Chen Xiang, Xia Yan, Shen Sheng, Wang Chunyan, Zan Rui, Yu Han, Yang Shi, Zheng Xiaohong, Yang Jiankang, Suo Tao, Gu Yaqi, Zhang Xiaonong
School of Medicine, Anhui University of Science and Technology, Huainan 232000, China.
School of Stomatology, Anhui Medical College, Hefei 230601, China.
J Funct Biomater. 2023 Sep 8;14(9):462. doi: 10.3390/jfb14090462.
The human body comprises various tubular structures that have essential functions in different bodily systems. These structures are responsible for transporting food, liquids, waste, and other substances throughout the body. However, factors such as inflammation, tumors, stones, infections, or the accumulation of substances can lead to the narrowing or blockage of these tubular structures, which can impair the normal function of the corresponding organs or tissues. To address luminal obstructions, stenting is a commonly used treatment. However, to minimize complications associated with the long-term implantation of permanent stents, there is an increasing demand for biodegradable stents (BDS). Magnesium (Mg) metal is an exceptional choice for creating BDS due to its degradability, good mechanical properties, and biocompatibility. Currently, the Magmaris coronary stents and UNITY-B biliary stent have obtained Conformité Européene (CE) certification. Moreover, there are several other types of stents undergoing research and development as well as clinical trials. In this review, we discuss the required degradation cycle and the specific properties (anti-inflammatory effect, antibacterial effect, etc.) of BDS in different lumen areas based on the biocompatibility and degradability of currently available magnesium-based scaffolds. We also offer potential insights into the future development of BDS.
人体由各种管状结构组成,这些结构在不同的身体系统中具有重要功能。这些结构负责在全身运输食物、液体、废物和其他物质。然而,诸如炎症、肿瘤、结石、感染或物质积累等因素可导致这些管状结构变窄或阻塞,从而损害相应器官或组织的正常功能。为了解决管腔阻塞问题,支架置入是一种常用的治疗方法。然而,为了尽量减少与永久性支架长期植入相关的并发症,对可生物降解支架(BDS)的需求日益增加。镁(Mg)金属因其可降解性、良好的机械性能和生物相容性,是制造BDS的理想选择。目前,Magmaris冠状动脉支架和UNITY-B胆道支架已获得欧洲合格认证(CE)。此外,还有其他几种类型的支架正在进行研发以及临床试验。在这篇综述中,我们基于目前可用的镁基支架的生物相容性和可降解性,讨论了不同管腔区域中BDS所需的降解周期和特定性能(抗炎作用、抗菌作用等)。我们还对BDS的未来发展提供了潜在的见解。