Department of Biomedical Engineering, Amirkabir University of Technology, Tehran, Iran.
Burn and Wound Healing Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Expert Rev Med Devices. 2022 Apr;19(4):353-367. doi: 10.1080/17434440.2022.2075730. Epub 2022 May 11.
Biomaterials, either metallic, ceramic, or polymeric, can be used in medicine as a part of the implants, dialysis membranes, bone scaffolds, or components of artificial organs. Polymeric biomaterials cover a vast range of biomedical applications. The biocompatibility and immunocompatibility of polymeric materials are of fundamental importance for their possible therapeutic uses, as the immune system can intervene in the materials' performance. Therefore, based on application, different routes can be utilized for immunoregulation.
As different biomaterials can be modulated by different strategies, this study aims to summarize and evaluate the available methods for the immunocompatibility enhancement of more common polymeric biomaterials based on their nature. Different strategies such as surface modification, physical characterization, and drug incorporation are investigated for the immunomodulation of nanoparticles, hydrogels, sponges, and nanofibers.
Recently, strategies for triggering appropriate immune responses by functional biomaterials have been highlighted. As most strategies correspond to the physical and surface properties of biomaterials, specific modulation can be conducted for each biomaterial system. Besides, different applications require different modulations of the immune system. In the future, the selection of novel materials and immune regulators can play a role in tuning the immune system for regenerative medicine.
生物材料(金属、陶瓷或聚合物)可用作植入物、透析膜、骨支架或人工器官的一部分。聚合物生物材料涵盖了广泛的生物医学应用。聚合物材料的生物相容性和免疫相容性对于它们的潜在治疗用途至关重要,因为免疫系统可能会干预材料的性能。因此,基于应用,可利用不同途径进行免疫调节。
由于不同的生物材料可以通过不同的策略进行调节,因此本研究旨在根据其性质总结和评估更常见聚合物生物材料免疫相容性增强的现有方法。针对纳米粒子、水凝胶、海绵和纳米纤维,研究了不同策略,如表面修饰、物理特性分析和药物掺入,以进行免疫调节。
最近,通过功能生物材料触发适当免疫反应的策略已受到关注。由于大多数策略对应于生物材料的物理和表面特性,因此可以针对每个生物材料系统进行特定的调节。此外,不同的应用需要对免疫系统进行不同的调节。在未来,新型材料和免疫调节剂的选择可以在调节免疫系统以用于再生医学方面发挥作用。