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ECM-Mimetic Biomineralized Ti Implant Coating Mediates Quiescence of Osteoclast Precursor Cells to Restore Osteogenesis-Angiogenesis Coupling for Accelerating Osteoporotic Fracture Repair.

Created on 28 Jul 2026

Authors

Xin Li, Huanhuan Zhao, Xinqiang Hu, Hao Wei, Menghuan Li, Yanhua Hou, Kaiyong Cai, Yan Hu

Published in

Small (Weinheim an der Bergstrasse, Germany). Pages e74822. Jul 28, 2026. Epub Jul 28, 2026.

Abstract

Titanium (Ti) implants are widely used for treating bone fractures, but their clinical success is often limited by high failure rates due to the excessive osteoclastogenic activation of osteoclast precursor cells (OPCs) at the implantation site, particularly in patients with osteoporosis. Notably, the excessive osteoclastic differentiation of OPCs potently disrupts the osteogenesis-angiogenesis coupling to promote osteoclast-mediated osteolysis while dismantling the pro-osteogenic type H vascular niches, resulting in elevated risk of implant destabilization. To address this issue, here we report a biomineralization-tuned extracellular matrix (ECM)-mimetic biomineralized coating (TCC@Har-CaG) to enable redox rewiring of OPCs for promoting new bone formation. Specifically, we employed collagen-I as the substrate material to fabricate the stimuli-responsive biomineralized coating for the cooperative delivery of antioxidative gallic acid (GA) and osteoclast precursor cell inhibitor Harmine. The TCC@Har-CaG coating could sustainably release GA after implantation to effectively relieve reactive oxygen species (ROS) stress at the osteoporotic bone defects, which could synergize with Harmine to efficiently induce OPC quiescence and restore osteogenesis-angiogenesis coupling, thus cooperatively promoting new bone generation. This study presents a potential tactic for addressing osteoporotic bone fractures in clinical settings.

PMID:
42517677
Bibliographic data and abstract were imported from PubMed on 28 Jul 2026.

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