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用于角膜再生的生物材料。

Biomaterials for Corneal Regeneration.

作者信息

Li Yimeng, Wang Zhengke

机构信息

MOE Key Laboratory of Macromolecular Synthesis and Functionalization, Department of Polymer Science and Engineering, Zhejiang University, Hangzhou, Zhejiang, 310058, China.

出版信息

Adv Sci (Weinh). 2025 Feb;12(6):e2408021. doi: 10.1002/advs.202408021. Epub 2024 Dec 31.

Abstract

Corneal blindness is a significant reason for visual impairment globally. Researchers have been investigating several methods for corneal regeneration in order to cure these patients. Biomaterials are favored due to their biocompatibility and capacity to promote cell adhesion. A variety of natural and synthetic biomaterials, along with decellularized cornea, have been employed in corneal wound healing. Commonly utilized natural biomaterials encompass proteins such as collagen, gelatin, and silk fibroin (SF), as well as polysaccharides including alginate, chitosan (CS), hyaluronic acid (HA), and cellulose. Synthetic biomaterials primarily consist of polyvinyl alcohol (PVA), poly(ε-caprolactone) (PCL), and poly (lactic-co-glycolic acid) (PLGA). Bio-based materials and their composites are primarily utilized as hydrogels, films, scaffolds, patches, nanocapsules, and other formats for the treatment of blinding ocular conditions, including corneal wounds, corneal ulcers, corneal endothelium, and stromal defects. This review attempts to summarize in vitro, preclinical, and clinical trial studies relevant to corneal regeneration using biomaterials within the last five years, and expect that these experiences and outcomes will inspire and provide practical strategies for the future development of biomaterials for corneal regeneration. Furthermore, potential improvements and difficulties for these biomaterials are discussed.

摘要

角膜盲是全球视力障碍的一个重要原因。研究人员一直在研究多种角膜再生方法,以治愈这些患者。生物材料因其生物相容性和促进细胞黏附的能力而受到青睐。多种天然和合成生物材料,以及脱细胞角膜,已被用于角膜伤口愈合。常用的天然生物材料包括胶原蛋白、明胶和丝素蛋白(SF)等蛋白质,以及藻酸盐、壳聚糖(CS)、透明质酸(HA)和纤维素等多糖。合成生物材料主要包括聚乙烯醇(PVA)、聚己内酯(PCL)和聚乳酸-羟基乙酸共聚物(PLGA)。生物基材料及其复合材料主要用作水凝胶、薄膜、支架、贴片、纳米胶囊和其他形式,用于治疗致盲性眼部疾病,包括角膜伤口、角膜溃疡、角膜内皮和基质缺陷。本综述试图总结过去五年内与使用生物材料进行角膜再生相关的体外、临床前和临床试验研究,并期望这些经验和结果将为角膜再生生物材料的未来发展提供启发并提供实用策略。此外,还讨论了这些生物材料的潜在改进和困难。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b15a/11809424/f704edf6d610/ADVS-12-2408021-g008.jpg

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