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Exosomes derived from mucoperiosteum Krt14+Ctsk+ cells promote bone regeneration by coupling enhanced osteogenesis and angiogenesis. 来自粘骨膜 Krt14+Ctsk+ 细胞的外泌体通过增强骨生成和血管生成促进骨再生。
IF 5.8 3区 医学 Q1 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2024-10-11 DOI: 10.1039/d4bm00673a
Rong Zhou, Rui Huang, Yue Xu, Dandan Zhang, Li Gu, Yun Su, Xirui Chen, Wodong Shi, Jing Sun, Ping Gu, Ni Ni, Xiaoping Bi

Repair of large bone defects is a sophisticated physiological process involving the meticulous orchestration of cell activation, proliferation, and differentiation. Cellular interactions between different cell types are paramount for successful bone regeneration, making it a challenging yet fascinating area of research and clinical practice. With increasing evidence underscoring the essential role of exosomes in facilitating intercellular and cell-microenvironment communication, they have emerged as an encouraging therapeutic strategy to promote bone repair due to their non-immunogenicity, diverse sources, and potent bioactivity. In this study, we characterized a distinctive population of Krt14+Ctsk+ cells from the orbital mucoperiosteum. In vitro experiments confirmed that exosomes from Krt14+Ctsk+ cells dramatically boosted the capacities of human umbilical vein endothelial cells (HUVECs) to proliferate, migrate, and induce angiogenesis. Additionally, the exosomes notably elevated the expression of osteogenic markers, thereby indicating their potential to augment osteogenic capabilities. Furthermore, in vivo experiments utilizing a rat calvarial defect model verified that exosome-loaded sodium alginate (SA) hydrogels accelerated local vascularized bone regeneration within the defective regions. Collectively, these findings suggest that exosomes secreted by Krt14+Ctsk+ cells offer an innovative method to accelerate bone repair via coupling enhanced osteogenesis and angiogenesis, highlighting the therapeutic potential in bone repair.

大面积骨缺损的修复是一个复杂的生理过程,涉及细胞活化、增殖和分化的精心安排。不同细胞类型之间的细胞相互作用对成功的骨再生至关重要,使其成为一个充满挑战但又引人入胜的研究和临床实践领域。越来越多的证据强调了外泌体在促进细胞间和细胞与微环境交流中的重要作用,外泌体因其非免疫原性、来源多样性和强大的生物活性,已成为促进骨修复的一种令人鼓舞的治疗策略。在这项研究中,我们对来自眼眶粘骨膜的 Krt14+Ctsk+ 细胞群进行了鉴定。体外实验证实,来自 Krt14+Ctsk+ 细胞的外泌体能显著提高人脐静脉内皮细胞(HUVECs)的增殖、迁移和诱导血管生成的能力。此外,外泌体还显著提高了成骨标志物的表达,从而表明它们具有增强成骨能力的潜力。此外,利用大鼠腓骨缺损模型进行的体内实验证实,外泌体负载的海藻酸钠(SA)水凝胶可加速缺损区域内的局部血管化骨再生。总之,这些研究结果表明,Krt14+Ctsk+细胞分泌的外泌体提供了一种创新方法,可通过增强骨生成和血管生成的耦合作用加速骨修复,凸显了骨修复的治疗潜力。
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引用次数: 0
Functional nanochaperones for PEGylated insulin delivery in long-term glycemic control. 在长期血糖控制中输送聚乙二醇化胰岛素的功能性纳米伴侣。
IF 5.8 3区 医学 Q1 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2024-10-09 DOI: 10.1039/d4bm01163e
Xiaohui Wu, Yanli Zhang, Shuoshuo Song, Sainan Liu, Feihe Ma, Rujiang Ma, Linqi Shi

PEGylation is a promising strategy for modulating the physicochemical properties and improving the therapeutic efficacy of protein drugs. However, the application of multi-PEGylation frequently results in diminished protein activity. A single low molecular weight PEG (5 kDa) modified at the amino terminus of the B chain preserves the biological activity of insulin and moderately improves its pharmacokinetics. Nonetheless, this modification offers limited protein stabilization. Furthermore, overdoses still carry the risk of hypoglycemia, posing challenges for the clinical application of PEGylated insulin. Here, we constructed multifunctional nanochaperones featuring phenylboronic acid (PBA) modified hydrophobic microdomains and nitrilotriacetic acid (NTA)-based coordination domains (PN-nChaps) for PEGylated insulin delivery. This delivery strategy effectively overcomes the limitations associated with PEGylation by enhancing the stability and reducing the immunogenicity of PEGylated insulin, while enabling glucose-responsive controlled release. PEGylated insulin with nanochaperone carrier demonstrates a prolonged half-life (t1/2 = 18.66 h), facilitates on-demand release, and minimizes the risk of hypoglycemia. This approach provides a safe and effective strategy for long-term glycemic management in diabetic patients.

PEG 化是调节蛋白质药物理化性质和提高疗效的一种有前途的策略。然而,多重 PEG 化的应用往往会导致蛋白质活性降低。在 B 链氨基末端修饰单个低分子量 PEG(5 kDa)可保持胰岛素的生物活性,并适度改善其药代动力学。然而,这种修饰对蛋白质的稳定作用有限。此外,过量使用仍有低血糖的风险,这给聚乙二醇化胰岛素的临床应用带来了挑战。在此,我们构建了具有苯硼酸(PBA)修饰疏水微域和基于氮基三乙酸(NTA)配位域(PN-nChaps)的多功能纳米伴侣,用于 PEG 化胰岛素的递送。这种给药策略有效克服了 PEG 化的局限性,提高了 PEG 化胰岛素的稳定性,降低了其免疫原性,同时实现了葡萄糖响应式控释。带有纳米伴侣载体的 PEG 化胰岛素具有较长的半衰期(t1/2 = 18.66 h),有利于按需释放,并将低血糖风险降至最低。这种方法为糖尿病患者的长期血糖管理提供了一种安全有效的策略。
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引用次数: 0
Advances in stimuli-responsive injectable hydrogels for biomedical applications. 用于生物医学应用的刺激响应型可注射水凝胶的研究进展。
IF 5.8 3区 医学 Q1 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2024-10-07 DOI: 10.1039/d4bm00956h
Xuebin Ma, Kanaparedu P C Sekhar, Peiyu Zhang, Jiwei Cui

Injectable hydrogels, as a class of highly hydrated soft materials, are of interest for biomedicine due to their precise implantation and minimally invasive local drug delivery at the implantation site. The combination of in situ gelation ability and versatile therapeutic agent/cell loading capabilities makes injectable hydrogels ideal materials for drug delivery, tissue engineering, wound dressing and tumor treatment. In particular, the stimuli-responsive injectable hydrogels that can respond to different stimuli in and out of the body (e.g., temperature, pH, redox conditions, light, magnetic fields, etc.) have significant advantages in biomedicine. Here, we summarize the design strategies, advantages, and recent developments of stimuli-responsive injectable hydrogels in different biomedical fields. Challenges and future perspectives of stimuli-responsive injectable hydrogels are also discussed and the future steps necessary to fulfill the potential of these promising materials are highlighted.

可注射水凝胶是一类高度水合的软性材料,由于其精确的植入性和植入部位的微创局部给药特性,在生物医学领域备受关注。注射水凝胶具有原位凝胶化能力和多种治疗剂/细胞负载能力,是药物输送、组织工程、伤口包扎和肿瘤治疗的理想材料。尤其是能对体内和体外的不同刺激(如温度、pH 值、氧化还原条件、光、磁场等)做出反应的刺激响应型可注射水凝胶在生物医学中具有显著优势。在此,我们总结了刺激响应型注射水凝胶在不同生物医学领域的设计策略、优势和最新发展。我们还讨论了刺激响应型注射水凝胶所面临的挑战和未来前景,并强调了发挥这些前景广阔的材料潜力所需的未来步骤。
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引用次数: 0
Penetration enhancers strengthen tough hydrogel bioadhesion and modulate locoregional drug delivery. 渗透促进剂可增强强韧水凝胶的生物粘附性,并调节局部给药。
IF 5.8 3区 医学 Q1 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2024-10-07 DOI: 10.1039/d4bm00807c
Wenna Shi, Hui Xue, Tianwei Du, Jun-Li Liu, Victor Ling, Yuzhuo Wang, Zhenwei Ma, Zu-Hua Gao

The human body possesses natural barriers, such as skin and mucosa, which limit the effective delivery of therapeutics and integration of medical devices to target tissues. Various strategies have been deployed to breach these barriers mechanically, chemically, or electronically. The development of various penetration enhancers (PEs) offers a promising solution due to their ability to increase tissue permeability using readily available reagents. However, existing PE-mediated delivery methods often rely on weak gel or liquid drug formulations, which are not ideal for sustained local delivery. Hydrogel adhesives that can seamlessly interface biological tissues with controlled drug delivery could potentially resolve these issues. Here, we demonstrate that tough adhesion between drug-laden hydrogels and biological tissue (e.g. skin and tumours) can lead to effective local delivery of drugs deep into targeted tissues by leveraging the enhanced tissue penetration mediated by PEs. The drug release profile of the hydrogel adhesives can be fine-tuned by further engineering the nanocomposite hydrogel matrix to elute chemotherapeutics from 2 weeks to 2 months. Using a 3D tumour spheroid model, we demonstrated that PEs increased the cancer-killing effectiveness of doxorubicin by facilitating its delivery into tumour microtissues. Therefore, the proposed tough bioadhesion and drug delivery strategy modulated by PEs holds promise as a platform technique to develop next-generation wearable and implantable devices for cancer management and regenerative medicine.

人体具有皮肤和粘膜等天然屏障,这些屏障限制了向目标组织有效输送治疗药物和整合医疗设备。人们采取了各种策略,通过机械、化学或电子手段来突破这些障碍。各种渗透促进剂(PE)的开发提供了一种很有前景的解决方案,因为它们能够利用现成的试剂增加组织的渗透性。然而,现有的以 PE 为媒介的给药方法通常依赖于弱凝胶或液体药物制剂,这对于持续的局部给药并不理想。水凝胶粘合剂能将生物组织与可控给药无缝衔接,有可能解决这些问题。在这里,我们证明了含药水凝胶与生物组织(如皮肤和肿瘤)之间的强力粘附可以利用聚乙烯介导的增强组织穿透力,将药物有效地局部输送到目标组织的深部。通过进一步设计纳米复合水凝胶基质,可对水凝胶粘合剂的药物释放曲线进行微调,使化疗药物的洗脱时间从 2 周延长至 2 个月。我们利用三维肿瘤球体模型证明,PE 可促进多柔比星向肿瘤微组织的递送,从而提高多柔比星的杀癌效果。因此,由聚乙烯调制的韧性生物粘附和药物输送策略有望成为开发下一代可穿戴和植入式癌症治疗和再生医学设备的平台技术。
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引用次数: 0
In situ modified mesoporous silica nanoparticles: synthesis, properties and theranostic applications. 原位修饰介孔二氧化硅纳米颗粒:合成、特性和治疗应用。
IF 5.8 3区 医学 Q1 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2024-10-07 DOI: 10.1039/d4bm00094c
Chloe Trayford, Sabine van Rijt

Over the last 20 years, mesoporous silica nanoparticles (MSNs) have drawn considerable attention in the biomedical field due to their large surface area, porous network, biocompatibility, and abundant modification possibilities. In situ MSN modification refers to the incorporation of materials such as alkoxysilanes, ions and nanoparticles (NPs) in the silica matrix during synthesis. Matrix modification is a popular approach for endowing MSNs with additional functionalities such as imaging properties, bioactivity, and degradability, while leaving the mesopores free for drug loading. As such, in situ modified MSNs are considered promising theranostic agents. This review provides an extensive overview of different materials and modification strategies that have been used and their effect on MSN properties. We also highlight how in situ modified MSNs have been applied in theranostic applications, oncology and regenerative medicine. We conclude with perspectives on the future outlooks and current challenges for the widespread clinical use of in situ modified MSNs.

在过去的 20 年中,介孔二氧化硅纳米颗粒(MSN)因其大表面积、多孔网络、生物相容性和丰富的改性可能性而在生物医学领域备受关注。MSN 原位改性是指在合成过程中将烷氧基硅烷、离子和纳米粒子(NPs)等材料加入二氧化硅基质中。基质改性是一种流行的方法,可赋予 MSN 更多的功能,如成像特性、生物活性和可降解性,同时保留中孔用于装载药物。因此,原位修饰的 MSN 被认为是前景广阔的治疗药物。本综述广泛概述了已使用的不同材料和改性策略及其对 MSN 性能的影响。我们还重点介绍了原位修饰 MSN 在治疗应用、肿瘤学和再生医学中的应用。最后,我们展望了原位修饰 MSN 在临床广泛应用方面的未来前景和当前挑战。
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引用次数: 0
LAPONITE® nano-silicates potentiate the angiogenic effects of FG-4592 and osteogenic effects of BMP-2. LAPONITE® 纳米硅酸盐可增强 FG-4592 的血管生成效应和 BMP-2 的成骨效应。
IF 5.8 3区 医学 Q1 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2024-10-03 DOI: 10.1039/d4bm00636d
Bipin Gaihre, Emily Camilleri, Maryam Tilton, Maria D Astudillo Potes, Xifeng Liu, Fabrice Lucien, Lichun Lu

LAPONITE®-based drug delivery systems offer many advantages due to the unique ionic and physical properties of LAPONITE®. The high ionicity and large surface area of LAPONITE® nanoparticles enable the intercalation and dissolution of biomolecules. In this study, we explored the potential of LAPONITE® as a carrier for FG-4592 to support angiogenesis and as a carrier for bone morphogenic protein-2 (BMP-2) to support osteogenesis. Interestingly, we found that LAPONITE® promoted the FG-4592 induced upregulation of vascular endothelial growth factor (VEGF) gene expression of human umbilical cord endothelial cells (HUVECs). Additionally, we observed that LAPONITE® could provide a sustained release of BMP-2 and significantly potentiate the osteogenic effects of BMP-2 on adipose derived mesenchymal stem cells (AMSCs). Overall, current findings on the LAPONITE®-drug/protein model system provide a unique way to potentiate the angiogenic activities of FG-4592 on HUVECs and osteogenic effects of BMP-2 on AMSCs for tissue engineering application. Future studies will be directed towards gaining a deeper understanding of these effects on a co-culture system of HUVECs and AMSCs.

由于 LAPONITE® 具有独特的离子和物理特性,因此基于 LAPONITE® 的给药系统具有许多优势。LAPONITE® 纳米粒子的高离子性和大表面积使其能够插层和溶解生物分子。在本研究中,我们探索了 LAPONITE® 作为 FG-4592 载体支持血管生成和作为骨形态发生蛋白-2 (BMP-2) 载体支持成骨的潜力。有趣的是,我们发现 LAPONITE® 促进了 FG-4592 诱导的人脐带内皮细胞(HUVECs)血管内皮生长因子(VEGF)基因表达的上调。此外,我们还观察到 LAPONITE® 可持续释放 BMP-2,并显著增强 BMP-2 对脂肪间充质干细胞 (AMSC) 的成骨效应。总之,目前关于 LAPONITE® 药物/蛋白质模型系统的研究结果为增强 FG-4592 对 HUVECs 的血管生成活性和 BMP-2 对 AMSCs 的成骨效应提供了一种独特的方法,可用于组织工程应用。未来的研究将致力于深入了解这些作用对 HUVECs 和 AMSCs 共培养系统的影响。
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引用次数: 0
Porosity dominates over microgel stiffness for promoting chondrogenesis in zwitterionic granular hydrogels. 在促进齐聚物颗粒水凝胶中的软骨生成方面,孔隙率比微凝胶硬度更重要。
IF 5.8 3区 医学 Q1 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2024-09-30 DOI: 10.1039/d4bm00233d
Maryam Asadikorayem, Lucia G Brunel, Patrick Weber, Sarah C Heilshorn, Marcy Zenobi-Wong

Granular hydrogels comprised of jammed, crosslinked microgels offer great potential as biomaterial scaffolds for cell-based therapies, including for cartilage tissue regeneration. As stiffness and porosity of hydrogels affect the phenotype of encapsulated cells and the extent of tissue regeneration, the design of tunable granular hydrogels to control and optimize these parameters is highly desirable. We hypothesized that chondrogenesis could be modulated using a granular hydrogel platform based on biocompatible, zwitterionic materials with independent intra- and inter-microgel crosslinking mechanisms. Microgels are made with mechanical fragmentation of photocrosslinked zwitterionic carboxybetaine acrylamide (CBAA) and sulfobetaine methacrylate (SBMA) hydrogels, and secondarily crosslinked in the presence of cells using horseradish peroxide (HRP) to produce cell-laden granular hydrogels. We varied the intra-microgel crosslinking density to produce microgels with varied stiffnesses (1-3 kPa) and swelling properties. These microgels, when resuspended at the same weight fraction and secondarily crosslinked, resulted in granular hydrogels with distinct porosities (5-40%) due to differing swelling properties. The greatest extent of chondrogenesis was achieved in scaffolds with the highest microgel stiffness and highest porosity. However, when scaffold porosity was kept constant and just microgel stiffness varied, cell phenotype and chondrogenesis were similar across scaffolds. These results indicate the dominant role of granular scaffold porosity on chondrogenesis, whereas microgel stiffness appears to play a relatively minor role. These observations are in contrast to cells encapsulated within conventional bulk hydrogels, where stiffness has been shown to significantly affect chondrocyte response. In summary, we introduce chemically-defined, zwitterionic biomaterials to fabricate versatile granular hydrogels allowing for tunable scaffold porosity and microgel stiffness to study and influence chondrogenesis.

由交联微凝胶组成的颗粒状水凝胶作为基于细胞的疗法(包括软骨组织再生)的生物材料支架具有巨大的潜力。由于水凝胶的硬度和孔隙率会影响包裹细胞的表型和组织再生的程度,因此设计可调颗粒水凝胶来控制和优化这些参数是非常有必要的。我们假设,可以使用一种基于生物相容性、具有独立的微凝胶内和微凝胶间交联机制的齐聚物材料的颗粒水凝胶平台来调节软骨生成。微凝胶是通过机械破碎光交联的齐聚物羧基甜菜碱丙烯酰胺(CBAA)和甲基丙烯酸磺基甜菜碱(SBMA)水凝胶制成的,并在细胞存在的情况下使用过氧化辣根(HRP)进行二次交联,以产生含有细胞的颗粒状水凝胶。我们改变了微凝胶内部的交联密度,生产出了具有不同硬度(1-3 kPa)和膨胀特性的微凝胶。当这些微凝胶以相同的重量分数重新悬浮并进行二次交联时,由于不同的膨胀特性,会产生具有不同孔隙率(5-40%)的颗粒状水凝胶。具有最高微凝胶硬度和最高孔隙率的支架可实现最大程度的软骨生成。然而,当支架孔隙率保持不变而仅微凝胶硬度发生变化时,不同支架的细胞表型和软骨生成情况相似。这些结果表明,颗粒状支架孔隙率对软骨形成起主导作用,而微凝胶硬度的作用相对较小。这些观察结果与包裹在传统块状水凝胶中的细胞形成了鲜明对比,在传统块状水凝胶中,硬度会显著影响软骨细胞的反应。总之,我们引入了化学定义的齐聚物生物材料来制造多功能颗粒水凝胶,使支架孔隙率和微凝胶硬度可调,从而研究和影响软骨形成。
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引用次数: 0
Retraction: Cytocompatible, soft and thick brush-modified scaffolds with prolonged antibacterial effect to mitigate wound infections. 撤回:具有细胞相容性、柔软厚实的刷改性支架,可延长抗菌效果,减轻伤口感染。
IF 5.8 3区 医学 Q1 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2024-09-30 DOI: 10.1039/d4bm90059f
Shaifali Dhingra, Vidit Gaur, Varsha Saini, Kajal Rana, Jayanta Bhattacharyya, Thomas Loho, Sudip Ray, Avinash Bajaj, Sampa Saha

Retraction of 'Cytocompatible, soft and thick brush-modified scaffolds with prolonged antibacterial effect to mitigate wound infections' by Shaifali Dhingra et al., Biomater. Sci., 2022, 10, 3856-3877, https://doi.org/10.1039/D2BM00245K.

撤回 Shaifali Dhingra 等人撰写的 "细胞相容、柔软且厚实的刷改性支架具有延长抗菌效果,可减轻伤口感染 "一文,《生物材料科学》,2022 年,10 期,3856-3877,。Sci.,2022,10,3856-3877,https://doi.org/10.1039/D2BM00245K。
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引用次数: 0
Influence of viscosity on adipogenic and osteogenic differentiation of mesenchymal stem cells during 2D culture. 二维培养过程中粘度对间充质干细胞成脂和成骨分化的影响
IF 5.8 3区 医学 Q1 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2024-09-27 DOI: 10.1039/d4bm00710g
Chengyu Lu, Tianjiao Zeng, Man Wang, Toru Yoshitomi, Naoki Kawazoe, Yingnan Yang, Guoping Chen

Accumulatively, cellular behaviours triggered by biochemical cues have been widely explored and the focus of research is gradually shifting to biophysical cues. Compared to physical parameters such as stiffness, substrate morphology and viscoelasticity, the influence of viscosity on cellular behaviours is relatively unexplored and overlooked. Thus, in this study, the influence of viscosity on the adipogenic and osteogenic differentiation of human mesenchymal stem cells (hMSCs) was investigated by adjusting the viscosity of the culture medium. Viscosity exhibited different effects on adipogenic and osteogenic differentiation of hMSCs during two-dimensional (2D) culture. High viscosity facilitated osteogenic while inhibiting adipogenic differentiation. During adipogenic differentiation, the effect of viscosity on cell proliferation was negligible. However, during osteogenic differentiation, high viscosity decreased cell proliferation. The different influence of viscosity could be explained by the activation of mechanotransduction regulators of Yes-associated protein (YAP) and β-catenin. High viscosity could promote YAP and β-catenin nuclear translocation during osteogenic differentiation, which was responsible for the increased osteogenesis. High viscosity inhibited adipogenesis through promoting YAP nuclear translocation. This study could broaden the understanding of how viscosity can affect stem cell differentiation during 2D culture, which is valuable for tissue engineering.

随着人们对生化线索引发的细胞行为进行了广泛探索,研究重点正逐渐转向生物物理线索。与刚度、基质形态和粘弹性等物理参数相比,粘度对细胞行为的影响相对尚未被探索和忽视。因此,本研究通过调节培养基的粘度,研究了粘度对人间充质干细胞(hMSCs)成脂和成骨分化的影响。在二维(2D)培养过程中,粘度对人间充质干细胞的成脂和成骨分化表现出不同的影响。高粘度有利于成骨,而抑制成脂分化。在成脂分化过程中,粘度对细胞增殖的影响可以忽略不计。然而,在成骨分化过程中,高粘度会减少细胞增殖。粘度的不同影响可通过激活Yes相关蛋白(YAP)和β-catenin的机械传导调节因子来解释。高粘度可促进成骨分化过程中YAP和β-catenin的核转位,这也是成骨增加的原因。高粘度通过促进YAP核转位抑制了脂肪的生成。这项研究拓宽了人们对二维培养过程中粘度如何影响干细胞分化的认识,对组织工程学很有价值。
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引用次数: 0
Smart self-defensive coatings with bacteria-triggered antimicrobial response for medical devices. 用于医疗器械的具有细菌触发抗菌反应的智能自卫涂层。
IF 5.8 3区 医学 Q1 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2024-09-25 DOI: 10.1039/d4bm00936c
Maria Antonia Cassa, Piergiorgio Gentile, Joel Girón-Hernández, Gianluca Ciardelli, Irene Carmagnola

Bacterial colonization and biofilm formation on medical devices represent one of the most urgent and critical challenges in modern healthcare. These issues not only pose serious threats to patient health by increasing the risk of infections but also exert a considerable economic burden on national healthcare systems due to prolonged hospital stays and additional treatments. To address this challenge, there is a need for smart, customized biomaterials for medical device fabrication, particularly through the development of surface modification strategies that prevent bacterial adhesion and the growth of mature biofilms. This review explores three bioinspired approaches through which antibacterial and antiadhesive coatings can be engineered to exhibit smart, stimuli-responsive features. This responsiveness is greatly valuable as it provides the coatings with a controlled, on-demand antibacterial response that is activated only in the presence of bacteria, functioning as self-defensive coatings. Such coatings can be designed to release antibacterial agents or change their surface properties/conformation in response to specific stimuli, like changes in pH, temperature, or the presence of bacterial enzymes. This targeted approach minimizes the risk of developing antibiotic resistance and reduces the need for continuous, high-dose antibacterial treatments, thereby preserving the natural microbiome and further reducing healthcare costs. The final part of the review reports a critical analysis highlighting the potential improvements and future evolutions regarding antimicrobial self-defensive coatings and their validation.

医疗器械上的细菌定植和生物膜形成是现代医疗保健领域最紧迫、最严峻的挑战之一。这些问题不仅会增加感染风险,严重威胁患者健康,而且会延长住院时间和增加治疗次数,给国家医疗保健系统带来巨大的经济负担。为了应对这一挑战,需要为医疗设备制造提供智能化、定制化的生物材料,特别是通过开发表面改性策略来防止细菌粘附和成熟生物膜的生长。本综述探讨了三种生物启发方法,通过这些方法可以设计出具有智能、刺激响应特性的抗菌和防粘涂层。这种响应性非常有价值,因为它为涂层提供了可控的、按需的抗菌响应,只有在有细菌存在时才会被激活,起到自卫涂层的作用。这种涂层可根据特定的刺激因素(如 pH 值、温度或细菌酶的存在)释放抗菌剂或改变其表面特性/构型。这种有针对性的方法最大程度地降低了产生抗生素耐药性的风险,减少了对持续、高剂量抗菌治疗的需求,从而保护了天然微生物群,进一步降低了医疗成本。综述的最后一部分报告了一项重要分析,强调了抗菌自卫涂层及其验证方面的潜在改进和未来发展。
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引用次数: 0
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