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dc.contributor.authorDonneys, Alexis
dc.contributor.authorYang, Qiuhong
dc.contributor.authorForrest, Marcus Laird
dc.contributor.authorNelson, Noah S.
dc.contributor.authorZhang, Ti
dc.contributor.authorEttinger, Russell
dc.contributor.authorRanganathan, Kavitha
dc.contributor.authorSnider, Alicia
dc.contributor.authorDeshpande, Sagar S.
dc.contributor.authorCohen, Mark S.
dc.contributor.authorBuchman, Steven R.
dc.identifier.citationDonneys, A., Yang, Q., Forrest, M. L., Nelson, N. S., Zhang, T., Ettinger, R., Ranganathan, K., Snider, A., Deshpande, S. S., Cohen, M. S., & Buchman, S. R. (2019). Implantable hyaluronic acid-deferoxamine conjugate prevents nonunions through stimulation of neovascularization. NPJ Regenerative medicine, 4, 11.
dc.descriptionThis work is licensed under a Creative Commons Attribution 4.0 International License.en_US
dc.description.abstractApproximately 6.3 million fractures occur in the U.S. annually, with 5–10% resulting in debilitating nonunions. A major limitation to achieving successful bony union is impaired neovascularization. To augment fracture healing, we designed an implantable drug delivery technology containing the angiogenic stimulant, deferoxamine (DFO). DFO activates new blood vessel formation through iron chelation and upregulation of the HIF-1α pathway. However, due to its short half-life and rapid clearance, maintaining DFO at the callus site during peak fracture angiogenesis has remained challenging. To overcome these limitations, we composed an implantable formulation of DFO conjugated to hyaluronic acid (HA). This compound immobilizes DFO within the fracture callus throughout the angiogenic window, making it a high-capacity iron sponge that amplifies blood vessel formation and prevents nonunions. We investigated implanted HA-DFO’s capacity to facilitate fracture healing in the irradiated rat mandible, a model whereby nonunions routinely develop secondary to obliteration of vascularity. HA-DFO implantation significantly improved radiomorphometrics and metrics of biomechanical strength. In addition, HA-DFO treated mandibles exhibited a remarkable 91% bone union rate, representing a 3.5-fold improvement over non-treated/irradiated controls (20% bone union rate). Collectively, our work proposes a unique methodology for the targeted delivery of DFO to fracture sites in order to facilitate neovascularization. If these findings are successfully translated into clinical practice, millions of patients will benefit from the prevention of nonunions.en_US
dc.description.sponsorshipNIH Grant AR069620en_US
dc.description.sponsorshipNIH-R01 CA 125187-01en_US
dc.publisherNature Researchen_US
dc.rights© The Author(s) 2019.en_US
dc.subjectFracture repairen_US
dc.subjectRegenerative medicineen_US
dc.subjectTranslational researchen_US
dc.titleImplantable hyaluronic acid-deferoxamine conjugate prevents nonunions through stimulation of neovascularizationen_US
kusw.kuauthorYang, Qiuhong
kusw.kuauthorForrest, Marcus Laird
kusw.kudepartmentPharmaceutical Chemistryen_US
kusw.oaversionScholarly/refereed, publisher versionen_US
kusw.oapolicyThis item meets KU Open Access policy criteria.en_US

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Except where otherwise noted, this item's license is described as: © The Author(s) 2019.