ArticleRegenerative biomaterials2026
Evaluation of bone formation within β-tricalcium phosphate scaffolds in a sheep scapular bioreactor model using micro-computed tomography analysis.
Article in Regenerative biomaterials, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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21 authors.
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Abstract
Critical-sized bone defects in load-bearing regions remain a major clinical challenge. This study investigated how β-tricalcium phosphate (βTCP) scaffold pore size and stem cell source influence bone regeneration using a laser-sintered, plasma-treated polyetherketone (P-PEK) dual-chamber scapular bioreactor model in sheep. On the left scapula, selectively polymerized βTCP (SP-βTCP) scaffolds with two pore sizes were implanted for 16 weeks: a Large Pore design (1.875-mm unit cell; 0.93-mm pore) and a Small Pore design (1.5-mm unit cell; 0.66-mm pore). Adjacent Large Pore scaffolds were loaded with either gelatine methacryloyl (GelMA) alone or GelMA encapsulating autologous adipose-derived stem cells (ADSCs). On the right scapula, Large Pore scaffolds containing GelMA-encapsulated autologous or allogeneic ADSCs were implanted for 12 weeks. Bone formation was quantified by micro-computed tomography (µCT) and validated by resin-embedded histology. Small Pore scaffolds generated greater bone volume than Large Pore scaffolds. Autologous ADSC-laden scaffolds outperformed GelMA-only controls, particularly in lower bioreactors interfacing with native bone. No significant differences were detected between autologous and allogeneic ADSCs. Histology confirmed bioreactor-dependent variation, with lower bone-contacting chambers consistently producing more mineralized tissue. These findings highlight the interplay among scaffold architecture, cell source and anatomical niche in optimizing translational bone regeneration.
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