Pub Date : 2025-01-01DOI: 10.1177/22808000251314302
Jithendra Ratnayake, Niranjan Ramesh, Maree L Gould, Michael R Mucalo, George J Dias
Hydroxyapatite, renowned for its biocompatibility and osteoconductive properties, plays a fundamental role in bone regeneration owing to its resemblance to natural bone mineral, thus offering considerable potential for advancing tissue engineering strategies. In this article, the innovative integration of silicon ions into biogenic (bovine-derived) hydroxyapatite (SiBHA) via a tailored sol-gel process is reported. The resultant SiBHA scaffolds exhibited an interconnected microporous structure with a total porosity of 70% and pore dimensions ranging from 120 to 650 µm. Fourier-transform infrared spectroscopy and X-ray diffraction studies validated the effective incorporation of silicon ions into the BHA lattice, with energy-dispersive X-ray and inductively-coupled plasma mass spectrometry further confirming a Ca/P molar ratio for SiBHA between 1.63 and 1.74. Moreover, SiBHA scaffolds demonstrated commendable chemical and thermal stability. Of note, SiBHA scaffolds were found to display significantly enhanced mechanical properties, including compressive strength and Young's modulus, compared to the control BHA scaffolds. In vitro assessments highlighted the capacity of SiBHA scaffolds to foster cell viability, proliferation, and osteogenic differentiation of Saos-2 cells. Immunohistochemical analysis revealed a significant increase in osteonectin expression, a key bone matrix protein, after 14 days of incubation under osteogenic conditions. These findings highlight the biocompatibility and therapeutic potential of SiBHA scaffolds, suggesting their suitability as biomaterials for dental bone regeneration applications.
{"title":"Silicate-substituted bovine-derived hydroxyapatite as a bone substitute in regenerative dentistry.","authors":"Jithendra Ratnayake, Niranjan Ramesh, Maree L Gould, Michael R Mucalo, George J Dias","doi":"10.1177/22808000251314302","DOIUrl":"10.1177/22808000251314302","url":null,"abstract":"<p><p>Hydroxyapatite, renowned for its biocompatibility and osteoconductive properties, plays a fundamental role in bone regeneration owing to its resemblance to natural bone mineral, thus offering considerable potential for advancing tissue engineering strategies. In this article, the innovative integration of silicon ions into biogenic (bovine-derived) hydroxyapatite (SiBHA) via a tailored sol-gel process is reported. The resultant SiBHA scaffolds exhibited an interconnected microporous structure with a total porosity of 70% and pore dimensions ranging from 120 to 650 µm. Fourier-transform infrared spectroscopy and X-ray diffraction studies validated the effective incorporation of silicon ions into the BHA lattice, with energy-dispersive X-ray and inductively-coupled plasma mass spectrometry further confirming a Ca/P molar ratio for SiBHA between 1.63 and 1.74. Moreover, SiBHA scaffolds demonstrated commendable chemical and thermal stability. Of note, SiBHA scaffolds were found to display significantly enhanced mechanical properties, including compressive strength and Young's modulus, compared to the control BHA scaffolds. In vitro assessments highlighted the capacity of SiBHA scaffolds to foster cell viability, proliferation, and osteogenic differentiation of Saos-2 cells. Immunohistochemical analysis revealed a significant increase in osteonectin expression, a key bone matrix protein, after 14 days of incubation under osteogenic conditions. These findings highlight the biocompatibility and therapeutic potential of SiBHA scaffolds, suggesting their suitability as biomaterials for dental bone regeneration applications.</p>","PeriodicalId":14985,"journal":{"name":"Journal of Applied Biomaterials & Functional Materials","volume":"23 ","pages":"22808000251314302"},"PeriodicalIF":3.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143023025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01Epub Date: 2025-06-26DOI: 10.1177/22808000251349931
Ana Carolina Cheron Gentile, Giovanna Bueno Marinho, Bruna Cordeiro Amarante, Ana Clara Moronte Dias de Souza, Vanessa Silva da Costa, Fabiano Vieira Vilhena, Marcelo Bönecker
Teeth with molar-incisor hypomineralization (MIH) present demarcated opacities, which are structural alterations in the enamel, making them more porous and often resulting in dentin hypersensitivity (DH). New technologies have been developed for the management of MIH-affected teeth, including bioactive silicon materials, which could form new silicon-enriched hydroxyapatite crystals, reinforcing the structure, and acting as an obliterating agent. The aim of this study was to evaluate the formation of a mineral layer and changes in the demarcated opacities' color employing an intraoral Trios 4 scanner after using a new silicon-based bioactive clinical system plus calcium in 11 children with MIH. DH was assessed with the VAS and SCASS scales at baseline, 15, and 30 days. Intraoral scanning revealed the formation of a mineral layer after 30 days, and significant DH reduction was observed (mean reductions: VAS 65% at 15 days and 83% at 30 days; SCASS 76% at 15 days and 94% at 30 days). Moreover, Cox regression analysis identified baseline pain severity as an independent predictor of a faster reduction in DH (adjusted HR = 0.06, p < 0.05). Color analysis suggested a lightening of the demarcated opacities. These results indicate that the new silicon-based bioactive clinical system plus calcium may effectively reduce DH and modify both enamel structure and opacity coloration in MIH-affected teeth. Longitudinal studies with larger samples are needed to assess the long-term effects.
磨牙-切牙矿化程度低(MIH)的牙齿会出现有界限的混浊,这是牙釉质的结构改变,使它们变得更多孔,经常导致牙本质过敏(DH)。治疗mih影响牙齿的新技术已经被开发出来,包括生物活性硅材料,它可以形成新的富含硅的羟基磷灰石晶体,加强结构,并作为一种消除剂。本研究的目的是评估11例MIH患儿在使用新型硅基生物活性临床系统加钙后,采用口内Trios 4扫描仪评估矿物层的形成和划定的混浊物颜色的变化。在基线、15天和30天分别用VAS和SCASS量表评估DH。30天后,口腔内扫描显示矿物层的形成,观察到显著的DH下降(平均下降:VAS在15天下降65%,在30天下降83%;15天的SCASS为76%,30天的为94%)。此外,Cox回归分析发现,基线疼痛严重程度是更快降低DH的独立预测因子(调整后的HR = 0.06, p
{"title":"REFIX layer in children with MIH: Thickness, color, and hypersensitivity, a preliminary longitudinal study using an intraoral scanner.","authors":"Ana Carolina Cheron Gentile, Giovanna Bueno Marinho, Bruna Cordeiro Amarante, Ana Clara Moronte Dias de Souza, Vanessa Silva da Costa, Fabiano Vieira Vilhena, Marcelo Bönecker","doi":"10.1177/22808000251349931","DOIUrl":"https://doi.org/10.1177/22808000251349931","url":null,"abstract":"<p><p>Teeth with molar-incisor hypomineralization (MIH) present demarcated opacities, which are structural alterations in the enamel, making them more porous and often resulting in dentin hypersensitivity (DH). New technologies have been developed for the management of MIH-affected teeth, including bioactive silicon materials, which could form new silicon-enriched hydroxyapatite crystals, reinforcing the structure, and acting as an obliterating agent. The aim of this study was to evaluate the formation of a mineral layer and changes in the demarcated opacities' color employing an intraoral Trios 4 scanner after using a new silicon-based bioactive clinical system plus calcium in 11 children with MIH. DH was assessed with the VAS and SCASS scales at baseline, 15, and 30 days. Intraoral scanning revealed the formation of a mineral layer after 30 days, and significant DH reduction was observed (mean reductions: VAS 65% at 15 days and 83% at 30 days; SCASS 76% at 15 days and 94% at 30 days). Moreover, Cox regression analysis identified baseline pain severity as an independent predictor of a faster reduction in DH (adjusted HR = 0.06, <i>p</i> < 0.05). Color analysis suggested a lightening of the demarcated opacities. These results indicate that the new silicon-based bioactive clinical system plus calcium may effectively reduce DH and modify both enamel structure and opacity coloration in MIH-affected teeth. Longitudinal studies with larger samples are needed to assess the long-term effects.</p>","PeriodicalId":14985,"journal":{"name":"Journal of Applied Biomaterials & Functional Materials","volume":"23 ","pages":"22808000251349931"},"PeriodicalIF":3.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144496773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01Epub Date: 2025-09-25DOI: 10.1177/22808000251376427
Mohammed Zahedul Islam Nizami, Stephanie Chu, Samantha Chu, Chun Hung Chu
Dental caries, a widespread global health problem, results from oral microbiome dysbiosis dominated by acidogenic pathogens like Streptococcus mutans. Conventional preventive methods, such as fluoride and antimicrobial rinses, often lack specificity and can disrupt beneficial microbes. Probiotics are live, health-promoting bacteria or yeasts commonly found in foods such as yogurt or in dietary supplements. They help restore microbial balance and have emerged as a promising strategy for caries management. This review explores the mechanisms, efficacy, and clinical applications of probiotics in caries prevention. Specific strains such as Lactobacillus reuteri, Lactobacillus rhamnosus, and Streptococcus salivarius inhibit cariogenic bacteria through competitive exclusion, acidity modulation via arginine metabolism, and production of antimicrobial compounds like reuterin and bacteriocins. Clinical trials show that probiotic lozenges, gums, and dairy products reduce Streptococcus mutans counts and caries incidence in both children and adults. Challenges remain in optimizing strain selection, delivery methods, and ensuring long-term efficacy. Innovations include engineered probiotics with enhanced antimicrobial activity and synbiotics that combine probiotics with prebiotic fibers to improve colonization. While probiotics provide a safe, non-invasive adjunct to traditional approaches, further large-scale, well-designed longitudinal studies are essential to standardize protocols and understand their ecological effects on the oral microbiome. In summary, integrating probiotics into personalized oral care has the potential to revolutionize caries prevention by addressing microbial dysbiosis directly, shifting the focus from pathogen elimination to promoting a balanced microbiome. This highlights the significance of probiotics in supporting oral and dental health and potentially reducing the prevalence of caries worldwide.
{"title":"Probiotics for caries prevention: A narrative review.","authors":"Mohammed Zahedul Islam Nizami, Stephanie Chu, Samantha Chu, Chun Hung Chu","doi":"10.1177/22808000251376427","DOIUrl":"https://doi.org/10.1177/22808000251376427","url":null,"abstract":"<p><p>Dental caries, a widespread global health problem, results from oral microbiome dysbiosis dominated by acidogenic pathogens like <i>Streptococcus mutans</i>. Conventional preventive methods, such as fluoride and antimicrobial rinses, often lack specificity and can disrupt beneficial microbes. Probiotics are live, health-promoting bacteria or yeasts commonly found in foods such as yogurt or in dietary supplements. They help restore microbial balance and have emerged as a promising strategy for caries management. This review explores the mechanisms, efficacy, and clinical applications of probiotics in caries prevention. Specific strains such as <i>Lactobacillus reuteri</i>, <i>Lactobacillus rhamnosus</i>, and <i>Streptococcus salivarius</i> inhibit cariogenic bacteria through competitive exclusion, acidity modulation via arginine metabolism, and production of antimicrobial compounds like reuterin and bacteriocins. Clinical trials show that probiotic lozenges, gums, and dairy products reduce <i>Streptococcus mutans</i> counts and caries incidence in both children and adults. Challenges remain in optimizing strain selection, delivery methods, and ensuring long-term efficacy. Innovations include engineered probiotics with enhanced antimicrobial activity and synbiotics that combine probiotics with prebiotic fibers to improve colonization. While probiotics provide a safe, non-invasive adjunct to traditional approaches, further large-scale, well-designed longitudinal studies are essential to standardize protocols and understand their ecological effects on the oral microbiome. In summary, integrating probiotics into personalized oral care has the potential to revolutionize caries prevention by addressing microbial dysbiosis directly, shifting the focus from pathogen elimination to promoting a balanced microbiome. This highlights the significance of probiotics in supporting oral and dental health and potentially reducing the prevalence of caries worldwide.</p>","PeriodicalId":14985,"journal":{"name":"Journal of Applied Biomaterials & Functional Materials","volume":"23 ","pages":"22808000251376427"},"PeriodicalIF":3.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145137543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01Epub Date: 2025-04-28DOI: 10.1177/22808000251328937
Tuba Ayub, Gulzar Muhammad, Muhammad Umair Sharif, Muhammad Rauf Raza, Hina Hanif, Muhammad Amin, Muhammad Ajaz Hussain
Hemicelluloses are promising candidates for synthesizing nanosystems for potential biomedical and photocatalytic applications. Glucuronoxylan (hemicellulose)-capped manganese oxide nanoparticles (GX-MnO NPs) were synthesized from quince (Cydonia oblonga M.) seed hydrogel. Ultraviolet-visible spectroscopic analysis revealed a distinct surface plasmon resonance peak at 310 nm for MnO NPs, with an estimated band gap energy of 2.60 eV. The interactions between MnO NPs and the functional groups of hydrogel were characterized using Fourier-transform infrared spectroscopy, while the cubic structure was evident from X-ray diffraction results at 2θ location. Scanning electron microscopy showed that the NPs had a roughly spherical shape with an average size of 38.5 nm. Energy-dispersive X-ray spectrum indicated the sample's composition, highlighting a significant presence of manganese (39.29%), oxygen (29.3%), and minor elements from hydrogel. The NPs displayed noteworthy in vitro antibacterial and antibiofilm activities against Bacillus licheniformis, Escherichia coli, and Aeromonas. An in vivo wound healing experiment illustrated that wounds treated with GX-MnO NPs healed entirely within 10 days in albino mice. Further, GX-MnO NPs served as an excellent photocatalytic system in the sunlight-assisted degradation of methylene blue (90.5%) and methyl orange (89.7%). Intriguingly, degradation efficiencies of 47.6% and 45.7% were achieved, respectively, when the NPs were operated in the dark. Thus, the study suggests GX-MnO NPs as versatile and promising agents to address biomedical and dye-contaminated wastewater concerns.
{"title":"Glucuronoxylan hemicellulose-based manganese oxide nanoparticles for enhanced bactericidal, wound healing, and photocatalytic potential.","authors":"Tuba Ayub, Gulzar Muhammad, Muhammad Umair Sharif, Muhammad Rauf Raza, Hina Hanif, Muhammad Amin, Muhammad Ajaz Hussain","doi":"10.1177/22808000251328937","DOIUrl":"https://doi.org/10.1177/22808000251328937","url":null,"abstract":"<p><p>Hemicelluloses are promising candidates for synthesizing nanosystems for potential biomedical and photocatalytic applications. Glucuronoxylan (hemicellulose)-capped manganese oxide nanoparticles (GX-MnO NPs) were synthesized from quince (<i>Cydonia oblonga</i> M.) seed hydrogel. Ultraviolet-visible spectroscopic analysis revealed a distinct surface plasmon resonance peak at 310 nm for MnO NPs, with an estimated band gap energy of 2.60 eV. The interactions between MnO NPs and the functional groups of hydrogel were characterized using Fourier-transform infrared spectroscopy, while the cubic structure was evident from X-ray diffraction results at 2θ location. Scanning electron microscopy showed that the NPs had a roughly spherical shape with an average size of 38.5 nm. Energy-dispersive X-ray spectrum indicated the sample's composition, highlighting a significant presence of manganese (39.29%), oxygen (29.3%), and minor elements from hydrogel. The NPs displayed noteworthy in vitro antibacterial and antibiofilm activities against <i>Bacillus licheniformis</i>, <i>Escherichia coli</i>, and <i>Aeromonas</i>. An in vivo wound healing experiment illustrated that wounds treated with GX-MnO NPs healed entirely within 10 days in albino mice. Further, GX-MnO NPs served as an excellent photocatalytic system in the sunlight-assisted degradation of methylene blue (90.5%) and methyl orange (89.7%). Intriguingly, degradation efficiencies of 47.6% and 45.7% were achieved, respectively, when the NPs were operated in the dark. Thus, the study suggests GX-MnO NPs as versatile and promising agents to address biomedical and dye-contaminated wastewater concerns.</p>","PeriodicalId":14985,"journal":{"name":"Journal of Applied Biomaterials & Functional Materials","volume":"23 ","pages":"22808000251328937"},"PeriodicalIF":3.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144019634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01Epub Date: 2025-12-11DOI: 10.1177/22808000251401786
Lingling Tao, Yajie Gong, Shuang Gao, Abiyasi Nanding, Xueqiao Yu, Saihan Bao, Xi Chen, Yang Li, Xianyu Zhang, Siliang Zhang
Postmastectomy breast reconstruction is limited by radiotherapy-induced tissue damage, as silicone implants are prone to capsular contracture, and autologous adipose grafts are limited by resorption and necrosis. In this study, two biomaterials were developed: an injectable decellularized omentum hydrogel-adipose composite (Adipose-dECM) using decellularized omentum hydrogel (dECM) bioactivity for tissue integration and an alginate-reinforced dECM hydrogel (Alg-dECM) for mechanical resilience. O-dECM, Adipose-dECM, Adipose, Alg-dECM, and Silicone were compared in a subcutaneous evaluation in female SD rats (n = 30). Half of the rats underwent radiotherapy (28 Gy) on day 16. The recorded outcomes included small-amplitude oscillatory shear rheology, scanning electron microscopy (porosity), enzymatic mass retention (collagenase), fibrous capsule thickness, inflammatory cell density, the ratio of type I to type III collagen, and angiogenesis. Adipose-dECM showed early postradiotherapy volume retention, although the results were not statistically significant. However, long-term retention decreased to 30.75% on day 50. Compared with the other implants, Adipose-dECM had the lowest inflammatory infiltration and reduced collagen I deposition, although its capsular thickness was similar. Enhanced angiogenesis was detected in Adipose-dECM, with significantly greater CD31+ areas in the peri-implant tissue (1.31% vs 0.10%, p < 0.0001) and septa (0.60% vs 0.07%, p < 0.0001). After radiotherapy, the CD31 level remained elevated in peri-implant regions (0.84% vs 0.34%, p = 0.0010) and septa (0.29% vs 0.06%, p = 0.0003). Adipose-dECM enhanced radiation tolerance through anti-inflammatory modulation and angiogenesis. Nevertheless, its long-term volumetric stability was substantially inferior to that of silicone, indicating the need for material-level strategies to slow degradation while preserving bioactivity. Adipose-dECM therefore shows promise as a radiation-compatible bioactive scaffold for breast reconstruction but requires further optimization for durable clinical translation.
乳房切除术后乳房重建受到放疗引起的组织损伤的限制,因为硅胶植入物容易发生囊膜挛缩,自体脂肪移植物受吸收和坏死的限制。在这项研究中,开发了两种生物材料:一种是可注射的脱细胞网膜水凝胶-脂肪复合材料(脂肪-dECM),利用脱细胞网膜水凝胶(dECM)的生物活性进行组织整合,另一种是海藻酸盐增强的dECM水凝胶(algo -dECM)进行机械弹性。在雌性SD大鼠(n = 30)的皮下评估中比较O-dECM、Adipose、Alg-dECM和Silicone。一半的大鼠在第16天接受放疗(28 Gy)。记录的结果包括小振幅振荡剪切流变学、扫描电镜(孔隙度)、酶质量保留(胶原酶)、纤维囊厚度、炎症细胞密度、I型与III型胶原的比例和血管生成。脂肪- decm显示早期放疗后体积保留,尽管结果没有统计学意义。但在第50天,长期留存率下降至30.75%。与其他假体相比,脂肪- decm的炎症浸润最低,胶原I沉积减少,尽管其包膜厚度相似。脂肪- decm血管生成增强,种植体周围组织(1.31% vs 0.10%, p p p = 0.0010)和间隔(0.29% vs 0.06%, p = 0.0003)的CD31+区域显著增加。脂肪- decm通过抗炎调节和血管生成增强辐射耐受性。然而,它的长期体积稳定性大大低于硅胶,这表明需要材料级策略来减缓降解,同时保持生物活性。因此,脂肪- decm作为一种辐射兼容的乳房重建生物活性支架,前景光明,但需要进一步优化以实现持久的临床转化。
{"title":"A comparative study of radiation tolerance between dECM hydrogel-adipose composite biomaterials and traditional breast implants.","authors":"Lingling Tao, Yajie Gong, Shuang Gao, Abiyasi Nanding, Xueqiao Yu, Saihan Bao, Xi Chen, Yang Li, Xianyu Zhang, Siliang Zhang","doi":"10.1177/22808000251401786","DOIUrl":"https://doi.org/10.1177/22808000251401786","url":null,"abstract":"<p><p>Postmastectomy breast reconstruction is limited by radiotherapy-induced tissue damage, as silicone implants are prone to capsular contracture, and autologous adipose grafts are limited by resorption and necrosis. In this study, two biomaterials were developed: an injectable decellularized omentum hydrogel-adipose composite (Adipose-dECM) using decellularized omentum hydrogel (dECM) bioactivity for tissue integration and an alginate-reinforced dECM hydrogel (Alg-dECM) for mechanical resilience. O-dECM, Adipose-dECM, Adipose, Alg-dECM, and Silicone were compared in a subcutaneous evaluation in female SD rats (<i>n</i> = 30). Half of the rats underwent radiotherapy (28 Gy) on day 16. The recorded outcomes included small-amplitude oscillatory shear rheology, scanning electron microscopy (porosity), enzymatic mass retention (collagenase), fibrous capsule thickness, inflammatory cell density, the ratio of type I to type III collagen, and angiogenesis. Adipose-dECM showed early postradiotherapy volume retention, although the results were not statistically significant. However, long-term retention decreased to 30.75% on day 50. Compared with the other implants, Adipose-dECM had the lowest inflammatory infiltration and reduced collagen I deposition, although its capsular thickness was similar. Enhanced angiogenesis was detected in Adipose-dECM, with significantly greater CD31+ areas in the peri-implant tissue (1.31% vs 0.10%, <i>p</i> < 0.0001) and septa (0.60% vs 0.07%, <i>p</i> < 0.0001). After radiotherapy, the CD31 level remained elevated in peri-implant regions (0.84% vs 0.34%, <i>p</i> = 0.0010) and septa (0.29% vs 0.06%, <i>p</i> = 0.0003). Adipose-dECM enhanced radiation tolerance through anti-inflammatory modulation and angiogenesis. Nevertheless, its long-term volumetric stability was substantially inferior to that of silicone, indicating the need for material-level strategies to slow degradation while preserving bioactivity. Adipose-dECM therefore shows promise as a radiation-compatible bioactive scaffold for breast reconstruction but requires further optimization for durable clinical translation.</p>","PeriodicalId":14985,"journal":{"name":"Journal of Applied Biomaterials & Functional Materials","volume":"23 ","pages":"22808000251401786"},"PeriodicalIF":3.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145723429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Implant-associated infections pose a significant challenge in orthopedic surgery but may be prevented using biomaterials containing antimicrobial agents such as Ag ions. This study examines the effects of Ag doping on bone metabolism following the implantation of β-tricalcium phosphate (β-TCP) doped with 0, 1, 3, and 5 at% Ag with 75% porosity. Additionally, the antimicrobial activity of Ag-doped β-TCP was evaluated against Staphylococcus aureus and Escherichia coli using shake flask tests, revealing increased antimicrobial activity with higher Ag concentrations. Cylindrical bone defects (diameter 4 mm; depth 10 mm) were introduced in the lateral femoral condyles of rabbits and treated with Ag-doped β-TCP. The rabbits were euthanized at 2-, 4-, 8-, and 12-weeks post-operation (n = 6/time point). Specimens were decalcified for histological examination using optical and scanning electron microscopy (SEM). Bone formation, residual material, and tartrate-resistant acid phosphatase (TRAP)-positive cell counts were quantified, with statistical significance assessed using one-way ANOVA (p < 0.05). Bone formation increased over time up to 12 weeks but was lower with higher Ag concentrations. Residual material decreased, while TRAP-positive cells peaked at 2 weeks and gradually declined thereafter. SEM revealed Ag accumulation in the bone marrow outside the newly formed bone. Ag doping inhibited material resorption more than osteogenesis. Bone metabolism in the defect area was delayed as Ag concentration increased, likely due to reduced osteoclast activity. This study highlights the dual effect of Ag-doped β-TCP on bone metabolism and implant-associated infections. While Ag incorporation enhanced antimicrobial potential, higher concentrations delayed bone metabolism. Optimizing Ag content is crucial to balancing infection control with effective bone regeneration, guiding the development of advanced orthopedic implants.
{"title":"Bone formation and bioresorption of silver-doped β-tricalcium phosphate in rabbit bone defects.","authors":"Shoshi Akiyama, Takaaki Tanaka, Hirokazu Komaki, Naoya Inagaki, Mitsuru Saito","doi":"10.1177/22808000251335407","DOIUrl":"https://doi.org/10.1177/22808000251335407","url":null,"abstract":"<p><p>Implant-associated infections pose a significant challenge in orthopedic surgery but may be prevented using biomaterials containing antimicrobial agents such as Ag ions. This study examines the effects of Ag doping on bone metabolism following the implantation of β-tricalcium phosphate (β-TCP) doped with 0, 1, 3, and 5 at% Ag with 75% porosity. Additionally, the antimicrobial activity of Ag-doped β-TCP was evaluated against <i>Staphylococcus aureus</i> and <i>Escherichia coli</i> using shake flask tests, revealing increased antimicrobial activity with higher Ag concentrations. Cylindrical bone defects (diameter 4 mm; depth 10 mm) were introduced in the lateral femoral condyles of rabbits and treated with Ag-doped β-TCP. The rabbits were euthanized at 2-, 4-, 8-, and 12-weeks post-operation (<i>n</i> = 6/time point). Specimens were decalcified for histological examination using optical and scanning electron microscopy (SEM). Bone formation, residual material, and tartrate-resistant acid phosphatase (TRAP)-positive cell counts were quantified, with statistical significance assessed using one-way ANOVA (<i>p</i> < 0.05). Bone formation increased over time up to 12 weeks but was lower with higher Ag concentrations. Residual material decreased, while TRAP-positive cells peaked at 2 weeks and gradually declined thereafter. SEM revealed Ag accumulation in the bone marrow outside the newly formed bone. Ag doping inhibited material resorption more than osteogenesis. Bone metabolism in the defect area was delayed as Ag concentration increased, likely due to reduced osteoclast activity. This study highlights the dual effect of Ag-doped β-TCP on bone metabolism and implant-associated infections. While Ag incorporation enhanced antimicrobial potential, higher concentrations delayed bone metabolism. Optimizing Ag content is crucial to balancing infection control with effective bone regeneration, guiding the development of advanced orthopedic implants.</p>","PeriodicalId":14985,"journal":{"name":"Journal of Applied Biomaterials & Functional Materials","volume":"23 ","pages":"22808000251335407"},"PeriodicalIF":3.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144010461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01Epub Date: 2025-06-17DOI: 10.1177/22808000251345581
Zhao Hao Zhen, Hua Cui Xiong, Ke Chen
Premature loss of deciduous teeth often causes malocclusion and misalignment, requiring orthodontic treatment. Oral space maintainers (OSMs) help preserve space after primary teeth loss but are commonly metal, with limitations like esthetics, metal allergies, and complex production. This study aims to find an alternative by evaluating the esthetic and physical properties of CAD/CAM-produced PEEK OSMs compared to conventional OSMs. Forty digital oral space maintainer specimens were fabricated from Polyetheretherketone (PEEK), PEEK composites, LuxaCrown, and cobalt-chromium alloy, with 10 specimens in each group. Esthetic evaluation was conducted using a standard shade guide, and marginal fit was assessed with a stereo-microscope. Shear bond strength was tested on resins for primary and permanent molars. Statistical analysis was performed using SPSS software. LuxaCrown matched natural tooth color best, followed by PEEK composites and PEEK, with cobalt-chromium showing the least similarity. LuxaCrown had the highest esthetic values, while PEEK and its composites showed acceptable marginal fits. Cobalt-chromium exhibited the highest shear bond strength. While PEEK has lower shear bond strength than cobalt-chromium, it shows promise as an esthetic alternative for pediatric space maintainers with acceptable fit. Further studies are needed to assess its long-term performance.
{"title":"Comparative evaluation of esthetic and physical properties of CAD/CAM PEEK oral space maintainers.","authors":"Zhao Hao Zhen, Hua Cui Xiong, Ke Chen","doi":"10.1177/22808000251345581","DOIUrl":"https://doi.org/10.1177/22808000251345581","url":null,"abstract":"<p><p>Premature loss of deciduous teeth often causes malocclusion and misalignment, requiring orthodontic treatment. Oral space maintainers (OSMs) help preserve space after primary teeth loss but are commonly metal, with limitations like esthetics, metal allergies, and complex production. This study aims to find an alternative by evaluating the esthetic and physical properties of CAD/CAM-produced PEEK OSMs compared to conventional OSMs. Forty digital oral space maintainer specimens were fabricated from Polyetheretherketone (PEEK), PEEK composites, LuxaCrown, and cobalt-chromium alloy, with 10 specimens in each group. Esthetic evaluation was conducted using a standard shade guide, and marginal fit was assessed with a stereo-microscope. Shear bond strength was tested on resins for primary and permanent molars. Statistical analysis was performed using SPSS software. LuxaCrown matched natural tooth color best, followed by PEEK composites and PEEK, with cobalt-chromium showing the least similarity. LuxaCrown had the highest esthetic values, while PEEK and its composites showed acceptable marginal fits. Cobalt-chromium exhibited the highest shear bond strength. While PEEK has lower shear bond strength than cobalt-chromium, it shows promise as an esthetic alternative for pediatric space maintainers with acceptable fit. Further studies are needed to assess its long-term performance.</p>","PeriodicalId":14985,"journal":{"name":"Journal of Applied Biomaterials & Functional Materials","volume":"23 ","pages":"22808000251345581"},"PeriodicalIF":3.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144316993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01Epub Date: 2025-03-30DOI: 10.1177/22808000251322863
Col Sonali Sharma, Mithra N Hegde
Background: Dental caries is a progressive disease with varying phases of demineralization and remineralization. If diagnosed before surface cavitation, the scope of reversing the carious lesion is increased.
Aim: To evaluate caries preventive and caries inhibitory potential of Aluminum Gallium Arsenide (Al Ga As ) Laser irradiation in incipient noncavitated pit and fissure caries.
Methodology: One hundred four patients between the age of 18-25 years exhibiting site 1 size 0, bilateral noncavitated carious lesions on mandibular molars were selected. The contralateral tooth type served as control. The quantitative baseline assessment of carious lesions of both the groups was by a Laser fluorescence method (DIAGNOdent). Group A (Test) cases were irradiated with Al Ga As laser of 3.5 W for 30 s followed by application of CPP-ACP F remineralizing paste. On the contralateral tooth type only remineralizing paste was applied and these cases were included In Group B (Control). The follow up was done by laser fluorescence (LF) and IOPA radiographs every 3 months for 12 months. Decrease or fall in laser fluorescence values from baseline values indicated remineralization.
Result: Categorical variables were presented in number and percentage (%) and continuous variables were presented as mean ± SD. Normality of data was tested by Kolmogorov-Smirnov test. Qualitative variables were compared using Chi-Square test /Fisher's exact test. Student's unpaired "t" test was applied to test the difference between mean values of two groups. Student's paired "t" test was applied to test the relative change between different time points. One-way ANOVA was applied to compare mean values between more than two groups followed by post hoc test "Tukeys HSD" for multiple comparisons. As per Lussi criteria, it was observed in Control group : 53 patients scored 4 and required operative intervention, 38 patients scored 3 which would necessitate repeating the remineralizing protocol, whereas Test group: 3 patients scored 4 and 5 patients scoring 3. Comparing the LF values, it was observed progression of caries denoted by increase in LF values in control was statistically significant with p value < 0.001 and SD of 7.04. Test group exhibited a fall in LF denoting caries reversal which was statistically significant with p value < 0.001 and SD of 5.80. The failure rate of Control was 51.5% and Test was 3%.
Conclusion: Based on the clinical results it was concluded that Al Ga As lasers can clinically bring about caries inhibition and can be a valuable tool in caries prevention.
背景:龋齿是一种进行性疾病,具有不同阶段的脱矿和再矿化。如果在表面空化之前诊断出来,逆转龋齿病变的范围就会增加。目的:评价激光照射砷化铝镓(Al Ga As)对早期非空化坑状和裂隙性龋的预防和抑制作用。方法:选取年龄在18-25岁,表现为1区0区,双侧下颌磨牙无空腔性龋齿病变的患者104例。对侧牙型作为对照。采用激光荧光法(diagnostic)对两组患者的龋病进行定量基线评估。A组(试验组)用3.5 W的Al - Ga - As激光照射30 s,然后应用pcp - acp F再矿化膏。对侧牙型仅应用再矿化膏,B组为对照组。随访12个月,每3个月进行一次激光荧光(LF)和IOPA x线片。激光荧光值较基线值减少或下降表明再矿化。结果:分类变量以数量和百分比(%)表示,连续变量以mean±SD表示。数据的正态性采用Kolmogorov-Smirnov检验。质变量比较采用卡方检验/Fisher精确检验。采用学生非配对“t”检验检验两组均值的差异。采用学生配对“t”检验检验不同时间点之间的相对变化。采用单因素方差分析比较两组以上的平均值,多组比较采用事后检验“Tukeys HSD”。根据Lussi标准观察,对照组有53例患者得分为4分,需要手术干预,38例患者得分为3分,需要重复再矿化方案,实验组有3例患者得分为4分,5例患者得分为3分。对比LF值,观察其龋的进展情况,对照组的LF值升高有统计学意义,p值p值。结论:根据临床结果,Al - Ga - As激光在临床上可以起到抑制龋的作用,是一种有价值的预防龋病的工具。
{"title":"A clinical comparison of the caries inhibitory potential of aluminum gallium arsenide LASER in conjunction with a remineralization paste in non-cavitated carious lesions.","authors":"Col Sonali Sharma, Mithra N Hegde","doi":"10.1177/22808000251322863","DOIUrl":"10.1177/22808000251322863","url":null,"abstract":"<p><strong>Background: </strong>Dental caries is a progressive disease with varying phases of demineralization and remineralization. If diagnosed before surface cavitation, the scope of reversing the carious lesion is increased.</p><p><strong>Aim: </strong>To evaluate caries preventive and caries inhibitory potential of Aluminum Gallium Arsenide (Al Ga As ) Laser irradiation in incipient noncavitated pit and fissure caries.</p><p><strong>Methodology: </strong>One hundred four patients between the age of 18-25 years exhibiting site 1 size 0, bilateral noncavitated carious lesions on mandibular molars were selected. The contralateral tooth type served as control. The quantitative baseline assessment of carious lesions of both the groups was by a Laser fluorescence method (DIAGNOdent). Group A (Test) cases were irradiated with Al Ga As laser of 3.5 W for 30 s followed by application of CPP-ACP F remineralizing paste. On the contralateral tooth type only remineralizing paste was applied and these cases were included In Group B (Control). The follow up was done by laser fluorescence (LF) and IOPA radiographs every 3 months for 12 months. Decrease or fall in laser fluorescence values from baseline values indicated remineralization.</p><p><strong>Result: </strong>Categorical variables were presented in number and percentage (%) and continuous variables were presented as mean ± SD. Normality of data was tested by Kolmogorov-Smirnov test. Qualitative variables were compared using Chi-Square test /Fisher's exact test. Student's unpaired \"<i>t</i>\" test was applied to test the difference between mean values of two groups. Student's paired \"<i>t</i>\" test was applied to test the relative change between different time points. One-way ANOVA was applied to compare mean values between more than two groups followed by post hoc test \"Tukeys HSD\" for multiple comparisons. As per Lussi criteria, it was observed in Control group : 53 patients scored 4 and required operative intervention, 38 patients scored 3 which would necessitate repeating the remineralizing protocol, whereas Test group: 3 patients scored 4 and 5 patients scoring 3. Comparing the LF values, it was observed progression of caries denoted by increase in LF values in control was statistically significant with <i>p</i> value < 0.001 and SD of 7.04. Test group exhibited a fall in LF denoting caries reversal which was statistically significant with <i>p</i> value < 0.001 and SD of 5.80. The failure rate of Control was 51.5% and Test was 3%.</p><p><strong>Conclusion: </strong>Based on the clinical results it was concluded that Al Ga As lasers can clinically bring about caries inhibition and can be a valuable tool in caries prevention.</p>","PeriodicalId":14985,"journal":{"name":"Journal of Applied Biomaterials & Functional Materials","volume":"23 ","pages":"22808000251322863"},"PeriodicalIF":3.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-01-01Epub Date: 2025-10-18DOI: 10.1177/22808000251376084
Maoyu Qin, Xinyi Chen, Ping Zhu
Cardiovascular diseases represent a leading cause of mortality on a global scale. Engineered cardiac tissue applied as in vitro model have great potential on discovering myocardium pathology mechanisms and developing new drugs. Contemporary in vitro models, particularly traditional 2D cultures, face challenges in accurately replicating the complex architecture and functional behaviors of native myocardium. In this context, topographical cues-engineered through various fabrication methods, including direct laser writing, lithography, etching, self-organization, electrospinning, and 3D printing-have emerged as essential tools in cardiac tissue engineering (CTE). These cues can be incorporated into both 2D substrates and 3D scaffolds, significantly influencing the adhesion, morphology, migration, and functional properties of cardiomyocytes (CMs), including electrical conduction and contractility. In this paper, we searched PubMed, Web of Science, and CNKI databases with keywords "cardiac tissue engineering, topography, nano pattern, micro pattern, biomaterials, cell orientation" for relevant studies published between 2010 and 2025. This work retrieved 127 studies, aiming to provide recent advancements in the application of topographical cues to influence the behavior of CMs and to establish a foundation for future developments in cardiac tissue engineering. Additionally, the review addresses the challenges associated with creating fully functional engineered cardiac tissues and offers perspectives on future advancements in this rapidly evolving field, emphasizing the necessity to enhance the performance of engineered cardiac tissues for disease modeling and regenerative therapies.
在全球范围内,心血管疾病是导致死亡的主要原因。工程心脏组织作为体外模型在发现心肌病理机制和开发新药方面具有很大的潜力。当代体外模型,特别是传统的2D培养,在准确复制天然心肌的复杂结构和功能行为方面面临挑战。在这种情况下,通过各种制造方法设计的地形线索,包括直接激光书写、光刻、蚀刻、自组织、静电纺丝和3D打印,已经成为心脏组织工程(CTE)的基本工具。这些线索可以结合到2D基质和3D支架中,显著影响心肌细胞(CMs)的粘附、形态、迁移和功能特性,包括电传导和收缩性。本文检索PubMed、Web of Science和CNKI数据库,检索关键词“心脏组织工程、地形、纳米模式、微模式、生物材料、细胞取向”,检索2010 - 2025年间发表的相关研究。这项工作检索了127项研究,旨在提供地形线索影响CMs行为的应用的最新进展,并为心脏组织工程的未来发展奠定基础。此外,该综述解决了与创建全功能工程化心脏组织相关的挑战,并对这一快速发展领域的未来发展提供了展望,强调了提高工程化心脏组织在疾病建模和再生治疗中的性能的必要性。
{"title":"Engineering cardiac tissue: The role of topographic cues in cardiomyocytes.","authors":"Maoyu Qin, Xinyi Chen, Ping Zhu","doi":"10.1177/22808000251376084","DOIUrl":"https://doi.org/10.1177/22808000251376084","url":null,"abstract":"<p><p>Cardiovascular diseases represent a leading cause of mortality on a global scale. Engineered cardiac tissue applied as in vitro model have great potential on discovering myocardium pathology mechanisms and developing new drugs. Contemporary in vitro models, particularly traditional 2D cultures, face challenges in accurately replicating the complex architecture and functional behaviors of native myocardium. In this context, topographical cues-engineered through various fabrication methods, including direct laser writing, lithography, etching, self-organization, electrospinning, and 3D printing-have emerged as essential tools in cardiac tissue engineering (CTE). These cues can be incorporated into both 2D substrates and 3D scaffolds, significantly influencing the adhesion, morphology, migration, and functional properties of cardiomyocytes (CMs), including electrical conduction and contractility. In this paper, we searched PubMed, Web of Science, and CNKI databases with keywords \"cardiac tissue engineering, topography, nano pattern, micro pattern, biomaterials, cell orientation\" for relevant studies published between 2010 and 2025. This work retrieved 127 studies, aiming to provide recent advancements in the application of topographical cues to influence the behavior of CMs and to establish a foundation for future developments in cardiac tissue engineering. Additionally, the review addresses the challenges associated with creating fully functional engineered cardiac tissues and offers perspectives on future advancements in this rapidly evolving field, emphasizing the necessity to enhance the performance of engineered cardiac tissues for disease modeling and regenerative therapies.</p>","PeriodicalId":14985,"journal":{"name":"Journal of Applied Biomaterials & Functional Materials","volume":"23 ","pages":"22808000251376084"},"PeriodicalIF":3.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145318403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-19DOI: 10.1177/22808000241281273
El-Refaie Kenawy, Elbadawy A Kamoun, Samia M Elsigeny, Samira Heikal, Ashraf A El-Shehawy, Yehia A-G Mahmoud
Vanillin loaded-physically crosslinked hydrogel membranes made of PVA/chitosan/itaconic acid (PVA-CS-IA) were prepared using freezing-thawing (F-T) cycle method. To ensure the entanglement of PVA-CS-IA chains, three F-T cycles were repeated. The polymeric chains entanglements were confirmed and characterized by different instrumental characterizations. Physicochemical properties for example, swelling ratio, mechanical characteristics, gel fraction percentage (GF%), hydrolytic degradation, and thermal stability of PVA-CS-IA membrane were discussed in detail. The findings showed that the swelling ratio, mechanical characteristics, and hydrolytic degradation of the crosslinked membranes enhanced with increasing CS-IA contents in membranes composition; however, GF% gradually declined with CS-IA content. Additionally, cell viability test using HFB-4 cell line and antimicrobial activity against Staphylococcus aureus and Escherichia coli were evaluated using MTT assay and the bacterium growth inhibition percentage method; respectively. Notably, with varying incubation durations and membrane concentrations, all examined constructed hydrogels showed significant cell survival percentages. The findings supported the notion that produced hydrogel membranes might be used in a professional setting as antibacterial dressings or biomaterials for quick wound healing rate.
{"title":"Vanillin loaded-physically crosslinked PVA/chitosan/itaconic membranes for topical wound healing applications","authors":"El-Refaie Kenawy, Elbadawy A Kamoun, Samia M Elsigeny, Samira Heikal, Ashraf A El-Shehawy, Yehia A-G Mahmoud","doi":"10.1177/22808000241281273","DOIUrl":"https://doi.org/10.1177/22808000241281273","url":null,"abstract":"Vanillin loaded-physically crosslinked hydrogel membranes made of PVA/chitosan/itaconic acid (PVA-CS-IA) were prepared using freezing-thawing (F-T) cycle method. To ensure the entanglement of PVA-CS-IA chains, three F-T cycles were repeated. The polymeric chains entanglements were confirmed and characterized by different instrumental characterizations. Physicochemical properties for example, swelling ratio, mechanical characteristics, gel fraction percentage (GF%), hydrolytic degradation, and thermal stability of PVA-CS-IA membrane were discussed in detail. The findings showed that the swelling ratio, mechanical characteristics, and hydrolytic degradation of the crosslinked membranes enhanced with increasing CS-IA contents in membranes composition; however, GF% gradually declined with CS-IA content. Additionally, cell viability test using HFB-4 cell line and antimicrobial activity against Staphylococcus aureus and Escherichia coli were evaluated using MTT assay and the bacterium growth inhibition percentage method; respectively. Notably, with varying incubation durations and membrane concentrations, all examined constructed hydrogels showed significant cell survival percentages. The findings supported the notion that produced hydrogel membranes might be used in a professional setting as antibacterial dressings or biomaterials for quick wound healing rate.","PeriodicalId":14985,"journal":{"name":"Journal of Applied Biomaterials & Functional Materials","volume":"14 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142258316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}