具有抗菌和成骨特性的双功能水凝胶修饰的微孔植入物促进感染性骨缺损中的骨整合。

Microporous Implants Modified by Bifunctional Hydrogel with Antibacterial and Osteogenic Properties Promote Bone Integration in Infected Bone Defects.

作者信息

Pu Yiping, Lin Xuecai, Zhi Qiang, Qiao Shichong, Yu Chuangqi

机构信息

Department of Oral Surgery, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai 200001, China.

National Clinical Research Center for Oral Diseases, Shanghai 200011, China.

出版信息

J Funct Biomater. 2023 Apr 16;14(4):226. doi: 10.3390/jfb14040226.

Abstract

Prosthesis implantation and bone integration under bacterial infection are arduous challenges in clinical practice. It is well known that the reactive oxygen species (ROS) produced by bacterial infection around the bone defects will further hinder bone healing. To solve this problem, we prepared a ROS-scavenging hydrogel by cross-linking polyvinyl alcohol and a ROS-responsive linker, N-(4-boronobenzyl)-N-(4-boronophenyl)-N, N, N, N-tetramethylpropane-1, 3-diaminium, to modify the microporous titanium alloy implant. The prepared hydrogel was used as an advanced ROS-scavenging tool to promote bone healing by inhibiting the ROS levels around the implant. Bifunctional hydrogel serving as a drug delivery system can release therapeutic molecules, including vancomycin, to kill bacteria and bone morphogenetic protein-2 to induce bone regeneration and integration. This multifunctional implant system that combines mechanical support and disease microenvironment targeting provides a novel strategy for bone regeneration and integration of implants in infected bone defects.

摘要

在细菌感染情况下进行假体植入和骨整合是临床实践中艰巨的挑战。众所周知,骨缺损周围细菌感染产生的活性氧(ROS)会进一步阻碍骨愈合。为了解决这个问题,我们通过交联聚乙烯醇和一种ROS响应性连接体N-(4-硼苄基)-N-(4-硼苯基)-N,N,N,N-四甲基丙烷-1,3-二铵,制备了一种ROS清除水凝胶,用于修饰微孔钛合金植入物。所制备的水凝胶作为一种先进的ROS清除工具,通过抑制植入物周围的ROS水平来促进骨愈合。作为药物递送系统的双功能水凝胶可以释放治疗性分子,包括万古霉素以杀灭细菌,以及骨形态发生蛋白-2以诱导骨再生和整合。这种结合机械支撑和疾病微环境靶向的多功能植入系统为感染性骨缺损中植入物的骨再生和整合提供了一种新策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54b0/10143991/4d40cbbf38c2/jfb-14-00226-g001.jpg

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