2):73-79
Abstract
Fibroblast growth factor 23 (FGF23) is a protein produced by mature osteoblasts involved in mineral homeostasis by binding to its receptor complex FGFR/Klotho located mainly in the kidneys. Although this protein participates in numerous biological processes, increase in the levels of FGF23 is responsible for many pathologies, such as X-linked hypophosphataemia (XLH), chronic kidney disease, cardiovascular disease or even mortality. For this reason, both FGF23 and its receptors have become elements of interest for the development of treatments. However, FGF23 can be altered for many other reasons, such as inflammatory processes, iron, hypoxia, heart failure or erythropoietin, that negatively affect mortality. This article will review the role of FGF23 in phosphate homeostasis, its relationship to mortality, fractures and chronic renal failure, and how the levels of this factor can be reduced.
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2.
Masquelet technique and osteomyelitis: innovations and literature review.
Careri, S, Vitiello, R, Oliva, MS, Ziranu, A, Maccauro, G, Perisano, C
European review for medical and pharmacological sciences. 2019;(2 Suppl):210-216
Abstract
OBJECTIVE Wide diaphyseal bone defects, above all those infected, encounter into Masquelet technique a suitable treatment. The two-step procedure allows the surgeon to eliminate the infected tissues and then to promote new bone formation. We analyzed the literature about the use of the induced membrane technique in osteomyelitis and the innovations recently suggested. MATERIALS AND METHODS We reviewed some of the most common web databases using the key-words: Masquelet technique, induced membrane, and osteomyelitis. 66 studies were analyzed. RESULTS Comparing the Masquelet technique to other surgical procedures it shows better functional results in large bone defects due to infection. The induced membrane is like a biological chamber that protects the autograft and induces new bone formation promoting growth factors secretion. Different authors tried to improve one or more steps of the surgical procedure. Some studies focused on polymethyl methacrylate role and the possibility to use different materials instead of cement to induce the membrane. Others analyzed the autograft harvesting and placing techniques trying to reduce the amount of bone essential to fill the gap, like the RIA technique. Moreover, bone substitutes have been used, as beta-tricalcium phosphate, that showed an osteoconductive ability. CONCLUSIONS The survey is not a systematic review. Nevertheless, new concepts are introduced and analyzed identifying 6 areas of interest and induced membrane technique development.
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3.
Mathematical modeling of calcium phosphate precipitation in biologically relevant systems: scoping review.
Ostapienko, BI, Lopez, D, Komarova, SV
Biomechanics and modeling in mechanobiology. 2019;(2):277-289
Abstract
Biologically guided precipitation of calcium phosphates is important for the formation of calcified human tissues, such as bone and teeth, and is of practical significance in numerous industrial and agricultural processes, such as wastewater treatment and dairy ultrafiltration. Mineral precipitation is physicochemically complex and becomes even more complex in the presence of biological materials. The theoretical foundation of phase transition in general has been developed and is vital for many applications, such as metallurgy and weather prediction. The goal of this scoping review was to identify and evaluate established mathematical approaches developed to describe the formation of calcium precipitates in biological systems. A scoping review was conducted using MathSciNet, Scopus, and Web of Science databases to retrieve eligible mathematical modeling papers on calcium precipitates in biological systems. From the 2096 studies screened, 115 studies were included. The major biological systems of interest were tissues of the human body (49/115), water research (38/115), and agricultural and earth sciences applications (17/115). The majority of studies described precipitation of calcium phosphate (79/115), followed by calcium carbonate (22/115). Mathematical modeling of calcium precipitation was dominated by classical nucleation (64/115) and kinetic (38/115) theories. Only a minority of studies explicitly modeled chemical reactions in the aqueous phase (33/115). Biological components were explicitly described in 45/115 studies and included as physicochemical limitations in 70/115 studies. The majority of the studies (91/115) attempted to quantitatively compare the model predictions to the experimental data, with 59/115 reporting good to reasonable fit. This scoping review suggests that broad theories, such as classical nucleation and kinetic theories, may be adapted for modeling calcium precipitation in biologically relevant systems; however, detailed mathematical descriptions of biological, chemical, and physicochemical aspects of calcium precipitation are required.
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4.
Calcium-Containing Crystals and Osteoarthritis: an Unhealthy Alliance.
Conway, R, McCarthy, GM
Current rheumatology reports. 2018;(3):13
Abstract
PURPOSE OF REVIEW Osteoarthritis (OA) is the most common form of joint disease globally and is associated with significant morbidity and disability. Increasing evidence points to an important inflammatory component in the development and progression of OA. The precise pathways involved in OA inflammatory processes remain to be clarified. Basic calcium phosphate (BCP) and calcium pyrophosphate dihydrate (CPP) crystals can induce inflammation and arthritis and recent studies point to a potential pathogenic role in OA. In the light of this evidence, we explore the relationship and potential mechanistic pathways linking calcium-containing crystals and OA. RECENT FINDINGS CPP crystals induce inflammation through the NLRP3 inflammasome while BCP crystals mediate both NLRP3 dependent and independent effects. BCP crystals have been demonstrated to induce key mitogenic and inflammatory pathways and contribute to cartilage degradation. Calcium-containing crystals induce key inflammatory pathways and may represent an attractive novel target in OA, a condition devoid of effective treatments.
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5.
Subchondroplasty: Treatment of Bone Marrow Lesions in the Lower Extremity.
Pelucacci, LM, LaPorta, GA
Clinics in podiatric medicine and surgery. 2018;(4):367-371
Abstract
Bone marrow lesions are associated with pain, disease progression, and cartilage loss in inflammatory and noninflammatory conditions, and are related to mechanical loading and subchondral stress. Treatment, particularly in the foot and ankle, is challenging. In the subchondroplasty procedure, flowable, synthetic, calcium phosphate bone filler is injected into the defect region, improving subchondral bone integrity and allowing remodeling back into healthy cancellous bone. The procedure is a promising treatment option for bone marrow lesions, particularly in the foot and ankle. The benefits are a minimally invasive procedure with early return to weightbearing.
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6.
Calcium phosphate-based nanosystems for advanced targeted nanomedicine.
Degli Esposti, L, Carella, F, Adamiano, A, Tampieri, A, Iafisco, M
Drug development and industrial pharmacy. 2018;(8):1223-1238
Abstract
Synthetic calcium phosphates (CaPs) are the most widely accepted bioceramics for the repair and reconstruction of bone tissue defects. The recent advancements in materials science have prompted a rapid progress in the preparation of CaPs with nanometric dimensions, tailored surface characteristics, and colloidal stability opening new perspectives in their use for applications not strictly related to bone. In particular, the employment of CaPs nanoparticles as carriers of therapeutic and imaging agents has recently raised great interest in nanomedicine. CaPs nanoparticles, as well as other kinds of nanoparticles, can be engineered to specifically target the site of the disease (cells or organs), thus minimizing their dispersion in the body and undesired organism-nanoparticles interactions. The most promising and efficient approach to improve their specificity is the 'active targeting', where nanoparticles are conjugated with a targeting moiety able to recognize and bind with high efficacy and selectivity to receptors that are highly expressed only in the therapeutic site. The aim of this review is to give an overview on advanced targeted nanomedicine with a focus on the most recent reports on CaP nanoparticles-based systems, specifically designed for the active targeting. The distinctive characteristics of CaP nanoparticles with respect to the other kinds of nanomaterials used in nanomedicine are also discussed.
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7.
Mesenchymal Stem Cells and Calcium Phosphate Bioceramics: Implications in Periodontal Bone Regeneration.
Millan, C, Vivanco, JF, Benjumeda-Wijnhoven, IM, Bjelica, S, Santibanez, JF
Advances in experimental medicine and biology. 2018;:91-112
Abstract
In orthopedic medicine, a feasible reconstruction of bone structures remains one of the main challenges both for healthcare and for improvement of patients' quality of life. There is a growing interest in mesenchymal stem cells (MSCs) medical application, due to their multilineage differentiation potential, and tissue engineering integration to improve bone repair and regeneration. In this review we will describe the main characteristics of MSCs, such as osteogenesis, immunomodulation and antibacterial properties, key parameters to consider during bone repair strategies. Moreover, we describe the properties of calcium phosphate (CaP) bioceramics, which demonstrate to be useful tools in combination with MSCs, due to their biocompatibility, osseointegration and osteoconduction for bone repair and regeneration. Also, we overview the main characteristics of dental cavity MSCs, which are promising candidates, in combination with CaP bioceramics, for bone regeneration and tissue engineering. The understanding of MSCs biology and their interaction with CaP bioceramics and other biomaterials is critical for orthopedic surgical bone replacement, reconstruction and regeneration, which is an integrative and dynamic medical, scientific and bioengineering field of research and biotechnology.
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8.
Calcium crystal deposition diseases - beyond gout.
McCarthy, GM, Dunne, A
Nature reviews. Rheumatology. 2018;(10):592-602
Abstract
The most common types of calcium-containing crystals that are associated with joint and periarticular disorders are calcium pyrophosphate dihydrate (CPP) and basic calcium phosphate (BCP) crystals. Several diverse but difficult-to-treat acute and chronic arthropathies and other clinical syndromes are associated with the deposition of these crystals. Although the pathogenic mechanism of calcium crystal deposition is partially understood, much remains to be investigated, as no drug is available to prevent crystal deposition, permit crystal dissolution or specifically target the pathogenic effects that result in the clinical manifestations. In this Review, the main clinical manifestations of CPP and BCP crystal deposition are discussed, along with the biological effects of these crystals, current therapeutic approaches and future directions in therapy.
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9.
Acute phospholipid microspherule associated arthritis: Is it rare?
Coiffier, G, Albert, JD, Robin, F, Guggenbuhl, P
Joint bone spine. 2017;(5):537-540
Abstract
Joint fluid analysis must be performed as part of the diagnostic workup for acute arthritis, most notably to rule out septic arthritis and to allow the identification of crystal-induced arthritis (gout or calcium pyrophosphate deposition disease), which is one of the most common causes. However, the detection of monosodium urate or calcium pyrophosphate microcrystals is not the only goal of the polarized light microscopy examination of joint fluid. Other, less common microcrystals may be found. Among them are phospholipid microspherules, which are easily recognized microscopically based on their Maltese cross-like appearance. Phospholipid microspherules are a cause of acute arthritis that is often missed by rheumatologists and may therefore be more common than generally believed.
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10.
Functional calcium phosphate composites in nanomedicine.
Ridi, F, Meazzini, I, Castroflorio, B, Bonini, M, Berti, D, Baglioni, P
Advances in colloid and interface science. 2017;:281-295
Abstract
Calcium phosphate (CaP) materials have many peculiar and intriguing properties. In nature, CaP is found in nanostructured form embedded in a soft proteic matrix as the main mineral component of bones and teeth. The extraordinary stoichiometric flexibility, the different stabilities exhibited by its different forms as a function of pH and the highly dynamic nature of its surface ions, render CaP one of the most versatile materials for nanomedicine. This review summarizes some of the guidelines so far emerged for the synthesis of CaP composites in aqueous media that endow the material with tailored crystallinity, morphology, size, and functional properties. First, we introduce very briefly the areas of application of CaP within the nanomedicine field. Then through some selected examples, we review some synthetic routes where the presence of functional units (small templating molecules like surfactants, or oligomers and polymers) assists the synthesis and at the same time impart the functionality or the responsiveness desired for the end-application of the material. Finally, we illustrate two examples from our laboratory, where CaP is decorated by biologically active polymers or prepared within a thermo- and magneto-responsive hydrogel, respectively.