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Research on silk fibroin composite materials for wet environment applications 用于潮湿环境的丝纤维素复合材料研究
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-10-12 DOI: 10.1016/j.jmbbm.2024.106777
Jialuo Chen , Zuqiang Yin , Guohongfang Tan , Tieling Xing , Subhas C. Kundu , Shenzhou Lu
Silk fibroin material has good mechanical properties and excellent biocompatibility as a natural biomaterial with broad application prospects. However, by applying regenerated silk fibroin in biomaterials with high mechanical strength requirements, such as bone materials, there are problems, such as insufficient mechanical properties and a significant decline in mechanical properties in the wet state. In this report, a silk fibroin composite that maintains high strength in the wet state was prepared by adding nano-SiO2 as a nano-strengthening filler to the silk protein material and employing an epoxy-based silane coupling agent KH560 as an interfacial reinforcing agent. The results showed that the dry compressive strength of the composite material was substantially increased compared with that of the pure silk protein material; the wet compressive strength was significantly increased compared with that of the pure silk fibroin material, and the decrease of the mechanical properties in the wet state was low. The cytotoxicity test results of the composites showed that the materials were not cytotoxic. Rat bone marrow mesenchymal stem cells were cultured on the surface of the composites, and the results indicated that the composites could support the proliferation of bone marrow mesenchymal stem cells. The silk fibroin nanocomposites developed in this work can be applied as bone repair materials.
蚕丝纤维素材料具有良好的机械性能和优异的生物相容性,是一种应用前景广阔的天然生物材料。然而,将再生蚕丝纤维素应用于骨材料等对机械强度要求较高的生物材料中,存在机械性能不足、湿态机械性能显著下降等问题。本报告通过在蚕丝蛋白材料中添加纳米二氧化硅作为纳米增强填料,并采用环氧基硅烷偶联剂 KH560 作为界面增强剂,制备了一种在湿态下仍能保持高强度的蚕丝纤维蛋白复合材料。结果表明,与纯蚕丝蛋白材料相比,复合材料的干抗压强度大幅提高;与纯蚕丝纤维素材料相比,复合材料的湿抗压强度显著提高,且湿态力学性能下降较小。复合材料的细胞毒性测试结果表明,材料没有细胞毒性。在复合材料表面培养大鼠骨髓间充质干细胞,结果表明复合材料可支持骨髓间充质干细胞的增殖。该研究开发的丝纤维素纳米复合材料可用作骨修复材料。
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引用次数: 0
Elastic properties of 3D printed clavicles are closer to cadaveric bones of elderly donors than commercial synthetic bones 与商用合成骨相比,3D 打印锁骨的弹性特性更接近老年捐献者的尸骨
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-10-12 DOI: 10.1016/j.jmbbm.2024.106774
Kathryn S. Strand , Elizabeth Silvestro , Iman Naqvi , Michael W. Hast
Synthetic bone models have increasing utility in orthopaedic research due to their low cost and low variability and have been shown to be biomechanically equivalent to human bones in a variety of ways. The rise in additive manufacturing (AM) for orthopaedic applications presents an opportunity to construct synthetic whole-bone models for biomechanical testing applications, but there is a lack of research comparing these AM models to cadaveric or commercially available bone surrogates. This study compares the mechanical properties of 3D printed clavicle models to commercially available (4th generation Sawbones) and human cadaveric clavicles via nondestructive cyclic 4-point bending, axial compression, and torsion, and a final axial compression test to failure. Commercially available synthetic clavicles had 57.8–203% higher superior-inferior bending rigidity (p < 0.0001), 80.9–198% higher axial stiffness (p < 0.001), and 314–557% higher torsional rigidity (p < 0.05) on average than AM and cadaveric clavicles. Cadaveric and AM clavicles printed from a BoneMatrix/VeroWhite composite material had similar failure mechanisms under axial compression while AM VeroWhite clavicles experienced catastrophic failure, but these groups did not have significantly different ultimate failure loads. Together, these results demonstrate that current commercially available synthetic clavicles may be too rigid to emulate the mechanical properties of elderly cadaveric clavicles, and that AM bone models can closely mimic these cadaveric bones in a variety of biomechanical loading schemes. These results show promising applications for future work using 3D printed bone surrogates for biomechanical analysis of orthopaedic implants and other surgical repair techniques.
合成骨模型由于成本低、可变性小,在骨科研究中的作用越来越大,而且已被证明在生物力学方面与人体骨骼具有多种等效性。骨科应用中增材制造(AM)的兴起为构建用于生物力学测试应用的合成全骨模型提供了机会,但目前还缺乏将这些 AM 模型与尸体或市场上可买到的代用骨进行比较的研究。本研究通过无损循环四点弯曲、轴向压缩和扭转,以及最终的轴向压缩测试,比较了 3D 打印锁骨模型与市售(第四代锯骨)和人体尸体锁骨的机械性能。与AM和尸体锁骨相比,市售合成锁骨的上下弯曲刚度平均高出57.8-203%(p <0.0001),轴向刚度平均高出80.9-198%(p <0.001),扭转刚度平均高出314-557%(p <0.05)。由 BoneMatrix/VeroWhite 复合材料打印而成的尸体和 AM 锁骨在轴向压缩下具有相似的失效机制,而 AM VeroWhite 锁骨则经历了灾难性失效,但这两组的最终失效载荷并无显著差异。这些结果共同表明,目前市售的合成锁骨可能过于坚硬,无法模拟老年尸体锁骨的机械性能,而 AM 骨模型可以在各种生物力学加载方案中近似模拟这些尸体骨骼。这些结果表明,未来使用三维打印骨替代物对骨科植入物和其他外科修复技术进行生物力学分析的工作大有可为。
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引用次数: 0
Mechanical properties of stromal striae, and their impact on corneal tissue behavior 基质条纹的机械特性及其对角膜组织行为的影响。
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-10-12 DOI: 10.1016/j.jmbbm.2024.106770
Qian Wu , Chloé Giraudet , Jean-Marc Allain
Cornea is an essential element of our eye. The refractive power of the cornea is closely related to its shape, which depends on the balance between its mechanical properties and the intraocular pressure. However, in keratoconus, the shape of the cornea is altered, and the mechanical properties (i.e., elastic modulus and viscosity) are reduced. These alterations have been associated with the development of striae within the cornea. Recently, such striae have been observed in healthy corneas as well, but with slightly different shapes. Our study investigated the mechanical role of these striae. To this end, we performed an inflation test under Optical Coherence Tomography: tomographic volumes were acquired in the central zone of eleven human corneas during an inflation test. Striae planes were extracted from the segmented images, and principal deformation maps were obtained by Digital Volume Correlation (DVC). We observe that the pattern of the striae does not change with pressure, even far above physiological pressure. Maximum principal strains are co-localized with the striae and are oriented perpendicular to the striae. We also observe that principal deformations on the striae increase with depth in the cornea. Our results show that striae lead to greater deformability in the direction perpendicular to the striae, especially in the posterior part of the cornea where they are the most visible. This supports the idea that the striae are undulations in the cornea collagenous microstructure, which are progressively unfolded under loading. They decrease the global stiffness of the cornea, in particular in the posterior part, and thus may help in accommodating deformations.
角膜是眼睛的重要组成部分。角膜的屈光力与角膜的形状密切相关,而角膜的形状取决于角膜的机械特性和眼内压之间的平衡。然而,角膜炎患者的角膜形状会发生改变,机械性能(即弹性模量和粘度)也会降低。这些改变与角膜内条纹的形成有关。最近,在健康角膜中也观察到了这种条纹,但形状略有不同。我们的研究调查了这些条纹的机械作用。为此,我们在光学相干断层成像技术下进行了充气测试:在充气测试过程中,我们采集了 11 个人类角膜中央区域的断层成像体积。从分割图像中提取条纹平面,并通过数字容积相关(DVC)获得主变形图。我们观察到,即使远高于生理压力,条纹的形态也不会随压力而改变。最大主应变与条纹共定位,且方向垂直于条纹。我们还观察到,条纹上的主变形随角膜深度的增加而增加。我们的结果表明,条纹会导致垂直于条纹方向的更大变形,尤其是在条纹最明显的角膜后部。这支持了一种观点,即条纹是角膜胶原微结构中的起伏,在负荷作用下逐渐展开。它们降低了角膜(尤其是后部角膜)的整体硬度,因此可能有助于适应变形。
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引用次数: 0
Estimates of natural frequencies for nuclear vibration, and an assessment of the feasibility of selective ultrasound ablation of cancer cells 估算核振动的自然频率,评估选择性超声消融癌细胞的可行性
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-10-11 DOI: 10.1016/j.jmbbm.2024.106778
Bing Qi , Hao Zhang , Junhao Zhu , Ming Wang , Chiyuan Ma , Guy M. Genin , Tian Jian Lu , Shaobao Liu
Selective ablation of cancer cells by ultrasound would be transformative for cancer therapy, but has not yet been possible. A key challenge is that cancerous and non-cancerous cells typically have similar acoustic impedance and are thus indistinguishable as materials in their responses to ultrasound. However, in certain cancers, cytoskeletal and nuclear lamin structures differ between healthy and malignant cells, opening the possibility of exploiting structural differences that manifest as different vibrational responses. To assess the possibility that the nuclei of certain cancerous cells might vibrate at different frequencies, we measured sizes and effective indentation moduli of a range of cancerous and non-cancerous cells from several cell lines and regions of the brain, and estimated the natural frequencies for nuclear vibration. Results suggest a potential difference in natural frequency for nuclear vibration between certain cancerous and non-cancerous cells, on the order of tens of kHz. This gap is potentially sufficient for selective ablation and motivates future experimentation on these specific cell types.
用超声波选择性地消融癌细胞将改变癌症治疗方法,但目前还无法实现。一个关键的挑战是,癌细胞和非癌细胞通常具有相似的声阻抗,因此在对超声波的反应上无法区分。然而,在某些癌症中,健康细胞和恶性细胞的细胞骨架和核片层结构不同,这就为利用结构差异提供了可能性,这种差异表现为不同的振动响应。为了评估某些癌细胞的细胞核以不同频率振动的可能性,我们测量了来自多个细胞系和大脑区域的一系列癌细胞和非癌细胞的尺寸和有效压入模量,并估算了细胞核振动的自然频率。结果表明,某些癌细胞和非癌细胞的核振动固有频率可能相差数十千赫。这一差距可能足以进行选择性消融,并促使未来对这些特定细胞类型进行实验。
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引用次数: 0
Electrospun zeolitic imidazole framework-8 loaded silk fibroin/polycaprolactone nanofibrous scaffolds for biomedical application 用于生物医学应用的电纺沸石咪唑框架-8负载丝纤维素/聚己内酯纳米纤维支架
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-10-11 DOI: 10.1016/j.jmbbm.2024.106769
Mahbubur Rahman , Mohashin Kabir , Kun Li , Yiran Li , Shaojuan Chen , Shaohua Wu
The development of electrospun nanofibrous scaffolds (NFSs) have aroused much attraction in the field of biomedical engineering, due to their small fiber diameter, high specific surface area, and excellent extracellular matrix comparability. The main focus of this study is to design and fabricate novel zeolitic imidazole framework-8 (ZIF-8)-loaded silk fibrin/polycaprolactone (SF/PCL) nanofiber composite scaffolds by using the electrospinning strategy. Firstly, ZIF-8 was synthesized and characterized, which showed remarkable features in terms of shape, size, chemical and physical properties. Then, three different amounts of ZIF-8 were encapsulated into SF/PCL nanofibers during electrospinning, to investigate how the addition of ZIF-8 affected the morphology, and structure, as well as physical, mechanical, and biological properties of the nanofiber composite scaffolds. It was found that the addition of ZIF-8 didn't change the nanofibrous morphology of the composite scaffold, and no bead-like structure were found for the SF/PCL composite scaffolds loading with or without ZIF-8. The appropriate addition of ZIF-8 could significantly increase the mechanical properties of SF/PCL NFSs. The SF/PCL NFS containing 5% ZIF-8 showed high ultimate stress and initial modulus, which were 40.31 ± 2.31 MPa, and 569.19 ± 21.38 MPa, respectively. Furthermore, the MTT assay indicated that the pure SF/PCL scaffold and one with 1% ZIF-8 exhibited nearly identical cell compatibility toward human dermal fibroblast (HDF) cells, but some obvious cytotoxicity was observed with the increase of ZIF-8 content. However, the incorporation of ZIF-8 into SF/PCL NFSs was found to have excellent antibacterial rate against both E. coli and S. aureus. In all, the incorporation of 1% ZIF-8 could impart the SF/PCL NFS with balanced bio-function, making it a promising candidate for diverse biomedical applications such as tissue engineering and wound healing.
电纺纳米纤维支架(NFSs)具有纤维直径小、比表面积大、细胞外基质可比性好等优点,因此在生物医学工程领域备受关注。本研究的重点是利用电纺丝策略设计和制造新型沸石咪唑框架-8(ZIF-8)负载丝纤维蛋白/聚己内酯(SF/PCL)纳米纤维复合支架。首先,合成并表征了 ZIF-8,其在形状、尺寸、化学和物理性质等方面均表现出显著特征。然后,在电纺丝过程中将三种不同量的 ZIF-8 包覆到 SF/PCL 纳米纤维中,研究 ZIF-8 的加入如何影响纳米纤维复合支架的形态、结构以及物理、机械和生物特性。结果发现,ZIF-8的添加并没有改变复合支架的纳米纤维形态,无论是否添加ZIF-8,SF/PCL复合支架都没有发现珠状结构。适当添加 ZIF-8 可显著提高 SF/PCL NFS 的力学性能。含有 5% ZIF-8 的 SF/PCL NFS 显示出较高的极限应力和初始模量,分别为 40.31 ± 2.31 MPa 和 569.19 ± 21.38 MPa。此外,MTT 试验表明,纯 SF/PCL 支架和含有 1% ZIF-8 的支架对人真皮成纤维细胞(HDF)的细胞相容性几乎相同,但随着 ZIF-8 含量的增加,会出现一些明显的细胞毒性。不过,在 SF/PCL NFS 中掺入 ZIF-8 后,对大肠杆菌和金黄色葡萄球菌都有很好的抗菌效果。总之,加入 1% 的 ZIF-8 可使 SF/PCL NFS 具有均衡的生物功能,使其成为组织工程和伤口愈合等多种生物医学应用的理想候选材料。
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引用次数: 0
Significantly less wear of UHMWPE rubbing against pyrocarbon than against CoCr 超高分子量聚乙烯与热碳摩擦产生的磨损明显低于与钴铬摩擦产生的磨损
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-10-09 DOI: 10.1016/j.jmbbm.2024.106768
Thomas J. Joyce , Ghassene Ouenzerfi , Goksu Kandemir , Ian Trail , Valentin Massardier , Rayan Othmani , Andre Pierre Schroder , Thierry Granjon , Michel Hassler , Ana-Maria Trunfio-Sfarghiu
The history of joint replacement can be framed as a battle to reduce wear. Pyrocarbon has been shown to be a low wear material, but can low wear against an ultra high molecular weight polyethylene (UHMWPE) counterface be achieved? To investigate this research question, a 50-station, clinically validated wear screening machine was used. Half the stations tested UHMWPE pins against pyrocarbon discs, and half the stations tested UHMWPE pins against cobalt chromium (CoCr) discs. The test rig ran at 1Hz, the nominal contact stress was 2.07 MPa, and testing ran to 5 million cycles. A biomimetic lubricant was used, it was replaced every 500,000 cycles. At the end of testing, the UHMWPE pins rubbing against pyrocarbon discs had a statistically significant reduced wear, compared with the UHMWPE pins rubbing against CoCr discs (p ≤ 0.01). Analysis of the discs at the end of testing showed greater adherence of phospholipids on the pyrocarbon discs than the CoCr discs. In turn, it was also seen that far less UHMWPE was attached to the pyrocarbon discs than to the CoCr discs. Based on this evidence, it is suggested that pyrocarbon surfaces are associated with reduced adhesive wear of UHMWPE compared with CoCr surfaces. In addition, at the end of testing, the CoCr discs were found to be significantly rougher than the pyrocarbon discs. Therefore, pyrocarbon maintained a smoother surface than CoCr, likely meaning that abrasive wear of UHMWPE was reduced compared with CoCr.
关节置换的历史可以归结为一场减少磨损的战斗。事实证明,热碳是一种低磨损材料,但与超高分子量聚乙烯(UHMWPE)台面相比,能否实现低磨损呢?为了研究这个问题,我们使用了一台经过临床验证的 50 工位磨损筛选机。其中一半工位测试超高分子量聚乙烯(UHMWPE)栓与热碳盘的摩擦情况,另一半工位测试超高分子量聚乙烯(UHMWPE)栓与钴铬(CoCr)盘的摩擦情况。试验台以 1Hz 的频率运行,标称接触应力为 2.07 兆帕,测试周期为 500 万次。测试中使用了仿生物润滑剂,每 50 万次循环更换一次。测试结束时,超高分子量聚乙烯销钉与热碳酸酯圆盘摩擦后的磨损量与超高分子量聚乙烯销钉与钴铬圆盘摩擦后的磨损量相比有显著统计学意义(p ≤ 0.01)。测试结束后对圆盘进行的分析表明,与钴铬圆盘相比,热碳圆盘上的磷脂附着力更大。反过来,热碳圆盘上附着的超高分子量聚乙烯也远远少于钴铬圆盘。基于这些证据,我们认为与 CoCr 表面相比,热碳表面可减少 UHMWPE 的粘附磨损。此外,在测试结束时,发现钴铬盘明显比热碳盘粗糙。因此,热碳表面比 CoCr 更光滑,这可能意味着与 CoCr 相比,UHMWPE 的磨料磨损更少。
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引用次数: 0
A noninvasive measurement technique for the initial stiffness of the radial artery 桡动脉初始僵硬度的无创测量技术。
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-10-05 DOI: 10.1016/j.jmbbm.2024.106765
Yixing Zhang , Xue Feng , Mingxing Shi , Yinji Ma
Arterial stiffness carries significant implications for cardiovascular disease. Monitoring changes in arterial stiffness is integral to proactive health management, however, current noninvasive methods of quantifying stiffness in vivo rely primarily on linear tangent stiffness, making the measurements vulnerable to the variability of blood pressure and thereby affecting the accuracy in portraying the health status of the arteries. This study proposed a novel methodology for evaluating arterial stiffness that is unaffected by changes in blood pressure. Ultrasound detection techniques are applied to accurately chronicle changes in radial artery diameters across varied blood pressures. Incorporating blood pressure measurements, the initial diameter at cuff blockade, and vessel diameters at systolic and diastolic pressures enables inverse determination of the unstressed initial radial artery stiffness. This method accurately mirrors the results of in vitro experiments employing porcine blood vessels at physiological pressures. The results underscore the technique's ability to quantify arterial mechanical properties precisely. This study offers a groundbreaking strategy for fostering the early detection of atherosclerosis, and aiding artery health regulation.
动脉僵化对心血管疾病有重大影响。然而,目前量化体内动脉僵化的无创方法主要依赖于线性正切僵化,这使得测量结果容易受到血压变化的影响,从而影响了描述动脉健康状况的准确性。本研究提出了一种不受血压变化影响的新型动脉僵化评估方法。应用超声检测技术可准确记录不同血压下桡动脉直径的变化。结合血压测量、袖带阻断时的初始直径以及收缩压和舒张压时的血管直径,可以反向确定未受压时的初始桡动脉僵硬度。该方法准确反映了猪血管在生理压力下的体外实验结果。结果凸显了该技术精确量化动脉机械特性的能力。这项研究为促进动脉粥样硬化的早期检测和动脉健康调节提供了突破性的策略。
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引用次数: 0
Evaluating the influence on osteocyte mechanobiology within the lacunar-canalicular system for varying lacunar equancy and perilacunar elasticity: A multiscale fluid-structure interaction analysis 评估不同裂隙等度和裂隙周围弹性对裂隙-椎管系统内骨细胞机械生物学的影响:多尺度流体-结构相互作用分析。
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-10-04 DOI: 10.1016/j.jmbbm.2024.106767
Abhisek Gupta , Subrata Saha , Apurba Das , Amit Roy Chowdhury
The lacunar morphology and perilacunar tissue properties of osteocytes in bone can vary under different physiological and pathological conditions. How these alterations collectively change the overall micromechanics of osteocytes in the lacunar-canalicular system (LCS) of an osteon still requires special focus. Therefore, a Haversian canal and LCS-based osteon model was established to evaluate the changes in the hydrodynamic environment around osteocytes under physiological loading using fluid-structure interaction analysis, followed by a sub-modelled finite element analysis to assess the mechanical responses of osteocytes and their components. Osteocytes were modelled with detailed configurations, including cytoplasm, nucleus, and cytoskeleton, and parametric variations in lacunar equancy (L.Eq) and perilacunar elasticity (Pl.E) were considered within the osteon model. The study aimed to conduct a comparative study among osteon models with varying L. Eq and Pl. E to check the resulting differences in osteocyte mechanobiology. The results demonstrated that the average mechanical stimulation of each subcellular component of osteocytes increased with decreases in L. Eq and Pl. E, reflecting conditions typically seen in young, healthy bone as per previous literature. However, hydrodynamic responses, such as fluid flow and fluid shear stress on osteocytes, varied proportionally with the elasticity difference between the bone matrix and the perilacunar region during Pl. E variation. Additionally, the findings revealed that a minimal percentage of energy was used to transmit mechanical responses through microtubules from the cell membrane to the nucleus, and this energy percentage increased with higher L. Eq. The outcomes of the study could help to quantify how the osteocyte microenvironment and its mechanosensitivity within cortical bone changes with L. Eq and Pl. E alterations in different bone conditions, from young to aged and healthy to diseased.
在不同的生理和病理条件下,骨中骨细胞的腔隙形态和周围组织特性会发生变化。这些变化如何共同改变骨小梁的腔隙-椎管系统(LCS)中骨细胞的整体微观力学,仍然需要特别关注。因此,我们建立了一个基于哈弗斯管和 LCS 的成骨细胞模型,利用流体-结构相互作用分析评估生理负荷下成骨细胞周围流体动力环境的变化,然后进行子模型有限元分析以评估成骨细胞及其组成部分的机械响应。对骨细胞进行了详细的构型建模,包括细胞质、细胞核和细胞骨架,并在骨细胞模型中考虑了裂隙均衡性(L.Eq)和围裂隙弹性(Pl.E)的参数变化。研究旨在对不同 L. Eq 和 Pl.E 的成骨细胞模型进行比较研究,以检查由此产生的成骨细胞机械生物学差异。结果表明,随着 L. Eq 和 Pl.E,反映了以往文献中年轻健康骨骼的典型情况。然而,流体动力反应,如骨细胞上的流体流动和流体剪切应力,在 Pl.E 变化。此外,研究结果表明,通过微管将机械响应从细胞膜传递到细胞核所使用的能量比例极小,而这种能量比例随着 L. Eq 的升高而增加。研究结果有助于量化骨细胞微环境及其在皮质骨中的机械敏感性如何随着 L. Eq 和 Pl.E 的变化。
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引用次数: 0
Therapeutic radiation directly alters bone fatigue strength and microdamage accumulation 治疗性辐射会直接改变骨疲劳强度和微损伤累积。
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-10-02 DOI: 10.1016/j.jmbbm.2024.106766
Tara E. Carney , Amy E. Biggs , Mark A. Miller , Kenneth A. Mann , Megan E. Oest
Radiotherapy (RTx) is an essential and efficacious oncologic treatment, however, post-RTx bone fragility fractures present a challenging clinical problem. Cancer survivors treated with RTx are at variable risk for these late-onset, complex fragility fractures. Little data exists regarding the effects of RTx on bone fatigue properties despite the likelihood of fatigue loading as a mechanism leading up to atraumatic fracture. In this study, femurs collected from adult male rats were irradiated ex vivo with a therapeutic dose of x-irradiation (20 Gy), and then fatigued using a three-point bend setup. Femurs positioned in an isotonic bath at room temperature were loaded to a range of prescribed initial strain levels (based on beam theory equations, prior to any fatigue damage) at 3 Hz in force control. The goals of this study were to determine the feasibility of assessing RTx-induced alterations in 1) femur fatigue strength, 2) structural microdamage (creep and stiffness), and 3) tissue damage (diffuse damage and/or linear microcracking). Mid-diaphyseal morphology and tissue mineral density were not different between the RTx and Sham groups (p ≥ 0.35). With increasing applied apparent strain, the number of cycles to failure was reduced for the RTx femurs when compared to the Sham femurs (treatment x εapp, p = 0.041). RTx femurs had a greater phase II (steady state) creep rate (p = 0.0462) compared to Sham femurs. For femurs that reached 500k cycles, the RTx group had greater diffuse damage area (p = 0.015) than the Sham. This study provides evidence that radiation at therapeutic doses can directly diminish bone fatigue properties. This loss of fatigue properties is associated with increased structural fatigue damage and diffuse microdamage, without alterations in morphology or tissue mineral density, indicating a reduction in bone quality.
放疗(RTx)是一种重要而有效的肿瘤治疗方法,但放疗后骨质脆性骨折却是一个具有挑战性的临床问题。接受过 RTx 治疗的癌症幸存者发生这种晚期复杂脆性骨折的风险各不相同。尽管疲劳负荷很可能是导致创伤性骨折的机制之一,但有关 RTx 对骨疲劳特性影响的数据却很少。在这项研究中,用治疗剂量的 x 射线(20 Gy)对成年雄性大鼠的股骨进行体外照射,然后使用三点弯曲装置进行疲劳试验。将股骨置于室温下的等渗槽中,在力控制下以 3 Hz 的频率加载至规定的初始应变水平范围(基于梁理论方程,在出现任何疲劳损伤之前)。本研究的目的是确定评估 RTx 引起的以下变化的可行性:1)股骨疲劳强度;2)结构微损伤(蠕变和刚度);3)组织损伤(弥漫损伤和/或线性微裂纹)。中骺形态和组织矿物质密度在 RTx 组和 Sham 组之间没有差异(p ≥ 0.35)。与 Sham 组相比,随着外加表观应变的增加,RTx 组股骨的破坏循环次数减少(处理 x εapp,p = 0.041)。与 Sham 股骨相比,RTx 股骨的第二阶段(稳态)蠕变率更高(p = 0.0462)。对于达到 50 万次循环的股骨,RTx 组比 Sham 组的弥漫性损伤面积更大(p = 0.015)。这项研究提供的证据表明,治疗剂量的辐射可直接降低骨疲劳特性。这种疲劳特性的丧失与结构性疲劳损伤和弥漫性微损伤的增加有关,而形态学或组织矿物质密度并没有发生改变,这表明骨质量有所下降。
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引用次数: 0
A new ex vivo model system to analyze factors affecting the integrity of fetal membranes in fetoscopic surgery 在胎儿镜手术中分析影响胎膜完整性因素的新型体外模型系统。
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-10-01 DOI: 10.1016/j.jmbbm.2024.106764
Serjosha Robmann , Raoul Hopf , Costanza Giampietro , Lukas Moser , Alexandra Dolder , Magdalena Sanz Cortes , Martin Ehrbar , Nicole Ochsenbein , Jan Deprest , Edoardo Mazza
We developed an ex vivo model system to analyze the influence of relevant environmental and mechanical factors potentially affecting the integrity of fetal membranes during fetoscopic surgery. The set-up exposes amniochorion membranes to insufflation at predefined levels of gas pressure, flow, humidity, and temperature. Change in fetal membranes stiffness is quantified during the phase mimicking surgery through measurement of membranes’ strain in response to cyclic overpressure. The trocar induced perforation creates a mechanical weakness whose stability is assessed by increasing the insufflation pressure until membrane rupture. Damage of the epithelial cells lining the amnion is assessed through live-dead staining. Initial experiments demonstrated the functionality of the new apparatus and the feasibility of the proposed protocols. Fetal membranes exposed to air with low humidity for approximately 1 h demonstrated significant embrittlement, while their mechanical integrity was maintained in case of gas insufflation at high humidity (air as well as CO2). Under dry circumstances, there was a significant rate of epithelial cell death. Separation of amnion and chorion in the region of the trocar site was visible in all experiments. This new model is a versatile platform for analyzing the mechanical, histological, and biological implications of fetoscopic surgery on fetal membranes.
我们开发了一种体外模型系统,用于分析胎儿镜手术过程中可能影响胎膜完整性的相关环境和机械因素的影响。该装置在预定的气体压力、流量、湿度和温度水平下对羊膜进行充气。在模拟手术阶段,通过测量胎膜对循环过压的应变,量化胎膜硬度的变化。通过增加充气压力直至胎膜破裂,来评估套管穿孔造成的机械弱点的稳定性。内衬羊膜的上皮细胞受损情况通过活体死亡染色进行评估。初步实验证明了新仪器的功能性和建议方案的可行性。胎膜在低湿度空气中暴露约 1 小时后出现明显脆化,而在高湿度气体(空气和二氧化碳)充气的情况下,胎膜的机械完整性得以保持。在干燥环境下,上皮细胞的死亡率很高。在所有实验中都能看到套管部位的羊膜和绒毛分离。这种新模型是分析胎儿镜手术对胎膜的机械、组织学和生物学影响的多功能平台。
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引用次数: 0
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Journal of the Mechanical Behavior of Biomedical Materials
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