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生物可吸收材料正在兴起:从电子元件和物理传感器到体内监测系统。

Bioresorbable Materials on the Rise: From Electronic Components and Physical Sensors to In Vivo Monitoring Systems.

作者信息

La Mattina Antonino A, Mariani Stefano, Barillaro Giuseppe

机构信息

Dipartimento di Ingegneria dell'Informazione Università di Pisa Via G. Caruso 16 56122 Pisa Italy.

出版信息

Adv Sci (Weinh). 2020 Jan 19;7(4):1902872. doi: 10.1002/advs.201902872. eCollection 2020 Feb.

Abstract

Over the last decade, scientists have dreamed about the development of a bioresorbable technology that exploits a new class of electrical, optical, and sensing components able to operate in physiological conditions for a prescribed time and then disappear, being made of materials that fully dissolve in vivo with biologically benign byproducts upon external stimulation. The final goal is to engineer these components into transient implantable systems that directly interact with organs, tissues, and biofluids in real-time, retrieve clinical parameters, and provide therapeutic actions tailored to the disease and patient clinical evolution, and then biodegrade without the need for device-retrieving surgery that may cause tissue lesion or infection. Here, the major results achieved in bioresorbable technology are critically reviewed, with a bottom-up approach that starts from a rational analysis of dissolution chemistry and kinetics, and biocompatibility of bioresorbable materials, then moves to in vivo performance and stability of electrical and optical bioresorbable components, and eventually focuses on the integration of such components into bioresorbable systems for clinically relevant applications. Finally, the technology readiness levels (TRLs) achieved for the different bioresorbable devices and systems are assessed, hence the open challenges are analyzed and future directions for advancing the technology are envisaged.

摘要

在过去十年中,科学家们一直梦想着开发一种生物可吸收技术,该技术利用一类新型的电气、光学和传感组件,这些组件能够在生理条件下运行规定的时间,然后消失,它们由在外部刺激下能在体内完全溶解并产生生物良性副产物的材料制成。最终目标是将这些组件设计成可植入的瞬态系统,使其能够实时与器官、组织和生物流体直接相互作用,获取临床参数,并根据疾病和患者的临床进展提供量身定制的治疗措施,然后在无需可能导致组织损伤或感染的设备取出手术的情况下进行生物降解。在此,本文采用自下而上的方法对生物可吸收技术取得的主要成果进行了批判性综述,该方法首先对生物可吸收材料的溶解化学、动力学和生物相容性进行合理分析,然后探讨电气和光学生物可吸收组件的体内性能和稳定性,最终聚焦于将此类组件集成到用于临床相关应用的生物可吸收系统中。最后,评估了不同生物可吸收设备和系统所达到的技术就绪水平(TRL),分析了面临的开放挑战,并设想了推动该技术发展的未来方向。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c1f/7029671/5b9c1ef23110/ADVS-7-1902872-g001.jpg

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