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用于骨再生的生物活性水凝胶。

Bioactive hydrogels for bone regeneration.

作者信息

Bai Xin, Gao Mingzhu, Syed Sahla, Zhuang Jerry, Xu Xiaoyang, Zhang Xue-Qing

机构信息

Engineering Research Center of Cell & Therapeutic Antibody, Ministry of Education, School of Pharmacy, Shanghai Jiao Tong University, 800 Dongchuan Road, Shanghai, 200240, P.R. China.

Department of Chemical and Materials Engineering, New Jersey Institute of Technology, Newark, NJ, 07102, USA.

出版信息

Bioact Mater. 2018 May 26;3(4):401-417. doi: 10.1016/j.bioactmat.2018.05.006. eCollection 2018 Dec.

Abstract

Bone self-healing is limited and generally requires external intervention to augment bone repair and regeneration. While traditional methods for repairing bone defects such as autografts, allografts, and xenografts have been widely used, they all have corresponding disadvantages, thus limiting their clinical use. Despite the development of a variety of biomaterials, including metal implants, calcium phosphate cements (CPC), hydroxyapatite, etc., the desired therapeutic effect is not fully achieved. Currently, polymeric scaffolds, particularly hydrogels, are of interest and their unique configurations and tunable physicochemical properties have been extensively studied. This review will focus on the applications of various cutting-edge bioactive hydrogels systems in bone regeneration, as well as their advantages and limitations. We will examine the composition and defects of the bone, discuss the current biomaterials for bone regeneration, and classify recently developed polymeric materials for hydrogel synthesis. We will also elaborate on the properties of desirable hydrogels as well as the fabrication techniques and different delivery strategies. Finally, the existing challenges, considerations, and the future prospective of hydrogels in bone regeneration will be outlined.

摘要

骨自我修复能力有限,通常需要外部干预来增强骨修复和再生。虽然自体骨移植、异体骨移植和异种骨移植等传统的骨缺损修复方法已被广泛应用,但它们都有相应的缺点,从而限制了其临床应用。尽管已开发出多种生物材料,包括金属植入物、磷酸钙骨水泥(CPC)、羟基磷灰石等,但仍未完全达到理想的治疗效果。目前,聚合物支架,特别是水凝胶,备受关注,其独特的结构和可调节的物理化学性质已得到广泛研究。本综述将聚焦于各种前沿生物活性水凝胶系统在骨再生中的应用及其优缺点。我们将研究骨的组成和缺陷,讨论当前用于骨再生的生物材料,并对最近开发的用于水凝胶合成的聚合物材料进行分类。我们还将详细阐述理想水凝胶的性质以及制备技术和不同的递送策略。最后,将概述水凝胶在骨再生中面临的现有挑战、注意事项以及未来前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f7d/6038268/a59fae4b9a75/fx1.jpg

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