Department of Dental Materials, Peking University School and Hospital of Stomatology, Beijing, China.
School of Environmental and Material Engineering, Yantai University, Yantai, Shandong, China.
J Dent Res. 2024 May;103(5):516-525. doi: 10.1177/00220345241229646. Epub 2024 Apr 6.
Titanium (Ti)-based biomaterials lack inherent antimicrobial activities, and the dental plaque formed on the implant surface is one of the main risk factors for implant infections. Construction of an antibacterial surface can effectively prevent implant infections and enhance implant success. Silver nanoparticles (AgNPs) exhibit broad antibacterial activity and a low tendency to induce drug resistance, but AgNPs easily self-aggregate in the aqueous environment, which significantly impairs their antibacterial activity. In this study, UiO-66/AgNP (U/A) nanocomposite was prepared, where zirconium metal-organic frameworks (UiO-66) were employed as the confinement matrix to control the particle size and prevent aggregation of AgNPs. The bactericidal activity of U/A against methicillin-resistant and increased nearly 75.51 and 484.50 times compared with individually synthesized Ag. The antibacterial mechanism can be attributed to the enhanced membrane rupture caused by the ultrafine AgNPs on UiO-66, leading to protein leakage and generation of intracellular reactive oxygen species. Then, U/A was loaded onto Ti substrates (Ti-U/A) by using self-assembly deposition methods to construct an antibacterial surface coating. Ti-U/A exhibited excellent antibacterial activities and desired biocompatibility both in vitro and in vivo. The U/A nanocomposite coating technique is thus expected to be used as a promising surface modification strategy for Ti-based dental implants for preventing dental implant infections.
钛(Ti)基生物材料缺乏固有抗菌活性,而种植体表面形成的牙菌斑是导致种植体感染的主要危险因素之一。构建抗菌表面可以有效预防种植体感染,提高种植体成功率。银纳米粒子(AgNPs)具有广泛的抗菌活性和低诱导耐药性的倾向,但 AgNPs 在水相环境中容易自聚集,这显著降低了它们的抗菌活性。在本研究中,制备了 UiO-66/AgNP(U/A)纳米复合材料,其中锆基金属有机骨架(UiO-66)被用作限制矩阵来控制颗粒尺寸并防止 AgNPs 的聚集。与单独合成的 Ag 相比,U/A 对耐甲氧西林金黄色葡萄球菌和表皮葡萄球菌的杀菌活性分别提高了近 75.51 倍和 484.50 倍。抗菌机制可以归因于 UiO-66 上的超细 AgNPs 增强了膜破裂,导致蛋白质泄漏和产生细胞内活性氧。然后,通过自组装沉积方法将 U/A 负载到 Ti 基底(Ti-U/A)上,构建抗菌表面涂层。Ti-U/A 在体外和体内均表现出优异的抗菌活性和良好的生物相容性。因此,U/A 纳米复合材料涂层技术有望成为预防牙科种植体感染的 Ti 基牙科植入物的一种有前途的表面改性策略。