Magnesium implants with alternating magnetic field-enhanced hydrogen release and proton depletion for anti-infection treatment and tissue repair

Implant-related osteomyelitis is a formidable hurdle in the clinical setting and is characterized by inflammation,infection,and consequential bone destruction.Therefore,effective reactive oxygen species(ROS)scavenging,bacterial killing,and subsequent bone tissue repair are urgently needed for the treatment of difficult-to-heal osteomyelitis.Herein,we utilized the eddy-thermal effect of magnesium(Mg)implants under an alternating magnetic field(AMF)for the controlled release of H_(2)gas and ions(OH^(-)and Mg^(2+))for the treatment of osteomyelitis.H_(2)released by Mg rods under AMFs effectively scavenged cytotoxic ROS,exhibiting anti-inflammatory effects and consequently disrupting the environment of bacterial infections.In addition,the OH-hindered the energy metabolism of bacteria by effectively neutralizing protons within the microenvironment.Moreover,H_(2)impaired the permeability of bacterial membranes and expedited the damage induced by OH-.This synergistic AMF-induced H_(2)and proton depletion treatment approach not only killed both gram-negative and gram-positive bacteria but also effectively treated bacterial infections(abscesses and osteomyelitis).Moreover,Mg^(2+)released from the Mg rods enhanced and accelerated the process of bone osteogenesis.Overall,our work cleverly exploited the eddy-thermal effect and chemical activity of Mg implants under AMFs,aiming to eliminate the inflammatory environment and combat bacterial infections by the simultaneous release of H_(2),OH^(-),and Mg^(2+),thereby facilitating tissue regeneration.This therapeutic strategy achieved multiple benefits in one,thus presenting a promising avenue for clinical application.