摘要
The precise combination of conflicting biological properties through sophisticated structural and functional design to meet all the requirements of anastomotic healing is of great demand but remains challenging.Here,we develop a smart responsive anastomotic staple(Ti–OH-MC)by integrating porous titanium anastomotic staple with multifunctional polytannic acid/tannic acid coating.This design achieves dynamic sequential regulation of antibacterial,anti-inflammatory,and cell proliferation properties.During the inflammatory phase of the anastomotic stoma,our Ti–OH-MC can release tannic acid to provide antibacterial and anti-inflammatory properties,together with immune microenvironment regulation function.At the same time,as the healing progresses,the multifunctional coating gradually falls off to expose the porous structure of the titanium anastomotic staple,which promotes cell adhesion and proliferation during the later proliferative and remodeling phases.As a result,our Ti–OH-MC exceeds the properties of clinically used titanium anastomotic staple,and can effectively promote the healing.The staple’s preparation strategy is simple and biocompatible,promising for industrialisation and clinical application.This work provides an effective anastomotic staple for anastomotic stoma healing and serve as a reference for the functional design and preparation of other types of titanium-based tissue repair materials.
基金
supported by the Leading Innovation Specialist Support Program of Guangdong Province,the National Natural Science Foundation of China(32370836)
the National key Clinical Specialty Construction Project(No.2022YW030009)
the GDPH Supporting Fund for Talent Program(KY012021209)
the Natural Science Foundation of Guangdong Province(2023A1515110294)
the NSFC Incubation Project of Guangdong Provincial People’s Hospital(KY0120220049)
the Science and Technology Program of Guangzhou(2023A04J0536).
