{"title":"Multi-scale topology optimisation design and mechanical property analysis of porous interbody fusion cage.","authors":"Huaiyue Zhang, Rongchang Fu, Xu Zhu","doi":"10.1177/09592989241303291","DOIUrl":"10.1177/09592989241303291","url":null,"abstract":"<p><p>BackgroundTitanium (Ti) and polyether ether ketone (PEEK) interbody fusion cages cause postoperative stress shielding problems. The porous cage design is one of the solutions advanced to mitigate this problem.ObjectiveExploring the mitigation of stress shielding with a porous interbody fusion cage after surgery for idiopathic scoliosis.MethodsThe porous interbody fusion cage was constructed based on the multiscale topology optimisation method, and the postoperative lumbar spine models implanted with it. The porous Ti and PEEK fusion cages were evaluated under physiological conditions to investigate their mechanical properties.ResultsThe volume of the porous fusion cage was reduced by 52.57%, and the stress was increased by 242.76% and 252.46% compared with the Ti and PEEK fusion cage; the modulus of elasticity of the porous fusion cage was reduced by 76.85%, and the strain was increased by 131.40%∼686.51% compared with the Ti cage; the porous fusion cage increased L3 cortical bone stress by 13.36% and 13.52% and cancellous bone by 82.93% and 76.72%, respectively, compared with the original interbody fusion cages.ConclusionThe porous interbody fusion cage has a much more lightweight design which facilitates growth of bone tissue. However, a frame structure should be constructed to minimize issues with stress peaks and localised stress concentrations. It also has a significantly lower stiffness which helps alleviate vertebral stress shielding, further fostering bone growth. The porous fusion cage thus meets the clinical requirements for better fusion outcomes.</p>","PeriodicalId":9109,"journal":{"name":"Bio-medical materials and engineering","volume":" ","pages":"110-123"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143456715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Polydopamine-functionalized nanohydroxyapatite coated exosomes with enhanced cytocompatibility and osteogenesis for bone regeneration.","authors":"Mingli Xiang, Gengchao Zhang, Yulin Liu, Chengcheng Liao, Linlin Xiao, Meiling Xiang, Xiaoyan Guan, Jianguo Liu","doi":"10.1177/09592989241301662","DOIUrl":"10.1177/09592989241301662","url":null,"abstract":"<p><p>BackgroundMesenchymal stem cells-derived exosomes, crucial in regenerative medicine, have been explored for their potential for the functional modification of bone scaffolds.ObjectiveTo design a functionally modified biomimetic nanohydroxyapatite using exosomes and explore its effects on bone regeneration.MethodsA biomimetic nanohydroxyapatite (named as tHA) was fabricated as previous methods using a polydopamine (pDA) structure as a template, and exosomes (Exo) derived from periodontal ligament stem cells (PDLSCs) were used to functionally modify the tHA scaffold material through pDA. The effects of functional composite scaffold (tHA-Exo) on cells proliferation and osteogenic differentiation were investigated. Furthermore, their effect on bone regeneration was also evaluated in vivo.ResultsExosomes can be loaded onto the tHA via pDA and the tHA-Exo releases exosomes in a sustained and stable manner. tHA-Exo showed improved cytocompatibility compared to controls. Additionally, tHA-Exo significantly enhanced the proliferation and osteogenic differentiation of PDLSCs. More importantly, animal experiments have shown that tHA-Exo could dramatically promote bone regeneration.ConclusionThe tHA nanoparticles, functionally modified by the PDLSCs-Exo through pDA, significantly promoted bone regeneration by improving its cytocompatibility and osteogenic potential, which could serve as a promising material for promoting bone regeneration.</p>","PeriodicalId":9109,"journal":{"name":"Bio-medical materials and engineering","volume":" ","pages":"98-109"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143456687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A novel vessel enhancement method based on Hessian matrix eigenvalues using multilayer perceptron.","authors":"Xiaoyu Guo, Jiajun Hu, Tong Lu, Guoyin Li, Ruoxiu Xiao","doi":"10.1177/09592989241296431","DOIUrl":"10.1177/09592989241296431","url":null,"abstract":"<p><strong>Background: </strong>Vessel segmentation is a critical aspect of medical image processing, often involving vessel enhancement as a preprocessing step. Existing vessel enhancement methods based on eigenvalues of Hessian matrix face challenges such as inconsistent parameter settings and suboptimal enhancement effects across different datasets.</p><p><strong>Objective: </strong>This paper aims to introduce a novel vessel enhancement algorithm that overcomes the limitations of traditional methods by leveraging a multilayer perceptron to fit a vessel enhancement filter function using eigenvalues of Hessian matrix. The primary goal is to simplify parameter tuning while enhancing the effectiveness and generalizability of vessel enhancement.</p><p><strong>Methods: </strong>The proposed algorithm utilizes eigenvalues of Hessian matrix as input for training the multilayer perceptron-based vessel enhancement filter function. The diameter of the largest blood vessel in the dataset is the only parameter to be set.</p><p><strong>Results: </strong>Experiments were conducted on public datasets such as DRIVE, STARE, and IRCAD. Additionally, optimal parameter acquisition methods for traditional Frangi and Jerman filters are introduced and quantitatively compared with the novel approach. Performance metrics such as AUROC, AUPRC, and DSC show that the proposed algorithm outperforms traditional filters in enhancing vessel features.</p><p><strong>Conclusion: </strong>The findings of this study highlight the superiority of the proposed vessel enhancement algorithm in comparison to traditional methods. By simplifying parameter settings, improving enhancement effects, and showcasing superior performance metrics, the algorithm offers a promising solution for enhancing vessel parts in medical image analysis applications.</p>","PeriodicalId":9109,"journal":{"name":"Bio-medical materials and engineering","volume":" ","pages":"83-97"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143456779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The effect of silk short fiber biomimetic materials on the recovery of sports function in patients with meniscal injury during sports.","authors":"Yong Wang, Dongsong Bin","doi":"10.1177/09592989241296427","DOIUrl":"10.1177/09592989241296427","url":null,"abstract":"<p><p>BackgroundIn sports, especially high-intensity and high-risk activities, the meniscus is easily damaged. For patients with meniscus injuries, it is necessary to repair or replace the patient's meniscus. However, as age increases, the human meniscus tissue gradually forms and cannot be repaired through its own meniscus. Therefore, it is necessary to maintain the patient's movement function through meniscus support materials.ObjectiveTraditional meniscus support materials have poor mechanical properties and poor biocompatibility. In response to this issue, this study designed a meniscus scaffold made of silk short fibers, silk fibroin, and wool protein.MethodsThrough electrospinning and freeze-drying techniques, the material was processed to obtain a silk short fiber meniscus with a biomimetic structure.ResultsThrough experiments, the surface morphology, hydrophobicity, porosity, secondary structure, thermal stability, water absorption swelling, and MP of MCS made of SSF biomimetic materials were characterized.ConclusionThe experimental results show that the manufactured silk short fiber meniscus has good compressive performance, thermal stability, and water absorption and swelling properties, and it also exhibits good biocompatibility.</p>","PeriodicalId":9109,"journal":{"name":"Bio-medical materials and engineering","volume":" ","pages":"69-82"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143456752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Rotation angle between the femoral and tibial components in varus/valgus stress X-rays following total knee arthroplasty.","authors":"Hiroki Hijikata, Tomoharu Mochizuki, Keisuku Maeda, Osamu Tanifuji, Go Omori, Noriaki Yamamoto, Hiroyuki Kawashima","doi":"10.1177/09592989241304989","DOIUrl":"10.1177/09592989241304989","url":null,"abstract":"<p><p>BackgroundThe impact of rotational angle between the femoral and tibial components is often overlooked in the 2D evaluation of varus/valgus stability after TKA with anterior-posterior knee X-rays. The rotation angle between the femoral and tibial components may influence the measured angle and distance between these components in 2D stress X-rays following TKA.ObjectiveThe purpose of this study was to assess the impact of the rotational angle between the femoral and tibial components on the evaluation of varus/valgus stability using stress X-rays following total knee arthroplasty (TKA).MethodsThis prospective study analyzed 48 consecutive rTKAs (three males, aged 68 ± 6.4 years; 45 females, aged 75 ± 5.9 years). Postoperative varus/valgus stress X-rays were taken at maximum manual stress during knee extension under anesthesia, and were analyzed three-dimensionally using a 2D-3D image matching technique with 3D bone and component models. The rotation angles of the components (CR angles) were assessed under conditions of no stress, valgus stress, and varus stress. Additionally, the varus/valgus angle (VV angle) between components was evaluated under the same conditions. Medial joint opening (MJO) and lateral joint opening (LJO) were also measured in both stressed and non-stressed states.ResultsThe CR angles under no stress, valgus stress, and varus stress were 9.9 ± 5.5°, 10.1 ± 6.2°, and 10.8 ± 5.1°, respectively. The VV angles under no stress, valgus stress, and varus stress were 3.6 ± 1.1°, 1.1 ± 1.4°, and 7.1 ± 1.9°, respectively. The MJO in the non-stress condition and under valgus stress were 0.0 ± 0.4 mm and 1.3 ± 1.0 mm, respectively. The LJO in the non-stress condition and under varus stress were 0.9 ± 0.9 mm and 2.9 ± 2.7 mm, respectively.ConclusionsThis prospective study revealed two key findings: (1) the CR angle in varus stress was significantly more externally rotated compared to the CR angle in the non-stress condition, and (2) no significant correlations were found between the rotational angle of the components and the VV angle, MJO, or LJO.</p>","PeriodicalId":9109,"journal":{"name":"Bio-medical materials and engineering","volume":" ","pages":"124-132"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143456746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Algorithm-controlled RF power output for enhanced margin precision in liver cancer radiofrequency ablation.","authors":"Dandan Gu, Difang Liu, Haitao Yao, Danni Rui, Yifan Yang, Yu Zhou","doi":"10.1177/09592989241304992","DOIUrl":"10.1177/09592989241304992","url":null,"abstract":"<p><p>BackgroundPercutaneous radiofrequency ablation (RFA) is a common method for treating liver cancer. Compared to other treatment modalities, RFA has a higher local tumor recurrence rate due to incomplete ablation. On the other hand, to ensure complete tumor removal, multiple ablations may be necessary, but this can lead to excessive thermal damage. Therefore, improving the precision of the ablation margin control is crucial.ObjectiveThis study aims to investigate an algorithm-controlled ablation mode that can precisely control the tumor treatment margins. This mode uses temperature and impedance as feedback parameters to adaptively adjust the RF power output, ensuring both effective tumor ablation and enhanced safety.MethodsThe study conducted finite element analyses and ex-vivo bovine liver experiments comparing traditional constant power ablation and the algorithm-controlled ablation mode. Simulations primarily analyzed the temperature changes and ablation area in biological tissue, assessing the effectiveness of the two ablation modes. In the ex-vivo bovine liver experiments, temperature and impedance were monitored in real-time to validate the feasibility of the algorithmic ablation mode.ResultsThe findings indicate that the algorithm-controlled ablation mode effectively controls the rise in tissue impedance, preventing carbonization and charring. For ablation diameters of 10 mm and 20 mm, it precisely maintained the boundary temperatures within the range of 50-60°C, ensuring effective damage at the ablation margins while avoiding excessive damage to normal tissue.ConclusionThis study developed an adaptive radiofrequency ablation algorithm for treating liver cancer, using temperature and impedance as feedback parameters. Preliminary results from finite element analysis and ex-vivo bovine liver experiments suggest that for small tumors with diameters of 10 mm and 20 mm, this algorithm may provide more precise control of the ablation zone, improving efficiency and safety compared to traditional constant power ablation.</p>","PeriodicalId":9109,"journal":{"name":"Bio-medical materials and engineering","volume":" ","pages":"133-147"},"PeriodicalIF":1.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143456709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pre-alignment of fibroblasts induced by micropatterning and cyclic stretching techniques accelerates wound healing.","authors":"Ryota Toyohara, Yanan Lan, Yu Chen, Takaya Yoriki, Toshiro Ohashi","doi":"10.1177/09592989241305522","DOIUrl":"https://doi.org/10.1177/09592989241305522","url":null,"abstract":"<p><strong>Background: </strong>Wound healing proceeds through a complex collaborative process. It has been shown that during the intermediate phase of the wound healing process, fibroblasts migrate into wound area and contract to contribute to the closure of the wound area. Moreover, previous studies have shown that fibroblast alignment was observed on the mature stage of wound scar. These studies clearly indicate that fibroblasts play a critical role in wound healing process, however, the whole mechanism of wound healing remains still unclear.</p><p><strong>Objective: </strong>Fibroblasts are pre-aligned to evaluate the effect of cell alignment on cell migration rate.</p><p><strong>Methods: </strong>The cell alignment was accomplished by PDMS microstamping with fibronectin and application of cyclic stretching. Wound was created by physical scratching and then the wound closure rate was measured.</p><p><strong>Results: </strong>The pre-aligned cells perpendicular to the direction of scratched wound exhibited significantly higher migration rate, compared to non-aligned control cells. Moreover, pre-aligned cells with thick actin filaments by cyclic stretching migrated faster than those with less development of actin filament structures by microstamping.</p><p><strong>Conclusion: </strong>The wound closure can be accelerated by the adequate alignment of fibroblasts as well as the development of actin filament structures.</p>","PeriodicalId":9109,"journal":{"name":"Bio-medical materials and engineering","volume":" ","pages":"9592989241305522"},"PeriodicalIF":1.0,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143456741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dan Wang, Xiaojun Zhu, Buhe Siqin, Chao Ren, Ming Chang, Ligang Bai
{"title":"Experimental study of extracellular vesicle-small intestine submucosa novel biological composite for urethral stricture repair and reconstruction.","authors":"Dan Wang, Xiaojun Zhu, Buhe Siqin, Chao Ren, Ming Chang, Ligang Bai","doi":"10.1177/09592989241308802","DOIUrl":"https://doi.org/10.1177/09592989241308802","url":null,"abstract":"<p><strong>Background: </strong>Urethral stricture (US) is a common condition that considerably affects patients' quality of life.</p><p><strong>Objectives: </strong>This study aimed to explore the adoption value of the extracellular vesicle (EV)- small intestinal submucosa (SIS) complex in the repair of USs.</p><p><strong>Methods: </strong>EVs were extracted from healthy male New Zealand white rabbits, and SIS was prepared using peracetic acid (PAA) oxidation and decellularization. The morphology and particle size of the prepared EV-SIS complex were evaluated using electron microscopy and qNano nanoparticle analyzer, and the labeled proteins of EVs were detected using Western blot method. EV-SIS the complex was implanted in a rabbit model of US, and urodynamic parameters were assessed.</p><p><strong>Results: </strong>The EV-SIS complex displayed a full morphology, intact membrane structure, and uniform particle size. The protein concentration of EVs in the complex was approximately 0.351 µg/µL, with a yield of approximately 1.86 µg/10<sup>6</sup> cells. The complex exhibited remarkable repair effects in the rabbit model of US, with bladder capacity, maximal urethral pressure, and minimal urethral pressure all markedly superior to those in the US group (<i>P </i>< 0.05).</p><p><strong>Conclusion: </strong>The EV-SIS complex demonstrates potential clinical value in the repair of USs, improving urodynamic parameters, and offering a promising therapeutic option for patients with US.</p>","PeriodicalId":9109,"journal":{"name":"Bio-medical materials and engineering","volume":" ","pages":"9592989241308802"},"PeriodicalIF":1.0,"publicationDate":"2025-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143456812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fırat Ozan, Kürşat Tuğrul Okur, Fırat Mavi, Mahmut Pekedis
{"title":"Biomechanical and clinical assessment of dissociation in bipolar hip hemiarthroplasty.","authors":"Fırat Ozan, Kürşat Tuğrul Okur, Fırat Mavi, Mahmut Pekedis","doi":"10.1177/09592989241306688","DOIUrl":"https://doi.org/10.1177/09592989241306688","url":null,"abstract":"<p><strong>Background: </strong>Dissociation is a special type of dislocation that is rarely seen in bipolar hemiarthroplasty.</p><p><strong>Objective: </strong>To investigate the clinical and biomechanical causes of dissociative dislocation of acetabular cup components in the hips of patients after bipolar hemiarthroplasty (BHA).</p><p><strong>Methods: </strong>BHA heads were divided into three groups according to their design. Cam-out and pull-out biomechanical tests were conducted to investigate the separation strengths of the BHA heads.</p><p><strong>Results: </strong>Among the 1684 BHA surgeries performed, the revision surgery rate was 4% (68 hips) and dissociation rate was 0.8% (15 hips). According to the cam-out test result, the highest values in the parameters ultimate force (F<sub>max</sub>) ultimate torque (T), vertical displacement at maximum force (δ<sub>m</sub>), rotation at maximum force (ϕ<sub>m</sub>), maximum principal strain (Ɛ<sub>max</sub>), minimum principal strain (Ɛ<sub>min</sub>), average normal strain (Ɛ<sub>av</sub>), maximum shear strain (γ<sub>max</sub>), uniaxial normal strain (Ɛ<sub>un</sub>) were detected in Type 2 BHA head. The pull-out values of the implants were sufficient to prevent the distraction force that may occur on the implant due to manual traction applied to the hip dislocations. However, in closed reduction maneuvers, cam-out-shaped deformation forces may cause dissociation in Types 1 and 3, but not in Type 2 BHA heads. According to the pull-out test results, while high values were detected in the parameters Fmax and stiffness (<i>k</i>) in the Type 2 BHA head, δm and maximum force (E) parameters were found to be high in the Type 1 BHA head. In the cam-out test, a strong positive relationship was found between the thickness and width of the polyethylene locking ring and F<sub>max</sub>, T, δ<sub>m</sub>, ϕ<sub>m</sub>, Ɛ<sub>max</sub>, γ<sub>max</sub>, Ɛ<sub>un</sub>.</p><p><strong>Conclusion: </strong>Better BHA head designs and polyethylene designs may help resolve the rare problem of dissociation, which almost always leads to resurgical procedures.</p>","PeriodicalId":9109,"journal":{"name":"Bio-medical materials and engineering","volume":" ","pages":"9592989241306688"},"PeriodicalIF":1.0,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143456795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Promotion of maturation in CDM3-induced embryonic stem cell-derived cardiomyocytes by palmitic acid.","authors":"Junsheng Mu, Zhen Gao, Ping Bo, Bin You","doi":"10.3233/BME-240101","DOIUrl":"10.3233/BME-240101","url":null,"abstract":"<p><strong>Background: </strong>Myocardial infarction leads to myocardial necrosis, and cardiomyocytes are non-renewable. Fatty acid-containing cardiomyocyte maturation medium promotes maturation of stem cell-derived cardiomyocytes.</p><p><strong>Objective: </strong>To study the effect palmitic acid on maturation of cardiomyocytes derived from human embryonic stem cells (hESCs) to optimize differentiation for potential treatment of myocardial infarction by hESCs.</p><p><strong>Methods: </strong>hESCs were differentiated into cardiomyocytes using standard chemically defined medium 3 (CDM3). Up to day 20 of differentiation, 200 Mm palmitic acid were added, and then the culture was continued for another 8 days to mimic the environment in which human cardiomyocytes mainly use fatty acids as the main energy source. Light microscopy, transmission electron microscopy, immunofluorescence, reverse transcription-polymerase chain reaction, and cellular ATP assays, were carried out to analyze the expression of relevant cardiomyocyte-related genes, cell morphology, metabolism levels, and other indicators cardiomyocyte maturity.</p><p><strong>Results: </strong>Cardiomyocytes derived from hESCs under exogenous palmitic acid had an elongated pike shape and a more regular arrangement. Sarcomere stripes were clear, and the cells color was clearly visible. The cell perimeter and elongation rate were also increased. Myogenic fibers were abundant, myofibrillar z-lines were regularly, the numbers of mitochondria and mitochondrial cristae were higher, more myofilaments were observed, and the structure of round-like discs was occasionally seen. Expression of mature cardiomyocyte-associated genes TNNT2, MYL2 and MYH6, and cardiomyocyte-associated genes KCNJ4, RYR2,and PPARα, was upregulated (<i>p</i> < 0.05). Expression of MYH7, MYL7, KCND2, KCND3, GJA1 and TNNI1 genes was unaffected (<i>p</i> > 0.05). Expression of mature cardiomyocyte-associated sarcomere protein MYL2 was significantly increased (<i>p</i> < 0.05), MYH7 protein expression was unaffected (<i>p</i> > 0.05). hESC-derived cardiomyocytes exposed to exogenous palmitic acid produced more ATP per unit time (<i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>Exogenous palmitic acid induced more mature hESC-CMs in terms of the cellular architecture, expression of cardiomyocyte maturation genes adnprotein, and metabolism.</p>","PeriodicalId":9109,"journal":{"name":"Bio-medical materials and engineering","volume":" ","pages":"34-42"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142341569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}