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Glucose-responsive,antioxidative HA-PBA-FA/EN106 hydrogel enhanced diabetic wound healing through modulation of FEM1b-FNIP1 axis and promoting angiogenesis
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作者 Wenqian Zhang Kangkang Zha +9 位作者 Yuan Xiong Weixian Hu Lang Chen Ze Lin Chenyan Yu Wu Zhou faqi cao Hankun Hu Bobin Mi Guohui Liu 《Bioactive Materials》 SCIE CSCD 2023年第12期29-45,共17页
The diabetic wounds remain to be unsettled clinically,with chronic wounds characterized by drug-resistant bacterial infections,compromised angiogenesis and oxidative damage to the microenvironment.To ameliorate oxidat... The diabetic wounds remain to be unsettled clinically,with chronic wounds characterized by drug-resistant bacterial infections,compromised angiogenesis and oxidative damage to the microenvironment.To ameliorate oxidative stress and applying antioxidant treatment in the wound site,we explore the function of folliculininteracting protein 1(FNIP1),a mitochondrial gatekeeper protein works to alter mitochondrial morphology,reduce oxidative phosphorylation and protect cells from unwarranted ROS accumulation.And our in vitro experiments showed the effects of FNIP1 in ameliorating oxidative stress and rescued impaired angiogenesis of HUVECs in high glucose environment.To realize the drug delivery and local regulation of FNIP1 in diabetic wound sites,a novel designed glucose-responsive HA-PBA-FA/EN106 hydrogel is introduced for improving diabetic wound healing.Due to the dynamic phenylboronate ester structure with a phenylboronic acid group between hyaluronic acid(HA)and phenylboronic acid(PBA),the hydrogel is able to realize a glucose-responsive release of drugs.Fulvic acid(FA)is added in the hydrogel,which not only severs as crosslinking agent but also provides antibacterial and anti-inflammatory abilities.Moreover,the release of FEM1b-FNIP1 axis inhibitor EN106 ameliorated oxidative stress and stimulated angiogenesis through FEM1b-FNIP1 axis regulation.These in vivo and in vitro results demonstrated that accelerated diabetic wounds repair with the use of the HA-PBA-FA/EN106 hydrogel,which may provide a promising strategy for chronic diabetic wound repair. 展开更多
关键词 FNIP1 Wound healing HYDROGEL Antioxidant Glucose-responsive
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双反牵引器微创复位在老年不稳定型股骨转子间骨折的应用研究 被引量:1
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作者 曹发奇 谢旭东 +4 位作者 胡益强 周武 刘梦非 米博斌 刘国辉 《中华老年骨科与康复电子杂志》 2022年第6期325-329,共5页
目的探讨双反牵引器微创复位联合股骨近端防旋髓内钉(PFNA)内固定治疗老年不稳定型股骨转子间骨折的疗效。方法回顾性分析本院2018年11月至2020年11月期间47例股骨转子间不稳定型骨折的患者,双反牵引器微创复位组(双反牵引组)22例,常规... 目的探讨双反牵引器微创复位联合股骨近端防旋髓内钉(PFNA)内固定治疗老年不稳定型股骨转子间骨折的疗效。方法回顾性分析本院2018年11月至2020年11月期间47例股骨转子间不稳定型骨折的患者,双反牵引器微创复位组(双反牵引组)22例,常规牵引床复位组(常规牵引床组)25例,年龄60~87岁。按照AO骨折分型:31-A2.2型10例,31-A2.3型24例,31-A3.1型7例,31-A3.2型6例。记录患者的术中复位时间、手术时间、手术切口长度、术中出血量、骨折愈合时间、术后一年髋关节功能Harris评分和髋部骨折功能恢复量表(FRS)评分。结果47例患者获得完整随访,随访时间12~20个月,平均(15.1±2.2)个月。两组平均术中复位时间[双反牵引器组:(30.1±7.6)min,常规牵引床组:(53.9±10.3)min]、平均手术时间[双反牵引器组:(87.7±17.7)min,常规牵引床组:(114.6±14.9)min]差异有统计学意义(均P<0.0001);平均切口长度[双反牵引器组:(6.1±1.0)cm,常规牵引床组:(6.0±0.6)cm]、平均术中出血量[双反牵引器组:(145.9±20.6),常规牵引床组:(141.7±16.7)ml]、平均骨折愈合时间[双反牵引器组:(13.9±1.9)周,常规牵引床组:(14.5±1.7)周]、平均术后一年髋关节Harris评分[双反牵引器组:(82.6±5.9)分,常规牵引床组:(84.6±6.1)分]、平均术后一年髋关节FRS评分[双反牵引器组:(85.2±5.4)分,常规牵引床组:(84.3±6.0)分]差异均无统计学意义。其中常规牵引床组1例患者术后发生了下肢肌间静脉血栓形成,其他病例术后和随访过程中无手术相关并发症。结论双反牵引器微创复位联合PFNA内固定治疗老年不稳定型股骨转子间骨折,可有效缩短患者术中复位时间与手术时间。 展开更多
关键词 股骨转子间骨折 双反牵引器 PFNA 微创 老年人
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Exosomal PD-L1 induces osteogenic differentiation and promotes fracture healing by acting as an immunosuppressant 被引量:5
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作者 Ze Lin Yuan Xiong +17 位作者 Weilin Meng Yiqiang Hu Lili Chen Lang Chen Hang Xue Adriana CPanayi Wu Zhou Yun Sun faqi cao Guodong Liu Liangcong Hu Chenchen Yan Xudong Xie Chuanchuan Lin Kaiyong Cai Qian Feng Bobin Mi Guohui Liu 《Bioactive Materials》 SCIE 2022年第7期300-311,共12页
A moderate inflammatory response at the early stages of fracture healing is necessary for callus formation.Over-active and continuous inflammation,however,impairs fracture healing and leads to excessive tissue damage.... A moderate inflammatory response at the early stages of fracture healing is necessary for callus formation.Over-active and continuous inflammation,however,impairs fracture healing and leads to excessive tissue damage.Adequate fracture healing could be promoted through suppression of local over-active immune cells in the fracture site.In the present study,we achieved an enriched concentration of PD-L1 from exosomes(Exos)of a genetically engineered Human Umbilical Vein Endothelial Cell(HUVECs),and demonstrated that exosomes overexpressing PD-L1 specifically bind to PD-1 on the T cell surface,suppressing the activation of T cells.Furthermore,exosomal PD-L1 induced Mesenchymal Stem Cells(MSCs)towards osteogenic differentiation when pre-cultured with T cells.Moreover,embedding of Exos into an injectable hydrogel allowed Exos delivery to the surrounding microenvironment in a time-released manner.Additionally,exosomal PD-L1,embedded in a hydrogel,markedly promoted callus formation and fracture healing in a murine model at the early over-active inflammation phase.Importantly,our results suggested that activation of T cells in the peripheral lymphatic tissues was inhibited after local administration of PD-L1-enriched Exos to the fracture sites,while T cells in distant immune organs such as the spleen were not affected.In summary,this study provides the first example of using PD-L1-enriched Exos for bone fracture repair,and highlights the potential of Hydrogel@Exos systems for bone fracture therapy through immune inhibitory effects. 展开更多
关键词 PD-L1 EXOSOME Fracture healing HYDROGEL IMMUNOTHERAPY
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