更好的模型,更好的治疗?对目前植入物相关感染的三维(3D)体外模型进行系统回顾。

IF 4.3 3区 工程技术 Q1 BIOTECHNOLOGY & APPLIED MICROBIOLOGY
Frontiers in Bioengineering and Biotechnology Pub Date : 2025-04-25 eCollection Date: 2025-01-01 DOI:10.3389/fbioe.2025.1569211
Neele Brümmer, Katharina Doll-Nikutta, Patrik Schadzek, Carina Mikolai, Andreas Kampmann, Dagmar Wirth, Andrea Hoffmann, Philipp-Cornelius Pott, Oliver Karras, Sören Auer, Meike Stiesch
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引用次数: 0

摘要

简介:了解植入物相关感染的生物学是必不可少的,以便提供适当的检测,预防和治疗策略。先进的3D体外模型为植入材料存在下细胞和细菌之间复杂的相互作用提供了有价值的见解。这篇综述的目的是给目前的3D体外模型,模拟植入物相关感染的全面概述。方法:采用结构化文献检索,初步筛选出258篇文献,其中7篇符合纳入标准。结果:所建立的三维模型既可以模拟体内情况(器官型模型),也可以用于研究未来的植入材料。在三项研究中,建立了牙种植体的器官型模型,其中一项研究描述了含有免疫细胞的器官型模型。在剩下的三项研究中,开发和测试了用于构建未来骨科植入物的生物材料。所有作者都包括适合各自植入物的特定细胞和细菌。牙种植体模型采用成纤维细胞和角化细胞;骨科植入物模型采用干细胞和成纤维细胞样细胞;含免疫细胞的模型包含成纤维细胞和THP-1来源的巨噬细胞的共同培养。对于细菌攻击,大多数作者使用革兰氏阳性细菌,但有三项研究使用革兰氏阴性细菌。细胞和细菌共培养后,应用了各种不同复杂程度的分析方法,使用了一到五种不同的方法。讨论:所有模型均可用于回答有关种植体相关感染的特定科学问题。尽管如此,这篇综述揭示了目前用于研究植入物相关感染的3D模型的局限性,并强调了该科学领域进一步发展的机会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Better models, better treatment? a systematic review of current three dimensional (3D) in vitro models for implant-associated infections.

Introduction: Understanding the biology of implant-associated infections is essential in order to provide adequate detection, prevention and therapeutic strategies. Advanced 3D in vitro models offer valuable insights into the complex interactions between cells and bacteria in the presence of implant materials. This review aims to give a comprehensive overview of current 3D in vitro models that mimic implant-associated infections.

Methods: The structured literature search initially identified 258 publications, seven of which fitted the inclusion criteria.

Results: The included 3D models were established either to mimic the in vivo situation (organotypic model) or to investigate future implant materials. In three studies, organotypic models for dental implants were created and one study described an organotypic model containing immune cells. In the remaining three studies, biomaterials for constructing future orthopedic implants were developed and tested. All authors included specific cells and bacteria suitable for the respective implants. The dental implant models used fibroblasts and keratinocytes; the orthopedic implant models used stem cells and fibroblast-like cells; the model containing immune cells incorporated co-cultivation of fibroblasts and THP-1 derived macrophages. For bacterial challenge, most authors used Gram positive bacteria, but three studies employed Gram negative bacterial species. A wide variety of analytical methods of different complexity were applied after co-culture of cells and bacteria and between one and five different methods were used.

Discussion: All models could be employed to provide answers to specific scientific questions regarding implant-associated infections. Nonetheless, this review reveals the limitations of current 3D models for the investigation of implant-associated infections and highlights the opportunities for further development in this scientific field.

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来源期刊
Frontiers in Bioengineering and Biotechnology
Frontiers in Bioengineering and Biotechnology Chemical Engineering-Bioengineering
CiteScore
8.30
自引率
5.30%
发文量
2270
审稿时长
12 weeks
期刊介绍: The translation of new discoveries in medicine to clinical routine has never been easy. During the second half of the last century, thanks to the progress in chemistry, biochemistry and pharmacology, we have seen the development and the application of a large number of drugs and devices aimed at the treatment of symptoms, blocking unwanted pathways and, in the case of infectious diseases, fighting the micro-organisms responsible. However, we are facing, today, a dramatic change in the therapeutic approach to pathologies and diseases. Indeed, the challenge of the present and the next decade is to fully restore the physiological status of the diseased organism and to completely regenerate tissue and organs when they are so seriously affected that treatments cannot be limited to the repression of symptoms or to the repair of damage. This is being made possible thanks to the major developments made in basic cell and molecular biology, including stem cell science, growth factor delivery, gene isolation and transfection, the advances in bioengineering and nanotechnology, including development of new biomaterials, biofabrication technologies and use of bioreactors, and the big improvements in diagnostic tools and imaging of cells, tissues and organs. In today`s world, an enhancement of communication between multidisciplinary experts, together with the promotion of joint projects and close collaborations among scientists, engineers, industry people, regulatory agencies and physicians are absolute requirements for the success of any attempt to develop and clinically apply a new biological therapy or an innovative device involving the collective use of biomaterials, cells and/or bioactive molecules. “Frontiers in Bioengineering and Biotechnology” aspires to be a forum for all people involved in the process by bridging the gap too often existing between a discovery in the basic sciences and its clinical application.
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