Prospects and challenges for the application of tissue engineering technologies in the treatment of bone infections
Osteomyelitis is a devastating disease caused by microbial infection in deep bone tissue. Its high recurrence rate and impaired restoration of bone deficiencies are major challenges in treatment. Microbes have evolved numerous mechanisms to effectively evade host intrinsic and adaptive immune attack...
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Published in | Bone Research Vol. 12; no. 1; p. 28 |
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Main Authors | , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
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London
Nature Publishing Group UK
14.05.2024
Springer Nature B.V Nature Publishing Group |
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Abstract | Osteomyelitis is a devastating disease caused by microbial infection in deep bone tissue. Its high recurrence rate and impaired restoration of bone deficiencies are major challenges in treatment. Microbes have evolved numerous mechanisms to effectively evade host intrinsic and adaptive immune attacks to persistently localize in the host, such as drug-resistant bacteria, biofilms, persister cells, intracellular bacteria, and small colony variants (SCVs). Moreover, microbial-mediated dysregulation of the bone immune microenvironment impedes the bone regeneration process, leading to impaired bone defect repair. Despite advances in surgical strategies and drug applications for the treatment of bone infections within the last decade, challenges remain in clinical management. The development and application of tissue engineering materials have provided new strategies for the treatment of bone infections, but a comprehensive review of their research progress is lacking. This review discusses the critical pathogenic mechanisms of microbes in the skeletal system and their immunomodulatory effects on bone regeneration, and highlights the prospects and challenges for the application of tissue engineering technologies in the treatment of bone infections. It will inform the development and translation of antimicrobial and bone repair tissue engineering materials for the management of bone infections. |
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AbstractList | Osteomyelitis is a devastating disease caused by microbial infection in deep bone tissue. Its high recurrence rate and impaired restoration of bone deficiencies are major challenges in treatment. Microbes have evolved numerous mechanisms to effectively evade host intrinsic and adaptive immune attacks to persistently localize in the host, such as drug-resistant bacteria, biofilms, persister cells, intracellular bacteria, and small colony variants (SCVs). Moreover, microbial-mediated dysregulation of the bone immune microenvironment impedes the bone regeneration process, leading to impaired bone defect repair. Despite advances in surgical strategies and drug applications for the treatment of bone infections within the last decade, challenges remain in clinical management. The development and application of tissue engineering materials have provided new strategies for the treatment of bone infections, but a comprehensive review of their research progress is lacking. This review discusses the critical pathogenic mechanisms of microbes in the skeletal system and their immunomodulatory effects on bone regeneration, and highlights the prospects and challenges for the application of tissue engineering technologies in the treatment of bone infections. It will inform the development and translation of antimicrobial and bone repair tissue engineering materials for the management of bone infections. Abstract Osteomyelitis is a devastating disease caused by microbial infection in deep bone tissue. Its high recurrence rate and impaired restoration of bone deficiencies are major challenges in treatment. Microbes have evolved numerous mechanisms to effectively evade host intrinsic and adaptive immune attacks to persistently localize in the host, such as drug-resistant bacteria, biofilms, persister cells, intracellular bacteria, and small colony variants (SCVs). Moreover, microbial-mediated dysregulation of the bone immune microenvironment impedes the bone regeneration process, leading to impaired bone defect repair. Despite advances in surgical strategies and drug applications for the treatment of bone infections within the last decade, challenges remain in clinical management. The development and application of tissue engineering materials have provided new strategies for the treatment of bone infections, but a comprehensive review of their research progress is lacking. This review discusses the critical pathogenic mechanisms of microbes in the skeletal system and their immunomodulatory effects on bone regeneration, and highlights the prospects and challenges for the application of tissue engineering technologies in the treatment of bone infections. It will inform the development and translation of antimicrobial and bone repair tissue engineering materials for the management of bone infections. |
Author | Li, Feilong Zhao, Chen Yang, Shuhao Li, Kainan Qin, Leilei Yang, Yaji Zhou, Haotian Xiong, Chengdong Yang, Jianye Huang, Wei Hu, Xulin Xu, Zhenghao Hu, Ning |
Author_xml | – sequence: 1 givenname: Leilei surname: Qin fullname: Qin, Leilei organization: Department of Orthopaedics, The First Affiliated Hospital of Chongqing Medical University, Orthopedic Laboratory of Chongqing Medical University – sequence: 2 givenname: Shuhao surname: Yang fullname: Yang, Shuhao organization: Department of Orthopaedics, The First Affiliated Hospital of Chongqing Medical University, Orthopedic Laboratory of Chongqing Medical University – sequence: 3 givenname: Chen surname: Zhao fullname: Zhao, Chen organization: Department of Orthopaedics, The First Affiliated Hospital of Chongqing Medical University, Orthopedic Laboratory of Chongqing Medical University – sequence: 4 givenname: Jianye surname: Yang fullname: Yang, Jianye organization: Department of Orthopaedics, The First Affiliated Hospital of Chongqing Medical University, Orthopedic Laboratory of Chongqing Medical University – sequence: 5 givenname: Feilong surname: Li fullname: Li, Feilong organization: Department of Orthopaedics, The First Affiliated Hospital of Chongqing Medical University, Orthopedic Laboratory of Chongqing Medical University – sequence: 6 givenname: Zhenghao surname: Xu fullname: Xu, Zhenghao organization: Department of Orthopaedics, The First Affiliated Hospital of Chongqing Medical University, Orthopedic Laboratory of Chongqing Medical University – sequence: 7 givenname: Yaji surname: Yang fullname: Yang, Yaji organization: Department of Orthopaedics, The First Affiliated Hospital of Chongqing Medical University, Orthopedic Laboratory of Chongqing Medical University – sequence: 8 givenname: Haotian surname: Zhou fullname: Zhou, Haotian organization: Department of Orthopaedics, The First Affiliated Hospital of Chongqing Medical University, Orthopedic Laboratory of Chongqing Medical University – sequence: 9 givenname: Kainan surname: Li fullname: Li, Kainan organization: Clinical Medical College and Affiliated Hospital of Chengdu University, Chengdu University – sequence: 10 givenname: Chengdong surname: Xiong fullname: Xiong, Chengdong organization: University of Chinese Academy of Sciences – sequence: 11 givenname: Wei orcidid: 0000-0001-9116-2985 surname: Huang fullname: Huang, Wei organization: Department of Orthopaedics, The First Affiliated Hospital of Chongqing Medical University, Orthopedic Laboratory of Chongqing Medical University – sequence: 12 givenname: Ning surname: Hu fullname: Hu, Ning email: huncqjoint@yeah.net organization: Department of Orthopaedics, The First Affiliated Hospital of Chongqing Medical University, Orthopedic Laboratory of Chongqing Medical University – sequence: 13 givenname: Xulin surname: Hu fullname: Hu, Xulin email: huxulin1993@163.com organization: Clinical Medical College and Affiliated Hospital of Chengdu University, Chengdu University, Department of Biotherapy, Cancer Center and State Key Laboratory of Biotherapy, West China Hospital, Sichuan University |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/38744863$$D View this record in MEDLINE/PubMed |
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Snippet | Osteomyelitis is a devastating disease caused by microbial infection in deep bone tissue. Its high recurrence rate and impaired restoration of bone... Abstract Osteomyelitis is a devastating disease caused by microbial infection in deep bone tissue. Its high recurrence rate and impaired restoration of bone... |
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SubjectTerms | 631/443/63 631/443/811 Animals Bone Regeneration Drug resistance Humans Infections Internal Medicine Medicine Medicine & Public Health Orthopedics Osteomyelitis - drug therapy Osteomyelitis - microbiology Osteomyelitis - therapy Review Review Article Tissue engineering Tissue Engineering - methods |
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Title | Prospects and challenges for the application of tissue engineering technologies in the treatment of bone infections |
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