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Bioinspired drug-delivery system emulating the natural bone healing cascade for diabetic periodontal bone regeneration.

作者信息

Wang He, Chang Xiaowei, Ma Qian, Sun Boyang, Li Han, Zhou Jinmin, Hu Yiyao, Yang Xiaoyu, Li Jie, Chen Xin, Song Jinlin

机构信息

Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, College of Stomatology of Chongqing Medical University, Chongqing, 401147, China.

Department of Chemical Engineering, Shaanxi Key Laboratory of Energy Chemical Process Intensification, Institute of Polymer Science in Chemical Engineering, School of Chemical Engineering and Technology, Xi'an Jiaotong University, Xi'an, 710049, China.

出版信息

Bioact Mater. 2022 Sep 14;21:324-339. doi: 10.1016/j.bioactmat.2022.08.029. eCollection 2023 Mar.


DOI:10.1016/j.bioactmat.2022.08.029
PMID:36185747
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9483739/
Abstract

Diabetes mellitus (DM) aggravates periodontitis, resulting in accelerated periodontal bone resorption. Disordered glucose metabolism in DM causes reactive oxygen species (ROS) overproduction resulting in compromised bone healing, which makes diabetic periodontal bone regeneration a major challenge. Inspired by the natural bone healing cascade, a mesoporous silica nanoparticle (MSN)-incorporated PDLLA (poly(dl-lactide))-PEG-PDLLA (PPP) thermosensitive hydrogel with stepwise cargo release is designed to emulate the mesenchymal stem cell "recruitment-osteogenesis" cascade for diabetic periodontal bone regeneration. During therapy, SDF-1 quickly escapes from the hydrogel due to diffusion for early rat bone marrow stem cell (rBMSC) recruitment. Simultaneously, slow degradation of the hydrogel starts to gradually expose the MSNs for sustained release of metformin, which can scavenge the overproduced ROS under high glucose conditions to reverse the inhibited osteogenesis of rBMSCs by reactivating the AMPK/β-catenin pathway, resulting in regulation of the diabetic microenvironment and facilitation of osteogenesis. experiments indicate that the hydrogel markedly restores the inhibited migration and osteogenic capacities of rBMSCs under high glucose conditions. results suggest that it can effectively recruit rBMSCs to the periodontal defect and significantly promote periodontal bone regeneration under type 2 DM. In conclusion, our work provides a novel therapeutic strategy of a bioinspired drug-delivery system emulating the natural bone healing cascade for diabetic periodontal bone regeneration.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8614/9483739/df6ac788a2ad/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8614/9483739/dd1aaed5344d/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8614/9483739/f711c1eb66ef/sc1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8614/9483739/f539df987c4a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8614/9483739/89db5a263c8e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8614/9483739/ee114d8bce00/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8614/9483739/65f409bbea34/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8614/9483739/1e2728374e8e/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8614/9483739/29a7b2f75739/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8614/9483739/df6ac788a2ad/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8614/9483739/dd1aaed5344d/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8614/9483739/f711c1eb66ef/sc1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8614/9483739/f539df987c4a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8614/9483739/89db5a263c8e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8614/9483739/ee114d8bce00/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8614/9483739/65f409bbea34/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8614/9483739/1e2728374e8e/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8614/9483739/29a7b2f75739/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8614/9483739/df6ac788a2ad/gr7.jpg

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引用本文的文献

[1]
PGC-1α-mediated mitochondrial homeostasis imbalance aggravated gingival lesions of diabetic periodontitis by disrupting ECM remodeling of human gingival fibroblast.

Redox Biol. 2025-8-22

[2]
Recent advances in hydrogels for treating periodontal diseases and oral mucosal diseases.

Front Bioeng Biotechnol. 2025-8-4

[3]
Metformin carbon dots-based osteogenic and protein delivery system to promote bone regeneration in periodontitis.

Bioact Mater. 2025-7-25

[4]
A Comprehensive Review of Thermosensitive Hydrogels: Mechanism, Optimization Strategies, and Applications.

Gels. 2025-7-14

[5]
Diabetes and periodontitis: the role of a high-glucose microenvironment in periodontal tissue cells and corresponding therapeutic strategies.

Stem Cell Res Ther. 2025-7-15

[6]
Regulating periodontal disease with smart stimuli-responsive systems: Antimicrobial activity, immunomodulation, periodontium regeneration.

Mater Today Bio. 2025-5-15

[7]
Long-term postoperative treatment of open fractures using medicine delivery based on mesoporous MCM-41/hydrogel composites.

RSC Adv. 2025-5-9

[8]
Nanoparticles as Strategies for Modulating the Host's Response in Periodontitis Treatment.

Nanomaterials (Basel). 2025-3-21

[9]
Nanocomposite Hydrogels: A Promising Approach for the Treatment of Degenerative Joint Diseases.

Small Sci. 2024-9-3

[10]
Lycium-Barbarum Polysaccharide-Loaded Dual-Crosslinked Rigid Hydrogel Enhances Bone Healing in Diabetic Bone Defects by Scavenging Reactive Oxygen Species.

Adv Healthc Mater. 2025-4

本文引用的文献

[1]
Metformin ameliorates HMGB1-mediated oxidative stress through mTOR pathway in experimental periodontitis.

Genes Dis. 2021-6-30

[2]
Injectable hydrogels with high drug loading through B-N coordination and ROS-triggered drug release for efficient treatment of chronic periodontitis in diabetic rats.

Biomaterials. 2022-3

[3]
A Logic-Based Diagnostic and Therapeutic Hydrogel with Multistimuli Responsiveness to Orchestrate Diabetic Bone Regeneration.

Adv Mater. 2022-3

[4]
Paligenosis: Cellular Remodeling During Tissue Repair.

Annu Rev Physiol. 2022-2-10

[5]
Diabetes Impaired Ischemia-Induced PDGF (Platelet-Derived Growth Factor) Signaling Actions and Vessel Formation Through the Activation of Scr Homology 2-Containing Phosphatase-1.

Arterioscler Thromb Vasc Biol. 2021-9

[6]
Metformin-loaded nanospheres-laden photocrosslinkable gelatin hydrogel for bone tissue engineering.

J Mech Behav Biomed Mater. 2021-4

[7]
Local and systemic mechanisms linking periodontal disease and inflammatory comorbidities.

Nat Rev Immunol. 2021-7

[8]
Growth factor delivery using extracellular matrix-mimicking substrates for musculoskeletal tissue engineering and repair.

Bioact Mater. 2020-12-24

[9]
Bimodal Imaging-Visible Nanomedicine Integrating CXCR4 and VEGFa Genes Directs Synergistic Reendothelialization of Endothelial Progenitor Cells.

Adv Sci (Weinh). 2020-11-9

[10]
Metformin use is associated with a lower risk of osteoporosis/vertebral fracture in Taiwanese patients with type 2 diabetes mellitus.

Eur J Endocrinol. 2021-2

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