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Louisiana Tech University •
BioMorph
Strontium-Coated Clay Nanoparticles in Calcium
Phosphate Cement for Biomedical Applications
Anusha Elumalai, Yangyang Luo, Ahmed Humayun, David K. Mills
Department of Engineering and Science, Louisiana Tech University, Ruston, LA
 Today in orthopedic surgeries the most widely used
biomaterials are metal implants and bone grafts.
 The availability of the right size, appropriate shape,
with desired biofunctionality, antibacterial properties,
biocapability and biodegradability is scarce 1.
 Currently, Calcium Phosphate Cements (CPC) used in regenerative medicine and orthopedic surgery is restricted to
non-load bearing regions such as craniofacial, maxillofacial surgeries or filling hairline bone cracks only 1.
Louisiana Tech University •
BioMorph
NEED FOR PATIENT SPECIFIC BONE GRAFTS
 Bone defects can result from diseases that can be metabolic (Gout), endocrine (Hyperparathyroidism), traumatic (
Stress fracture), degenerative ( osteoporosis, osteoarthritis), and neoplastic ( osteosarcoma) 2.
 Bone is an active tissue but cannot repair itself if the damage is too large an area 3.
 To repair such defects rods, screws, plates and pins are used usually.
 CPCs have been researched since many decades and was approved by FDA in 1996.The composition of CPC is
similar to mineral phase of bone 4.
 These cements are known for their osteoconductive and osteoinductive properties along with bio-
reabsorbility and leads to new tissue formation.
 Due to its low mechanical property, the use of CPCs are limited to non load bearing regions
 The CPCs can be modified using additives such as Strontium, zinc etc.
Louisiana Tech University •
BioMorph
NEED FOR PATIENT SPECIFIC BONE GRAFTS
 A soft silver-white chemical element with an atomic number of 38, Strontium (Sr) is an alkaline earth metal
which is not hazardous when occurring in a naturally
stable form 5.
 Sr falls after calcium in the periodic table and shares
many similar properties and is incorporated in bone
repair as Sr2+ (ions) are bone-seeking and can stay
in the body for a long time 6.
 The response of signaling principle and metabolic pathways for calcium follow Sr albeit the effects are weaker
but have almost similar protein binding capacity 6.
 Sr has been shown to have a dual effect of the development and inhibition of degradation by enhancing
osteoblast and inhibition of osteoclast activities.
Louisiana Tech University •
BioMorph
WHY STRONTIUM?
 Halloysite nanotubes (HNTs) with the chemical formula Al2Si2O5(OH)4.nH2O, are a naturally occurring clay
mineral with a tubular structure and an inner diameter of 10-15 nm and the outer diameter of 50-70 nm, with
average linear dimensions of 50-70 nm 7.
 HNTs have been researched extensively as a delivery system for different chemicals, antibacterial and anticancer
drugs, as an adsorbent, and as a nanofiller to improve mechanical and thermal properties, etc.
 The inner surface of the lumen is positively charged with an external negative surface 7.
 The outer surface has low hydroxyl density which is now targeted to attach metal ions under specific conditions
such as modified surfaces using surfactants, coupling agents, electrostatic adsorption or layer by layer coatings 7,
8.
 The mechanical and biological properties of biomaterials like CPCs can also be enhanced using HNTs 7.
Louisiana Tech University •
BioMorph
HALLOYSITES
 Current applications of CPCs in regenerative medicine and orthopedic surgeries are limited to non load bearing
regions
 There is urgent and critical need for osteoconductive and osteoinductive CPCs that have strong mechanical and
anti-infective properties.
 My predecessors in the lab added HNTs to increase the mechanical strength of CPCs
 Our objective in the current study is to :-
 Increase the mechanical properties (such as tensile strength and adhesiveness)
 Drug loading capacity (by loading drugs such as gentamycin sulfate) in HNTs
 Increase the antibacterial and osteoconductive properties of the cement ( By coating Strontium on drug
loaded HNTs)
Louisiana Tech University •
BioMorph
GOALS
 CPCs have numerous advantages such as durability,
formability, low shrinkage, dense, and a porous nature 8, 9.
 The addition of Halloycites (HNTs) and other
nanoparticles have been used as additives and
have resulted in improving the mechanical stability
of the material and also serving as a drug carrier 2, 10.
 This research aims to develop a novel composite
green Strontium coated HNT (SrHNTs) embedded in CPC
for orthopedic and other biomedical applications.
Louisiana Tech University •
BioMorph
CALCIUM PHOSPHATE CEMENT
Calcium
Phosphate
Powder
Liquid
phase
Calcium
Phosphate
Cement
SrHNTs
In Our Lab!!
Louisiana Tech University •
BioMorph
STRONTIUM HNT FABRICATION PROCESS
 We proposed that HNTs can be coated with metal carbonates compounds, as metal ions donor, and as NMR shift
reagents—through a simple breakdown of the salt in water.
 This method will result in a free positively-charged metal ion that can readily bond to the negatively-charged HNT
exterior, resulting in metallic coatings forming on the HNT surface. No harmful Chemical or toxic waste is
produced.
Strontium Coated HNTs
Louisiana Tech University •
BioMorph
SAFE TO USE SrHNTs !!
 Based on our preliminary data we found that we had successfully coated HNTs using our new safe single step green
process without using any harmful chemicals and did not produce any toxic waste.
 We performed SEM image analysis along with EDS and FT-IR to confirm the presence of Sr on the HNTs.
 We then performed the live dead cytotoxic assay to ensure the safety of the nanoparticles and also get an estimate
of the maximum concentration that could be used in CPC paste without producing harmful effects on the
preosteoblast cells.
 When these nanoparticles are embedded in CPC they will assist with the proliferation of preosteoblast cells.These
tests have paved way for future testing
our green SrHNTs in CPC paste.
SrHNT
Calcium Phosphate
Cement
Louisiana Tech University •
BioMorph
FURTHER TESTING
We have more tests to follow up the coatings.
 Material characterization studies will include material strength test of the SrHNT/CPC composites.
 There is a high demand for developing osteoconductive and osteogenic CPC which have a good load bearing
capacity for 3D printing bones for transplantations 19.
 Incorporating SrHNTs in bone structure will result in a strengthening of the bone and will induces bone formation
by osteoblasts while reducing bone reabsorption by osteoclasts along with anti-bacterial and drug loading
capacity.
SrHNT
Calcium
Phosphate
Cement
Louisiana Tech University •
BioMorph
THE BIG PICTURE
Embedding these Sr nanoparticles in calcium phosphate paste will enhance the
 Bio compatibility, Osteoconductivity, Osteoinductivity, Biodegradability, Bioactivity, and Mechanical
strength
 We are aiming to make bone grafts that are stronger, cheaper, scalable, tunable and patient specific !!!
Louisiana Tech University •
BioMorph
References
1. Ginebra, Maria-Pau, Montserrat Espanol, Yassine Maazouz, Victor Bergez, and David Pastorino. "Bioceramics and bone
healing." EFORT open reviews 3, no. 5 (2018): 173-183.
2. Downey, Patricia A., and Michael I. Siegel. "Bone biology and the clinical implications for osteoporosis." Physical therapy 86, no. 1 (2006):
77-91.
3. Kalfas, Iain H. "Principles of bone healing." Neurosurgical focus 10, no. 4 (2001): 1-4.
4. Tjong, Sie Chin. "Synthesis and properties of nano-hydroxyapatite/polymer nanocomposites for bone tissue engineering." In Advances in
Biomedical Sciences and Engineering, pp. 82-142. Bentham Science Publishers Ltd., 2009.
5. Lode, A., C. Heiss, G. Knapp, J. Thomas, B. Nies, M. Gelinsky, and M. Schumacher. "Strontium-modified premixed calcium phosphate
cements for the therapy of osteoporotic bone defects." Acta biomaterialia 65 (2018): 475-485.
6. Patel, Uresha, Laura Macri‐Pellizzeri, Kazi M. Zakir Hossain, Brigitte E. Scammell, David M. Grant, Colin A. Scotchford, Alex C. Hannon
et al. "In vitro cellular testing of Strontium/Calcium substituted phosphate glass discs and microspheres shows potential for bone
regeneration." Journal of tissue engineering and regenerative medicine (2019).
7. Tappa, Karthik, Udayabhanu Jammalamadaka, and David K. Mills. "Formulation and evaluation of nanoenhanced anti-bacterial calcium
phosphate bone cements." In Orthopedic Biomaterials, pp. 85-108. Springer, Cham, 2017.
8. Nanotube, Clay. "Poly (methyl methacrylate) Bone Cement Composites with Sustained Antibiotic Release Wei, Wenbo; Abdullayev,
Elshad; Hollister, Anne; Mills, David; Lvov, Yuri M." Macromolecular Materials and Engineering 297, no. 7 (2012): 645-653.
9. Khalili, Amelia, and Mohd Ahmad. "A review of cell adhesion studies for biomedical and biological applications." International journal of
molecular sciences 16, no. 8 (2015): 18149-18184.
10. Chang, Hsin-I., and Yiwei Wang. "Cell responses to surface and architecture of tissue engineering scaffolds." In Regenerative medicine
and tissue engineering-cells and biomaterials. InTechOpen, 2011.

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Strontium-Coated Clay Nanoparticles in Calcium Phosphate Cement for Biomedical Applications

  • 1. Louisiana Tech University • BioMorph Strontium-Coated Clay Nanoparticles in Calcium Phosphate Cement for Biomedical Applications Anusha Elumalai, Yangyang Luo, Ahmed Humayun, David K. Mills Department of Engineering and Science, Louisiana Tech University, Ruston, LA
  • 2.  Today in orthopedic surgeries the most widely used biomaterials are metal implants and bone grafts.  The availability of the right size, appropriate shape, with desired biofunctionality, antibacterial properties, biocapability and biodegradability is scarce 1.  Currently, Calcium Phosphate Cements (CPC) used in regenerative medicine and orthopedic surgery is restricted to non-load bearing regions such as craniofacial, maxillofacial surgeries or filling hairline bone cracks only 1. Louisiana Tech University • BioMorph NEED FOR PATIENT SPECIFIC BONE GRAFTS
  • 3.  Bone defects can result from diseases that can be metabolic (Gout), endocrine (Hyperparathyroidism), traumatic ( Stress fracture), degenerative ( osteoporosis, osteoarthritis), and neoplastic ( osteosarcoma) 2.  Bone is an active tissue but cannot repair itself if the damage is too large an area 3.  To repair such defects rods, screws, plates and pins are used usually.  CPCs have been researched since many decades and was approved by FDA in 1996.The composition of CPC is similar to mineral phase of bone 4.  These cements are known for their osteoconductive and osteoinductive properties along with bio- reabsorbility and leads to new tissue formation.  Due to its low mechanical property, the use of CPCs are limited to non load bearing regions  The CPCs can be modified using additives such as Strontium, zinc etc. Louisiana Tech University • BioMorph NEED FOR PATIENT SPECIFIC BONE GRAFTS
  • 4.  A soft silver-white chemical element with an atomic number of 38, Strontium (Sr) is an alkaline earth metal which is not hazardous when occurring in a naturally stable form 5.  Sr falls after calcium in the periodic table and shares many similar properties and is incorporated in bone repair as Sr2+ (ions) are bone-seeking and can stay in the body for a long time 6.  The response of signaling principle and metabolic pathways for calcium follow Sr albeit the effects are weaker but have almost similar protein binding capacity 6.  Sr has been shown to have a dual effect of the development and inhibition of degradation by enhancing osteoblast and inhibition of osteoclast activities. Louisiana Tech University • BioMorph WHY STRONTIUM?
  • 5.  Halloysite nanotubes (HNTs) with the chemical formula Al2Si2O5(OH)4.nH2O, are a naturally occurring clay mineral with a tubular structure and an inner diameter of 10-15 nm and the outer diameter of 50-70 nm, with average linear dimensions of 50-70 nm 7.  HNTs have been researched extensively as a delivery system for different chemicals, antibacterial and anticancer drugs, as an adsorbent, and as a nanofiller to improve mechanical and thermal properties, etc.  The inner surface of the lumen is positively charged with an external negative surface 7.  The outer surface has low hydroxyl density which is now targeted to attach metal ions under specific conditions such as modified surfaces using surfactants, coupling agents, electrostatic adsorption or layer by layer coatings 7, 8.  The mechanical and biological properties of biomaterials like CPCs can also be enhanced using HNTs 7. Louisiana Tech University • BioMorph HALLOYSITES
  • 6.  Current applications of CPCs in regenerative medicine and orthopedic surgeries are limited to non load bearing regions  There is urgent and critical need for osteoconductive and osteoinductive CPCs that have strong mechanical and anti-infective properties.  My predecessors in the lab added HNTs to increase the mechanical strength of CPCs  Our objective in the current study is to :-  Increase the mechanical properties (such as tensile strength and adhesiveness)  Drug loading capacity (by loading drugs such as gentamycin sulfate) in HNTs  Increase the antibacterial and osteoconductive properties of the cement ( By coating Strontium on drug loaded HNTs) Louisiana Tech University • BioMorph GOALS
  • 7.  CPCs have numerous advantages such as durability, formability, low shrinkage, dense, and a porous nature 8, 9.  The addition of Halloycites (HNTs) and other nanoparticles have been used as additives and have resulted in improving the mechanical stability of the material and also serving as a drug carrier 2, 10.  This research aims to develop a novel composite green Strontium coated HNT (SrHNTs) embedded in CPC for orthopedic and other biomedical applications. Louisiana Tech University • BioMorph CALCIUM PHOSPHATE CEMENT Calcium Phosphate Powder Liquid phase Calcium Phosphate Cement SrHNTs In Our Lab!!
  • 8. Louisiana Tech University • BioMorph STRONTIUM HNT FABRICATION PROCESS  We proposed that HNTs can be coated with metal carbonates compounds, as metal ions donor, and as NMR shift reagents—through a simple breakdown of the salt in water.  This method will result in a free positively-charged metal ion that can readily bond to the negatively-charged HNT exterior, resulting in metallic coatings forming on the HNT surface. No harmful Chemical or toxic waste is produced. Strontium Coated HNTs
  • 9. Louisiana Tech University • BioMorph SAFE TO USE SrHNTs !!  Based on our preliminary data we found that we had successfully coated HNTs using our new safe single step green process without using any harmful chemicals and did not produce any toxic waste.  We performed SEM image analysis along with EDS and FT-IR to confirm the presence of Sr on the HNTs.  We then performed the live dead cytotoxic assay to ensure the safety of the nanoparticles and also get an estimate of the maximum concentration that could be used in CPC paste without producing harmful effects on the preosteoblast cells.  When these nanoparticles are embedded in CPC they will assist with the proliferation of preosteoblast cells.These tests have paved way for future testing our green SrHNTs in CPC paste. SrHNT Calcium Phosphate Cement
  • 10. Louisiana Tech University • BioMorph FURTHER TESTING We have more tests to follow up the coatings.  Material characterization studies will include material strength test of the SrHNT/CPC composites.  There is a high demand for developing osteoconductive and osteogenic CPC which have a good load bearing capacity for 3D printing bones for transplantations 19.  Incorporating SrHNTs in bone structure will result in a strengthening of the bone and will induces bone formation by osteoblasts while reducing bone reabsorption by osteoclasts along with anti-bacterial and drug loading capacity. SrHNT Calcium Phosphate Cement
  • 11. Louisiana Tech University • BioMorph THE BIG PICTURE Embedding these Sr nanoparticles in calcium phosphate paste will enhance the  Bio compatibility, Osteoconductivity, Osteoinductivity, Biodegradability, Bioactivity, and Mechanical strength  We are aiming to make bone grafts that are stronger, cheaper, scalable, tunable and patient specific !!!
  • 12. Louisiana Tech University • BioMorph References 1. Ginebra, Maria-Pau, Montserrat Espanol, Yassine Maazouz, Victor Bergez, and David Pastorino. "Bioceramics and bone healing." EFORT open reviews 3, no. 5 (2018): 173-183. 2. Downey, Patricia A., and Michael I. Siegel. "Bone biology and the clinical implications for osteoporosis." Physical therapy 86, no. 1 (2006): 77-91. 3. Kalfas, Iain H. "Principles of bone healing." Neurosurgical focus 10, no. 4 (2001): 1-4. 4. Tjong, Sie Chin. "Synthesis and properties of nano-hydroxyapatite/polymer nanocomposites for bone tissue engineering." In Advances in Biomedical Sciences and Engineering, pp. 82-142. Bentham Science Publishers Ltd., 2009. 5. Lode, A., C. Heiss, G. Knapp, J. Thomas, B. Nies, M. Gelinsky, and M. Schumacher. "Strontium-modified premixed calcium phosphate cements for the therapy of osteoporotic bone defects." Acta biomaterialia 65 (2018): 475-485. 6. Patel, Uresha, Laura Macri‐Pellizzeri, Kazi M. Zakir Hossain, Brigitte E. Scammell, David M. Grant, Colin A. Scotchford, Alex C. Hannon et al. "In vitro cellular testing of Strontium/Calcium substituted phosphate glass discs and microspheres shows potential for bone regeneration." Journal of tissue engineering and regenerative medicine (2019). 7. Tappa, Karthik, Udayabhanu Jammalamadaka, and David K. Mills. "Formulation and evaluation of nanoenhanced anti-bacterial calcium phosphate bone cements." In Orthopedic Biomaterials, pp. 85-108. Springer, Cham, 2017. 8. Nanotube, Clay. "Poly (methyl methacrylate) Bone Cement Composites with Sustained Antibiotic Release Wei, Wenbo; Abdullayev, Elshad; Hollister, Anne; Mills, David; Lvov, Yuri M." Macromolecular Materials and Engineering 297, no. 7 (2012): 645-653. 9. Khalili, Amelia, and Mohd Ahmad. "A review of cell adhesion studies for biomedical and biological applications." International journal of molecular sciences 16, no. 8 (2015): 18149-18184. 10. Chang, Hsin-I., and Yiwei Wang. "Cell responses to surface and architecture of tissue engineering scaffolds." In Regenerative medicine and tissue engineering-cells and biomaterials. InTechOpen, 2011.