Biomimetic Connection of Transcutaneous Implants with Skin.

electrospinning highly porous fleece organic-inorganic adhesives percutaneous implants transcutaneous implants

Journal

Advanced healthcare materials
ISSN: 2192-2659
Titre abrégé: Adv Healthc Mater
Pays: Germany
ID NLM: 101581613

Informations de publication

Date de publication:
12 2023
Historique:
revised: 23 08 2023
received: 11 04 2023
medline: 5 12 2023
pubmed: 3 9 2023
entrez: 3 9 2023
Statut: ppublish

Résumé

Bacterial infection is a crucial complication in implant restoration, in particular in permanent skin-penetrating implants. Therein, the resulting gap between transcutaneous implant and skin represents a permanent infection risk, limiting the field of application and the duration of application. To overcome this limitation, a tight physiological connection is required to achieve a biological and mechanical welding for a long-term stable closure including self-healing probabilities. This study describes a new approach, wherein the implant is connected covalently to a highly porous electrospun fleece featuring physiological dermal integration potential. The integrative potential of the scaffold is shown in vitro and confirmed in vivo, further demonstrating tissue integration by neovascularization, extracellular matrix formation, and prevention of encapsulation. To achieve a covalent connection between fleece and implant surface, self-initiated photografting and photopolymerization of hydroxyethylmethacrylate is combined with a new crosslinker (methacrylic acid coordinated titanium-oxo clusters) on proton-abstractable implant surfaces. For implant modification, the attached fleece is directed perpendicular from the implant surface into the surrounding dermal tissue. First in vitro skin implantations demonstrate the implants' dermal integration capability as well as wound closure potential on top of the fleece by epithelialization, establishing a bacteria-proof and self-healing connection of skin and transcutaneous implant.

Identifiants

pubmed: 37660290
doi: 10.1002/adhm.202301131
doi:

Substances chimiques

Titanium D1JT611TNE

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e2301131

Subventions

Organisme : Bundesamt für Ausrüstung, Informationstechnik und Nutzung der Bundeswehr

Informations de copyright

© 2023 The Authors. Advanced Healthcare Materials published by Wiley-VCH GmbH.

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Auteurs

Tobias Weigel (T)

Translational Center for Regenerative Therapies (TLC-RT), Fraunhofer Institute for Silicate Research (ISC), 97082, Würzburg, Germany.

Bastian Christ (B)

Translational Center for Regenerative Therapies (TLC-RT), Fraunhofer Institute for Silicate Research (ISC), 97082, Würzburg, Germany.

Sofia Dembski (S)

Translational Center for Regenerative Therapies (TLC-RT), Fraunhofer Institute for Silicate Research (ISC), 97082, Würzburg, Germany.
University Hospital Würzburg, Department for Tissue Engineering and Regenerative Medicine, 97070, Würzburg, Germany.

Andrea Ewald (A)

University Hospital Würzburg, Department of Functional Materials in Medicine and Dentistry, Pleicherwall 2, 97070, Würzburg, Germany.

Dieter Groneberg (D)

Translational Center for Regenerative Therapies (TLC-RT), Fraunhofer Institute for Silicate Research (ISC), 97082, Würzburg, Germany.

Jan Hansmann (J)

Faculty of Electrical Engineering, University of Applied Sciences Würzburg-Schweinfurt, 97421, Schweinfurt, Germany.

Robert Luxenhofer (R)

Soft Matter Chemistry, Department of Chemistry and Helsinki Institute of Sustainability Science, Faculty of Science, University of Helsinki, P.O. Box 55, Helsinki, 00014, Finland.

Marco Metzger (M)

Translational Center for Regenerative Therapies (TLC-RT), Fraunhofer Institute for Silicate Research (ISC), 97082, Würzburg, Germany.
University Hospital Würzburg, Department for Tissue Engineering and Regenerative Medicine, 97070, Würzburg, Germany.

Heike Walles (H)

Core Facility Tissue Engineering, Otto-von-Guericke-University Magdeburg, 39106, Magdeburg, Germany.

Christian Willy (C)

Trauma & Orthopedic Surgery, Septic & Reconstructive Surgery, Research and Treatment Center Septic Defect Wounds, Federal Armed Forces of Germany, Bundeswehr (Military) Academic Hospital Berlin, Scharnhorststr. 13, 10115, Berlin, Germany.

Florian Groeber-Becker (F)

Translational Center for Regenerative Therapies (TLC-RT), Fraunhofer Institute for Silicate Research (ISC), 97082, Würzburg, Germany.
University Hospital Würzburg, Department for Tissue Engineering and Regenerative Medicine, 97070, Würzburg, Germany.

Jörn Probst (J)

Translational Center for Regenerative Therapies (TLC-RT), Fraunhofer Institute for Silicate Research (ISC), 97082, Würzburg, Germany.

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