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Human blood preconditioned porcine arteries as potential conduits for human transplantation: Proof of concept in rabbit. 人血预处理猪动脉作为人体移植的潜在导管:兔的概念证明。
IF 2.5 4区 医学 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2025-10-24 DOI: 10.1177/08853282251391312
Vijay Kumar Kuna, Bo Xu, Niclas Kvarnström, Suchitra Sumitran

Tissue-engineered arteries using natural scaffolds could overcome the drawbacks of autografts or artificial conduits used in the repair of many congenital cardiac defects and coronary artery bypass grafts. In this study, we present a novel approach based on the use of decellularized xenogeneic matrix scaffolds preconditioned with human peripheral blood stem cells for future cardiovascular therapy. Cellular components of porcine carotid arteries (n = 40) were removed with physical, chemical and enzymatic means. The decellularized arteries were preconditioned by perfusion with human peripheral blood solution for 10 days. The decellularized and preconditioned grafts were characterized for their histological and functional integrity. To demonstrate proof-of-concept, we used a sub-acute (96 h) rabbit model where either only decellularized porcine arteries or preconditioned with autologous rabbit blood solution were implanted in the abdominal aorta of the animals. The rabbits were examined by Doppler ultrasound and histology. Histology and molecular analysis showed absence of cells and preservation of extracellular cell matrix (ECM) proteins in decellularized porcine arteries. Preconditioning of arteries with human blood showed a thin lining of intima with blood and cells. In the rabbit implant model, although blood flow was detected in all rabbits at 24 h, the animals implanted with only decellularized arteries showed lumen filled with thrombus. However, in preconditioned arteries, thrombosis was not seen at either 24 or 96 h. Taken together, these results suggest that these decellularization and preconditioning protocols using autologous blood may be adaptable for successful tissue-engineering of xeno-arteries for human application. However, further research to improve preconditioning efficiency and long-term animal studies are needed.

使用天然支架的组织工程动脉可以克服自体移植或人工导管用于许多先天性心脏缺陷修复和冠状动脉搭桥术的缺点。在这项研究中,我们提出了一种基于人类外周血干细胞预处理的脱细胞异种基质支架的新方法,用于未来的心血管治疗。采用物理、化学和酶的方法去除猪颈动脉的细胞成分(n = 40)。用人外周血液灌注预处理脱细胞动脉10天。脱细胞和预处理的移植物具有组织学和功能的完整性。为了证明这一概念,我们使用亚急性(96小时)兔模型,将脱细胞的猪动脉或兔自体血溶液预处理后植入动物的腹主动脉。采用多普勒超声和组织学检查。组织学和分子分析显示,去细胞化的猪动脉中细胞缺失,细胞外细胞基质(ECM)蛋白保存完好。用人血对动脉进行预处理后,发现内膜有一层薄薄的血液和细胞。在兔植入模型中,虽然所有兔在24 h均检测到血流,但仅植入脱细胞动脉的动物显示管腔内充满血栓。然而,在预处理的动脉中,血栓形成在24或96小时都没有出现。综上所述,这些结果表明,这些使用自体血液的脱细胞和预处理方案可能适用于成功的人类异种动脉组织工程。然而,需要进一步的研究来提高预处理效率和长期的动物实验。
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引用次数: 0
Shifting the clinical paradigm: Copper versus silver wound dressings - Where we are and what we are looking for. 转变临床模式:铜与银伤口敷料-我们在哪里,我们在寻找什么。
IF 2.5 4区 医学 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2025-10-23 DOI: 10.1177/08853282251392491
Ithamar Cheyne, Mateusz Rybka, Łukasz Mazurek, Jan Jurak, Marek Konop

The development of nanoparticle-based wound dressings marks a significant advancement in the management of chronic and non-healing wounds. Silver-based dressings have been used in wound management due to their strong antimicrobial properties. However, their clinical effectiveness depends on formulation, concentration, and duration of use. Recently, copper oxide dressings (CODs) have emerged as a novel alternative, offering both antimicrobial and regenerative benefits. We reviewed clinical studies, meta-analyses, and cost-effectiveness analyses on silver nanoparticle (AgNP), ionic silver, nanocrystalline silver, and copper oxide dressings across various wound types, including diabetic foot ulcers, venous leg ulcers, pressure ulcers, surgical wounds, and burns. Emphasis was placed on dressing formulations, silver or copper concentrations, clinical efficacy, safety, and cost-effectiveness. Traditional silver formulations, such as silver sulfadiazine (1%) and silver nitrate (0.5%), demonstrate antimicrobial activity but are limited by cytotoxicity and lack of long-term healing benefits. Nanocrystalline silver and ionic silver hydrofiber dressings provide sustained release, proving most effective in infection-prone and early inflammatory phases. Enhanced formulations (Aquacel® Ag + Extra™) show promise in treating biofilm-related wounds but need more robust data. By contrast, CODs have demonstrated antimicrobial efficacy alongside stimulation of angiogenesis, fibroblast proliferation, and extracellular matrix remodeling. Early clinical evidence suggests that CODs may accelerate healing in refractory wounds and offer cost advantages over negative pressure therapy, though large-scale trials remain limited. Silver dressings, particularly nanocrystalline and ionic hydrofiber formulations, remain clinically useful for infection control and short-term wound management, while older silver salts are less favorable due to toxicity and limited efficacy. CODs represent a biologically attractive alternative with dual antimicrobial and regenerative properties. Nonetheless, the current body of evidence is insufficient to declare a paradigm shift in wound healing, and CODs should presently be regarded as promising adjuncts pending validation in high-quality randomized trials.

纳米颗粒伤口敷料的发展标志着慢性和不愈合伤口管理的重大进步。银基敷料已用于伤口管理,由于其强大的抗菌性能。然而,它们的临床效果取决于配方、浓度和使用时间。最近,氧化铜敷料(CODs)已成为一种新的替代方案,提供抗菌和再生的好处。我们回顾了纳米银(AgNP)、离子银、纳米晶银和氧化铜敷料在各种伤口类型上的临床研究、荟萃分析和成本效益分析,包括糖尿病足溃疡、腿部静脉溃疡、压疮、外科伤口和烧伤。重点放在敷料配方、银或铜浓度、临床疗效、安全性和成本效益上。传统的银制剂,如磺胺嘧啶银(1%)和硝酸银(0.5%),显示出抗菌活性,但受到细胞毒性和缺乏长期愈合益处的限制。纳米晶银和离子银纤维敷料提供持续释放,证明在感染易发和早期炎症阶段最有效。增强型配方(Aquacel®Ag + Extra™)显示出治疗生物膜相关伤口的希望,但需要更可靠的数据。相比之下,CODs在刺激血管生成、成纤维细胞增殖和细胞外基质重塑的同时显示出抗菌效果。早期临床证据表明,CODs可能加速难治性伤口的愈合,并且比负压疗法具有成本优势,尽管大规模试验仍然有限。银敷料,特别是纳米晶和离子纤维配方,在临床上仍然对感染控制和短期伤口管理有用,而旧的银盐由于毒性和疗效有限而不太有利。cod代表了具有双重抗菌和再生特性的生物吸引力替代品。尽管如此,目前的证据不足以宣布伤口愈合的范式转变,目前应将cod视为有希望的辅助手段,等待高质量随机试验的验证。
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引用次数: 0
Synergistic enhancement of bone regeneration by obacunone-loaded peg-based composite scaffolds. 复合支架对骨再生的协同增强作用。
IF 2.5 4区 医学 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2025-10-23 DOI: 10.1177/08853282251390644
Xiuchen Yuan, Fengpin Yao, Dongfeng Li, Cunxiao Li, Lei Meng, Ye Zhang, Hao Wang, Yan Dong, Jun Shang

In this study, we report the design and fabrication of a novel biomimetic composite scaffold (PSGO) and systematically assess its potential for bone tissue engineering. The PSGO scaffold was fabricated using three-dimensional (3D) printing technology with a base matrix composed of polyethylene glycol (PEG), sodium alginate (SA), and gelatin (GEL). Obacunone-loaded polycaprolactone (OA@PM) microspheres were embedded within the scaffold to enable sustained drug release, thereby creating a structure with precise architecture and functional gradients. Comprehensive characterization of the scaffold's surface morphology, rheological properties, and drug release behavior was performed. In vitro experiments demonstrated that the PSGO scaffold significantly promoted the proliferation and differentiation of bone marrow mesenchymal stem cells (BMSCs), enhanced the expression of key osteogenic markers (RUNX-2 and OCN), and facilitated mineralized matrix formation. Furthermore, in vivo evaluation using a rat calvarial critical-size defect model-assessed via micro-computed tomography and histological analysis-confirmed its excellent osteogenic performance, with substantial new bone formation observed at both the defect margins and center. With its outstanding biocompatibility, osteoinductive capabilities, and controlled drug release properties, the PSGO scaffold offers a promising new approach for the clinical repair of large-scale bone defects.

在这项研究中,我们报道了一种新型仿生复合支架(PSGO)的设计和制造,并系统地评估了其在骨组织工程中的潜力。PSGO支架采用三维(3D)打印技术,以聚乙二醇(PEG)、海藻酸钠(SA)和明胶(GEL)为基体。负载欧诺酮的聚内酯(OA@PM)微球被嵌入支架内,以实现药物的持续释放,从而创造出具有精确结构和功能梯度的结构。对支架的表面形貌、流变特性和药物释放行为进行了综合表征。体外实验表明,PSGO支架可显著促进骨髓间充质干细胞(BMSCs)的增殖和分化,增强关键成骨标志物RUNX-2和OCN的表达,促进矿化基质的形成。此外,通过显微计算机断层扫描和组织学分析,使用大鼠颅骨临界尺寸缺陷模型进行体内评估,证实了其出色的成骨性能,在缺陷边缘和中心都观察到大量新骨形成。PSGO支架具有出色的生物相容性、骨诱导能力和药物释放控制特性,为临床修复大规模骨缺损提供了一种有前景的新方法。
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引用次数: 0
Development and evaluation of a ropivacaine-loaded hydrogel for prolonged nerve blockade and local anesthesia. 罗哌卡因负载水凝胶用于长时间神经阻滞和局部麻醉的研制和评价。
IF 2.5 4区 医学 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2025-10-18 DOI: 10.1177/08853282251387512
Qunfei Zhang, Qihang Yang, Zhen Chen, Xue Hou, Shanshan Qian, Xiaodi Yang, Jing Liu, Chunming Yin

This study explored the in vitro characteristics of a ropivacaine-loaded hydrogel designed for sustained local anesthesia, using a gelatin matrix crosslinked with different concentrations of NHS-PEG-NHS. The hydrogel was comprehensively characterized through electron microscopy, rheology, biocompatibility testing, drug release and degradation analysis, and neurotoxicity assessment. Results showed the hydrogel had excellent gelation properties, a porous 3D network structure with pore size decreasing as crosslinker concentration increased, and enhanced gel strength with higher crosslinker concentrations. As the crosslinker content increases, the network pore size decreases, enabling sustained drug release and thereby prolonging the duration of nerve block. It also demonstrated good biocompatibility, demonstrate the viability of in vivo experiments. In drug release studies, the hydrogel effectively controlled ropivacaine release, achieving a more linear profile and reducing initial burst release. This demonstrates the material's suitability for sustained-release delivery systems. Degradation studies indicated the hydrogel could persist locally for extended periods, which determine the drug's sustained release behavior within the body and consequently dictate the duration of nerve block. The neurotoxicity of local anesthetics exhibits a dose-dependent relationship. In vitro neurotoxicity experiments demonstrate that gel-loaded drugs significantly attenuate the neurotoxicity of ropivacaine, with the degree of toxicity reduction positively correlated with NHS-PEG-NHS content. This indicates that the sustained-release properties of hydrogel materials prevent the abrupt release of drugs. Sciatic nerve block was performed in mice using 0.144% w/v ropivacaine. The free-ropivacaine group exhibited a sensory block duration of 3.2 h and a motor block duration of 2.24 h. In contrast, the hydrogel formulation significantly prolonged analgesia, extending sensory blockade to approximately 13.66 h and motor blockade to 10.35 h, while inducing only minimal inflammatory responses at the injection site. The study concluded that the ropivacaine-loaded hydrogel, with its 3D crosslinked network structure, effectively modulated drug release kinetics, prolonged nerve blockade, and reduced neurotoxicity, offering a promising novel solution for local anesthetic formulation improvement.

本研究探讨了一种用于持续局部麻醉的罗哌卡因负载水凝胶的体外特性,使用明胶基质与不同浓度的NHS-PEG-NHS交联。通过电子显微镜、流变学、生物相容性、药物释放和降解分析、神经毒性评价等方法对水凝胶进行了全面表征。结果表明,该水凝胶具有优异的凝胶性能,呈多孔三维网状结构,孔径随交联剂浓度的增加而减小,凝胶强度随交联剂浓度的增加而增强。随着交联剂含量的增加,网络孔径减小,使药物持续释放,从而延长神经阻滞的持续时间。并表现出良好的生物相容性,证明了体内实验的可行性。在药物释放研究中,水凝胶有效地控制了罗哌卡因的释放,实现了更线性的分布,减少了初始爆发释放。这证明了该材料适用于缓释输送系统。降解研究表明,水凝胶可以在局部持续较长时间,这决定了药物在体内的持续释放行为,从而决定了神经阻滞的持续时间。局麻药的神经毒性表现出剂量依赖关系。体外神经毒性实验表明,凝胶载药可显著减弱罗哌卡因的神经毒性,毒性减弱程度与NHS-PEG-NHS含量呈正相关。这说明水凝胶材料的缓释特性可以防止药物的突然释放。用0.144% w/v罗哌卡因阻断小鼠坐骨神经。游离罗哌卡因组的感觉阻滞持续时间为3.2小时,运动阻滞持续时间为2.24小时。相比之下,水凝胶配方显著延长了镇痛时间,将感觉阻滞延长至约13.66小时,运动阻滞延长至10.35小时,同时在注射部位仅诱导最小的炎症反应。本研究认为,负载罗哌卡因的水凝胶具有三维交联网络结构,可有效调节药物释放动力学,延长神经阻滞时间,降低神经毒性,为局部麻醉剂配方改进提供了一种有前景的新解决方案。
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引用次数: 0
Nano-hydroxyapatite doped tyramine gelatin/silk fibroin scaffold for the regeneration of cancellous bone defects. 纳米羟基磷灰石掺杂酪胺明胶/丝素支架用于松质骨缺损的再生。
IF 2.5 4区 医学 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2025-10-01 Epub Date: 2025-05-30 DOI: 10.1177/08853282251347346
Lina Yang, Mengting Wang, Caixing Peng, Xiang Gong, Lihong Fan, Shuhua Liu, Shengxiang Tao

Gelatin (G) and silk fibroin (SF) are well-established as scaffold materials for bone regeneration; however, their limited binding abilities and mechanical properties often result in less-than-ideal outcomes. In this study, we sought to enhance the stability of a silk fibroin/gelatin biomimetic scaffold by introducing a tyramine bond to the gelatin and incorporating nanohydroxyapatite as a bioactive element. This innovation led to the development of a more robust silk fibroin/nano-hydroxyapatite/gelatin tyramine biomimetic scaffold (SHGT). The biomimetic scaffold was fabricated through an enzymatic reaction catalyzed by horseradish peroxidase/hydrogen peroxide (HRP/H2O2), which facilitated the interaction between a high concentration of silk fibroin (17%) and gelatin tyramine (GT). Additionally, nano-hydroxyapatite (nHA) was incorporated as a bioactive filler to promote bone repair. Our findings indicated that the SHG biomimetic scaffold, initially designed as a sponge, was transformed into an SHGT scaffold with improved brittle fracture resistance, thus broadening its potential applications in bone reconstruction. Moreover, the data showed that combining GT with RGD sequences and HA as a bioactive component significantly enhanced the viability of bone marrow stromal cells (BMSCs) cultured on the scaffold. This synergistic effect highlights the potential of the SHGT scaffold as a promising material for bone tissue engineering.

明胶(G)和丝素(SF)是公认的骨再生支架材料;然而,它们有限的结合能力和机械性能往往导致不太理想的结果。在这项研究中,我们试图通过在明胶上引入酪胺键并加入纳米羟基磷灰石作为生物活性元素来增强丝素/明胶仿生支架的稳定性。这一创新导致了更坚固的丝素/纳米羟基磷灰石/明胶酪胺仿生支架(SHGT)的发展。通过辣根过氧化物酶/过氧化氢(HRP/H2O2)催化的酶促反应制备仿生支架,促进了高浓度丝素蛋白(17%)与明胶酪胺(GT)的相互作用。此外,纳米羟基磷灰石(nHA)作为生物活性填料加入促进骨修复。我们的研究结果表明,最初设计为海绵的SHG仿生支架可以转化为具有更好的抗脆性断裂性能的SHGT支架,从而拓宽了其在骨重建中的潜在应用。此外,数据显示,将GT与RGD序列结合,并将HA作为生物活性成分,可显著提高支架上培养的骨髓基质细胞(BMSCs)的活力。这种协同效应突出了SHGT支架作为骨组织工程材料的潜力。
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引用次数: 0
Enhancing gelatin hydrogels: Synergistic effects of C-phycocyanin and nopal mucilage on physicochemical and biocompatibility properties. 增强明胶水凝胶:c -藻蓝蛋白和雀花粘液对其理化和生物相容性的协同作用。
IF 2.5 4区 医学 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2025-10-01 Epub Date: 2025-06-20 DOI: 10.1177/08853282251355114
Emma Gabriela Antonio-Marcos, Hugo Joel Carrillo Escalante, Liliana Hernández-Vázquez, Gerardo Alfonso Castillo Gamboa, José Manuel Cervantes Uc, Jesús Alejandro Claudio Rizo, Nayeli Rodríguez-Fuentes

Healing persistent wounds is a current challenge for healthcare systems. Addressing this type of problem requires new and improved materials that activate regenerative processes without side effects. In this sense, in this study, C-phycocyanin (CPC), a bioactive pigment obtained from Arthrospira platensis, and nopal mucilage (MUC), a traditional Mexican element of ancestral medicine, were incorporated into gelatin (GEL)-based hydrogels and chemically crosslinked. These materials, referred to as HGEL-CPC-MUC, were prepared with varying concentrations of CPC-MUC (0-1 μg/μL of hydrogel), and their structural, physicochemical, rheological and in vitro biocompatibility properties were systematically evaluated. The main findings revealed that the incorporation of CPC-MUC into GEL-based hydrogels, significantly improves their physicochemical, mechanical and biological properties. These hydrogels exhibited a chemical crosslinking, achieving 93% crosslinking efficiency, high swelling behavior (∼1250%), rough porous surfaces, sustained degradation at physiological pH, and high thermal stability. Their rheological behavior showed an improvement in G' (226%) under thermal stress (40 °C), along with high damping capacity under constant load with the addition of CPC-MUC. Notably, the presence of CPC-MUC imparted a hemoprotective effect, with hemolysis percentages decreasing proportionally to the CPC-MUC content and none of the hydrogels interfered with coagulation pathways. Furthermore, all hydrogels demonstrated excellent in vitro biocompatibility with dermal fibroblasts, showing no cytotoxic effects. These features become important in the context of a moist and refractory wounds such as foot ulcers and extensive burns, were moisture control, exceptional hemocompatibility and support for dermal fibroblasts viability are required, as well as the porous structure for nutrients and waste exchange. HGEL-CPC-MUC hydrogels represent a highly promising biocompatible and multifunctional scaffold for advanced wound care and regenerative medicine applications.

愈合持续性伤口是当前卫生保健系统面临的挑战。解决这类问题需要新的和改进的材料,激活再生过程没有副作用。因此,本研究将从platarthrospira中获得的生物活性色素C-phycocyanin (CPC)与墨西哥传统祖先药物成分nopal mucilage (MUC)结合到明胶(GEL)基水凝胶中,并进行化学交联。以不同浓度的CPC-MUC (0-1 μg/μL)制备HGEL-CPC-MUC材料,系统评价其结构、物理化学、流变学和体外生物相容性。研究结果表明,在凝胶基水凝胶中掺入CPC-MUC,可显著改善其物理化学、力学和生物性能。这些水凝胶表现出化学交联,达到93%的交联效率,高溶胀性(~ 1250%),粗糙的多孔表面,在生理pH下持续降解,以及高热稳定性。在热应力(40°C)下,CPC-MUC的流变行为改善了G′(226%),并在恒载下具有较高的阻尼能力。值得注意的是,CPC-MUC的存在具有血液保护作用,溶血百分比随着CPC-MUC含量的增加而成比例降低,并且没有水凝胶干扰凝血途径。此外,所有水凝胶与真皮成纤维细胞表现出良好的体外生物相容性,没有细胞毒性作用。这些特征在潮湿和难治性伤口(如足部溃疡和大面积烧伤)的背景下变得重要,因为需要水分控制、特殊的血液相容性和对真皮成纤维细胞活力的支持,以及用于营养物质和废物交换的多孔结构。HGEL-CPC-MUC水凝胶代表了一种非常有前途的生物相容性和多功能支架,用于高级伤口护理和再生医学应用。
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引用次数: 0
Development of an enhanced liver scaffold recellularization using fibronectin. 纤维连接蛋白增强肝支架再细胞化的研究进展。
IF 2.5 4区 医学 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2025-10-01 Epub Date: 2025-06-05 DOI: 10.1177/08853282251350315
Sadia Afrin, Usha Yadav, Chandra J Yadav, Jihad Kamel, Jun-Young Lee, Kyung-Mee Park

Decellularized liver scaffolds offer a promising foundation for liver tissue engineering and regenerative medicine. However, several challenges such as poor cell adhesion, inefficient reseeding, inadequate vascularization, and a high risk of blood clot formation continue to hinder their clinical application. While fibronectin (FN) has been widely used to enhance scaffold functionality, its potential for liver-specific applications remains largely unexplored. In this study, we developed a perfusion-assisted FN coating technique to improve the adhesion of endothelial cells (EA.hy926) and hepatocytes (HepG2), thereby enhancing the overall biocompatibility of liver scaffolds. FN was carefully introduced into decellularized rat liver scaffolds, allowing for targeted deposition across both the vascular and parenchymal compartments to optimize cellular attachment. Following portal vein reseeding and 7 days of bioreactor incubation, the FN-coated scaffolds showed significantly better endothelial cell adhesion within blood vessel structures and increased HepG2 cell coverage throughout the liver tissue. Immunohistochemistry (IHC) confirmed enhanced HepG2 proliferation, while TUNEL and RT-qPCR analyses indicated improved cell viability and scaffold functionality. Additionally, ex vivo blood perfusion tests demonstrated reduced thrombogenicity, likely due to improved endothelialization and lower platelet adhesion. These findings highlight FN functionalization as an effective bioengineering approach to overcoming key barriers in vascularization, biocompatibility, and cellular integration for liver scaffolds. By extending the known benefits of FN beyond its previously studied applications in kidney and heart scaffolds, this research introduces a promising strategy for advancing bioengineered liver grafts and potential transplantation models.

脱细胞肝支架为肝组织工程和再生医学提供了良好的基础。然而,一些挑战,如细胞粘附性差、补种效率低、血管化不足和血栓形成的高风险,继续阻碍着它们的临床应用。虽然纤维连接蛋白(FN)已被广泛用于增强支架功能,但其在肝脏特异性应用方面的潜力仍未得到充分开发。在本研究中,我们开发了一种灌注辅助的FN涂层技术,以改善内皮细胞(EA.hy926)和肝细胞(HepG2)的粘附,从而提高肝支架的整体生物相容性。FN被小心地引入到去细胞化的大鼠肝脏支架中,允许在血管和实质间室中靶向沉积,以优化细胞附着。门静脉补种和生物反应器孵育7天后,fn包被支架血管结构内内皮细胞黏附明显改善,HepG2细胞覆盖整个肝组织。免疫组织化学(IHC)证实HepG2增殖增强,TUNEL和RT-qPCR分析显示细胞活力和支架功能增强。此外,体外血液灌注试验显示血栓形成性降低,可能是由于内皮化改善和血小板粘附降低。这些发现强调了FN功能化是一种有效的生物工程方法,可以克服肝支架血管化、生物相容性和细胞整合方面的关键障碍。通过将FN的已知益处扩展到其先前在肾脏和心脏支架中的应用,本研究为推进生物工程肝移植和潜在移植模型引入了一种有前途的策略。
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引用次数: 0
Study on fabrication of calcium sulfate hemihydrate/tricalcium phosphate based injectable bone cement modified by sodium alginate-carboxymethyl chitosan gel network and its resistance to collapse. 海藻酸钠-羧甲基壳聚糖凝胶网改性半水硫酸钙/磷酸三钙基注射用骨水泥的制备及其抗塌性研究。
IF 2.5 4区 医学 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2025-10-01 Epub Date: 2025-07-19 DOI: 10.1177/08853282251361217
Junjia Kang, Xiaojie Lian, Zhimin He, Tingwei Qin, Di Huang

The collapsibility of bone cement may cause blood vessel embolism, blocking blood flow and causing serious complications such as pulmonary embolism or spinal cord injury, especially when implantation by injection. Therefore, it is of great significance to develop an artificial bone graft with excellent collapse resistance performance. Calcium sulfate and calcium phosphate complex bone cements can be formulated as injectable materials, making them particularly suitable for treating irregular bone defects. However, its clinical application is limited by poor collapsibility resistance and mechanical strength. This study aimed to develop an injectable bone repair material by integrating a biphasic calcium source, which was achieved by calcium sulfate (CS) and calcium phosphate (CP), and a synergistic network formed by sodium alginate (SA) and carboxymethyl chitosan (CMCS). The results showed that the addition of SA-CMCS as a solidifying liquid significantly improved the compressive strength, injectability, and collapsibility resistance of composite bone cement. At the concentration of 1% SA and 15% CMCS, the peak compressive strength reached 11.53 ± 1.3 MPa. All the composite bone cements did not collapse at 5 h in the static environment, and the collapse times of samples SA1-CMCS15 and SA1-CMCS20 in the dynamic environment were 95.3 ± 5.1 min and 96.7 ± 4.9 min, respectively. At CMCS concentrations of 10-20%, the injectability of composite bone cement was higher than 90% and degradation ratio was less than 15%. ALP activity and alizarin red staining confirmed that the composite bone cement showed excellent cytocompatibility and promoted cell proliferation and osteogenic differentiation. This study successfully developed a bone repair material with enhanced mechanical properties, collapsibility resistance, injectability, and biocompatibility, which may make it a promising candidate for bone regeneration applications in clinical.

骨水泥的湿陷性可引起血管栓塞,阻断血流,引起肺栓塞或脊髓损伤等严重并发症,尤其是注射植入时。因此,开发具有优异抗塌陷性能的人工骨移植具有重要意义。硫酸钙和磷酸钙复合骨水泥可以配制成可注射材料,使其特别适合于治疗不规则骨缺损。但其抗湿陷性和机械强度较差,限制了其临床应用。本研究旨在通过整合硫酸钙(CS)和磷酸钙(CP)的双相钙源,以及海藻酸钠(SA)和羧甲基壳聚糖(CMCS)形成的协同网络,开发一种可注射性骨修复材料。结果表明,SA-CMCS作为固化液的加入显著提高了复合骨水泥的抗压强度、注射性和抗湿陷性。当SA浓度为1%,CMCS浓度为15%时,峰值抗压强度达到11.53±1.3 MPa。复合骨水泥在静态环境下5 h均未发生塌陷,SA1-CMCS15和SA1-CMCS20在动态环境下的塌陷时间分别为95.3±5.1 min和96.7±4.9 min。CMCS浓度为10 ~ 20%时,复合骨水泥可注射性大于90%,降解率小于15%。ALP活性和茜素红染色证实复合骨水泥具有良好的细胞相容性,促进细胞增殖和成骨分化。本研究成功开发出一种具有较强力学性能、抗溃散性、可注射性和生物相容性的骨修复材料,有望成为临床应用的骨再生材料。
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引用次数: 0
Corrigendum to Fiber-reinforced hydrogel scaffolds for heart valve tissue engineering. 心脏瓣膜组织工程用纤维增强水凝胶支架的勘误。
IF 2.5 4区 医学 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2025-10-01 Epub Date: 2025-07-10 DOI: 10.1177/08853282251340963
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引用次数: 0
Antioxidant and antibacterial alginate/lignin composite hydrogels loaded with vancomycin for wound dressing applications. 含有万古霉素的抗氧化和抗菌海藻酸盐/木质素复合水凝胶用于伤口敷料。
IF 2.5 4区 医学 Q3 ENGINEERING, BIOMEDICAL Pub Date : 2025-10-01 Epub Date: 2025-06-03 DOI: 10.1177/08853282251347768
Faeze Shojaeinia, Masoumeh Haghbin Nazarpak, Akbar Karkhaneh

Hydrogels are advantageous for wound healing as they provide mechanical support and maintain a moist environment, essential for tissue repair. Although conventional alginate-based hydrogels are commonly used in wound care, they often lack essential properties like antibacterial and antioxidant functionality. To address this limitation, this research focused on synthesizing composite hydrogels combining alginate with lignin and loading them with Vancomycin. The incorporation of lignin and Vancomycin imparted antibacterial and antioxidant properties to the hydrogels, enhancing their therapeutic potential. The hydrogels are dual crosslinked (physically and chemically), where lignin counteracts high levels of reactive oxygen species and reduces excessive inflammation at the wound site. Furthermore, the hydrogels had pores ranging from 100 to 135 μm, which is beneficial to gas and nutrient exchange and wound fluid absorption. Results showed that lignin improved the hydrogels' stability in physiological conditions by 50%. Additionally, the incorporation of lignin led to a 30% increase in antioxidant activity and a 50% boost in antibacterial activity. Vancomycin release from the hydrogels was measured, which showed alginate-only hydrogels releasing 50% and lignin-reinforced hydrogels releasing 35% over the first 24 hours. The MTT test confirmed approximately 90% cell viability across all samples, suggesting that the designed hydrogels are promising candidates for wound dressing applications.

水凝胶对伤口愈合是有利的,因为它们提供机械支持并保持湿润的环境,这对组织修复至关重要。虽然传统的海藻酸盐水凝胶通常用于伤口护理,但它们往往缺乏抗菌和抗氧化功能等基本特性。为了解决这一问题,本研究将重点放在海藻酸盐与木质素的复合水凝胶的合成上,并在其上装载万古霉素。木质素和万古霉素的掺入使水凝胶具有抗菌和抗氧化性能,增强了其治疗潜力。水凝胶是双交联的(物理和化学),其中木质素抵消了高水平的活性氧,减少了伤口部位的过度炎症。此外,水凝胶具有100 ~ 135 μm的孔隙,有利于气体和营养物质的交换以及伤口液的吸收。结果表明,木质素使水凝胶在生理条件下的稳定性提高了50%。此外,木质素的掺入导致抗氧化活性增加30%,抗菌活性提高50%。测定了水凝胶中万古霉素的释放量,结果表明,在前24小时内,只有海藻酸盐的水凝胶释放量为50%,而木质素增强的水凝胶释放量为35%。MTT测试证实了所有样品中约90%的细胞存活率,这表明所设计的水凝胶是伤口敷料应用的有希望的候选者。
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Journal of Biomaterials Applications
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