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用于伤口部位电疗和阻抗感应的生物可吸收、无线和无电池系统。

Bioresorbable, wireless, and battery-free system for electrotherapy and impedance sensing at wound sites.

机构信息

Department of Biomedical Engineering, Northwestern University, Evanston, IL, USA.

Querrey Simpson Institute for Bioelectronics, Northwestern University, Evanston, IL, USA.

出版信息

Sci Adv. 2023 Feb 22;9(8):eade4687. doi: 10.1126/sciadv.ade4687.

Abstract

Chronic wounds, particularly those associated with diabetes mellitus, represent a growing threat to public health, with additional notable economic impacts. Inflammation associated with these wounds leads to abnormalities in endogenous electrical signals that impede the migration of keratinocytes needed to support the healing process. This observation motivates the treatment of chronic wounds with electrical stimulation therapy, but practical engineering challenges, difficulties in removing stimulation hardware from the wound site, and absence of means to monitor the healing process create barriers to widespread clinical use. Here, we demonstrate a miniaturized wireless, battery-free bioresorbable electrotherapy system that overcomes these challenges. Studies based on a splinted diabetic mouse wound model confirm the efficacy for accelerated wound closure by guiding epithelial migration, modulating inflammation, and promoting vasculogenesis. Changes in the impedance provide means for tracking the healing process. The results demonstrate a simple and effective platform for wound site electrotherapy.

摘要

慢性伤口,特别是与糖尿病相关的伤口,对公共健康构成了日益严重的威胁,并产生了显著的经济影响。这些伤口引发的炎症导致内源性电信号异常,阻碍了支持愈合过程所需的角质细胞的迁移。这一观察结果促使人们采用电刺激疗法来治疗慢性伤口,但实际的工程挑战、从伤口部位去除刺激硬件的困难以及缺乏监测愈合过程的手段,都为其广泛的临床应用设置了障碍。在这里,我们展示了一种小型化的无线、无电池的可生物吸收的电疗系统,它克服了这些挑战。基于夹板糖尿病小鼠伤口模型的研究证实,通过引导上皮细胞迁移、调节炎症和促进血管生成,该系统可以加速伤口闭合,具有疗效。阻抗的变化为跟踪愈合过程提供了手段。研究结果表明,这是一种用于伤口部位电疗的简单有效的平台。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ab9/9946359/69a16238fd5a/sciadv.ade4687-f1.jpg

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