Department of Obstetrics and Gynecology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, 325000, China.
Department of Obstetrics and Gynecology, Shenzhen University General Hospital, Clinical Medical Academy, Shenzhen University, Shenzhen, 518060, China.
Adv Sci (Weinh). 2022 Apr;9(12):e2102220. doi: 10.1002/advs.202102220. Epub 2022 Feb 26.
Intrauterine adhesions (IUAs) caused by mechanical damage or infection increase the risk of infertility in women. Although numerous physical barriers such as balloon or hydrogel are developed for the prevention of IUAs, the therapeutic efficacy is barely satisfactory due to limited endometrial healing, which may lead to recurrence. Herein, a second near-infrared (NIR-II) light-responsive shape memory composite based on the combination of cuprorivaite (CaCuSi O ) nanosheets (CUP NSs) as photothermal conversion agents and polymer poly(d,l-lactide-co-trimethylene carbonate) (PT) as shape memory building blocks is developed. The as-prepared CUP/PT composite possesses excellent shape memory performance under NIR-II light, and the improved operational feasibility as an antiadhesion barrier for the treatment of IUAs. Moreover, the released ions (Cu, Si) can stimulate the endometrial regeneration due to the angiogenic bioactivity. This study provides a new strategy to prevent IUA and restore the injured endometrium relied on shape memory composite with enhanced tissues reconstruction ability.
宫腔粘连 (IUAs) 是由机械损伤或感染引起的,增加了女性不孕的风险。尽管已经开发出了许多物理屏障,如球囊或水凝胶,用于预防 IUAs,但由于有限的子宫内膜愈合,治疗效果几乎不尽人意,这可能导致复发。在此,我们开发了一种基于铜铁矿 (CaCuSi O ) 纳米片 (CUP NSs) 作为光热转换剂和聚合物聚 (D,L-丙交酯-共-三亚甲基碳酸酯) (PT) 作为形状记忆构建块的第二种近红外二区 (NIR-II) 光响应形状记忆复合材料。所制备的 CUP/PT 复合材料在近红外二区光下具有优异的形状记忆性能,并且作为治疗 IUAs 的防粘连屏障,其操作可行性得到了提高。此外,释放的离子 (Cu、Si) 由于具有血管生成的生物活性,能够刺激子宫内膜的再生。本研究为预防 IUA 和依靠具有增强组织重建能力的形状记忆复合材料来修复受损子宫内膜提供了一种新策略。