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Bioinspired scaffold recapitulating chondrogenic ontogeny and microenvironment for functional cartilage regeneration 生物启发支架概述软骨形成的个体发生和微环境的功能性软骨再生
IF 18 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2025-12-18 DOI: 10.1016/j.bioactmat.2025.11.041
Tianyu Yu , Xun Sun , Yang Liu , Yiming Dou , Ye Tian , Yiming Zhang , Genghao Wang , Lianyong Wang , Jianmin Han , Xiaohong Li , Xigao Cheng , Honglong Li , Haobo Pan , Lei Yang , Yanhong Zhao , Qiang Yang
Focal articular cartilage defects often progress to osteoarthritis, imposing a substantial global health burden. Current neglect of cartilage developmental regulation and cartilage microenvironment compromises therapeutic efficacy. We developed an innovation CE-SKP/CPH/P2G3 scaffold which effectively repairs focal cartilage defects and emulates native cartilage ontogeny: the superficial CE-SKP hydrogel layer recruits SMSCs and promotes chondrogenesis; the middle CPH hydrogel layer induces chondrocyte hypertrophic calcification, forming cartilage calcified layer; and the basal P2G3 nanofiber membrane isolates subchondral cells, enforcing a top-down developmental sequence and preserving a localized hypoxic niche. In vitro characterization confirms that the porosity, swelling ratio, biodegradation rate, and biocompatibility are optimal for sequential SMSC recruitment, cartilage differentiation, hypertrophic mineralization, and cells isolation. In vivo, the biomimetic tri-layer scaffold promotes regeneration of both cartilage and calcified cartilage by recapitulating the native ontogenetic progression from cartilage to calcified cartilage within the in vivo microenvironment, successfully restoring the normal physiological structure of articular cartilage by 24 weeks post-implantation. ScRNA-seq revealed SMSCs and a novel chondrocyte subpopulation CHON_5 as key repair populations, SMSCs mediated early repair via hypoxia response and migration, while CHON_5 promoted ECM remodeling, synergistically enhancing regeneration in late repair stage. Furthermore, we identified FGF signaling (FGF2-FGFR1/2 and FGF18-FGFR1/2 pairs) was crucial for MSC-CHON_5 communication during sequential cartilage regeneration. Overall, by recapitulating native developmental dynamics and microenvironmental cues, this scaffold offers a novel and effective strategy for functional cartilage regeneration and osteoarthritis treatment.
局灶性关节软骨缺损常常发展为骨关节炎,造成严重的全球健康负担。目前对软骨发育调控和软骨微环境的忽视影响了治疗效果。我们开发了一种创新的CE-SKP/CPH/P2G3支架,它能有效地修复局灶性软骨缺陷,并模拟天然软骨的个体发生:表面CE-SKP水凝胶层招募SMSCs并促进软骨形成;中间CPH水凝胶层诱导软骨细胞增生性钙化,形成软骨钙化层;基底P2G3纳米纤维膜隔离软骨下细胞,强制自上而下的发育顺序,并保留局部缺氧生态位。体外表征证实,孔隙度、膨胀率、生物降解率和生物相容性对于连续的SMSC募集、软骨分化、肥厚矿化和细胞分离是最佳的。在体内,仿生三层支架通过在体内微环境中再现从软骨到钙化软骨的天然个体发生过程,促进软骨和钙化软骨的再生,在植入后24周成功恢复关节软骨的正常生理结构。ScRNA-seq显示SMSCs和一个新的软骨细胞亚群CHON_5是关键的修复群体,SMSCs通过缺氧反应和迁移介导早期修复,而CHON_5促进ECM重塑,协同促进修复后期的再生。此外,我们发现FGF信号(FGF2-FGFR1/2和FGF18-FGFR1/2对)在顺序软骨再生过程中对MSC-CHON_5通信至关重要。总的来说,通过概括天然发育动态和微环境线索,这种支架为功能性软骨再生和骨关节炎治疗提供了一种新颖有效的策略。
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引用次数: 0
Dynamic modelling of liver–bone axis: A microphysiological approach to hepatic osteodystrophy 肝-骨轴动态建模:肝骨营养不良的微生理方法
IF 18 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2025-12-18 DOI: 10.1016/j.bioactmat.2025.12.011
Purva Gupta , Shreya Mehrotra , Romina H. Aspera-Werz , Ayushi Mairal , Ashiq Hussain Pandit , Andreas K. Nüssler , Ashok Kumar
Hepatic osteodystrophy (HOD) is a metabolic bone disorder associated with chronic liver disease (CLD), marked by disrupted bone remodelling, reduced mineralization, and altered osteoblast–osteoclast dynamics. Despite its clinical relevance, mechanistic understanding of the liver-bone axis remains limited due to the shortcomings of conventional in-vitro and in-vivo models in capturing inter-organ crosstalk. To address this, we developed dual-organ perfusion-based micro-physiological devices (MPDs) that integrates human-derived liver and bone tissues-like scaffolds enabling unidirectional perfusion, permitting dynamic exchange of metabolites, cytokines, and signalling factors between hepatocyte spheroids and osteogenic co-cultures under physiologically relevant and controlled dynamic flow. Hepatic fibrosis was induced using carbon tetrachloride (CCl4), effectively mimicking fibrotic liver pathology. The fibrotic liver environment increased inflammatory cytokines which significantly impacted bone homeostasis, promoting osteoclast activation and reducing osteoblast function and mineral deposition-hallmarks of HOD. Compared to static cultures, the MPDs more accurately replicated pathological liver-bone interactions. The MPDs were also analysed as a potential tool for drug screening and toxicity, where diclofenac was used as a model drug. A clear response of diclofenac and its metabolites on bone homeostasis could be observed in dual-organ MPDs conditions, closely mirroring physiological healthy outcomes. This platform offers a physiologically relevant, perfusable, mechanically tunable and translational approach for investigating HOD pathogenesis and assessing therapeutic interventions. By bridging the gap between static cultures and animal models, it enables real-time monitoring of inter-organ interactions and serves as a powerful tool for advancing research in CLD-related bone disorders.
肝性骨营养不良(HOD)是一种与慢性肝病(CLD)相关的代谢性骨疾病,其特征是骨重塑中断、矿化减少和成骨-破骨细胞动力学改变。尽管具有临床意义,但由于传统的体外和体内模型在捕获器官间串扰方面的缺点,对肝-骨轴的机制理解仍然有限。为了解决这个问题,我们开发了基于双器官灌注的微生理装置(mpd),该装置整合了人源性肝脏和骨组织样支架,实现单向灌注,允许肝细胞球体和成骨共培养物在生理相关和受控的动态流动下动态交换代谢物、细胞因子和信号因子。采用四氯化碳(CCl4)诱导肝纤维化,有效模拟肝纤维化病理。纤维化肝环境增加炎症细胞因子,显著影响骨稳态,促进破骨细胞活化,降低成骨细胞功能和矿物质沉积——这是HOD的特征。与静态培养相比,mpd更准确地复制了病理性肝-骨相互作用。MPDs还被分析为药物筛选和毒性的潜在工具,其中双氯芬酸被用作模型药物。双氯芬酸及其代谢物对双器官MPDs患者骨稳态的明显影响,与生理健康结果密切相关。该平台为研究HOD发病机制和评估治疗干预措施提供了一种生理学上相关的、可灌注的、机械上可调的和可翻译的方法。通过弥合静态培养和动物模型之间的差距,它可以实时监测器官间相互作用,并作为推进cld相关骨骼疾病研究的有力工具。
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引用次数: 0
Novel multifunctional composite cryogel with high-performance and rapid fat-lowering efficacy via the synergy of fat digestion blockage and synthesis inhibition 新型多功能复合低温凝胶,通过阻断脂肪消化和抑制合成的协同作用,具有高效、快速的降脂效果
IF 18 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2025-12-18 DOI: 10.1016/j.bioactmat.2025.11.025
Hongyun Lu , Yejiayi Lv , Siyu Liu , Peng Xu , Ying Shi , Qihe Chen
Excessive dietary fat intake poses considerable health risks. Developing biomaterials with fat adsorption and digestion intervention properties may satisfy consumer preferences for fat taste while enhancing anti-obesity efficacy. However, this strategy has remained largely unrealized. Cryogels, known for exceptional wettability and porous structure, are not employed as fat-blocking biomaterials with dual functionality. Herein, a novel curcumin (Cur)-releasing hydrophobic oral composite cryogel with excellent fat ingestion inhibition was fabricated using cellulose nanofiber (CNF) and carrageenan (Car). By optimizing the preparation process, the microstructure, porosity, and adsorption properties were analyzed to improve performance and functionality. Subsequently, the lipophilic performance and fat-lowering effect of the cryogel were further investigated through simulated gastrointestinal digestion and high-fat diet models. The proposed oral cryogels, with 91.10–98.70 % porosity and 145° hydrophobic angle, displayed favorable porous structure and fat/oil absorption capacity. Incorporation of Car-CNF-Cur cryogel reduced stimulated fat hydrolysis by 23.4 %. Additionally, supplementation with Car-CNF-Cur cryogels in high-fat diet significantly lowered body weight and fat synthetase expression in mice after short-term ingestion. This treatment also increased fecal fat content by 29.45 %, suppressed inflammation and lipopolysaccharide without toxicity, along with modulated gut microbiota composition, thereby interfering with fat digestion. Collectively, these findings highlight the potential of Car-CNF-Cur cryogels as a promising oral fat-lowering biomaterial for obesity management.
过量的膳食脂肪摄入会带来相当大的健康风险。开发具有脂肪吸附和消化干预特性的生物材料,可以满足消费者对脂肪口味的偏好,同时增强抗肥胖功效。然而,这一战略在很大程度上仍未实现。以优异的润湿性和多孔结构而闻名的冷冻材料不被用作具有双重功能的脂肪阻断生物材料。本文以纤维素纳米纤维(CNF)和卡拉胶(Car)为原料,制备了一种新型的姜黄素(Cur)释放疏水口服复合低温凝胶,具有良好的脂肪摄入抑制作用。通过优化制备工艺,分析了其微观结构、孔隙率和吸附性能,以提高其性能和功能。随后,通过模拟胃肠道消化和高脂饮食模型,进一步研究了低温凝胶的亲脂性能和降脂效果。所制备的口腔冷冻液孔隙率为91.10 ~ 98.70%,疏水角为145°,具有良好的孔隙结构和吸脂吸油能力。Car-CNF-Cur低温凝胶的掺入减少了23.4%的脂肪水解。此外,在高脂肪饮食中补充Car-CNF-Cur冷冻食品,短期摄入后显著降低小鼠体重和脂肪合成酶表达。该处理还使粪便脂肪含量增加了29.45%,抑制了炎症和脂多糖,但没有毒性,同时调节了肠道微生物群组成,从而干扰了脂肪消化。总的来说,这些发现突出了Car-CNF-Cur冷冻液作为一种有前途的口服降脂生物材料用于肥胖管理的潜力。
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引用次数: 0
Three-dimensional bioprinted hiHeps hepatorganoids with enhanced hepatic functions for the treatment of liver failure and promotion of liver regeneration 三维生物打印的hiHeps肝类器官具有增强的肝功能,用于治疗肝衰竭和促进肝脏再生
IF 18 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2025-12-18 DOI: 10.1016/j.bioactmat.2025.12.024
Zhichao Ye , Jianing Yan , Yuheng Wang , Yiheng Lin , Chao Wang , Quan Yang , Tong Ji , Enjie Zhou , Qiang Zheng , Danyang Zhong , Yuyang Yuan , Tingting Yan , Ziyuan Wang , Jun Yin , Xiujun Cai , Yifan Wang
The intricate architecture of the liver, combined with its limited regenerative ability in severe injury, has spurred the development of innovative approaches for hepatic repair and functional restoration. Three-dimensional (3D) bioprinting provides a unique platform to reconstruct biomimetic liver tissues through spatially orchestrated cellular and extracellular matrix integration. Here, we developed 3D bioprinted hepatorganoids derived from human induced hepatocytes (hiHeps), which faithfully recapitulate the native lobular zonation crucial for spatially segregated metabolic functions in vivo. 3D bioprinted hiHeps hepatorganoids (3DP-HHO) exhibited markedly enhanced metabolic performance, including improved glucose and lipid regulation and elevated albumin synthesis, highlighting their potential as advanced liver models. The hepatorganoids demonstrated robust regenerative potential, which reversed chronic liver fibrosis (CLF) by resolving pathological collagen deposition, rescued acute liver failure (ALF) through rapid functional compensation, and accelerated liver regeneration in partial hepatectomy models by stimulating endogenous hepatocyte proliferation. Preclinical validation of post-hepatectomy liver failure (PHLF) model revealed that the implantation of 3DP-HHO significantly improved survival outcomes and promoted liver regeneration, compared to controls. In the future, by integrating patient-specific cells with regulable 3D microenvironments, our platform will achieve superior functional integration and regenerative efficacy over conventional approaches. This work establishes a paradigm for bioengineered liver grafts that actively drive tissue repair and regeneration. As a scalable and physiologically relevant approach, these bioprinted hepatic units pioneer a transformative strategy in regenerative hepatology, addressing critical challenges in treating liver failure and post-resection recovery while illuminating microenvironmental factors essential for organ-level regeneration.
肝脏复杂的结构,加上其在严重损伤中有限的再生能力,刺激了肝脏修复和功能恢复的创新方法的发展。三维(3D)生物打印提供了一个独特的平台,通过空间编排的细胞和细胞外基质整合来重建仿生肝组织。在这里,我们开发了来自人诱导肝细胞(hiHeps)的3D生物打印肝类器官,它忠实地再现了对体内空间分离代谢功能至关重要的天然小叶区分。3D生物打印的hiHeps类肝器官(3D - hho)显示出明显增强的代谢性能,包括改善葡萄糖和脂质调节以及提高白蛋白合成,突出了它们作为高级肝脏模型的潜力。肝类器官显示出强大的再生潜力,通过解决病理性胶原沉积逆转慢性肝纤维化(CLF),通过快速功能代偿挽救急性肝衰竭(ALF),并通过刺激内源性肝细胞增殖加速部分肝切除术模型中的肝脏再生。肝切除术后肝衰竭(PHLF)模型的临床前验证显示,与对照组相比,3d - hho的植入显著改善了生存结果,促进了肝脏再生。未来,通过将患者特异性细胞与可调节的3D微环境相结合,我们的平台将实现优于传统方法的功能整合和再生功效。这项工作为生物工程肝移植物积极推动组织修复和再生建立了一个范例。作为一种可扩展和生理学相关的方法,这些生物打印的肝脏单元开创了再生肝病学的变革策略,解决了治疗肝衰竭和切除后恢复的关键挑战,同时阐明了器官水平再生所必需的微环境因素。
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引用次数: 0
AI-guided precise design of antimicrobial polymers through high-throughput screening technology on an automated platform 通过自动化平台上的高通量筛选技术,人工智能引导抗菌聚合物的精确设计
IF 18 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2025-12-17 DOI: 10.1016/j.bioactmat.2025.12.020
Tianyi Zhang , Yuhui Wu , Ye Tian , Youxiang Wang , Peng Zhang , Qiannuan Shi , Qun Fang , Jianzhang Pan , Qiao Jin , Jian Ji
Antimicrobial peptides (AMPs)-mimicking antimicrobial polymers show great potential as therapeutic alternatives to antibiotics in the looming “post-antibiotic era”. However, the discovery of new AMP-mimicking antimicrobial polymers is challenging due to the vast chemical space of side-chain combinations. The advancement of AI-guided high-throughput screening enables more efficient, precise, and intelligent material design. Herein, we integrate combinatorial chemistry, machine learning, and automated high-throughput synthesis and characterization platforms to establish a new paradigm for the design of antimicrobial polymers with excellent biocompatibility. Starting with a library of 13,728 combinations, a seed dataset of 400 structures is generated, followed by four Design-Build-Test-Learn iterations using a new machine learning model. 7 top-performing candidates are screened with a minimum inhibitory concentration (MIC) ≤ 8 μg/mL and an inhibitory concentration causing 20 % cell death (IC20) ≥ 64 μg/mL. The highest-performing polymer (MIC 2 μg/mL, IC20 256 μg/mL) shows similar in vivo therapeutic efficacy with ceftazidime. Overall, the integration of AI-guided high-throughput screening and combinatorial chemistry accelerates the discovery of new antimicrobial polymers, which provides a scalable strategy for developing novel antimicrobial agents.
在即将到来的“后抗生素时代”,抗菌肽(AMPs)模拟抗菌聚合物作为抗生素的治疗替代品显示出巨大的潜力。然而,由于侧链组合的巨大化学空间,发现新的模仿amp的抗菌聚合物是具有挑战性的。人工智能引导的高通量筛选技术的进步使材料设计更加高效、精确和智能。在此,我们将组合化学,机器学习和自动化高通量合成和表征平台相结合,为设计具有优异生物相容性的抗菌聚合物建立了新的范例。从包含13,728个组合的库开始,生成包含400个结构的种子数据集,然后使用新的机器学习模型进行四次设计-构建-测试-学习迭代。筛选出最低抑制浓度(MIC)≤8 μg/mL、20%细胞死亡抑制浓度(IC20)≥64 μg/mL的最佳候选药物。表现最好的聚合物(MIC为2 μg/mL, IC20为256 μg/mL)与头孢他啶的体内治疗效果相似。总体而言,人工智能引导的高通量筛选和组合化学的结合加速了新的抗菌聚合物的发现,这为开发新型抗菌药物提供了可扩展的策略。
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引用次数: 0
Injectable microgels carrying engineered biomimetic nanoparticles for osteoarthritis therapy via dual-targeted senescent chondrocyte clearance and endogenous repair promotion 携带工程仿生纳米颗粒的可注射微凝胶通过双靶向衰老软骨细胞清除和内源性修复促进骨关节炎治疗
IF 18 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2025-12-17 DOI: 10.1016/j.bioactmat.2025.11.038
Peng Wang , Haiyue Zhao , Shuo Zhang , Yuhui Guo , Xin Xing , Shuai Zhou , Shuai Yang , Fengkun Wang , Wei Chen , Juan Wang , Yingze Zhang
The accumulation of senescent chondrocytes contributes significantly to osteoarthritis (OA) progression, establishing a self-perpetuating cycle of cartilage deterioration. Current therapeutic strategies remain limited by inadequate precision to target senescent populations and the inability to simultaneously trigger endogenous regenerative processes. Herein, we developed a hydrogel microsphere system to locally eliminate senescent chondrocytes, thereby creating a permissive microenvironment and facilitating endogenous stem cell recruitment to accelerate cartilage repair. Specifically, chondrocyte membranes (CM) overexpressing natural killer group 2 member D (NKG2D) receptors (NCM) were fabricated via plasmid transfection and extrusion to target upregulated NKG2D ligands on senescent cells. The fusion of ABT263-loaded liposomes (A-lipo) with NCM produced the senolytic ANCM nanoparticles. Subsequently, ANCM and SDF-1α were co-encapsulated into methacrylic anhydride (MA)-modified hyaluronic acid (HA) hydrogel microspheres (SHM) using microfluidics. The resulting ANCM@SHM exhibited remarkable biocompatibility and a dual-phase functionality: hydrogel-enhanced articular retention followed by ANCM-mediated active targeting of senescent chondrocytes. Functional assessments validated the effective clearance of senescent chondrocytes, achieved by inducing mitochondrial outer membrane permeabilization (MOMP), was accompanied by metabolic reprogramming of surviving chondrocytes toward an anabolic phenotype. Simultaneously, sustained SDF-1α release induced robust mesenchymal stromal cells (MSCs) homing and chondrogenic differentiation, resulting in synergistic cartilage remodeling. In vivo evaluations demonstrated a pronounced attenuation of OA progression, attributable to synergistic remodeling of the joint microenvironment. This multidimensional engineering strategy disrupts the vicious cycle of senescence-associated cartilage degeneration by integrating targeted senolysis with stem cell-mediated regeneration, providing a promising therapeutic approach for OA management.
衰老软骨细胞的积累显著促进骨关节炎(OA)的进展,建立一个自我延续的软骨退化循环。目前的治疗策略仍然受限于针对衰老人群的精度不足以及无法同时触发内源性再生过程。在此,我们开发了一种水凝胶微球系统来局部消除衰老的软骨细胞,从而创造一个允许的微环境,促进内源性干细胞的募集,以加速软骨修复。具体而言,通过质粒转染和挤压制备过表达自然杀伤组2成员D (NKG2D)受体(NCM)的软骨细胞膜(CM),将上调的NKG2D配体靶向衰老细胞。负载abt263的脂质体(A-lipo)与NCM融合产生抗衰老的ANCM纳米颗粒。随后,利用微流体将ANCM和SDF-1α共封装到甲基丙烯酸酐(MA)修饰的透明质酸(HA)水凝胶微球(SHM)中。由此产生的ANCM@SHM具有显著的生物相容性和双相功能:水凝胶增强的关节保留,随后是ancm介导的衰老软骨细胞的活性靶向。功能评估证实了衰老软骨细胞的有效清除,通过诱导线粒体外膜渗透(MOMP)实现,伴随着存活软骨细胞向合成代谢表型的代谢重编程。同时,持续的SDF-1α释放诱导强大的间充质间质细胞(MSCs)归巢和软骨分化,导致协同软骨重塑。体内评估表明,由于关节微环境的协同重塑,OA进展明显减弱。这种多维工程策略通过结合靶向老年性溶解和干细胞介导的再生,打破了与衰老相关的软骨退变的恶性循环,为OA治疗提供了一种有前景的治疗方法。
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引用次数: 0
Black phosphorus in theragenerative medicine: a multi-organ perspective on disease modulation and tissue repair 黑磷在热医学:疾病调节和组织修复的多器官视角
IF 18 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2025-12-16 DOI: 10.1016/j.bioactmat.2025.12.019
Ashkan Bigham , Anna Mariano , Aldo R. Boccaccini , Luigi Ambrosio , Maria Grazia Raucci
Black phosphorus (BP) has attracted considerable attention as a biodegradable, stimuli-responsive 2D nanomaterial, emerging as a powerful theragenerative platform that integrates disease modulation with tissue regeneration. While earlier studies focused mainly on its anticancer properties, this review provides the first comprehensive analysis of BP as a theragenerative agent, unifying its disease-modulating capacity with its ability to stimulate tissue regeneration across multiple organs. BP exhibits several shared advantages: its degradation releases bioactive phosphate ions that support tissue repair; its highly reactive surface promotes cell interactions and enables efficient drug loading and delivery; its responsiveness to external stimuli, such as Near-infrared (NIR) light, ultrasound, and electrical signals, allows precise, on-demand therapeutic activation; and its ability to modulate reactive oxygen species (ROS) and immune modulation helps balance inflammation and regeneration. These properties collectively enhance osteogenesis and implant integration in bone, accelerate wound healing in skin, promote neural repair and redox homeostasis, protect cardiac tissue, and support recovery in kidney and liver injuries. By highlighting these mechanisms, this review emphasizes BP's versatility as a multifunctional nanomaterial capable of addressing pathological conditions while simultaneously stimulating endogenous regenerative pathways, thereby laying the foundation for its translation into next-generation theragenerative platforms.
黑磷(BP)作为一种可生物降解的、刺激响应的二维纳米材料,作为一种整合疾病调节和组织再生的强大的热再生平台,已经引起了相当大的关注。虽然早期的研究主要集中在其抗癌特性上,但本综述首次全面分析了BP作为一种再生剂,将其疾病调节能力与刺激多器官组织再生的能力结合起来。BP表现出几个共同的优势:其降解释放支持组织修复的生物活性磷酸盐离子;其高度活性的表面促进细胞相互作用,使有效的药物装载和递送;它对外部刺激的反应,如近红外(NIR)光、超声波和电信号,允许精确的、按需的治疗激活;以及它调节活性氧(ROS)和免疫调节的能力,有助于平衡炎症和再生。这些特性共同促进骨生成和植入物整合,加速皮肤伤口愈合,促进神经修复和氧化还原稳态,保护心脏组织,并支持肾和肝损伤的恢复。通过强调这些机制,本综述强调了BP作为一种多功能纳米材料的多功能性,能够解决病理状况,同时刺激内源性再生途径,从而为其转化为下一代再生平台奠定了基础。
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引用次数: 0
Engineered polypeptide cascade-release platform restores macrophage plasticity for accelerated diabetic wound healing 工程多肽级联释放平台恢复巨噬细胞可塑性,加速糖尿病伤口愈合
IF 18 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2025-12-13 DOI: 10.1016/j.bioactmat.2025.12.001
Hao Xia , Qi Tang , Zhen Chen , Shujun Cao , Lihuang Wu , Lili Hao , Xiulan Hu , Lingyun Sun , Zhongwei Gu , Hongli Mao
Persistent inflammatory episodes driven by immune cell dysregulation pose a formidable clinical challenge in diabetic wound healing. Sustained and coordinated regulation of the immune niche within diabetic wounds is critical for tissue regeneration. Here, we develop a programmed therapeutic strategy based on arginine-lysine-methionine third-generation dendrimeric polypeptides whose dopamine-coated surfaces contain ferrous ions (G3D-Pmet25@PDA) to reprogram the immune niche. G3D-Pmet25@PDA exhibits a core–shell structure: ferrous ions on the surface are rapidly released under near-infrared (NIR) laser irradiation, while methionine chains encapsulated within the dopamine shell undergo a reactive oxygen species (ROS) triggered hydrophilic transition that liberates arginine for cascade release. Under NIR laser irradiation, G3D-Pmet25@PDA initiates a clearance program targeting dysregulated immune cells and concurrently reprograms the energy metabolism of newly recruited immune cells, thereby reshaping the immune niche to alleviate inflammation and activate tissue-regenerative programs for accelerated healing. Moreover, sustained low-dose nitric oxide release caused by arginine accelerates angiogenesis, which is beneficial for tissue regeneration. These findings expand the perspective on the intricate coordination of the immune system in diabetic wound repair and reveal new strategies for novel immunomodulatory biomaterials.
由免疫细胞失调驱动的持续炎症发作对糖尿病伤口愈合提出了巨大的临床挑战。持续和协调调节糖尿病伤口内的免疫生态位是组织再生的关键。在这里,我们开发了一种基于精氨酸-赖氨酸-蛋氨酸第三代树突状多肽的程序化治疗策略,其多巴胺包被的表面含有铁离子(G3D-Pmet25@PDA)来重新编程免疫生态位。G3D-Pmet25@PDA呈现核壳结构:表面的亚铁离子在近红外(NIR)激光照射下迅速释放,而包裹在多巴胺外壳内的蛋氨酸链则经历活性氧(ROS)触发的亲水转变,释放精氨酸进行级联释放。在近红外激光照射下,G3D-Pmet25@PDA启动针对失调免疫细胞的清除程序,同时重新编程新招募的免疫细胞的能量代谢,从而重塑免疫生态位以减轻炎症并激活组织再生程序以加速愈合。此外,精氨酸引起的持续低剂量一氧化氮释放加速血管生成,有利于组织再生。这些发现扩大了对糖尿病伤口修复中免疫系统复杂协调的观点,并揭示了新型免疫调节生物材料的新策略。
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引用次数: 0
Mitochondrial-targeted injectable hydrogel for periodontitis therapy via oral immunity and flora regulation 线粒体靶向注射水凝胶通过口腔免疫和菌群调节治疗牙周炎
IF 18 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2025-12-13 DOI: 10.1016/j.bioactmat.2025.12.002
Kaize Su , Yingda Yan , Jun Huang , Yini Chen , Xiangcun Shang , Xiaoying Wang , Yixiong Liu , Zefeng Lai , Fangming Song , Zhiyong Zhang , Panpan Wu , Keke Wu , Xing-Jie Liang
The therapy of chronic periodontitis poses a perennial challenge due to its intricate etiology, specific bacterial involvement, and the presence of an inflammatory immune microenvironment. The misuse of antibiotics not only triggers bacterial resistance but also disrupts the balance of oral microbiota, exacerbating the host's inflammatory response. Herein, a novel integrated synergistic hydrogel delivery platform (named GM/OHA-GZN&M) was designed to facilitate rapid, non-invasive, and antibiotic-free periodontitis treatment. This injectable hydrogel delivery platform fulfils three distinct roles: as a subgingival plaque disruptor, immune microenvironment remodeler, and microbiome modulator. As a subgingival plaque disruptor, GM/OHA-GZN&M hydrogel effectively disrupted bacterial membrane homeostasis, depolarized it, and induced the leakage of materials in the membrane. As an immune microenvironment remodeler, it effectively mediates the targeted clearance of mitochondrial reactive oxygen species (mtROS) through polyphenols, restores mitochondrial function, and disrupts the free radical cycle of inflammation. As a microbiome modulator, it effectively suppressed pathogenic bacterial overgrowth, restored oral gingival microbiota balance in rats, and created a favorable subgingival microenvironment for periodontitis treatment. In in vivo experiments, the GM/OHA-GZN&M hydrogel was used to treat a periodontitis model established by silk thread ligation in rats. Histological, microbiological, and biochemical analyses demonstrated that the hydrogel could significantly suppress inflammation and effectively promote alveolar bone regeneration through immunomodulation. To sum up, this study presents a supports therapeutic potential approach for managing periodontitis.
慢性牙周炎的治疗由于其复杂的病因、特定的细菌参与和炎症免疫微环境的存在而提出了一个长期的挑战。滥用抗生素不仅会引发细菌耐药性,还会破坏口腔微生物群的平衡,加剧宿主的炎症反应。本文设计了一种新型集成协同水凝胶给药平台(命名为GM/OHA-GZN&;M),以促进快速、无创、无抗生素的牙周炎治疗。这种可注射的水凝胶递送平台具有三个不同的作用:作为龈下斑块破坏者,免疫微环境重塑者和微生物组调节剂。GM/OHA-GZN&;M水凝胶作为龈下菌斑破坏者,能有效地破坏细菌膜的稳态,使其去极化,并诱导膜内物质的渗漏。作为一种免疫微环境重塑剂,它通过多酚类物质有效介导线粒体活性氧(mtROS)的靶向清除,恢复线粒体功能,破坏炎症自由基循环。作为微生物组调节剂,它能有效抑制致病菌过度生长,恢复大鼠口腔牙龈微生物群平衡,为牙周炎治疗创造良好的牙龈下微环境。在体内实验中,采用GM/OHA-GZN&;M水凝胶治疗丝线结扎大鼠牙周炎模型。组织学、微生物学和生化分析表明,水凝胶可以显著抑制炎症,并通过免疫调节有效促进牙槽骨再生。综上所述,本研究提出了一种支持治疗牙周炎的潜在方法。
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引用次数: 0
Dual itaconate delivery systems modulate macrophage Acod1-Hif-1α-glycolysis axis for immunotherapy of bioprosthetic heart valve calcification 双衣康酸输送系统调节巨噬细胞acod1 - hif -1α-糖酵解轴用于生物假体心脏瓣膜钙化的免疫治疗
IF 18 1区 医学 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2025-12-13 DOI: 10.1016/j.bioactmat.2025.11.040
Shuyu Wen , Junwei Zhang , Ying Zhou , Jinchi Zhang , Chao Zhang , Chunli Wang , Yixuan Wang , Zongtao Liu , Yin Xu , Bohao Jian , Hong Cao , Shijie Wang , Xing Liu , Yunlong Wu , Jiawei Shi , Fei Li , Kang Xu , Weihua Qiao , Nianguo Dong
Calcification remains a major barrier to the long-term durability of bioprosthetic heart valves (BHVs), yet effective therapeutic strategies are still lacking. Emerging evidence suggests that targeting the immune response holds strong promise for mitigating BHV calcification, although the precise mechanisms remain elusive. Here, we integrated single-cell RNA sequencing, spatial transcriptomics, and multiple experimental models to elucidate the immunological mechanisms of BHV calcification and to develop targeted immunomodulatory strategies for anti-calcification therapy. The first spatiotemporal cell atlas of BHV calcification highlights macrophages as key immune drivers, confirmed by various immunodeficient mouse models. Notably, we identified a novel pro-calcification macrophage subset characterized by low Acod1 expression and reduced itaconate production. In macrophage-specific Acod1 knockout models, increased apoptosis, oxidative stress, and extracellular matrix disruption via the HIF-1α–glycolysis pathway accelerated calcification, which was reversed by itaconate supplementation. Guided by these findings, we designed two biomaterial-based therapeutic strategies: a BHV surface functionalized with itaconate via layer-by-layer assembly for localized, sustained release; and tetrazine-functionalized nanoparticles encapsulating itaconate, selectively delivered to trans-cyclooctene–modified BHVs through a bioorthogonal click reaction. Both platforms exhibited favorable biocompatibility and effectively attenuated BHV calcification in vivo, demonstrating strong translational potential. Together, our findings underscore the immune-metabolic axis underlying BHV calcification and pave the way for advanced immune-modulating treatments in BHV management.
钙化仍然是生物人工心脏瓣膜(bhv)长期耐用性的主要障碍,但有效的治疗策略仍然缺乏。新出现的证据表明,靶向免疫反应对减轻BHV钙化具有很大的希望,尽管精确的机制仍然难以捉摸。在这里,我们整合了单细胞RNA测序、空间转录组学和多个实验模型来阐明BHV钙化的免疫机制,并制定靶向免疫调节策略来抗钙化治疗。BHV钙化的第一个时空细胞图谱强调巨噬细胞是关键的免疫驱动因素,被各种免疫缺陷小鼠模型证实。值得注意的是,我们发现了一种新的促钙化巨噬细胞亚群,其特征是低Acod1表达和衣康酸产生减少。在巨噬细胞特异性Acod1敲除模型中,通过hif -1α -糖酵解途径增加的细胞凋亡、氧化应激和细胞外基质破坏加速了钙化,衣康酸补充可逆转这一过程。在这些发现的指导下,我们设计了两种基于生物材料的治疗策略:一种BHV表面通过衣康酸的层层组装实现功能化,以实现局部、持续释放;四嗪功能化的纳米颗粒包裹衣康酸,通过生物正交点击反应选择性地递送到反式环烯修饰的bhv上。两种平台在体内均表现出良好的生物相容性,并能有效地减弱BHV钙化,显示出强大的转化潜力。总之,我们的研究结果强调了BHV钙化背后的免疫代谢轴,并为BHV管理中的高级免疫调节治疗铺平了道路。
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引用次数: 0
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Bioactive Materials
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