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Calcium Hydroxyapatite Biostimulators: A Comparative Study of Biological Response and Particle Morphology
Valéria Dal Col1, Bibiana Franzen Matte2
1Protocoll Clinique, 721 Aleixo Neto Street, Vitória 29055-260, ES, Brazil.
Biomedicines
|July 28, 2026
Summary
Two calcium hydroxyapatite (CaHA) dermal biostimulators showed biocompatibility and enhanced fibroblast activity and collagen/elastin gene expression in vitro. Sample S demonstrated a stronger biological response over time.
Area of Science:
- Biomaterials Science
- Dermatology
- Cell Biology
Background:
- Injectable calcium hydroxyapatite (CaHA) materials are utilized as dermal biostimulators.
- In vitro models offer controlled environments for comparing cellular responses to different formulations.
- This study focuses on evaluating two commercial CaHA-based dermal fillers.
Purpose of the Study:
- To compare the effects of two CaHA-based materials on human dermal fibroblast metabolic activity.
- To assess the impact of these materials on extracellular matrix (ECM) gene expression (collagen and elastin).
- To analyze the microsphere morphology of the CaHA-based materials.
Main Methods:
- Primary human dermal fibroblasts were treated with two CaHA materials (Sample R and Sample S) at 10 mg/mL.
- Metabolic activity was measured using the MTT assay at various time points (24, 36, 48, 72 hours).
- Gene expression of type I collagen and elastin was quantified via RT-qPCR, and microsphere morphology was examined using scanning electron microscopy (SEM).
Main Results:
- Both CaHA materials significantly increased fibroblast metabolic activity compared to controls across all time points.
- Sample S exhibited higher metabolic activity at 48 and 72 hours.
- Both materials upregulated collagen and elastin gene expression, with Sample S showing a more pronounced effect. SEM revealed spherical microspheres with distinct surface topographies.
Conclusions:
- Both CaHA-based materials demonstrated biocompatibility and modulated fibroblast activity and ECM gene expression in vitro.
- Differences in microsphere surface characteristics may influence the observed biological responses.
- Further research with longer incubation and protein-level analysis is warranted to fully elucidate CaHA material behavior.

