Advances in metallic biomaterial-based osteomyelitis theranostics

IF 23.2 2区 材料科学 Q1 MATERIALS SCIENCE, COMPOSITES
Shichang Liu, Ming Yang, Xinfei Wang, Junyi Yin, Wen Hong, Xuxu Chen, Xinhua Yin
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Abstract

The treatment of osteomyelitis, a common orthopedic infection, presents a significant challenge for clinicians. The conventional approach to treating osteomyelitis involves prolonged and high-dose antibiotic therapy along with multiple surgical debridements; however, it is plagued by inadequate therapeutic efficacy and frequent re-sensitization. Therefore, the development of biomaterials possessing localized healing and antibacterial properties is imperative. In recent years, metal-based biomaterials have emerged as a hot research topic in the management of osteomyelitis due to their inherent antibacterial and bactericidal characteristics. This article provides an overview of the benefits and applications of metal-based biomaterials in treating osteomyelitis, encompassing magnesium-based, iron-based, copper-based, and noble metal–based materials as well as other metallic biomaterials. Metal-based biomaterials exhibit remarkable potential for addressing osteomyelitis owing to their broad-spectrum antibacterial properties, biodegradability, and ability to promote the proliferation of osteoblasts. Furthermore, these materials are gradually being employed in various biomedical therapies such as sonodynamic therapy, microwave dynamic therapy, photodynamic therapy immunotherapy, and multimodal therapy for effective treatment while circumventing the limitations associated with traditional antibiotic approaches. Metal-based biomaterials hold promising prospects for managing osteomyelitis effectively. Further research should focus on exploring solutions pertaining to challenges related to drug resistance, responsible drug release, and impact on mechanical properties of matrices induced by drugs, to facilitate clinical application of metal-based biomaterials in treating osteomyelitis.

Graphical Abstract

基于金属生物材料的骨髓炎治疗学研究进展
骨髓炎是一种常见的骨科感染,其治疗给临床医生带来了巨大挑战。治疗骨髓炎的传统方法包括长时间、大剂量的抗生素治疗和多次手术清创,但疗效不佳且经常再次致敏。因此,开发具有局部愈合和抗菌特性的生物材料势在必行。近年来,金属基生物材料因其固有的抗菌和杀菌特性成为治疗骨髓炎的热门研究课题。本文概述了金属基生物材料在治疗骨髓炎方面的优势和应用,包括镁基、铁基、铜基和贵金属基材料以及其他金属生物材料。金属基生物材料具有广谱抗菌特性、生物可降解性和促进成骨细胞增殖的能力,因此在治疗骨髓炎方面具有显著的潜力。此外,这些材料正逐渐被应用于各种生物医学疗法,如声波动力疗法、微波动态疗法、光动力疗法、免疫疗法和多模式疗法,以实现有效治疗,同时规避传统抗生素疗法的局限性。金属基生物材料在有效治疗骨髓炎方面前景广阔。进一步的研究应侧重于探索与耐药性、负责任的药物释放以及药物对基质机械性能的影响等挑战有关的解决方案,以促进金属基生物材料在治疗骨髓炎方面的临床应用。
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来源期刊
CiteScore
26.00
自引率
21.40%
发文量
185
期刊介绍: Advanced Composites and Hybrid Materials is a leading international journal that promotes interdisciplinary collaboration among materials scientists, engineers, chemists, biologists, and physicists working on composites, including nanocomposites. Our aim is to facilitate rapid scientific communication in this field. The journal publishes high-quality research on various aspects of composite materials, including materials design, surface and interface science/engineering, manufacturing, structure control, property design, device fabrication, and other applications. We also welcome simulation and modeling studies that are relevant to composites. Additionally, papers focusing on the relationship between fillers and the matrix are of particular interest. Our scope includes polymer, metal, and ceramic matrices, with a special emphasis on reviews and meta-analyses related to materials selection. We cover a wide range of topics, including transport properties, strategies for controlling interfaces and composition distribution, bottom-up assembly of nanocomposites, highly porous and high-density composites, electronic structure design, materials synergisms, and thermoelectric materials. Advanced Composites and Hybrid Materials follows a rigorous single-blind peer-review process to ensure the quality and integrity of the published work.
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