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基于自然启发的生物电刺激的电活性聚合物治疗技术用于骨关节炎治疗——综述

Nature-Inspired Bioelectric Stimuli-Based Electroactive Polymeric Therapeutics Technology for Osteoarthritis Treatment─A Review.

作者信息

Hegde Prajna Nagaraj, Udduttula Anjaneyulu

机构信息

Centre for Biomaterials, Cellular and Molecular Theranostics (CBCMT), Vellore Institute of Technology (VIT), Vellore, Tamil Nadu 632014, India.

出版信息

ACS Biomater Sci Eng. 2025 Jun 22. doi: 10.1021/acsbiomaterials.5c00480.


DOI:10.1021/acsbiomaterials.5c00480
PMID:40544500
Abstract

The self-healing capacity of severely damaged articular cartilage is inherently limited due to weak cellular signaling, low cell turnover, poor extracellular matrix synthesis, and a lack of vascularization. Such damage to cartilage can lead to severe pain and the progression of osteoarthritis, significantly impacting patients' physical and mental well-being. Current surgical and nonsurgical interventions for repairing and regenerating cartilage tissue have shown inadequate long-term efficacy. Recently, the intrinsic electrical properties of bone tissue inspired researchers to focus on designing and fabricating regenerative biomaterials with bioelectrical properties such as piezoelectric, pyroelectric, ferroelectric, and dielectric for more effective treatment of bone defects. Among these electrical cues, piezoelectricity, in particular, plays a critical role in fracture healing and joint mechanics. The loss of cartilage alters biomechanics and may disrupt essential mechanotransduction pathways. However, the potential of these piezoelectrically active biomaterials with a combination of electroactive polymeric and biomimetic inorganic materials for regenerating cartilage and alleviating osteoarthritis has not been thoroughly explored. Therefore, developing natural, innovative, and biofunctional biomaterials with electrical properties is imperative to treating osteoarthritis effectively. The advancement of biomaterials with electroactive and other features offers the potential to transmit direct electrical signals to cells and stimulate faster tissue regeneration. In this review, we aim to understand and explore the electroactive properties of polymeric-based biomaterials by analyzing their potential applications and challenges in treating osteoarthritis. Specifically, we discussed how electroactive polymers can serve as bioinks for 3D bioprinting, hydrogels, coatings, and scaffolds in combination with bioactive inorganic materials to repair and regenerate articular cartilage. This comprehensive review will aid researchers in gaining a deeper understanding of electroactive polymers and provide insightful information for the development and advancement of electroactive biomaterials like piezo-activated next-generation biomaterials for the treatment of osteoarthritis in an effective manner.

摘要

由于细胞信号传导微弱、细胞更新率低、细胞外基质合成能力差以及缺乏血管化,严重受损的关节软骨的自我修复能力本质上是有限的。这种软骨损伤会导致严重疼痛和骨关节炎的进展,对患者的身心健康产生重大影响。目前用于修复和再生软骨组织的手术和非手术干预措施长期疗效不足。最近,骨组织的固有电学特性促使研究人员专注于设计和制造具有压电、热电、铁电和介电等生物电特性的再生生物材料,以更有效地治疗骨缺损。在这些电信号中,压电性尤其在骨折愈合和关节力学中起着关键作用。软骨的丧失会改变生物力学,并可能破坏重要的机械转导途径。然而,这些由电活性聚合物和仿生无机材料组合而成的压电活性生物材料在软骨再生和缓解骨关节炎方面的潜力尚未得到充分探索。因此,开发具有电学特性的天然、创新和生物功能的生物材料对于有效治疗骨关节炎至关重要。具有电活性和其他特性的生物材料的进步为将直接电信号传递给细胞并刺激更快的组织再生提供了潜力。在这篇综述中,我们旨在通过分析基于聚合物的生物材料在治疗骨关节炎方面的潜在应用和挑战来理解和探索其电活性特性。具体而言,我们讨论了电活性聚合物如何与生物活性无机材料结合用作3D生物打印的生物墨水、水凝胶、涂层和支架,以修复和再生关节软骨。这篇全面的综述将帮助研究人员更深入地了解电活性聚合物,并为开发和推进电活性生物材料(如用于有效治疗骨关节炎的压电激活下一代生物材料)提供有见地的信息。

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