Department of Histology and Embryology, School of Basic Medical Sciences, Department of Orthopedic Surgery, Guangdong Provincial Key Laboratory of Bone and Joint Degeneration Diseases, The Third Affiliated Hospital of Southern Medical University, Southern Medical University, Guangzhou, 510515, P. R. China.
Adv Healthc Mater. 2023 Aug;12(20):e2300303. doi: 10.1002/adhm.202300303. Epub 2023 Apr 16.
Treatment of infected bone defects is a major clinical challenge; bioactive materials combining sufficient antimicrobial activity and favorable osteogenic ability are urgently needed. In this study, through a facile one-pot hydrothermal reaction of zinc acetate in the presence of tannic acid (TA), with or without silver nitrate (AgNO ), is used to synthesize a TA or TA and silver nanoparticles (Ag NPs) bulk-modified zinc oxide (ZnO) (ZnO-TA or ZnO-TA-Ag), which is further composited with zein to fabricate porous microparticulate scaffolds for infected bone defect repair. Bulk TA modification significantly improves the release rate of antibacterial metal ions (Zn release rate is >100 times that of ZnO). Fast and long-lasting (>35 d) Zn and Ag release guaranteed sufficient antibacterial capability and excellent osteogenic properties in promoting the osteogenic differentiation of bone marrow mesenchymal stem cells and endogenous citric acid production and mineralization and providing considerable immunomodulatory activity in promoting M2 polarization of macrophages. At the same time, synchronously-released TA could scavenge endogenous reactive oxygen species (ROS) and ROS produced by antibacterial metal ions, effectively balancing antibacterial activity and osteogenesis to sufficiently control infection while protecting the surrounding tissue from damage, thus effectively promoting infected bone defect repair.
治疗感染性骨缺损是一个重大的临床挑战,迫切需要兼具足够抗菌活性和良好成骨能力的生物活性材料。在这项研究中,通过简单的一锅水热反应,在单宁酸(TA)存在或不存在硝酸银(AgNO3)的情况下,使用醋酸锌来合成 TA 或 TA 和银纳米颗粒(Ag NPs)整体修饰的氧化锌(ZnO)(ZnO-TA 或 ZnO-TA-Ag),进一步与玉米醇溶蛋白复合,制备用于感染性骨缺损修复的多孔微颗粒支架。整体 TA 修饰显著提高了抗菌金属离子的释放速率(Zn 的释放速率是 ZnO 的 100 多倍)。快速且持久(>35 d)的 Zn 和 Ag 释放保证了足够的抗菌能力和优异的成骨性能,促进骨髓间充质干细胞的成骨分化以及内源性柠檬酸的产生和矿化,并提供相当的免疫调节活性,促进巨噬细胞的 M2 极化。同时,同步释放的 TA 可以清除内源性活性氧(ROS)和抗菌金属离子产生的 ROS,有效平衡抗菌活性和成骨作用,在充分控制感染的同时保护周围组织免受损伤,从而有效促进感染性骨缺损的修复。
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