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Chapter 10. Antimicrobial Quaternary Ammonium Polymers for Biomedical Applications 第十章。生物医学应用的抗菌季铵聚合物
Pub Date : 2019-07-31 DOI: 10.1039/9781788012638-00277
Shady Farah
Microbial infection is a detrimental issue that can reduce the success of a wide range of biomedical implants. Several approaches are being developed to address this challenging obstacle. Cationic polymers, i.e. quaternary ammonium functionalized polymers have been reported repeatedly, with significant antimicrobial activity targeting broad spectrum of microorganisms through the disruption of the cell wall. Quaternary ammonium polymers or polymers modified with quaternary ammonium molecules possessing antimicrobial activity have been used as a part of self-sterilizing surfaces and composites, as well as additives addressing the need for antimicrobial activity or properties for a wide range of biomedical applications. In this chapter, an overview of the different antimicrobial polymers based on quaternary ammonium moieties is presented. Chemical structure, chemical modification, bioactivity and biomedical application are summarized and discussed.
微生物感染是一个有害的问题,可以降低成功的广泛的生物医学植入物。目前正在开发几种方法来解决这一具有挑战性的障碍。阳离子聚合物,即季铵功能化聚合物已被反复报道,具有显著的抗菌活性,通过破坏细胞壁靶向广谱微生物。具有抗菌活性的季铵聚合物或用季铵分子改性的聚合物已被用作自杀菌表面和复合材料的一部分,以及用于解决抗菌活性或性能需求的添加剂,用于广泛的生物医学应用。在本章中,概述了基于季铵基团的不同抗菌聚合物。对其化学结构、化学改性、生物活性和生物医学应用进行了综述和讨论。
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引用次数: 2
Chapter 6. Focal Drug Delivery for Management of Oral Infections 第六章。局部给药治疗口腔感染
Pub Date : 2019-07-31 DOI: 10.1039/9781788012638-00171
D. Polak, Rawi Assad, Daniel Moreinos, Y. Pietrokovski, N. Beyth
Dental diseases, highly prevalent infection-related diseases in humans, include caries lesions, periodontal diseases and endodontic infections. Many pharmaceutical dosage forms are used to prevent and treat oral diseases; most are delivered focally and result in a local effect. The latest insights from the field of antimicrobial focal drug delivery led to the development of various systems designed to effectively combat the infection in the oral cavity, with minimal side effects. In the present chapter, the aetiology of common oral diseases (caries, periodontal diseases and endodontic infections), the characterization of infection–host interactions in oral disease, and classic dental treatment modalities are introduced. The organization of oral microbes in the form of biofilms and the intrinsic susceptibility characteristics of oral tissues, as well as the advantages of focal controlled drug delivery, are discussed. The recent development of various novel technologies for the prevention, control and treatment of oral infections are considered, including focal controlled treatment modalities for caries, periodontal and endodontic infections.
牙齿疾病是人类中非常普遍的与感染有关的疾病,包括龋齿损害、牙周病和牙髓感染。许多药物剂型用于预防和治疗口腔疾病;大多数都是集中实施,并产生局部效果。从抗菌局部药物递送领域的最新见解导致了各种系统的开发,旨在有效地对抗口腔感染,副作用最小。在本章中,介绍了常见口腔疾病(龋齿,牙周病和牙髓感染)的病因学,口腔疾病中感染-宿主相互作用的特征,以及经典的牙科治疗方式。本文讨论了口腔微生物以生物膜的形式组成、口腔组织的固有易感性以及局部控制给药的优势。讨论了预防、控制和治疗口腔感染的新技术的最新发展,包括龋齿、牙周和牙髓感染的局部控制治疗方式。
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引用次数: 0
Chapter 7. Photodynamic Antimicrobial Polymers 第七章。光动力抗菌聚合物
Pub Date : 2019-07-31 DOI: 10.1039/9781788012638-00193
C. McCoy, Jessica M. Moore, M. Wylie
Photodynamic antimicrobial polymers are materials that exert an antimicrobial effect when irradiated with a specific light source. This light-triggered activity is considered advantageous, as it allows fine control of the antimicrobial effect, minimising the possible adverse effects and propagation of antimicrobial resistance commonly associated with overexposure to antimicrobial agents. Extensive research has been conducted on incorporation of photosensitisers into or onto polymeric supports to produce potent photodynamic antimicrobial materials. Photosensitisers are agents that generate cytotoxic reactive oxygen species (ROS) when illuminated with visible light in the presence of oxygen. The ability of these generated ROS to eradicate a wide range of microorganisms has led to the incorporation of photosensitisers into a range of polymers, with a vast array of potential applications explored. This chapter focuses on photosensitiser-incorporated polymers, with consideration of the factors that can be altered to optimise antimicrobial activity. This is followed by a detailed discussion on current research and the development of these unique materials for the production of light-activated antimicrobial biomedical devices or for anti-infective surfaces in clinical settings.
光动力抗菌聚合物是当用特定光源照射时发挥抗菌作用的材料。这种光触发活性被认为是有利的,因为它允许对抗菌效果进行精细控制,最大限度地减少可能的不利影响和通常与过度暴露于抗菌药物相关的抗菌药物耐药性的传播。广泛的研究已经进行了光敏剂纳入或聚合载体,以产生有效的光动力抗菌材料。光敏剂是在氧气存在下用可见光照射时产生细胞毒性活性氧(ROS)的药剂。这些生成的活性氧能够消灭多种微生物,这使得光敏剂被应用于一系列聚合物中,具有广泛的潜在应用前景。本章的重点是光敏剂掺入的聚合物,考虑到可以改变的因素,以优化抗菌活性。随后详细讨论了目前的研究和这些独特材料的开发,用于生产光活化的抗菌生物医学设备或临床环境中的抗感染表面。
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引用次数: 0
Chapter 16. Antimicrobial Activities of Fatty Acids and their Derivatives 第十六章。脂肪酸及其衍生物的抗菌活性
Pub Date : 2019-07-31 DOI: 10.1039/9781788012638-00457
S. Kanjilal, S. Kaki
Microbes are well known for their harmful as well as beneficial roles in living organisms. It is the harmful effect that needs special attention, due to the occurrence of several microbial-related human diseases. Research communities around the world have worked extensively to isolate and/or synthesize antimicrobial agents to treat such diseases. All these works have resulted in myriad antimicrobial agents to treat human beings, which gave a sense of relief to earlier generations. But the emergence of drug-resistant microbes over a period of time has led the research community to once again look for new and alternative natural antimicrobial agents. Fatty acids, which are ubiquitous in nature, assume significance due to their mild and broad-spectrum antimicrobial properties, easy availability and extremely low toxicity. Research work carried out in the last several decades on antimicrobial fatty acids opens up the opportunities for their application in pharma, food and the cosmetics industry. These safe natural renewable compounds can be used in treating specific infections where the application of conventional antibiotics either failed or is not desirable. The present chapter summarizes antimicrobial activity of fatty acids and their derivatives, target organisms and the proposed mode of actions.
众所周知,微生物在生物体中既有有益的作用,也有有害的作用。由于几种与微生物有关的人类疾病的发生,需要特别注意的是有害影响。世界各地的研究界已经广泛开展工作,分离和/或合成抗微生物药物来治疗这类疾病。所有这些工作产生了无数的抗菌药物来治疗人类,这让前几代人感到宽慰。但在一段时间内,耐药微生物的出现促使研究界再次寻找新的和可替代的天然抗菌剂。脂肪酸在自然界中无处不在,因其温和广谱的抗菌特性、易得性和极低的毒性而具有重要意义。在过去的几十年里,对抗菌脂肪酸的研究工作为它们在制药、食品和化妆品行业的应用开辟了机会。这些安全的天然可再生化合物可用于治疗传统抗生素应用失败或不可取的特定感染。本章概述了脂肪酸及其衍生物的抗菌活性,目标生物和拟议的作用模式。
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引用次数: 0
Chapter 14. Catheters with Antimicrobial Surfaces 第14章。带有抗菌表面的导管
Pub Date : 2019-07-31 DOI: 10.1039/9781788012638-00370
Shady Farah, Malia B McAvoy, Amani Jahjaa
Catheters are widely used as primary or secondary tools in a wide range of biomedical applications for addressing several medical needs and purposes. Similar to other biomedical implants, catheters are subject to microbial infection and biofilm formation that can reduce their success and performance. Microbial contamination has been reported across the catheter's lifecycle, including placement, maintenance, removal and reinsertion. Given that the catheter surface can be a reservoir for microbes leading to biofilm formation and infection, several preventative and therapeutic surface modifications with specific and non-specific targets are being developed to addressing this challenging obstacle. Current surface modification strategies for antimicrobial functionality include antibiotic agent release, contact killing and repelling or anti-adhesive functions. Wide ranges of antimicrobial materials—organic, e.g. quaternary ammonium functionalized polymers; inorganic, e.g. silver; antiseptic, e.g. chlorohexidine; and antibiotics, e.g. rifampin—have been reported, targeting a broad spectrum of microorganisms involved in microbial infection of catheters. In this chapter, we discuss the latest approaches and progress in the development of antimicrobial coatings and combination therapies for addressing catheter-associated infections.
导管被广泛用作主要或次要工具,在广泛的生物医学应用中,用于解决几种医疗需求和目的。与其他生物医学植入物类似,导管容易受到微生物感染和生物膜的形成,从而降低其成功率和性能。据报道,在导管的整个生命周期中,包括放置、维护、取出和重新插入,都存在微生物污染。鉴于导管表面可能是导致生物膜形成和感染的微生物的储存库,针对特异性和非特异性靶点的几种预防性和治疗性表面修饰正在开发中,以解决这一具有挑战性的障碍。目前用于抗菌功能的表面改性策略包括抗生素剂释放、接触杀死和排斥或抗粘附功能。广泛的有机抗菌材料,如季铵功能化聚合物;无机的,例如银;防腐剂,如氯己定;抗生素,如利福平,已被报道用于广泛的与导管微生物感染有关的微生物。在本章中,我们讨论了用于治疗导管相关性感染的抗菌涂层和联合治疗的最新方法和进展。
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引用次数: 0
Chapter 12. Methods for Sterilization of Biopolymers for Biomedical Applications 第十二章。生物医学用生物聚合物的灭菌方法
Pub Date : 2019-07-31 DOI: 10.1039/9781788012638-00325
C. C. Beh, Shady Farah, R. Langer, A. Jaklenec
Biopolymers have been found useful in biomedical applications because of their biocompatibility and degradability in the human body. Biopolymers can be formed naturally in living organisms and include polypeptides from proteins, polysaccharides from polymeric carbohydrates, and polynucleotides from nucleic acids – deoxyribonucleic acid (DNA) and ribonucleic acid (RNA). Biopolymers can also be synthesized by using natural biological materials such as starch, sugars, fats, cellulose, and oils. Unsterilized biopolymers can cause severe infections in the human body when they are used for biomedical applications. Hence, biopolymers are required to undergo sterilization, which is a process to inactivate microorganisms including bacteria, spores, fungi, and viruses. The biopolymers that have been sterilized include both natural and synthetic biodegradable polymers such as chitosan, hyaluronic acid, polylactic acid, poly-l-lactic acid, and poly(lactide-co-glycolide), and are reviewed in this chapter. Sterilization methods that have been applied to biopolymers, including steam-autoclaving, dry heat sterilization, irradiation (gamma (γ)-rays, X-rays, ultraviolet, and electron beams), chemical treatment (ethylene oxide), gas plasma, and supercritical fluid sterilization, are reviewed.
生物聚合物由于其在人体内的生物相容性和可降解性而被发现在生物医学应用中很有用。生物聚合物可以在生物体中自然形成,包括来自蛋白质的多肽,来自聚合碳水化合物的多糖,以及来自核酸的多核苷酸-脱氧核糖核酸(DNA)和核糖核酸(RNA)。生物聚合物也可以通过使用天然生物材料如淀粉、糖、脂肪、纤维素和油来合成。未经消毒的生物聚合物用于生物医学应用时,会引起人体严重感染。因此,生物聚合物需要经过灭菌,这是一种灭活微生物的过程,包括细菌、孢子、真菌和病毒。已被灭菌的生物聚合物包括天然的和合成的生物可降解聚合物,如壳聚糖、透明质酸、聚乳酸、聚l-乳酸和聚乳酸-共聚乙醇酸。本章将对这些生物聚合物进行综述。灭菌方法已应用于生物聚合物,包括蒸汽高压灭菌,干热灭菌,辐照(γ (γ)射线,x射线,紫外线和电子束),化学处理(环氧乙烷),气体等离子体和超临界流体灭菌,综述。
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引用次数: 4
Chapter 11. Polymer–Drug Conjugates for Treating Local and Systemic Fungal Infections 第十一章。治疗局部和全身真菌感染的聚合物-药物偶联物
Pub Date : 2019-07-31 DOI: 10.1039/9781788012638-00303
Arul Prakash Francis, A. Jayakrishnan
In immunocompromised patients, fungal infections are the major cause of morbidity and mortality. Currently, three major classes of drugs—polyenes, azoles, and echinocandins—with different mechanisms of action are used as antifungals for systemic infections. However, these conventional drugs were reported to induce toxic effects due to their low specificity, narrow spectrum of activity and drug–drug interactions. Some of these limitations could be overcome by altering the properties of existing drugs through physical and chemical modifications. For example, modification of amphotericin B (AmB), a polyene antibiotic includes the micellar suspension of AmB in deoxycholic acid (Fungizone®), non-covalent AmB lipid complexes (ABLC™), liposomal AmB (AmBisome®), and AmB colloidal dispersion (Amphocil™). All these formulations ensure the smoother release of AmB accompanied by its restricted distribution in the kidney, thereby lowering its nephrotoxicity. Although various methods such as polymeric micelles, nanoparticles and dendrimers were explored for enhancing the efficacy of the antifungal drugs, polymer–drug conjugates of antifungal drugs have received more attention in recent years. Polymer–drug conjugates improve the aqueous solubility of water-insoluble drugs, are stable in storage and reduce the toxicity of highly toxic drugs and are capable of releasing the drug at the site of action. This chapter discusses the polymer conjugates of antifungal drugs, their merits, and demerits. Studies reported so far show that the polymer–drug conjugates have significant advantages compared to conventional dosage forms for antifungal therapy.
在免疫功能低下的患者中,真菌感染是发病率和死亡率的主要原因。目前,三大类药物——多烯类、唑类和棘白菌素——具有不同的作用机制,被用作全身性感染的抗真菌药物。然而,据报道,这些传统药物由于其低特异性、窄谱活性和药物-药物相互作用而诱发毒性作用。其中一些限制可以通过物理和化学修饰改变现有药物的性质来克服。例如,两性霉素B (AmB)的修饰,一种多烯抗生素,包括AmB在脱氧胆酸中的胶束悬浮液(Fungizone®),非共价AmB脂质复合物(ABLC™),脂质体AmB (AmBisome®)和AmB胶体分散体(Amphocil™)。所有这些配方确保AmB释放更顺畅,同时限制其在肾脏中的分布,从而降低其肾毒性。近年来,人们通过聚合物胶束、纳米粒子、树突大分子等多种方法来提高抗真菌药物的药效,但抗真菌药物的聚合物-药物偶联物越来越受到人们的关注。聚合物-药物缀合物改善了水不溶性药物的水溶性,储存稳定,降低了高毒性药物的毒性,并且能够在作用部位释放药物。本章讨论了抗真菌药物的聚合物偶联物及其优缺点。迄今为止报道的研究表明,与传统的抗真菌治疗剂型相比,聚合物-药物偶联物具有显著的优势。
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引用次数: 0
Biomaterial Control of Therapeutic Stem Cells 治疗性干细胞的生物材料控制
Pub Date : 2019-02-28 DOI: 10.1039/9781788012690
A. Higuchi
Registered charity number: 207890 USA and Canada Please contact: Ingram Publisher Services Customer Service, Box 631 14 Ingram Blvd La Vergne, TN 37086, USA Tel: +1 (866) 400 5351 Fax: +1 (800) 838 1149 Email: ips@ingramcontent.com Royal Society of Chemistry Marston Book Services Ltd 160 Eastern Avenue, Milton Park Abingdon Oxfordshire OX14 4SB, UK Tel: +44 (0) 1235 465522 Fax: +44 (0) 1235 465555 Email: enquiries@marston.co.uk www.marston.co.uk To order 3D Printing in Chemical Sciences Applications Across Chemistry
注册慈善机构号码:207890美国和加拿大请联系:英格拉姆出版服务客户服务部,美国田纳西州37086英格拉姆大道631号电话:+1(866)400 5351传真:+1(800)838 1149电子邮件:ips@ingramcontent.com英国牛津郡阿宾顿米尔顿公园东大道160号皇家化学学会马斯顿图书服务有限公司电话:+44(0)1235 465522传真:+44(0)1235 465555电子邮件:enquiries@marston.co.uk www.marston.co.uk订购化学科学应用中的3D打印
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引用次数: 1
Chapter 4. Computational Design and Modeling of Linear and Nonlinear Elastic Tissue Engineering Scaffold Triply Periodic Minimal Surface (TPMS) Porous Architecture 第四章。线性与非线性弹性组织工程支架三周期最小表面多孔结构的计算设计与建模
Pub Date : 2019-01-02 DOI: 10.1039/9781788012683-00077
S. Hollister
The concept of “functional tissue engineering” proposes that biomaterial scaffolds should be developed with mechanical properties that approximate those of native tissues. This can present a challenge as soft tissues exhibit at a minimum nonlinear elastic properties. The question becomes how to computationally estimate effective properties for scaffolds made from nonlinear materials and whether these nonlinear effective properties can be estimated from linear homogenization analysis. In this chapter, contact analyses are performed for both Triply Minimal Periodic Surface (TPMS) and P Schwartz architecture for 1×1×1 to 5×5×5 repeated unit cells for both linear and nonlinear (Neo-Hookean) base materials. These are compared to linear homogenization analyses for the same scaffold architecture. Results show that nonlinear effective properties show the same trend of decreasing material coefficients as linear effective properties as scaffold porosity increases. Furthermore, linear homogenization resulted bounded both linear and nonlinear multi-cell contact analyses. The results provide an initial insight into the behavior of porous scaffolds made from nonlinear materials as well as suggesting that linear homogenization estimates can be used as initial bounds for nonlinear effective properties of porous scaffolds.
“功能性组织工程”的概念提出,生物材料支架应该开发具有接近天然组织的机械性能。这是一个挑战,因为软组织表现出最小的非线性弹性特性。如何计算非线性材料制成的支架的有效性能,以及这些非线性有效性能是否可以通过线性均质分析来估计。在本章中,对1×1×1至5×5×5线性和非线性(Neo-Hookean)基料的重复单元格进行了三层最小周期表面(TPMS)和P Schwartz结构的接触分析。将这些与相同支架结构的线性均质分析进行比较。结果表明,随着支架孔隙率的增加,材料系数的非线性有效性能与线性有效性能呈现相同的下降趋势。此外,线性均匀化导致线性和非线性多细胞接触分析有界。这些结果为非线性材料制成的多孔支架的行为提供了初步的见解,并表明线性均匀化估计可以用作多孔支架非线性有效性能的初始界限。
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引用次数: 1
Chapter 2. Extrusion-based Bioprinting 第二章。Extrusion-based生物打印
Pub Date : 2019-01-02 DOI: 10.1039/9781788012683-00022
Mitchell A. Kuss, B. Duan
3D bioprinting is a fairly recent innovation in the world of biofabrication. It is a promising and growing technique for use in a wide variety of biofabrication applications. 3D bioprinting can be used to create complex, hierarchical constructs, along with constructs with mechanical and biological heterogeneity. Extrusion-based bioprinting uses a form of mechanical force to extrude any number of bioinks, which could contain cells or other biological materials, in a layer-by-layer manner into a predetermined design. The extrusion-based bioprinting technique allows for the use of multiple bioinks and biological materials in a single bioprinting process, which allows for the construct to be considerably more complex and can closer mimic biological materials and native tissue. This technique can be used in many different types of bioprinting applications, including bone, tendon, skin, cardiovascular, and many other types of tissue bioprinting.
3D生物打印是生物制造领域的一项相当新的创新。它是一种有前途和不断发展的技术,用于各种生物制造应用。3D生物打印可用于创建复杂的、分层的结构,以及具有机械和生物异质性的结构。基于挤压的生物打印使用一种机械力的形式来挤压任何数量的生物墨水,这些生物墨水可以包含细胞或其他生物材料,以一层接一层的方式进入预定的设计。基于挤压的生物打印技术允许在单个生物打印过程中使用多种生物墨水和生物材料,这使得结构相当复杂,可以更接近模拟生物材料和天然组织。该技术可用于许多不同类型的生物打印应用,包括骨骼、肌腱、皮肤、心血管和许多其他类型的组织生物打印。
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引用次数: 2
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