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聚(甲基丙烯酸羟乙酯)唾液凝胶:一种用于治疗口干症的基于聚合物的解决方案。

Poly (hydroxyethyl methacrylate) Saliva-Gel: A Polymer-Based Solution for Xerostomia Treatment.

作者信息

Debnath Suman, Paz Cristina, Scofield Dimitri, Rogus-Pulia Nicole, Kimple Randall J, Malandraki Georgia A, Boudouris Bryan W

机构信息

Charles D. Davidson School of Chemical Engineering, Purdue University, West Lafayette, IN 47907 USA.

Department of Human Oncology, University of Wisconsin School of Medicine and Public Health, University of Wisconsin, Madison, WI 53706 USA.

出版信息

ACS Appl Polym Mater. 2025 Jul 17. doi: 10.1021/acsapm.5c00881.

DOI:10.1021/acsapm.5c00881
PMID:40687500
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12270425/
Abstract

Dry mouth (xerostomia) often leads to difficulties in swallowing, speaking, and maintaining good oral hygiene. Present therapeutic interventions for xerostomia yield temporary symptom alleviation or are invasive. In this study, we employ the biocompatible polymer, poly(hydroxyethyl methacrylate) (PHEMA), to create a PHEMA-based saliva-gel to regulate the release of artificial saliva and emulate the properties of natural salivary secretion as a non-invasive dry mouth treatment mechanism. The saliva-gel exhibited a swelling capacity of approximately 400% of its original volume within 6 h. The high swelling capacity of the saliva-gel allows it to absorb and retain a significant amount of saliva, effectively increasing the amount of oral saliva and potentially providing sustained relief from dryness. The optimized saliva-gel exhibited a release rate of nearly all its stored artificial saliva within 4 h at body temperature and exhibited a 97% efficiency in its release properties, which remained consistent through five continuous cycles. It also demonstrated reusable absorbance properties for these five cycles. The release rate of the saliva-gel, aligns with the goal of providing timely relief for dry mouth symptoms. These findings collectively suggest that the study successfully demonstrates the potential of these materials for the treatment of xerostomia.

摘要

口干(口腔干燥症)常常导致吞咽、说话困难,以及难以保持良好的口腔卫生。目前针对口腔干燥症的治疗干预措施只能暂时缓解症状,或者具有侵入性。在本研究中,我们使用生物相容性聚合物聚甲基丙烯酸羟乙酯(PHEMA)制备了一种基于PHEMA的唾液凝胶,以调节人工唾液的释放,并模拟天然唾液分泌的特性,作为一种非侵入性的口干治疗机制。该唾液凝胶在6小时内的溶胀能力约为其原始体积的400%。唾液凝胶的高溶胀能力使其能够吸收并保留大量唾液,有效增加口腔内唾液量,并可能持续缓解口干症状。优化后的唾液凝胶在体温下4小时内几乎释放了所有储存的人工唾液,其释放特性的效率为97%,在五个连续循环中保持一致。它在这五个循环中还表现出可重复使用的吸收特性。唾液凝胶的释放速率符合及时缓解口干症状的目标。这些发现共同表明,该研究成功证明了这些材料在治疗口腔干燥症方面的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d023/12270425/158592079544/nihms-2096819-f0006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d023/12270425/9cdfeb536d6c/nihms-2096819-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d023/12270425/c9cd6d196ff2/nihms-2096819-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d023/12270425/74a214993c3b/nihms-2096819-f0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d023/12270425/919438e0e475/nihms-2096819-f0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d023/12270425/158592079544/nihms-2096819-f0006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d023/12270425/9cdfeb536d6c/nihms-2096819-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d023/12270425/c9cd6d196ff2/nihms-2096819-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d023/12270425/74a214993c3b/nihms-2096819-f0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d023/12270425/919438e0e475/nihms-2096819-f0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d023/12270425/158592079544/nihms-2096819-f0006.jpg

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本文引用的文献

1
Acrylamide-based Saliva-gels as a Potential Xerostomia Treatment.基于丙烯酰胺的唾液凝胶作为口干症的潜在治疗方法。
ACS Appl Polym Mater. 2023 Oct 13;5(10):7698-7704. doi: 10.1021/acsapm.3c00438. Epub 2023 Sep 18.
2
Bioprinting salivary gland models and their regenerative applications.生物打印唾液腺模型及其再生应用。
BDJ Open. 2024 May 30;10(1):39. doi: 10.1038/s41405-024-00219-2.
3
Long-Term Outcome Following Treatment With Allogeneic Mesenchymal Stem/Stromal Cells for Radiation-Induced Hyposalivation and Xerostomia.
同种异体间充质干细胞治疗放射性唾液腺功能低下和口干症的长期疗效。
Stem Cells Transl Med. 2024 Jun 14;13(6):515-521. doi: 10.1093/stcltm/szae017.
4
Mesenchymal Stem/Stromal Cell Therapy for Radiation-Induced Xerostomia in Previous Head and Neck Cancer Patients: A Phase II Randomized, Placebo-Controlled Trial.间充质干细胞/基质细胞治疗头颈部癌症患者放射性口干症的 II 期随机、安慰剂对照试验。
Clin Cancer Res. 2024 May 15;30(10):2078-2084. doi: 10.1158/1078-0432.CCR-23-3675.
5
Predictive value of delta radiomics in xerostomia after chemoradiotherapy in patients with stage III-IV nasopharyngeal carcinoma.Delta 放射组学在 III-IV 期鼻咽癌放化疗后口干症中的预测价值。
Radiat Oncol. 2024 Feb 28;19(1):26. doi: 10.1186/s13014-024-02417-6.
6
A Review of the Role of Natural Products as Treatment Approaches for Xerostomia.天然产物作为口干症治疗方法的作用综述
Pharmaceuticals (Basel). 2023 Aug 10;16(8):1136. doi: 10.3390/ph16081136.
7
Marrow-Derived Autologous Stromal Cells for the Restoration of Salivary Hypofunction (MARSH): A pilot, first-in-human study of interferon gamma-stimulated marrow mesenchymal stromal cells for treatment of radiation-induced xerostomia.骨髓源性自体基质细胞治疗唾液功能低下症(MARSH):干扰素γ刺激骨髓间充质基质细胞治疗放射性口干症的初步人体研究。
Cytotherapy. 2023 Nov;25(11):1139-1144. doi: 10.1016/j.jcyt.2023.07.009. Epub 2023 Aug 15.
8
Xerostomia: From Pharmacological Treatments to Traditional Medicine-An Overview on the Possible Clinical Management and Prevention Using Systemic Approaches.口干症:从药物治疗到传统医学——全身性方法治疗和预防口干症的临床管理概述。
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