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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 : 2023-12-01 Epub Date: 2023-06-15 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
Persuasive factors on the bioink printability and cell viability in the extrusion-based 3D bioprinting for tissue regeneration applications 组织再生应用中基于挤出的3D生物打印中生物墨水可打印性和细胞活力的说服因素
Q1 Medicine Pub Date : 2023-12-01 Epub Date: 2023-07-29 DOI: 10.1016/j.engreg.2023.07.002
Devara Venkata Krishna, Mamilla Ravi Sankar

The extrusion-based bioprinting (EBBP) applications in the medical field tremendously increase due to its versatility in fabricating intricate geometry components with reasonable accuracy and precision. The bioink and its properties for an EBBP process are crucial in manufacturing parts with significant biocompatibility and functionality. The EBBP demands optimized parameters for obtaining good printability and cell viability. A better understanding of the various process parameters is essential for the researcher to optimize the mechanical and biological properties of the printed constructs. The biological, mechanical, and rheological parameters all together need to be evaluated to enhance the printability of tissue. This article concisely delineates the effect of the rheological and physiochemical parameters on the biological and mechanical properties of the printed tissues. The printing parameters and nozzle geometry, which considerably influence the printability, and shape fidelity of the bioprinted scaffolds are exemplified in detail. Additionally, the challenges and future aspects of enhancing printability are discussed succinctly.

基于挤压的生物打印技术(EBBP)在医疗领域的应用急剧增加,因为它可以以合理的精度和精度制造复杂的几何部件。EBBP工艺的生物链接及其性能对于制造具有显著生物相容性和功能性的部件至关重要。EBBP需要优化参数以获得良好的打印适性和细胞活力。更好地了解各种工艺参数对于研究人员优化打印结构的机械和生物特性至关重要。生物、机械和流变参数都需要一起进行评估,以提高组织的可打印性。本文简要介绍了流变学和理化参数对打印组织生物力学性能的影响。打印参数和喷嘴几何形状对生物打印支架的可打印性和形状保真度有很大影响。此外,挑战和提高印刷能力的未来方面进行了简要的讨论。
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引用次数: 1
Driving modes and characteristics of biomedical micro-robots 生物医学微型机器人驱动模式及特性研究
Q1 Medicine Pub Date : 2023-12-01 Epub Date: 2023-08-09 DOI: 10.1016/j.engreg.2023.08.001
Libing Huang , Yueyuan Pan , Miao Wang , Lei Ren

Micro-robots (MRs) are miniature machines with dimensions smaller than 1 mm and have semi- or fully-autonomous capabilities, including sensing, decision-making, and performing operations. These MRs have garnered significant attention in the precision medicine and personalized treatment field due to their ability to navigate narrow areas of the human body with non-desirable fluid flow. Specifically, MRs are actuated by a mechanism that generates propulsive force through the interaction between MRs' actuation modules and external energy sources in a specific direction. This driving mechanism enables the precise execution of medical treatment such as targeted drug delivery and minimally invasive surgeries. Nonetheless, MRs currently encounter certain challenges in clinical practice, including reliance on external energy sources, short lifespan, and difficulties in degradation or recovery within the human body. This article aims to review the common components and characteristics of driving mechanism for MRs' actuation modules, propose possible solutions to address current clinical challenges, and ultimately, explore the desirable structural and functional composition for the future development of MRs. Through these efforts, this review hopes to provide guidance for the future development of MRs in the field of precision medicine.

微型机器人(MRs)是尺寸小于1毫米的微型机器,具有半自主或完全自主的能力,包括传感、决策和执行操作。这些MRs在精确医学和个性化治疗领域引起了极大的关注,因为它们能够导航人体狭窄的区域,不需要的液体流动。具体来说,MRs的驱动机制是通过MRs的驱动模块与外部能量源在特定方向上的相互作用产生推进力。这种驱动机制可以精确执行医疗治疗,如靶向药物输送和微创手术。然而,MRs目前在临床实践中遇到了一些挑战,包括依赖外部能源、寿命短、在人体内降解或恢复困难。本文旨在综述MRs驱动模块的常见组成和驱动机制特点,提出可能的解决方案,以解决当前临床面临的挑战,最终探索MRs未来发展的理想结构和功能组成,希望通过这些努力,为MRs未来在精准医学领域的发展提供指导。
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引用次数: 0
Heterogenous glucose-stimulated insulin secretion at single islet level 外源性葡萄糖刺激单胰岛水平的胰岛素分泌
Q1 Medicine Pub Date : 2023-12-01 Epub Date: 2023-07-15 DOI: 10.1016/j.engreg.2023.07.001
Jiaxiang Yin , Hao Meng , Haopeng Lin , Meijun Mo , Jingfang Lin , Jingyi Chen , Lihua Chen , Xiaojun Xu , Zonghong Li , Wei Ji , Tao Xu , Huisheng Liu

Insulin secretion by pancreatic islets plays a vital role in regulating blood glucose levels. Nevertheless, the mechanism responsible for this dynamic insulin secretion has not been completely understood, particularly at the single islet level. In this study, we have successfully developed an easy microfluidic platform that allows for the exploration of dynamic glucose-stimulated insulin secretion (GSIS) at the single islet level. With the utilization of this platform, we evaluated dynamic GSIS from single islets isolated from both normal and diabetic rats. Our results demonstrate that islets can be categorized into three types based on their dynamic GSIS: Type I exhibits a biphasic GSIS profile with a fast first phase and flat second phase; Type II also has a biphasic GSIS profile with a fast first phase but a slow increased second phase; Type III displays only a slowly increased second phase and lacks a fast first phase. RNA sequencing analysis demonstrated that the cell type and exocytosis-specific genes are consistent with the proportion of cells and insulin release kinetics among the three types of islets, respectively. Moreover, our findings suggest that high expression of Atp5pb is anti-correlated with the first phase of insulin secretion. Furthermore, we revealed that diabetic islets exhibit only the type I GSIS response, indicating a deliberate impairment of the second phase of insulin secretion. Together, this device serves as a crucial tool in the research field of islets and diabetes, allowing researchers to investigate islet functional heterogeneity and identity at the single islet level.

胰岛分泌胰岛素在调节血糖水平中起着至关重要的作用。然而,负责这种动态胰岛素分泌的机制尚未完全了解,特别是在单个胰岛水平。在这项研究中,我们已经成功地开发了一种简单的微流控平台,可以在单个胰岛水平上探索动态葡萄糖刺激胰岛素分泌(GSIS)。利用该平台,我们对正常大鼠和糖尿病大鼠分离的单个胰岛的动态GSIS进行了评估。研究结果表明,基于动态GSIS,胰岛可分为三种类型:I型胰岛呈现双相GSIS特征,第一阶段快速,第二阶段平缓;II型也有两阶段的GSIS概况,第一阶段快速,但第二阶段缓慢增加;III型仅显示缓慢增加的第二阶段,缺乏快速的第一阶段。RNA测序分析表明,细胞类型和胞吐特异性基因分别与三种类型胰岛的细胞比例和胰岛素释放动力学一致。此外,我们的研究结果表明,Atp5pb的高表达与胰岛素分泌的第一阶段是反相关的。此外,我们发现糖尿病胰岛仅表现出I型GSIS反应,表明胰岛素分泌的第二阶段被故意损害。总之,该装置是胰岛和糖尿病研究领域的重要工具,使研究人员能够在单个胰岛水平上研究胰岛功能的异质性和同一性。
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引用次数: 0
Mesoporous magnetic nanoparticles conjugated aptamers for exosomes capture and detection of Alzheimer's disease 介孔磁性纳米颗粒共轭适配体用于阿尔茨海默病的外泌体捕获和检测
Q1 Medicine Pub Date : 2023-12-01 Epub Date: 2023-05-01 DOI: 10.1016/j.engreg.2023.04.007
Guidan Wang , Zhenshan Pan , Xiaorui Zhu , Ruyue Yang , Rong Yang , Tingting Yang , Dong Hu , Aihua Jing , Gaofeng Liang

Exosomes are nanoscale membrane-enclosed extracellular vesicles secreted by various cells, which have enormous potential as disease biomarkers for clinical application. However, the isolation and detection of exosomes remain enormous challenges, which limits their further application. Herein, inspired by immunomagnetic beads, a magnetic nanoparticle conjugated aptamer was repurposed for the effective capture and detection of exosomes. The magnetic nanoparticles, composed of Fe3O4 synthesized by the hydrothermal method as the core and coupled with gold nanoparticles (Fe3O4@Au), provide a large specific surface area, making the resulting composite material an effective platform for exosome capture. Furthermore, the elution of captured exosomes with 1.0 M NaCl made downstream analysis of exosomes possible. The preliminary clinical application value of the composite in exosome analyses of serum from healthy individuals and patients with Alzheimer's disease (AD) has also been verified, which could provide a promising platform for biomedical and clinical diagnosis.

外泌体是由多种细胞分泌的纳米级膜封闭细胞外囊泡,作为疾病生物标志物具有巨大的临床应用潜力。然而,外泌体的分离和检测仍然是巨大的挑战,这限制了它们的进一步应用。在此,受免疫磁珠的启发,磁性纳米颗粒共轭适配体被重新用于有效捕获和检测外泌体。该磁性纳米颗粒以水热法合成的Fe3O4为核心,与金纳米颗粒(Fe3O4@Au)偶联,提供了较大的比表面积,使所得到的复合材料成为捕获外胞体的有效平台。此外,用1.0 M NaCl洗脱捕获的外泌体,使外泌体的下游分析成为可能。该复合物在健康个体和阿尔茨海默病(AD)患者血清外泌体分析中的初步临床应用价值也得到了验证,为生物医学和临床诊断提供了一个有前景的平台。
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引用次数: 3
Biomimetic extracellular vesicles for the tumor targeted treatment 用于肿瘤靶向治疗的仿生细胞外囊泡
Q1 Medicine Pub Date : 2023-12-01 Epub Date: 2023-09-05 DOI: 10.1016/j.engreg.2023.08.002
Ruolin Shi , An Zhan , Xinze Li , Bin Kong , Gaofeng Liang

Extracellular vesicles (EVs) are nanoscale substances produced by most cells, which were not fully understood in the early years. However, with the development of advanced techniques, researchers have discovered that EVs play an essential role in information exchange and signal transduction between cells. Nowadays, EVs are being used, modified, and developed as a natural drug carrier in various medical fields because of their high biocompatibility and natural affinity with the source body. Many studies have shown that multiple sources of EVs have been modified and utilized in cancer therapy to improve patients' treatment windows and effectively prolong patient survival. In this paper, we review the advances in the treatment of cancer based on EVs. We summarize the types of EVs loading therapy, the modes of drug loading and the latest therapeutic applications of multiple modes combined with EVs in cancer treatment. We conclude with a discussion of the current status, challenges, and prospects of EVs as a tool for tumor therapy.

细胞外囊泡(EVs)是由大多数细胞产生的纳米级物质,早期尚未完全了解。然而,随着先进技术的发展,研究人员发现电动汽车在细胞间的信息交换和信号转导中起着至关重要的作用。目前,电动汽车因其高生物相容性和与源体的天然亲和力,作为一种天然的药物载体,在各个医学领域得到了应用、改造和发展。许多研究表明,多种来源的电动汽车已被改造并用于癌症治疗,以改善患者的治疗窗口期,有效延长患者的生存期。本文就ev治疗癌症的研究进展作一综述。本文综述了ev载药治疗的类型、载药方式以及多种载药方式联合ev在癌症治疗中的最新应用。最后,我们讨论了ev作为肿瘤治疗工具的现状、挑战和前景。
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引用次数: 0
In inflammatory bowel disease and extraintestinal manifestations: What role does microbiome play? 在炎症性肠病和肠外表现中:微生物群起什么作用?
Q1 Medicine Pub Date : 2023-12-01 Epub Date: 2023-04-26 DOI: 10.1016/j.engreg.2023.04.005
Yong-Hua Shen , Hao Zhu , Lin Zhou , Yan-Qing Zheng , Zhan Zhang , Ying Xie , Zhen-Qing Liu , Chun-Yan Peng , Lei Wang , Cheng Zhao , Xiao-Qi Zhang

Inflammatory bowel disease (IBD) is a systemic disorder affecting intestinal tract and other organs outside the gut, known as extraintestinal manifestations (EIMs). These EIMs are complex and diverse, and early treatment may reduce teratogenic rates and improve quality of life. However, our understanding of EIMs in IBD is currently limited by a lack of mechanistic insight. Fortunately, advances in our understanding of intestinal microecology are allowing us to uncover the underlying mechanisms of EIMs. The gut microbiota can drive aberrant immune activation and intestinal inflammation. Intriguingly, chronic inflammation can also shape the microbiome in reverse and aggravate dysbiosis. Recent research has revealed that microbiome-derived signal molecules play a crucial role in catalyzing enterocolitis and altering mucosal barrier function. Furthermore, gut microbiota-associated antigens can translocate from the intestine to extraintestinal sites, leading to systemic inflammatory responses. The microbiome is showing its potential in treating IBD and EIMs, and microbial engineering approaches, such as probiotic engineering and engineered fecal microbiota transplantation, are exhibiting great promise for IBD therapeutics.

炎症性肠病(IBD)是一种影响肠道和肠道外其他器官的全身性疾病,称为肠外表现(EIMs)。这些eem是复杂和多样的,早期治疗可以降低致畸率,提高生活质量。然而,我们对IBD中的EIMs的理解目前受到缺乏机制洞察力的限制。幸运的是,我们对肠道微生态学的理解的进步使我们能够揭示EIMs的潜在机制。肠道微生物群可以驱动异常的免疫激活和肠道炎症。有趣的是,慢性炎症也可以反向塑造微生物群并加剧生态失调。最近的研究表明,微生物来源的信号分子在催化小肠结肠炎和改变粘膜屏障功能方面起着至关重要的作用。此外,肠道菌群相关抗原可以从肠道转移到肠外,导致全身炎症反应。微生物组在治疗IBD和EIMs方面显示出其潜力,微生物工程方法,如益生菌工程和工程化粪便微生物群移植,在IBD治疗方面显示出巨大的前景。
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引用次数: 0
Decellularized extracellular matrix: A promising strategy for skin repair and regeneration 脱细胞细胞外基质:一种有前景的皮肤修复和再生策略
Q1 Medicine Pub Date : 2023-12-01 Epub Date: 2023-05-15 DOI: 10.1016/j.engreg.2023.05.001
Shengjie Jiang , Yu Zhuang , Ming Cai, Xudong Wang, Kaili Lin

The skin is an important organ of the human body that resists external threats but lacks sufficient self-regeneration ability when severe damage occurs. However, most of the available skin substitutes cannot achieve ideal restoration of complex structures and multiple functions of native skin tissues. Fortunately, the advent of decellularized extracellular matrix (dECM) offers a promising approach to overcome these obstacles. The dECM, derived from the natural extracellular matrix (ECM), possesses a similar structure and composition, which constructs an environment favorable for cell performance in regeneration. Moreover, dECM retains good bioactivity, low immunogenicity, and high availability, making it a suitable biomaterial for skin repair and regeneration. In this review, various decellularization methods and subsequent evaluations of dECM are introduced first, and the main sources of dECM are then presented. Furthermore, the recent progress of dECM-based biomaterials applied in skin regeneration and future perspectives are summarized.

皮肤是人体的重要器官,能够抵抗外界的威胁,但在受到严重损伤时却缺乏足够的自我再生能力。然而,现有的皮肤替代物大多无法实现对皮肤组织复杂结构和多种功能的理想修复。幸运的是,脱细胞细胞外基质(dECM)的出现为克服这些障碍提供了一个有希望的方法。dECM来源于天然细胞外基质(ECM),具有类似的结构和组成,可以构建有利于细胞再生性能的环境。此外,dECM具有良好的生物活性、低免疫原性和高可利用性,是一种适合皮肤修复和再生的生物材料。本文首先介绍了dECM的各种脱细胞方法和后续评价,然后介绍了dECM的主要来源。综述了近年来基于decm的生物材料在皮肤再生中的应用进展及未来展望。
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引用次数: 5
Understanding the interplay between cell force and cell adhesion processes 了解细胞力和细胞粘附过程之间的相互作用
Q1 Medicine Pub Date : 2023-09-01 Epub Date: 2023-04-13 DOI: 10.1016/j.engreg.2023.04.002
Peng Wang , Jie Li , Qiang Wei

Cells, wrapped among their neighbors and surrounding extracellular matrix (ECM), form cell-cell adhesions and cell-ECM adhesions. Extracellular biophysical cues exert a far-reaching influence on a sweeping of cell behaviors, including signal transduction, gene expression, and fate determination. Cell-cell adhesions mediated by intercellular adhesion molecules bridge the membranes of adjacent cells through either heterophilic or homophilic adhesive interactions, playing a critical part in multicellular structural maintenance and, therefore, a foundation for multicellular organisms. Cell-ECM adhesions are derived from the interaction between cell adhesion receptors and multi-adhesive matrix proteins to ensure cell and tissue cohesion. Whereas cells not only unilaterally respond to certain cues from extracellular environment but can also alter the physicochemical profiles of the externalities and hence hold important implications for clinical applications. The essential function of cell adhesions has created tremendous interests in developing methods for measuring and studying cell adhesion properties, namely, cellular force. Here, we describe the collection of cell adhesive inputs on cellular signaling cascades and the “crosstalk” between cell-cell adhesions and cell-ECM adhesions. Furthermore, we provide the summary of the current methods to measure such cell adhesive forces.

细胞被周围细胞外基质(ECM)包裹,形成细胞-细胞黏附和细胞-ECM黏附。细胞外生物物理信号对一系列细胞行为产生深远的影响,包括信号转导、基因表达和命运决定。细胞间黏附分子介导的细胞-细胞黏附通过嗜异性或嗜同性的黏附相互作用在相邻细胞的细胞膜上架起桥梁,在多细胞结构维持中起着关键作用,因此是多细胞生物的基础。细胞- ecm黏附源于细胞黏附受体和多黏附基质蛋白之间的相互作用,以确保细胞和组织的黏附。然而,细胞不仅对来自细胞外环境的某些线索作出单方面的反应,而且还可以改变外部性的物理化学特征,因此对临床应用具有重要意义。细胞粘附的基本功能引起了人们对开发测量和研究细胞粘附特性(即细胞力)的方法的极大兴趣。在这里,我们描述了细胞信号级联中细胞粘附输入的收集以及细胞-细胞粘附和细胞- ecm粘附之间的“串扰”。此外,我们还总结了目前测量这种细胞粘附力的方法。
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引用次数: 1
Rassf2 overexpression mediated by AAV promotes the supporting cell-to-hair cell transformation in the cochlea AAV介导的Rassf2过表达促进耳蜗支持细胞向毛细胞转化
Q1 Medicine Pub Date : 2023-09-01 Epub Date: 2023-04-24 DOI: 10.1016/j.engreg.2023.04.003
Liyan Zhang , Jieyu Qi , Yuan Fang , Fangzhi Tan , Yinyi Zhou , Ziyu Zhang , Qiuhan Sun , Nianci Li , Yideng Huang , Jingwu Sun , Renjie Chai

Sensory hair cells are responsible for detecting and transmitting sound in the inner ear, and damage to HCs leads to hearing loss. HCs do not regenerate spontaneously in adult mammals, which makes the hearing loss permanent. However, hair cells and supporting cells have the same precursors in the inner ear, and in newborn mice, the adjacent SCs can be activated by gene manipulation to differentiate into newly regenerated hair cells. Here, we demonstrate the role of the Ras association domain family member 2 (Rassf2) in supporting cell to hair cell trans-differentiation in the inner ear. Using the AAV vector (AAV-ie) to upregulate Rassf2 expression promoted supporting cell division and hair cell production in cultured cochlear organoids. Also, AAV-Rassf2 enhanced the regenerative ability of Lgr5+ SCs in the postnatal cochlea without impairing hearing, and this might due to the modulation of the Wnt, Hedgehog and Notch signaling pathways. Furthermore, AAV-Rassf2 enhances cochlear supporting cell division and hair cell production in the neomycin injury model. In summary, our results suggest that Rassf2 is a key component in HC regenerative repair, and gene modulation mediated by adeno-associated virus may be a promising gene therapy for hearing repair.

感觉毛细胞负责探测和传递内耳的声音,对毛细胞的损害会导致听力丧失。成年哺乳动物的hc不能自发再生,这使得听力损失成为永久性的。然而,毛细胞和支持细胞在内耳中具有相同的前体,并且在新生小鼠中,相邻的SCs可以通过基因操作激活,分化为新再生的毛细胞。在这里,我们证明了Ras关联结构域家族成员2 (Rassf2)在支持内耳细胞向毛细胞的转分化中的作用。利用AAV载体(AAV-ie)上调Rassf2表达可促进人工耳蜗类器官的支持细胞分裂和毛细胞生成。此外,AAV-Rassf2在不损害听力的情况下增强了出生后耳蜗Lgr5+ SCs的再生能力,这可能与Wnt、Hedgehog和Notch信号通路的调节有关。此外,AAV-Rassf2在新霉素损伤模型中促进耳蜗支持细胞分裂和毛细胞生成。综上所述,我们的研究结果表明Rassf2是HC再生修复的关键成分,由腺相关病毒介导的基因调节可能是一种很有前景的听力修复基因治疗方法。
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引用次数: 0
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Engineered regeneration
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