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Polypropylene Surgical Mesh Implants for Hernia and Pelvic Floor Disorders: A Materials Performance Perspective 聚丙烯手术网状植入物用于疝和骨盆底疾病:材料性能的观点
IF 3.9 3区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-07-27 DOI: 10.1002/jbm.a.37970
Tanmay Jain, Irada S. Isayeva, David D. Simon

Surgical meshes are medical devices that were initially designed for hernia repair and later adopted for pelvic floor reconstructive surgeries, including pelvic organ prolapse (POP) and stress urinary incontinence (SUI). Polypropylene (PP) is the most common material for surgical mesh, but others have been used clinically. Complications with PP surgical mesh have been attributed to several factors, including the post-implantation degradation of the surgical mesh materials. PP mesh was initially considered to be inert, but evidence of in vivo degradation has since been widely reported in retrieved surgical mesh after long-term implantation. This review provides an overview of the physical and mechanical properties of surgical mesh prior to implantation and the post-implantation stability of the mesh materials. We underscore the need to consider the changes in mesh properties after implantation and their potential effects on device safety. This review highlights the importance of characterizing “effective porosity,” assessing mechanical properties under physiological stresses, understanding the in vivo degradation mechanisms, employing accelerated bench-top aging methods to estimate long-term biostability, and developing in vitro in vivo correlations (IVIVC) to minimize resource-intensive long-term testing and improve patient access to innovative devices. Overall, this review provides a materials science perspective on the research gaps that could be considered in future iterations of surgical mesh devices to improve their safety and performance.

外科补片是一种最初用于疝修补的医疗器械,后来被用于盆底重建手术,包括盆腔器官脱垂(POP)和压力性尿失禁(SUI)。聚丙烯(PP)是最常用的外科补片材料,但其他材料也在临床上使用。PP手术补片的并发症可归因于几个因素,包括手术补片材料植入后的降解。PP补片最初被认为是惰性的,但在长期植入后的手术补片中,体内降解的证据已被广泛报道。本文综述了手术补片植入前的物理和机械性能以及植入后补片材料的稳定性。我们强调需要考虑植入后网状物性能的变化及其对设备安全性的潜在影响。这篇综述强调了表征“有效孔隙度”的重要性,评估生理应力下的机械性能,了解体内降解机制,采用加速台式老化方法来评估长期生物稳定性,以及开发体外体内相关性(IVIVC)以最大限度地减少资源密集型的长期测试,并改善患者获得创新设备的机会。总的来说,这篇综述从材料科学的角度提供了研究空白,可以在未来的外科网状装置迭代中考虑,以提高其安全性和性能。
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引用次数: 0
Influence of Diol Chain Length on Various Properties of Citric Acid Polyesters/PLA Electrospun Nonwovens for Tissue Engineering Applications 二醇链长对组织工程用柠檬酸聚酯/聚乳酸静电纺非织造布各项性能的影响
IF 3.9 3区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-07-23 DOI: 10.1002/jbm.a.37967
Aleksandra Bandzerewicz, Adrian Chlanda, Tomasz Gołofit, Miroslav Slouf, Piotr Denis, Agnieszka Gadomska-Gajadhur

Despite the great potential of citrate polyesters in regenerative medicine, the data about their application in electrospinning is somewhat limited. In this work, poly(dimethylene citrate) (P-1,2-ECit), poly(tetramethylene citrate) (P-1,4-BCit), and poly(hexamethylene citrate) (P-1,6-HCit) were synthesized. Nonwovens from poly(diol citrates)/PLA mixtures were successfully electrospun and characterized using SEM, AFM, water contact angle measurement, DSC, TGA, and in vitro degradation tests. The addition of poly(diol citrates) increases the hydrophilicity and surface adhesion force of PLA nonwovens; however, the observed effects depend on the scale level (macro/micro) of the analysis. Diol chain length in poly(diol citrate) influences the compatibility and heterogeneity of its distribution within the carrier polymer. Additionally, it impacts the crystallinity of the PLA phase. Degradation tests show the problem of the nonwoven stability in the aqueous media and the high leachability of the short-chained poly(diol citrates). Addressing this issue is important regarding controlling the degradation kinetics. Despite the good processability in electrospinning and promising surface properties of the poly(diol citrates)/PLA mixtures, the instability of these materials in an aqueous environment is an important issue which can subsequently affect the performance of the eventual implant/cell scaffold. The solution may involve chain elongation of the hydrophilic oligomeric additive.

尽管柠檬酸酯在再生医学中具有巨大的潜力,但其在静电纺丝中的应用数据有限。本文合成了聚柠檬酸二甲基(p -1,2- ecit)、聚柠檬酸四甲基(p -1,4- bcit)和聚柠檬酸六甲基(p -1,6- hcit)。采用电纺丝法成功制备了聚柠檬酸二醇/聚乳酸混合物非织造布,并用扫描电镜(SEM)、原子力显微镜(AFM)、水接触角测量、差热分析(DSC)、热重分析(TGA)和体外降解测试对其进行了表征。聚柠檬酸二醇的加入提高了PLA非织造布的亲水性和表面附着力;然而,观察到的效果取决于分析的尺度水平(宏观/微观)。聚柠檬酸二醇中的二醇链长影响其在载体聚合物中分布的相容性和非均质性。此外,它还影响PLA相的结晶度。降解试验表明,非织造布在水介质中的稳定性和短链聚柠檬酸二醇的高浸出性存在问题。解决这一问题对于控制降解动力学具有重要意义。尽管聚(柠檬酸二醇)/聚乳酸混合物具有良好的静电纺丝加工性和良好的表面性能,但这些材料在水环境中的不稳定性是一个重要问题,可能会影响最终植入物/细胞支架的性能。该溶液可能涉及亲水性低聚物添加剂的链延伸。
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引用次数: 0
Chondroprotective Effects of Chitosan-Coated Poly(Lactic-co-Glycolic Acid) Nanocapsulized Curcumin on Human Articular Chondrocytes 壳聚糖包被聚乳酸-羟基乙酸纳米胶囊姜黄素对人关节软骨细胞的软骨保护作用
IF 3.9 3区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-07-21 DOI: 10.1002/jbm.a.37969
Yung-Hsin Cheng, Chang-Chin Wu, Yueh-Hsin Chen, Pei-Feng Huang, Che-Wei Hsu, Koichi Kato, Kai-Chiang Yang

Dysregulation of pro-inflammatory cytokines participates in the initiation and development of knee osteoarthritis (OA). Consequently, interventions to boost the anti-inflammatory capacity of articular chondrocytes have been proposed to treat early-stage OA and prevent OA progression. Applying nanoencapsulation can enhance bioavailability and bioactivity and sustain the anti-inflammatory activity of phytochemicals. Accordingly, in this study, we used nanocapsules to deliver curcumin (Cur) to treat inflammatory chondrocytes. Using double-emulsion technology, Cur was encapsulated in chitosan-coated poly(lactic-co-glycolic acid) nanocapsules. The nanocapsulized Cur (NCcur) was characterized, and the toxicity to human articular chondrocytes was evaluated. NCcur was applied to interleukin-1 beta (IL-1β)-stimulated cells based on findings of the Cur toxicity study. Results showed that the particle size of NCcur was 247.8 ± 1.73 nm with a zeta potential of 20.3 ± 0.11 mV and a mid-range distribution. NCcur showed a core-shell and sphere-like morphology. The encapsulation efficiency of Cur in nanocapsules was 67.1%. Nanoencapsulation decreased the toxicity of high-dose Cur (> 20 μM), and NCcur exhibited a sustained Cur release over 72 h. NCcur supplementation (20 μM) improved cell survival and ameliorated cell senescence of inflammatory chondrocytes. The IL-1β-induced IL1B, IL6, metalloproteinase-9 (MMP9), and MMP13 mRNA expressions were down-regulated, while IL10 level was enhanced in NCcur-treated chondrocytes. Likewise, NCcur supplementation restored aggrecan, collagen type II alpha 1 chain, and SOX9 mRNA expressions. MMP-13, IL-8, and MCP-1 secretions in the supernatant also decreased. By applying nanocapsules, we assumed the anti-inflammatory capacity of Cur could be sustained for treating knee OA.

促炎细胞因子的失调参与膝骨关节炎(OA)的发生和发展。因此,已经提出了增强关节软骨细胞抗炎能力的干预措施,以治疗早期OA并防止OA进展。纳米胶囊化可以提高植物化学物质的生物利用度和生物活性,并维持其抗炎活性。因此,在本研究中,我们使用纳米胶囊递送姜黄素(Cur)来治疗炎症软骨细胞。采用双乳技术,将Cur包被在壳聚糖包被的聚乳酸-羟基乙酸纳米胶囊中。对纳米胶囊化Cur (NCcur)进行了表征,并评价了其对人关节软骨细胞的毒性。ncur应用于白细胞介素-1β (IL-1β)刺激的细胞是基于Cur毒性研究的结果。结果表明:ncur的粒径为247.8±1.73 nm, zeta电位为20.3±0.11 mV,呈中程分布;NCcur呈核壳状和球状形态。铜在纳米胶囊中的包封率为67.1%。纳米包封降低了高剂量(20 μM)的毒性,且ncur在72 h内持续释放。添加NCcur (20 μM)可改善炎性软骨细胞的细胞存活和细胞衰老。il -1β诱导的il - 1b、il - 6、金属蛋白酶9 (metalloproteinase-9, MMP9)和MMP13 mRNA表达下调,而il - 10水平在nccur处理的软骨细胞中升高。同样,ncur补充剂恢复了聚集蛋白、II型胶原α 1链和SOX9 mRNA的表达。上清液中MMP-13、IL-8和MCP-1的分泌也减少。通过应用纳米胶囊,我们假设Cur的抗炎能力可以持续治疗膝关节OA。
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引用次数: 0
Brillouin Spectroscopy: A Non-Invasive Method for Assessing the Viscoelastic Properties of Biologically Relevant Polymers 布里渊光谱:一种评估生物相关聚合物粘弹性特性的非侵入性方法
IF 3.9 3区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-07-13 DOI: 10.1002/jbm.a.37965
Vsevolod Cheburkanov, Sujeong Jung, Mykyta Kizilov, Samantha E. Holt, Daniel L. Alge, Taylor H. Ware, Vladislav V. Yakovlev

Research of biocompatible polymers is critical for advancing biomedical technologies, particularly in the fields of tissue engineering, drug delivery, and cardiovascular health. This study investigates the mechanical properties of a series of novel biocompatible polymers using Brillouin microspectroscopy. We demonstrate the ability of Brillouin spectroscopy to accurately measure mechanical properties of these polymers on a microscopic level, which are vital for their application and can be finely tuned to match the requirements. Our findings suggest that Brillouin microspectroscopy, coupled with Raman spectroscopy, offers a powerful complementary approach to traditional viscoelasticity measurement techniques, paving the way for enhanced characterization and utilization of biocompatible polymers in medical research and clinical practice. This in turn would help streamline production and control of these polymers in a non-invasive and label-free way.

生物相容性聚合物的研究对于推进生物医学技术至关重要,特别是在组织工程、药物输送和心血管健康领域。本研究利用布里渊微光谱学研究了一系列新型生物相容性聚合物的力学性能。我们展示了布里渊光谱在微观水平上精确测量这些聚合物机械性能的能力,这对它们的应用至关重要,并且可以微调以满足要求。我们的研究结果表明,布里渊微光谱与拉曼光谱相结合,为传统的粘弹性测量技术提供了强大的补充方法,为增强生物相容性聚合物在医学研究和临床实践中的表征和利用铺平了道路。这反过来将有助于以非侵入性和无标签的方式简化这些聚合物的生产和控制。
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引用次数: 0
Successful Preparation of Contrast Particle-Loaded Human Mesenchymal Stem Cell Aggregates Using Adherent Cell Self-Aggregation Technique 利用贴壁细胞自聚集技术成功制备造影剂颗粒负载的人间充质干细胞聚集体
IF 3.9 3区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-07-11 DOI: 10.1002/jbm.a.37964
Lupeng Teng, Soichiro Fukushima, Makoto Koizumi, Hirotaka James Okano, Takao Ohki, Koji Matsuura, Ryosuke Iwai

Several studies have investigated the location of transplanted cells and tissue-engineered cell constructs in the body by incorporating contrast nanoparticles into cells by endocytosis; however, these have yet to be applied clinically because of the complexity of assessing the safety of nanoparticles. In this study, we proposed that our developed adherent cell self-aggregation technique (CAT) could be used to develop cell aggregates loaded with contrast particles of a size that would exclude the possibility of endocytosis, and aimed to prepare these aggregates followed by biological and computed tomography (CT) contrast evaluation under X-rays. Once human bone marrow-derived mesenchymal stem cells (HBMSCs) were seeded into culture dishes coated with CAT-inducing polymer to form gapless cell monolayer sheets, tungsten carbide (WC) particles smaller than 1 μm or titanium (Ti) particles larger than 10 μm were added, and thus each particle deposited on the surface of the cell monolayer sheet. During the subsequent overnight incubation, spontaneous detachment and aggregation of the cell monolayer sheets with deposited WC and Ti particles occurred, forming single spherical cell aggregates (spheroids) and loading these particles. Histological analysis confirmed that Ti particles with a diameter of at least 10 μm were not endocytosed and remained attached to the outside of cells forming spheroids, while WC particles were endocytosed into the cells. The CT images of the Ti-loaded spheroids were clearly visible along the spheroid shape under X-ray irradiation. Then, we confirmed that there was no toxicity to the cells forming the spheroids by loading Ti particles, and the cells could sprout and proliferate by culturing the spheroids. We successfully prepared Ti particle-loaded HBMSCs aggregates with long fiber shape (> 10 cm) by applying CAT to a culture dish with a ring-fiber-shaped culture groove and confirmed their clear visibility on CT images under X-ray irradiation, as well as their containment and ejection into a catheter, demonstrating their applicability to catheter-mediated regenerative therapy.

几项研究通过内吞作用将造影剂纳米颗粒掺入细胞,研究了移植细胞和组织工程细胞在体内的位置;然而,由于评估纳米颗粒安全性的复杂性,这些技术尚未在临床上应用。在这项研究中,我们提出,我们开发的贴壁细胞自聚集技术(CAT)可用于开发装载造影剂颗粒的细胞聚集体,其大小将排除内吞作用的可能性,并旨在制备这些聚集体,然后在x射线下进行生物和计算机断层扫描(CT)对比评估。将人骨髓间充质干细胞(HBMSCs)接种到包被cat诱导聚合物的培养皿中形成无间隙的细胞单层片,加入小于1 μm的碳化钨(WC)颗粒或大于10 μm的钛(Ti)颗粒,使每个颗粒沉积在细胞单层片的表面。在随后的夜间孵育过程中,沉积WC和Ti颗粒的细胞单层片发生自发剥离和聚集,形成单个球形细胞聚集体(球体)并装载这些颗粒。组织学分析证实,直径至少为10 μm的Ti颗粒未被内吞,并附着在细胞外形成球状体,而WC颗粒被内吞进入细胞内。在x射线照射下,载钛球体的CT图像沿球体形状清晰可见。然后,我们证实了钛颗粒对形成球体的细胞没有毒性,并且通过培养球体细胞可以发芽和增殖。我们在环形纤维状培养槽的培养皿上应用CAT成功制备了具有长纤维状(> 10 cm)的Ti颗粒负载的HBMSCs聚体,并证实了其在x射线照射下在CT图像上的清晰可见性,以及其在导管中的包容和喷射,证明了其在导管介导的再生治疗中的适用性。
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引用次数: 0
Enhancing Bone Regeneration: The Role of Biomimetic Silicified Collagen Scaffold in Osteogenesis and Angiogenesis 促进骨再生:仿生硅化胶原支架在骨生成和血管生成中的作用
IF 3.9 3区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-07-09 DOI: 10.1002/jbm.a.37954
Ming-yuan Liu, Yu-xuan Ma, Lei Chen, Meng Wang, Zheng-long Zhang, Yu-xia Hou, Li-na Niu

The identification of materials that effectively promote mineralization and vascularization is crucial for advancing clinical applications in bone regeneration. Biomimetic silicified collagen scaffold (SCS) has emerged as a promising candidate, demonstrating significant potential to enhance both osteogenesis and angiogenesis. However, the mechanisms by which SCS directly influences angiogenesis to facilitate bone defect healing remain largely unexplored. In this study, we observed that the implantation of SCS in rabbit femoral defects resulted in extensive bone regeneration and angiogenesis at the wound sites. Notably, SCS outperformed commercial alternatives such as Bio-Oss in terms of degradation and angiogenic response. In vitro assays further demonstrated that SCS upregulates angiogenic protein expression and promotes endothelial cell angiogenesis through the activation of the HIF-1α/VEGF signaling pathway. Consequently, SCS modulates the phenotype of vascular endothelial cells, leading to the formation of CD31hiEmcnhi type H endothelial cells, which are critical for effective bone regeneration. This study offers valuable perspectives on the dual effects of silicified materials on osteogenesis and angiogenesis, advancing the understanding of their potential functions in regenerative medicine.

鉴定有效促进矿化和血管化的材料对于推进骨再生的临床应用至关重要。仿生硅化胶原蛋白支架(SCS)已成为一种很有前途的候选材料,显示出增强骨生成和血管生成的巨大潜力。然而,SCS直接影响血管生成促进骨缺损愈合的机制在很大程度上仍未被探索。在本研究中,我们观察到在兔股骨缺损中植入SCS可在创面处产生广泛的骨再生和血管生成。值得注意的是,SCS在降解和血管生成反应方面优于Bio-Oss等商业替代品。体外实验进一步证明,SCS通过激活HIF-1α/VEGF信号通路,上调血管生成蛋白表达,促进内皮细胞血管生成。因此,SCS调节血管内皮细胞的表型,导致CD31hiEmcnhi型H内皮细胞的形成,这对有效的骨再生至关重要。本研究为硅化材料在成骨和血管生成方面的双重作用提供了有价值的视角,促进了对其在再生医学中的潜在功能的理解。
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引用次数: 0
Exponentially Decreasing Antigen Release Reduces Inflammatory Markers in an Antigen-Specific Manner 指数减少抗原释放减少炎症标志物抗原特异性的方式
IF 3.9 3区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-07-09 DOI: 10.1002/jbm.a.37962
Arezoo Esrafili, Aleksandr Talitckii, Joshua Kupfer, Abhirami Thumsi, Madhan Mohan Chandra Sekhar Jaggarapu, Margaret Dugoni, Gregory Jensen, Matthew M. Peet, Julianne L. Holloway, Abhinav P. Acharya

Vaccine development requires innovative approaches to improve immune responses while reducing the number of immunizations. In this study, we explore the impact of controlled antigen release on immune activation and regulation using programmable infusion pumps and biodegradable biomaterials in OT-II and wild-type mice to understand the adaptive immune response through controlled antigen delivery in the absence of adjuvant. Ovalbumin (OVA) was delivered via an exponentially decreasing profile, mimicking clearance of infection, and an exponentially increasing profile, mimicking induction of infection. Exponentially decreasing OVA delivery through infusion pumps promoted regulatory T-cell (Treg) activation in secondary lymphoid organs and suppressed pro-inflammatory T-helper type 17 (Th17) responses in blood. An exponentially increasing OVA profile enhanced central memory T-cell (TCM) populations in submandibular blood and humoral immune responses in cardiac blood serum, demonstrating distinct immune modulation based on release kinetics. OVA was also delivered using a biodegradable PLGA-PEG-PLGA (PPP) depot, which provided controlled OVA release in an exponentially decreasing pattern. PPP-OVA treatment significantly reduced the frequency of pro-inflammatory T-helper type 1 (Th1) cells while increasing CD25+FOXP3+ Treg cells in the spleen. Moreover, to identify T-cell populations that most accurately characterize the divergence in Treg and T-helper response to OVA kinetics, a Sequential Feature Selection (SFS) algorithm with Machine Learning (ML) models was used. ML algorithms identified gMFI of RORγt+ as a key feature in submandibular blood and the ratio of gMFI of FOXP3+ to GATA3+ as the marker that was significantly changed by treatments in inguinal lymph nodes (iLN) when infusion pumps were used to deliver OVA. In addition, ML-based SFS identified CD25+FOXP3+ regulatory T cells as the most important feature, influencing the expression of other cell types in both inguinal lymph nodes (iLN) and spleen when PPP was used to deliver OVA. This finding suggests that the exponentially decreasing profile may generate anti-inflammatory responses. Overall, these findings suggest that controlled antigen delivery enhances immune regulation and memory T cells, providing new insights into immune responses mediated by the release kinetics.

疫苗开发需要创新的方法来改善免疫反应,同时减少免疫接种的次数。在这项研究中,我们利用可编程输注泵和可生物降解的生物材料,在OT-II和野生型小鼠中探索控制抗原释放对免疫激活和调节的影响,以了解在没有佐剂的情况下通过控制抗原递送的适应性免疫反应。卵清蛋白(OVA)通过指数递减曲线(模拟感染清除)和指数递增曲线(模拟感染诱导)传递。通过输注泵呈指数级减少OVA递送可促进次级淋巴器官调节性t细胞(Treg)激活,抑制血液中促炎t辅助型17 (Th17)反应。指数增长的OVA谱增强了下颌骨血液中的中央记忆t细胞(TCM)种群和心脏血清中的体液免疫反应,表明基于释放动力学的独特免疫调节。OVA还使用可生物降解的PLGA-PEG-PLGA (PPP)储存库,该储存库以指数递减的模式提供受控的OVA释放。PPP-OVA治疗显著降低了促炎t -辅助型1 (Th1)细胞的频率,同时增加了脾脏中CD25+FOXP3+ Treg细胞的数量。此外,为了确定最准确表征Treg和t辅助反应对OVA动力学差异的t细胞群,使用了具有机器学习(ML)模型的序列特征选择(SFS)算法。ML算法将ror γ - t+的gMFI鉴定为下颌骨血液中的关键特征,将FOXP3+与GATA3+的gMFI比值鉴定为使用输注泵输送OVA时腹股沟淋巴结(iLN)处理后显著改变的标记物。此外,基于ml的SFS发现CD25+FOXP3+调节性T细胞是最重要的特征,当PPP输送OVA时,它影响了腹股沟淋巴结(iLN)和脾脏中其他类型细胞的表达。这一发现表明,指数下降的轮廓可能产生抗炎反应。总的来说,这些发现表明,控制抗原递送增强了免疫调节和记忆T细胞,为释放动力学介导的免疫反应提供了新的见解。
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引用次数: 0
Biodegradable, Antibacterial TCP Implant Coatings With Magnesium Phosphate-Based Supraparticles 生物可降解、抗菌的磷酸镁基超颗粒TCP种植膜
IF 3.9 3区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-07-08 DOI: 10.1002/jbm.a.37963
Maria Carolina Lanzino, Anika Höppel, Long-Quan R. V. Le, Stefania Morelli, Andreas Killinger, Wolfgang Rheinheimer, Hermann O. Mayr, Sofia Dembski, Ali Al-Ahmad, Moritz F. Mayr, Uwe Gbureck, Michael Seidenstuecker

This work highlights the potential of porous, bioactive coatings to advance implant technology and address critical clinical challenges. A key issue in implant coatings is to achieve the balance between infection prevention and successful osseointegration. Although titanium implants are widely used due to their mechanical strength and biocompatibility, their bioinert nature limits integration with bone tissue. To address these issues, porous calcium phosphate (CaP) coatings have been developed to enhance cell attachment and bone growth. However, CaP, especially in the widely used form of hydroxyapatite (HAp), has a low resorption rate, which often leads to prolonged coating stability and impairs natural bone remodeling. To overcome this limitation, magnesium phosphate (MgP), an underexplored but promising biomaterial with high biocompatibility and osteogenic potential, can be introduced. Another innovative strategy is the doping of biomaterials with antibacterial ions, among which copper (Cu) has attracted particular attention. The incorporation of Cu into the coating matrix can significantly reduce the risk of post-operative infection while promoting angiogenesis, a key factor for rapid and stable implant integration. This study presents bone implant coatings composed of tricalcium phosphate (TCP) and Cu-doped MgP clustered nanoparticles (supraparticles) fabricated via high-velocity suspension flame spraying (HVSFS). This particle system addresses current challenges in bone tissue regeneration by synergistically combining the high biodegradability of MgP, the bone-mimicking properties of CaP, and the antibacterial capabilities of Cu. In addition, the HVSFS process enables the creation of thin layers with porous microstructures. Biocompatibility of the prepared coatings was assessed using MG63 osteosarcoma cells, while the antibacterial efficacy was tested against Staphylococcus aureus and Escherichia coli. The incorporation of Cu-doped MgP supraparticles (MgPCu and MgPCu HT) into TCP coatings resulted in high Cu release and pronounced antibacterial efficacy compared to the TCP reference, while the addition of Cu-doped FT supraparticles (FTCu) led to high cell proliferation.

这项工作强调了多孔生物活性涂层在推进植入技术和解决关键临床挑战方面的潜力。种植体涂层的一个关键问题是在感染预防和成功的骨整合之间取得平衡。尽管钛植入物因其机械强度和生物相容性而被广泛应用,但其生物惰性限制了其与骨组织的结合。为了解决这些问题,多孔磷酸钙(CaP)涂层已经被开发出来,以增强细胞附着和骨骼生长。然而,CaP,特别是广泛使用的羟基磷灰石(HAp),吸收率低,这往往导致涂层稳定性延长,损害自然骨重塑。为了克服这一限制,可以引入磷酸镁(MgP),这是一种尚未开发但具有高生物相容性和成骨潜力的生物材料。另一个创新策略是在生物材料中掺杂抗菌离子,其中铜(Cu)受到了特别的关注。Cu在涂层基质中的掺入可以显著降低术后感染的风险,同时促进血管生成,这是快速稳定植入物整合的关键因素。本研究采用高速悬浮火焰喷涂(HVSFS)技术制备了由磷酸三钙(TCP)和cu掺杂MgP簇状纳米颗粒(超粒子)组成的骨种植体涂层。该颗粒系统通过协同结合MgP的高生物降解性、CaP的骨模拟特性和Cu的抗菌能力,解决了目前骨组织再生方面的挑战。此外,HVSFS工艺可以创建具有多孔微结构的薄层。利用MG63骨肉瘤细胞对制备的膜进行生物相容性评价,并对金黄色葡萄球菌和大肠杆菌进行抑菌试验。将Cu掺杂的MgP超颗粒(MgPCu和MgPCu HT)掺入TCP涂层中,与TCP对照相比,Cu释放量高,抗菌效果显著,而添加Cu掺杂的FT超颗粒(FTCu)则具有高细胞增殖能力。
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引用次数: 0
A Design of Experiment to Evaluate the Printability for Bioprinting by Using Deep Learning Image Similarity 基于深度学习图像相似度评价生物打印可打印性的实验设计
IF 3.9 3区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-07-05 DOI: 10.1002/jbm.a.37961
Leon Balters, Stephan Reichl

Bioprinting is a growing area in the field of tissue engineering that offers a potential solution to the global shortage of organ transplants. Ensuring high printability is crucial for bioprinting. To better understand printability, a design of experiment model that examines printing speed and pressure in extrusion-based printing was developed. Two biomaterials, hyaluronic acid and sodium alginate, were selected as surrogate biomaterials to understand how rheological properties play a role in printability. Various rheological aspects such as shear-thinning behavior, viscosity, and recovery were investigated. To further evaluate printability, a new method was used that includes deep learning image similarity. The information obtained with the surrogate bioinks was then applied to another biomaterial, methacrylated hyaluronic acid, in combination with corneal keratocytes to demonstrate the successful implementation of the outcome of this design of experiment. As a result of this study, a better understanding of the rheological properties for bioprinting was achieved, leading to a next step towards improving extrusion-based bioprinting, which can be used for a wide range of applications.

生物打印是组织工程领域的一个新兴领域,它为全球器官移植短缺提供了一个潜在的解决方案。确保高印刷性对生物打印至关重要。为了更好地了解印刷性能,设计了一种实验模型,用于检测挤出印刷的印刷速度和压力。选择两种生物材料,透明质酸和海藻酸钠作为替代生物材料,以了解流变特性如何在可打印性中发挥作用。各种流变学方面,如剪切减薄行为,粘度和恢复进行了研究。为了进一步评估可打印性,使用了一种包括深度学习图像相似度的新方法。然后将从替代生物链接中获得的信息应用于另一种生物材料甲基丙烯酸透明质酸与角膜角质细胞的结合,以证明该实验设计结果的成功实施。这项研究的结果是,对生物打印的流变特性有了更好的了解,从而朝着改进基于挤出的生物打印迈出了下一步,这可以用于广泛的应用。
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引用次数: 0
Effects of Additive Manufacturing and Sterilization on Poly(p-Dioxanone) for Short-Term Application in the Intestinal Environment 增材制造和灭菌对聚对二氧环酮短期肠道应用的影响
IF 3.9 3区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-07-04 DOI: 10.1002/jbm.a.37957
Stefanie Ficht, Lukas Schübel, Diana M. Rojas-González, Juliana Dos Santos Solheid, Stefan Leonhardt, Magdalena Kleybolte, Cécile Boudot, Markus Eblenkamp, Jana Steger, Dirk Wilhelm, Petra Mela

Additive manufacturing of patient specific implants made of biodegradable polymers is receiving increasing attention in the medical sector, including the trend towards manufacturing at the point-of-care. Despite this, the changes of the polymer structure and their effects on mechanical properties and degradation behavior caused by the additive manufacturing process and subsequent sterilization are still insufficiently investigated, although of key relevance for the implant's functionality. In this study, poly(p-dioxanone) (PPDO) was processed by fused filament fabrication (FFF). The effects of manufacturing as well as two different low-temperature sterilization techniques, namely H2O2 plasma and gamma irradiation, on the polymer structure were evaluated. Additionally, PPDO degradation was investigated by immersing the processed samples in Sorensen's phosphate buffer (PB) with pH = 6.47 for 28 days to mimic implantation in intestinal milieu and evaluated at regular time intervals. Results showed that we were able to successfully print PPDO without influencing the polymer structure or cytocompatibility. No significant changes were detected for plasma-sterilized samples (PS) while gamma-sterilized (GS) ones significantly decreased molecular weight (Mw and Mn) and showed significant lower inherent viscosity (IV) compared with the (non-sterilized) control group after processing. During immersion in PB, a decrease in Mw, Mn, and mechanical strength occurred for all samples. However, GS samples were affected to a much higher extent compared with the other groups both in final values and timeline. A degradation plateau was seen for the tensile strength of NS and PS samples over the first 21 and 17 days, respectively, followed by a steady decrease. In contrast, for the GS samples, a drastic decrease in tensile strength occurred already during the first 14 days. There was no notable mass loss detected within the first 28 days of degradation for any of the sample groups. Based on these results, we conclude that FFF with subsequent plasma sterilization is a reliable process for manufacturing PPDO devices for short-term applications that require stable mechanical conditions within the first weeks of implantation to guarantee the time needed for tissue healing before degrading, as for example, in the case of intestinal compression anastomoses. Such requirement could not be met with gamma sterilization with the dose used, because of the too fast decrease in mechanical properties.

由可生物降解聚合物制成的患者特异性植入物的增材制造在医疗部门受到越来越多的关注,包括在护理点制造的趋势。尽管如此,聚合物结构的变化及其对增材制造过程和随后的灭菌引起的机械性能和降解行为的影响仍然没有得到充分的研究,尽管与植入物的功能有关键关系。本研究采用熔丝法(FFF)制备聚对二氧环酮(PPDO)。研究了制备工艺以及两种不同的低温灭菌技术(H2O2等离子体和γ辐照)对聚合物结构的影响。此外,将处理后的样品浸泡在pH = 6.47的Sorensen磷酸盐缓冲液(PB)中28天,模拟在肠道环境中植入,并定期评估PPDO的降解情况。结果表明,我们能够在不影响聚合物结构和细胞相容性的情况下成功地打印PPDO。等离子体灭菌样品(PS)处理后无明显变化,而伽马灭菌样品(GS)处理后的分子量(Mw和Mn)显著降低,固有粘度(IV)显著低于(未灭菌)对照组。在PB浸泡期间,所有样品的Mw、Mn和机械强度都有所下降。然而,与其他组相比,GS样本在最终值和时间上受到的影响要大得多。NS和PS样品的抗拉强度分别在前21天和17天出现退化平台,随后稳步下降。相比之下,对于GS样品,抗拉强度在前14天就已经急剧下降。在降解的前28天内,任何样品组都没有检测到明显的质量损失。基于这些结果,我们得出结论,FFF与随后的等离子体灭菌是制造PPDO装置的可靠工艺,用于短期应用,需要在植入的第一周内稳定的机械条件,以保证组织愈合前降解所需的时间,例如,在肠压缩吻合器的情况下。由于机械性能下降过快,使用剂量的伽马灭菌不能满足这一要求。
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引用次数: 0
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Journal of biomedical materials research. Part A
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