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Bioactive 3D-printed chitosan-based scaffolds for personalized craniofacial bone tissue engineering 基于生物活性3D打印壳聚糖的个性化颅面骨组织工程支架
Q1 Medicine Pub Date : 2023-03-01 DOI: 10.1016/j.engreg.2022.09.005
Satar Yousefiasl , Esmaeel Sharifi , Erfan Salahinejad , Pooyan Makvandi , Soussan Irani

Regeneration of craniofacial bone defects is a key issue in the bone regeneration field. Hence, novel treatment strategies, such as tissue engineering using porous scaffolds, have been developed. An ideal tissue-engineered scaffold for bone tissue regeneration should possess pores to facilitate nutrients transmission and support reparative tissue ingrowth, bioactivity for osteoconduction and osseointegration, and biocompatibility to improve cell attachment, proliferation, and extracellular matrix formation. In the present study, we manufactured chitosan-based hydrogels substituted with alginate with optimized properties by extrusion-based three-dimensional (3D) printing. 3D printing of the scaffolds enables the designing and developing of complex architectures for craniofacial reconstruction using computer-aided design (CAD). Different ratios (2.5, 5, and 10%) of hydroxyapatite were added to the hydrogel, printed, and subsequently lyophilized to augment the physical and biological characteristics of the scaffolds. Hydroxyapatite incorporation into the chitosan-based scaffolds increased the porosity and pore size of the printed scaffolds. In addition, the presence of hydroxyapatite amplified apatite formation and decreased the size of formed apatite crystals. All the scaffold samples showed biocompatible properties and did not have toxicity toward rat bone marrow mesenchymal stem cells. Furthermore, the scaffolds containing 5% w/w hydroxyapatite exhibited significant growth in cell viability compared to the control. Overall, it is concluded that chitosan-based scaffolds adorned with hydroxyapatite are considerable for regenerating craniofacial bone defects.

颅面骨缺损的修复是骨再生领域的一个关键问题。因此,新的治疗策略,如使用多孔支架的组织工程,已经被开发出来。用于骨组织再生的理想组织工程支架应具有孔隙,以促进营养物质的传递和支持修复组织的生长,具有骨传导和骨整合的生物活性,以及具有促进细胞附着、增殖和细胞外基质形成的生物相容性。在本研究中,我们利用挤压三维打印技术制备了性能优化的海藻酸盐取代壳聚糖基水凝胶。3D打印支架使得使用计算机辅助设计(CAD)设计和开发颅面重建的复杂结构成为可能。在水凝胶中加入不同比例(2.5%、5%和10%)的羟基磷灰石,进行打印,随后进行冻干,以增强支架的物理和生物特性。羟基磷灰石掺入壳聚糖基支架增加了打印支架的孔隙率和孔径。此外,羟基磷灰石的存在扩大了磷灰石的形成,减小了形成的磷灰石晶体的大小。所有支架样品均具有生物相容性,且对大鼠骨髓间充质干细胞无毒性。此外,与对照相比,含有5% w/w羟基磷灰石的支架细胞活力显著增加。综上所述,羟基磷灰石修饰的壳聚糖基支架在颅面骨缺损的再生中具有重要的应用价值。
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引用次数: 10
Orthotopic implantable liver decellularized scaffold for acute liver failure 原位植入式肝脱细胞支架治疗急性肝功能衰竭
Q1 Medicine Pub Date : 2023-03-01 DOI: 10.1016/j.engreg.2022.10.001
Jinglin Wang , Xueqian Qin , Senzhe Xia , Shujun Liu, Haozhen Ren

Decellularized scaffolds have an irreplaceable role in the development of tissue engineering. Challenges in this field are concentrated on shaping macro-scale constructs and maintaining blood flow. Here, we establish a whole liver perfused decellularized scaffold cultured with hepatocytes for transplantable bioengineered liver construction. Owing to retained intact gross morphology of liver, geometric structure and biomechanical environment can support whole liver lobe transplantation. Besides, unremoved extracellular matrix (ECM) and vascular networks can delivery continuous nutrient for cell adhesion. Based on recellularized bioengineering liver scaffold, we have demonstrated its excellent hepatic functions when it orthotopic implanted in acute liver failure (ALF) rats, along with the prolonged survival rate and improved biochemical indicators. These outstanding properties indicate that the orthotopic implantable liver scaffold has broad clinical application prospects in the treatment of ALF and other regeneration diseases.

脱细胞支架在组织工程的发展中具有不可替代的作用。该领域的挑战集中在塑造宏观结构和维持血液流动。在这里,我们建立了一个全肝灌注去细胞支架,培养肝细胞用于可移植的生物工程肝脏构建。肝脏大体形态保持完整,几何结构和生物力学环境有利于全肝移植。此外,未移除的细胞外基质(ECM)和血管网络可以为细胞粘附提供连续的营养。基于再细胞化生物工程肝支架在急性肝衰竭(ALF)大鼠原位植入后,证明其具有良好的肝脏功能,延长了存活率,改善了生化指标。这些突出的特性表明,原位植入式肝支架在治疗ALF等再生疾病方面具有广阔的临床应用前景。
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引用次数: 3
Dual ultra-wideband (UWB) radar-based sleep posture recognition system: Towards ubiquitous sleep monitoring 基于双超宽带(UWB)雷达的睡眠姿势识别系统:迈向无处不在的睡眠监测
Q1 Medicine Pub Date : 2023-03-01 DOI: 10.1016/j.engreg.2022.11.003
Derek Ka-Hei Lai , Li-Wen Zha , Tommy Yau-Nam Leung , Andy Yiu-Chau Tam , Bryan Pak-Hei So , Hyo-Jung Lim , Daphne Sze Ki Cheung , Duo Wai-Chi Wong , James Chung-Wai Cheung

Sleep posture monitoring is an essential assessment for obstructive sleep apnea (OSA) patients. The objective of this study is to develop a machine learning-based sleep posture recognition system using a dual ultra-wideband radar system. We collected radiofrequency data from two radars positioned over and at the side of the bed for 16 patients performing four sleep postures (supine, left and right lateral, and prone). We proposed and evaluated deep learning approaches that streamlined feature extraction and classification, and the traditional machine learning approaches that involved different combinations of feature extractors and classifiers. Our results showed that the dual radar system performed better than either single radar. Predetermined statistical features with random forest classifier yielded the best accuracy (0.887), which could be further improved via an ablation study (0.938). Deep learning approach using transformer yielded accuracy of 0.713.

睡眠姿势监测是阻塞性睡眠呼吸暂停(OSA)患者的重要评估指标。本研究的目的是利用双超宽带雷达系统开发一种基于机器学习的睡眠姿势识别系统。我们收集了16位采用四种睡姿(仰卧、左右侧卧和俯卧)的患者在床上和床边的两个雷达的射频数据。我们提出并评估了简化特征提取和分类的深度学习方法,以及涉及特征提取器和分类器不同组合的传统机器学习方法。结果表明,双雷达系统的性能优于单雷达系统。随机森林分类器的预定统计特征获得了最好的准确率(0.887),通过消融研究可以进一步提高准确率(0.938)。使用变压器的深度学习方法的准确率为0.713。
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引用次数: 8
Management of post-stroke depression (PSD) by electroencephalography for effective rehabilitation 脑卒中后抑郁(PSD)的脑电图管理及有效康复
Q1 Medicine Pub Date : 2023-03-01 DOI: 10.1016/j.engreg.2022.11.005
Bibo Yang , Yanhuan Huang , Zengyong Li , Xiaoling Hu

Post-stroke depression (PSD) has negative impacts on the daily life of stroke survivors and delays their neurological recovery. However, traditional post-stroke rehabilitation mainly focused on motor restoration, whereas little attention was given to the affective deficits. Effective management of PSD, including diagnosis, intervention, and follow-ups, is essential for post-stroke rehabilitation. As an objective measurement of the nervous system, electroencephalography (EEG) has been applied to the diagnosis and evaluation of PSD. In this paper, we reviewed the literature most related to the clinical applications of EEG for PSD and offered a cross-section that is useful for selecting appropriate approaches in practice. This study aimed to gather EEG-based empirical evidence for PSD diagnosis, review interventions for managing PSD, and analyze the evaluation approaches. In total, 33 diagnostic studies and 19 intervention studies related to PSD and depression were selected from the literature. It was found that the EEG features analyzed by both band-based and nonlinear dynamic approaches were capable of quantifying the abnormal neural responses on the cortical level for PSD diagnosis and intervention evaluation/prediction. Meanwhile, EEG-based machine learning has also been applied to the diagnosis and evaluation of depression to automate and speed up the process, and the results have been promising. Although brain-computer interface (BCI) interventions have been widely applied to post-stroke motor rehabilitation and cognitive training, BCI emotional training has not been directly used in PSD yet. This review showed the need for understanding the cortical responses of PSD to improve its diagnosis and precision treatment. It also revealed that future post-stroke rehabilitation plans should include training sessions for motor, affect, and cognitive functions and closely monitor their improvements.

脑卒中后抑郁(PSD)对脑卒中幸存者的日常生活产生负面影响,并延缓其神经功能的恢复。然而,传统的脑卒中后康复主要关注运动功能的恢复,而对情感功能缺陷的关注较少。对PSD的有效管理,包括诊断、干预和随访,对卒中后康复至关重要。脑电图作为一种客观的神经系统测量方法,已被应用于PSD的诊断和评价。在本文中,我们回顾了与脑电图在PSD中的临床应用最相关的文献,并提供了一个在实践中选择合适方法的截面。本研究旨在收集基于脑电图的PSD诊断的经验证据,回顾治疗PSD的干预措施,并分析评估方法。共从文献中选择了33项与PSD和抑郁症相关的诊断研究和19项干预研究。结果表明,基于频带和非线性动态方法分析的脑电图特征均能在皮层水平上量化异常神经反应,为PSD的诊断和干预评估/预测提供依据。与此同时,基于脑电图的机器学习也被应用于抑郁症的诊断和评估,以自动化和加快这一过程,结果很有希望。脑机接口(BCI)干预已广泛应用于脑卒中后运动康复和认知训练,但BCI情绪训练尚未直接应用于PSD。这一综述表明,有必要了解PSD的皮质反应,以提高其诊断和精确治疗。研究还表明,未来中风后的康复计划应包括运动、情感和认知功能的训练,并密切监测其改善情况。
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引用次数: 1
Advances in antioxidative nanozymes for treating ischemic stroke 抗氧化纳米酶治疗缺血性脑卒中的研究进展
Q1 Medicine Pub Date : 2023-03-01 DOI: 10.1016/j.engreg.2023.01.001
Jingyang Shan , Xia Liu , Xiuping Li , Yunru Yu , Bin Kong , Lijie Ren

Ischemic stroke is one of the most common public diseases that increase mortality. In the ischemic brain, blood flow restoration can cause the generation of excess reactive oxygen species (ROS). Endogenous anti-oxidases in the living system, including catalase (CAT) and superoxide dismutase (SOD), can consume the excess ROS by catalysis to regulate inflammation. However, these natural enzymes are difficult to be widely used in the treatment of stroke. Taking advantages of high stability, low cost, and long-term storage, antioxidative nanozymes-mediated treatments have been proven as a promising method against ischemic stroke. To highlight the progress, we summarize the advances in nanozymes with the antioxidative ability for treating ischemic stroke. It is believed that such a promising therapeutic strategy of antioxidative nanozymes will significantly contribute to the field of ischemic stroke. We expect that antioxidative nanozymes will play significant roles in both basic research and clinical applications.

缺血性中风是增加死亡率的最常见的公共疾病之一。在缺血脑中,血流恢复可导致过量活性氧(ROS)的产生。生物系统内源性抗氧化酶,包括过氧化氢酶(CAT)和超氧化物歧化酶(SOD),可以通过催化消耗多余的ROS来调节炎症。然而,这些天然酶难以广泛应用于中风的治疗。抗氧化纳米酶介导的治疗方法具有高稳定性、低成本和长期储存的优点,已被证明是治疗缺血性卒中的一种很有前途的方法。为了强调这方面的进展,我们总结了具有抗氧化能力的纳米酶治疗缺血性脑卒中的研究进展。认为抗氧化纳米酶的治疗策略将在缺血性脑卒中领域发挥重要作用。我们期待抗氧化纳米酶在基础研究和临床应用中发挥重要作用。
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引用次数: 2
Spinal cord conduits for spinal cord injury regeneration 脊髓导管在脊髓损伤再生中的应用
Q1 Medicine Pub Date : 2023-03-01 DOI: 10.1016/j.engreg.2022.12.003
Yanyu Ma , Quanchi Chen , Wenhan Li , Haiwen Su , Song Li , Yitong Zhu , Jie Zhou , Zhenhua Feng , Zhen Liu , Saihu Mao , Yong Qiu , Huan Wang , Zezhang Zhu

Spinal cord injury (SCI), which causes irreversible damage in both sensory and motor function, is considered an insurmountable challenge in the field of medicine. The previous researchers have developed many kinds of biomaterials for SCI, and spinal cord conduits (SCCs) are an important classification for bridging spinal cord tissues while performing their corresponding functions. In this review, we first describe the original sources of the different polymers that determine the properties of the different SCCs. Afterwards, we focus on the different types of crosslinking methods used for preparing SCCs. Then, various practical applications and therapeutic effects of SCCs are summarized and discussed. Finally, we conclude the existing limitations of current SCCs. We hope that this paper will serve as a further inspiration for the development of SCCs in future.

脊髓损伤(Spinal cord injury, SCI)是一种不可逆的感觉和运动功能损伤,在医学领域被认为是一个难以克服的挑战。脊髓导管(spinal cord conduits, SCCs)是一种重要的桥接脊髓组织并发挥其相应功能的生物材料。在这篇综述中,我们首先描述了决定不同SCCs性能的不同聚合物的原始来源。然后,我们重点介绍了用于制备SCCs的不同类型的交联方法。然后,总结和讨论了SCCs的各种实际应用和治疗效果。最后,我们总结了当前SCCs存在的局限性。我们希望本文能对SCCs的未来发展提供进一步的启发。
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引用次数: 4
Polylysine complexes and their biomedical applications 聚赖氨酸复合物及其生物医学应用
Q1 Medicine Pub Date : 2023-03-01 DOI: 10.1016/j.engreg.2022.11.001
Haofang Zhu, Rui Liu, Yixuan Shang, Lingyun Sun

Poly-L-lysine (PLL) is a water-soluble biopolymer consist of repeating unit of L-lysine. It displays intrinsic non-antigenicity, antibacterial property, biocompatibility, and biodegradability, and facile synthesis procedure, therefore has attracted particular attention in various biomedical and pharmaceutical applications. Following a brief introduction to PLL synthesis, this review focuses on the significant advances of PLL and PLL-derived complexes utilized in cargo delivery, tissue adhesives, and antibacterial materials. Meanwhile, this review summarized the modification and optimization of PLL complexes for further clinical translational studies. The final section discusses the challenges and opportunities of PLL-based complexes in the biomedical areas.

聚l -赖氨酸(PLL)是由l -赖氨酸重复单元组成的水溶性生物聚合物。它具有固有的非抗原性、抗菌性、生物相容性和生物降解性,并且合成过程简单,因此在各种生物医学和制药应用中受到特别关注。本文简要介绍了聚乳酸的合成,重点介绍了聚乳酸及其衍生配合物在货物运输、组织粘接剂和抗菌材料方面的重要进展。同时,本文对PLL复合物的修饰和优化进行了总结,以供进一步的临床转化研究。最后一节讨论了基于pl的复合物在生物医学领域的挑战和机遇。
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引用次数: 7
Advanced surgical technologies for lung cancer treatment: Current status and perspectives 癌症治疗的先进外科技术:现状与展望
Q1 Medicine Pub Date : 2023-03-01 DOI: 10.1016/j.engreg.2022.12.001
Hongfei Cai , Yonghui Wang , Da Qin , Youbin Cui , Hongbo Zhang

Lung cancer has become one of the key life-threatening factors and is the most common type of tumor. With the improvement of equipment and the improvement of lung cancer awareness, the surgical treatment of lung cancer is becoming more and more mature. Surgery can provide an important part of individualized treatment strategies for patients with different stages of lung cancer and different wishes. In addition, the concept of minimally invasive, precise, and intelligent has triggered a revolutionary change in the surgical treatment strategy for lung cancer. Therefore, this review focuses on the development of lung cancer surgery history, summarizing the era from traditional surgery to the era of minimally invasive thoracic surgery based on TV-assisted thoracic surgery. The operating methods and treatment effects of different surgical methods are comprehensively introduced, and the optimization and improvement of different surgical methods in the future are also discussed. Along with the concept of minimally invasive surgical techniques, there are more and more explorations of nanotechnology in the surgical treatment of lung cancer. The application of nanotechnology in lung cancer imaging, and the combination of surgery with nanomedicine is an effective solution for cancer treatment today. So, this review also summarizes the application prospects of nanotechnology before, during and after lung cancer surgery.

肺癌已成为危及生命的关键因素之一,是最常见的肿瘤类型。随着设备的改进和对肺癌认识的提高,肺癌的手术治疗越来越成熟。手术可以为不同阶段和不同愿望的肺癌患者提供个性化治疗策略的重要组成部分。此外,微创、精准、智能化的理念引发了肺癌手术治疗策略的革命性变化。因此,本文重点回顾肺癌外科的发展历史,总结从传统外科到以电视辅助胸外科为基础的微创胸外科时代。全面介绍了不同手术方法的操作方法和治疗效果,并对今后不同手术方法的优化和改进进行了探讨。随着微创手术技术的提出,纳米技术在肺癌手术治疗中的探索也越来越多。纳米技术在肺癌成像中的应用,以及手术与纳米医学的结合是当今癌症治疗的有效解决方案。本文就纳米技术在肺癌手术前、手术中、手术后的应用前景作一综述。
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引用次数: 1
Development of modified PMMA cement in spine surgery 改良PMMA骨水泥在脊柱外科中的应用进展
Q1 Medicine Pub Date : 2023-01-01 DOI: 10.1016/j.engreg.2023.06.001
Zhikun Li , Junwei Shi , Yi Wang , Yifan Li , Wenjun Liu , Ruijun Xu , Silian Wang , Liwei Chen , Xiaojian Ye , Chi Zhang , Wei Xu
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引用次数: 1
Engineering Strategies of Islet Product for Endocrine Regeneration 胰岛内分泌再生产品的工程策略
Q1 Medicine Pub Date : 2023-01-01 DOI: 10.1016/j.engreg.2023.01.003
Yue Cheng, Gang Zhao
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引用次数: 0
期刊
Engineered regeneration
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