Lu Junliang, Gao Zhifei, He Wei, Lu Yao
College of Acupuncture and Orthopedics, Hubei University of Chinese Medicine, 16 West Huangjiahu Road, Wuhan, Hubei, 430061, China.
Department of Joint and Orthopedics, Orthopedic Center, Zhujiang Hospital, Southern Medical University, 253 Gongye Road, Guangzhou, Guangdong, 51282, China.
J Orthop Translat. 2025 Jan 8;50:111-128. doi: 10.1016/j.jot.2024.11.004. eCollection 2025 Jan.
The treatment of orthopaedic diseases, such as fractures and osteoarthritis, remains a significant challenge due to the complex requirements for mechanical strength and tissue repair. Hydrogels based on hyaluronic acid methacrylate (HAMA) show promise as tissue engineering materials for these conditions. Hyaluronic acid (HA) is a natural component of the extracellular matrix, known for its good compatibility. The mechanical strength of HAMA-based hydrogels can be adjusted through crosslinking and by combining them with other materials. This review provides an overview of recent research on HAMA-based hydrogels for tissue engineering applications in orthopaedic diseases. First, we summarize the techniques for the preparation and characterization of HAMA hydrogels. Next, we offer a detailed review of the use of HAMA-based hydrogels in treating conditions such as cartilage injuries, bone defects, and meniscus injuries. Additionally, we discuss the applications of HAMA-based hydrogels in other diseases related to orthopaedics. Finally, we point out the challenges and propose future directions for the clinical translation of HAMA-based hydrogels.
HAMA-based hydrogels show strong translational potential in orthopaedics due to their biocompatibility, adjustable mechanical properties, and regenerative capabilities. With ongoing research, these hydrogels are well-positioned for clinical applications, particularly in cartilage repair, meniscus injuries, and osteoarthritis treatment.
由于对机械强度和组织修复的复杂要求,骨折和骨关节炎等骨科疾病的治疗仍然是一项重大挑战。基于甲基丙烯酸透明质酸(HAMA)的水凝胶有望成为这些病症的组织工程材料。透明质酸(HA)是细胞外基质的天然成分,以其良好的相容性而闻名。基于HAMA的水凝胶的机械强度可以通过交联以及与其他材料结合来调节。本综述概述了基于HAMA的水凝胶在骨科疾病组织工程应用方面的最新研究。首先,我们总结了HAMA水凝胶的制备和表征技术。接下来,我们详细综述了基于HAMA的水凝胶在治疗软骨损伤、骨缺损和半月板损伤等病症中的应用。此外,我们讨论了基于HAMA的水凝胶在其他骨科相关疾病中的应用。最后,我们指出了基于HAMA的水凝胶临床转化面临的挑战并提出了未来方向。
基于HAMA的水凝胶因其生物相容性、可调节的机械性能和再生能力,在骨科领域显示出强大的转化潜力。随着研究的不断进行,这些水凝胶非常适合临床应用,特别是在软骨修复、半月板损伤和骨关节炎治疗方面。