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Graphene Oxide-Based Photothermal and Photodynamic Therapy—A Systematic Review 基于氧化石墨烯的光热和光动力疗法-系统综述
IF 3.4 4区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-09-13 DOI: 10.1002/jbm.b.35656
Shahrukh Khan, Humaira Batool, Huraira Tariq, Aneeqa Noor

Photothermal therapy and photodynamic therapy are two advanced strategies used in modern medicine that rely on the use of innovative materials with high photothermal abilities. As graphene oxide and reduced graphene oxide possess a unique ability to respond to near-infrared light in a broadband range and efficiently convert it into heat, they have proved to be ideal nanomaterials to engineer efficient and multifunctional photothermal agents. A lot of research has been done to fabricate efficient graphene oxide-based photothermal platforms that can be used for photothermal and photodynamic therapy. The practicality of a number of these agents has been tested in various biomedical applications, mostly using antimicrobial and anticancer models, both in vitro and in vivo. In this review, we systematically analyzed all the studies published in the past decade on graphene-based photothermal nanosystems tested for effective use in phototherapies/combined therapies in various biomedical applications. The search strategy involved the use of specific keywords and Boolean operators and was limited by the full-text availability of articles on PubMed. This review outlines the design of various graphene-based photothermal platforms, their effectiveness in enhancing therapeutic outcomes, and their limitations that pose a hurdle in the standardization and clinical translation of these platforms. Moreover, through a critical analysis of persisting gaps in current designs, this review can assist in guiding researchers to devise an ideal multifunctional nanosystem for phototherapy that combines the effective properties of different agents and overcomes the shortcomings of existing platforms.

光热疗法和光动力疗法是现代医学中使用的两种先进的治疗策略,它们依赖于使用具有高光热能力的创新材料。由于氧化石墨烯和还原氧化石墨烯具有在宽带范围内响应近红外光并将其有效转化为热量的独特能力,因此它们已被证明是设计高效多功能光热剂的理想纳米材料。为了制造高效的基于氧化石墨烯的光热平台,人们已经进行了大量的研究,这些平台可以用于光热和光动力治疗。许多这些药物的实用性已经在各种生物医学应用中进行了测试,主要是在体外和体内使用抗菌和抗癌模型。在这篇综述中,我们系统地分析了过去十年中发表的关于石墨烯基光热纳米系统在各种生物医学应用的光疗/联合疗法中的有效应用的所有研究。搜索策略涉及使用特定的关键字和布尔运算符,并且受到PubMed上文章全文可用性的限制。这篇综述概述了各种基于石墨烯的光热平台的设计,它们在提高治疗效果方面的有效性,以及它们在这些平台的标准化和临床转化方面的局限性。此外,通过对当前设计中持续存在的差距的批判性分析,本综述可以帮助指导研究人员设计出一种理想的多功能光疗纳米系统,该系统结合了不同药物的有效特性,并克服了现有平台的缺点。
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引用次数: 0
Osseointegration of Nitrogen-Containing Bisphosphonate Coatings on Dental Implants: An Experimental Pilot Study 含氮双膦酸盐涂层在牙种植体上的骨整合:一项实验性先导研究
IF 3.4 4区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-09-11 DOI: 10.1002/jbm.b.35653
Reza Ardeshir Mokhtari, Marcel Kunrath, Christelle Darnaud, Hanna Aludden, Lotta Tollstoy, Anders Palmquist, Christer Dahlin

To compare the osseointegration properties of two different types of nitrogen-containing bisphosphonate (N-BP)-coated dental implants in an experimental in vivo sheep model. In total, eight sheep were divided into two groups receiving implants at two time points. Each animal received four types of implants, AddBIO STL implants coated with Zoledronate (Zol) and AddBIO STL implants coated with Ibandronate and Pamidronate (IbaPam) as test groups and uncoated AddBIO STL implants (UC) and Straumann original SLA implants (SSLA) as controls. Implants were placed in the metatarsus bilaterally, and healing times were either 10 or 28 days. Implant stability quotient (ISQ) was measured at baseline and at euthanasia. Removal torque (RT) was assessed post-mortem, followed by histomorphometric analysis to evaluate bone-to-implant contact (BIC) and bone area (BA). The differences between implants were evaluated using paired t-tests. The significance level was set at p value < 0.05 After 10 days, Zol implants presented significantly higher RT (Ncm mean ± SD) values 26.0 (± 18.0) than IbaPam implants 8.3 (± 14.9) (p = 0.011). SSLA implants demonstrated significantly higher RT values 34.6 (± 22.2) than Zol and IbaPam-coated implants (p = 0.048) and Zol-coated implants showed significantly higher RT values than UC implants 12.0 (± 7.6) than UC implants (p = 0.015). No significant differences in RT were detected at 28 days. No differences were observed among the groups regarding ISQ, BIC, or BA at either time point. Zoledronate-coated implants exhibited enhanced early mechanical stability compared to ibandronate/pamidronate-coated implants. However, this advantage was eradicated after 28 days, suggesting that the early anabolic effect of zoledronate may be time-limited.

比较两种不同类型含氮双膦酸盐(N-BP)涂层牙种植体在绵羊体内模型中的骨整合性能。总共8只羊被分为两组,在两个时间点接受植入。每只动物接受四种种植体,唑来膦酸盐包被的AddBIO STL种植体(Zol)和依班膦酸盐和帕米膦酸盐包被的AddBIO STL种植体(IbaPam)作为试验组,未包被的AddBIO STL种植体(UC)和斯特劳曼原SLA种植体(SSLA)作为对照组。植入物放置于双侧跖骨,愈合时间为10天或28天。在基线和安乐死时测量种植体稳定商(ISQ)。解剖后评估去除扭矩(RT),然后进行组织形态学分析以评估骨与种植体接触(BIC)和骨面积(BA)。使用配对t检验评估植入物之间的差异。10 d后,Zol种植体的RT (Ncm mean±SD)值为26.0(±18.0),显著高于IbaPam种植体8.3(±14.9)(p = 0.011)。SSLA种植体的RT值(34.6(±22.2))显著高于Zol和ibapam涂层种植体(p = 0.048), Zol涂层种植体的RT值显著高于UC种植体(12.0(±7.6))(p = 0.015)。28天时,两组间RT无显著差异。在两个时间点上,各组间在ISQ、BIC或BA方面没有观察到差异。与依邦膦酸盐/帕米膦酸盐包被种植体相比,唑来膦酸盐包被种植体表现出更高的早期机械稳定性。然而,这种优势在28天后就消失了,这表明唑来膦酸钠的早期合成代谢作用可能是有时间限制的。
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引用次数: 0
Development and Characterization of a Sardine Scale-Chitosan Biomaterial: In Vivo Evaluation for Bone Regeneration in a Rat Osteoporosis Model 沙丁鱼鳞壳聚糖生物材料的研制与表征:大鼠骨质疏松模型骨再生的体内评价
IF 3.4 4区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-09-09 DOI: 10.1002/jbm.b.35620
Nada Hamrouni, Hassane Oudadesse, Bertrand Lefeuvre, Elodie Bouvret, Sterenn Le Penven

The development of functional materials for osteoporosis is essential for effective bone remodeling. In this context, the extraction of biocompatible implantable biomaterials from bio-waste emerges as a valuable strategy, addressing both environmental challenges and promoting human health. The objective of this work was to evaluate the physicochemical properties of the added-value by-product biomaterial (SS-90), extracted from sardine scales (Sardina Pilchardus) and combined with chitosan (SS-90-CH). Besides, the efficacy of both biomaterials for bone regeneration was evaluated through in vitro and in vivo tests. The physicochemical characteristics of the biomaterials were demonstrated by ICP-OES, TGA, XRD, FTIR, and SEM-EDS analyses. Their characteristic features were compared with pure commercial hydroxyapatite (HAsyn) and associated with chitosan (HAsyn-CH). ICP-OES analysis evidenced the presence of Ca, P, Mg, Na, Sr, and Zn in SS-90 with a molar ratio (Ca/P) of 1.84 near to that of synthetic hydroxyapatite (1.67). The FTIR spectrum confirmed the presence of carbonate and phosphate functional groups in SS-90, which is similar to healthy rat bone (HRB). In vitro, SS-90 and SS-90-CH biomaterials demonstrated no cytotoxicity, maintaining cell viability between 80% and 100% for SaOS-2, L929, and LIG cells after 72 h of incubation. Furthermore, these biomaterials were implanted into bone defects in femoral condyles of osteoporotic rats to evaluate their effectiveness in bone fracture repair under osteoporotic conditions. Physicochemical, biochemical, and histological studies conducted at different time intervals after implantation indicated that the biomaterials could effectively promote bone regeneration. In conclusion, the present study highlights that SS-90 and SS-90-CH biomaterials are promising solutions for repairing bone defects or fractures under osteoporotic conditions, combining the valorization of marine bio-waste with biomedical applications.

开发治疗骨质疏松的功能材料是实现有效骨重建的必要条件。在这种背景下,从生物废物中提取生物相容性可植入生物材料成为一项有价值的战略,既能应对环境挑战,又能促进人类健康。研究了从沙丁鱼鱼鳞中提取并与壳聚糖(SS-90- ch)结合制备的附加价值生物材料(SS-90- ch)的理化性质。此外,通过体外和体内试验对两种生物材料的骨再生效果进行了评价。通过ICP-OES、TGA、XRD、FTIR、SEM-EDS等分析表征了生物材料的理化性质。将其与纯商用羟基磷灰石(HAsyn)和壳聚糖(HAsyn- ch)的特性进行了比较。ICP-OES分析证实SS-90中Ca、P、Mg、Na、Sr和Zn的存在,其摩尔比(Ca/P)为1.84,接近合成羟基磷灰石的摩尔比(1.67)。FTIR光谱证实SS-90中存在碳酸盐和磷酸盐官能团,与健康大鼠骨(HRB)相似。在体外,SS-90和SS-90- ch生物材料无细胞毒性,对SaOS-2、L929和LIG细胞培养72 h后,细胞存活率维持在80%至100%之间。将这些生物材料植入骨质疏松大鼠股骨髁骨缺损,评价其在骨质疏松条件下骨折修复的效果。植入后不同时间间隔的理化、生化和组织学研究表明,生物材料能有效促进骨再生。综上所述,本研究强调SS-90和SS-90- ch生物材料是修复骨质疏松症下骨缺损或骨折的有前景的解决方案,将海洋生物废物的增值与生物医学应用相结合。
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引用次数: 0
Composite Scaffolds of Decellularized Placenta/PRP Enhance the Differentiation of Adipose Tissue-Derived Mesenchymal Stem Cells Into Insulin-Producing Cells In Vitro 脱细胞胎盘/PRP复合支架促进脂肪组织来源的间充质干细胞向胰岛素生成细胞的分化
IF 3.4 4区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-09-09 DOI: 10.1002/jbm.b.35639
Azam Bozorgi, Maryam Bozorgi, Leila Rezakhani, Mozafar Khazaei

In the current in vitro experiment, we fabricated and characterized placenta/platelet-rich plasma (PL/Pt) composite scaffolds and evaluated their effect on differentiating adipose stem cells (ASCs) into insulin-producing cells (IPCs) in vitro. The human placenta (PL) was decellularized (dPL), characterized, and digested in pepsin. PRP was extracted using a two-step centrifugation process and then freeze-dried. PL/Pt composite scaffolds were fabricated from PL with various PRP concentrations (1, 2.5, and 5 mg·mL) and characterized. ASCs were isolated from adipose tissue and characterized using flow cytometry and multilineage differentiation assays. ASCs were seeded onto PL/Pt scaffolds and differentiated into IPCs. The decellularized placenta retained its collagen content and had minimal cellular and DNA content. ASCs expressed CD73, CD90, and CD105 but not CD34 and CD45 and differentiated into osteoblasts and adipocytes. PL/Pt scaffolds showed appropriate morphological and chemical properties with improved porosity, swelling, and degradation rates. Seeding cells on the PL scaffolds increased PDX1, GLUT2, and insulin expression significantly compared to cells cultured in plates. Cells seeded on PL/Pt2.5 and PL/Pt5 scaffolds showed a remarkable increase in PDX1, GLUT2, and insulin expression. Additionally, differentiated cells cultivated on PL/Pt scaffolds exhibited enhanced insulin and C-peptide secretion in response to variations in glucose levels. PL/Pt composite scaffolds provide a biomimetic microenvironment supporting ASCs' survival while enhancing their differentiation into IPCs. This approach could be a promising strategy for replacing the damaged β cell population in diabetic patients.

在目前的体外实验中,我们制备并表征了胎盘/富血小板血浆(PL/Pt)复合支架,并评估了其在体外将脂肪干细胞(ASCs)分化为胰岛素生成细胞(IPCs)的作用。人胎盘(PL)是脱细胞(dPL),表征,并消化在胃蛋白酶。采用两步离心工艺提取PRP,然后冷冻干燥。以不同PRP浓度(1、2.5和5 mg·mL)的PL为原料制备PL/Pt复合支架,并对其进行表征。从脂肪组织中分离出ASCs,并使用流式细胞术和多谱系分化分析对其进行表征。将ASCs植入到PL/Pt支架上并分化为IPCs。脱细胞胎盘保留胶原蛋白含量,细胞和DNA含量最低。ASCs表达CD73、CD90和CD105,但不表达CD34和CD45,并分化为成骨细胞和脂肪细胞。PL/Pt支架具有良好的形态和化学性能,孔隙率、溶胀率和降解率均有所提高。与平板培养的细胞相比,PL支架上的播种细胞显著增加了PDX1、GLUT2和胰岛素的表达。在PL/Pt2.5和PL/Pt5支架上播种的细胞,PDX1、GLUT2和胰岛素的表达显著增加。此外,在PL/Pt支架上培养的分化细胞表现出胰岛素和c肽分泌增强,以响应葡萄糖水平的变化。PL/Pt复合支架提供了支持ASCs存活的仿生微环境,同时增强了其向IPCs的分化。这种方法可能是替代糖尿病患者受损β细胞群的一种有希望的策略。
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引用次数: 0
Photocrosslinked Mucoadhesive Hyaluronic Acid Hydrogel for Transmucosal Drug Delivery 光交联黏附透明质酸水凝胶经粘膜给药
IF 3.4 4区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-09-07 DOI: 10.1002/jbm.b.35652
Seth Asamoah, Martin Pravda, Eva Šnejdrová, Martin Čepa, Mrázek Jiří, Carmen Gruber-Traub, Vladimír Velebný

Drug delivery to the central nervous system (CNS) is primarily hindered by the blood–brain barrier (BBB). To address this, mucoadhesive formulations have been designed to prolong residence time at the application site. In this study, we comprehensively characterized the physicochemical and mucoadhesive properties of hyaluronic acid tyramine (HATA) photocrosslinked hydrogels using rheological methods, nanoindentation, contact angle goniometry, and advanced confocal microscopy. A novel parameter, photon count per pixel, was introduced through confocal microscopy to assess hydrogel stability and mucoadhesion on ex vivo porcine olfactory tissues. Crosslinked hydrogels (1% and 2% w/v) exhibited stable mucoadhesive properties, ranging between 16.5 and 18 photon counts per pixel, whereas uncrosslinked counterparts typical of classical nasal formulations showed significant photon count losses (71% and 50% for 1% and 2% HATA, respectively). Nanoindentation analysis revealed a correlation between photoirradiation time, effective Young's modulus, and mucoadhesion, identifying 1 min of irradiation as optimal across all concentrations tested. The optimized hydrogels demonstrated mucoadhesive forces of 0.263, 0.412, and 0.701 mN mm−2, corresponding to Young's modulus values of 1995, 2465, and 2985 Pa for 1%, 2%, and 3% w/v HATA, respectively. These results highlight the importance of crosslinking for enhancing hydrogel stability and mucoadhesion. Additionally, BSA-labeled rhodamine served as a model protein drug in low-swelling hydrogels for drug release studies, laying the foundation for further optimization in targeted nasal drug delivery systems.

药物向中枢神经系统(CNS)的传递主要受到血脑屏障(BBB)的阻碍。为了解决这个问题,我们设计了黏合剂配方,以延长在应用现场的停留时间。在这项研究中,我们综合表征了透明质酸酪胺(HATA)光交联水凝胶的物理化学和粘接性能,使用流变学方法,纳米压痕,接触角测量和先进的共聚焦显微镜。通过共聚焦显微镜引入了一个新的参数,即每像素光子数,来评估水凝胶在猪离体嗅觉组织上的稳定性和黏附性。交联水凝胶(1%和2% w/v)表现出稳定的粘接性能,范围在16.5到18个光子计数/像素之间,而经典鼻配方的非交联水凝胶则表现出显著的光子计数损失(1%和2% HATA分别为71%和50%)。纳米压痕分析揭示了光照射时间、有效杨氏模量和黏附之间的相关性,在所有测试浓度下,照射1分钟是最佳的。优化后的水凝胶在1%、2%和3% w/v HATA条件下的黏附力分别为0.263、0.412和0.701 mN mm−2,对应的杨氏模量分别为1995、2465和2985 Pa。这些结果强调了交联对增强水凝胶稳定性和黏附的重要性。此外,bsa标记罗丹明作为低肿胀水凝胶模型蛋白药物进行药物释放研究,为进一步优化靶向鼻腔给药系统奠定了基础。
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引用次数: 0
Aging and Staining Effects on Optical Properties of Flowable Composites 老化和染色对可流动复合材料光学性能的影响
IF 3.4 4区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-09-05 DOI: 10.1002/jbm.b.35648
M. M. Sly, Y. Korkmaz-Ceyhan, F. Dini, R. L. Ocampo Escobedo, E. Abram, R. D. Paravina

Resin composites have become the preferred restorative material in modern dentistry due to their superior esthetics, improved physical properties, and advancements in curing technologies. To enhance their clinical performance, manufacturers continuously refine the resin matrix and optimize filler particle size and shape, improving both mechanical strength and optical characteristics. Evaluating optical properties is crucial for predicting the performance of resin composites over time, particularly in maintaining color, gloss, translucency, and overall appearance. Translucency refers to a material's ability to transmit and scatter light. This in vitro study evaluated changes in color, translucency, and gloss of nine commercially available flowable resin composites following artificial accelerated aging (AAA) and staining. Specimens were subjected to AAA and staining in black tea, coffee, and red wine. Using a spectrophotometer, color and translucency measurements were performed before and after the AAA and staining. Gloss measurements were performed using a small-area glossmeter before and after the AAA and staining. A two-way ANOVA was used to compare the effects of material and treatment, followed by Tukey's post hoc multiple comparison test to assess differences among levels within each variable (α = 0.05). A statistically significant interaction was observed between materials and procedures (p < 0.05) for color changes. All tested composites displayed translucency parameter changes within clinically acceptable limits. Gloss retention percentage upon treatments remained high across all composites tested. AAA and staining significantly influenced the color stability, translucency, and gloss retention of tested flowable resin composites, and were material- and procedure-dependent.

树脂复合材料由于其优越的美学、改进的物理性能和固化技术的进步,已成为现代牙科首选的修复材料。为了提高临床性能,制造商不断改进树脂基质,优化填料粒度和形状,提高机械强度和光学特性。评估光学性能对于预测树脂复合材料随时间的性能至关重要,特别是在保持颜色、光泽、半透明和整体外观方面。半透明是指一种材料传输和散射光的能力。这项体外研究评估了9种市售可流动树脂复合材料在人工加速老化(AAA)和染色后的颜色、半透明性和光泽度变化。标本在红茶、咖啡和红酒中进行AAA和染色。使用分光光度计,在AAA和染色前后进行颜色和半透明测量。在AAA和染色前后使用小面积光泽度计进行光泽度测量。采用双因素方差分析比较材料和治疗的影响,然后采用Tukey事后多重比较检验评估各变量内水平的差异(α = 0.05)。在颜色变化方面,观察到材料和程序之间存在统计学上显著的相互作用(p < 0.05)。所有测试的复合材料显示半透明参数的变化在临床可接受的范围内。处理后的光泽保持率在所有测试的复合材料中仍然很高。AAA和染色显著影响可流动树脂复合材料的颜色稳定性、半透明性和光泽保持性,并且与材料和工艺有关。
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引用次数: 0
Cells and Shells: Investigating How Breast Implant Shells Negatively Impact Cell Viability In Vitro 细胞和外壳:研究乳房植入物外壳如何对体外细胞活力产生负面影响
IF 3.4 4区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-09-01 DOI: 10.1002/jbm.b.35649
Sophia Salingaros, Jini Jeon, Abby Chopoorian Fuchsman, Xue Dong, Jason A. Spector

The pathophysiology of breast implant-related adverse outcomes, such as capsular contracture and breast implant-associated anaplastic large cell lymphoma, remains poorly understood. Herein, we explore the direct and indirect effects of smooth and textured implant shells on the viability of cell lines found within the peri-breast implant environment in vitro. The outer silicone shells of Allergan and Mentor breast implants were de-gelled and cut to exactly line the walls of 96-well cell culture plates. Endothelial, fibroblast, and triple negative breast cancer cell lines were cultured in the presence and absence of implant shells over 8 days. To examine indirect effects, fresh media incubated with implant shells were collected and separately cultured with the same cell lines. These media were further diluted with fresh media and given to cells to examine a “dose dependent” response. Additionally, the effect of pre-soaking implant shells in fresh media prior to cell culture was investigated. Serum free media incubated with implant shells were interrogated for presence of nanoparticles. Cell counts at each culture condition were assessed over 8 days. The presence of implant shells consistently demonstrated a negative effect on cell count that persisted across cell lines and experimental conditions, with a greater effect observed from textured surface shells over smooth. Implant fill silicone gel alone did not influence cell count. Implant-conditioned media (CM) similarly exerted a negative effect, even without direct cell exposure to an implant shell. Dilution of the CM attenuated this effect. Pre-soaking implants in high serum media also reduced the negative effect when incubated with cells, suggesting the role of serum protein adsorption. Nanometer-range sized particles were detected in serum-free media incubated with all implants, with a higher concentration released from textured samples. These studies suggest breast implant shells may negatively impact cell viability through several different mechanisms and uncover valuable insights into the cellular interactions and potential effects of these widely used prostheses on their immediate environment.

乳房植入物相关不良后果的病理生理学,如包膜挛缩和乳房植入物相关的间变性大细胞淋巴瘤,仍然知之甚少。在此,我们探讨了光滑和有纹理的植入物外壳对体外乳房周围植入物环境中细胞系活力的直接和间接影响。Allergan和Mentor乳房植入物的硅胶外壳被去胶并切割成精确地排列在96孔细胞培养板的壁上。内皮细胞、成纤维细胞和三阴性乳腺癌细胞系分别在有和没有植入物外壳的情况下培养8天。为了检验间接影响,收集了与植入物外壳孵育的新鲜培养基,并与相同的细胞系单独培养。这些培养基用新鲜培养基进一步稀释,并给予细胞以检查“剂量依赖性”反应。此外,还研究了在细胞培养前在新鲜培养基中预浸泡种植体外壳的效果。无血清培养基与种植体壳孵育询问纳米粒子的存在。在8天内评估每种培养条件下的细胞计数。植入物外壳的存在始终显示出对细胞计数的负面影响,这种影响在细胞系和实验条件下持续存在,在光滑的表面外壳上观察到更大的影响。单独植入物填充硅胶对细胞计数没有影响。即使细胞没有直接暴露于植入体外壳,植入物条件培养基(CM)也会产生类似的负面影响。CM的稀释减弱了这种效应。在高血清培养基中预浸泡植入物也减少了与细胞孵育时的负面影响,提示血清蛋白吸附的作用。在与所有植入物孵育的无血清培养基中检测到纳米级大小的颗粒,从纹理样品中释放出更高的浓度。这些研究表明,乳房假体外壳可能通过几种不同的机制对细胞活力产生负面影响,并揭示了这些广泛使用的假体对其周围环境的细胞相互作用和潜在影响的有价值的见解。
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引用次数: 0
Open Wound Healing in Guided Bone Regeneration Using a Magnesium Membrane: A Paradigm Shift 开放性伤口愈合引导骨再生使用镁膜:范式转变
IF 3.4 4区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-08-29 DOI: 10.1002/jbm.b.35642
Giorgio Tabanella, Patrick Rider, Svenja Rogge, Marija Čandrlić, Željka Perić Kačarević

Guided bone regeneration (GBR) is essential in implant dentistry for managing bone deficiencies. Despite its high success rate, complications like wound dehiscence, membrane exposure, and infection can compromise outcomes. These issues are influenced by patient health, surgical technique, and the implanted biomaterials. Membrane exposure may lead to significant bone loss and jeopardise treatment success. A resorbable magnesium membrane has been recently introduced for GBR, but soft tissue healing complications have not yet been reported. This case series reviews four instances of wound dehiscence to assess its impact on clinical outcomes. Four patients underwent GBR using a magnesium membrane before implant placement. Each followed a similar protocol: defects were filled with bovine and autologous bone, then covered with the magnesium membrane. Membrane exposure occurred in all cases, varying from small to large. However, none experienced pain or signs of infection, and no additional treatment was required. Implant placement proceeded as planned, with no notable bone loss. Despite varying degrees of exposure, the magnesium membrane prevented infection, pain, or significant bone loss. It effectively maintained a barrier between tissues, suggesting its potential to reduce complications from exposure. Larger studies are needed to validate these findings.

引导骨再生(GBR)是必不可少的种植牙科管理骨缺乏。尽管成功率很高,但诸如伤口裂开、膜暴露和感染等并发症会影响结果。这些问题受到患者健康、手术技术和植入生物材料的影响。膜暴露可能导致严重的骨质流失,危及治疗成功。可吸收镁膜最近被引入GBR,但软组织愈合并发症尚未报道。本病例系列回顾了四个伤口裂开的实例,以评估其对临床结果的影响。4例患者在植入前使用镁膜进行GBR。每个都遵循类似的程序:用牛骨和自体骨填充缺陷,然后用镁膜覆盖。所有病例均有膜暴露,大小不一。然而,没有人经历疼痛或感染迹象,也不需要额外的治疗。种植体植入按计划进行,无明显骨质流失。尽管暴露程度不同,但镁膜可以防止感染、疼痛或严重的骨质流失。它有效地保持了组织之间的屏障,这表明它有可能减少暴露引起的并发症。需要更大规模的研究来验证这些发现。
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引用次数: 0
In Vivo Evaluation of ZnAg3—A New Bioabsorbable Material in Fracture Treatment Compared to Biodegradable Mg Alloys 与生物可降解镁合金相比,ZnAg3-A新型生物可吸收材料在断裂治疗中的体内评价
IF 3.4 4区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-08-28 DOI: 10.1002/jbm.b.35647
Maria Roesner, Anna Baghnavi, Bianca Riedel, Adalbert Kovacs, Moritz Benner, Roland Barkhoff, Hagen Schmal, Eva Johanna Kubosch, Michael Seidenstuecker

Permanent implants, which are primarily used to treat fractures, are either removed during a subsequent procedure or remain in the body after being surgically inserted. Bioabsorbable implants are designed to be reabsorbed by the body, minimizing the risk of chronic infections or foreign body reactions. The qualification of a novel zinc-silver alloy containing 3.3 wt% silver (ZnAg3) as a bioabsorbable implant was investigated in this in vivo study on New Zealand white rabbits. The osteointegration of ZnAg3 pins and MAGNEZIX pins, which served as controls, was evaluated histomorphometrically and histologically at 4, 8, and 16-week intervals. The implant area and the osteoid area were measured in order to assess the degradation of the material as well as the bone formation. The histological evaluation included a cell count of osteogenic cells and a descriptive evaluation of the histological images. The animal trial was accompanied by frequent blood, urine, and X-ray tests. The results showed adequate degradation of ZnAg3 with an implant area of 93.92% ± 5.85% at week 16 and a sufficient number of osteogenic cells, allowing progressive osteointegration. In comparison, the MAGNEZIX pin degraded significantly faster and, after 16 weeks, diminished to 77.54% ± 13.59% of the original implant area. Furthermore, harmful hydrogen gas pockets were found, which correlated with reduced bone formation, represented by a lower cell count of osteoblasts after 4 weeks. ICP-OES measurements performed on the animals' blood samples did not reveal any increased metal ion concentrations above the tolerable level. Thus, ZnAg3 pins showed excellent results compared to MAGNEZIX pins, which are in clinical use as bioabsorbable implants.

永久性植入物主要用于治疗骨折,它们要么在后续手术中被移除,要么在手术植入后留在体内。生物可吸收的植入物被设计为被身体重新吸收,最大限度地减少慢性感染或异物反应的风险。本文在新西兰大白兔体内研究了一种含银3.3 wt%的新型锌银合金(ZnAg3)作为生物可吸收植入物的可行性。ZnAg3针和MAGNEZIX针作为对照,在4、8和16周的间隔时间内进行组织形态学和组织学评估。测量种植体面积和类骨面积,以评估材料的降解以及骨形成。组织学评估包括成骨细胞的细胞计数和组织学图像的描述性评估。动物试验伴随着频繁的血液、尿液和x光检查。结果显示,第16周时,ZnAg3降解充分,种植面积为93.92%±5.85%,成骨细胞数量充足,可实现进行性骨整合。相比之下,MAGNEZIX针的降解速度明显更快,16周后减少到原种植面积的77.54%±13.59%。此外,发现有害的氢气囊,这与骨形成减少有关,表现为4周后成骨细胞计数降低。对动物血液样本进行的ICP-OES测量没有显示任何金属离子浓度超过可容忍水平的增加。因此,与临床用作生物吸收植入物的MAGNEZIX引脚相比,ZnAg3引脚表现出优异的效果。
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引用次数: 0
PB/CeO2 Nanoparticles Regulating Reactive Oxygen Species for the Control of Enterococcus faecalis Infection in Root Canals PB/CeO2纳米颗粒调控活性氧控制根管内粪肠球菌感染
IF 3.4 4区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-08-28 DOI: 10.1002/jbm.b.35646
Huiwen Wang, Yuting Wu, Mingrui Dai, Tingting Zhu, Daming Wu, Diya Leng

To investigate the antibacterial effect, mechanism, and cytotoxicity of Prussian blue/Cerium dioxide (PB/CeO2) nanoparticles against Enterococcus faecalis (E. faecalis) and biofilm. PB/CeO2 nanoparticles were synthesized and characterized. The antibacterial mechanism of nanoparticles was explored through peroxidase (POD) activity assay, hydroxyl radicals (·OH) detection, and measurement of bacterial reactive oxygen species (ROS) and glutathione (GSH)/glutathione disulfide (GSSG) levels. The biocompatibility of PB/CeO2 was evaluated by Cell Counting Kit-8 (CCK-8) assay and histological examination of the major visceral organs of rats. The antibacterial effect of PB/CeO2 was assessed using the colony-forming unit (CFU) method. The impact of PB/CeO2 on E. faecalis biofilm on dentin slices was further observed with CLSM and SEM. ANOVA and t-test were applied for statistical analysis (p < 0.05). PB/CeO2 demonstrated significant antibacterial activity against E. faecalis, mainly when used with H2O2, significantly enhancing its antibacterial effect and effectively disrupting E. faecalis biofilms on dentin slices. PB/CeO2 nanoparticles catalyzed ROS production, disrupting the antioxidant defense system of E. faecalis cells, damaging bacterial cell membranes, and ultimately causing bacterial death. PB/CeO2 nanoparticles exhibit good biocompatibility at appropriate concentrations in vivo and in vitro. The novel multifunctional nanocomposite shows great antibacterial effects against E. faecalis and its biofilm, with low cytotoxicity and good biocompatibility, offering a novel disinfection strategy for root canal treatment.

目的研究普鲁士蓝/二氧化铈(PB/CeO2)纳米颗粒对粪肠球菌(E. faecalis)和生物膜的抑菌作用、抑菌机制和细胞毒性。合成了PB/CeO2纳米颗粒并对其进行了表征。通过过氧化物酶(POD)活性测定、羟基自由基(·OH)检测、细菌活性氧(ROS)和谷胱甘肽(GSH)/谷胱甘肽二硫醚(GSSG)水平测定,探讨纳米颗粒的抗菌机制。采用细胞计数试剂盒-8 (CCK-8)法和大鼠主要脏器组织学检查评价PB/CeO2的生物相容性。采用菌落形成单位(CFU)法评价PB/CeO2的抑菌效果。利用CLSM和SEM进一步观察PB/CeO2对牙本质切片粪球菌生物膜的影响。采用方差分析和t检验进行统计学分析(p < 0.05)。PB/CeO2对粪肠球菌具有显著的抑菌活性,主要与H2O2配合使用时,PB/CeO2的抑菌效果显著增强,可有效破坏牙本质片上的粪肠球菌生物膜。PB/CeO2纳米颗粒催化ROS生成,破坏粪肠杆菌细胞的抗氧化防御系统,破坏细菌细胞膜,最终导致细菌死亡。在适当浓度下,PB/CeO2纳米颗粒在体内外均表现出良好的生物相容性。新型多功能纳米复合材料对粪肠球菌及其生物膜具有良好的抗菌作用,具有低细胞毒性和良好的生物相容性,为根管治疗提供了一种新的消毒策略。
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引用次数: 0
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Journal of biomedical materials research. Part B, Applied biomaterials
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