Qian Xiangru, Guan Lian, Shen Lei, Zhai Chenjun, Cheng Yedong, Pan Guoqing, Jiang Zhenhuan
Department of Orthopedics, The Affiliated Yixing Hospital of Jiangsu University, Yixing, Jiangsu, 214200, China.
Department of Orthopedics, The Huai'an 82 Hospital, Huai'an, Jiangsu, 223001, China.
Mater Today Bio. 2025 Jul 14;33:102088. doi: 10.1016/j.mtbio.2025.102088. eCollection 2025 Aug.
Malignant bone tumors represent a significant risk to human health, manifesting in various forms such as persistent pain, bone defects, joint dysfunction, and other complications. These factors greatly influence the prognosis and life quality of patients. Traditional tumor therapies including surgery, chemotherapy, and radiotherapy, have demonstrated effectiveness in eliminating tumor cells. However, the recurrence of tumors and bone defects caused by tumors continue to present challenges for clinicians. Therefore, there is an urgent need for innovative approaches to address these difficulties. Hydrogels are a class of promising materials with properties close to the extracellular matrix (ECM) and potential for diverse biofunctionalization. With the constant study and development of oncology and regeneration medicine, hydrogels and their composites are developing as novel implants for specialized antitumor and osteogenic treatment. This review aims to present the latest advances in the fabrication of advanced hydrogels with diverse characteristics, as well as their biological mechanisms for the treatment of malignant bone tumors, which includes both the eradication of tumor cells and the promotion of bone regeneration. Additionally, by reviewing the advancements of hydrogel-assisted treatment along with their shortcomings, a perspective will be provided.
恶性骨肿瘤对人类健康构成重大风险,表现为持续疼痛、骨缺损、关节功能障碍等多种形式及其他并发症。这些因素极大地影响患者的预后和生活质量。包括手术、化疗和放疗在内的传统肿瘤治疗方法已证明在消除肿瘤细胞方面有效。然而,肿瘤复发以及肿瘤引起的骨缺损仍然给临床医生带来挑战。因此,迫切需要创新方法来解决这些难题。水凝胶是一类很有前景的材料,其性质接近细胞外基质(ECM),具有多种生物功能化的潜力。随着肿瘤学和再生医学的不断研究与发展,水凝胶及其复合材料正在作为用于专门抗肿瘤和成骨治疗的新型植入物而发展。本综述旨在介绍具有不同特性的先进水凝胶制造方面的最新进展,以及它们治疗恶性骨肿瘤的生物学机制,其中包括消除肿瘤细胞和促进骨再生。此外,通过回顾水凝胶辅助治疗的进展及其缺点,将给出一个展望。