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Dual-Phase Degradation and Hydroxyapatite Formation in Bioactive Glass Ceramic-Coated Aluminum Titanate Scaffolds for Bone Applications 生物活性玻璃陶瓷涂层钛酸铝骨支架的双相降解和羟基磷灰石形成
IF 5.4 2区 医学 Q2 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2025-05-28 DOI: 10.1021/acsbiomaterials.5c0004810.1021/acsbiomaterials.5c00048
Shanmugapriya B, Shailajha S* and Sakthi @ Muthulakshmi S, 

Aluminum titanium oxide scaffolds present a highly promising option because of their bioactivity, degradability, and antibacterial characteristics for bone tissue engineering. This makes them a viable alternative to metallic implants, which are susceptible to infection and have limited endurance. The present work aims to examine the impact of sol–gel bioactive glass ceramic coatings on Al2TiO5 pellets throughout immersion periods of 12 and 24 h (BG12, BG24). A dual-phase degradation process occurs in these coated scaffolds: first, ion release from the coating stimulates the creation of hydroxyapatite, followed by a progressive breakdown of the Al2TiO5 substrate, which further facilitates bone regeneration. An analysis of the structural and mechanical characteristics of coated and uncoated pellets was conducted by utilizing FESEM-EDS, XRD, TG-DTA, FTIR, BET, AFM, and micro-UTM techniques. Findings indicated that the scaffolds consist of a crystalline component of calcium magnesium silicate and calcium sodium aluminum silicate, together with a porous surface. Among the scaffolds, BG24 had the greatest compressive strength of 101 MPa. Bioactivity investigations demonstrated the production of hydroxyapatite in SBF, with a calcium-to-phosphorus ratio of 1.68 attained by BG24 after 14 days. Moreover, BG24 showed 90% cell survival at 100 μg mL–1, so verifying its cytocompatibility based on biocompatibility and antibacterial tests. Antibacterial research also showed that it effectively stopped the growth of S. aureus and E. coli bacteria, which supports the idea that it might be able to lower the risk of infections in biomedical settings. Because of its improved bioactivity through a dual-phase degradation mechanism, BG24 is a promising option for bone tissue regeneration.

由于其生物活性、可降解性和抗菌特性,铝钛氧化物支架在骨组织工程中具有很高的应用前景。这使得它们成为金属植入物的可行替代品,金属植入物易受感染且耐用性有限。本研究旨在研究溶胶-凝胶生物活性玻璃陶瓷涂层在浸泡12和24小时(BG12, BG24)时对Al2TiO5微球的影响。在这些涂层支架中发生了两阶段的降解过程:首先,涂层中的离子释放刺激羟基磷灰石的产生,然后是Al2TiO5底物的逐步分解,这进一步促进了骨再生。采用FESEM-EDS、XRD、TG-DTA、FTIR、BET、AFM和micro-UTM等技术对包覆和未包覆球团的结构和力学特性进行了分析。研究结果表明,支架由硅酸钙镁和硅酸钙钠铝的结晶成分组成,并具有多孔表面。其中BG24抗压强度最大,为101 MPa。生物活性研究表明,BG24在SBF中产生羟基磷灰石,14天后钙磷比达到1.68。在100 μg mL-1浓度下,BG24的细胞存活率为90%,因此通过生物相容性和抗菌实验验证了其细胞相容性。抗菌研究还表明,它有效地阻止了金黄色葡萄球菌和大肠杆菌的生长,这支持了它可能能够降低生物医学环境中感染风险的想法。由于BG24通过双相降解机制提高了生物活性,因此它是骨组织再生的一个有希望的选择。
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引用次数: 0
Recent Progress in the Strategies and Applications of Electrospinning Electroactive Tissue Engineering Scaffolds 静电纺丝电活性组织工程支架的策略及应用研究进展
IF 5.4 2区 医学 Q2 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2025-05-28 DOI: 10.1021/acsbiomaterials.5c0014210.1021/acsbiomaterials.5c00142
Yixun Li, Xinyu Li, Zhiwei Liu, Yuehua Wang* and Tifeng Jiao*, 

Conductive biomaterials not only have appropriate conductivity but also usually have good antibacterial properties and photothermal effects, so they are widely used in tissue engineering scaffolds. Conductive biomaterials can conduct endogenous or exogenous electrical signals, thus affecting the growth, migration, infiltration, and differentiation of cells. An electrospun nanofiber is an ideal kind of conductive substance carrier that can mimic the extracellular matrix (ECM) to further promote cell growth and migration. In this Review, we summarize the application of electrospinning electroactive tissue engineering scaffolds, discuss the advantages and disadvantages of various electrospinning methods, organize the characteristics of commonly used conductive biomaterials such as polyaniline (PANI), polypyrrole (PPy), poly(3,4-ethylene dioxythiophene) (PEDOT), carbon-based nanomaterials, and MXenes and their application in the tissue engineering field, and finally propose the application prospects and future of tissue engineering with conductive biomaterials.

导电性生物材料不仅具有合适的导电性,而且通常具有良好的抗菌性能和光热效应,因此在组织工程支架中得到了广泛的应用。导电生物材料可以传导内源性或外源性电信号,从而影响细胞的生长、迁移、浸润和分化。电纺丝纳米纤维是一种理想的导电物质载体,可以模拟细胞外基质,进一步促进细胞的生长和迁移。本文综述了电纺丝电活性组织工程支架的应用,讨论了各种电纺丝方法的优缺点,组织了聚苯胺(PANI)、聚吡咯(PPy)、聚(3,4-乙烯二氧噻吩)(PEDOT)、碳基纳米材料、MXenes等常用导电生物材料的特点及其在组织工程领域的应用。最后提出了导电生物材料在组织工程中的应用前景和未来。
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引用次数: 0
Exploring the Antimicrobial Potential of LL-37 Derivatives: Recent Developments and Challenges 探索LL-37衍生物的抗菌潜力:最近的发展和挑战
IF 5.4 2区 医学 Q2 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2025-05-27 DOI: 10.1021/acsbiomaterials.4c0202910.1021/acsbiomaterials.4c02029
Yihao Yuan, Jiapeng Li, Guotao Wei, Ziyi Shen, Bo Li*, Jiawei Wu* and Jing Liu, 

The human antimicrobial peptide LL-37 exhibits broad antimicrobial efficacy. However, it has several limitations including high production costs, reduced efficacy under physiological conditions, susceptibility to proteolytic degradation and significant toxicity to human cells. Recent research has improved the clinical potential of peptide LL-37 through multiple systematic modifications. Therefore, we review the various modification techniques for LL-37 and explore the structure–activity relationships that underpin its antimicrobial properties. We also highlight the benefits of LL-37 derivatives and investigate their mechanisms of action against bacterial infections, particularly their effects on biofilms and cell membranes. Furthermore, we review the antimicrobial applications of LL-37 derivatives, examine nanocarrier systems for their delivery, and highlight the potential synergy between these derivatives and traditional antibiotics. Finally, it assesses the status of LL-37 derivatives in clinical applications, identifies ongoing challenges, and provides insights into future modifications and potential applications. This review aims to offer valuable strategies for enhancing LL-37 derivatives and facilitating their transition from laboratory research to clinical practice.

人抗菌肽LL-37具有广泛的抗菌功效。然而,它有一些局限性,包括生产成本高,在生理条件下的功效降低,对蛋白质水解降解的敏感性以及对人体细胞的显着毒性。最近的研究通过多种系统修饰提高了肽LL-37的临床潜力。因此,我们回顾了LL-37的各种修饰技术,并探讨了其抗菌性能的结构-活性关系。我们还强调了LL-37衍生物的益处,并研究了它们对抗细菌感染的作用机制,特别是它们对生物膜和细胞膜的影响。此外,我们回顾了LL-37衍生物的抗菌应用,研究了它们的纳米载体系统,并强调了这些衍生物与传统抗生素之间的潜在协同作用。最后,本文评估了LL-37衍生物在临床应用中的地位,确定了持续存在的挑战,并提供了对未来修饰和潜在应用的见解。本综述旨在为增强LL-37衍生物和促进其从实验室研究到临床实践的过渡提供有价值的策略。
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引用次数: 0
Retraction of “Nanogrooved Elastomeric Diaphragm Arrays for Assessment of Cardiomyocytes under Synergistic Effects of Circular Mechanical Stimuli and Electrical Conductivity to Enhance Intercellular Communication” “纳米槽弹性隔膜阵列在环形机械刺激和电导率协同作用下评估心肌细胞以增强细胞间通讯”的撤回
IF 5.4 2区 医学 Q2 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2025-05-27 DOI: 10.1021/acsbiomaterials.5c0090610.1021/acsbiomaterials.5c00906
Abdullah-Bin Siddique, Keith A. Williams and Nathan S. Swami*, 
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引用次数: 0
Fabrication of a ZnO/Polydopamine/ε-Polylysine Coating with Good Corrosion Resistance and a Joint Antibacterial Pathway on the Surface of Medical Stainless Steel 医用不锈钢表面耐蚀性良好的ZnO/聚多巴胺/ε-聚赖氨酸涂层及联合抗菌通道的制备
IF 5.4 2区 医学 Q2 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2025-05-26 DOI: 10.1021/acsbiomaterials.5c0008710.1021/acsbiomaterials.5c00087
Jinglin Zhang*, Shuoyan Jiang, Huidi Liu, Zengxi Wang, Xiang Cai and Shaozao Tan*, 

Medical stainless steel (SS) is a widely used alloy in orthopedic and dental implant applications. However, SS can cause local corrosion in the body, which may affect cell proliferation and differentiation, and is prone to related bacterial infection. Therefore, surface modification is required to improve the corrosion resistance and antibacterial performance of SS to extend its service life. To achieve this goal, a new type of composite coating was established on the surface of SS. First, zinc oxide (ZnO) nanoparticles were deposited on the surface of SS by electrochemical deposition. Then, polydopamine (PDA) was formed through the self-polymerization of dopamine. Finally, the Michael addition reaction between ε-polylysine (ε-PL) and PDA was used to chemically graft a cationic antimicrobial peptide (AMP), namely, ε-PL, constructing a corrosion-resistant and antibacterial ZnO/PDA/ε-PL coating on the surface of the SS (SZP/ε-PL). The results indicated that the obtained composite coating could significantly improve the corrosion resistance of SS because of the introduction of ZnO. After being irradiated with near-infrared (NIR) light (wavelength: 1064 nm, power: 1 W/cm2) for 8 min, the temperature of SZP/ε-PL increased from 22.4 to 57.8 °C. Moreover, there was no significant temperature decay after four cycles, which indicated the good photothermal performance and stability of SZP/ε-PL owing to the function of PDA. Combining photothermal sterilization and AMP contact sterilization, the antibacterial rates of SZP/ε-PL against Escherichia coli and Staphylococcus aureus both reached nearly 100%. In addition, SZP/ε-PL has excellent blood compatibility. With the above advantages, SZP/ε-PL was expected to become a safe and efficient implant material.

医用不锈钢(SS)是一种广泛应用于骨科和牙科种植应用的合金。但SS可引起机体局部腐蚀,影响细胞增殖和分化,易发生相关细菌感染。因此,需要对SS进行表面改性,以提高其耐腐蚀性和抗菌性能,延长其使用寿命。为了实现这一目标,在SS表面建立了一种新型的复合涂层。首先,通过电化学沉积在SS表面沉积氧化锌纳米颗粒。然后,通过多巴胺的自聚合形成聚多巴胺(PDA)。最后,利用ε-聚赖氨酸(ε-PL)与PDA之间的Michael加成反应,化学接枝阳离子抗菌肽(AMP) ε-PL,在SS (SZP/ε-PL)表面构建耐腐蚀、抗菌的ZnO/PDA/ε-PL涂层。结果表明,由于ZnO的引入,所制备的复合涂层可以显著提高SS的耐蚀性。近红外(NIR)光(波长:1064 nm,功率:1 W/cm2)照射8 min后,SZP/ε-PL的温度由22.4℃升高到57.8℃。经过4次循环后,没有明显的温度衰减,表明SZP/ε-PL具有良好的光热性能和稳定性,这是由于PDA的作用。结合光热灭菌和AMP接触灭菌,SZP/ε-PL对大肠杆菌和金黄色葡萄球菌的抑菌率均接近100%。此外,SZP/ε-PL具有优良的血液相容性。SZP/ε-PL具有以上优点,有望成为一种安全高效的植入材料。
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引用次数: 0
Exploring the Unique Extracellular Matrix Composition of Acomys as a Potential Key to Resisting Fibrosis 探索Acomys独特的细胞外基质组成作为抗纤维化的潜在关键
IF 5.4 2区 医学 Q2 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2025-05-23 DOI: 10.1021/acsbiomaterials.5c0081010.1021/acsbiomaterials.5c00810
Michele N. Dill, Zoe Turner, Paulina W. Kapuscinska, Katie Heiden, Kari B. Basso, Chelsey S. Simmons and Erika Moore*, 

Fibrosis is a dysregulated wound healing response characterized by excessive accumulation of dense scar tissue that inhibits organ function and is estimated to contribute to up to 45% of deaths in the industrialized world. In this work, we sought to uncover new ways to address fibrosis by drawing inspiration from an animal that does not develop fibrosis. The Spiny Mouse (Acomys) has the most extensive regenerative capabilities of any known mammal and can regenerate injuries to the skin, kidney, heart, skeletal muscle, and spine with little to no fibrosis. We hypothesize that the regenerative abilities of Acomys are due, in part, to altered stiffness-mediated fibroblast-to-myofibroblast transition (FMT). In this work, we interrogated stiffness-mediated FMT in Acomys and Mus dermal fibroblasts in vitro by performing RNA Sequencing and found no differential gene expression in Acomys fibroblasts cultured on soft vs stiff substrates. We further investigated the direct impact of stiffness-mediated FMT and species differences on ECM deposition by fabricating cell-derived matrices (CDMs) from Acomys and Mus fibroblasts cultured on varying stiffnesses. After assessing the composition of these CDMs using label-free quantitative proteomics, fibrosis-associated extracellular matrix proteins including fibrillin-1, ADAMTS1, SPARC, and galectin-1 were found to be significantly reduced or absent in Acomys CDMs compared to Mus CDMs. In addition, proteins that have been connected to fibrosis resolution, including Col12a1 and clusterin, were upregulated in Acomys CDMs. When cultured on Acomys CDMs, mouse macrophages downregulated MMP9 mRNA expression and maintained increased expression of iNOS in response to IL-4, a pro-fibrotic cytokine. These results indicate a direct impact of species-specific ECM compositions on macrophage phenotype and suggest that ECM produced by Acomys fibroblasts may impede the development of a pro-fibrotic macrophage phenotype in the presence of pro-fibrotic stimuli.

纤维化是一种失调的伤口愈合反应,其特征是致密疤痕组织的过度积累,从而抑制器官功能。据估计,在工业化国家,高达45%的死亡是由纤维化造成的。在这项工作中,我们试图通过从一种不发生纤维化的动物身上汲取灵感,发现治疗纤维化的新方法。在所有已知的哺乳动物中,刺鼠(Acomys)具有最广泛的再生能力,可以再生皮肤、肾脏、心脏、骨骼肌和脊柱的损伤,几乎没有纤维化。我们假设Acomys的再生能力部分是由于刚度介导的成纤维细胞到肌成纤维细胞转化(FMT)的改变。在这项工作中,我们通过对体外培养的Acomys和Mus真皮成纤维细胞进行RNA测序,研究了硬度介导的FMT,发现在软底物和硬底物培养的Acomys成纤维细胞中没有差异基因表达。我们进一步研究了刚度介导的FMT和物种差异对ECM沉积的直接影响,方法是用不同刚度培养的Acomys和Mus成纤维细胞制备细胞源性基质(CDMs)。在使用无标记定量蛋白质组学评估这些CDMs的组成后,发现与Mus CDMs相比,Acomys CDMs中纤维化相关的细胞外基质蛋白(包括纤原蛋白1、ADAMTS1、SPARC和半乳糖凝集素1)显著减少或缺失。此外,与纤维化消退相关的蛋白质,包括Col12a1和clusterin,在Acomys CDMs中上调。在Acomys CDMs上培养时,小鼠巨噬细胞对促纤维化细胞因子IL-4的反应下调MMP9 mRNA的表达,维持iNOS的表达增加。这些结果表明,物种特异性ECM成分对巨噬细胞表型有直接影响,并表明Acomys成纤维细胞产生的ECM可能在促纤维化刺激存在时阻碍促纤维化巨噬细胞表型的发展。
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引用次数: 0
Development of a Sensory Neuron-Integrated Skin Spheroid Model for the Evaluation of Neuropeptide-Based Topical Delivery Systems 用于评估神经肽局部递送系统的感觉神经元集成皮肤球体模型的开发
IF 5.4 2区 医学 Q2 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2025-05-23 DOI: 10.1021/acsbiomaterials.5c0014110.1021/acsbiomaterials.5c00141
Bianca Aparecida Martin, Juliana Viegas, Luciana Facco Dalmolin, Emerson de Souza Santos, Izabela Pereira Vatanabe, Sabrina Francesca Lisboa, Renata Fonseca Vianna Lopez and Bruno Sarmento*, 

The skin is a complex organ composed of multiple layers and diverse cell types, including keratinocytes, fibroblasts, adipocytes, and sensory neurons, which maintain its structural and functional integrity together. Conventional in vitro and ex vivo models help investigate drug permeation and selected biological effects. However, they are limited in replicating neural interactions critical for assessing the efficacy of neuropeptide-based therapies. To address this limitation, a sensory neuron-integrated skin spheroid (SS) model was established, incorporating key skin cell types and providing a rapid, adaptable, and physiologically relevant platform for screening the biological activity of topical delivery systems targeting neuronal pathways. The model’s responsiveness was demonstrated using acetyl hexapeptide-3 (HEX-3), a neuropeptide that inhibits acetylcholine release. HEX-3 was internalized by spheroid cells, with preferential accumulation around sensory neurons, confirming targeted cellular uptake. In parallel, ex vivo human skin studies confirmed that HEX-3 can traverse the stratum corneum and accumulate in deeper layers. Treatment with this film enhanced skin hydration, reduced scaling, and improved the structural organization of the stratum corneum after 48 h. Functional assays using the SS model showed that HEX-3 treatment suppressed acetylcholine release, upregulated the antioxidant enzyme SOD2, and stimulated type I collagen synthesis. In aged skin samples, the application of HEX-3 significantly increased collagen levels. This effect was mirrored in the spheroid model, which reached collagen levels comparable to those of aged human skin upon treatment. These findings establish the SS model as a robust platform for evaluating the biological activity of neuropeptide-based topical therapies, offering valuable insights for developing advanced strategies for skin rejuvenation and repair.

皮肤是由多层和多种细胞类型组成的复杂器官,包括角质形成细胞、成纤维细胞、脂肪细胞和感觉神经元,它们共同维持其结构和功能的完整性。传统的体外和离体模型有助于研究药物渗透和选定的生物效应。然而,它们在复制神经相互作用方面受到限制,而神经相互作用对于评估神经肽治疗的疗效至关重要。为了解决这一限制,我们建立了一个感觉神经元集成皮肤球体(SS)模型,纳入了关键的皮肤细胞类型,并提供了一个快速、适应性强、生理相关的平台,用于筛选靶向神经通路的局部递送系统的生物活性。使用乙酰六肽-3 (hexx -3)证明了模型的反应性,这是一种抑制乙酰胆碱释放的神经肽。HEX-3被球状细胞内化,在感觉神经元周围优先积累,证实了细胞的靶向摄取。与此同时,离体人体皮肤研究证实,HEX-3可以穿过角质层并在更深的层中积累。经该膜处理后,48 h后皮肤水合作用增强,结垢减少,角质层结构组织改善。SS模型功能分析显示,HEX-3处理抑制乙酰胆碱释放,上调抗氧化酶SOD2,刺激I型胶原合成。在老化皮肤样本中,HEX-3的应用显著提高了胶原蛋白水平。这种效果在球体模型中得到了反映,在治疗后达到了与衰老人类皮肤相当的胶原蛋白水平。这些发现建立了SS模型作为评估神经肽局部治疗生物活性的强大平台,为开发先进的皮肤年轻化和修复策略提供了有价值的见解。
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引用次数: 0
Five-In-One Hydrogel Integrating Bacteriostasis, Self-Healing Capability, Growth Factor Release, Electrical Stimulation, and Photothermal Stimulation Tailored for Complex Wound Repair 集抑菌、自愈能力、生长因子释放、电刺激、光热刺激于一体的五合一水凝胶,为复杂伤口修复量身定制
IF 5.4 2区 医学 Q2 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2025-05-22 DOI: 10.1021/acsbiomaterials.5c0024410.1021/acsbiomaterials.5c00244
Simin Lai, Chenxi Shi, Liting Yuan, Kefeng Li, Xiaojing Wang, Xi Yu, Pengbi Liu, Huan Wang, Lihuan Wang* and Hui Yu*, 

Complex wound management remains a significant global challenge, and the development of multifunctional wound dressings that can effectively promote wound healing remains an urgent clinical need. Herein, a kind of multifunctional hydrogel wound dressing that combines bacteriostasis, self-healing capability, growth factor release, electrical stimulation, and photothermal stimulation is developed. This kind of wound dressing is generated by adding protocatechualdehyde (protocatechuic aldehyde (PA)), short core–shell fibers loading with platelet-rich-plasma (platelet-rich plasma fibers), and polydopamine-coated carbon nanotubes (PDA@CNTs) into quaternary ammonium chitosan (QCS) solution to form a shear-reversibly cross-linked QCS/PA/PDA@CNTs-PRP hydrogel. The obtained hydrogels possess impressive properties, including high swelling capacity (445–852%), strong adhesion ability (16.4–36.7 kPa), self-healing ability, injectability, conductivity (0.24–0.46 S/m), and photothermal properties. Notably, under near-infrared irradiation, the hydrogel exhibits a highly efficient bactericidal activity. In vitro experiments demonstrated that the hydrogel exhibits excellent biocompatibility and anti-inflammatory capability as well as its ability to stimulate cell proliferation, migration, and tubule formation. Moreover, the in vivo studies further confirmed that with the additional assistance of near-infrared light and electrical stimulation, the hydrogel further promotes wound epithelization, angiogenesis, and collagen deposition. Consequently, this hydrogel provides a promising therapeutic strategy for complex wound healing.

复杂的伤口管理仍然是一个重大的全球性挑战,开发能够有效促进伤口愈合的多功能伤口敷料仍然是迫切的临床需求。本课题研制了一种集抑菌、自愈、生长因子释放、电刺激、光热刺激于一体的多功能水凝胶创面敷料。这种伤口敷料是在季铵壳聚糖(QCS)溶液中加入原儿茶醛(protocatechuic aldehyde, PA)、装载富血小板血浆(platet -rich plasma fibers)的短核壳纤维和聚多巴胺包被的碳纳米管(PDA@CNTs),形成剪切可逆交联的QCS/PA/PDA@CNTs-PRP水凝胶。所制得的水凝胶具有较高的溶胀能力(445 ~ 852%)、较强的粘附能力(16.4 ~ 36.7 kPa)、自愈能力、可注射性、电导率(0.24 ~ 0.46 S/m)和光热性能。值得注意的是,在近红外照射下,水凝胶表现出高效的杀菌活性。体外实验表明,该水凝胶具有良好的生物相容性和抗炎能力,并具有促进细胞增殖、迁移和小管形成的能力。此外,体内研究进一步证实,在近红外光和电刺激的辅助下,水凝胶进一步促进创面上皮、血管生成和胶原沉积。因此,这种水凝胶为复杂伤口愈合提供了一种有前途的治疗策略。
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引用次数: 0
Electric Stimulation Combined with Biomaterials for Repairing Spinal Cord Injury 电刺激联合生物材料修复脊髓损伤
IF 5.4 2区 医学 Q2 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2025-05-22 DOI: 10.1021/acsbiomaterials.5c0061510.1021/acsbiomaterials.5c00615
Lulu Du, Liya Zhang, Shengzhe Bao, Fangsu Yan, Wenwei Jiang, Hui Wang* and Chuanming Dong*, 

Spinal cord injury (SCI) is a central nervous system (CNS) disease with a high disability rate, and reconstructing motor function after SCI remains a global challenge. Recent advancements in rehabilitation and regenerative medicine offer new approaches to SCI repair. Electrical stimulation has been shown to alter cell membrane charge distribution, generating action potentials, and affecting cell behavior. This method aids axon regeneration and neurotrophic factor upregulation, crucial for nerve repair. Biomaterials, used as scaffolds or coatings in cell culture and tissue engineering, enhance cell proliferation, migration, differentiation, and tissue regeneration. Electroactive biomaterials combined with electrical stimulation show promise in regenerating nerve, heart, and bone tissues. In this paper, different types of electrical stimulation and biomaterials applied to SCI are described, and the current application and research progress of electrical stimulation combined with biomaterials in the treatment of SCI are described, as well as the future prospects and challenges.

脊髓损伤(SCI)是一种致残率高的中枢神经系统疾病,脊髓损伤后的运动功能重建一直是一个全球性的挑战。康复和再生医学的最新进展为脊髓损伤修复提供了新的途径。电刺激可以改变细胞膜电荷分布,产生动作电位,影响细胞行为。这种方法有助于轴突再生和神经营养因子上调,这对神经修复至关重要。生物材料在细胞培养和组织工程中用作支架或涂层,可增强细胞增殖、迁移、分化和组织再生。结合电刺激的电活性生物材料在再生神经、心脏和骨组织方面显示出希望。本文介绍了不同类型的电刺激和生物材料在脊髓损伤中的应用,并介绍了电刺激联合生物材料在脊髓损伤治疗中的应用现状和研究进展,以及未来的前景和挑战。
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引用次数: 0
Bioinspired Silk and Human Amniotic Membrane-Based MSC-sEV-Functionalized Wound Dressing Enhances Skin Regeneration: A Cell-Free Therapeutic Modality for Wound Care 仿生丝和人羊膜为基础的msc - sev功能化伤口敷料增强皮肤再生:一种无细胞的伤口护理治疗方式
IF 5.4 2区 医学 Q2 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2025-05-22 DOI: 10.1021/acsbiomaterials.5c0035310.1021/acsbiomaterials.5c00353
Shruti Mahapatra, Yashvi Sharma, Seema Kashyap and Sujata Mohanty*, 

Full-thickness wounds pose significant healing challenges due to their impaired regenerative capacity, persistent inflammation, and oxidative stress. Enhancing the bioactivity of silk fibroin (SF) and the mechanical strength of the human amniotic membrane (hAM) can improve wound healing outcomes. Mesenchymal stem cell (MSC)-derived small extracellular vesicles (sEVs) offer promising anti-inflammatory and antioxidant benefits, but their poor retention and painful application limits their clinical utility. To overcome these challenges, we developed a composite scaffold of SF and hAM (Sh), loaded with sEVs (ShE), designed to accelerate wound healing by modulating inflammation, oxidative stress, and tissue regeneration. ShE exhibited excellent physical stability, optimal swelling, degradation kinetics, hemocompatibility, and sustained sEV release. In vitro, it enhanced keratinocyte and fibroblast proliferation and migration, reduced oxidative stress, and provided immunomodulatory and pro-angiogenic effects. ShE significantly lowered ROS levels, suppressed PHA-activated PBMNC proliferation, facilitated macrophage polarization from the pro-inflammatory M1 phenotype to the anti-inflammatory M2 phenotype, and promoted angiogenesis. In vivo, ShE accelerated wound closure within 21 days, outperforming DuoDERM, a commercial dressing. Histopathological analysis demonstrated improved epidermal maturation, dermal regeneration, and reduced scarring in ShE-treated wounds, confirming the superior tissue regeneration capacity. Additionally, its fabrication from medical waste and indigenous raw materials ensures cost-effectiveness and sustainability in healthcare applications. By synergistically regulating cell physiology for skin regeneration, ShE emerges as a promising, clinically viable, and affordable wound dressing for enhanced wound care management.

由于其再生能力受损、持续炎症和氧化应激,全层伤口的愈合面临重大挑战。提高丝素蛋白(SF)的生物活性和人羊膜(hAM)的机械强度可以改善创面愈合效果。间充质干细胞(MSC)衍生的小细胞外囊泡(sev)具有良好的抗炎和抗氧化作用,但其保留性差和应用疼痛限制了其临床应用。为了克服这些挑战,我们开发了一种SF和hAM (Sh)的复合支架,装载sev (ShE),旨在通过调节炎症、氧化应激和组织再生来加速伤口愈合。ShE表现出优异的物理稳定性、最佳的溶胀、降解动力学、血液相容性和持续的sEV释放。在体外,它可以增强角质形成细胞和成纤维细胞的增殖和迁移,减少氧化应激,并具有免疫调节和促血管生成的作用。ShE显著降低ROS水平,抑制pha激活的PBMNC增殖,促进巨噬细胞由促炎M1表型向抗炎M2表型极化,促进血管生成。在体内,ShE在21天内加速了伤口愈合,优于DuoDERM(一种商业敷料)。组织病理学分析表明,在she治疗的伤口中,表皮成熟、真皮再生和瘢痕减少得到改善,证实了优越的组织再生能力。此外,它由医疗废物和本地原材料制成,确保了医疗保健应用的成本效益和可持续性。通过协同调节皮肤再生的细胞生理,ShE成为一种有前途的、临床可行的、负担得起的伤口敷料,用于加强伤口护理管理。
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