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Laser powder bed fusion printed poly-ether-ether-ketone/bioactive glass composite scaffolds with dual-scale pores for enhanced osseointegration and bone ingrowth 激光粉末床熔融打印具有双尺度孔隙的聚醚醚酮/生物活性玻璃复合材料支架,用于增强骨结合和骨生长。
IF 9.4 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-01 DOI: 10.1016/j.actbio.2024.09.055
Haoze Wang , Zixing Shu , Peng Chen , Jin Su , Hao Zhu , Jiawei Jiang , Chunze Yan , Jun Xiao , Yusheng Shi
Although poly-ether-ether-ketone (PEEK) implants hold significant medical promise, their bioinert nature presents challenges in osseointegration and bone ingrowth within clinical contexts. To mitigate these challenges, the present study introduces Diamond PEEK/bioactive glass (BG) composite scaffolds, characterized by macro/micro dual-porous structures, precisely fabricated via laser powder bed fusion (LPBF) technology. The findings indicate that an increase in BG content within these scaffolds significantly augments their hydrophilicity and hydroxyapatite formation capacities. Stress-strain curve analysis demonstrates reliable load-bearing stability across all scaffold types. In vitro assessments confirmed the non-cytotoxicity of PEEK/BG samples and demonstrated improved osteogenic differentiation and mineralization with increased BG incorporation. Further, in vivo experiments illustrated that the Diamond porous structure of these scaffolds facilitated bone growth, an effect notably amplified with higher BG content. Particularly in groups with 15 wt.% and 25 wt.% BG scaffolds, new bone formation was observed not only within the macropores of the Diamond structure but also within the micropores inside the scaffold rod, suggesting an almost seamless fusion with the new bone. This demonstrates the scaffolds’ effective osteointegration and bone ingrowth properties. This study conclusively established the effectiveness of Diamond-structured PEEK/BG composite scaffolds, fabricated via LPBF, in bone repair. It highlights the crucial role of BG in enhancing osteogenic potential through interaction with the macro/micro pores of the scaffold.

Statement of significance

This study addresses the bioinert nature of PEEK implants by developing Diamond-structured PEEK/bioactive glass (BG) composite scaffolds by laser powder bed fusion. The dual-porous macro/microstructure enhances hydrophilicity and hydroxyapatite formation, vital for bone regeneration. By adjusting the BG content, we controlled the melt viscosity and sintering rate, leading to the formation of beneficial microscale pores. These pores resolve the issue of ineffective bioactive fillers in previous LPBF-fabricated scaffolds, enhancing the osteogenic potential of BG and inducing superior bone ingrowth and osseointegration. In vitro and in vivo analyses show enhanced osteogenic differentiation, mineralization, and bone growth, underscoring the clinical potential of these scaffolds for bone repair.
虽然聚醚醚酮(PEEK)植入物具有重要的医疗前景,但其生物惰性给临床骨结合和骨生长带来了挑战。为了缓解这些挑战,本研究采用激光粉末床融合(LPBF)技术,精确制造出具有宏观/微观双孔结构的金刚石聚醚醚酮/生物活性玻璃(BG)复合支架。研究结果表明,这些支架中生物活性玻璃含量的增加可显著提高其亲水性和羟基磷灰石形成能力。应力-应变曲线分析表明,所有类型的支架都具有可靠的承重稳定性。体外评估证实了 PEEK/BG 样品的无毒性,并表明随着 BG 含量的增加,成骨分化和矿化也得到了改善。此外,体内实验表明,这些支架的菱形多孔结构有利于骨生长,随着 BG 含量的增加,这种效果明显增强。特别是在含有 15 wt% 和 25 wt% BG 的支架组中,不仅在金刚石结构的大孔中,而且在支架杆内部的微孔中都观察到了新骨的形成,这表明与新骨几乎实现了无缝融合。这表明支架具有有效的骨整合和骨生长特性。这项研究最终确定了通过 LPBF 制作的金刚石结构 PEEK/BG 复合支架在骨修复中的有效性。它强调了 BG 通过与支架的宏观/微观孔相互作用,在增强成骨潜能方面的关键作用。意义说明:本研究通过激光粉末床融合技术开发了金刚石结构的 PEEK/生物活性玻璃(BG)复合支架,解决了 PEEK 植入物的生物惰性问题。这种双孔宏观/微观结构增强了亲水性和羟基磷灰石的形成,对骨再生至关重要。通过调整 BG 含量,我们控制了熔体粘度和烧结速率,从而形成了有益的微尺度孔隙。这些孔隙解决了以往 LPBF 制成的支架中生物活性填料无效的问题,增强了 BG 的成骨潜能,诱导了良好的骨生长和骨整合。体外和体内分析表明,成骨分化、矿化和骨生长都得到了增强,这凸显了这些支架在骨修复方面的临床潜力。
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引用次数: 0
Tissue expansion mitigates radiation-induced skin fibrosis in a porcine model 在猪模型中,组织扩张可减轻辐射引起的皮肤纤维化。
IF 9.4 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-01 DOI: 10.1016/j.actbio.2024.09.035
Laura Nunez-Alvarez , Joanna K. Ledwon , Sarah Applebaum , Bianka Progri , Tianhong Han , Joel Laudo , Vahidullah Tac , Arun K. Gosain , Adrian Buganza Tepole
Tissue expansion (TE) is the primary method for breast reconstruction after mastectomy. In many cases, mastectomy patients undergo radiation treatment (XR). Radiation is known to induce skin fibrosis and is one of the main causes for complications during post-mastectomy breast reconstruction. TE, on the other hand, induces a pro-regenerative response that culminates in growth of new skin. However, the combined effect of XR and TE on skin mechanics is unknown. Here we used the porcine model of TE to study the effect of radiation on skin fibrosis through biaxial testing, histological analysis, and kinematic analysis of skin deformation over time. We found that XR leads to stiffening of skin compared to control based on a shift in the transition stretch (transition between a low stiffness and an exponential stress-strain region characteristic of collagenous tissue) and an increase in the high modulus (modulus computed with stress-stretch data past the transition point). The change in transition stretch can be explained by thicker, more aligned collagen fiber bundles measured in histology images. Skin subjected to both XR+TE showed similar microstructure to controls as well as similar biaxial response, suggesting that physiological remodeling of collagen induced by TE partially counteracts pro-fibrotic XR effects. Skin growth was indirectly assessed with a kinematic approach that quantified increase in permanent area changes without reduction in thickness, suggesting production of new tissue driven by TE even in the presence of radiation treatment. Future work will focus on the detailed biological mechanisms by which TE counteracts radiation induced fibrosis.

Statement of significance

Breast cancer is the most prevalent in women and its treatment often results in total breast removal (mastectomy), followed by reconstruction using tissue expanders. Radiation, which is used in about a third of breast reconstruction cases, can lead to significant complications. The timing of radiation treatment remains controversial. Radiation is known to cause immediate skin damage and long-term fibrosis. Tissue expansion leads to a pro-regenerative response involving collagen remodeling. Here we show that tissue expansion immediately prior to radiation can reduce the level of radiation-induced fibrosis. Thus, we anticipate that this new evidence will open up new avenues of investigation into how the collagen remodeling and pro-regenerative effects of tissue expansion can be leverage to prevent radiation-induced fibrosis.
组织扩张术(TE)是乳房切除术后乳房重建的主要方法。在许多情况下,乳房切除术患者都要接受放射治疗(XR)。众所周知,辐射会诱发皮肤纤维化,是乳房切除术后乳房重建并发症的主要原因之一。另一方面,TE 可诱导一种促进再生的反应,最终导致新皮肤的生长。然而,XR 和 TE 对皮肤力学的综合影响尚不清楚。在这里,我们使用猪 TE 模型,通过双轴测试、组织学分析和皮肤随时间变形的运动学分析,研究辐射对皮肤纤维化的影响。我们发现,与对照组相比,XR 会导致皮肤变硬,其基础是过渡伸展(胶原组织特有的低硬度和指数应力-应变区域之间的过渡)的变化。组织学图像中测量到的更粗更整齐的胶原纤维束可以解释过渡伸展的变化。接受 XR+TE 的皮肤显示出与对照组相似的微观结构以及相似的双轴响应,这表明 TE 诱导的胶原蛋白生理性重塑部分抵消了 XR 的促纤维化效应。采用运动学方法间接评估了皮肤的生长情况,该方法量化了永久面积变化的增加,而厚度没有减少,这表明即使在放射治疗的情况下,TE 也能促进新组织的生成。未来的工作将重点研究 TE 抵消辐射诱导的纤维化的详细生物机制。意义说明:乳腺癌是女性的高发病,其治疗通常会导致乳房全部切除(乳房切除术),然后使用组织扩张器进行重建。约有三分之一的乳房重建病例使用放射治疗,但放射治疗会导致严重的并发症。放射治疗的时机仍存在争议。众所周知,辐射会造成直接的皮肤损伤和长期的纤维化。组织扩张会导致包括胶原重塑在内的促再生反应。在这里,我们展示了在辐射前立即进行组织扩张可以减少辐射引起的纤维化程度。因此,我们预计这一新证据将为研究如何利用组织扩张的胶原重塑和促进再生效应来预防辐射引起的纤维化开辟新的途径。
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引用次数: 0
Elucidating the unexpected cell adhesive properties of agarose substrates. The effect of mechanics, fetal bovine serum and specific peptide sequences 阐明琼脂糖基质意想不到的细胞粘附特性。力学、胎牛血清和特定肽序列的影响。
IF 9.4 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-01 DOI: 10.1016/j.actbio.2024.09.042
Francesco Piazza , Beatrice Ravaglia , Andrea Caporale , Ana Svetić , Pietro Parisse , Fioretta Asaro , Gabriele Grassi , Luca Secco , Riccardo Sgarra , Eleonora Marsich , Ivan Donati , Pasquale Sacco
2D agarose substrates have recently been surprisingly shown to be permissive for cell adhesion, depending on their mechanics and the use of the adhesive proteins of fetal bovine serum (FBS) in the cell culture medium. Here, we elucidate how the cells exhibit two anchoring mechanisms depending on the amount of FBS. Under low FBS conditions, the cells recognize the surface-coupled adhesive sequences of fibronectin via the binding of the heterodimer α5β1 integrin. Functionality of the actomyosin axis and mechanoactivation of focal adhesion kinase (FAK) are essential for the stretching of the protein, thereby accessing the “synergy” PPSRN site and enhancing cell adhesion in combination with the downstream RGD motif. Under high FBS conditions, the specific peptide sequences are much less relevant as the adsorbed serum proteins conceal the coupled fibronectin and the cells recognize the adhesive protein vitronectin, which is constitutively present in FBS, via the binding of the heterodimer αvβ3 integrin. Similarly, the intracellular tension and FAK activity are decisive, which collectively indicate that the cells stretch the partially cryptic RGD site of vitronectin and thus make it more accessible for integrin binding. Both anchoring mechanisms only work properly if the agarose substrate is mechanically compliant in terms of linear stress-strain response, unraveling a critical balance between the mechanics of the agarose substrate and the presentation of the adhesive peptides.

Statement of significance

In the context of biomaterial design, agarose hydrogels are known to lack intrinsic cell-adhesive peptide motifs and are therefore commonly used for the development of non-permissive 2D substrates. However, we unexpectedly found that agarose hydrogels can become permissive substrates for cell adhesion, depending on a compliant mechanical response of the substrate and the use of fetal bovine serum (FBS) as protein reservoir in the cell culture medium. We describe here two anchoring mechanisms that cells harness to adhere to agarose substrates, depending on the amount of FBS. Our results will have a major impact on the field of mechanobiology and shed light on the central role of FBS as a natural source of adhesive proteins that could promote cell anchoring.
二维琼脂糖基底最近令人惊讶地显示出对细胞粘附的允许性,这取决于其力学和细胞培养基中胎牛血清(FBS)粘附蛋白的使用。在这里,我们阐明了细胞是如何根据 FBS 的含量表现出两种锚定机制的。在低 FBS 条件下,细胞通过结合异源二聚体 α5β1 整合素来识别纤维粘连蛋白的表面耦合粘附序列。肌动蛋白轴的功能性和病灶粘附激酶(FAK)的机械激活对蛋白质的伸展至关重要,从而进入 "协同 "PPSRN 位点,并与下游 RGD 矩阵结合增强细胞粘附性。在高 FBS 条件下,由于吸附的血清蛋白掩盖了耦合的纤连蛋白,细胞通过与异源二聚体 αvβ3 整合素的结合识别出 FBS 中构成性存在的粘附蛋白玻璃连蛋白,因此特异性肽序列的相关性大大降低。同样,细胞内张力和 FAK 活性也起着决定性作用,它们共同表明细胞拉伸了玻璃连蛋白部分隐蔽的 RGD 位点,从而使其更容易与整合素结合。这两种锚定机制只有在琼脂糖基底具有线性应力-应变反应的机械顺应性时才能正常工作,从而揭示了琼脂糖基底的机械性与粘附肽的呈现之间的关键平衡。意义说明:在生物材料设计方面,众所周知琼脂糖水凝胶缺乏内在的细胞粘附肽基团,因此常用于开发非粘附性二维基底。然而,我们意外地发现,琼脂糖水凝胶可以成为细胞粘附的容许基底,这取决于基底的顺应性机械响应以及细胞培养基中使用胎牛血清(FBS)作为蛋白质储备。我们在此描述细胞利用两种锚定机制粘附到琼脂糖基底上,这取决于 FBS 的用量。我们的研究结果将对机械生物学领域产生重大影响,并揭示了胎牛血清作为粘附蛋白天然来源的核心作用,可促进细胞锚定。
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引用次数: 0
Automated model discovery for textile structures: The unique mechanical signature of warp knitted fabrics 自动发现纺织结构模型:经编织物的独特机械特征
IF 9.4 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-01 DOI: 10.1016/j.actbio.2024.09.051
Jeremy A. McCulloch, Ellen Kuhl
<div><div>Textile fabrics have unique mechanical properties, which make them ideal candidates for many engineering and medical applications: They are initially flexible, nonlinearly stiffening, and ultra-anisotropic. Various studies have characterized the response of textile structures to mechanical loading; yet, our understanding of their exceptional properties and functions remains incomplete. Here we integrate biaxial testing and constitutive neural networks to automatically discover the best model and parameters to characterize warp knitted polypropylene fabrics. We use experiments from different mounting orientations, and discover interpretable anisotropic models that perform well during both training and testing. Our study shows that constitutive models for warp knitted fabrics are highly sensitive to an accurate representation of the textile microstructure, and that models with three microstructural directions outperform classical orthotropic models with only two in-plane directions. Strikingly, out of 2<span><math><mrow><msup><mrow></mrow><mn>14</mn></msup><mo>=</mo></mrow></math></span>16,384 possible combinations of terms, we consistently discover models with two exponential linear fourth invariant terms that inherently capture the initial flexibility of the virgin mesh and the pronounced nonlinear stiffening as the loops of the mesh tighten. We anticipate that the tools we have developed and prototyped here will generalize naturally to other textile fabrics–woven or knitted, weft knit or warp knit, polymeric or metallic–and, ultimately, will enable the robust discovery of anisotropic constitutive models for a wide variety of textile structures. Beyond discovering constitutive models, we envision to exploit automated model discovery as a novel strategy for the generative material design of wearable devices, stretchable electronics, and smart fabrics, as programmable textile metamaterials with tunable properties and functions. Our source code, data, and examples are available at https://github.com/LivingMatterLab/CANN.</div></div><div><h3>Statement of significance</h3><div>Textile structures are rapidly gaining popularity in many biomedical applications including tissue engineering, wound healing, and surgical repair. A precise understanding of their unique mechanical properties is critical to tailor them to their specific functions. Here we integrate mechanical testing and machine learning to automatically discover the best models for knitted polypropylene fabrics. We show that warp knitted fabrics possess a complex symmetry with three distinct microstructural directions. Along these, the behavior is dominated by an exponential linear term that characterize the initial flexibility of the virgin mesh and the nonlinear stiffening as the loops of the fabric tighten. We expect that our technology will generalize naturally to other fabrics and enable the robust discovery of complex anisotropic models for a wide variety of textile structures.
纺织织物具有独特的机械特性,是许多工程和医疗应用的理想选择:它们最初具有柔韧性、非线性刚度和超各向异性。各种研究都描述了织物结构对机械负载的响应;然而,我们对其特殊属性和功能的了解仍不全面。在此,我们整合了双轴测试和构成神经网络,以自动发现表征经编聚丙烯织物的最佳模型和参数。我们利用不同安装方向的实验,发现了可解释的各向异性模型,这些模型在训练和测试过程中均表现良好。我们的研究表明,经编面料的构成模型对纺织品微观结构的准确表述非常敏感,具有三个微观结构方向的模型优于只有两个平面方向的经典正交模型。引人注目的是,在 214=16,384 个可能的项组合中,我们不断发现具有两个指数线性第四不变量项的模型,这些项从本质上捕捉到了原始网格的初始柔性以及随着网格圈收紧而产生的明显非线性刚度。我们预计,我们在此开发和原型设计的工具将自然而然地推广到其他纺织面料--梭织或针织、纬编或经编、聚合物或金属--并最终能够为各种纺织结构稳健地发现各向异性的构成模型。除了发现结构模型外,我们还设想利用自动发现模型来进行可穿戴设备、可拉伸电子设备和智能织物的生成材料设计,将其作为具有可调特性和功能的可编程纺织超材料。我们的源代码、数据和示例可在 https://github.com/LivingMatterLab/CANN 上获取。意义说明:纺织品结构在许多生物医学应用中迅速普及,包括组织工程、伤口愈合和手术修复。准确了解其独特的机械特性对于使其适应特定功能至关重要。在这里,我们将机械测试与机器学习相结合,自动发现聚丙烯针织物的最佳模型。我们的研究表明,经编织物具有复杂的对称性,有三个不同的微观结构方向。沿着这三个方向,其行为主要由指数线性项和非线性刚度项决定,指数线性项描述了原始网格的初始柔性,而非线性刚度项则描述了织物线圈收紧时的柔性。我们希望我们的技术能自然地推广到其他织物上,并能为各种纺织结构稳健地发现复杂的各向异性模型。
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引用次数: 0
A biodegradable Fe–0.6Se alloy with superior strength and effective antibacterial and antitumor capabilities for orthopedic applications 一种可生物降解的 Fe-0.6Se 合金,具有卓越的强度和有效的抗菌抗肿瘤能力,可用于骨科应用。
IF 9.4 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-01 DOI: 10.1016/j.actbio.2024.10.012
Bo Deng , Dechuang Zhang , Yilong Dai , Sihan Lin , Yuncang Li , Cuie Wen
Iron–selenium (Fe–Se) alloys have potential as attractive biodegradable bone–implant materials, given the antitumor properties of Se in cancer prevention and therapy. However, the fabrication of Fe–Se alloys is challenging due to the volatility of elemental Se and the significantly different melting points of Se and Fe. In this study, we successfully fabricated Fe–xSe (x = 0.2, 0.4, 0.6, 0.8, and 1 wt.%) alloys using suction casting, with FeSe compounds as the Se source. The microstructures, tensile properties, corrosion behavior, biocompatibility, antibacterial ability, and antitumor properties of the Fe–Se alloys were evaluated. The microstructures of the Fe–Se alloys were composed of α–Fe and FeSe phases. Among the Fe–Se alloys, Fe–0.6Se showed the best combination of tensile properties, with a yield strength of 1096.5 ± 7.2 MPa, an ultimate tensile strength of 1271.6 ± 6.3 MPa, and a fracture strain of 15.6 ± 3.3 %, and a degradation rate of 56.9 ± 0.4 μm/year. Moreover, the Fe–0.6Se alloy showed superb antibacterial ability against S. aureus, antitumor activity against 143B osteosarcoma cells, and osteogenicity and biocompatibility toward pre–osteoblast MC3T3–E1 cells. In summary, adding 0.2–1.0 wt.% Se to Fe does not affect the growth of healthy cells but effectively inhibits the growth and reproduction of tumor cells, and the Fe–0.6Se alloy is promising for orthopedic applications owing to its unique combination of mechanical and biofunctional properties.

Statement of significance

This work reports on Fe-xSe (x = 0.2, 0.4, 0.6, 0.8, and 1 wt.%) alloys fabricated using suction casting. The microstructures of the Fe–Se alloys were composed of α-Fe and FeSe phases. Among the Fe–Se alloys, the Fe-0.6Se showed the best combination of tensile properties, with a yield strength of 1058.6 ± 3.9 MPa, an ultimate tensile strength of 1134.1 ± 2.9 MPa, and a fracture strain of 16.8 ± 1.5 %, and a degradation rate of 56.9 ± 0.4 μm/year. Moreover, the Fe-0.6Se alloy showed superb antibacterial ability against S. aureus, antitumor activity against 143B osteosarcoma cells, and significant osteogenic ability and biocompatibility toward pre-osteoblast MC3T3-E1 cells. In summary, the Fe-0.6Se alloy is promising for orthopedic applications owing to its unique combination of mechanical and biofunctional properties.
鉴于硒在癌症预防和治疗中的抗肿瘤特性,铁-硒(Fe-Se)合金有望成为具有吸引力的可生物降解骨植入材料。然而,由于硒元素易挥发,且硒和铁的熔点相差很大,因此铁硒合金的制造具有挑战性。在本研究中,我们以 FeSe 化合物为 Se 源,采用吸铸法成功制备了 Fe-xSe(x = 0.2、0.4、0.6、0.8 和 1 wt.%)合金。对 Fe-Se 合金的微观结构、拉伸性能、腐蚀行为、生物相容性、抗菌能力和抗肿瘤性能进行了评估。Fe-Se合金的微观结构由α-Fe相和FeSe相组成。在Fe-Se合金中,Fe-0.6Se显示出最佳的拉伸性能组合,屈服强度为1096.5 ± 7.2 MPa,极限拉伸强度为1271.6 ± 6.3 MPa,断裂应变为15.6 ± 3.3 %,降解率为56.9 ± 0.4 μm/年。此外,Fe-0.6Se 合金对金黄色葡萄球菌具有极强的抗菌能力,对 143B 骨肉瘤细胞具有抗肿瘤活性,对前成骨细胞 MC3T3-E1 具有成骨性和生物相容性。总之,在铁中添加 0.2-1.0 重量百分比的硒不会影响健康细胞的生长,但能有效抑制肿瘤细胞的生长和繁殖,Fe-0.6Se 合金因其独特的机械和生物功能特性组合而有望用于骨科应用。意义说明:这项研究报告了利用吸铸技术制造的 Fe-xSe(x = 0.2、0.4、0.6、0.8 和 1 wt.%)合金。Fe-Se合金的微观结构由α-Fe相和FeSe相组成。在Fe-Se合金中,Fe-0.6Se显示出最佳的拉伸性能组合,屈服强度为1058.6 ± 3.9 MPa,极限拉伸强度为1134.1 ± 2.9 MPa,断裂应变为16.8 ± 1.5 %,降解率为56.9 ± 0.4 μm/年。此外,Fe-0.6Se 合金对金黄色葡萄球菌具有极强的抗菌能力,对 143B 骨肉瘤细胞具有抗肿瘤活性,对前成骨细胞 MC3T3-E1 细胞具有显著的成骨能力和生物相容性。总之,Fe-0.6Se 合金因其独特的机械和生物功能特性组合,在骨科应用中大有可为。
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引用次数: 0
A multifunctional self-reinforced injectable hydrogel for enhancing repair of infected bone defects by simultaneously targeting macrophages, bacteria, and bone marrow stromal cells 一种多功能自强化可注射水凝胶,可同时靶向巨噬细胞、细菌和骨髓基质细胞,加强感染性骨缺损的修复。
IF 9.4 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-01 DOI: 10.1016/j.actbio.2024.10.014
Jingyi Du , Ying Chu , Yan Hu , Jin Liu , Hanghang Liu , Huimin Wang , Changying Yang , Zheng Wang , Aixi Yu , Jiabing Ran
Injectable hydrogels (IHs) have demonstrated huge potential in promoting repair of infected bone defects (IBDs), but how to endow them with desired anti-bacterial, immunoregulatory, and osteo-inductive properties as well as avoid mechanical failure during their manipulation are challenging. In this regard, we developed a multifunctional AOHA-RA/Lap nanocomposite IH for IBDs repair, which was constructed mainly through two kinds of reversible cross-links: (i) the laponite (Lap) crystals mediated electrostatic interactions; (ii) the phenylboronic acid easter bonds between the 4-aminobenzeneboronic acid grafted oxidized hyaluronic acid (AOHA) and rosmarinic acid (RA). Due to the specific structural composition, the AOHA-RA/Lap IH demonstrated superior injectability, self-recoverability, spatial adaptation, and self-reinforced mechanical properties after being injected to the bone defect site. In addition, the RA molecules could be locally released from the hydrogel following a Weibull model for over 10 days. Systematic in vitro/vivo assays proved the strong anti-bacterial activity of the hydrogel against Staphylococcus aureus (S. aureus) and Escherichia coli (E. coli). Moreover, its capability of inducing M2 polarization of macrophages (Mφ) and osteogenic differentiation of bone marrow stromal cells (BMSCs) was verified either, and the mechanism of the former was identified to be related to the JAK1-STAT1 and PI3K-AKT signaling pathways and that of the latter was identified to be related to the calcium signaling pathway, extracellular matrix (ECM) receptor interaction and TGF-β signaling pathway. After being implanted to a S. aureus infected rat skull defect model, the AOHA-RA/Lap IH significantly accelerated repair of IBDs without causing significant systemic toxicity.

Statement of significance

Rosmarinic acid and laponite were utilized to develop an injectable hydrogel, promising for accelerating repair of infected bone defects in clinic. The gelation of the hydrogel was completely driven by two kinds of reversible cross-links, which endow the hydrogel superior spatial adaption, self-recoverability, and structural stability. The as-prepared hydrogel demonstrated superior anti-bacterial/anti-biofilm activity and could induce M2 polarization of macrophages and osteogenic differentiation of BMSCs. The mechanism behind macrophages polarization was identified to be related to the JAK1-STAT1 and PI3K-AKT signaling pathways. The mechanism behind osteogenic differentiation of BMSCs was identified to be related to the ECM receptor interaction and calcium signaling/TGF-β signaling pathways.
可注射水凝胶(IHs)在促进感染性骨缺损(IBDs)修复方面已显示出巨大潜力,但如何赋予其所需的抗菌、免疫调节和骨诱导特性并避免其在操作过程中出现机械故障仍是一项挑战。为此,我们开发了一种用于 IBD 修复的多功能 AOHA-RA/Lap 纳米复合材料 IH,它主要通过两种可逆交联构建而成:(这种纳米复合材料主要通过两种可逆交联构建:(i) 由青金石(Lap)晶体介导的静电相互作用;(ii) 4-氨基苯硼酸接枝氧化透明质酸(AOHA)和迷迭香酸(RA)之间的苯硼酸伊斯特键。由于其特殊的结构组成,AOHA-RA/Lap IH 被注射到骨缺损部位后,表现出优异的可注射性、自恢复性、空间适应性和自强化机械性能。此外,根据 Weibull 模型,RA 分子可从水凝胶中局部释放 10 天以上。系统的体外/体内试验证明,水凝胶对金黄色葡萄球菌(S. aureus)和大肠杆菌(E. coli)具有很强的抗菌活性。此外,还验证了水凝胶诱导巨噬细胞(Mφ)M2极化和骨髓基质细胞(BMSCs)成骨分化的能力,并确定前者的机制与JAK1-STAT1和PI3K-AKT信号通路有关,后者的机制与钙信号通路、细胞外基质(ECM)受体相互作用和TGF-β信号通路有关。将 AOHA-RA/Lap IH 植入金黄色葡萄球菌感染的大鼠颅骨缺损模型后,可显著加快 IBD 的修复,且不会引起明显的全身毒性。意义说明:利用迷迭香酸和青金石开发出一种可注射的水凝胶,有望在临床上加速修复感染性骨缺损。水凝胶的凝胶化完全由两种可逆交联驱动,这赋予了水凝胶卓越的空间适应性、自我恢复性和结构稳定性。制备的水凝胶具有优异的抗菌/抗生物膜活性,并能诱导巨噬细胞的 M2 极化和 BMSCs 的成骨分化。巨噬细胞极化的机制与 JAK1-STAT1 和 PI3K-AKT 信号通路有关。BMSCs 成骨分化的机制与 ECM 受体相互作用和钙信号/TGF-β 信号通路有关。
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引用次数: 0
Dual immunostimulatory CD73 antibody-polymeric cytotoxic drug complex for triple negative breast cancer therapy 用于三阴性乳腺癌治疗的双重免疫刺激CD73抗体-聚合细胞毒性药物复合物。
IF 9.4 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-01 DOI: 10.1016/j.actbio.2024.09.033
Xiao Xie , Ming Yang , Xue Wei , Hongyu Chu , Weidong Zhao , Na Shen
Treatment of triple-negative breast cancer (TNBC) poses significant challenges due to its propensity for metastasis. A key impediment lies in the suppressive immune microenvironment, which fosters tumor progression. This study introduces an approach employing a dual immune-stimulatory CD73 antibody-polymeric cytotoxic drug complex (αCD73-PLG-MMAE). This complex is designed for targeted eradication of TNBC while modulating tumor immunity through mechanisms such as immunogenic cell death (ICD) and interference with the adenosine signaling pathway. By enhancing antitumor immune responses, this strategy offers a highly effective means of treating TNBC and mitigating metastasis. The complex is synthesized by combining αCD73 with poly(L-glutamic acid) (PLG) grafted Fc binding peptides (Fc-III-4C) and Val-Cit-PAB-monomethyl auristatin E (MMAE), exploiting the affinity between αCD73 and Fc-III-4C. αCD73 selectively targets CD73 molecules on both tumor and immune suppressive cells, thereby inhibiting the adenosine pathway. Meanwhile, Val-Cit-PAB-MMAE, activated by cathepsin B, triggers selective release of MMAE, inducing ICD in tumor cells. In a 4T1 tumor model, αCD73-PLG-MMAE significantly enhances drug accumulation in tumors by 4.13-fold compared to IgG-PLG-MMAE, leading to suppression of tumor growth and metastasis. Furthermore, it synergistically augments the antitumor effects of αPD-1, resulting in a tumor inhibition rate of 92 % as compared to 21 % with αPD-1 alone. This study thus presents a pioneering therapeutic strategy for TNBC, emphasizing the potential of targeted immunomodulation in cancer treatment.

Statement of significance

Antibody-drug conjugate (ADC) therapy holds promise for treating triple-negative breast cancer (TNBC). However, the current ADC, sacituzumab govitecan, fails to overcome the crucial role of adenosine in the suppressive immune microenvironment characteristic of this "cold tumor". Here, we present a dual immune-stimulatory complex, αCD73-PLG-MMAE, which targets TNBC specifically and modulates tumor immunity through mechanisms such as immunogenic cell death (ICD) and interference with the adenosine signaling pathway. Thus, it kills tumor cells with cytotoxic drugs, comprehensively regulates immunosuppression, and restores a durable immune response. This study proposes an antibody-polymeric drug complex with immunomodulatory and immunoagonist roles, offering new insights into TNBC treatment.
由于三阴性乳腺癌(TNBC)具有转移倾向,因此其治疗面临巨大挑战。一个关键的障碍在于抑制性免疫微环境,这种环境会助长肿瘤进展。本研究介绍了一种采用双重免疫刺激CD73抗体-聚合细胞毒性药物复合物(αCD73-PLG-MMAE)的方法。这种复合物旨在靶向根除 TNBC,同时通过免疫原性细胞死亡(ICD)和干扰腺苷信号通路等机制调节肿瘤免疫。通过增强抗肿瘤免疫反应,这种策略为治疗 TNBC 和减少转移提供了一种非常有效的手段。利用αCD73和Fc-III-4C之间的亲和力,αCD73与聚(L-谷氨酸)(PLG)接枝Fc结合肽(Fc-III-4C)和Val-Cit-PAB-monomethyl auristatin E(MMAE)结合合成了复合物。αCD73 可选择性地靶向肿瘤细胞和免疫抑制细胞上的 CD73 分子,从而抑制腺苷途径。同时,Val-Cit-PAB-MMAE 被酪蛋白酶 B 激活后,会触发 MMAE 的选择性释放,从而诱导肿瘤细胞的 ICD。在 4T1 肿瘤模型中,与 IgG-PLG-MMAE 相比,αCD73-PLG-MMAE 能显著提高药物在肿瘤中的蓄积 4.13 倍,从而抑制肿瘤的生长和转移。此外,它还能协同增强αPD-1的抗肿瘤作用,使肿瘤抑制率达到92%,而单独使用αPD-1的抑制率仅为21%。因此,这项研究提出了一种治疗 TNBC 的开创性策略,强调了靶向免疫调节在癌症治疗中的潜力。意义声明:抗体药物结合物(ADC)疗法有望治疗三阴性乳腺癌(TNBC)。然而,目前的 ADCsacituzumab govitecan 无法克服腺苷在这种 "冷肿瘤 "特有的抑制性免疫微环境中的关键作用。在这里,我们提出了一种双重免疫刺激复合物αCD73-PLG-MMAE,它专门针对TNBC,通过免疫原性细胞死亡(ICD)和干扰腺苷信号通路等机制调节肿瘤免疫。因此,它能通过细胞毒性药物杀死肿瘤细胞,全面调节免疫抑制,恢复持久的免疫反应。本研究提出了一种具有免疫调节和免疫拮抗作用的抗体-聚合药物复合物,为 TNBC 的治疗提供了新的思路。
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引用次数: 0
A biphasic drug-releasing microneedle with ROS scavenging and angiogenesis for the treatment of diabetic ulcers 一种具有清除 ROS 和血管生成功能的双相药物释放微针,用于治疗糖尿病溃疡。
IF 9.4 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-01 DOI: 10.1016/j.actbio.2024.09.045
Xinyue He , Lianghong Peng , Liming Zhou , Huiling Liu , Yifan Hao , Yuhan Li , Zijin lv , Baohui Zeng , Xinmin Guo , Rui Guo
Diabetic ulcers are one of the common complications in diabetic patients. Delayed wound healing is associated with persistent pro-inflammatory M1 polarization, reduced angiogenesis and increased reactive oxygen species (ROS) in the microenvironment. Wound healing consists of multiple phases and therefore requires treatment tailored to each phase. In this study, a biphasic drug-releasing microneedle (MN) was fabricated to achieve early ROS scavenging and late accelerated angiogenesis to promote wound healing. Vascular endothelial growth factor (VEGF) was first encapsulated in methacryloylated sulfonated chitosan (SCSMA) microspheres (V@MP), and then V@MP was loaded into hyaluronic acid (HA) microneedles along with cerium dioxide nanoparticles (CONPs). Rapid dissolution of HA rapidly releases the CONPs to clear ROS, whereas the V@MP stays in the wound. SCSMA slow degradation prolongs the release of VEGF, thereby promoting angiogenesis. In vitro and in vivo studies have shown that this biphasic drug-releasing smart microneedle improves cell proliferation and migration, effectively scavenges ROS, promotes angiogenesis and tissue regeneration, and synergistically promotes M2 macrophage polarization. It provides a new delivery mode for nano-enzymes and growth factors that could be multifunctional and synergistic in the treatment of diabetic ulcers.

Statement of significance

In our study, we present a microneedle (V@MP/C@MN) that can release drugs biphasically, which showed good repair ability in diabetic ulcer model. Large amounts of CONPs were rapidly released to alleviate oxidative stress during the inflammation of the wound, and V@MP stayed in the wound for a long period of time to release VEGF and promote angiogenesis in the late stage of wound healing. The results indicated that V@MP/C@MN could promote cell proliferation and migration, effectively scavenge ROS, promote angiogenesis and tissue regeneration, and synergistically promote M2 macrophage polarization, which could play a multifunctional and synergistic role in the treatment of diabetic ulcers.
糖尿病溃疡是糖尿病患者常见的并发症之一。伤口愈合延迟与持续的促炎性 M1 极化、血管生成减少以及微环境中活性氧(ROS)增加有关。伤口愈合由多个阶段组成,因此需要针对每个阶段进行治疗。本研究制作了一种双相药物释放微针(MN),以实现早期清除 ROS 和晚期加速血管生成,从而促进伤口愈合。首先将血管内皮生长因子(VEGF)封装在甲基丙烯酰化磺化壳聚糖(SCSMA)微球(V@MP)中,然后将V@MP与二氧化铈纳米颗粒(CONPs)一起装入透明质酸(HA)微针中。HA 的快速溶解会迅速释放 CONPs 以清除 ROS,而 V@MP 则会留在伤口中。SCSMA 的缓慢降解可延长血管内皮生长因子的释放,从而促进血管生成。体外和体内研究表明,这种双相药物释放智能微针可改善细胞增殖和迁移,有效清除 ROS,促进血管生成和组织再生,并协同促进 M2 巨噬细胞极化。它为纳米酶和生长因子提供了一种新的传递模式,可在治疗糖尿病溃疡方面发挥多功能和协同作用。意义说明:在我们的研究中,我们提出了一种能双相释放药物的微针(V@MP/C@MN),它在糖尿病溃疡模型中表现出良好的修复能力。在伤口发炎期间,大量的 CONPs 被迅速释放以缓解氧化应激;在伤口愈合后期,V@MP 在伤口中长期停留以释放血管内皮生长因子并促进血管生成。结果表明,V@MP/C@MN可促进细胞增殖和迁移,有效清除ROS,促进血管生成和组织再生,并协同促进M2巨噬细胞极化,在糖尿病溃疡的治疗中可发挥多功能协同作用。
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引用次数: 0
Multi-functional nanosonosensitizer-engineered bacteria to overcome tumor hypoxia for enhanced sonodynamic therapy 多功能纳米声纳增敏剂工程细菌克服肿瘤缺氧,增强声动力疗法。
IF 9.4 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-01 DOI: 10.1016/j.actbio.2024.10.013
Ting Wang , Meng Du , Zhen Yuan , Jintong Guo , Zhiyi Chen

Background

Ultrasound-triggered sonodynamic therapy (SDT), with high safety and acceptance, has become a promising tumor treatment. However, the dense stroma, hypoxic microenvironment of tumor, and the unpredictable treatment timing limit the effectiveness of sonosensitizers and the antitumor therapeutic effect. Thus, it is crucial to develop an imaging-guided sensitization strategy for hypoxic tumor sonosensitization to improve the efficacy of SDT.

Methods

In this study, we developed a biohybrid system CB@HPP, which genetically engineered bacteria to express catalase (CB) and modified nanosonosensitizers (HPP) to the surface of these bacteria. Tumor hypoxia relief, tumor targeting, biocompatibility, and antitumor efficacy were evaluated through in vitro and in vivo experiments. In addition, the photoacoustic (PA), ultrasound (US), and fluorescence (FL) imaging effects of CB@HPP were evaluated in vivo and in vitro.

Results

After intravenous injection, CB@HPP was able to target tumor tissue. CB@HPP possessed efficient catalase activity and successfully degraded hydrogen peroxide to produce oxygen. Increased oxygen levels relief intratumoral hypoxia, thereby enhancing CB@HPP-mediated. In addition, CB@HPP showed FL/PA/US multimodal imaging capabilities, which reflects the aggregation effect of CB@HPP in the tumor and suggest the timing of treatment.

Conclusion

The biohybrid system CB@HPP significantly alleviates tumor hypoxia, and multimodal imaging-mediated oxygen-producing SDT effectively suppresses tumors. This integrated imaging and therapeutic biohybrid system provides a more efficient and attractive cancer treatment strategy for SDT.

Statement of significance

This study developed a sensitizing SDT strategy for imaging-guided drug-targeted delivery and in situ oxygen production. We designed a biohybrid system CB@HPP, which was hybridized by the engineered bacteria with catalytic oxygen production and nanosonosensitizer with multimodal imaging capability. CB@HPP significantly alleviates tumor hypoxia, and multimodal imaging-mediated oxygen-producing SDT effectively suppresses tumors. This integrated imaging and therapeutic biohybrid system provides a more efficient and attractive cancer treatment strategy for SDT.
背景:超声触发的声动力疗法(SDT)具有较高的安全性和可接受性,已成为一种前景广阔的肿瘤治疗方法。然而,肿瘤致密的基质、缺氧的微环境以及治疗时机的不可预测性限制了超声增敏剂的有效性和抗肿瘤治疗效果。因此,为提高 SDT 的疗效,开发一种成像引导的缺氧肿瘤声纳增敏策略至关重要:在这项研究中,我们开发了一种生物杂交系统 CB@HPP,通过基因工程细菌表达过氧化氢酶(CB),并在这些细菌表面修饰纳米声纳敏化剂(HPP)。通过体外和体内实验评估了肿瘤缺氧缓解、肿瘤靶向性、生物相容性和抗肿瘤功效。此外,还评估了 CB@HPP 在体内和体外的光声(PA)、超声(US)和荧光(FL)成像效果:结果:静脉注射CB@HPP后,CB@HPP能够靶向肿瘤组织。CB@HPP具有高效的过氧化氢酶活性,能成功降解过氧化氢产生氧气。氧含量的增加缓解了肿瘤组织内的缺氧,从而增强了 CB@HPP 介导的抗肿瘤作用。此外,CB@HPP还具有FL/PA/US多模态成像功能,反映了CB@HPP在肿瘤中的聚集效应,并提示了治疗时机:结论:生物杂交系统 CB@HPP 能明显缓解肿瘤缺氧,多模态成像介导的产氧 SDT 能有效抑制肿瘤。该成像与治疗一体化的生物杂交系统为 SDT 提供了一种更高效、更具吸引力的癌症治疗策略:本研究开发了一种用于成像引导药物靶向递送和原位制氧的增敏 SDT 策略。我们设计了一种生物杂交系统 CB@HPP,它由具有催化制氧功能的工程菌和具有多模态成像能力的纳米声纳敏化剂杂交而成。CB@HPP 能明显缓解肿瘤缺氧,而多模态成像介导的产氧 SDT 能有效抑制肿瘤。这种集成成像和治疗的生物杂交系统为 SDT 提供了一种更高效、更具吸引力的癌症治疗策略。
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引用次数: 0
Deciphering the complex mechanics of atherosclerotic plaques: A hybrid hierarchical theory-microrheology approach 破译动脉粥样硬化斑块的复杂力学原理:分层理论-微流变学混合方法。
IF 9.4 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2024-11-01 DOI: 10.1016/j.actbio.2024.09.029
Zhuo Chang , Yidan Zhou , Le Dong , Lin-Ru Qiao , Hui Yang , Guang-Kui Xu
Understanding the viscoelastic properties of atherosclerotic plaques at rupture-prone scales is crucial for assessing their vulnerability. Here, we develop a Hybrid Hierarchical theory-Microrheology (HHM) approach, enabling the analysis of multiscale mechanical variations and distribution changes in regional tissue viscoelasticity within plaques across different spatial scales. We disclose a universal two-stage power-law rheology in plaques, characterized by distinct power-law exponents (αshort and αlong), which serve as mechanical indexes for plaque components and assessing mechanical gradients. We further propose a self-similar hierarchical theory that effectively delineates plaque heterogeneity from the cytoplasm, cell, to tissue levels. Moreover, our proposed multi-layer perceptron model addresses the viscoelastic heterogeneity and gradients within plaques, offering a promising diagnostic strategy for identifying unstable plaques. These findings not only advance our understanding of plaque mechanics but also pave the way for innovative diagnostic approaches in cardiovascular disease management.

Statement of significance

Our study pioneers a Hybrid Hierarchical theory-Microrheology (HHM) approach to dissect the intricate viscoelasticity of atherosclerotic plaques, focusing on distinct components including cap fibrosis, lipid pools, and intimal fibrosis. We unveil a universal two-stage power-law rheology capturing mechanical variations across plaque structures. The proposed hierarchical model adeptly captures viscoelasticity changes from cytoplasm, cell to tissue levels. Based on the newly proposed markers, we further develop a machine learning (ML) diagnostic model that sets precise criteria for evaluating plaque components and heterogeneity. This work not only reveals the comprehensive mechanical heterogeneity within plaques but also introduces a mechanical marker-based ML strategy for assessing plaque conditions, offering a significant leap towards understanding and diagnosing atherosclerotic risks.
了解动脉粥样硬化斑块在易破裂尺度上的粘弹性对评估其脆弱性至关重要。在此,我们开发了一种混合层次理论-微流变学(HHM)方法,能够分析斑块内不同空间尺度的多尺度力学变化和区域组织粘弹性的分布变化。我们揭示了斑块中普遍存在的两级幂律流变学,其特征是不同的幂律指数(α短和α长),可作为斑块成分的力学指标并评估力学梯度。我们进一步提出了一种自相似分层理论,可有效地划分从细胞质、细胞到组织层面的斑块异质性。此外,我们提出的多层感知器模型还能解决斑块内部的粘弹性异质性和梯度问题,为识别不稳定斑块提供了一种前景广阔的诊断策略。这些发现不仅加深了我们对斑块力学的理解,还为心血管疾病管理的创新诊断方法铺平了道路。意义声明:我们的研究开创了一种混合层次理论-微流变学(HHM)方法,用于剖析动脉粥样硬化斑块错综复杂的粘弹性,重点关注斑块帽纤维化、脂质池和内膜纤维化等不同的组成部分。我们揭示了一种普遍的两阶段幂律流变学,它捕捉到了斑块结构间的力学变化。所提出的分层模型能很好地捕捉从细胞质、细胞到组织层面的粘弹性变化。基于新提出的标记,我们进一步开发了机器学习(ML)诊断模型,为评估斑块成分和异质性设定了精确的标准。这项工作不仅揭示了斑块内部的全面机械异质性,还引入了基于机械标记的 ML 策略来评估斑块状况,为理解和诊断动脉粥样硬化风险提供了重要的飞跃。
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Acta Biomaterialia
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