Wai Ching Liu

There are a number of different non-operative
interventions which aim to control moderate
adolescent idiopathic scoliosis (AIS) from
progression. Clinicians may find difficulties in
the selection of appropriate interventions for
AIS. A comprehensive literature review was
carried out to study all contemporary nonoperative
interventions, it was noted that rigid
spinal orthoses apparently give more curve
control; however, it would compromise the
patient's quality of life via those inevitable
factors - physical constraint, poor acceptance
and psychological disturbance. There is a trend
to develop more effective, acceptable and userfriendly
interventions. Under such an aspiration,
the theories and clinical evidence of different
interventions should be developed along the
clinical pathway of early intervention with
reliable indicators/predictors, patient's active
participation, dynamic control mechanism,
holistic psychological and psychosocial
considerations, and effective and long-lasting
outcome.

Goniopora was hydrothermally converted to coralline hydroxyapatite (CHA) and incorporated with Sr (Sr-CHA). The pore size of Goniopora was in the range of 40–300 μm with a porosity of about 68%. Surface morphologies of the coral were modified to flake-like hydroxyapatite structures on CHA and the addition of Sr detected on Sr-CHA as confirmed by SEM and EDX. As the first report of incorporating Sr into coral, about 6%–14% Sr was detected on Sr-CHA. The compressive strengths of CHA and Sr-CHA were not compromised due to the hydrothermal treatments. Sr-CHA was studied in vitro using MC3T3-E1 cells and in vivo with an ovariectomized rat model. The proliferation of MC3T3-E1 cells was significantly promoted by Sr-CHA as compared to CHA. Moreover, higher scaffold volume retention (+40%) was reported on the micro-CT analysis of the Sr-CHA scaffold. The results suggest that the incorporation of Sr in CHA can further enhance the osteoconductivity and osteoinductivity of corals. Strontium has been suggested to stimulate bone growth and inhibit bone resorption. In this study, we have successfully incorporated Sr into CHA with the natural porous structure remained and explored the idea of Sr-CHA as a potential scaffolding material for bone regeneration.

Osteoporosis is a disease attributed to an imbalance in communication between osteoblasts and osteoclasts, possibly arising from a locally acidic microenvironment which hinders normal cell function. However, to date, little or no attention has been paid to these cells' milieu in respect of implant materials. Although it has been claimed for a few biomaterials that they stimulate bone formation, seldom has their surface behavior been invoked to explain behavior. With degradation, ion concentrations and pH at the material's surface must vary and thus may affect osteoblast response directly. On degradation of a recently developed biomaterial, Sr-containing CaSiO3, the interfacial pH was found to be appreciably higher than that of the bulk medium and the "standard" physiological value of 7.4. At these high values (pH > 8), both the proliferation and alkaline phosphatase (ALP) activity of osteoblasts was significantly enhanced, with a maximum response at 10% Sr substitution for Ca. This shows that the chemistry of the solid-liquid interface is a critical factor in bone regeneration, although this has generally been overlooked. Thus, the interfacial pH in particular is to be considered, rather than the bulk value, and this may be of importance in many related contexts in bone-tissue engineering.

Extracellular matrices without animal components and with high mechanical strength are needed for the development of the next generation of viable skin replacements. The goal of this study was to determine the optimal concentration of epidermal growth factor (EGF) to maximize the strength and collagen content of cell-derived matrix (CDM) produced by fibroblasts in vitro in serum-free media. Scaffold-free CDM samples were produced by human dermal fibroblasts in the presence of 0-50 ng/mL EGF in chemically defined media. After 21 days of culture, a membrane inflation system was used to measure the biaxial tensile strength, failure stretch ratio, and thickness of each treatment group. The fibroblasts treated with 5 ng/mL EGF produced the thickest matrix (270 microm). A thinner (130 microm) matrix, produced when the fibroblasts were treated with 0.5 ng/mL, had an ultimate tensile strength (895 kPa), greater than two times that of the other treatment groups. The fibroblasts treated with 0.5 ng/mL also had the highest collagen density (23.5 mg/cm(3)). Fibroblasts stimulated with the lowest (0.05 ng/mL) and highest (50 ng/mL) concentrations of EGF produced significantly weaker matrices and lower collagen densities. There was no significant correlation between UTS and collagen density suggesting that mechanisms other than density contribute to the strength of the matrix. Taken together, these data indicate that the optimal EGF concentration depends upon the relative importance of matrix strength and volume in a given application and that 0.5-5.0 ng/mL EGF promotes production of a robust extracellular matrix in only 3 weeks.