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Enzyme-driven micro- and nanomotors: Design, construction and biological applications 酶驱动的微纳米马达:设计、构造和生物应用。
IF 10.4 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2026-10-01 Epub Date: 2026-09-02 DOI: 10.1016/j.actbio.2026.08.051
Qiong Su, Yan Li, Junqiu Liu, Hongcheng Sun
Enzyme-powered micro/nanomotors (EMNMs) are a type of self-propelled devices that biologically convert chemical energy into mechanical work through enzyme-catalyzed reactions. Compared to conventional chemically driven counterparts, a significant advantage of these platforms lies in their utilization of endogenous substrates, such as glucose, urea, glycerides, and peptides, to achieve autonomous propulsion. Through the rational design and regulation of functional material components, EMNMs can efficiently perform tasks ranging from active target recognition to autonomous drug loading and controlled release for biomedical applications. Additionally, emerging therapeutic modalities, such as photothermal and starvation therapy integrated with EMNMs, have been extensively investigated for diverse clinical interventions. Up to date, several reviews have outlined general progress in the field, however, a comprehensive synthesis of fabrication strategies and their specific therapeutic applications remain relatively underexplored. To address this gap, this review comprehensively elucidates the design principles and construction strategies of EMNMs through enzyme selection, matrix materials, and morphological structures. Besides, the latest research advances in treating cardiovascular and cerebrovascular diseases, cancer, and urological disorders were also systematically summarized. Through further analyzing current bottlenecks and outlines future directions, this article might aim to providing a cornerstone reference and strategic guidance for future endeavors of EMNMs in related fields.

Statement of significance

∙The core design principles and fabrication methodologies of enzyme-powered micro/nanomotors (EMNMs) are comprehensively elucidated. ∙Systematic structure-activity correlations of EMNMs are established across three pivotal dimensions: enzyme screening, matrix scaffolds and morphological architectures. ∙State-of-the-art advances of EMNM platforms for therapeutic intervention against malignancies, cardiovascular and cerebrovascular pathologies, and urinary tract disorders are thoroughly summarized.
酶动力微/纳米马达(EMNMs)是一种通过酶催化反应将化学能转化为机械能的自推进装置。与传统的化学驱动平台相比,这些平台的显著优势在于它们利用内源性底物,如葡萄糖、尿素、甘油酯和肽,来实现自主推进。通过对功能材料组分的合理设计和调控,EMNMs可以有效地完成从主动目标识别到药物自主加载和控释等任务,用于生物医学应用。此外,新兴的治疗方式,如光热和饥饿疗法结合EMNMs,已经被广泛研究用于各种临床干预措施。到目前为止,一些综述概述了该领域的总体进展,然而,制造策略的综合合成及其特定治疗应用仍然相对缺乏探索。为了解决这一空白,本文从酶的选择、基质材料和形态结构等方面全面阐述了EMNMs的设计原则和构建策略。此外,还对心脑血管疾病、肿瘤、泌尿系统疾病的最新研究进展进行了系统总结。本文旨在通过进一步分析当前的瓶颈,勾勒未来的发展方向,为EMNMs在相关领域的未来努力提供基石参考和战略指导。∙全面阐明了酶驱动微/纳米马达(EMNMs)的核心设计原则和制造方法。∙EMNMs的系统结构-活性相关性在三个关键维度上建立:酶筛选、基质支架和形态结构。∙EMNM平台在恶性肿瘤、心脑血管疾病和尿路疾病治疗干预方面的最新进展进行了全面总结。
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引用次数: 0
From grain refinement to multifunctional balance: Tuning Zn content in binary Mg alloys for integrated biomedical performance 从晶粒细化到多功能平衡:调整二元镁合金的锌含量以实现综合生物医学性能。
IF 10.4 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2026-10-01 Epub Date: 2026-08-26 DOI: 10.1016/j.actbio.2026.08.043
Juan Xie, Anke Zhang, Jiahua Ni, Yuhang Zhou, Haonan Fan, Xiaonong Zhang, Wenhui Wang, Xuanyong Liu
Biodegradable magnesium (Mg) alloys hold great promise for next-generation implantable devices, but the inherent trade-offs among degradation control, mechanical integrity, and local biological responses hinder their clinical translation. Guided by the “material plainification” concept, which advocates avoiding complex alloy components, this work presents a systematic investigation of binary Mg-xZn alloys (x = 0.5-4 wt.%) processed by thermoplastic deformation, revealing the regulatory effects of zinc (Zn) content on dynamic recrystallization and the subsequent influences on overall biomedical performance. Results demonstrate that a moderate Zn content significantly promotes grain refinement and grain boundary (GB) stability. In particular, Mg-1.25Zn alloy emerges as the optimal “window”, exhibiting a refined grain size of 2.7 μm and a balanced combination of mechanical properties (YS 258 MPa, UTS 280 MPa, EL 20.6 %). Besides, this alloy forms a protective corrosion product layer with a low in vitro corrosion rate of 0.11 mm·y⁻¹ and shows superior anti-inflammatory activity in a murine implantation model. Composed of bioessential elements and featuring compositional simplicity with potential cost advantages, the fine-grained Mg-1.25Zn alloy demonstrates a favorable balance among mechanical performance, degradation behavior, and biological response, thereby supporting its further development for soft tissue anastomosis and related biomedical applications.

Statement of significance

Biodegradable magnesium alloys hold promise for next-generation implantable devices. However, balancing degradation rate, mechanical strength, and host response remains a key challenge for clinical translation. Guided by the concept of “material simplification”, this study systematically investigates binary Mg-Zn alloys with Zn as the sole alloying element after thermo processing. By regulating Zn content, a composition-microstructure-property relationship is established, identifying Mg-1.25Zn as an optimal composition window. This alloy shows refined grains, favorable mechanical properties, a low in vitro corrosion rate, and anti-inflammatory activity in animal models, indicating that simple, low-cost binary alloys can achieve multifunctional performance optimization, thereby supporting its further development for soft tissue anastomosis, vascular occlusion, and related biomedical applications.
可生物降解镁(Mg)合金在下一代植入式装置中具有很大的前景,但降解控制、机械完整性和局部生物反应之间的内在权衡阻碍了它们的临床应用。在倡导避免复杂合金成分的“材料平化”理念的指导下,本工作系统研究了热塑性变形加工的二元Mg-xZn合金(x = 0.5-4 wt.%),揭示了锌(Zn)含量对动态再结晶的调节作用及其对整体生物医学性能的影响。结果表明,适量Zn可显著促进晶粒细化和晶界稳定性。其中,Mg-1.25Zn合金是最佳的“窗口”,晶粒尺寸达到2.7 μm,力学性能(YS 258 MPa, UTS 280 MPa, EL 20.6%)平衡。此外,该合金在体外形成一个保护性的腐蚀产物层,其腐蚀速率为0.11 mm·y -毒血症,在小鼠植入模型中表现出良好的抗炎活性。细晶Mg-1.25Zn合金由生物必需元素组成,结构简单,具有潜在的成本优势,在力学性能、降解行为和生物反应之间表现出良好的平衡,从而支持其在软组织吻合和相关生物医学应用方面的进一步发展。意义声明:可生物降解镁合金有望用于下一代植入式设备。然而,平衡降解率、机械强度和宿主反应仍然是临床翻译的关键挑战。本研究以“材料简化”为指导,系统地研究了以锌为唯一合金元素的二元镁锌合金的热处理工艺。通过调节Zn含量,建立了组分-显微组织-性能关系,确定Mg-1.25Zn为最佳组分窗。该合金在动物模型中表现出晶粒细、力学性能好、体外腐蚀速率低和抗炎活性,表明简单、低成本的二元合金可以实现多功能性能优化,从而支持其在软组织吻合、血管闭塞和相关生物医学应用方面的进一步发展。
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引用次数: 0
A biodegradable hydroxyapatite-coated magnesium drainage plate enables medium-term suprachoroidal outflow preservation and stable intraocular pressure reduction in rabbits 可生物降解的羟基磷灰石包覆镁引流板能够中期保存兔脉络膜上流出物并稳定降低眼压。
IF 10.4 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2026-10-01 Epub Date: 2026-08-26 DOI: 10.1016/j.actbio.2026.08.047
Wangdu Luo, Yi Chen, Junlong Yu, Menghan Li, Lingling Li, Yujie Rao, Qi Gou, Xin Liu, Jiaguo Yuan, Xiaomin Zhu, Shicui Xu, Shuang Yuan, Yong Wang, Xiangji Li, Lin Xie
Postoperative scarring and failure of surgically created drainage pathways limit durable glaucoma surgery. We developed a solid plate-type suprachoroidal space (SCS) implant based on hydroxyapatite-coated magnesium (HA-Mg) to provide temporary pathway support, an HA-modified material–tissue interface, and progressive biodegradation. TGF-β2-stimulated human iris pigment epithelial cells were used to assess material-associated effects on migration and fibrotic activation. In a paired-eye normotensive New Zealand White rabbit model, trabeculectomy, sham SCS surgery, titanium, uncoated magnesium, and HA-Mg groups were evaluated for 24 weeks using intraocular pressure (IOP) monitoring, ex vivo SCS angiography, micro-computed tomography, histology, α-smooth muscle actin (α-SMA) immunofluorescence, corneal endothelial assessment, aqueous humor pH, and systemic safety analyses. HA-Mg produced a sustained, stable IOP-lowering profile, whereas both Mg and HA-Mg showed greater net IOP reduction at Week 24 than the other surgically treated groups. HA-Mg showed broader posterior SCS contrast enhancement at Weeks 12 and 24. From Week 4 to Week 24, residual implant volume and surface area decreased by 93.6% and 86.3%, respectively, although residual material remained. Histology and α-SMA analysis were consistent with reduced fibrosis-associated interface remodeling, and Mg and HA-Mg extracts attenuated TGF-β2-induced migration and α-SMA expression. No evident ocular or systemic safety concerns were detected within 24 weeks. HA-Mg therefore supported medium-term preservation of the surgically created SCS outflow pathway while undergoing substantial but incomplete degradation; longer-term studies extending through and beyond complete implant resorption are required to determine whether pathway patency and safety are maintained thereafter.

Statement of significance

Glaucoma drainage surgery remains limited by progressive fibrosis, foreign-body responses, and loss of long-term drainage pathway function. Although suprachoroidal space (SCS) approaches provide an alternative aqueous outflow route, maintaining pathway patency while minimizing the burden of permanent implants remains challenging. Here, we developed a biodegradable hydroxyapatite-coated magnesium (HA-Mg) drainage plate designed to provide temporary structural support and gradually degrade during tissue remodeling. The study integrates material characterization, medium-term in vivo evaluation, degradation tracking, fibrosis-associated remodeling assessment, and biosafety analysis in a rabbit model. Our findings support a biomaterial strategy that couples progressive biodegradation with preservation of SCS outflow-associated function, providing a potential framework for next-generation biodegradable implants in glaucoma surgery and other applications requiring temporary tissue–implant interfaces.
术后瘢痕和手术引流通道的失败限制了青光眼手术的持久性。我们开发了一种基于羟基磷灰石涂层镁(HA-Mg)的固体板型脉络膜上间隙(SCS)植入物,以提供临时通道支持,ha修饰的材料-组织界面,并进行生物降解。使用TGF-β2刺激的人虹膜色素上皮细胞来评估其对迁移和纤维化激活的物质相关影响。在一对眼正常血压的新西兰大白兔模型中,通过眼内压(IOP)监测、体外SCS血管造影、显微计算机断层扫描、组织学、α-平滑肌肌动蛋白(α-SMA)免疫荧光、角膜内皮评估、房水pH值和全身安全性分析,对小梁切除术、假SCS手术、钛、未包覆镁和HA-Mg组进行24周的评估。HA-Mg产生了持续、稳定的眼压降低,而Mg和HA-Mg在第24周的净眼压降低比其他手术治疗组更大。在第12周和第24周,HA-Mg显示更宽的后路SCS对比增强。从第4周到第24周,种植体的残留体积和表面积分别减少了93.6%和86.3%,但残留材料仍然存在。组织学和α-SMA分析与纤维化相关的界面重塑减少一致,Mg和HA-Mg提取物减弱TGF-β2诱导的迁移和α-SMA表达。24周内未发现明显的眼部或全身安全问题。因此,HA-Mg在经历大量但不完全降解时,支持手术创建的SCS流出通道的中期保存;需要进行长期研究,以确定此后是否维持通路的通畅和安全性。意义声明:青光眼引流手术仍然受到进行性纤维化、异物反应和长期引流通路功能丧失的限制。虽然脉络膜上间隙(SCS)入路提供了另一种水流出途径,但在保持通道通畅的同时尽量减少永久植入物的负担仍然具有挑战性。在这里,我们开发了一种可生物降解的羟基磷灰石涂层镁(HA-Mg)引流板,设计用于提供临时结构支持,并在组织重塑过程中逐渐降解。该研究在兔模型中整合了材料特性、中期体内评估、降解跟踪、纤维化相关重塑评估和生物安全性分析。我们的研究结果支持一种生物材料策略,将进行性生物降解与保留SCS输出相关功能结合起来,为青光眼手术和其他需要临时组织-植入物界面的应用提供了下一代可生物降解植入物的潜在框架。
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引用次数: 0
Silicate biomaterials modulate heart-bone paracrine interactions for tissue repair 硅酸盐生物材料调节心脏-骨旁分泌相互作用的组织修复。
IF 10.4 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2026-10-01 Epub Date: 2026-08-23 DOI: 10.1016/j.actbio.2026.08.040
Kenan Jin, Zhixu Wang, Lin Du, Hongjian Zhang, Zhibin Liao, Ziyi Zhao, Chengtie Wu
The repair of tissue injuries involving complex inter-tissue interactions remains challenging because conventional biomaterials are usually designed to target individual tissues. This study focuses on heart-bone paracrine interactions and proposes a biomaterial-based strategy to modulate reciprocal communication between cardiac- and bone-related cells for tissue repair. We show that strontium silicate (SS) biomaterials release bioactive Sr2+ and Si species that promote the functional activation of encapsulated CMs and bone marrow stromal cells, while also reshaping their secretory profiles. Using 3D-bioprinted co-culture models and local implantation in rodent injury models, we demonstrate that SS-modulated BMSC-laden constructs promote cardiac repair after myocardial infarction, whereas SS-modulated CM-laden constructs enhance cranial bone regeneration. Mechanistically, these effects are associated with altered secretion of candidate paracrine factors, including IGF-1, SDF-1, and BMP-2, and functional involvement of PI3K/AKT and MAPK/ERK signaling pathways. These findings suggest that silicate biomaterials may act as upstream regulators of heart-bone paracrine interactions by combining transient ionic stimulation with secondary remodeling of cellular secretory profiles. This study provides a proof-of-concept strategy for biomaterial-regulated inter-tissue communication and tissue repair.

Statement of significance

This study introduces the concept of using silicate biomaterials to facilitate beneficial communication between the heart and bone for coordinated repair. We demonstrate that strontium silicate releases bioactive ions and modulates key signaling factors (SDF-1, IGF-1, BMP-2), activating PI3K/AKT and MAPK/ERK pathways. This not only enhances cardiac function recovery but also promotes bone healing in rat disease models. To our knowledge, this is the first report demonstrating a single biomaterial orchestrating multi-organ interactive repair by targeting inter-organ crosstalk.
由于传统的生物材料通常是针对单个组织设计的,因此涉及复杂组织间相互作用的组织损伤的修复仍然具有挑战性。本研究的重点是心脏-骨骼旁分泌相互作用,并提出了一种基于生物材料的策略来调节心脏和骨骼相关细胞之间的相互通讯,以进行组织修复。我们发现硅酸锶(SS)生物材料释放生物活性的Sr2+和Si物质,促进被包裹的CMs和骨髓基质细胞的功能激活,同时也重塑了它们的分泌谱。通过3d生物打印共培养模型和局部植入啮齿动物损伤模型,我们证明了ss调节的bmsc - loading构建体促进心肌梗死后的心脏修复,而ss调节的cm - loading构建体促进颅骨再生。从机制上讲,这些影响与候选旁分泌因子的分泌改变有关,包括IGF-1、SDF-1和BMP-2,以及PI3K/AKT和MAPK/ERK信号通路的功能参与。这些发现表明,硅酸盐生物材料可能通过结合瞬时离子刺激和细胞分泌谱的二次重塑,作为心脏-骨旁分泌相互作用的上游调节剂。这项研究为生物材料调节的组织间通讯和组织修复提供了一种概念验证策略。意义声明:本研究引入了使用硅酸盐生物材料促进心脏和骨骼之间有益的沟通以进行协调修复的概念。我们证明硅酸锶释放生物活性离子并调节关键信号因子(SDF-1、IGF-1、BMP-2),激活PI3K/AKT和MAPK/ERK通路。这不仅能促进心功能的恢复,还能促进大鼠疾病模型的骨愈合。据我们所知,这是第一个证明单一生物材料通过靶向器官间串扰来协调多器官互动修复的报告。
{"title":"Silicate biomaterials modulate heart-bone paracrine interactions for tissue repair","authors":"Kenan Jin,&nbsp;Zhixu Wang,&nbsp;Lin Du,&nbsp;Hongjian Zhang,&nbsp;Zhibin Liao,&nbsp;Ziyi Zhao,&nbsp;Chengtie Wu","doi":"10.1016/j.actbio.2026.08.040","DOIUrl":"10.1016/j.actbio.2026.08.040","url":null,"abstract":"<div><div>The repair of tissue injuries involving complex inter-tissue interactions remains challenging because conventional biomaterials are usually designed to target individual tissues. This study focuses on heart-bone paracrine interactions and proposes a biomaterial-based strategy to modulate reciprocal communication between cardiac- and bone-related cells for tissue repair. We show that strontium silicate (SS) biomaterials release bioactive Sr<sup>2+</sup> and Si species that promote the functional activation of encapsulated CMs and bone marrow stromal cells, while also reshaping their secretory profiles. Using 3D-bioprinted co-culture models and local implantation in rodent injury models, we demonstrate that SS-modulated BMSC-laden constructs promote cardiac repair after myocardial infarction, whereas SS-modulated CM-laden constructs enhance cranial bone regeneration. Mechanistically, these effects are associated with altered secretion of candidate paracrine factors, including IGF-1, SDF-1, and BMP-2, and functional involvement of PI3K/AKT and MAPK/ERK signaling pathways. These findings suggest that silicate biomaterials may act as upstream regulators of heart-bone paracrine interactions by combining transient ionic stimulation with secondary remodeling of cellular secretory profiles. This study provides a proof-of-concept strategy for biomaterial-regulated inter-tissue communication and tissue repair.</div></div><div><h3>Statement of significance</h3><div>This study introduces the concept of using silicate biomaterials to facilitate beneficial communication between the heart and bone for coordinated repair. We demonstrate that strontium silicate releases bioactive ions and modulates key signaling factors (SDF-1, IGF-1, BMP-2), activating PI3K/AKT and MAPK/ERK pathways. This not only enhances cardiac function recovery but also promotes bone healing in rat disease models. To our knowledge, this is the first report demonstrating a single biomaterial orchestrating multi-organ interactive repair by targeting inter-organ crosstalk.</div></div>","PeriodicalId":237,"journal":{"name":"Acta Biomaterialia","volume":"223 ","pages":"Pages 593-608"},"PeriodicalIF":10.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148809591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Zinc-based nanoplatforms for cancer immunotherapy achieved through the cyclic GMP-AMP synthase-stimulator of interferon genes pathway: Bridging tumor metabolism and immune activation 通过干扰素基因通路的环GMP-AMP合成酶刺激剂实现的癌症免疫治疗锌基纳米平台:桥接肿瘤代谢和免疫激活。
IF 10.4 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2026-10-01 Epub Date: 2026-08-19 DOI: 10.1016/j.actbio.2026.08.033
Yizi Wang, Yutao Wang, Cheng Zhang, Danyang Li, Xun Fu, Tuan Wang, Lingxiao Zhang, Yun Wang
<div><div>Cancer immunotherapy has substantially advanced cancer treatment; however, durable responses remain uncommon in tumors with low immunogenicity and strongly suppressive tumor microenvironments (TME). Among innate immune pathways, cyclic GMP-AMP synthase-stimulator of interferon genes (cGAS-STING) signaling has attracted considerable attention because of its ability to initiate broad antitumor immune responses. Despite this promise, the therapeutic use of STING agonists is limited by rapid systemic clearance, insufficient tumor accumulation, and dose-limiting inflammatory toxicity. Simultaneously, metabolic adaptations within tumors, including elevated glycolytic flux, lactate enrichment, and redox imbalance, continue to undermine immune cell function and restrict treatment efficacy. Zn-based nanoplatforms have recently emerged as versatile systems capable of simultaneously addressing both challenges. Controlled intracellular release of Zn<sup>2+</sup> can potentiate cGAS activity and strengthen downstream STING signaling, whereas oxidative stress induced by these nanomaterials promotes DNA damage, cytosolic DNA leakage, and immunogenic cell death. These effects are not limited to the activation of innate immunity. Several Zn-containing nanoplatforms reshape the metabolic landscape of the TME by lowering lactate accumulation and partially restoring immune cell activity. Consequently, dendritic cell (DC) maturation and antigen presentation are enhanced, leading to more effective T cell-driven antitumor responses. This review examines the emerging role of Zn<sup>2+</sup> in regulating the immune and metabolic pathways relevant to cancer therapy. We discuss current strategies for designing Zn-based nanoplatforms, with particular emphasis on the mechanisms linking metabolic intervention to cGAS-STING activation. Dedicated sections examine Zn-based platforms for drug delivery and photodynamic and sonodynamic therapies, as well as their capacity to promote DC activation and combination immunotherapy. Finally, we consider the major barriers to clinical translation, including biosafety, delivery efficiency, and large-scale manufacturing, and outline the directions for the development of next-generation Zn-based immunotherapeutic systems.</div></div><div><h3>Statement of significance</h3><div>This review provides a comprehensive, mechanistically integrated perspective on Zn-based nanoplatforms as multifunctional immunotherapeutic systems that bridge tumor metabolic reprogramming and cGAS-STING-mediated innate and adaptive immune activation. Unlike previous reviews that primarily focused on STING agonists or Zn-based nanomaterials independently, this study highlights how tumor-responsive Zn²⁺ release, oxidative stress, DNA damage, and metabolic remodeling collectively enhance antitumor immunity. This review critically compares the design principles, therapeutic mechanisms, and translational potential of diverse Zn-based nanoplatforms and discusses
癌症免疫疗法已经大大提高了癌症治疗水平;然而,持久的反应在低免疫原性和强抑制肿瘤微环境(TME)的肿瘤中仍然不常见。在先天免疫途径中,干扰素基因环GMP-AMP合成酶刺激因子(cGAS-STING)信号因其能够启动广泛的抗肿瘤免疫应答而引起了广泛的关注。尽管有这样的前景,但STING激动剂的治疗用途受到快速全身清除、肿瘤积累不足和剂量限制性炎症毒性的限制。同时,肿瘤内的代谢适应,包括糖酵解通量升高、乳酸富集和氧化还原失衡,继续破坏免疫细胞功能并限制治疗效果。锌基纳米平台最近出现了一种多功能系统,能够同时解决这两个挑战。细胞内Zn2+的受控释放可以增强cGAS活性并增强下游STING信号,而这些纳米材料诱导的氧化应激可促进DNA损伤、胞质DNA泄漏和免疫原性细胞死亡。这些影响并不局限于先天免疫的激活。几种含锌纳米平台通过降低乳酸积累和部分恢复免疫细胞活性来重塑TME的代谢景观。因此,树突状细胞(DC)成熟和抗原呈递增强,导致更有效的T细胞驱动的抗肿瘤反应。本文综述了Zn2+在调节与癌症治疗相关的免疫和代谢途径中的新作用。我们讨论了目前设计锌基纳米平台的策略,特别强调了代谢干预与cGAS-STING激活的机制。专门的部分研究了基于锌的药物输送平台和光动力和声动力治疗,以及它们促进DC激活和联合免疫治疗的能力。最后,我们考虑了临床转化的主要障碍,包括生物安全性、给药效率和大规模生产,并概述了下一代锌基免疫治疗系统的发展方向。意义声明:这篇综述提供了一个全面的、机械集成的视角,以锌为基础的纳米平台作为多功能免疫治疗系统,在肿瘤代谢重编程和cgas - sting介导的先天和适应性免疫激活之间架起桥梁。与之前主要关注STING激动剂或锌基纳米材料的综述不同,这项研究强调了肿瘤反应性Zn 2 +的释放、氧化应激、DNA损伤和代谢重塑如何共同增强抗肿瘤免疫。这篇综述比较了不同锌基纳米平台的设计原理、治疗机制和转化潜力,并讨论了生物安全、制造和临床转化方面的关键挑战。本文综述为指导下一代锌基纳米药物的合理开发提供了一个概念框架。
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引用次数: 0
Multi-scale assessment of scaffold-guided regeneration in human extraction sockets using an ultra-porous TiO₂ biomaterial 使用超多孔tio2生物材料对支架引导下人类拔牙槽骨再生的多尺度评估。
IF 10.4 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2026-10-01 Epub Date: 2026-08-20 DOI: 10.1016/j.actbio.2026.08.041
Reem Jamous, Ingvild Nysæther, Håvard Jostein Haugen, S. Petter Lyngstadaas, Malin Vestin Fredriksson, Jan Eirik Ellingsen, Thaqif El Khassawna
Ultra-porous TiO₂ scaffolds are architected non-degradable ceramic graft substitutes, but human evidence relating their structural integration to local tissue maturation remains limited. This exploratory study assessed scaffold-associated healing in a prospective clinical cohort registered at ClinicalTrials.gov (NCT06269497; 10 patients, 11 treated sites). Cone-beam computed tomography (CBCT)-based segmentation at baseline and follow-up was used to quantify changes in bone volume, radiographic low-density/non-mineralized volume, and radiographically detectable scaffold volume. Eleven scaffold-associated specimens were examined using non-decalcified histology, histomorphometry, and immunohistochemistry; nine were retrieved at approximately 6 months, one at 4 months, and one at 9 months. CBCT showed within-site increases in bone and total tissue volume and a reduction in radiographically detectable scaffold volume. Histology showed extensive pore colonization by osteoid-rich tissue, localized mineralization, and limited residual cartilage, consistent with ongoing but incomplete matrix maturation. Normalized RunX2 showed a positive exploratory association with absolute bone volume change, whereas associations with osteocalcin were uncertain and endpoint-dependent. CD206/CD68 and the vessel-to-osteoid ratio were more closely associated with low-density/non-mineralized volume outcomes than with bone-volume change. Osteoclast-associated variables were evaluable in only four sites and were interpreted descriptively. These findings are exploratory and do not establish causality or comparative efficacy, but they characterize tissue-scaffold interactions during human extraction-socket healing.

Statement of significance

Permanent, highly porous scaffolds are intended to guide tissue growth without being replaced, but human evidence linking scaffold architecture to tissue maturation remains limited. This study combines serial cone-beam computed tomography (CBCT), non-decalcified histology, histomorphometry, and immunohistochemistry to characterize tissue development within an ultra-porous TiO₂ scaffold placed in human extraction sockets. The findings show extensive pore colonization by osteoid-rich tissue containing vascular structures, with localized mineralization and spatially heterogeneous remodeling, immune, and Wnt-regulatory features. The analyses are exploratory and do not establish causality or comparative efficacy; however, they provide human tissue-level data on how a permanent architected ceramic scaffold coexists with regenerating bone. This work supports biomaterials-focused evaluation of scaffold-guided regeneration and informs the design of larger controlled studies.
超多孔二氧化钛支架是一种不可降解的陶瓷移植物替代品,但人类关于其结构整合与局部组织成熟的证据仍然有限。这项探索性研究在ClinicalTrials.gov注册的前瞻性临床队列(NCT06269497; 10名患者,11个治疗部位)中评估了支架相关愈合。在基线和随访时使用基于锥形束计算机断层扫描(CBCT)的分割来量化骨体积、x线低密度/非矿化体积和x线可检测支架体积的变化。采用非脱钙组织学、组织形态计量学和免疫组织化学检查11个支架相关标本;约6个月时取出9例,4个月时取出1例,9个月时取出1例。CBCT显示骨和总组织体积增加,放射学可检测到的支架体积减少。组织学显示富骨组织广泛的孔定植,局部矿化和有限的残余软骨,与正在进行但不完全的基质成熟一致。规范化RunX2与绝对骨体积变化呈正相关性,而与骨钙素的相关性不确定且依赖于终点。CD206/CD68和血管-类骨比与低密度/非矿化体积结果的关系比与骨体积变化的关系更密切。破骨细胞相关变量仅在四个位点可评估,并进行描述性解释。这些发现是探索性的,并没有建立因果关系或比较功效,但它们表征了人体提取-插槽愈合过程中组织-支架相互作用的特征。意义声明:永久性、高多孔支架旨在引导组织生长而不被替换,但将支架结构与组织成熟联系起来的人类证据仍然有限。本研究结合连续锥束计算机断层扫描(CBCT)、非脱钙组织学、组织形态学和免疫组织化学来表征放置在人类拔牙窝中的超多孔tio2支架内的组织发育。研究结果显示,含有血管结构的富骨组织具有广泛的孔隙定植,具有局部矿化和空间异质性重构、免疫和wnt调节特征。分析是探索性的,不确定因果关系或比较功效;然而,他们提供了关于永久性陶瓷支架如何与再生骨共存的人体组织水平的数据。这项工作支持以生物材料为重点的支架引导再生评估,并为更大规模对照研究的设计提供信息。
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引用次数: 0
Adipose stem cell-targeted local delivery of forskolin induces de novo beige adipogenesis and adipose tissue browning to combat obesity 脂肪干细胞靶向局部递送forskolin诱导米色脂肪新生和脂肪组织褐变以对抗肥胖。
IF 10.4 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2026-10-01 Epub Date: 2026-08-13 DOI: 10.1016/j.actbio.2026.08.023
Qiyan Chen, Fei Zhou, Yongxin Chen, Zheling Feng, Jingli Min, Lei Zhang, Tian Zhang, Ying Zheng, Jinming Zhang, Ligen Lin
White adipose tissue (WAT) browning is a promising strategy to combat obesity and metabolic disorders. However, current browning inducers often suffer from off-target effects and poor durability. Beige adipocytes, arising through de novo differentiation from adipose-derived stromal/stem cells (ASCs), offer a potential avenue for sustained thermogenesis. Here, we identified that forskolin (FSK) effectively induced the differentiation of C3H10T1/2 cells (a mesenchymal stem cell line) into beige adipocytes, evidenced by multilocular lipid droplets, enhanced mitochondrial biogenesis and function, and elevated uncoupling protein 1 expression. To overcome its poor bioavailability and lack of targeting specificity, we developed ASCs-targeting-peptide (ASP, sequence: GSWKYWFGEGGC) modified FSK nanoparticles (ASP@FSK NPs) by encapsulating FSK in the hybrid FDA-approved biodegradable polymers poly (lactic-co-glycolic acid) (PLGA) and polyethylene glycol (PEG)-ylated PLGA. ASP@FSK NPs selectively bind to glycanation site-deficient decorin (ΔDCN) receptors on ASCs, enabling prolonged retention and localized delivery within inguinal WAT (iWAT). In high-fat diet-induced obese mice, local administration of ASP@FSK NPs significantly reduced body weight (∼30%), promoted de novo browning of iWAT, and alleviated liver steatosis, while expanding the therapeutic window of FSK without apparent toxicity. Collectively, this study demonstrated that FSK could be developed as a potent inducer of de novo beige adipogenesis and targeted delivery of FSK to ASCs might provide a valuable strategy for the treatment of obesity.

Statement of significance

Obesity and metabolic syndromes remain global health challenges, and strategies that induce white adipose tissue (WAT) browning hold great therapeutic potential. However, existing browning agents are limited by systemic toxicity, off-target effects, and poor sustainability. This study addresses these critical gaps by demonstrating that forskolin (FSK) drives de novo beige adipocyte differentiation from mesenchymal stem cells. We further developed an adipose-derived stem cell-targeted nanoparticle system (ASP@FSK NPs) for localized and sustained delivery. In obese mice, ASP@FSK NPs efficiently promoted inguinal WAT browning, alleviated adiposity and hepatic steatosis, and expanded the therapeutic window of FSK without obvious toxicity. This work establishes a targeted and durable approach for WAT browning and obesity treatment by integrating a progenitor-directed biological strategy with precision nanomedicine.
诱导白色脂肪组织(WAT)褐变是对抗肥胖和代谢紊乱的一种很有前途的策略。然而,目前的褐变诱导剂往往存在脱靶效应和耐久性差的问题。米色脂肪细胞可以通过脂肪来源的基质/干细胞(ASCs)的新生分化产生,为持续产热提供了潜在的途径。在这里,我们发现forskolin (FSK)有效地诱导C3H10T1/2细胞(一种间充质干细胞系)分化为米色脂肪细胞,多室脂滴、线粒体生物发生和功能增强以及解偶联蛋白1表达升高证明了这一点。为了克服其较差的生物利用度和缺乏靶向特异性,我们开发了ascs靶向肽(ASP,序列:GSWKYWFGEGGC)修饰的FSK纳米颗粒(ASP@FSK NPs),通过将FSK包裹在fda批准的可生物降解聚合物聚乳酸-羟基乙酸(PLGA)和聚乙二醇(PEG)-酰化PLGA中。ASP@FSK NPs选择性地结合ASCs上的糖基化位点缺陷decorin (ΔDCN)受体,使腹股沟WAT (iWAT)内的滞留时间延长和局部递送。在高脂饮食诱导的肥胖模型中,局部给药ASP@FSK NPs显著降低了高脂饮食诱导的肥胖小鼠的体重(约30%),促进了iWAT的新生褐变,减轻了肝脏脂肪变性,同时扩大了FSK的治疗窗口,且无明显毒性。总的来说,这项研究表明,FSK可以作为一种有效的米黄色脂肪新生诱导剂,并且将FSK靶向递送到ASCs可能为治疗肥胖提供了一种有价值的策略。意义声明:肥胖和代谢综合征仍然是全球性的健康挑战,诱导白色脂肪组织褐变的策略具有巨大的治疗潜力。然而,现有的褐变剂受到全身毒性、脱靶效应和可持续性差的限制。本研究通过证明forskolin (FSK)驱动间充质干细胞新生米色脂肪细胞分化来解决这些关键空白。我们进一步开发了一种脂肪来源的干细胞靶向纳米颗粒系统(ASP@FSK NPs),用于局部和持续递送。在肥胖小鼠中,ASP@FSK NPs有效促进腹股沟WAT褐变,减轻肥胖和肝脏脂肪变性,扩大FSK的治疗窗口,且无明显毒性。本研究通过整合祖细胞导向的生物学策略和精密纳米医学,为WAT褐变和肥胖治疗建立了一种有针对性和持久的方法。
{"title":"Adipose stem cell-targeted local delivery of forskolin induces de novo beige adipogenesis and adipose tissue browning to combat obesity","authors":"Qiyan Chen,&nbsp;Fei Zhou,&nbsp;Yongxin Chen,&nbsp;Zheling Feng,&nbsp;Jingli Min,&nbsp;Lei Zhang,&nbsp;Tian Zhang,&nbsp;Ying Zheng,&nbsp;Jinming Zhang,&nbsp;Ligen Lin","doi":"10.1016/j.actbio.2026.08.023","DOIUrl":"10.1016/j.actbio.2026.08.023","url":null,"abstract":"<div><div>White adipose tissue (WAT) browning is a promising strategy to combat obesity and metabolic disorders. However, current browning inducers often suffer from off-target effects and poor durability. Beige adipocytes, arising through <em>de novo</em> differentiation from adipose-derived stromal/stem cells (ASCs), offer a potential avenue for sustained thermogenesis. Here, we identified that forskolin (FSK) effectively induced the differentiation of C3H10T1/2 cells (a mesenchymal stem cell line) into beige adipocytes, evidenced by multilocular lipid droplets, enhanced mitochondrial biogenesis and function, and elevated uncoupling protein 1 expression. To overcome its poor bioavailability and lack of targeting specificity, we developed ASCs-targeting-peptide (ASP, sequence: GSWKYWFGEGGC) modified FSK nanoparticles (ASP@FSK NPs) by encapsulating FSK in the hybrid FDA-approved biodegradable polymers poly (lactic-co-glycolic acid) (PLGA) and polyethylene glycol (PEG)-ylated PLGA. ASP@FSK NPs selectively bind to glycanation site-deficient decorin (ΔDCN) receptors on ASCs, enabling prolonged retention and localized delivery within inguinal WAT (iWAT). In high-fat diet-induced obese mice, local administration of ASP@FSK NPs significantly reduced body weight (∼30%), promoted <em>de novo</em> browning of iWAT, and alleviated liver steatosis, while expanding the therapeutic window of FSK without apparent toxicity. Collectively, this study demonstrated that FSK could be developed as a potent inducer of <em>de novo</em> beige adipogenesis and targeted delivery of FSK to ASCs might provide a valuable strategy for the treatment of obesity.</div></div><div><h3>Statement of significance</h3><div>Obesity and metabolic syndromes remain global health challenges, and strategies that induce white adipose tissue (WAT) browning hold great therapeutic potential. However, existing browning agents are limited by systemic toxicity, off-target effects, and poor sustainability. This study addresses these critical gaps by demonstrating that forskolin (FSK) drives <em>de novo</em> beige adipocyte differentiation from mesenchymal stem cells. We further developed an adipose-derived stem cell-targeted nanoparticle system (ASP@FSK NPs) for localized and sustained delivery. In obese mice, ASP@FSK NPs efficiently promoted inguinal WAT browning, alleviated adiposity and hepatic steatosis, and expanded the therapeutic window of FSK without obvious toxicity. This work establishes a targeted and durable approach for WAT browning and obesity treatment by integrating a progenitor-directed biological strategy with precision nanomedicine.</div></div>","PeriodicalId":237,"journal":{"name":"Acta Biomaterialia","volume":"223 ","pages":"Pages 121-137"},"PeriodicalIF":10.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148763578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Containerless fabrication of homogeneous-structure biomaterials with osteogenic and anti-inflammatory properties 具有成骨和抗炎特性的均质结构生物材料的无容器制造。
IF 10.4 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2026-10-01 Epub Date: 2026-01-14 DOI: 10.1016/j.actbio.2026.01.027
Xinchun Liu, Zhibo Yang, Yanling Zhou, Bing Ma, Chengtie Wu
Current challenges in biomaterials center on a fundamental conflict between bioactivity and physiological homeostasis in material design. Inorganic biomaterials such as bioceramics and bioglasses exemplify this dilemma, as the release of functional ions is often accompanied by excessive alkalinization that limits practical use. We prepared a homogeneous lithium–calcium–silicate bioactive glass (LCS-CP) through containerless processing technique. LCS-CP maintained a mild alkaline microenvironment (pH < 8.0 in cell culture; < 9.2 in Tris–HCl over 50 days) and released substantially lower amounts of Li and Si than its crystalline counterpart (LCS-C) during 14-day cell culture, consistent with a more regulated bulk dissolution behavior. Although LCS-CP and melt-quenched glass (LCS-MQ) exhibited comparable averaged ion release and pH trends, LCS-CP showed more favorable interfacial outcomes, including more continuous and mature Ca–P deposition during time-resolved mineralization, which we attribute to its more homogeneous fully amorphous structure and uniformly distributed reactive sites. Functionally, LCS-CP promoted the proliferation and osteogenic differentiation of bone marrow mesenchymal stem cells (BMSCs) and mitigated neutrophil overactivation and pro-inflammatory factor secretion in vitro. In vivo, LCS-CP reduced early-stage inflammatory responses and supported tissue repair after implantation. Overall, this work demonstrates a containerless-processing route to develop bioactive materials with improved compatibility with homeostatic regulation.

Statement of significance

This work addresses a fundamental challenge in biomaterials: the conflict between bioactivity and physiological homeostasis. Lithium-calcium-silicate bioactive glass (LCS-CP) is developed using containerless processing, a technique that inhibits crystallization and creates a homogeneous, ion-rich structure. Unlike conventional materials, LCS-CP releases lithium, calcium, and silicon ions in a controlled manner to exert osteogenic and anti-inflammatory functions with a mild alkaline pH beneficial for tissue repair. It significantly enhances stem cell-based bone formation and suppresses neutrophil-driven inflammation. This study demonstrates that lithium-calcium-silicon homogeneous glass prepared by containerless processing can reconcile bioactivity with biosafety, offering a new strategy for designing adaptive biomaterials with broad significance in regenerative medicine.
当前生物材料的挑战集中在材料设计中生物活性和生理稳态之间的根本冲突。无机生物材料,如生物陶瓷和生物玻璃,就是这种困境的例子,因为功能离子的释放通常伴随着过度的碱化,从而限制了实际使用。采用无容器加工技术制备了一种均相的硅酸锂钙生物活性玻璃(LCS-CP)。LCS-CP维持了一个温和的碱性微环境(在细胞培养中pH < 8.0,在Tris-HCl中50天内pH < 9.2),并且在14天的细胞培养过程中,与LCS-C相比,LCS-CP释放的Li和Si数量明显减少,与更受调节的整体溶解行为一致。虽然LCS-CP和熔融淬火玻璃(LCS-MQ)表现出相似的平均离子释放和pH趋势,但LCS-CP表现出更有利的界面结果,包括在时间分辨矿化过程中更连续和成熟的Ca-P沉积,我们将其归因于其更均匀的全无定形结构和均匀分布的反应位点。在功能上,LCS-CP促进骨髓间充质干细胞(BMSCs)的增殖和成骨分化,减轻中性粒细胞过度活化和促炎因子的分泌。在体内,LCS-CP减少了植入后的早期炎症反应并支持组织修复。总的来说,这项工作展示了一种无容器加工路线,以开发生物活性材料,提高与稳态调节的兼容性。意义声明:这项工作解决了生物材料的一个基本挑战:生物活性和生理稳态之间的冲突。锂钙硅酸盐生物活性玻璃(LCS-CP)是采用无容器加工技术开发的,这种技术可以抑制结晶,并产生均匀的富离子结构。与传统材料不同,LCS-CP以可控的方式释放锂、钙和硅离子,发挥成骨和抗炎功能,其温和的碱性pH值有利于组织修复。它能显著增强干细胞骨形成,抑制中性粒细胞驱动的炎症。该研究表明,无容器制备的锂-钙-硅均质玻璃能够兼顾生物活性和生物安全性,为设计自适应生物材料提供了一种新的策略,在再生医学中具有广泛的意义。
{"title":"Containerless fabrication of homogeneous-structure biomaterials with osteogenic and anti-inflammatory properties","authors":"Xinchun Liu,&nbsp;Zhibo Yang,&nbsp;Yanling Zhou,&nbsp;Bing Ma,&nbsp;Chengtie Wu","doi":"10.1016/j.actbio.2026.01.027","DOIUrl":"10.1016/j.actbio.2026.01.027","url":null,"abstract":"<div><div>Current challenges in biomaterials center on a fundamental conflict between bioactivity and physiological homeostasis in material design. Inorganic biomaterials such as bioceramics and bioglasses exemplify this dilemma, as the release of functional ions is often accompanied by excessive alkalinization that limits practical use. We prepared a homogeneous lithium–calcium–silicate bioactive glass (LCS-CP) through containerless processing technique. LCS-CP maintained a mild alkaline microenvironment (pH &lt; 8.0 in cell culture; &lt; 9.2 in Tris–HCl over 50 days) and released substantially lower amounts of Li and Si than its crystalline counterpart (LCS-C) during 14-day cell culture, consistent with a more regulated bulk dissolution behavior. Although LCS-CP and melt-quenched glass (LCS-MQ) exhibited comparable averaged ion release and pH trends, LCS-CP showed more favorable interfacial outcomes, including more continuous and mature Ca–P deposition during time-resolved mineralization, which we attribute to its more homogeneous fully amorphous structure and uniformly distributed reactive sites. Functionally, LCS-CP promoted the proliferation and osteogenic differentiation of bone marrow mesenchymal stem cells (BMSCs) and mitigated neutrophil overactivation and pro-inflammatory factor secretion in vitro. In vivo, LCS-CP reduced early-stage inflammatory responses and supported tissue repair after implantation. Overall, this work demonstrates a containerless-processing route to develop bioactive materials with improved compatibility with homeostatic regulation.</div></div><div><h3>Statement of significance</h3><div>This work addresses a fundamental challenge in biomaterials: the conflict between bioactivity and physiological homeostasis. Lithium-calcium-silicate bioactive glass (LCS-CP) is developed using containerless processing, a technique that inhibits crystallization and creates a homogeneous, ion-rich structure. Unlike conventional materials, LCS-CP releases lithium, calcium, and silicon ions in a controlled manner to exert osteogenic and anti-inflammatory functions with a mild alkaline pH beneficial for tissue repair. It significantly enhances stem cell-based bone formation and suppresses neutrophil-driven inflammation. This study demonstrates that lithium-calcium-silicon homogeneous glass prepared by containerless processing can reconcile bioactivity with biosafety, offering a new strategy for designing adaptive biomaterials with broad significance in regenerative medicine.</div></div>","PeriodicalId":237,"journal":{"name":"Acta Biomaterialia","volume":"224 ","pages":"Pages 39-53"},"PeriodicalIF":10.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145992293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Antimicrobial hydrogels for oral infection management: From molecular design to clinical translation 用于口腔感染管理的抗菌水凝胶:从分子设计到临床翻译。
IF 10.4 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2026-10-01 Epub Date: 2026-04-18 DOI: 10.1016/j.actbio.2026.04.018
Yuqing Mu, Xu Lou, Long Bai, Yin Xiao
Oral infections, including periodontitis, peri-implantitis, and endodontic lesions, remain persistent global health burdens exacerbated by antimicrobial resistance (AMR), limited biofilm eradication, and poor drug retention in complex oral microenvironments. Antimicrobial hydrogels have emerged as a transformative class of biomaterials, offering localized, sustained, and multifunctional therapeutic platforms to address these challenges. This review comprehensively delineates the mechanistic principles underlying antimicrobial hydrogel design, ranging from antifouling and contact-killing strategies to quorum-sensing disruption, enzymatic biofilm degradation, and stimuli-responsive drug release. We detail recent innovations in hydrogel formulations incorporating antibiotics, antimicrobial peptides, metal nanoparticles, and immunomodulators, tailored for dental applications. Specifically, injectable and adhesive hydrogel systems have demonstrated significant efficacy in periodontal regeneration, implant surface disinfection, and root canal therapy by integrating antibacterial, anti-inflammatory, antioxidative, and regenerative functions. Furthermore, advanced hydrogel coatings and nanocomposite-infused networks enable responsive and synergistic actions against polymicrobial biofilms while supporting host tissue repair. Despite encouraging preclinical outcomes, translational hurdles-including long-term stability, standardized delivery, and clinical scalability-remain critical barriers. By integrating antimicrobial efficacy with microenvironmental modulation, next-generation hydrogels represent a promising frontier for precision dentistry and biofilm-associated infection control.

Statement of significance

The review addresses a critical global health challenge: oral infections such as periodontitis, peri-implantitis, and endodontic lesions, which are exacerbated by antimicrobial resistance, biofilm persistence, and complex oral microenvironments. We provide a comprehensive synthesis of the design principles and therapeutic strategies underpinning antimicrobial hydrogels, including antifouling surfaces, contact-killing mechanisms, quorum-sensing disruption, enzymatic biofilm degradation, and stimuli-responsive drug release. Furthermore, we highlight recent innovations in hydrogel systems incorporating antibiotics, antimicrobial peptides, metal nanoparticles, and immunomodulators, tailored for dental applications.
口腔感染,包括牙周炎、种植周炎和牙髓病变,仍然是持续的全球健康负担,由于抗菌素耐药性(AMR)、有限的生物膜根除和复杂口腔微环境中药物潴留不良而加剧。抗菌水凝胶已经成为一类变革性的生物材料,为解决这些挑战提供了局部、持续和多功能的治疗平台。这篇综述全面描述了抗菌水凝胶设计的机制原理,从防污和接触杀死策略到群体感应破坏、酶促生物膜降解和刺激反应性药物释放。我们详细介绍了最近在水凝胶配方的创新,包括抗生素、抗菌肽、金属纳米粒子和免疫调节剂,为牙科应用量身定制。具体来说,可注射和可粘附的水凝胶系统通过整合抗菌、抗炎、抗氧化和再生功能,在牙周再生、种植体表面消毒和根管治疗方面表现出显著的功效。此外,先进的水凝胶涂层和纳米复合材料注入网络在支持宿主组织修复的同时,能够响应和协同作用于多微生物生物膜。尽管临床前结果令人鼓舞,但转化障碍——包括长期稳定性、标准化交付和临床可扩展性——仍然是关键障碍。通过将抗菌功效与微环境调节相结合,下一代水凝胶代表了精密牙科和生物膜相关感染控制的一个有前途的前沿。意义声明:该综述解决了一个关键的全球健康挑战:口腔感染,如牙周炎、种植周炎和牙髓病变,这些感染因抗菌素耐药性、生物膜持久性和复杂的口腔微环境而加剧。我们提供了抗菌水凝胶的设计原则和治疗策略的综合,包括抗污表面、接触杀死机制、群体感应破坏、酶促生物膜降解和刺激反应性药物释放。此外,我们强调了最近在水凝胶系统的创新,包括抗生素、抗菌肽、金属纳米粒子和免疫调节剂,为牙科应用量身定制。
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引用次数: 0
Regenerative wound healing enabled by recombinant humanized collagen III releasing composite hydrogel 重组人源型胶原III释放复合水凝胶使再生伤口愈合。
IF 10.4 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2026-10-01 Epub Date: 2026-08-23 DOI: 10.1016/j.actbio.2026.08.036
Ziang Wang, Bin Zhang, Pengchao Zhang, Ruinan Yang, Yiwei Li, Jing Wang, Hai Lin, Juan Li, Xiangdong Zhu, Yumei Xiao, Qin Zeng, Xingdong Zhang
High-quality repair of full-thickness skin defects necessitates not only epithelial tissue healing but the facilitation of orderly microstructural reconstruction. This includes aligned collagen deposition, regeneration of skin appendages such as hair follicles, and suppression of scar formation. To address these requirements, this study developed an injectable multifunctional composite hydrogel based on caffeic acid and quaternary ammonium-modified chitosan (qCSc), incorporated with recombinant humanized type III collagen (rhCol III) and laponite (LAP). This organic/inorganic hybrid hydrogel forms a stable three-dimensional network through dual crosslinking: enzymatic covalent bonding and LAP-mediated physical interactions, supported by chemical, electrostatic, and hydrogen bonding, which enables sustained release of rhCol III. In vitro, the hydrogel showed good biocompatibility, anti-inflammatory and antioxidative effects, attenuated M1-like macrophage activation, and enhanced fibroblast migration and angiogenesis. In full-thickness skin defect models, the hydrogel significantly accelerated wound closure, promoted early vascularization, facilitated well-organized collagen remodeling, and supported hair follicle-associated regenerative features, while effectively attenuating scar-prone remodeling. Taken together, this organic/inorganic composite hydrogel dressing, which enables sustained release of rhCol III, represents a promising and innovative strategy for management of full-thickness skin injuries.

Statement of significance

Current wound dressings facilitate closure but offer limited support for high-quality repair. Here, we present a bioactive composite hydrogel with a distinct dual-crosslinked architecture comprising caffeic acid and quaternary ammonium-modified chitosan (qCSc) and Laponite (Lap), designed for the sustained delivery of recombinant humanized collagen III (rhCol III). This platform uniquely integrates multiple regeneration-relevant bioactivities, synergistically reducing inflammation and oxidative stress while promoting angiogenesis and cell migration in vitro. In full-thickness skin defect models, it not only accelerated wound closure but also achieved key regenerative outcomes with enhanced hair follicle-associated regeneration and reduced scar-prone remodeling. This work establishes a sustained-delivery strategy that couples matrix cues with microenvironment regulation for high-quality wound repair.
高质量的全层皮肤缺损修复不仅需要上皮组织愈合,还需要促进有序的微结构重建。这包括排列的胶原沉积,皮肤附属物如毛囊的再生,以及疤痕形成的抑制。为了满足这些需求,本研究开发了一种以咖啡酸和季铵改性壳聚糖(qCSc)为基础,掺入重组人源化III型胶原(rhCol III)和拉脱石(LAP)的可注射多功能复合水凝胶。这种有机/无机杂化水凝胶通过双交联:酶共价键和lap介导的物理相互作用,在化学、静电和氢键的支持下形成稳定的三维网络,从而实现rhCol III的持续释放。体外实验表明,该水凝胶具有良好的生物相容性、抗炎和抗氧化作用,可减弱m1样巨噬细胞的活化,增强成纤维细胞的迁移和血管生成。在全层皮肤缺损模型中,水凝胶显著加速伤口愈合,促进早期血管形成,促进组织良好的胶原蛋白重塑,支持毛囊相关的再生特征,同时有效地减弱容易形成疤痕的重塑。综上所述,这种有机/无机复合水凝胶敷料能够持续释放rhCol III,代表了一种有前途的创新策略,用于管理全层皮肤损伤。意义声明:目前的伤口敷料有助于闭合,但对高质量修复的支持有限。在这里,我们提出了一种生物活性复合水凝胶,具有独特的双交联结构,由咖啡酸、季铵改性壳聚糖(qCSc)和拉脱石(Lap)组成,设计用于持续递送重组人源胶原III (rhCol III)。该平台独特地整合了多种再生相关的生物活性,协同减少炎症和氧化应激,同时促进体外血管生成和细胞迁移。在全层皮肤缺损模型中,它不仅加速了伤口愈合,而且还实现了关键的再生结果,增强了毛囊相关的再生,减少了容易形成疤痕的重塑。这项工作建立了一种持续递送策略,将基质线索与微环境调节相结合,以实现高质量的伤口修复。
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Acta Biomaterialia
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