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    08 June 2025, Volume 29 Issue 16 Previous Issue    Next Issue
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    Bone morphogenetic protein 2-loaded hydrogel induces osteogenic differentiation of dental pulp stem cells
    Israrguli · Maimeti, Jia Sen, Liu Jia
    2025, 29 (16):  3301-3310.  doi: 10.12307/2025.449
    Abstract ( 125 )   PDF (5353KB) ( 211 )   Save
    BACKGROUND: Previous studies have shown that gelatin modified by methacrylic anhydride (GelMA)/treated dentin matrix (TDM) composite hydrogel scaffolds can promote the proliferation and differentiation of human dental pulp stem cells. Hydrogels loaded with bone morphogenetic protein 2 are considered to be promising materials for bone repair.
    OBJECTIVE: To observe the effect of GelMA/TDM composite hydrogels loaded with different concentrations of bone morphogenetic protein-2 on the induction of osteogenic differentiation of human dental pulp stem cells.
    METHODS: GelMA/TDM composite hydrogels containing 0, 50, 100, and 200 μg/mL bone morphogenetic protein 2 were prepared, denoted as GelMA/TDM, bone morphogenetic protein-2 (50 ng/mL) GelMA/TDM, bone morphogenetic protein-2 (100 ng/mL) GelMA/TDM, and bone morphogenetic protein-2 (200 ng/mL) GelMA/TDM, respectively, and the in vitro sustained release of bone morphogenetic protein 2 from the composite hydrogels was detected. Human dental pulp stem cells were extracted by the modified tissue block enzymatic digestion method and seeded on the surfaces of the four kinds of hydrogels. Cell proliferation was detected by CCK-8 assay and cell adhesion was detected by DAPI staining. Human dental pulp stem cells on the surfaces of each group of hydrogels were induced to osteoblastically, and alkaline phosphatase staining, alkaline phosphatase activity detection, and alizarin red staining were performed. RT-PCR was used to detect the expression of related osteogenic genes (Runx2, bone morphogenetic protein 2, osteopontin, osteocalcin, and type I collagen).
    RESULTS AND CONCLUSION: (1) The GelMA/TDM composite hydrogel could continuously release bone morphogenetic protein 2 for up to 21 days, with a faster release from day 3 to day 6 and a steady release after 6 days. (2) All four kinds of hydrogels could promote the proliferation of human dental pulp stem cells, among which the bone morphogenetic protein-2 (100 ng/mL)-GelMA/TDM composite hydrogel had the most obvious effect. Compared with the GelMA/TDM composite hydrogel, the bone morphogenetic protein-2-GelMA/TDM composite hydrogel could promote the adhesion of human dental pulp stem cells, among which the bone morphogenetic protein-2 (200 ng/mL)-GelMA/TDM composite hydrogel had the most obvious effect. (3) Compared with the GelMA/TDM composite hydrogel, the bone morphogenetic protein-2-GelMA/TDM composite hydrogel could increase the activity of alkaline phosphatase, the content of calcium nodules, and the expression of related osteogenic genes. Comprehensive analysis showed that the effect of the bone morphogenetic protein-2 (100 ng/mL)-GelMA/TDM composite hydrogel was more obvious. (4) The results show that the bone morphogenetic protein-2 (100 ng/mL)-GelMA/TDM composite hydrogel has a more obvious ability to promote the osteogenic differentiation of dental pulp stem cells.
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    Cause and treatment strategy of bone cement leakage after percutaneous vertebroplasty for osteoporotic vertebral compression fractures
    Chen Xiaoguang, Liu Fuquan, Zhang Deguang
    2025, 29 (16):  3311-3317.  doi: 10.12307/2025.427
    Abstract ( 117 )   PDF (1039KB) ( 186 )   Save
    BACKGROUND: With the aging of the population, the incidence of osteoporosis is increasing year by year, and osteoporotic spinal fracture, as one of the common complications, brings great pain and inconvenience to patients. As an effective treatment, percutaneous vertebroplasty has been widely used in clinical practice. However, cement leakage as a potential risk of this procedure has been the focus of researchers.
    OBJECTIVE: To investigate the causes and management strategies of cement leakage after percutaneous vertebroplasty for osteoporotic vertebral compression fractures. 
    METHODS: A total of 100 osteoporotic vertebral compression fractures patients who underwent percutaneous vertebroplasty in the Department of Orthopedics of Beijing Pinggu District Hospital from March 2017 to February 2021 were selected as the study subjects. According to the 12-month follow-up results, the patients were divided into bone cement leakage group (n=27) and non-bone cement leakage group (n=73). Cox proportional risk regression analysis was used to screen the influencing factors of bone cement leakage after surgery, so as to construct and evaluate the nomogram model for predicting the risk of bone cement leakage after surgery. Visual analog scale score and Oswesry dysfunction index of 27 patients were observed before surgery, 3 days and 12 months after surgery following bone cement leakage treatment.
    RESULTS AND CONCLUSION: (1) Among the 27 patients with bone cement leakage, 24 patients had internal leakage of intervertebral disc endplate, no obvious symptoms or discomfort, and no special treatment. Pulmonary embolism occurred in 1 case, and the patient was treated with the help of respiratory department. Two patients with symptoms underwent percutaneous intervertebral foramen endoscopic bone cement removal. (2) CT value, fracture severity, bone cement viscosity, cortical fracture, and injection amount of bone cement were the independent influencing factors for postoperative bone cement leakage (P < 0.05). (3) The calibration degree and differentiation degree of the nomogram model were good, and it had good clinical practicability. (4) For 27 patients with external bone cement leakage after surgery, visual analog scale score at 3 days and 12 months after surgery was significantly lower than that before surgery, and the difference was statistically significant (P < 0.05). Oswesry dysfunction index score at 12 months after surgery was significantly lower than that at 3 days after surgery, and the difference was statistically significant (P < 0.05). (5) The results show that the amount of bone cement injection, bone cement viscosity, cortical fracture, CT value, and fracture severity are the risk factors of bone cement leakage after percutaneous vertebroplasty.
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    Modification with bone forming peptide 1 and polydopamine coating to improve bioactivity of polyetheretherketone surface
    Qin Jingjie, Guo Zige, Li Rui, Ma Shiqing, Lu Ruijie, Li Mengjun
    2025, 29 (16):  3318-3325.  doi: 10.12307/2025.422
    Abstract ( 106 )   PDF (1580KB) ( 111 )   Save
    BACKGROUND: Polyether ether ketone has the advantages of elastic modulus close to human cortical bone, good ray transmission, chemical stability, and biocompatibility. Polyether ether ketone is expected to be applied in the field of oral implants. However, polyether ether ketone is bioinert and is difficult to integrate with surrounding bone tissue. Therefore, how to improve the surface bioactivity of polyether ether ketone remains a major issue. 
    OBJECTIVE: To analyze the osteogenic and vasogenic effects of polyether ether ketone surface bone forming peptide 1 and polydopamine composite coating.
    METHODS: Polyether ether ketone titanium sheets were immersed in dopamine solution for 24 hours to prepare polyether ether ketone-polydopamine materials. Polyether ether ketone-polydopamine material was immersed in the bone forming peptide 1 solution for 24 hours to prepare polyether ether ketone-polydopamine-bone forming peptide 1 material. The micromorphology, hydrophilicity, and elemental composition of the material were characterized. Bone marrow mesenchymal stem cells were injected on the surface of polyether ether ketone, polyether ether ketone-polydopamine, and polyether ether ketone-polydopamine-bone forming peptide-1 materials. Cell viability and adhesion status were evaluated by live/dead cell staining and cytoskeleton staining. Cellular osteogenic differentiation ability was detected by alizarin red and osteocalcin immunofluorescence staining. Human umbilical vein endothelial cells were inoculated on the surface of three groups of materials. Cell viability and angiogenesis level were assessed by live/dead cell staining and immunofluorescence staining of cytoskeleton/vascular endothelial growth factor.
    RESULTS AND CONCLUSION: (1) Under scanning electron microscope, the surface of polyether ether ketone material was smooth; the surface of polyether ether ketone-polydopamine material had uneven deposits, and the surface of polyether ether ketone-polydopamine-bone forming peptide 1 material had small particles protruding. The results of contact angle test showed that the hydrophilicity of polyether ether ketone-polydopamine-bone forming peptide-1 material was better than the other two materials. X-ray photoelectron spectroscopy results showed that bone forming peptide 1 had been successfully modified on the surface of polyether ether ketone material. (2) Live/dead cell staining and cytoskeleton staining exhibited that compared with the other two materials, polyether ether ketone-polydopamine-bone-forming peptide 1 material could improve the viability and adhesion of bone marrow mesenchymal stem cells. Alizarin red and osteocalcin immunofluorescence staining showed that compared with the other two materials, polyether ether ketone-polydopamine-bone forming peptide-1 materials could promote the osteogenic differentiation of bone marrow mesenchymal stem cells. (3) Live/dead cell staining and immunofluorescence staining showed that compared with the other two materials, polyether ether ketone-polydopamine-bone forming peptide 1 material could improve the viability and adhesion of human umbilical vein endothelial cells and the expression of vascular endothelial growth factor protein. (4) The results show that the modification of bone forming peptide 1 and polydopamine composite coating on polyether ether ketone surface can improve the osteogenesis and angiogenesis. 
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    rticular cartilage injury repaired with microRNA-140 exosomes/sodium alginate/collagen hydrogel
    Chen Mingwei, Yu Wenli, Xia Suhang, Chen Bin, Chen Wenzhong, Li Fengzhen, Zhou Yu, Si Wenteng
    2025, 29 (16):  3326-3334.  doi: 10.12307/2025.444
    Abstract ( 111 )   PDF (1993KB) ( 51 )   Save
    BACKGROUND: Studies have confirmed that up-regulation of microRNA-140 expression can partially inhibit osteoarthritis-like changes in knee cartilage tissues and cells and delay the progression of osteoarthritis, suggesting that microRNA-140 is involved in the pathogenesis of osteoarthritis.
    OBJECTIVE: To further analyze the mechanism of microRNA-140 involvement in osteoarthritis by loading exosomes overexpressing microRNA-140 with sodium alginate/collagen hydrogel.
    METHODS: Lentivirus was used to infect rat bone marrow mesenchymal stem cells to overexpress microRNA-140, then exosomes were isolated and exosomes overexpressing microRNA-140 were obtained. Sodium alginate/collagen hydrogels loaded with exosomes were prepared. Thirty-two SD rats were randomly divided into four groups, with 8 rats in each group. Normal control group did not receive any treatment. The osteoarthritis model was established by injecting sodium iodoacetate into the knee cavity in the osteoarthritis group, the non-transfected exosome group and the transfected exosome group. Two weeks later, PBS was injected into the knee cavity in the osteoarthritis group. Sodium alginate/collagen hydrogel carrying non-overexpressing microRNA-140 and overexpressing microRNA-140 exosomes were injected into the knee cavity of the non-transfected exosome group and transfected exosome group. At 6 weeks after modeling, the threshold of mechanical foot withdrawal response, the concentration of inflammatory factors in synovial fluid, the expression of chondrogen-related genes, the histological changes of knee cartilage and the expression of pyroptosis related proteins were detected in rats.
    RESULTS AND CONCLUSION: (1) Compared with normal control group, the threshold value of mechanical stimulation foot contraction response, type II collagen, SOX9 mRNA expression levels, and Type II collagen immunofluorescence intensity were decreased in the osteoarthritis group (P < 0.05), and proinflammatory cytokine levels were increased in synovial fluid (P < 0.05). The mRNA expressions of matrix metalloproteinase 13 and a disintegrin and metalloproteinase with thrombospondin motifs-5 (ADAMTS-5) were increased (P < 0.05), and the protein expression levels of NLRP3, ASC, GSDMD p30, caspase-1 p20, interleukin-1β, and interleukin-18 were increased (P < 0.05). Immunofluorescence intensity of GSDMD and cleaved caspase-1 was increased (P < 0.05), and cartilage tissue was severely damaged. (2) Compared with osteoarthritis group, the threshold value of mechanical stimulation foot contraction response, type II collagen, SOX9 mRNA expression levels, and type II collagen immunofluorescence intensity in the non-transfected and transfected exosome groups were increased (P < 0.05); proinflammatory cytokine levels were decreased in synovial fluid (P < 0.05). The mRNA expression of matrix metalloproteinase 13 was decreased (P < 0.05), and the protein expression levels of NLRP3, ASC, GSDMD p30, caspase-1 p20, interleukin-1β, and interleukin-18 were decreased (P < 0.05). The immunofluorescence intensity of GSDMD and cleaved caspase-1 decreased (P < 0.05), and the cartilage tissue damage was reduced (P < 0.05), and the effect was stronger in the transfected exosome group. (3) These results conclude that microRNA-140 can reduce the pain response of rats with osteoarthritis by inhibiting inflammation, maintaining cartilage homeostasis, and inhibiting cartilaginous pyroptosis, thereby reducing cartilage damage and playing a therapeutic role in osteoarthritis. 
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    Alleviation of oxidative stress damage in chondrocytes by a new Mn-containing bioceramic powder
    hang Zining, Deng Ronghui, Yu Jiakuo
    2025, 29 (16):  3335-3342.  doi: 10.12307/2025.434
    Abstract ( 90 )   PDF (1386KB) ( 120 )   Save
    BACKGROUND: Mn can participate in oxidation-reduction reactions in various organisms. For example, as a metal-assisted group in superoxide dismutase 2, Mn plays a role in helping to remove reactive oxygen species. Therefore, the development of novel anti-oxidative stress materials containing Mn has become a research focus in recent years. 
    OBJECTIVE: To investigate the protective effect of Mn bioceramic powder material on oxidative stress damage to chondrocytes by reducing the reactive oxygen species pathway.
    METHODS: Bioceramic powders containing Mn were prepared by molten salt method. Primary mouse chondrocytes were isolated and cultured. Bioceramic powder containing 0, 0.15, and 0.30 mg/mL of Mn was added into H2O2 solution. The H2O2 clearance rate was detected after incubation without light. The passage 2 to passage 4 chondrocytes were co-cultured with complete media containing Mn-containing bioceramic powder with different mass concentrations (0, 0.15, and 0.30 mg/mL). Cell viability was detected by cell live/dead staining. The passage 2-4 chondrocytes (or cartilage tissue) were divided into four groups for intervention: Complete culture medium was added to the blank control group. The H2O2 group was added and cultured with complete medium containing H2O2. H2O2+low mass concentration Mn powder group was cultured by adding H2O2+0.15 mg /mL Mn-containing bioceramic powder. The complete medium containing H2O2+0.30 mg/mL Mn-containing bioceramic powder was added to the H2O2+high mass concentration Mn powder group. Viability of chondrocytes was detected by CCK-8 assay. Generation of reactive oxygen species of chondrocytes was detected by 2,7-dichlorofluorescein diacetate probe. Expression of chondrocyte-related factors was detected by qRT-PCR. The tissue structure and function of cartilage were detected by toluidine blue staining.
    RESULTS AND CONCLUSION: (1) Both doses of Mn-containing bioceramic powders could significantly remove H2O2 in vitro, and they were concentration dependent. The results of cell live/death staining showed that 0.15 mg/mL bioceramic powder containing Mn had chondrocyte safety, and 0.30 mg/mL bioceramic powder containing Mn had chondrocytotoxicity. (2) The results of CCK-8 assay showed that the two mass concentrations of Mn-containing bioceramic powders could significantly reduce the inhibitory effect of H2O2 on chondrocyte viability, and inhibit the generation of reactive oxygen species induced by H2O2 in chondrocytes in a mass concentration dependent manner. Both kinds of Mn-containing bioceramic powders could reverse the H2O2-induced increase of mRNA expression of a disintegrin and metalloproteinase with thrombospondin motifs-5 and decrease of proteoglycan mRNA expression in chondrocytes. (3) Toluidine blue staining results showed that both concentrations of Mn-containing bioceramic powder could protect the integrity of cartilage tissue structure under oxidative stress, and 0.30 mg/mL of Mn-containing bioceramic powder could also reduce the functional damage of cartilage tissue. (4) The results indicate that the Mn-containing bioceramic powder can protect chondrocytes under oxidative stress by clearing reactive oxygen species, maintaining the extracellular matrix homeostasis. However, 0.30 mg/mL Mn-containing bioceramic powder has certain chondrocytotoxicity, so 0.15 mg/mL Mn-containing bioceramic powder is preferred for follow-up studies.
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    Preparation and mechanical property analysis of hydrophilic Gyroid structure implant
    Yan Xinghua, Wang Xinyu, Liu Miao, Han Zekui, Song Yihan, Zhang Yan, Sun Zihui
    2025, 29 (16):  3343-3350.  doi: 10.12307/2025.448
    Abstract ( 126 )   PDF (1993KB) ( 139 )   Save
    BACKGROUND: The elastic modulus of traditional solid titanium alloy implants is higher than that of human bone, and the resulting “stress shielding” phenomenon may affect the osseointegration of implants. Simultaneously, the wettability of 3D printed titanium alloy surface needs to be improved.
    OBJECTIVE: To prepare hydrophilic Gyroid implants with excellent biomechanical properties.
    METHODS: The 3D models of Gyroid implant, solid implant, mandibular bone and crown were established, and the mechanical properties of different implants were analyzed by finite element analysis. The Gyroid structure implant model was imported into the 3D printer to make the Gyroid structure implant materialized, and then the hydrophilic Gyroid structure implant with excellent mechanical properties and surface activity was prepared by sandblasting acid etching and ultraviolet functionalization. The morphology and hydrophilicity of 3D printed Ti6Al4V specimens before and after surface modification were analyzed by scanning electron microscopy and contact angle test. 
    RESULTS AND CONCLUSION: (1) The finite element analysis results showed that under the vertical average bite force, the Gyroid structure could uniformly disperse the load acting on the implant into the entire structure. The load on the solid structure implant could only be dispersed on its outer surface and concentrated in the neck. The maximum equivalent stress of the Gyroid structure implant was 200.67 MPa, which did not exceed 50% of the yield strength of Ti6Al4V material. The maximum equivalent stress of the Gyroid structure implant on the surrounding bone tissue was 24.27 MPa, which was slightly higher than the maximum equivalent stress of the solid structure implant 17.32 MPa, and in the range of 20-60 MPa. The stimulation effect of the Gyroid structure implant on new bone formation was better than that of the solid structure implant. (2) The 3D printing technology could materialize the Gyroid structure implant model. Scanning electron microscopy showed that there were many unmelted spherical metal particles on the surface of the 3D printed  Ti6Al4V specimens. After sandblasting and acid etching, a micron-scale mesh pore structure was formed on the surface, and no protruding metal particles were seen. The surface morphology of the superimposed UV functional treatment group was basically consistent with that after sandblasting and acid etching. The contact angle test results showed that the surface hydrophilicity of the specimens treated with ultraviolet functionalization plus sandblasting and acid etching was better than that of the sandblasting and acid etching and non-surface treatment groups. (3) The sandblasting and acid etching technology can remove the weakly connected metal particles on the 3D printed specimen and improve the similarity between the solid model and the design model. On this basis, the ultraviolet functionalization treatment can significantly improve the hydrophilicity of the 3D printed Gyroid structure implant surface without affecting its structure. 
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    Stress analysis of angled abutments of maxillary central incisor implant crown in different implant spacing
    Mawulanjiang · Abudurenmu, Zilalai · Julaiti, Baibujiafu · Yelisi, Gulizainu · Yibulayin, Nijiati · Tuerxun
    2025, 29 (16):  3351-3359.  doi: 10.12307/2025.416
    Abstract ( 85 )   PDF (2075KB) ( 100 )   Save

    BACKGROUND: In the multi-tooth dental implant restoration, different implant spacing and abutment angle affect the distribution of stress within the implant components and surrounding bone tissue. The balance of stress distribution between the restoration and bone tissue directly determines the performance and stability of the dental implants.

    OBJECTIVE: To analyze the influence of different implant spacing configurations and abutment angulations on stress distribution within the implant components and surrounding bone tissue. 

    METHODS: The CT image data of a patient requiring upper anterior implant restoration were extracted from the CT database. The maxillary bone model was created using Mimics 21.0 software, processed in Geomagic, and imported into SolidWorks 21.0 software for constructing the maxillary central incisor implant crown restoration model. ANSYS Workbench 21.0 software was employed to apply different abutment angulations (0°, 10°, 20°, and 30°) to the models with implant spacing of 3.0, 2.5, and 2.0 mm, followed by stress analysis of the implant and surrounding bone tissue.  
    RESULTS AND CONCLUSION: (1) In the groups with 3.0, 2.5, and 2.0 mm implant spacing, the peak stress values of the implant components increased with increasing abutment angulation. Among all groups, the highest peak stress values for both the implant and its components were observed in the models with 30° abutment angulation, specifically at the connection between the fixation screw and the angled abutment. When utilizing a 30° abutment angulation, the surrounding bone tissue experienced the highest stress levels. (2) Stress concentration was predominantly found on the buccal and lingual sides of the cortical bone in all models. (3) The stress distribution and values within the bone between implants increased as the implant spacing decreased, with the 0° and 10° abutment angulation models consistently exhibiting significantly lower stress levels compared to the 20° and 30° models. (4) The results showed that the abutment angulation and implant spacing had certain effects on the stress distribution of bone tissue around the implant. When the abutment angulation increased, the implant was subjected to axial and oblique loads, and the stress pattern around the implant increased. The 30° abutment implant had a greater stress on bone tissue, reaching the bone resorption threshold of cortical bone. The repair stress of 10° and 20° abutments is less than that of 30° abutments, and the repair stress of more than 20° abutments should be carefully considered when selecting abutments clinically.
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    Three-dimensional finite element analysis of three-dimensional printed personalized orthodontic appliances for vertical movement of single teeth
    Cao Yilin, Wang Xinyu, Zhuang Yan, Wang Yaru Jiang Zhixiu, Liu Danyu, Men Jiuxu, Ding Yuansheng
    2025, 29 (16):  3360-3368.  doi: 10.12307/2025.431
    Abstract ( 94 )   PDF (1538KB) ( 125 )   Save

    BACKGROUND: Based on the principle of vertical tooth movement, a personalized orthodontic appliance is created through digital design combined with 3D printing, so that the personalized orthodontic appliance forms a support system with the individual incisors. With the help of the absolute support of the micro-implant, the single tooth is precisely controlled in a three-dimensional direction.

    OBJECTIVE: To design personalized orthodontic appliances with 11, 12, 21, and 22 intrusion and extrusion based on biomechanical principles, and analyze the safety of the personalized orthodontic appliances in terms of their movement effect on the teeth by means of the three-dimensional finite element method.

    METHODS: Three-dimensional finite element models of alveolar bone-periodontium-maxillary incisors-personalized cantilever micro-implant-connecting plates-personalized brackets in the maxillary anterior region (teeth numbers 11, 12, 21, and 22) were established using Mimics, Geomagic Wrap, SolidWorks, and Ansys Workbench software, respectively. Personalized orthodontic appliances with low pressure movement and extended movement were set up at each tooth position. The stress level of each component of the personalized orthodontic appliances was analyzed, and the tooth displacement and periodontal stress distribution were calculated under loading of 300 g tensile or thrust force. 
    RESULTS AND CONCLUSION: (1) The maximum equivalent force on the personalized intrusion mobile orthodontic appliance was 162.90 MPa, and the maximum equivalent force on the personalized extrusion mobile orthodontic appliance was 239.57 MPa. The maximum equivalent stress on both devices was located in the vertical portion of the personalized bracket loading attachment. The equivalent stresses on each part of the personalized orthodontic appliance were all within the yield strength, and they had good safety. (2) The initial displacement of the teeth under the action of the personalized orthodontic appliances showed a tendency towards overall intrusion or extrusion, with the displacement in the vertical direction far exceeding that in the horizontal and sagittal directions. The equivalent stress peak appeared at the root tip or neck of the periodontal membrane, and the equivalent stress concentration area appeared in the periodontal membrane of the root apical region. (3) The results show that the personalized orthodontic appliance allows 11, 12, 21, and 22 to approximate either intrusion movement or extrusion movement, initially confirming the effectiveness of the personalized vertical movement orthodontic appliance.
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    Mesenchymal stem cells combined with polycaprolactone-hyaluronic acid electrospinning membrane in repair of endometrial injury
    An Jiangru, Zhang Jinyi, Wang Qiuhua, Yang Yangyang, Wang Wenshuang, Zhang Xiaoqing
    2025, 29 (16):  3369-3379.  doi: 10.12307/2025.429
    Abstract ( 110 )   PDF (3921KB) ( 236 )   Save
    BACKGROUND: Human endometrial mesenchymal stem cells can directly repair the damaged endometrium, promote angiogenesis, and restore the morphological structure of the uterus. However, after the direct injection of stem cells into the damaged endometrium, the cell survival rate is low, the retention time is short, and the repair effect is limited.
    OBJECTIVE: To observe the effect of polycaprolactone-hyaluronic acid electrospinning membrane combined with human endometrial mesenchymal stem cells on endometrial injury in rats.
    METHODS: (1) Cell experiment: Human endometrial mesenchymal stem cells were extracted by collagenase digestion method. Polycaprolactone-hyaluronic acid electrospinning membrane was prepared by electrospinning technology. The human endometrial mesenchymal stem cells were inoculated on polystyrene culture plate and polycaprolactone-hyaluronic acid electrospinning membrane. The proliferation and adhesion of the cells were observed by DNA quantitative analysis, WST-1 cell activity test, phalloidin staining, and scanning electron microscopy. The mRNA expressions of CD90 and Meflin in electrospun membrane were detected by qRT-PCR. (2) Animal experiments: 27 female SD rats in estrus were selected to establish uterine adhesion model by mechanical scratching method and randomly divided into three groups with nine rats in each group: The blank control group did not receive any treatment; the control group was implanted with polycaprolacton-hyaluronic acid electrospinning membrane; the experimental group was implanted with polycaprolacton-hyaluronic acid electrospinning membrane/human endometrial mesenchymal stem cell mesh. Samples were collected at 3, 7, and 14 days after surgery. Hematoxylin-eosin staining was used to observe the morphological structure of uterus and the number of glands. qRT-PCR and immunofluorescence staining were used to observe the expression of CD31 and vascular endothelial growth factor in uterine tissue.
    RESULTS AND CONCLUSION: (1) Cell experiment: Compared with polystyrene culture plate, polycaprolactone-hyaluronic acid electrospinning membrane could promote the proliferation and adhesion of human endometrial mesenchymal stem cells. Polycaprolactone-hyaluronic acid electrospinning membrane supported the expression of CD90 and Meflin genes of human endometrial mesenchymal stem cells. (2) Animal experiments: Hematoxylin-eosin staining showed that polycaprolactic-hyaluronic acid electrospinning membrane/human endometrial mesenchymal stem cell patch could promote the recovery of endometrial morphological structure after injury. The endometrial thickness and number of gland on day 14 after surgery were higher than those in blank control group and control group (P < 0.05). qRT-PCR and immunofluorescence staining showed that the mRNA and protein expressions of CD31 and vascular endothelial growth factor in the experimental group were higher than those in the blank control group and the control group at 7 and 14 days after surgery (P < 0.05). (3) The results showed that polycaprolacton-hyaluronic acid electrospinning membrane could improve the survival rate of stem cells and prolong the contact time between stem cells and the damaged tissue, and the composite transplantation of the two could better repair the damaged endometrial tissue.
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    Construction and performance evaluation of polycaprolactone/nanodiamond-phospholipid composite materials
    Tian Jiayu, Li Duohua, Zhang Feng, Feng Hu, Sun Wei
    2025, 29 (16):  3380-3387.  doi: 10.12307/2025.423
    Abstract ( 91 )   PDF (1950KB) ( 64 )   Save

    BACKGROUND: Polycaprolactone has been widely used in bone tissue engineering due to its excellent processing and degradation performance, but its poor hydrophilicity and mechanical strength cannot provide a good growth environment for osteoblasts.

    OBJECTIVE: To prepare polycaprolactone/nanodiamond-phospholipid composite materials, evaluate its biocompatibility and in vitro ability to promote bone differentiation.

    METHODS: Nanodiamond was modified using phospholipids, and polycaprolactone was used as the raw material. Polycaprolactone/nanodiamond-phospholipid composite materials with different mass ratios (0%, 2.5%, 7.5%, and 10%) were prepared by solution casting method. Polycaprolactone/nanodiamonds were used for comparison. The surface morphology, elemental composition, mechanical properties, and water contact angle of each group of materials were observed to select composite materials with better physical and chemical properties. MC3T3-E1 cells were inoculated onto pure polycaprolactone membrane, polycaprolactone/7.5% nanodiamond-phospholipid membrane, and polycaprolactone/7.5% polycaprolactone/nanodiamond membrane, respectively, to detect cell proliferation, adhesion, and osteogenic differentiation ability. 
    RESULTS AND CONCLUSION: (1) The successful preparation of the polycaprolactone/nanodiamond-phospholipid composite material was confirmed by scanning electron microscopy and surface element composition. Compared with pure polycaprolactone membrane, the tensile strength of the polycaprolactone/7.5% nanodiamond-phospholipids membrane increased by 86.06%, the elastic modulus increased by 54.76%, and the water contact angle decreased to 70.0°, showing good physical and chemical properties. (2) The CCK-8 assay results showed that compared with pure polycaprolactone membrane and polycaprolactone/7.5% nanodiamond membrane, polycaprolactone/7.5% nanodiamond-phospholipid membrane could promote the proliferation of MC3T3-E1 cells. Phalloidine staining exhibited that compared with the polycaprolactone/7.5% nanodiamond membrane, the MC3T3-E1 cells on pure polycaprolactone and polycaprolactone/7.5% nanodiamond-phospholipid membrane were mostly rhomboid or spindle-shaped fibers, and the cells were more closely connected. Alkaline phosphatase staining showed that MC3T3-E1 cells on polycaprolactone/7.5% nanodiamond-phospholipid membrane exhibited stronger osteogenic differentiation ability compared with pure polycaprolactone membrane and polycaprolactone /7.5% nanodiamond membrane. (3) The results indicate that the polycaprolactone/nanodiamond-phospholipid composite material has good mechanical properties, hydrophilicity, biocompatibility, and the ability to promote osteogenic differentiation in vitro.
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    REG-augmented decellularized porcine cornea/hydroxyethyl methacrylate in situ integrated composite artificial cornea
    Xin Yuan, Wu Xixi, Quan Liang, Zhang Hengtong, Ao Qiang
    2025, 29 (16):  3388-3399.  doi: 10.12307/2025.426
    Abstract ( 73 )   PDF (7210KB) ( 21 )   Save
    BACKGROUND: Currently, artificial corneas used for full-thickness transplantation lack biological activity and mechanical adaptability. Composite artificial corneas face interface issues between the corneal button and surrounding components.
    OBJECTIVE: To prepare an integrated artificial cornea with peptide enhancement, matched mechanical strength to natural cornea, and excellent transparency via in situ ultraviolet light curing of decellularized porcine cornea.
    METHODS: Non-ionic decellularization reagent Triton X-100 combined with ultrasonic freeze-thawing and super nucleases was utilized to prepare decellularized porcine cornea. Hydroxyethyl methacrylate monomer and photoinitiator were introduced into the decellularized porcine cornea simultaneously. Ultraviolet light with a filter was used to cover the peripheral region except for the central area, where polymerization was initiated using 275 nm ultraviolet light. After removal of unreacted monomers and initiators, the central optical zone was obtained. Similarly, the posterior lamellar layer was polymerized to form the hydrophobic barrier zone. Finally, REG active polypeptide was introduced to obtain in situ integrated full-layer artificial cornea. The physical properties, mechanical properties, transparency, degradation properties and in vivo and in vitro biocompatibility of artificial cornea were characterized.
    RESULTS AND CONCLUSION: (1) An optical region with the co-existence of polymer and collagen fibers was constructed in situ using hydroxyethyl methacrylate in the central region of decellularized porcine cornea. Under scanning electron microscopy, the upper surface of the artificial cornea was rough and irregular, with obvious concave and convex structure, and the lower surface was relatively smooth. The artificial cornea had mechanical properties close to those of natural cornea. The transparency of the optical zone reached 80% of that of the natural cornea. After soaking in PBS aseptic solution containing collagenase, it could preserve the solidified optical region and hydrophobic barrier zone, and maintain the basic structure of cornea. The artificial cornea had good cytocompatibility, could provide a suitable adhesion and growth environment for cells, was conducive to the migration and adhesion of corneal epithelial cells, promoted the growth of vascular endothelial cells and the formation of new blood vessels, and promoted the epithelialization process. The artificial cornea had good biocompatibility and safety after 12 weeks of subcutaneous implantation in SD rats, and could reduce the acute inflammatory reaction at the initial stage of implantation. (2) The results show that the integrated full-layer artificial cornea prepared by the experiment has the potential as a full-layer artificial cornea scaffold.
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    Application of nanoprobe based on aggregation-induced luminescence in photothermal diagnosis and treatment of prostate cancer
    Gui Bin, Jiang Nan, Huang Xin, Zhong Fanglu, Wang Zhiwen, Liu Qianhui, Guo Yuxin, Chen Yueying, Pu Huan, Deng Qing
    2025, 29 (16):  3400-3409.  doi: 10.12307/2025.425
    Abstract ( 118 )   PDF (2217KB) ( 107 )   Save

    BACKGROUND: A novel aggregation induced luminescence fluorescence probe based on the mechanism of intramolecular motility restriction can be used for the detection of disease markers, tumor diagnosis, and bacterial imaging recognition.

    OBJECTIVE: To prepare a near-infrared II nanoprobe called FA-DSPE-PEG-AIE@NPs based on aggregation-induced luminescence, and to explore its potential of targeted fluorescence imaging and photothermal therapy for prostate cancer. 

    METHODS: Lecithin, polyethylene glycol phospholipids, folate polyethylene glycol phospholipids, and aggregation induced luminescent molecule 2TT-oC26B were used as raw materials. The folate-targeted nanoprobe FA-DSPE-PEG-AIE@NPs were prepared by nanoprecipitation method, and basic characterization of the nanoprobe was detected. PC3 human prostate cancer cells and human umbilical vein endothelial cells were selected as experimental objects. The cytotoxicity and phototoxicity of FA-DSPE-PEG-AIE@NPs were detected. PC3 human prostate cancer cells were selected as the experimental objects. Flow cytometry and calcein/propidium iodide staining were used to assess the efficacy of photothermal therapy. PC3 human prostate cancer cells were injected subcutaneously into the abdomen of BALB/C nude mice to establish a tumor model, and nanoprobes FA-DSPE-PEG-AIE@NPs were injected into the tail vein. The mice were immediately subjected to near-infraced II fluorescence imaging. 12 hours later, the tumor was irradiated by laser for 5 minutes, and the photothermal treatment effect was observed within 14 days. 
    RESULTS AND CONCLUSION: (1) The nanoprobes FA-DSPE-PEG-AIE@NPs with a mean diameter of (171.0±0.3) nm showed a well-defined spherical morphology. The nanoprobe had a wide absorption spectrum and tail emission extending to the near-infrared II which emitted a bright near-infrared II fluorescence signal under laser irradiation. (2) The nanoprobes FA-DSPE-PEG-AIE@NPs had low cytotoxicity and high phototoxicity. The results of flow cytometry and calcein/propidium iodide staining showed that nanoprobes FA-DSPE-PEG-AIE@NPs had an obvious photothermal killing effect on human prostate cancer cells. (3) The nanoprobes FA-DSPE-PEG-AIE@NPs successfully achieved near-infrared II fluorescence imaging of mouse blood vessels and the maximum enrichment time of the tumor was 12 hours. The vessel widths of the hind leg and single blood vessels of abdomen were estimated to be 0.63 mm and 0.42 mm. The tumor volume of mice was significantly smaller after 14 days of treatment. (4) The results show that nanoprobes FA-DSPE-PEG-AIE@NPs can achieve near-infrared II fluorescence imaging and photothermal therapy of prostate cancer effectively, which may provide a new method for early diagnosis and combined treatment of prostate cancer. 
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    Dual-modality imaging bionic nanoparticles for sonodynamic therapy on medullary thyroid carcinoma
    Zhu Weiwei, Fan Zhengchao, Xu Ying, Xia Jizhu, Zhao Xiangzhi
    2025, 29 (16):  3410-3419.  doi: 10.12307/2025.436
    Abstract ( 98 )   PDF (2342KB) ( 176 )   Save

    BACKGROUND: Sonodynamic therapy represents an innovative antitumor treatment modality characterized by its non-invasiveness and precise spatiotemporal controllability. This approach offers broad prospects for the non-invasive treatment of medullary thyroid carcinoma.

    OBJECTIVE: To prepare lipid nanoparticles coated with a biomimetic cancer cell membrane capable of dual-modality imaging, and to detect the physicochemical properties, targeting ability, imaging efficacy, cytotoxicity, and anti-migration capabilities of the nanoparticles.

    METHODS: Dipalmitoyl phosphatidylcholine, dipalmitoyl phosphatidylglycerol, distearoyl phosphatidylethanolamine-PEG2000, cholesterol, hematoporphyrin monomethyl ether, and perflexane were used as raw materials. Nanoparticles HP@LNP were synthesized using a thin-film hydration-ultrasonication technique, encapsulating hematoporphyrin monomethyl ether within the hydrophobic layer and perflexane within the hydrophilic core of lipid nanostructures. Subsequently, the surface of these nanoparticles HP@LNP was coated with medullary thyroid carcinoma cell membrane, resulting in the creation of biomimetic lipid nanoparticles (MHP@LNP) with active targeting capabilities towards medullary thyroid carcinoma cells. The physicochemical properties, targeting ability, immune evasion capacity, imaging effect, cytotoxicity, and anti-migration properties of MHP@LNP nanoparticles were characterized. 
    RESULTS AND CONCLUSION: (1) The synthesized MHP@LNP nanoparticles demonstrated a typical core-shell structure, with a diameter of 131.06 nm and an average zeta potential of -30.59 mV. Gel electrophoresis confirmed that the protein profile of the MHP@LNP nanoparticles closely matched that of the cancer cell membrane. Fluorescent colocalization studies indicated a significant overlap between the fluorescence signals of the nanoparticles and the cancer cell membrane. The encapsulation rate and drug loading rate of hematoporphyrin monomethyl ether in MHP@LNP nanoparticles were 87.8% and 14.6% respectively. Upon stimulation with low-intensity focused ultrasound, the MHP@LNP nanoparticles underwent a phase transition, forming microbubbles with ultrasound signal intensity peaking at 4 minutes. Under laser irradiation, the photoacoustic signal intensity was found to be linearly correlated with the mass concentration of the nanoparticles. The MHP@LNP nanoparticles exhibited homologous cell targeting and immune evasion capabilities. Prior to exposure to low-intensity focused ultrasound, the MHP@LNP nanoparticles showed good biocompatibility. However, following ultrasound irradiation, they produced cytotoxic reactive oxygen species, had lethal effect on medullary thyroid carcinoma cells, and inhibited the migration of medullary thyroid carcinoma cells. (2) These findings indicate that MHP@LNP nanoparticles can achieve sonodynamic therapy for the treatment of thyroid medullary carcinoma under ultrasound and photoacoustic dual-modality imaging guidance.
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    Critical bone defect repaired with anti-fibrosis and “H”-type core-shell bionic scaffold
    Li Yonghang, Li Wenming, Yan Caiping, Wang Xingkuan, Xiang Chao, Zhang Yuan, Jiang Ke, Chen Lu
    2025, 29 (16):  3420-3431.  doi: 10.12307/2025.418
    Abstract ( 108 )   PDF (2284KB) ( 80 )   Save
    BACKGROUND: During bone tissue healing, promoting the vascularization of new bone is a common strategy to accelerate the repair of bone tissue. However, the rapid fibrosis process during bone defect repair is often ignored.
    OBJECTIVE: To design and prepare a core-shell structure bionic scaffold to regulate the process of fibrosis and vascularization in new callus, characterize physical characteristics of the scaffold, and verify the anti-fibrosis and osteogenic properties in vitro and in vivo.
    METHODS: A core-shell structure bionic scaffold to regulate the process of fibrosis and vascularization in new callus was designed and prepared. The outer shell structure of the scaffold was composed of polycaprolactone electrospun nanofibers loaded with fibroblast activating protein inhibitor; and the inner core structure was composed of gelatin methacrylate hydrogel loaded with deferoxamine. The physical characteristics of electrospun and hydrogel were characterized, and the biocompatibility of the material was verified by live-dead staining and CCK-8 assay. The antifibrotic effect of core-shell structure was analyzed by fibroblast in vitro assay. The osteogenic effect of fibroblast activating protein inhibitor in core-shell structure was analyzed by MC3T3-E1 cells in vitro assay. The vasogenic effect of deferoxamine in core-shell structure was analyzed by human umbilical vein endothelial cells. The effect of bionic core-shell scaffold on bone repair was evaluated by critical bone defect test in rats. 
    RESULTS AND CONCLUSION: (1) The core-shell structure bionic scaffold had good biocompatibility. Hydrophobic polycaprolactone electrospun fibers prepared by electrospinning technology could effectively block the ingrowth of exogenous fibrous tissue on the physical level. The electrospun fiber membrane could effectively release the anti-fibrosis drug fibroblast activating protein inhibitor within 2 weeks, and the released anti-fibrosis drug could inhibit the growth and adhesion of fibroblasts around bone defects, effectively reduced the expression of fibroblast-related proteins, promoted the expression of osteoblast protein in MC3T3-E1 cells, and accelerated its mineralization rate. The deferoxamine in the core-shell structure could promote the migration and vascular formation ability of human umbilical vein endothelial cells, and promoted their strong expression of “H” vascular characteristic protein. (2) In critical bone defect model of SD rats established in the femur, compared with polycaprolactone membrane, the core-shell structure bionic scaffold could effectively repair bone defects. (3) These findings indicate that the core-shell structure bionic scaffold can prevent excessive fibrosis of callus and promote the formation of “H” vessels in the new callus, which can effectively avoid the occurrence of nonunion and accelerate the repair process of critical bone defect.
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    3D printed hollow pipe double-crosslinked hydrogel tissue engineering scaffold
    Wang Renzhi, Chen Yuanfen, Li Jinwei
    2025, 29 (16):  3432-3439.  doi: 10.12307/2025.424
    Abstract ( 97 )   PDF (1713KB) ( 163 )   Save
    BACKGROUND: When cultivating cells with high demand for structure and oxygen, it is necessary to construct a three-dimensional biological scaffold with hollow pipe structure to make sure the cells get enough nutrients and oxygen. In recent years, hydrogel tissue engineering scaffolds with hollow pipe structure have been paid more and more attention. 
    OBJECTIVE: The biological scaffold material based on sodium alginate was combined with coaxial printing technology to prepare a tissue engineering scaffold with a hollow pipe structure, and the cells were inoculated by perfusion to verify its biological properties.
    METHODS: The sodium alginate-acrylamide mixed printing solution was prepared, and the parameters such as the printing speed of the inner and outer layers in the coaxial printing process, sodium alginate concentration, and calcium chloride concentration in the receiving dish were controlled to realize the printing of the tissue engineering scaffold with a hollow pipe — sodium alginate-polyacrylamide double-crosslinked hydrogel. The microstructure and elastic modulus of the scaffold were characterized. Mouse fibroblasts were injected into hollow pipes of tissue engineering scaffolds. Cell compatibility was observed by living/dead cell staining.
    RESULTS AND CONCLUSION: (1) By exploring the printing parameters in the printing process, when the inner printing speed was constant, the outer diameter of the hollow pipe increased with the increase of the flow rate of the outer printing solution, and the inner diameter increased slightly. When the flow rate of the outer layer printing solution was constant, and the flow rate of the inner layer solution was increased, the outer diameter of the hollow pipe was basically unchanged, and the inner diameter was significantly improved. (2) Experimental results showed that the concentration of sodium alginate was 2.5%. Excessive concentration was not conducive to the fusion of multi-layer structure layers, and the mechanical properties of hydrogels prepared at too low concentration were insufficient. (3) The elastic modulus of the double-crosslinked hydrogel was higher, generally higher than 200 kPa, and increased with the increase of the concentration of calcium chloride, and reached the maximum value of 375 kPa when the concentration of calcium chloride in the inner layer was 2% and the concentration of calcium chloride in the receiving dish was 0.3%. (4) The staining of live and dead cells after the tissue engineering scaffold perfusion cells in vitro showed that the cells were distributed along the axis of the hollow pipe and had a higher survival rate, but the cell concentration was lower than that during perfusion. (5) The results show that the sodium alginate-polyacrylamide double-crosslinked hydrogel has strong mechanical properties while retaining good biocompatibility, and can be used in the construction of tissue engineering scaffolds with hollow pipes, and the method of “first preparing the scaffold, then inoculating the cells” also avoids the traditional “cells and printing solution are mixed and then prepared” method to limit the scaffold material and processing method.
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    Preparation and radial support mechanical behavior of new mixed braided stents
    Xue Guangming, Muhetaer · Kelimu, Li Hong
    2025, 29 (16):  3440-3448.  doi: 10.12307/2025.419
    Abstract ( 60 )   PDF (6931KB) ( 13 )   Save
    BACKGROUND: Braided stents are widely used for treating stenotic arteries due to their good flexibility, but they have significant limitations in providing adequate radial support.
    OBJECTIVE: In response to the lack of radial support of braided stents made of a single material, a mixed braided stent using biodegradable materials with different mechanical parameters was developed to explore the influencing factors affecting the radial mechanical properties of the mixed braided stent. 
    METHODS: Fe-alloy yarn was introduced into the Mg-alloy stents, and the stents with various braiding parameters were analyzed using finite element analysis. The radial support, radial recoil and expansion non-uniformity of the mixed braided stents were evaluated by comparing with ordinary 0.18 mm Mg-alloy stents prepared by yarn. 
    RESULTS AND CONCLUSION: (1) When the Fe-alloy yarn diameters were 0.18 mm and 0.14 mm, the radial support force of the stent increased continuously with the introduction of more and more Fe-alloy yarns. Although the radial support provided was less by the 0.14 mm Fe-alloy yarns than by the same number of 0.18 mm Fe-alloy mixed braided stents, an increase in the number of Fe-alloy yarns resulted in a radial support comparable to that of the thicker Fe-alloy yarns. When the Fe-alloy yarn diameter was 0.10 mm, the radial support of the stents decreased with the increase in the number of Fe-alloy yarns. (2) When the braiding angle was increased, the radial support force of the stents was reduced, but the radial recoil and expansion non-uniformity were improved. By adjusting the braided angle, the lack of radial support force caused by small diameter Fe-alloy yarns could be improved. (3) It is concluded that this method can improve the radial mechanical properties of the stent without increasing the yarn diameter. This not only overcomes the limitation of single-material stents, but also provides a new idea for the design of multi-material stents. 
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    Design and mechanical performance of cell-gradient scaffolds based on three-period minimal surface
    Zhu Wenbo, Zhang Xujing, Xu Yan, Shi Xintong
    2025, 29 (16):  3449-3457.  doi: 10.12307/2025.430
    Abstract ( 69 )   PDF (3980KB) ( 201 )   Save
    BACKGROUND: The elastic modulus of bone-cartilage integration scaffolds differs significantly from that of natural bone-cartilage tissue, which can lead to a stress shield effect. As a result, the implants become loose and deformed, affecting the repair of osteochondral tissue. Cell gradient scaffolds made by axial direction three-period minimal surface have the same porosity and elasticity modulus as the human body, which provides a new idea for bone-cartilage scaffold design.
    OBJECTIVE: To study the effect of cell type and pore size on the mechanical properties of cell gradient scaffolds. 
    METHODS: Three basic cells of Gyroid(G) type, Diamond(D) type, and Primitive(P) type were used. Through mathematical modeling of three-period minimal surface, different sizes and types of cells were used in the gradient region. A total of six kinds of cell gradient scaffolds (G-2P-4D, P-2D-4G, D-2P-4D, G-2D-4P, P-2G-4D, and D-2G-4P) were constructed and mechanical experiments and simulation experiments were conducted to evaluate the mechanical properties of the scaffolds. Flow performance parameters of the fluids in the scaffolds were obtained through computational fluid dynamics simulation. 
    RESULTS AND CONCLUSION: Finite element mechanical simulation and compression experiment showed that P-2G-4D and P-2D-4G with the highest elastic modulus (148.67 MPa and 152.1 MPa), bearing a higher body load, improved the stability of the scaffold. The stress distribution in D-2P-4G was even and effectively reduced stress concentration, so that the connection function area could effectively transfer stress and reduce stress shielding. Flow rate was changing the least in G-2D-4P (0.10-0.48 mm/s). Permeability was higher than other scaffolds so that body fluids were able to flow though the gradient scaffold after implantation. This design method provides a new idea for the design of osteochondral scaffolds, and the simulation analysis results also provide a reference for the prediction of bone integration after implantation of scaffolds.
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    Differences in structural design between traditional and bionic scaffolds in bone tissue engineering
    Zhao Yue, Xu Yan, Zhou Jianping, Zhang Xujing, Chen Yutong, Jin Zhengyang, Yin Zhitao
    2025, 29 (16):  3458-3468.  doi: 10.12307/2025.421
    Abstract ( 224 )   PDF (1726KB) ( 386 )   Save
    BACKGROUND: As a temporary matrix for new bone growth, the porous scaffold plays a key role in the process of bone repair. The structural design of porous scaffolds is a research priority in the process of bone repair.
    OBJECTIVE: To summarize traditional bone scaffolds (regular, uniform scaffolds) and bionic scaffolds (irregular, inhomogeneous scaffolds) in the field of bone tissue engineering research. 
    METHODS: A computerized search was performed in the databases of CNKI, VIP, WanFang, Web of Science, Science Direct, PubMed, and EI. Literature published from January 2008 to March 2024 was selected. The search terms in Chinese included “bone tissue engineering, bionic scaffolds, bone trabeculae, traditional scaffolds, bone repair, triple-period minimal surfaces.” The search terms in English were “bone tissue engineering, bionic scaffolds, bone trabeculae, traditional scaffolds, bone repair, TPMS.” Finally, 81 articles were included for review. 
    RESULTS AND CONCLUSION: The structural design of bone scaffolds is the key to achieve bone repair and bone regeneration, and scaffold technology in bone tissue engineering has made remarkable progress. Traditional regular porous scaffolds are widely used due to their simple manufacturing process and good mechanical properties. However, these scaffolds often lack biological activity and are difficult to mimic the complex microenvironment of natural bone tissue, limiting their ability to promote cell proliferation and bone regeneration. On the contrary, bionic scaffolds provide a more suitable physiological microenvironment by mimicking the structural features of natural bone tissues, which promotes the proliferation and differentiation of osteoblasts, as well as the formation of new bone, and provides a new way of thinking for the effective treatment of bone defects. Despite the great potential of bionic scaffolds in theory, they still face many challenges in practical applications. Factors such as the scaffold’s biocompatibility, bioactivity, and its long-term stability still need to be further verified through clinical trials. 
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    Application of photoresponsive nanomaterials in bone tissue regeneration
    Feng Shuqi, Zhang Shiyong, Yao Keyi, Tang Yufei, Wang Kai, Zhou Xuemei, Xiang Lin
    2025, 29 (16):  3469-3475.  doi: 10.12307/2025.420
    Abstract ( 115 )   PDF (940KB) ( 254 )   Save
    BACKGROUND: Photoresponsive nanomaterials offer the combined advantages of nanomaterials and the unique benefits of light responsiveness. They find extensive applications in biomedical fields like tissue regeneration, biological imaging, disease diagnosis, drug delivery, and targeted therapy, making them a research hotspot in the field of functional materials. 
    OBJECTIVE: To summarize the advantages and research progress of photoresponsive nanomaterials in bone tissue regeneration. 
    METHODS: CNKI and PubMed databases were searched using the main English search terms “light-responsive, photoresponsive, nanomaterials, bone defect, bone regeneration, osteogenesis, osseointegration” and main Chinese search terms “light-responsive, nanomaterials, bone defect, bone regeneration, osseointegration.” Relevant literature was selected based on inclusion and exclusion criteria, resulting in the inclusion of 59 articles for review. 
    RESULTS AND CONCLUSION: The surface morphology of photoresponsive nanomaterials can promote bone tissue regeneration by directly modulating the gene expression and biological behavior of osteoblasts and indirectly regulating immune-related cells behavior. Photoresponsive nanomaterials can be utilized for photothermal and photodynamic antibacterial purposes to facilitate the repair of infectious bone defects. Mild photothermal stimulation generated by photoresponsive nanomaterials can effectively enhance osteogenesis by upregulating the expression and functionality of osteogenic-related genes and proteins. Photoresponsive nanomaterials can produce electrons under light exposure, thereby achieving non-invasive promotion of bone tissue regeneration by modulating local cellular potential changes. Drug release systems based on photoresponsive nanomaterials can undergo structural changes under specific light sources to promote drug release, providing targeted therapeutic strategies for bone tissue regeneration. 
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    Strategies and development of photothermal and photodynamic synergistic therapy of metal-organic frameworks
    Chen Xiaoxuan, Pei Xibo, Gai Kuo, Wan Qianbing
    2025, 29 (16):  3476-3485.  doi: 10.12307/2025.413
    Abstract ( 196 )   PDF (1919KB) ( 321 )   Save
    BACKGROUND: Metal-organic framework is an emerging porous material composed of metal nodes and organic ligands. Metal-organic frameworks can be both intrinsic photodynamic or photothermal and modified by photothermal agents or photosensitizers. Upon light irradiation, phototherapy effects are exerted through production of reactive oxygen species or rise in temperature, which is widely applied to antitumor and antibacterial treatments. When metal-organic frameworks possess both of above phototherapeutic effects, they can exert a synergistic therapeutic effect to compensate for the shortcomings of using a single phototherapy method. 
    OBJECTIVE: To summarize recent proposed photodynamic-thermal synergistic strategies according to different structures of metal-organic frameworks, to provide new insights into the structural design, functionalization, and clinical scenarios of combined therapy metal-organic frameworks. 
    METHODS: Using “metal-organic frameworks, photodynamic therapy, photothermal therapy” as Chinese search terms and “metal-organic frameworks, photodynamic therapy, photothermal therapy, phototherapy” as English search terms, articles were searched on PubMed, Web of Science, ScienceDirect, CNKI, and WanFang databases. Finally, 76 articles were included for review. 
    RESULTS AND CONCLUSION: (1) The combination of photothermal and photodynamic therapy has been shown to exert a synergistic effect. (2) Current strategies for combined photothermal and photodynamic therapy predominantly involve the modifying of metal-organic frameworks to impart photothermal and photodynamic properties, encapsulating phototherapeutic agents within metal-organic frameworks, forming core-shell structures with phototherapeutic agents and metal-organic frameworks, in-situ reduction of phototherapeutic agents within metal-organic frameworks, adhering phototherapeutic agents to metal-organic framework surfaces, and unique modification methods like pyrolyzing metal-organic frameworks to form metal-organic frameworks-derived carbon materials. (3) To construct metal-organic framework structures for specific phototherapy, it is essential to comprehensively consider the type, size, and binding of the phototherapeutic agents and metal-organic frameworks, and select different synthesis strategies accordingly. Encapsulation is a straightforward synthesis approach but is only suitable for small-sized phototherapeutic agents. Core-shell structures are stable, but their synthesis process is relatively complex. In situ reduction does not impose special restrictions on the size of phototherapeutic agents, but it is challenging to precisely control the growth of the phototherapeutic agents within the metal-organic frameworks. Surface attachment offers a simple synthesis step, but it cannot prevent the early aggregation and quenching of phototherapeutic agents. Surface attachment requires stringent conditions and can only be implemented with specific metal-organic frameworks. (4) The existing photothermal and photodynamic combined therapy approaches have been primarily applied in antimicrobial and antitumor treatments, demonstrating remarkable efficacy. The specific applications are related to the properties of the phototherapeutic agents and metal-organic frameworks. A minority of applications extend to rheumatoid arthritis and anticoagulation thrombolysis treatments, indicating a broad potential application scope. (5) The clinical translation of photothermal and photosensitizing agents is currently in its nascent stage, facing key challenges that include the evaluation of biocompatibility and biosafety, optimization of laser irradiation parameters, and the development of efficient methods for large-scale synthesis.
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    Application of MXene-based hydrogels in wound repair
    He Rui, Li Chongyi, Wang Ruiyao, Zeng Dan, Fan Daidi
    2025, 29 (16):  3486-3493.  doi: 10.12307/2025.412
    Abstract ( 211 )   PDF (1190KB) ( 354 )   Save
    BACKGROUND: MXene-based hydrogel is a kind of nano-composite multifunctional hydrogel material, which has broad application prospects in the field of chronic wound repair, such as diabetic foot, pressure sore, cancer, and traumatic ulcer.
    OBJECTIVE: To review the advantages of MXene-based hydrogels and their application and related action mechanism in wound repair.
    METHODS: The articles included in CNKI, VIP, PubMed, and Science Direct databases were searched from January 2010 to October 2023. The key words were “MXene, hydrogel, tissue engineering application, wound repair” in Chinese and “MXene, hydrogel, wound repair” in English. Finally, 70 articles that met the criteria were selected for review.
    RESUILTS AND CONCLUSION: MXene-based hydrogels have excellent mechanical, electrical, photo-thermal properties, biocompatibility, and antibacterial effects in wound tissue engineering, and can be combined with other organic and inorganic substances to produce greater therapeutic effects in hydrogel. MXene-based hydrogels can be applied to skin wounds in combination with wound monitoring, drug delivery and release, and photothermal therapy. Despite some progresses in the design and preparation of MXene-based hydrogel composites, they are still in the fundamental research stage. There is a lack of clinical validation regarding their effectiveness and safety, but they hold great potential for development and application.
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    Hernia repair patch: recent advances in material design and application
    Chen Jingyu, Hong Ge, Guo Ning, Liu Tianjun
    2025, 29 (16):  3494-3502.  doi: 10.12307/2025.437
    Abstract ( 247 )   PDF (1116KB) ( 293 )   Save
    BACKGROUND: Patch surgery by tension-free repair has become the first choice for treatment of abdominal hernias in recent years because of its effectiveness in reducing postoperative pain and recurrence rates compared to traditional suturing. 
    OBJECTIVE: To summarize the advantages and disadvantages associated with the application of different hernia repair patch materials. 
    METHODS: CNKI, Google Scholar, and PubMed databases were searched using Chinese and English search terms “abdominal wall defect, hernia patches, hernia treatment” for articles published from January 2018 to February 2024. A few classic early-onset articles were used to express the development of hernia repair. After preliminary screening by reading titles and abstracts, those with low relevance to hernia repair materials were excluded. Finally, 90 articles were included for summarization.
    RESULTS AND CONCLUSION: Hernia repair patches can be divided into non-absorbable synthetic patches, absorbable synthetic patches, natural polymer patches, and composite patches based on different materials used. Non-absorbable patches have high mechanical strength and are beneficial for tissue healing in hernia areas, but long-term presence of patches in the body may trigger immune responses, leading to inflammation and pain. Absorbable synthetic patches and natural polymer patches have good tissue compatibility and degradability, but their mechanical strength is unstable. Composite material patches inherit the excellent mechanical properties of traditional non-absorbable patches and reduce the risk of complications through the design of absorbable parts. In subsequent studies of hernia repair patch materials, researchers should focus on how to combine novel technologies with composite patches to form multifunctionalized hernia repair materials.

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    Application of solid collagen-based materials in medical devices
    Hu Zhangjie, Zhang Baoguan, Zhang Zhiwu
    2025, 29 (16):  3503-3512.  doi: 10.12307/2025.415
    Abstract ( 217 )   PDF (1708KB) ( 391 )   Save
    BACKGROUND: Collagen is the main component of extracellular matrix. With its stable triple helix structure, good biological characteristics and machinability, collagen is an ideal biomedical material and has been widely used in the field of medical devices.
    OBJECTIVE: To analyze the main product morphology, technical characteristics, preparation process, and clinical application of solid collagen-based materials.
    METHODS: The research on solid collagen-based materials in the field of medical devices included in PubMed and CNKI was searched by computer. The English and Chinese search terms were “collagen, collagen sponge, collagen membrane, collagen powder, collagen gel, decellularized extracellular martix, medical device, clinical application.” After preliminary screening of all articles according to inclusion and exclusion criteria, 92 articles with higher quality and relevance were retained for review. 
    RESULTS AND CONCLUSION: Solid collagen-based materials from animal sources have been used as materials for the preparation of medical devices, and remarkable progress has been made in raw material extraction, preparation technology, and clinical application. Marine biological collagen and recombinant collagen have increased the selectivity of collagen sources. There are various types of solid collagen-based medical devices and various preparation methods, among which crosslinking modification is an important way to improve material properties, which is worthy of further study. In terms of product development ideas, research on solid collagen-based medical device products is developing in the direction of trivialization and biochemistry, and the research on compounding with other biological materials and drugs has also shown great potential. Although many collagen-based medical devices have been used clinically in China, product development in the fields of artificial skin, cartilage repair, and nerve injury repair is still insufficient, and further breakthroughs and innovations in technology and industrialization are needed.
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    Regulatory strategies for foreign body reactions in biomaterials
    Ye Chao, Liu Xiaohong
    2025, 29 (16):  3513-3520.  doi: 10.12307/2025.414
    Abstract ( 191 )   PDF (960KB) ( 178 )   Save
    BACKGROUND: The foreign body reaction induced by the implantation of biomaterials can lead to encapsulation in fibrous tissue, impede the interaction between the implant and host tissue, compromise implant functionality, and reduce its lifespan. 
    OBJECTIVE: To focus on the development of regulatory strategies for foreign body reactions in biomaterials, including strategies based on surface modification of biomaterials, drug delivery and biomimetic surface modification and discuss the advantages and limitations of these methods.
    METHODS: The relevant articles published from January 2000 to March 2024 were searched on PubMed, Wiley, EBSCOhost, ScienceDirect, and Elsevier databases using search terms “biological materials, foreign body reaction, fibrosis, macrophage, myofibroblasts, inflammation, regulation, tissue repair.” Finally, 69 articles were included for further analysis.
    RESULTS AND CONCLUSION: By modifying the surface characteristics of biomaterials, such as size, shape, roughness, surface charge, hydrophilicity, and mechanical stiffness, it is possible to mitigate immune system stimulation and reduce the risk of foreign body reaction. Controlled drug stimulation combined with controlled degradation of carrier materials can generate sustained chemical reactions that effectively minimize foreign body reaction. Biomimetic surface modification techniques like zwitterion coating, protein molecular coating, and other bioactive molecular coatings have been shown to significantly decrease short-term foreign body reaction. Due to the complexity of the immune response to implants and tissue regeneration, the overall balance between foreign body reaction and tissue regeneration should also be considered when designing and manufacturing implants.

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