Repair Strategies Research Articles

Injectable Nanocomposite Hydrogel with Synergistic Biofilm Eradication and Enhanced Re-epithelialization for Accelerated Diabetic Wound Healing.

Diabetic wounds remain a critical clinical challenge due to their harsh microenvironment, which impairs cellular function, hinders re-epithelialization and tissue remodeling, and slows healing. Injectable nanocomposite hydrogel dressings offer a promising strategy for diabetic wound repair. In this study, we developed an injectable nanocomposite hydrogel dressing (HDL@W379) using LAP@W379 nanoparticles and an injectable hyaluronic acid-based hydrogel (HA-ADH-ODEX). This dressing provided a sustained, pH-responsive release of W379 antimicrobial peptides, effectively regulating the wound microenvironment to enhance healing. The HDL@W379 hydrogel featured multifunctional properties, including mechanical stability, injectability, self-healing, biocompatibility, and tissue adhesion. In vitro, the HDL@W379 hydrogel achieved synergistic biofilm elimination and subsequent activation of basal cell migration and endothelial cell tube formation. Pathway analysis indicated that the HDL@W379 hydrogel enhances basal cell migration through MEK/ERK pathway activation. In methicillin-resistant Staphylococcus aureus (MRSA)-infected diabetic wounds, the HDL@W379 hydrogel accelerated wound healing by inhibiting bacterial proliferation and promoting re-epithelialization, regenerating the granulation tissue, enhancing collagen deposition, and facilitating angiogenesis. Overall, this strategy of biofilm elimination and basal cell activation to continuously regulate the diabetic wound microenvironment offers an innovative approach to treating chronic wounds.

Repair strategy for fused silica wedged focus lens with high-density filamentary damage

Repair strategy for fused silica wedged focus lens with high-density filamentary damage

Mitochondria-targeted delivery of zinc-coordinated resveratrol nanoparticles rescues the osteogenic potential of periodontal ligament stem cells compromised by inflammation for periodontal wound healing

The inflammatory response elicited by oxidative stress in periodontitis dramatically impairs the osteogenic differentiation potential of periodontal ligament stem cells (PDLSCs). Mitochondria sense oxidative stress and regulate the viability and function of PDLSCs and are considered potential targets for regenerative medicine. Resveratrol (RSV) alleviates mitochondrial dysfunction, yet its unsatisfactory bioavailability greatly limits its effectiveness in mitochondrial therapy. Conventional RSV loading methods involving noncovalent interactions or covalent conjugation are either insufficiently stable or require tedious preparation processes. In this study, an RSV nanocarrier system that targets mitochondria was designed by crosslinking guanidine-grafted glycol chitosan (GGC) with RSV and forming zinc ion-based metal coordination bonds (GGC-Zn2+-RSV). Further analyses verified the low cytotoxicity of the synthesized nanoparticles and the indispensable role of guanidine in realizing lysosomal escape and mitochondrial delivery, which could result in more favorable osteogenic efficacy in the inflammatory environment by preserving mitochondrial function. Moreover, in vivo investigations revealed the pronounced effectiveness of GGC-Zn2+-RSV in periodontal wound healing, possibly because GGC-Zn2+-RSV predominantly promotes antioxidation and the recruitment of endogenous stem cells. This study provides a promising and feasible stem cell-based strategy for wound repair in periodontitis and provides insight into the development of novel RSV drug carriers.

Biological strategies in rotator cuff repair: a clinical application and molecular background.

Conventional repair of rotator cuff tears bears a variable but significant risk of incomplete healing. Biological therapies that accompany surgical rotator cuff repair include platelet-rich plasma, stem cells of different origins, and biological scaffolds. Biological therapies facilitate the regeneration of the correct microarchitecture of the tendon attachment to the bone and reduce failures after surgical rotator cuff repair.

Enhancing intrinsic TGF-β signaling via heparan sulfate glycosaminoglycan regulation to promote mesenchymal stem cell capabilities and chondrogenesis for cartilage repair

Osteoarthritis burdens patients due to the limited regenerative capacity of chondrocytes. Traditional cartilage repair often falls short, necessitating innovative approaches. Mesenchymal stem cells (MSCs) show promise for regeneration. Heparan sulfate glycosaminoglycans (HS-GAGs) regulate cellular functions, making them a target for cartilage repair. This study highlights how Heparinase III (HepIII) cleaves intact HS-GAGs in bone marrow-derived MSCs (BM-MSCs), enhancing their capabilities and specifically promoting chondrogenesis. HepIII-treated BM-MSCs cultured in a hanging drop device for three days, significantly increased cell number and aggregation into a cell sphere with early chondrogenesis. HepIII promoted BM-MSCs toward chondrogenesis, increasing type II collagen, intact HS-GAGs, and sulfated GAG content, while upregulating chondrogenic and heparan sulfate proteoglycan genes. Treatment with the TGF-β inhibitor (SB-431542) in HepIII-treated BM-MSCs demonstrated enhanced intrinsic transforming growth factor-β (TGF-β) signaling and fibronectin expression. This approach also boosted BM-MSC self-renewal, immunosuppressive potential, and modified acetylated histone signatures, offering a cost-effective strategy for cartilage repair by addressing inflammation, metabolic changes, and the high costs of traditional TGF-β methods. From the results, HepIII-treated BM-MSCs show potential for use in combination with other biopolymers as injectable gels to improve cartilage repair in osteoarthritis patients in the near future.

An image analysis-based method to determine the vanadium electrolyte contents during the capacity recovery process with a facile chemical oxidation strategy

Repairing and regenerating the unbalanced electrolytes is critical for the long-term operation of vanadium redox flow batteries (VRFBs). In this work, we propose a simple strategy to repair the unbalanced electrolytes for capacity recovery through chemical oxidation with the V(V) electrolyte and develop a method based on image analysis to obtain the electrolytes’ V(IV) ion contents. When the V(V) electrolyte with the same concentration as that of the unbalanced electrolyte is added to the unbalanced electrolyte, V(V) ions gradually oxidize V(III) ions to V(IV) ions, and the color of the electrolyte changes significantly. By extracting the RGB information of the electrolyte image, it is found that the B channel value presents the highest sensitivity to the V(IV) ion content. Thus, the relationship between them is fitted, and the R2 of the fitted curve reaches 0.9978. Furthermore, the image analysis-based method is applied to predict the V(V) electrolyte volumes needed to repair the unbalanced electrolytes. Results show that the deviation of the B channel values between the recovered and standard V(IV) electrolytes is within 5%, demonstrating the effectiveness of the proposed repair strategy and image analysis-based method, which show great promise for practical VRFB applications.

Emergency power supply scheme and fault repair strategy for distribution networks considering electric -traffic synergy

Emergency power supply scheme and fault repair strategy for distribution networks considering electric -traffic synergy

PROSTHESIS REPAIR OF ORAL IMPLANTS BASED ON ARTIFICIAL INTELLIGENC`E FINITE ELEMENT ANALYSIS

Dentists often suggest dental implants to replace missing teeth; nevertheless, mechanical issues can develop with these implants, which could lead to prosthesis replacement or repairs. When investigating implant systems' mechanical characteristics and stress distribution, finite element analysis (FEA) is a popular computational tool. In biomechanical investigations, this strategy is widely used. However, traditional FEA methods can be tedious and require expert expertise for accurate simulation and translation of results. To automate and simplify the process of mending oral implant prostheses, the article suggests a new framework called AI-FEA. The three primary parts that make up the suggested AI-FEA framework are 1. An AI-powered model creation module that utilizes data from medical imaging to autonomously construct 3D finite element designs that are unique to each patient. Utilizing deep learning approaches, this module segments and reconstructs three-dimensional geometries from computed tomography (CT) or cone-beam CT data using material properties and boundary conditions. 2. A FEA solver that runs simulations to test the way the implant system handles different loads. This component uses state-of-the-art numerical methods to model the implant and bone interface and determine stress distributions. 3. An AI-based decision support system that takes all that data and recommends the best way to fix the prosthesis. Combining FEA findings with patient-specific variables, this decision support system uses machine learning algorithms educated on an extensive dataset of implant failure instances and repair results to provide the optimal repair strategy. For patients experiencing issues with oral implants, the suggested AI-FEA framework might mean huge time and skill savings in prosthesis repair planning, leading to better, more individualized care.

Progress in Biomaterials-Enhanced Vascularization by Modulating Physical Properties.

Sufficient vascular system and adequate blood perfusion is crucial for ensuring nutrient and oxygen supply within biomaterials. Actively exploring the optimal physical properties of biomaterials in various application scenarios has provided clues for enhancing vascularization within materials, leading to improved outcomes in tissue engineering and clinical translation. Here we focus on reviewing the physical properties of biomaterials, including pore structure, surface topography, and stiffness, and their effects on promoting vascularization. This angiogenic capability has the potential to provide better standardized research models and personalized treatment strategies for bone regeneration, wound healing, islet transplantation and cardiac repair.

Implantable Multifunctional Micro-Oxygen Reservoir System for Promoting Vascular-Osteogenesis via Remodeling Regenerative Microenvironment.

Hypoxia and reactive oxygen species (ROS) overaccumulation cause persistent oxidative stress and impair intrinsic regenerative potential upon tissue injury. For local tissue injury with hypoxia, such as bone fracture and defects, a localized-sufficient oxygen supply is highly desirable but remains challenging. Therefore, to explore a strategy and its intrinsic mechanism for supplying oxygen locally and remodeling the regenerative microenvironment, an innovative oxygenating hydrogel microsphere system with sustained oxygenation and antioxidant properties is introduced by loading CaO2@SiO2@PDA (CSP) nanoparticles. Specifically, the CSP nanoparticles exhibited broad-spectrum free radicals scavenging ability, along with prolonged controlled-release of oxygen once integrated into the gelatin methacrylate anhydride (GelMA) microspheres (CSP-GM). The CSP-GM with extra cellular matrix (ECM)-mimicking structures reconstructed living niches, promoting the adhesion and proliferation of bone marrow stromal cells (BMSCs). As a multifaceted microenvironment regulator, CSP-GM remodeled the regenerative microenvironment by synergistically producing oxygen and scavenging ROS, recovering mitochondrial homeostasis and antioxidant defenses of BMSCs, promoting angiogenesis and osteogenesis under hypoxia conditions via precisely modulating the Nrf2/HO-1 signaling pathway. The multiple pro-regenerative effects of the implantable functionalized micro-oxygen reservoir on bone repair are further corroborated by the enhanced vascularized bone formation in rat femoral defects, presenting a comprehensive and promising strategy for tissue repair.

In Vitro Characterization of Human Cell Sources in Collagen Type I Gel Scaffold for Meniscus Tissue Engineering

Strategies to repair the meniscus have achieved limited success; thus, a cell-based therapy combined with an appropriate biocompatible scaffold could be an interesting alternative to overcome this issue. The aim of this project is to analyze different cell populations and a collagen gel scaffold as a potential source for meniscus tissue engineering applications. Dermal fibroblasts (DFs) and mesenchymal stem cells (MSCs) isolated from adipose tissue (ASCs) or bone marrow (BMSCs) were analyzed. Two different fibro-chondrogenic media, M1 and M2, were tested, and qualitative and quantitative analyses were performed. Significant increases in glycosaminoglycans (GAGs) production and in fibro-cartilaginous marker expression were observed in MSCs in the presence of M1 medium. In addition, both ASCs and BMSCs cultured in M1 medium were used in association with the collagen hydrogel (MSCs-SCF) for the development of an in vitro meniscal-like tissue. Significant up-regulation in GAGs production and in the expression of aggrecan, collagen type I, and collagen type II was observed in BMSCs-SCF. This study improves knowledge of the potential of combining undifferentiated MSCs with a collagen gel as a new tissue engineering strategy for meniscus repair.

Electrohydrodynamic-Printed Dual-Triphase Microfibrous Scaffolds Reshaping the Lipidomic Profile for Enthesis Healing in a Rat Rotator Cuff Repair Model.

Rotator cuff injuries often result in chronic pain and functional limitations due to retears and scar formation at the enthesis. This study assess the efficacy of electrohydrodynamic-printed microfibrous dual-triphase scaffolds (DTSs), designed to optimize enthesis repair. These scaffolds, composed of polycaprolactone enhanced with nanohydroxyapatite, nano-magnesium-oxide, and kartogenin demonstrate significant biological advantages. In vitro, the scaffolds support over 95% stem cell viability and promote enhanced expression of critical markers such as tenomodulin (TNMD), sex-determining region Y-Box transcription factor 9 (SOX-9), and runt-related transcription factor 2 (RUNX-2). Enhanced expressions of tendon markers tenomodulinand scleraxis (SCX) are noted, alongside significant upregulation of chondrocyte and osteoblast markers. In vivo, these scaffolds significantly improve the biomechanical properties of the repaired enthesis, with a maximum failure load of 27.0 ±4.2 N and ultimate stress of 5.5 ±1.0MPa at 6 weeks postimplantation. Lipidomic analysis indicates substantial regulation of phospholipids such as phosphatidylcholine and phosphatidylserine, highlighting the scaffold's capacity to modulate biochemical pathways critical for tissue repair and regeneration. This study underscores the potential of DTS to improve clinical outcomes in rotator cuff injury treatment by enhancing cellular differentiation, biomechanical properties, and biochemical environment, setting a foundation for personalized treatment strategies in tendon-bone repair.

Component Restoration Models of Highway Bridges for Resilience Assessment: A Nationwide Expert-Opinion Survey Study and Application

This study performs a nationwide expert-opinion survey in Mainland China to establish component restoration models of highway bridges toward high-fidelity resilience assessment. To this end, a questionnaire based on component damage states is designed to collect expert opinions on key variables of the restoration models, including loss of functionality, traffic decision, idle time, repair strategy, and recovery time. More importantly, this study introduces the concept of repair-induced loss of functionality into the component restoration models, in addition to the traditional earthquake-induced loss of functionality. According to the survey results, both deterministic and probabilistic restoration models are developed, where the former is for practical application while the latter characterizes epistemic uncertainties in the key variables. Finally, a case study on a highway bridge with multiple types of vulnerable components is carried out to illustrate the application of the component restoration models for full bridge resilience assessment.

State of the art and perspectives of gene therapy in heart failure. A scientific statement of the Heart Failure Association of the ESC, the ESC Council on Cardiovascular Genomics and the ESC Working Group on Myocardial & Pericardial Diseases.

Gene therapy has recently become a reality in the treatment of cardiovascular diseases. Strategies to modulate gene expression using antisense oligonucleotides or small interfering RNA are proving to be safe and effective in the clinic. Adeno-associated viral vector-based gene delivery and CRISPR-Cas9-based genome editing have emerged as efficient strategies for gene delivery and repair in humans. Overall, gene therapy holds the promise not only of expanding current treatment options, but also of intervening in previously untackled causal disease mechanisms with little side effects. This scientific statement provides a comprehensive overview of the various modalities of gene therapy used to treat heart failure and some of its risk factors, and their application in the clinical setting. It discusses specifically the possibilities of gene therapy for hereditary heart diseases and (non)-genetic heart failure. Furthermore, it addresses safety and clinical trial design issues and challenges for future regulatory strategies.

Ultrasonic reconsolidation of separated CF-PEEK composite layers at 20 kHz — An experimental study on parameter optimization and Ex-situ characterization

Ultrasonic-assisted joining can replace the current repair strategies, such as adhesive bonding, to join the repair patches onto the damaged aerospace composite structures due to their energy and time efficiency. This work reports on the process optimization of repairing separated carbon fiber reinforced (CF)/ poly-ether-ether-ketone (PEEK) layers through ultrasonic reconsolidation at 20 kHz and its influence on the mechanical performance. The results showed that weld force and weld time dominate the temperature evolution, which was used to set the ultrasonic process window. Repairing CF-PEEK layers to different laminate architecture exhibited a 15% deviation from the reference repair. Compared with quantitative results, the ex-situ investigation showed that excessive holding force caused fiber–matrix debonding, leading to a cohesive failure inside the composite laminate. An optimal holding force, approximately 25% of the used weld force, is recommended to alleviate these damages.

IMProve-DURA: Investigations of Molecular Patient profiles and anatomical cadaveric characteristics of the Dura Mater - A Pilot Study Protocol

BackgroundThe dura mater, a fibrous membrane protecting the brain and spinal cord, is prone to lacerations during spinal surgery, often leading to complications such as cerebrospinal fluid (CSF) leakage. Anatomical differences in the spinal dura mater, particularly in regions under high biomechanical stress, suggest that chronic inflammatory processes may compromise its structural integrity. This pilot study investigates the molecular and anatomical characteristics of the spinal dura mater, focusing on its response to inflammation and the challenges of surgical repair. MethodsThe study involves the collection of 40-60 cadaveric spinal dura mater samples and 100 preoperative blood samples from patients undergoing major spinal surgery. Histological and biomolecular analyses will assess tissue integrity, elastin, collagen content, and the expression of inflammatory biomarkers (heat shock proteins [HSPs] and cytokines). Multiplex assays, mass spectrometry, and Western blot techniques will analyze biomarker profiles in both dura mater and blood samples. Comparative and correlation analyses will be performed to identify common molecular patterns between cadaveric tissue and patient blood samples, with statistical tests applied to detect significant differences. ResultsPreliminary power analysis justifies the sample sizes, aiming to detect moderate effect sizes (Cohen’s d = 0.5) with 80% power. Histological and biomolecular results will focus on the impact of chronic inflammation on spinal dura integrity, specifically its thinning and vulnerability to laceration. Key findings will include biomarker profiles correlating with tissue damage and post-surgical complications like CSF leakage. ConclusionThis pilot study aims to enhance our understanding of the inflammatory processes affecting the dura mater and their role in frequent lacerations during spinal surgery. Findings are expected to guide future clinical practices in dura repair strategies, potentially improving surgical outcomes and reducing complications related to CSF leakage.

Three-Dimensional Imaging Defines Straddling Mitral Valve Anatomy to Allow Successful Biventricular Repair.

Biventricular repair of a straddling mitral valve (MV) can involve relocating ectopic papillary muscles and chordae. However, this increases operative complexity and risks MV incompetence. We describe a nine-month-old with D-transposition of the great arteries and straddling MV. Three-dimensional imaging identified ventricular septum malposition and defined a simple repair strategy via ventricular septal defect patch closure rightward of the ectopic papillary muscle along with the arterial switch operation. This case highlights the role of 3D imaging in planning safe biventricular repair of straddling MV in an infant.

Decellularized adipose matrix hydrogel-based in situ delivery of antagomiR-150-5p for rat abdominal aortic aneurysm therapy

Abdominal aortic aneurysm (AAA) is a progressive aortic disease featured by inflammation, vascular smooth muscle cells (VSMCs) depletion, and elastin degradation. MicroRNAs were related to AAA formation, which bring the approach for precise and targeted drug therapy for AAA. We developed a new strategy based on decellularized adipose matrix (DAM) hydrogel immobilized on the adventitia to release antagomiR-150-5p for preventing the AAA development. In this study, Cacl2-induced and elastase-induced rat AAA models were established. We found that miR-150-5p was upregulated while Notch3 was downregulated in two rat AAA models. Then a mold was designed for shaping hydrogel for miR-150-5p delivery around the abdominal aorta. Interestingly, inhibition of miR-150-5p in AAA by local release of antagomiR-150-5p with DAM hydrogel significantly prevented aortic dilation and elastin degradation. Moreover, inflammatory cell infiltration, the expression of inflammatory cytokines (MCP-1, TNF-α, and NF-κB (p65)), and matrix metalloproteinases (MMP-2, MMP-9) were increased while Notch3 and α-SMA were decreased in rat AAA, which can be attenuated by antagomiR-150-5p treatment. In VSMCs with TNF-α stimulation, we further demonstrated that inhibition of miR-150-5p downregulated NF-κB (p65), MMP-2, and MMP-9 and upregulated elastin via Notch3. This work presents a translational potential strategy for AAA repair via DAM hydrogel sustained release of antagomiR-150-5p, and highlights the mechanism of miR-150-5p during AAA progression by regulating Notch3.

Testing Partisan Elaborative Responses to Political Campaign Image Repair Strategies

ABSTRACT Political candidates can face scandals and crises which threaten their relationships with key voting publics. When faced with a reputational threat, political candidates attempt to repair their image. In the 2022 U.S. midterm elections, U.S. Senate candidate Herschel Walker faced reputational threats to his image. This study employs an experimental design that compares partisan cognitive and affective responses to Herschel Walker’s actual image repair strategy employed on social media with one of five hypothetical responses constructed using the image repair typology. An elaborative theoretical lens is employed to test how different image repair responses are cognitively processed by partisan voters and affectively evaluated. Results showed that partisans engaged in differing levels of valenced elaboration about Walker depending on the image repair response, and through this cognitive process subsequently evaluated his image differently. Findings revealed differences in how partisans elaborated upon Walker’s strategy of denial compared to alternative strategies such as mortification, transcendence, and corrective action. Theoretical and practical implications for political public relations are offered.

Visualized trends and bibliometric analysis in ankle cartilage repair from 2004 to 2024.

Ankle cartilage injuries are a common sports-related condition that significantly impairs patients' daily activities and imposes substantial economic burdens on both families and society. Effective cartilage repair strategies are crucial to addressing this pathological condition. Current conservative treatments include muscle strengthening, use of ankle braces, physical therapy, and the administration of NSAIDs. In cases of severe injury, surgical interventions such as osteophyte resection and cartilage transplantation may be necessary. However, the inherent regenerative capacity of articular cartilage is limited, and conventional treatments are insufficient to promote cartilage regeneration and repair. Consequently, innovative therapies such as stem cell therapy, exosome therapy, and cartilage regeneration scaffolds are prioritized for future development. In recent years, significant progress has been made in ankle cartilage repair. While bibliometric studies on cartilage repair exist, specific analyses focused on ankle cartilage repair are lacking. This study aims to address this gap by conducting a bibliometric analysis of 131 articles published over the past two decades, highlighting development trajectories, research hotspots, and evolutionary trends through knowledge mapping. Our findings indicate growing global interest, with the United States leading in international collaboration, funding, publication output, and citation frequency. Foot & Ankle International emerges as the leading journal for publication and dissemination in this field, with Kerkhoffs GMMJ identified as the most influential author. Notable hotspot keywords include "osteochondral lesions" and "platelet-rich plasma." By highlighting critical research hotspots and collaboration patterns, this study not only enriches the existing literature on ankle cartilage repair but also serves as a foundational resource for clinicians and researchers aiming to develop innovative strategies for improving patient outcomes. Furthermore, our findings underscore the necessity of interdisciplinary collaboration in advancing the understanding and treatment of ankle cartilage injuries. Ultimately, the visual characterization of these trends provides valuable insights into the field's evolutionary trajectory, offering guidelines for future research directions and encouraging further exploration of this promising area.