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Exosomes as Precise Regulators of the Osteoimmune Microenvironment: Engineering Strategies for Bone Regeneration. 外泌体作为骨免疫微环境的精确调节因子:骨再生的工程策略。
IF 9.6 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2026-02-06 eCollection Date: 2026-01-01 DOI: 10.34133/bmr.0321
He Wang, Ruhua Chen, Xinran Li, Jing Wang, Taiying Chen, Shuqi Sun, Xinjie Qiu, Shaobang Wu, Xinyue Zeng, Zhixin Chen, Xiuyun Ren, Bin Zhao

Bone homeostasis is a dynamically orchestrated process that is intricately regulated by the immune system. The emerging field of osteoimmunology has demonstrated that bone homeostasis and repair are governed by a sophisticated crosstalk between immune and skeletal cells, in which immune signals play a critical role in modulating osteogenesis and osteoclastogenesis. Nevertheless, conventional bone repair strategies frequently overlook immune modulation, instead prioritizing structural support or direct osteoinductive effects. Exosomes-endogenous nanovesicles characterized by low immunogenicity and high bioavailability-have emerged as potent mediators within the immune-bone axis. These vesicles mediate intercellular communication by delivering functional cargo, including miRNAs, proteins, and lipids, across biological barriers, thereby enabling precise regulation of inflammatory responses and immune cell polarization. Importantly, exosomes can reprogram the local immune microenvironment from a pro-inflammatory to a regenerative, anti-inflammatory state, thus promoting enhanced bone healing in complex clinical conditions such as osteoporosis and bone defects. This review systematically examines the molecular mechanisms through which exosomes modulate immune responses in bone biology, highlights their pivotal role in reshaping the osteoimmune microenvironment, and discusses their transformative potential in the development of next-generation, precision-based therapeutic approaches for bone regeneration.

骨稳态是一个动态协调的过程,由免疫系统复杂地调节。新兴的骨免疫学领域已经证明,骨稳态和修复是由免疫细胞和骨骼细胞之间复杂的串扰控制的,其中免疫信号在调节成骨和破骨细胞发生中起着关键作用。然而,传统的骨修复策略经常忽略免疫调节,而优先考虑结构支持或直接骨诱导作用。外泌体是一种内源性纳米囊泡,具有低免疫原性和高生物利用度的特点,已成为免疫-骨轴内的有效介质。这些囊泡通过传递包括mirna、蛋白质和脂质在内的功能性货物,跨越生物屏障,介导细胞间通讯,从而能够精确调节炎症反应和免疫细胞极化。重要的是,外泌体可以将局部免疫微环境从促炎状态重编程为再生、抗炎状态,从而促进骨质疏松症和骨缺陷等复杂临床情况下的骨愈合。这篇综述系统地研究了外泌体在骨生物学中调节免疫反应的分子机制,强调了它们在重塑骨免疫微环境中的关键作用,并讨论了它们在下一代骨再生精准治疗方法发展中的变革潜力。
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引用次数: 0
History of the International Union of Societies for Biomaterials Science and Engineering. 国际生物材料科学与工程学会联合会的历史。
IF 9.6 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2026-02-06 eCollection Date: 2026-01-01 DOI: 10.34133/bmr.0239
Joachim Kohn, Insup Noh

The International Union of Societies for Biomaterials Science and Engineering (IUSBSE) is a global organization in the field of biomaterials that brings together national and international biomaterials societies. It is dedicated to the advancement of not only biomaterials but also surgical implants, prosthetics, artificial organs, tissue engineering, drug delivery, and regenerative medicine. IUSBSE and the World Biomaterials Congress were established in 1996. This article highlights the efforts and contributions of IUSBSE's past and current presidents from 1980 to 2024 in both academia and industry. The history of IUSBSE acknowledges its background, its role, and the lifetime contributions of its presidents in fostering international networks among students, researchers, and societies in biomaterials science, as well as advancing academic and industrial progress in support of human health.

国际生物材料科学与工程学会联合会(IUSBSE)是生物材料领域的全球性组织,汇集了国家和国际生物材料学会。它不仅致力于生物材料的发展,还致力于外科植入物、假肢、人造器官、组织工程、药物输送和再生医学的发展。IUSBSE和世界生物材料大会成立于1996年。本文重点介绍了1980年至2024年间IUSBSE前任和现任校长在学术界和工业界的努力和贡献。IUSBSE的历史承认了它的背景,它的作用,以及它的校长们在促进生物材料科学的学生,研究人员和社会之间的国际网络,以及推动支持人类健康的学术和工业进步方面的终身贡献。
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引用次数: 0
3D-Printed Colloidal Crystal Hydrogel Crown Fused with Machine Learning-Integrated Resistance Strain Sensor for Pressure Sensing. 3d打印胶体晶体水凝胶冠融合与机器学习集成电阻应变传感器压力传感。
IF 9.6 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2026-02-04 eCollection Date: 2026-01-01 DOI: 10.34133/bmr.0313
Zheng Mao, Dongxiang Yang, Ling Tang, Qing He, Yue Wang, Songchao Fu, Zhiwei Jiang, Ying Wang, Chenkai Zou, Cihui Liu, Linling Yin

Advancements in dental restoration technologies have created transformative opportunities for enhancing crown repair through intelligent sensing and adaptive design. While modern materials like ceramics and resins improve aesthetic and functional outcomes, persistent challenges in long-term fit, durability, and dynamic pressure monitoring remain unaddressed. This study introduces a groundbreaking approach that synergizes 3-dimensional (3D)-printed colloidal crystal hydrogel crowns with machine learning-integrated resistance strain sensors. The hydrogel's inverse opal structure ensures robust adhesion to the tooth surface, while embedded strain sensors capture real-time, multidirectional pressure data. Unlike conventional sensing systems, our framework employs machine learning algorithms to dynamically interpret strain patterns, enabling predictive modeling of occlusal forces and adaptive calibration of crown fit. The hydrogel's temperature-responsive properties, combined with sensor stability under oral environmental fluctuations, ensure reliable long-term performance. Machine learning further enhances diagnostic precision by correlating strain-resistance data with clinical parameters, facilitating personalized adjustments to restoration plans. This work pioneers the fusion of intelligent sensing, material innovation, and data-driven analytics in dental care, establishing a foundation for next-generation adaptive and patient-specific restorative solutions.

牙科修复技术的进步为通过智能感知和自适应设计增强冠修复创造了变革性的机会。虽然陶瓷和树脂等现代材料改善了美观和功能效果,但长期适用性、耐用性和动态压力监测方面的持续挑战仍未得到解决。这项研究引入了一种开创性的方法,将三维(3D)打印的胶体晶体水凝胶冠与机器学习集成的电阻应变传感器协同作用。水凝胶的反蛋白石结构确保了与牙齿表面的牢固粘附,而嵌入式应变传感器可以捕获实时、多向的压力数据。与传统传感系统不同,我们的框架采用机器学习算法来动态解释应变模式,实现咬合力的预测建模和牙冠配合的自适应校准。水凝胶的温度响应特性,结合传感器在口腔环境波动下的稳定性,确保了可靠的长期性能。机器学习通过将应变抵抗数据与临床参数相关联,进一步提高诊断精度,促进个性化调整修复计划。这项工作开创了智能传感、材料创新和数据驱动分析在牙科护理中的融合,为下一代自适应和患者特异性修复解决方案奠定了基础。
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引用次数: 0
Cellulose Nanocrystal-Based Sulfatase-Responsive Hydrogel for Sustained Celecoxib Release in Ulcerative Colitis Therapy. 纤维素纳米晶硫酸盐酶反应水凝胶用于溃疡性结肠炎治疗中的持续塞来昔布释放。
IF 9.6 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2026-02-03 eCollection Date: 2026-01-01 DOI: 10.34133/bmr.0304
Panalee Pomseethong, Mydhili Govindarasu, Garima Sharma, Yuyuan Guo, Jomon George Joy, Songrae Kim, Seung-Hwan Lee, Jin-Chul Kim

Conventional treatments for ulcerative colitis (UC) are often associated with systemic side effects and require frequent dosing due to nonspecific drug distribution. Herein, a hydrogel based on poly(diallyldimethylammonium chloride) (PDADMAC) and cellulose nanocrystals (CNCs) was designed for the oral delivery of celecoxib in the treatment of UC. The hydrogel network incorporated sulfate ester groups, enabling sulfatase enzymes sensitive in the colon. Physiochemical characterization confirmed successful formation of the hydrogel, effective sulfate functionalization, and efficient drug encapsulation. Swelling studies revealed that the hydrogel maintained structural stability under different pH conditions, while in vitro and in vivo experiments demonstrated that drug release was markedly enhanced in the presence of sulfatase. Furthermore, the hydrogel showed improved drug loading efficiency and sustained release behavior. In a dextran sulfate sodium-induced UC mouse model, the celecoxib-loaded PDADMAC-CNC hydrogel effectively alleviated colonic inflammation, preserved colon structure, and reduced pro-inflammatory cytokine levels more markedly than free drug administration. This finding highlights the potential of sulfatase-responsive PDADMAC-CNC hydrogels as a targeted, safe, and effective approach for treating inflammatory bowel diseases, such as UC.

溃疡性结肠炎(UC)的常规治疗通常与全身副作用有关,并且由于非特异性药物分布需要频繁给药。本文设计了一种基于聚二烯基二甲基氯化铵(PDADMAC)和纤维素纳米晶体(CNCs)的水凝胶,用于口服塞来昔布治疗UC。水凝胶网络包含硫酸酯基团,使结肠中的硫酸酯酶敏感。物理化学表征证实了水凝胶的成功形成,有效的硫酸盐功能化和有效的药物包封。溶胀研究表明,水凝胶在不同pH条件下保持结构稳定性,体外和体内实验表明,在硫酸酯酶的存在下,药物释放明显增强。此外,水凝胶还显示出更高的载药效率和缓释性能。在葡聚糖硫酸钠诱导的UC小鼠模型中,塞来昔布负载的PDADMAC-CNC水凝胶比自由给药更有效地减轻了结肠炎症,保存了结肠结构,并显著降低了促炎细胞因子水平。这一发现突出了硫酸盐酶反应性PDADMAC-CNC水凝胶作为治疗炎性肠病(如UC)的靶向、安全、有效方法的潜力。
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引用次数: 0
Ultrasound-Activated Nanoplatform Counteracts Triple-Negative Breast Cancer via Remodeling Intratumoral Microbiota-Metabolism and Inducing Ferroptosis. 超声激活纳米平台通过重塑肿瘤内微生物代谢和诱导铁下垂来对抗三阴性乳腺癌。
IF 9.6 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2026-02-03 eCollection Date: 2026-01-01 DOI: 10.34133/bmr.0317
Shuao Li, Yuxiu Gao, Danni Jiang, Xiaoyu Wu, Yanan Feng, Fang Chen, Ningning He, Shangyong Li, Luxia Jing, Cheng Zhao

Triple-negative breast cancer (TNBC) remains therapeutically challenging owing to the paucity of broadly effective molecular targets. Piezoelectric nanomaterials that generate localized electric fields and reactive oxygen species under ultrasound (US) stimulation have emerged as a promising strategy for TNBC therapy. Here, we developed a US-activatable nanoplatform (HN-T/BT@Lip) in which toyocamycin-loaded CaCO3-carboxymethyl chitosan hybrid nanoparticles (HNs) and barium titanate (BaTiO3, BT) are co-encapsulated in folate-modified liposomes. US-activated HN-T/BT@Lip suppressed tumor growth and induced ferroptosis. Integrated transcriptomic, metabolomic, and microbiota profiling further revealed that this treatment disrupts glutathione metabolism, enhances susceptibility to lipid peroxidation, and perturbs iron homeostasis. These effects were closely associated with shifts in microbial community composition and altered levels of microbiota-derived metabolites. In vitro assays further demonstrated that the microbiota-associated metabolite trimethylamine N-oxide synergistically amplified lipid peroxidation under HN-T/BT@Lip + US treatment. Collectively, our findings demonstrate that US-activated HN-T/BT@Lip elicits potent ferroptosis in TNBC while concomitantly reshaping the intratumoral microbiota-metabolism landscape, and they highlight microbiota-derived metabolites such as trimethylamine N-oxide as potential modulators and biomarkers of nanotherapeutic ferroptosis.

由于缺乏广泛有效的分子靶点,三阴性乳腺癌(TNBC)在治疗上仍然具有挑战性。在超声(US)刺激下产生局部电场和活性氧的压电纳米材料已成为治疗TNBC的一种有前途的策略。在这里,我们开发了一个美国活化的纳米平台(HN-T/BT@Lip),其中toyocamycin负载的caco3 -羧甲基壳聚糖混合纳米粒子(HNs)和钛酸钡(BaTiO3, BT)被共封装在叶酸修饰的脂质体中。us激活的HN-T/BT@Lip抑制肿瘤生长,诱导铁下垂。综合转录组学、代谢组学和微生物群分析进一步揭示,这种治疗破坏谷胱甘肽代谢,增强对脂质过氧化的易感性,并扰乱铁稳态。这些影响与微生物群落组成的变化和微生物衍生代谢物水平的改变密切相关。体外实验进一步证明,在HN-T/BT@Lip + US处理下,微生物相关代谢物三甲胺n -氧化物协同放大了脂质过氧化。总的来说,我们的研究结果表明,us激活的HN-T/BT@Lip在TNBC中引发了强效的铁死亡,同时重塑了肿瘤内微生物群代谢景观,并且他们强调了微生物群衍生的代谢物,如三甲胺n -氧化物是纳米治疗铁死亡的潜在调节剂和生物标志物。
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引用次数: 0
Transgene-Free Direct Osteogenic Reprogramming Using Cell-Permeable Octamer-Binding Transcription Factor 4/Core-Binding Factor β Fusion Proteins. 使用细胞渗透性八聚体结合转录因子4/核心结合因子β融合蛋白的无转基因直接成骨重编程。
IF 9.6 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2026-02-03 eCollection Date: 2026-01-01 DOI: 10.34133/bmr.0320
Manho Kim, Jaeyoung Lee, Wijin Kim, Songrae Kim, Jongmin Park, Ju Hyun Park

Bone-related disorders, including fractures and osteoporosis, remain substantial clinical challenges, partly because of the limited availability of reliable osteogenic cell sources and complications associated with current therapies. To address these limitations, this study introduces a novel protein-based direct reprogramming platform for the conversion of human dermal fibroblasts into functional osteoblasts using only 2 transcription factors, octamer-binding transcription factor 4 (Oct4) and core-binding factor β (Cbfβ), fused to the silkworm-derived cell-penetrating protein, 30Kc19. Genetic fusion with 30Kc19 markedly improves the stability and cellular uptake of both Oct4 and Cbfβ, resulting in recombinant constructs (Oct4-30Kc19 and Cbfβ-30Kc19) that achieve high reprogramming efficiency with negligible cytotoxicity, outperforming plasmid DNA-based methods. The protein-induced osteoblasts (piOBs) exhibit a characteristic osteoblast morphology, express established osteogenic markers, and display a global transcriptomic profile that aligns with key features of primary human osteoblasts. Importantly, transplantation of piOBs into a murine calvarial defect model induces substantial new bone formation, demonstrating in vivo therapeutic efficacy. By leveraging the unique cell-permeable and protein-stabilizing properties of 30Kc19, this streamlined 2-factor system represents a potentially safer, more scalable, and clinically feasible strategy for regenerative therapies targeting bone diseases, circumventing the inherent risks associated with viral vectors and genomic integration.

骨相关疾病,包括骨折和骨质疏松,仍然是重大的临床挑战,部分原因是可靠的成骨细胞来源的可用性有限,以及与当前治疗相关的并发症。为了解决这些限制,本研究引入了一种新的基于蛋白质的直接重编程平台,用于将人真皮成纤维细胞转化为功能性成骨细胞,仅使用两种转录因子,八聚体结合转录因子4 (Oct4)和核心结合因子β (Cbfβ),融合到蚕源性细胞穿透蛋白30Kc19中。与30Kc19的基因融合显著提高了Oct4和Cbfβ的稳定性和细胞摄取,导致重组结构(Oct4-30Kc19和Cbfβ-30Kc19)实现了高重编程效率,细胞毒性可忽略不计,优于基于质粒dna的方法。蛋白质诱导的成骨细胞(piOBs)表现出典型的成骨细胞形态,表达已建立的成骨标志物,并显示出与原代人成骨细胞的关键特征一致的全球转录组学特征。重要的是,将piOBs移植到小鼠颅骨缺损模型中可诱导大量新骨形成,显示出体内治疗效果。通过利用30Kc19独特的细胞渗透性和蛋白质稳定性,这种流线型的2因子系统代表了一种潜在的更安全、更可扩展和临床可行的骨疾病再生治疗策略,规避了与病毒载体和基因组整合相关的固有风险。
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引用次数: 0
E-Selectin-Targeted Nanomicelles via Sialic Acid Conjugation for Anti-Inflammatory Efficacy and Alleviating the Progression of Metabolic-Associated Steatotic Liver Disease. 通过唾液酸偶联的e选择靶向纳米胶束抗炎功效和缓解代谢相关脂肪变性肝病的进展
IF 9.6 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2026-02-02 eCollection Date: 2026-01-01 DOI: 10.34133/bmr.0305
Congyi Zhang, Changmei Zhang, Qiong Sun, Haotian Wu, Wenze Yin, Haiyan Zhu, Shizhuan Huang, Zhihua Zhang, Yiyun Zou, Dixiang Wen, Xiaoyan Xu, Mingming Lian, Changhao Sun, Sheng Tai

Background: Metabolic-associated steatotic liver disease (MASLD), including metabolic dysfunction-associated steatohepatitis (MASH), is a growing health concern characterized by liver inflammation, fibrosis, and endothelial dysfunction. Targeted therapies are essential to address these issues and improve treatment outcomes. Methods: A sialic acid (SA)-modified nanomicelle system (SA-PEG-ALA) was developed to target liver sinusoidal endothelial cells (LSECs) via the E-selectin (SELE). Molecular docking and surface plasmon resonance (SPR) were used to confirm the binding interaction between SA and SELE. In vitro assays using LSECs and steatotic hepatocytes were conducted to evaluate the cellular uptake and therapeutic efficacy of SA-PEG-ALA. In vivo studies using an HFHC-induced MASH mouse model were carried out to evaluate the distribution and therapeutic outcomes of SA-PEG-ALA. Additionally, RNA sequencing was performed to explore the molecular mechanisms underlying its effects. Results: Molecular docking and SPR analyses confirmed that SA effectively binds to SELE, facilitating the targeted delivery of ALA to LSECs. In vitro, SA-PEG-ALA showed substantially higher uptake in LSECs compared to other formulations. In vivo, SA-PEG-ALA demonstrated superior targeting of the liver and showed enhanced therapeutic effects compared to PEG-ALA, significantly alleviating steatosis, liver inflammation, and fibrosis in the MASH model. Mechanistically, SA-PEG-ALA interacted with HSP70, enhancing its stability and promoting the binding of HSP70 to IκBα, which contributed to inhibition of NF-κB signaling pathway. Conclusion: SA-PEG-ALA offers a promising targeted therapeutic strategy for MASLD, with improved liver targeting, anti-inflammatory, and antifibrotic effects, highlighting its potential for treating MASLD.

背景:代谢相关脂肪性肝病(MASLD),包括代谢功能障碍相关脂肪性肝炎(MASH),是一种日益增长的健康问题,其特征是肝脏炎症、纤维化和内皮功能障碍。靶向治疗对于解决这些问题和改善治疗效果至关重要。方法:制备唾液酸修饰纳米胶束系统(SA- peg - ala),通过e -选择素(SELE)靶向肝窦内皮细胞(LSECs)。分子对接和表面等离子体共振(SPR)证实了SA和SELE之间的结合相互作用。采用LSECs和脂肪变性肝细胞进行体外实验,评估SA-PEG-ALA的细胞摄取和治疗效果。采用hfhc诱导的MASH小鼠模型进行体内研究,以评估SA-PEG-ALA的分布和治疗效果。此外,进行RNA测序以探索其作用的分子机制。结果:分子对接和SPR分析证实,SA与SELE有效结合,促进ALA靶向递送至LSECs。在体外,与其他制剂相比,SA-PEG-ALA在LSECs中的摄取明显更高。在体内,与PEG-ALA相比,SA-PEG-ALA表现出更好的肝脏靶向性,并显示出更强的治疗效果,显著缓解MASH模型中的脂肪变性、肝脏炎症和纤维化。机制上,SA-PEG-ALA与HSP70相互作用,增强其稳定性,促进HSP70与i -κB α结合,从而抑制NF-κB信号通路。结论:SA-PEG-ALA为MASLD提供了一种有前景的靶向治疗策略,具有更好的肝脏靶向、抗炎和抗纤维化作用,突出了其治疗MASLD的潜力。
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引用次数: 0
Biomimetic Nanotechnology Overcoming the Blood-Testis Barrier for Testicular Protection in Chemotherapy. 仿生纳米技术克服化疗中睾丸保护的血睾丸屏障。
IF 9.6 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2026-01-30 eCollection Date: 2026-01-01 DOI: 10.34133/bmr.0314
Chaoli An, Jiefeng Sun, Ao Ma, Qi Mei, Bixiao Liu, Li Lu, Yu Yang, Wen Yu, Tao Song, Qingqiang Gao, Liang Shi, Qiuling Yue, Hui Wei, Xiaozhi Zhao

Cancer patients exposed to chemotherapeutic drugs and whole-body radiation can result in testicular injury and germ cell loss. One of the mechanisms is that these drugs lead to the accumulation of reactive oxygen species (ROS) in the testes, which has been documented to cause testicular damage. Therefore, this highlights the critical need for ROS clearance in testes to preserve male fertility during cancer treatment. The blood-testis barrier (BTB) poses a major challenge, due to the absence of effective pharmaceutical agents that can penetrate this barrier to neutralize ROS effectively. We synthesized nanomaterials based on manganese-superoxide dismutase (PCN-222-Mn), demonstrating the ability to cross BTB and facilitate ROS clearance. Real-time T1-weighted magnetic resonance imaging confirmed the targeted delivery of PCN-222-Mn to the testes in mice. In murine models of testicular injury induced by cyclophosphamide, PCN-222-Mn showed major therapeutic effects by protecting germ cells and associated somatic cells through ROS reduction and autophagy enhancement. Additionally, PCN-222-Mn was demonstrated to penetrate Sertoli cells via clathrin-mediated and caveolae-mediated endocytosis and expelled by exocytosis, facilitating transport across the BTB. This research not only proposes a viable therapeutic approach to preserve male fertility during cancer treatment but also underscores the transformative potential of nanozymes in clinical settings.

癌症患者暴露于化疗药物和全身放射可导致睾丸损伤和生殖细胞丢失。其中一种机制是这些药物导致睾丸中活性氧(ROS)的积累,这已被证明会导致睾丸损伤。因此,这强调了在癌症治疗期间清除睾丸中的ROS以保持男性生育能力的关键需求。血睾丸屏障(BTB)是一个重大挑战,因为缺乏有效的药物可以穿透这一屏障,有效地中和ROS。我们合成了基于锰-超氧化物歧化酶(PCN-222-Mn)的纳米材料,证明了其穿过BTB和促进ROS清除的能力。实时t1加权磁共振成像证实了PCN-222-Mn靶向递送到小鼠睾丸。在环磷酰胺致小鼠睾丸损伤模型中,PCN-222-Mn通过减少ROS和增强自噬来保护生殖细胞和相关体细胞,显示出主要的治疗作用。此外,PCN-222-Mn通过网格蛋白介导和小泡介导的内吞作用穿透支持细胞,并通过胞吐作用排出,促进跨BTB的运输。这项研究不仅提出了一种可行的治疗方法,在癌症治疗期间保持男性生育能力,而且强调了纳米酶在临床环境中的转化潜力。
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引用次数: 0
Design Considerations, Formulation Approaches, and Strategic Advances of Hydrogel Platforms for Tendinopathy Management. 肌腱病变管理水凝胶平台的设计考虑、配方方法和战略进展。
IF 9.6 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2026-01-29 eCollection Date: 2026-01-01 DOI: 10.34133/bmr.0299
Junhao Lin, Xuan Yao, Hongyan Zhou, Yuheng Li, Jie Liao, Shiwu Dong, Wenhui Hu

Tendinopathy is a musculoskeletal disorder characterized by severe pain that may persist for weeks or months, often resulting in disability. Existing treatments primarily consist of conservative interventions, including rest, nonsteroidal anti-inflammatory medications, localized corticosteroid injections, ultrasound, bracing, and stem cell-based therapies, as well as surgical procedures. However, therapeutic outcomes remain unsatisfactory. Consequently, there is an urgent need for effective strategies in tendinopathy management. As a bioengineered material, the hydrogel has been extensively studied for the treatment of tendinopathy due to its stable physicochemical properties, biocompatibility, degradability, mechanical robustness, injectability, and stimuli-responsive drug delivery capability. Based on the anatomical structure of tendons and therapeutic requirements during disease progression, hydrogels can be designed into various formulations, such as scaffolds, patches, sprays, microspheres, and injectable systems, depending on the raw materials, crosslinking methods, sizes, and morphological configuration. This review provides a comprehensive overview of the pathophysiological process involved in tendon healing and summarizes the considerations in the design of hydrogels in tendinopathy treatment. It emphasizes the therapeutic applications and stimuli-responsive properties of various hydrogel formulations in tendinopathy treatment, advancing the understanding of hydrogel-based strategies for tendinopathy management and focusing on formulation design. Additionally, the opportunities artificial intelligence brings to hydrogel research in design, optimization, and application advancement are also comprehensively discussed. Understanding the advances associated with hydrogel development is crucial for tendinopathy treatment.

肌腱病是一种肌肉骨骼疾病,其特征是持续数周或数月的剧烈疼痛,通常导致残疾。现有的治疗主要包括保守干预,包括休息、非甾体抗炎药物、局部皮质类固醇注射、超声、支具、干细胞治疗以及外科手术。然而,治疗结果仍然不令人满意。因此,迫切需要有效的肌腱病变管理策略。水凝胶作为一种生物工程材料,由于其稳定的物理化学性质、生物相容性、可降解性、机械稳健性、可注射性和刺激反应性药物传递能力,已被广泛研究用于肌腱病变的治疗。根据肌腱的解剖结构和疾病进展期间的治疗需求,水凝胶可以设计成各种配方,如支架、贴片、喷雾剂、微球和注射系统,具体取决于原料、交联方法、大小和形态配置。本文综述了肌腱愈合的病理生理过程,并总结了肌腱病变治疗中水凝胶设计的考虑因素。它强调了各种水凝胶制剂在肌腱病变治疗中的治疗应用和刺激反应特性,促进了对基于水凝胶的肌腱病变管理策略的理解,并着重于制剂设计。此外,还全面讨论了人工智能在水凝胶设计、优化和应用进步方面给水凝胶研究带来的机遇。了解与水凝胶发展相关的进展对肌腱病变的治疗至关重要。
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引用次数: 0
Bentonite-Based Functional Nanoclay Enhances Bacteriophage Therapy against Enteric Infections via Toxin Adsorption and Microbiome Recovery. 基于膨润土的功能纳米粘土通过毒素吸附和微生物组恢复增强噬菌体治疗肠道感染。
IF 9.6 Q1 ENGINEERING, BIOMEDICAL Pub Date : 2026-01-29 eCollection Date: 2026-01-01 DOI: 10.34133/bmr.0310
Md Shohel Rana, Md Shamsuzzaman, Joo Hun Shin, You-Jeong Lee, Beoul Kim, Min-Goo Seo, Sung Man Seo, Sa-Hyun Kim, Je Chul Lee, Jungmin Kim, Shukho Kim

Diarrheal infections caused by antibiotic-resistant Escherichia coli pose a serious threat to human and animal health, driving the need for innovative therapeutic strategies. This study introduces a dual-action strategy that integrates bacteriophage EC.W2-6 with bentonite to enhance bacterial clearance and macromolecular toxin removal. Phage EC.W2-6 demonstrated high specificity against enterotoxigenic E. coli (ETEC) H10407, achieving nearly 100% adsorption to host cells within 15 min and a moderate burst size of approximately 80 plaque-forming units per infected cell. Bentonite exhibited substantial dose-dependent binding of ETEC-secreted proteins and outer membrane vesicles (OMVs), with the 30-g treatment showing the highest efficiency. Nanoparticle tracking analysis confirmed a 3.56-fold reduction in OMVs at 5 g bentonite and near-complete removal at 30 g. Physicochemical analysis indicated a stabilizing effect of bentonite, showing that bentonite-phage association partially neutralized the phage surface charge (from -34.2 to -13.4 mV), forming a more stable colloidal complex with an approximately 2-fold decrease in colloidal size. In a murine diarrheal model, single therapy with either EC.W2-6 (multiplicity of infection = 0.1) or 8% bentonite conferred 60% survival, whereas combination treatment provided 100% protection with a synergistic effect. Microbiome analysis revealed that dual therapy restored gut microbial diversity and suppressed Proteobacteria expansion, closely resembling healthy controls. These findings highlight the therapeutic potential of combining bentonite with phage therapy as an integrated macromolecular intervention against ETEC-induced diarrhea and intestinal dysbiosis.

耐抗生素大肠杆菌引起的腹泻感染对人类和动物健康构成严重威胁,推动了对创新治疗策略的需求。本研究介绍了一种整合噬菌体EC的双作用策略。W2-6与膨润土增强细菌清除和大分子毒素去除。噬菌体EC。W2-6对产肠毒素大肠杆菌(ETEC) H10407表现出高特异性,在15分钟内对宿主细胞的吸附接近100%,每个感染细胞的爆发大小约为80个斑块形成单位。膨润土对ec分泌蛋白和外膜囊泡(OMVs)的结合表现出明显的剂量依赖性,其中30 g处理效果最好。纳米颗粒跟踪分析证实,在5 g膨润土下,omv减少了3.56倍,在30 g膨润土下,omv几乎完全去除。理化分析表明膨润土具有稳定作用,膨润土-噬菌体结合部分中和了噬菌体表面电荷(从-34.2 mV到-13.4 mV),形成了更稳定的胶体复合物,胶体尺寸减小了约2倍。在小鼠腹泻模型中,任一EC单次治疗。W2-6(感染多重度= 0.1)或8%膨润土可获得60%的存活率,而联合治疗可提供100%的保护,并具有协同效应。微生物组分析显示,双重治疗恢复了肠道微生物多样性,抑制了变形菌群的扩张,与健康对照组非常相似。这些发现强调了将膨润土与噬菌体治疗结合起来作为一种综合大分子干预治疗大肠杆菌引起的腹泻和肠道生态失调的潜力。
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