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一种可生物降解的多功能纳米纤维膜,用于牙周组织再生。

A biodegradable multifunctional nanofibrous membrane for periodontal tissue regeneration.

机构信息

State Key Laboratory for Modification of Chemical Fibers and Polymer Materials, College of Chemistry, Chemical Engineering and Biotechnology, Donghua University, Shanghai 201620, PR China.

Department of Cardiothoracic Surgery, Shanghai Children's Medical Center, Shanghai Jiaotong University School of Medicine, Shanghai 200127, PR China.

出版信息

Acta Biomater. 2020 May;108:207-222. doi: 10.1016/j.actbio.2020.03.044. Epub 2020 Apr 3.

Abstract

Biomaterial-based membranes represent a promising therapeutic option for periodontal diseases. Although conventional periodontal membranes function greatly in preventing the ingrowth of both fibroblasts and epithelial cells as well as connective tissues, they are not capable of promoting periodontal tissue regeneration. Here, we report a multifunctional periodontal membrane prepared by electrospinning biodegradable polymers with magnesium oxide nanoparticles (nMgO). nMgO is a light metal-based nanoparticle with high antibacterial capacity and can be fully resorbed in the body. Our results showed that incorporating nMgO into poly(L-lactic acid) (PLA)/gelatin significantly improved the overall properties of membranes, including elevated tensile strength to maintain structural stability and adjusted degradation rate to fit the time window of periodontal regeneration. Acidic degradation products of PLA were neutralized by alkaline ions from nMgO hydrolysis, ameliorating pH microenvironment beneficial for cell proliferation. In vitro studies demonstrated considerable antibacterial and osteogenic properties of nMgO-incorporated membranes that are highly valuable for periodontal regeneration. Further investigations in a rat periodontal defect model revealed that nMgO-incorporated membranes effectively guided periodontal tissue regeneration. Taken together, our data indicate that nMgO-incorporated membranes might be a promising therapeutic option for periodontal regeneration. STATEMENT OF SIGNIFICANCE: Traditional clinical treatments of periodontal diseases largely focus on the management of the pathologic processes, which cannot effectively regenerate the lost periodontal tissue. GTR, a classic method for periodontal regeneration, has shown promise in clinical practice. However, the current membranes might not fully fulfill the criteria of ideal membranes. Here, we report bioabsorbable nMgO-incorporated nanofibrous membranes prepared by electrospinning to provide an alternative for the clinical practice of GTR. The membranes not only function greatly as physical barriers but also exhibit high antibacterial and osteoinductive properties. We therefore believe that this study will inspire more practice work on the development of effective GTR membranes for periodontal regeneration.

摘要

基于生物材料的膜代表了牙周病治疗的一种有前途的选择。尽管传统的牙周膜在很大程度上可以防止成纤维细胞和上皮细胞以及结缔组织的生长,但它们不能促进牙周组织的再生。在这里,我们报告了一种通过静电纺丝生物可降解聚合物与氧化镁纳米粒子(nMgO)制备的多功能牙周膜。nMgO 是一种具有高抗菌能力的轻金属基纳米粒子,可在体内完全吸收。我们的结果表明,将 nMgO 掺入聚(L-乳酸)(PLA)/明胶中,显著改善了膜的整体性能,包括提高拉伸强度以保持结构稳定性和调整降解速率以适应牙周再生的时间窗口。PLA 的酸性降解产物被 nMgO 水解产生的碱性离子中和,改善了有利于细胞增殖的 pH 微环境。体外研究表明,掺入 nMgO 的膜具有相当的抗菌和成骨特性,这对牙周再生非常有价值。在大鼠牙周缺损模型中的进一步研究表明,掺入 nMgO 的膜能有效引导牙周组织再生。综上所述,我们的数据表明,掺入 nMgO 的膜可能是牙周再生的一种有前途的治疗选择。

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