Temporal separation in the release of bioactive molecules from a moldable calcium sulfate bone graft substitute

Curr Drug Deliv. 2014;11(5):605-12. doi: 10.2174/1567201811666140616160948.

Abstract

Treatment of infected bone defects presents a considerable challenge due to the complications that occur from significant bone damage concomitant with contaminated tissue. These wounds are most often treated in a two-step sequence, where the infection is first eliminated before any attempt to repair the bone is undertaken. In order to combine these two treatment steps into one procedure, a moldable bone grafting material was developed to deliver drugs in a temporally separated manner. This was accomplished by a two-layered calcium sulfate composite consisting of a moldable outer shell containing antibiotic-loaded poly(lactic-co-glycolic acid) microspheres wrapped around a preformed core containing an osteogenic drug. The release of vancomycin from the shell portion began immediately and continued over the course of 6 weeks, while the release of simvastatin from the core was delayed for 12 days before being released over the next 4 weeks. Bioactivity of vancomycin was shown in modified Kirby-Bauer experiments in which whole samples inhibited Staphylococcus aureus (S. aureus) growth for 2 weeks. This two-layered system is capable of delivering antibiotics locally for clinically relevant periods of time and delaying the release of osteogenic drugs to mimic a two-step procedure that has potential for treating infected bone defects.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Anti-Bacterial Agents / chemistry*
  • Anti-Bacterial Agents / pharmacology*
  • Bone Substitutes / chemistry*
  • Calcium Sulfate / chemistry*
  • Drug Liberation*
  • Microbial Sensitivity Tests
  • Staphylococcus aureus / drug effects*
  • Structure-Activity Relationship
  • Time Factors

Substances

  • Anti-Bacterial Agents
  • Bone Substitutes
  • Calcium Sulfate