Clindamycin (CDM)/geranylgeraniol (GGOH)-loaded plasma-treated
mesoporous silica nanoparticles/carboxymethyl chitosan composite hydrogels
(CHG60 and CHG120) were developed for the prevention of medication-related
osteonecrosis of the jaw associated with bisphosphonates (MRONJ-B).
The pore structure and performances of CHGs, e.g., drug release profiles
and kinetics, antibacterial activity, zoledronic acid (ZA)-induced
cytotoxicity reversal activity, and acute cytotoxicity, were evaluated.
The bioinspired platform mimicking in vivo fibrin matrices was also
proposed for the in vitro/in vivo correlation. CHG120 was further
encapsulated in the human-derived fibrin, generating FCHG120. The
SEM and μCT images revealed the interconnected porous structures
of CHG120 in both pure and fibrin-surrounding hydrogels with %porosity
of 75 and 36%, respectively, indicating the presence of fibrin inside
the hydrogel pores, besides its peripheral region, which was evidenced
by confocal microscopy. The co-presence of GGOH moderately decelerated
the overall releases of CDM from CHGs in the studied releasing fluids,
i.e., phosphate buffer saline-based fluid (PBB) and simulated interstitial
fluid (SIF). The whole-lifetime release patterns of CDM, fitted by
the Ritger–Peppas equation, appeared nondifferentiable, divided
into two releasing stages, i.e., rapid and steady releasing stages,
whereas the biphasic drug release patterns of GGOH were observed with
Phase I and II releases fitted by the Higuchi and Ritger–Peppas
equations, respectively. Notably, the burst releases of both drugs
were subsided with lengthier durations (up to 10–12 days) in
SIF, compared with those in PBB, enabling CHGs to elicit satisfactory
antibacterial and ZA cytotoxicity reversal activities for MRONJ-B
prevention. The fibrin network in FCHG120 further reduced and sustained
the drug releases for at least 14 days, lengthening bactericidal and
ZA cytotoxicity reversal activities of FCHG and decreasing in vitro
and in ovo acute drug toxicity. This highlighted the significance
of fibrin matrices as appropriate in vivo-like platforms to evaluate
the performance of an implant.