RT Journal Article T1 Usefulness of a Nanostructured Fibrin-Agarose Bone Substitute in a Model of Severely Critical Mandible Bone Defect A1 Martin-Piedra, Miguel-Angel A1 Gironés-Camarasa, Belén A1 España-López, Antonio A1 Fernández-Valadés Gámez, Ricardo A1 Blanco-Elices, Cristina A1 Garzón, Ingrid A1 Alaminos, Miguel A1 Fernández-Valadés, Ricardo K1 Bone K1 Tissue engineering K1 Fibrin-agarose K1 Mandible K1 Regeneration K1 Bone substitutes K1 Osteocalcin K1 Bone regeneration K1 Huesos K1 Ingeniería de tejidos K1 Fibrina K1 Mandíbula K1 Sustitutos de huesos K1 Osteocalcina K1 Regeneración ósea AB Critical defects of the mandibular bone are very difficult to manage with currently available materials and technology. In the present work, we generated acellular and cellular substitutes for human bone by tissue engineering using nanostructured fibrin-agarose biomaterials, with and without adipose-tissue-derived mesenchymal stem cells differentiated to the osteogenic lineage using inductive media. Then, these substitutes were evaluated in an immunodeficient animal model of severely critical mandibular bone damage in order to assess the potential of the bioartificial tissues to enable bone regeneration. The results showed that the use of a cellular bone substitute was associated with a morpho-functional improvement of maxillofacial structures as compared to negative controls. Analysis of the defect site showed that none of the study groups fully succeeded in generating dense bone tissue at the regeneration area. However, the use of a cellular substitute was able to improve the density of the regenerated tissue (as determined via CT radiodensity) and form isolated islands of bone and cartilage. Histologically, the regenerated bone islands were comparable to control bone for alizarin red and versican staining, and superior to control bone for toluidine blue and osteocalcin in animals grafted with the cellular substitute. Although these results are preliminary, cellular fibrin-agarose bone substitutes show preliminary signs of usefulness in this animal model of severely critical mandibular bone defect. PB MDPI YR 2021 FD 2021-11-15 LK http://hdl.handle.net/10668/4171 UL http://hdl.handle.net/10668/4171 LA en NO Martin-Piedra MA, Gironés-Camarasa B, España-López A, Fernández-Valadés Gámez R, Blanco-Elices C, Garzón I, et al. Usefulness of a Nanostructured Fibrin-Agarose Bone Substitute in a Model of Severely Critical Mandible Bone Defect. Polymers. 2021 Nov 15;13(22):3939. DS RISalud RD Jun 15, 2025