Design and translation of injectable biomaterials

Michael Nguyen, Maria Karkanitsa, Karen L. Christman
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Abstract

Injectable biomaterials, including bulk materials and particulate materials, can be delivered in a minimally invasive way and may provide alternative treatment options for conditions that currently require surgical procedures. However, the design and translation of injectable biomaterials can be complex, as the injectability of a biomaterial is determined by its properties and injection conditions, which can change in the translation from the bench to the clinic. In this Review, we highlight parameters that affect the injectability of biomaterials, outlining design considerations for both injectable bulk and particle materials, and examining safety and testing considerations. We then discuss different delivery routes and applications of injectable biomaterials, including subcutaneous, nervous tissue, intraocular, intracardiac, intramuscular and intravascular injection, in addition to orthopaedic applications, highlighting clinically approved approaches and promising preclinical outcomes. Moreover, we survey applications of injectable biomaterials related to women’s health, and provide an outlook on the translational challenges and opportunities of injectable biomaterials. Biomaterials can be designed to be injectable in a minimally invasive manner for the treatment of various conditions. This Review outlines design considerations for injectable biomaterials for different delivery routes, highlighting preclinical and clinical applications of injectable biomaterials.

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可注射生物材料的设计和转化
可注射生物材料(包括块状材料和颗粒材料)可以微创方式输送,可为目前需要外科手术的病症提供替代治疗方案。然而,可注射生物材料的设计和转化可能非常复杂,因为生物材料的可注射性取决于其特性和注射条件,而这些特性和条件在从实验台到临床的转化过程中可能会发生变化。在本综述中,我们将重点介绍影响生物材料可注射性的参数,概述可注射块状和颗粒材料的设计注意事项,并研究安全性和测试注意事项。然后,我们讨论了可注射生物材料的不同给药途径和应用,包括皮下注射、神经组织注射、眼内注射、心内注射、肌内注射和血管内注射,以及骨科应用,重点介绍了已获临床批准的方法和前景看好的临床前成果。此外,我们还调查了与妇女健康有关的注射生物材料应用,并展望了注射生物材料在转化方面的挑战和机遇。
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