No abstract

No abstract

Aim This study investigated the ability of an osteoconductive biphasic scaffold to simultaneously regenerate alveolar bone, periodontal ligament and cementum. Materials and Methods A biphasic scaffold was built by attaching a fused deposition modelled bone compartment to a melt electrospun periodontal compartment. The bone compartment was coated with a calcium phosphate (CaP) layer for increasing osteoconductivity, seeded with osteoblasts and cultured in vitro for 6 weeks. The resulting constructs were then complemented with the placement of PDL cell sheets on the periodontal compartment, attached to a dentin block and subcutaneously implanted into athymic rats for 8 weeks. Scanning electron microscopy, X‐ray diffraction, alkaline phosphatase and DNA content quantification, confocal laser microscopy, micro computerized tomography and histological analysis were employed to evaluate the scaffold's performance. Results The in vitro study showed that alkaline phosphatase activity was significantly increased in the CaP‐coated samples and they also displayed enhanced mineralization. In the in vivo study, significantly more bone formation was observed in the coated scaffolds. Histological analysis revealed that the large pore size of the periodontal compartment permitted vascularization of the cell sheets, and periodontal attachment was achieved at the dentin interface. Conclusions This work demonstrates that the combination of cell sheet technology together with an osteoconductive biphasic scaffold could be utilized to address the limitations of current periodontal regeneration techniques.

No abstract

In the present study, surface functional groups of titanium surfaces gone through different treatments, including acid etched treatment (AE), nitric acid treatment (NT), heat treatment (HT), and alkali treatment (AT), and their behaviors in vitro and in vivo was thoroughly studied by spectroscopic analysis. In vitro and in vivo results revealed that the rank of bioactivity of various surfaces was AE < NT < HT < AT. XPS analysis indicated that AT greatly increased the OH group concentration on the titanium surface whereas HT reduced the OH group concentration. Thus, OH group difference could not be a good explanation of bioactivity difference. On the other hand, ToF-SIMS analysis demonstrated the TiOH þ /Ti þ ratios of various surfaces correlated well with the bioactivity and the surface energies, which implied that Ti-OH could play an important role in the bioactivity. This detail investigation of the relationship between surface functional groups and surface bioactivity could help us to broaden the knowledge about the mechanism of bioactivity and to design next generation bioactive materials.2007 Wiley Periodicals, Inc. J Biomed Mater Res 84A: [523][524][525][526][527][528][529][530][531][532][533][534] 2008

No abstract

For potential application as an ideal wound dressing, a novel asymmetric polyurethane membrane with in situ-generated nano-TiO 2 (PUNT) was successfully prepared via a combination of solvent evaporation, wet phase inversion, and organic-inorganic hybridization. According to this combination method, the PUNT membrane consisted of an integral and dense skin layer supported by a porous sublayer, with nano-TiO 2 particles dispersed evenly throughout the sample. The skin layer was found to be impermeable to bacteria penetration, and the porous sublayer was designed for absorbing high amounts of exudates. Nitrogen adsorption/desorption experiment proved that extra mesopores were created in the PUNT membrane after organic-inorganic hybridization, which resulted in promoted gas permeability, water vapor transmission rate, and exudate absorption capability. The PUNT membrane, as a consequence, could accelerate gas exchange and also provide an optimal level of moisture over the wound beds without risking dehydration or exudate accumulation. Shake flask testing and cell culture (L929) assay indicated that the PUNT membrane exhibited antibacterial activity against Pseudomonas aeruginosa, Escherichia coli, and Staphylococcus aureus, whereas showed no cytotoxicity. From in vivo animal studies, the curative effect of PUNT membrane was found to be better than gauze and a commercial polyurethane membrane dressing. These results indicated that the PUNT membrane with multifunctions prepared in this study has potential for application as an ideal wound dressing.

ObjectiveWe investigated lenvatinib plus programmed cell death-1 (PD-1) inhibitors as a first-line treatment for initially unresectable biliary tract cancer (BTC).MethodsIn this Phase II study, adults with initially unresectable BTC received lenvatinib (body weight ≥60 kg, 12 mg; &lt;60 kg, 8 mg) daily and PD-1 inhibitors (pembrolizumab/tislelizumab/sintilimab/camrelizumab 200 mg or toripalimab 240 mg) every 3 weeks. Primary endpoints were objective response rate (ORR) and safety. Secondary endpoints included surgical conversion rate, disease control rate (DCR), event-free survival (EFS), overall survival (OS) and tumor biomarkers.ResultsAmong 38 enrolled patients, the ORR was 42.1% and the DCR was 76.3%. Thirteen (34.2%) patients achieved downstaging and underwent surgery, six of whom (46.2%) achieved a major pathologic response (n=2) or partial pathologic response (n=4) in the primary tumor. In total, 84.2% of patients experienced ≥1 treatment-related adverse event (TRAE), 34.2% experienced a Grade ≥3 TRAE and no treatment-related deaths occurred. After a median follow-up of 13.7 months the median EFS was 8.0 months (95% CI: 4.6–11.4) and the median OS was 17.7 months (95% CI: not estimable).ConclusionsLenvatinib plus PD-1 inhibitors showed promising anti-tumor efficacy in patients with initially unresectable BTC and was generally well tolerated.Clinical Trial Registrationwww.chictr.org.cn, ChiCTR2100044476.