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A patch comprising human umbilical cord-derived hydrogel and mesenchymal stem cells promotes pressure ulcer wound healing 由人脐带水凝胶和间充质干细胞组成的贴片可促进压疮伤口愈合
Q1 Medicine Pub Date : 2024-10-12 DOI: 10.1016/j.engreg.2024.10.002
Liqin Chen , Ying Zhang , Kexin Wang , Meixian Jin , Qi Chen , Simin Wang , Wei Hu , Zhai Cai , Yang Li , Shao Li , Yi Gao , Shuqin Zhou , Qing Peng
Pressure ulcers (PUs) are common skin injuries known for their high morbidity, rapid onset, susceptibility to infection, and challenging healing process. One potential therapy for PUs is cell-based therapy using mesenchymal stem cells (MSCs). However, poor survival and low cell retention of MSCs on skin lesions limit their therapeutic effects and applications. In this study, we prepared an extracellular matrix (dECM) hydrogel decellularized from the human umbilical cord (UC). A patch composed of UC-dECM and UC-MSCs was employed in the treatment of PUs in C57BL/6 mice. Our results indicate that the UC-dECM hydrogel effectively sustains cell viability, enhances the stemness-related gene expression in UC-MSCs, and promotes human umbilical vein endothelial cells (HUVECs) migration and angiogenesis. Compared to the groups treated with the patch containing only UC-dECM, injection of UC-MSCs or gauze dressing, the patch combining UC-dECM hydrogel with UC-MSCs significantly accelerated PU healing. This positive outcome can be attributed to the promotion of tissue re-epithelialization, collagen deposition, angiogenesis, and inflammation inhibition. Our results suggest that the composite patch, comprised of UC-dECM hydrogel and UC-MSCs, may be a promising therapeutic approach for PU treatment.
压疮(PUs)是一种常见的皮肤损伤,以发病率高、发病快、易感染和愈合过程具有挑战性而闻名。利用间充质干细胞(MSCs)进行细胞疗法是治疗压疮的一种潜在方法。然而,间充质干细胞在皮肤病变部位存活率低、细胞存留率低,限制了其治疗效果和应用。在这项研究中,我们制备了一种从人类脐带(UC)脱细胞的细胞外基质(dECM)水凝胶。由 UC-dECM 和 UC-MSCs 组成的贴片被用于治疗 C57BL/6 小鼠的 PU。我们的研究结果表明,UC-dECM水凝胶能有效维持细胞活力,增强UC-间充质干细胞的干性相关基因表达,促进人脐静脉内皮细胞(HUVECs)迁移和血管生成。与只使用含有 UC-dECM 的贴敷、注射 UC-MSCs 或纱布敷料的组相比,UC-dECM 水凝胶与 UC-MSCs 结合的贴敷明显加快了 PU 的愈合。这种积极的结果可归因于它促进了组织的再上皮化、胶原沉积、血管生成和炎症抑制。我们的研究结果表明,由 UC-dECM 水凝胶和 UC-MSCs 组成的复合贴片可能是治疗 PU 的一种很有前景的治疗方法。
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引用次数: 0
Cochlear implant/MXene-based electroacoustic stimulation modulates the growth and maturation of spiral ganglion neurons 基于人工耳蜗/MXene的电声刺激可调节螺旋神经节神经元的生长和成熟
Q1 Medicine Pub Date : 2024-10-11 DOI: 10.1016/j.engreg.2024.10.001
Yangnan Hu , Hao Wei , Menghui Liao , Shanying Han , Xin Gao , Yusong Wang , Shan Zhou , Dongyu Xu , Xugang Zhuang , Ye Yang , Hong Cheng , Bin Zhang , Qingyue Cui , Jieyu Qi , Lei Tian , Wenyan Li , Xia Gao , Renjie Chai
Cochlear implantation (CI) offers a dependable treatment for sensorineural hearing loss, with precision electroacoustic stimulation parameters showing great potential in improving auditory outcomes in CI patients. Here, we report the attachment of MXene into CI systems which effectively mimic the neural electrode interface due to MXene's excellent electrical conductivity and biocompatibility. Low-frequency short-term biphasic electrical pulses emitted by the MXenes-based CI promoted the outgrowth of spiral ganglion neuron (SGN) neurites and growth cones, substantially boosting the calcium activity in SGNs. This study lays a theoretical foundation for the precision medicine approaches in CI patient care, and informs the selection of materials for cochlear implant electrode materials in the future.
人工耳蜗植入术(CI)是治疗感音神经性听力损失的可靠方法,精确的电声刺激参数在改善 CI 患者的听觉效果方面显示出巨大的潜力。在此,我们报告了将 MXene 植入 CI 系统的情况,由于 MXene 具有出色的导电性和生物相容性,它能有效模拟神经电极接口。基于 MXene 的 CI 发出的低频短期双相电脉冲促进了螺旋神经节神经元(SGN)神经元和生长锥的生长,大大提高了 SGN 的钙活性。这项研究为人工耳蜗患者护理中的精准医疗方法奠定了理论基础,并为今后人工耳蜗电极材料的选择提供了参考。
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引用次数: 0
Advancing engineered approaches for sustainable wound regeneration and repair: Harnessing the potential of green synthesized silver nanoparticles 推进可持续伤口再生和修复的工程方法:利用绿色合成银纳米粒子的潜力
Q1 Medicine Pub Date : 2024-07-02 DOI: 10.1016/j.engreg.2024.06.004
J. Nandhini , E. Karthikeyan , E. Elizabeth Rani , V.S. Karthikha , D. Sakthi Sanjana , H. Jeevitha , S. Rajeshkumar , Vijayan Venugopal , A. Priyadharshan

Wound healing is a crucial biological process for tissue repair and regeneration, preventing infections and complications. There's been a growing interest in exploring sustainable wound healing strategies in recent years. This review examines the use of green-synthesized silver nanoparticles (AgNPs) in sustainable wound healing strategies. It highlights the need for innovative approaches and the challenges posed by infections. The current wound therapies and treatments, highlighting gaps in existing methodologies, are evaluated. This review provides a comprehensive overview of the current state-of-the-art in green synthesis techniques for the synthesis of AgNPs. The properties and characterization of AgNPs are elucidated, providing insights into their efficacy. The biocompatibility of AgNPs in wound healing is also explored, emphasizing safety in medical applications. Green synthesized AgNPs incorporated wound dressings are detailed, showcasing their potential in clinical settings. Challenges and future perspectives are discussed, addressing hurdles to widespread implementation. The conclusion consolidates key findings, offering a synthesized perspective on the potential of green-synthesized AgNPs in revolutionizing current knowledge on innovative approaches for sustainable wound healing practices.

伤口愈合是组织修复和再生、预防感染和并发症的重要生物过程。近年来,人们对探索可持续伤口愈合策略的兴趣与日俱增。本综述探讨了绿色合成银纳米粒子(AgNPs)在可持续伤口愈合策略中的应用。文章强调了创新方法的必要性以及感染带来的挑战。对目前的伤口疗法和治疗方法进行了评估,并强调了现有方法的不足之处。本综述全面概述了当前用于合成 AgNPs 的最先进绿色合成技术。阐明了 AgNPs 的特性和特征,为了解其功效提供了深入的见解。还探讨了 AgNPs 在伤口愈合中的生物相容性,强调了其在医疗应用中的安全性。详细介绍了绿色合成的AgNPs伤口敷料,展示了其在临床应用中的潜力。还讨论了挑战和未来展望,以解决广泛应用的障碍。最后总结了主要研究成果,从综合角度阐述了绿色合成的 AgNPs 在革新当前可持续伤口愈合创新方法方面的潜力。
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引用次数: 0
Advances in nano silver-based biomaterials and their biomedical applications 纳米银基生物材料及其生物医学应用的进展
Q1 Medicine Pub Date : 2024-07-02 DOI: 10.1016/j.engreg.2024.07.001
Punuri Jayasekhar Babu , Akriti Tirkey , Abraham Abbey Paul , Kathelina Kristollari , Jugal Barman , Kingshuk Panda , Neha Sinha , Birudu Ravi Babu , Robert S. Marks

Silver nanoparticles are among the most widely researched and used for nanotechnology-derived structures due to their extraordinary inherent optical properties, chemical stability, catalytic activity, and high conductivity. These idiosyncratic properties can be attributed to their unique physico-chemical characteristics, such as ultrafine sizes, high surface area, diverse shapes, and strong localized surface plasmon resonance. These distinctive features can be tailored using various physical, chemical, and biological synthesis methods. Various physical techniques are viable for producing silver nanoparticles on a large scale, but they suffer from drawbacks such as high-power consumption, expensive set-up, and limited control over nanoparticle size distribution. Chemical methods provide benefits like high yield, consistent shape and size distribution, and cost efficiency, but the residual toxicity of the chemicals involved hinders their biological applications. Biological synthesis approaches effectively overcome the limitations of both physical and chemical methods by eliminating the need for hazardous chemicals, requiring less energy, enabling diverse nanoparticle morphologies, and offering eco-friendliness and exceptional biocompatibility. The novel and promising properties of nanosilver-based biomaterials have been demonstrated to be suitable for a wide range of pharmacological and therapeutic biomedical applications. Their extensive application in wound healing, dentistry, cardiovascular disease treatment, nerve tissue engineering, cancer treatment, and biosensing can be attributed to their inherent antimicrobial and antibiofilm activity, antithrombotic properties, potential for nerve regeneration, photothermal conversion efficiency and sensitivity, respectively. This review discusses the different methods employed for synthesising silver nanoparticles and focuses on using nanosilver-based biomaterials for various biomedical applications.

银纳米粒子具有非凡的固有光学特性、化学稳定性、催化活性和高导电性,是研究和应用最广泛的纳米技术衍生结构之一。这些独特的性能可归因于其独特的物理化学特性,如超细尺寸、高表面积、形状多样以及强烈的局部表面等离子体共振。这些独特的特性可以通过各种物理、化学和生物合成方法来定制。各种物理技术都可用于大规模生产银纳米粒子,但它们都有一些缺点,如功耗高、设置昂贵以及对纳米粒子尺寸分布的控制有限。化学方法具有产量高、形状和尺寸分布一致、成本效益高的优点,但其中涉及的化学物质的残留毒性阻碍了它们在生物领域的应用。生物合成方法有效地克服了物理和化学方法的局限性,无需使用有害化学物质,能耗更低,纳米粒子形态多样,具有生态友好性和优异的生物兼容性。纳米银基生物材料的新颖性和前景广阔的特性已被证明适用于广泛的药理和治疗生物医学应用。纳米银在伤口愈合、牙科、心血管疾病治疗、神经组织工程、癌症治疗和生物传感方面的广泛应用分别归功于其固有的抗微生物和抗生物膜活性、抗血栓特性、神经再生潜力、光热转换效率和灵敏度。本综述讨论了合成银纳米粒子的不同方法,并重点介绍了将纳米银基生物材料用于各种生物医学应用的情况。
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引用次数: 0
Comparison of two hemostatic skin adhesive dressings, incorporating multi-metal bioactive glass 两种含有多金属生物活性玻璃的止血皮肤粘合敷料的比较
Q1 Medicine Pub Date : 2024-07-01 DOI: 10.1016/j.engreg.2024.06.003
Melina Ghasemian, N. Alasvand, Ali Samadikuchaksaraei, Hajir Bahrami, Mahmoud Azami, Farzad Ramroudi, Soheila Naderi Gharegheshlaghi, Hajar Nasiri, Soroush Taherkhani, P. B. Milan
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引用次数: 0
Intelligent hydrogels for treating malignant melanoma 治疗恶性黑色素瘤的智能水凝胶
Q1 Medicine Pub Date : 2024-06-25 DOI: 10.1016/j.engreg.2024.05.004
Guopu Chen , Xiyu Wang , Jiaye Li , Ye Xu , Yue Lin , Fengyuan Wang

Malignant melanoma (MM) is an extremely aggressive and fatal form of skin cancer that primarily affects the bottom layer of the epidermis and is associated with poor clinical outcomes. Early-stage MM is typically treated through surgical removal, while chemotherapy and radiotherapy are common conventional treatment options that come with harmful side effects. Emerging therapies such as immunotherapy, photodynamic therapy, biologic therapy, and photothermal therapy present hopeful options for treatment due to their effective and secure drug delivery methods. To address the limitations of current treatment options, advanced methods of drug delivery for subcutaneous MM are being developed, with hydrogels emerging as a promising alternative. To date, significant advancements have been made in the treatment of MM through the use of hydrogels-based drug delivery systems through focal plastering, injection, implantation, and microneedles. Recent research on hydrogel-based drug delivery systems that integrate multiple therapies for the treatment of subcutaneous MM is discussed in this review.

恶性黑色素瘤(MM)是一种侵袭性极强的致命皮肤癌,主要侵犯表皮底层,临床疗效不佳。早期恶性黑色素瘤通常通过手术切除治疗,而化疗和放疗是常见的传统治疗方法,但会产生有害的副作用。免疫疗法、光动力疗法、生物疗法和光热疗法等新兴疗法因其有效、安全的给药方式,为治疗带来了希望。针对现有治疗方案的局限性,目前正在开发用于皮下 MM 的先进给药方法,其中水凝胶是一种很有前景的替代方法。迄今为止,通过病灶贴敷、注射、植入和微针等方法使用水凝胶给药系统治疗 MM 已取得重大进展。本综述将讨论水凝胶给药系统结合多种疗法治疗皮下 MM 的最新研究进展。
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引用次数: 0
Ginsenoside Rb1 improves human nonalcoholic fatty liver disease with liver organoids-on-a-chip 人参皂苷 Rb1 通过芯片上的肝脏器官改善人类非酒精性脂肪肝
Q1 Medicine Pub Date : 2024-06-21 DOI: 10.1016/j.engreg.2024.06.002
Hui Wang , Yue Zhu , Pengcheng Shi , Xiangyang Li , Qingyun Bu , Yachun Li , Xiaoyan You , Guoping Zhao

Non-alcoholic fatty liver disease (NAFLD), a type of liver disease for which no treatment is currently approved, remains a major concern worldwide. It is manifested as simple hepatocyte steatosis and can develop into inflammation, fibrosis, cirrhosis and liver cancer in severe cases. However, due to the lack of appropriate in vitro drug testing platforms, an in-depth understanding of the therapeutic activity of ginsenoside Rb1 in NAFLD remains challenging. Here, we proposed a NAFLD model on a liver organoids (LOs)-on-a-chip platform to evaluate the therapeutic effect of ginsenoside Rb1 in a dynamic, multi-condition and high-throughput manner. This platform allowed us to reshape certain features such as multicellular types and liver-specific functions of the physiology of the human-relative liver. Free fatty acids (FFAs)-induced LOs displayed typical pathological characteristics of NAFLD progression, including steatosis, oxidative stress, lipid peroxidation, inflammation and fibrosis. With ginsenoside Rb1 intervention, these pathological features can be significantly improved, which may provide new insights into the potential mechanisms of NAFLD progression and treatment and suggest the clinical implications for humans. The proposed system enables the formation, differentiation, and function of LOs to serve as a scalable, high-throughput and sensitive drug testing model, to potentially expedite the NAFLD drug discovery.

非酒精性脂肪肝(NAFLD)是一种目前尚无治疗方法的肝病,仍然是全世界关注的主要问题。它表现为单纯的肝细胞脂肪变性,严重时可发展为炎症、纤维化、肝硬化和肝癌。然而,由于缺乏适当的体外药物测试平台,深入了解人参皂苷 Rb1 在非酒精性脂肪肝中的治疗活性仍具有挑战性。在这里,我们提出了一个非酒精性脂肪肝模型,通过肝脏器官组织(LOs)芯片平台,以动态、多条件和高通量的方式评估人参皂苷Rb1的治疗效果。这一平台使我们能够重塑人类肝脏生理的某些特征,如多细胞类型和肝脏特异性功能。游离脂肪酸(FFAs)诱导的LO显示出非酒精性脂肪肝进展的典型病理特征,包括脂肪变性、氧化应激、脂质过氧化、炎症和纤维化。在人参皂苷Rb1的干预下,这些病理特征可得到明显改善,这可能为非酒精性脂肪肝的进展和治疗的潜在机制提供了新的见解,并对人类的临床意义提出了建议。所提出的系统可实现LOs的形成、分化和功能,可作为一种可扩展、高通量和灵敏的药物测试模型,从而有可能加快非酒精性脂肪肝药物的发现。
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引用次数: 0
Erratum regarding updating Declaration of Competing Interest statements in previously published articles 关于更新以往发表文章中的竞争利益声明的勘误
Q1 Medicine Pub Date : 2024-06-01 DOI: 10.1016/j.engreg.2024.02.003
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引用次数: 0
Immobilization of hUC-MSCs conditioned medium on 3D PLLA collagen-coated matrix enhances diabetic wound healing progression 将 hUC-MSCs 条件培养基固定在三维 PLLA 胶原包覆基质上可促进糖尿病伤口愈合进展
Q1 Medicine Pub Date : 2024-05-08 DOI: 10.1016/j.engreg.2024.04.005
Siufui Hendrawan , Olivia Marcelina , Sukmawati Tansil Tan , Hans Ulrich Baer

Conditioned medium (CM) derived from human umbilical cord-mesenchymal stem cells (hUC-MSCs) which contains numerous amounts of growth factors, has demonstrated potential in treatment of diabetic wounds. However, for practical application, a biodegradable supporting material is needed to hold the CM and fill in the injury site, where deep cavity wounds are often present in diabetic patients. Poly-l-lactic acid matrix coated with collagen (PLLA/CC) is a suitable carrier due to its biodegradability and biocompatibility. Thus, we present a method to immobilize the hUC-MSCs CM on PLLA/CC through freeze-drying process (PLLA/CC CM FD). When seeded on PLLA/CC CM FD, fibroblasts had an increased cellular function in producing collagen; although no enhancement in cell viability was observed. Moreover, implantation of PLLA/CC CM FD on the wound of diabetic rats showed improvement in wound closure and collagen deposition in the wound area. Altogether, this study exhibits the potential of PLLA/CC CM FD as a therapy for diabetic deep cavity wound.

由人脐带间充质干细胞(hUC-MSCs)提取的条件培养基(CM)含有大量的生长因子,已被证明具有治疗糖尿病伤口的潜力。然而,在实际应用中,需要一种可生物降解的支撑材料来固定干细胞,并填充受伤部位,因为糖尿病患者的伤口往往是深腔伤口。涂有胶原蛋白的聚乳酸基质(PLLA/CC)具有生物可降解性和生物相容性,是一种合适的载体。因此,我们提出了一种通过冷冻干燥工艺将 hUC-MSCs CM 固定在 PLLA/CC 上的方法(PLLA/CC CM FD)。在 PLLA/CC CM FD 上播种后,成纤维细胞产生胶原蛋白的细胞功能增强,但细胞存活率未见提高。此外,将 PLLA/CC CM FD 植入糖尿病大鼠的伤口后,伤口闭合情况和伤口区域的胶原沉积情况均有所改善。总之,这项研究表明 PLLA/CC CM FD 具有治疗糖尿病深腔伤口的潜力。
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引用次数: 0
The Artificial Disc Nucleus and Other Strategies for Replacement of the Nucleus Pulposus: Past, Present and Future Designs for an Emerging Surgical Solution 人工椎间盘核及其他髓核替代策略:新兴手术解决方案的过去、现在和未来设计
Q1 Medicine Pub Date : 2024-05-08 DOI: 10.1016/j.engreg.2024.04.006
Greg Sacks, Vincent DeStefano, Claire Parker, Ryan Lebens, Harry Mushlin

Nucleus Pulposus (NP) Replacement is a developing surgical methodology for the treatment of pathology related to degeneration of intervertebral discs (IVDs). This article provides necessary context regarding the pathologies treated with this technology, the biomechanical structure and function of the IVD, and the procedures this technology aims to replace. Primarily, it provides an overview and discussion of commercial and experimental preformed and in situ curing prosthesis designs reported in the scientific literature and summarizes the results of biomechanical and clinical studies evaluating their efficacy. Contextual and updated information on the most recent research into NP replacement with novel hydrogel and tissue engineering (TE) strategies is described. Replacement of the NP allows for potential improvement in the treatment of degenerative spinal pathologies through minimally invasive surgical techniques.

髓核置换术(NP)是一种用于治疗与椎间盘(IVD)退化相关的病理的新兴手术方法。本文介绍了使用该技术治疗病理的必要背景、IVD 的生物力学结构和功能以及该技术旨在替代的手术。文章主要概述和讨论了科学文献中报道的商业和实验性预制和原位固化假体设计,并总结了评估其功效的生物力学和临床研究结果。文中还介绍了使用新型水凝胶和组织工程(TE)策略替代 NP 的最新研究背景和最新信息。通过微创手术技术替代 NP 有可能改善脊柱退行性病变的治疗。
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引用次数: 0
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Engineered regeneration
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