“…With the purpose to obtain enhanced therapeutic effectiveness, these materials were therefore tested in many studies as drug carriers or as gene delivery systems ( Ruiz-Hernández et al, 2008 ; Liu et al, 2009 ; Vallet-Regí and Ruiz-Hernández, 2011 ; Wu and Chang, 2014 ; Gao et al, 2015 ; Santos et al, 2017 ; Köse et al, 2018 ; Afewerki et al, 2020 ). To better resemble natural bone apatite and interact with neighbor tissues, synthetic HA can include several diverse ions in place of Ca 2+ , PO 4 3– , or OH – , e.g., Na + , K + , Mg 2+, Sr 2+ , Zn 2+ , Cl – , F – , HPO 4 2– ( Kim et al, 1998 ; Vallet-Regí and Arcos, 2005 ; Landi et al, 2007 , 2008 ; Kolmas et al, 2011 ; Bornapour et al, 2013 ; Montesi et al, 2017 ; Arcos and Vallet-Regí, 2020 ). The incorporation of these ions in the HA structure limits the crystal growth and alters surface properties, thus enhancing its bioactivity and integrability with tissues; additionally, it also helps bone tissue self-healing and regeneration through the stimulation of osteoblasts and bone resident cells to form new bone when released during implant degradation ( Vallet-Regí and Salinas, 2019 ).…”