4.6 Review

Angiogenic and osteogenic effects of flavonoids in bone regeneration

Journal

BIOTECHNOLOGY AND BIOENGINEERING
Volume 119, Issue 9, Pages 2313-2330

Publisher

WILEY
DOI: 10.1002/bit.28162

Keywords

angiogenesis; bone regeneration; flavonoids; growth factors; osteogenesis

Funding

  1. Indian Council of Medical Research, India [2020-0282/SCR/ADHOC-BMS]

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Bone relies on the close interaction between blood vessels and bone cells for formation and healing. Angiogenesis is critical for bone regeneration as it delivers oxygen, nutrients, and growth factors. Flavonoids have shown potential in promoting bone regeneration due to their bioactivity, low cost, availability, and minimal toxicity. Further research is needed to investigate their delivery strategies and clinical efficacy.
Bone is a highly vascularized tissue that relies on a close spatial and temporal interaction between blood vessels and bone cells. As a result, angiogenesis is critical for bone formation and healing. The vascular system supports bone regeneration by delivering oxygen, nutrients, and growth factors, as well as facilitating efficient cell-cell contact. Most clinical applications of engineered bone grafts are hampered by insufficient vascularization after implantation. Over the last decade, a number of flavonoids have been reported to have osteogenic-angiogenic potential in bone regeneration because of their excellent bioactivity, low cost, availability, and minimal in vivo toxicity. During new bone formation, the osteoinductive nature of certain flavonoids is involved in regulating multiple signaling pathways contributing toward the osteogenic-angiogenic coupling. This review briefly outlines the osteogenic-angiogenic potential of those flavonoids and the mechanisms of their action in promoting bone regeneration. However, further studies are needed to investigate their delivery strategies and establish their clinical efficacy.

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