Search Results (943)

Periprosthetic joint infection (PJI) remains a major clinical challenge after total joint arthroplasty because of its association with prolonged antimicrobial therapy, repeated surgery, implant failure, functional disability, and substantial socioeconomic burden. Current strategies, including systemic antibiotics, debridement with implant retention, staged revision, and antibiotic-loaded cement spacers, remain indispensable but are limited by mature biofilm tolerance, protected microbial reservoirs, insufficient local drug penetration, persistent inflammation, and compromised periprosthetic bone repair. Increasing evidence indicates that PJI is not merely bacterial colonization of an implant surface, but a dynamic prosthetic interface disorder involving biofilm persistence, immune dysregulation, inflammatory osteolysis, and failed osseointegration. This review summarizes recent advances in anti-infective prosthetic interface design, emphasizing the transition from passive antibacterial coatings toward multifunctional immuno-antibacterial osseointegrative systems. The pathogenic basis of PJI is first discussed, including conditioning film formation, bacterial adhesion, biofilm maturation, protected reservoirs, immune evasion, and osteolysis. Current clinical management limitations are then evaluated, followed by emerging biomaterial strategies, including anti-adhesive and contact-killing surfaces, active antimicrobial coatings, mature biofilm disruption, biological antibiofilm therapies, smart infection-responsive delivery systems, and osteoimmunomodulatory interfaces. Particular attention is given to balancing early antibacterial activity with cytocompatibility, immune resolution, angiogenesis, mechanical durability, and long-term osseointegration. Finally, key translational barriers are highlighted, including load-bearing and tribological constraints, insufficiently standardized mature biofilm and animal models, limited clinical evidence for advanced smart materials, manufacturing reproducibility, sterilization compatibility, regulatory complexity, and application-specific clinical readiness. Future anti-PJI interfaces should evolve beyond unidirectional bacterial killing toward stage-specific systems integrating biofilm control, immune restoration, vascularized bone regeneration, and durable mechanical performance. Full article

Long-term clinical translation of left ventricular assist devices (LVADs) is severely hampered by thromboembolism and device-related infection, both originating from inadequate biocompatibility of the device-blood interface. Current titanium surface modifications fail to simultaneously deliver durable antithrombotic and antibacterial performance, while conventional polydopamine-copper (PDA-Cu) coatings suffer from inherent limitations. Herein, we report a one-step rapid co-polymerization strategy based on mussel-inspired polyphenol chemistry to fabricate a copper-integrated polydopamine/tannic acid nanocoating on titanium (Ti/PDT(Cu)). By incorporating tannic acid rich in catechol/pyrogallol moieties, we achieve synergistic acceleration of dopamine oxidative polymerization with copper ions, dramatically shortening the fabrication time to 8 h (vs. 24 h for traditional PDA coatings). This process simultaneously constructs a robust dual-crosslinked network through covalent/hydrogen bonds and metal-phenolic coordination, exhibiting a uniform nanoscale-roughened structure. Comprehensive physicochemical characterizations confirm homogeneous coating deposition, excellent hydrophilicity, uniform Cu distribution, and superior long-term structural stability (95.68% thickness retention after 7 days of physiological immersion). The optimized coating displays broad-spectrum and durable antibacterial activity, with 92.79% and 89.73% reduction of E. coli and S. aureus at 24 h, respectively, and retains $>$89% antibacterial efficacy after 7 days of continuous elution (n = 3, * p$<$ 0.05). Moreover, the coating enables stable and sustained catalytic nitric oxide generation (43.85 $\pm$ 2.36 μM cumulative release over 14 days) that mimics endothelial function, resulting in 69.4% inhibition of platelet adhesion and an ultralow hemolysis ratio of 0.97% (n = 3). Critically, it maintains excellent cytocompatibility with L929 fibroblasts ($>$90% cell viability after 72 h co-culture). This work addresses key limitations of conventional PDA-based functional coatings, realizes synergistic antithrombotic and antibacterial dual functions showing great potential for blood-contacting cardiovascular device applications, and provides a facile and robust surface engineering platform for long-term implantable cardiovascular devices. Full article

Polyvinyl alcohol (PVA)/chitosan (CS)-based films incorporated with Antrodia cinnamomea polysaccharide (ACP) and tea tree essential oil (TTEO) were developed using a solution casting method. The physicochemical, bioactive, and structural attributes, as well as the effects of these films on post-harvest ‘Yuluxiang’ pears, were assessed. The results demonstrated strong interactions among all functional components. The integration of ACP reinforced the mechanical properties of PVA/CS-based films, whereas the combined incorporation of ACP/TTEO enhanced water resistance, ultraviolet-light shielding ability, and barrier performance against oxygen and water vapor. Contact angle measurements showed that the PVA/CS/ACP/TTEO composite film exhibited superior wettability and adhesion to pear surfaces. Furthermore, the PVA/CS/ACP/TTEO composite film exhibited potent antibacterial activity, recording 99.99% inhibition against Staphylococcus aureus and 99.91% against Escherichia coli. TGA and DTG analyses suggested that ACP improved the thermal stability and restricted the film’s degradation rate. Antioxidant assays revealed that the incorporation of ACP and TTEO markedly elevated the antioxidant ability of the PVA/CS-based film. After 21 days of storage, the PVA/CS/ACP/TTEO composite film effectively maintained firmness, titratable acidity, vitamin C levels, and the activities of superoxide dismutase and catalase in post-harvest pears. Moreover, the composite film delayed fruit yellowing and oiliness, lowered the accumulation of hydrogen peroxide and malondialdehyde, and significantly reduced microbial counts (p < 0.05). This study demonstrates that the fabricated PVA/CS/ACP/TTEO composite film possesses the ability to extend the shelf life of perishable fruits under ambient storage conditions. Full article

Background/Objectives: One of the ongoing clinical constraints is limiting microbial growth on prostheses, justifying the need for material surface enhancements to reduce microbial complications. This study aimed to investigate a potentially applicable and reproducible coating technique to overcome clinical microbial challenges. Methods: Silver (Ag) nanoparticles (NPs) were applied to three types of materials through spray, spin, and dip coating techniques. Scanning electron microscopy (SEM), energy-dispersive X-ray spectroscopy (EDS), Fourier transform infrared (FTIR) spectroscopy, energy-dispersive X-ray fluorescence (EDXRF), and inductively coupled plasma optical emission spectroscopy (ICP-OES) were performed. Subsequent optimization of spray numbers was determined. Antimicrobial performance of one- and three-layered coatings was evaluated through agar diffusion, direct contact, and adhesion (time-dependent) assays against Pseudomonas aeruginosa (P. aeruginosa). Results: Spray coating exhibited superior coating uniformity. In total, 15 sprays were determined as an effective number for a single-layer coating. EDS confirmed Ag NP presence; FTIR revealed no chemical alteration. Disk diffusion tests showed no inhibition zones. Adhesion and direct contact tests displayed antibacterial activity. The effect was superior in direct contact test. Short-term time-dependent adhesion test of one-layer coating of acrylic and silicone had a consistent decrease in bacterial amount, whilst zirconium had only a strong initial activity. In general, the three-layer coating did not reveal a higher antimicrobial activity, suggesting that the increase in layering can negatively impact surface effectiveness. Conclusions: Spray coating of Ag NPs represents a potentially feasible and relevant strategy for enhancing the antibacterial properties of dental and maxillofacial prosthetic materials without compromising their inherent physicochemical characteristics, pending further cytotoxicity and in vivo validation. Full article

Bacterial infections and excessive reactive oxygen species (ROS) severely impede wound healing. However, traditional hydrogels often lack the integrated antibacterial and antioxidant properties required for effective treatment. To overcome these limitations, a natural thioctic acid (TA)-based multifunctional composite hydrogel (PTA-Arg/SAS) was developed. Arginine (Arg) served as a green inducer for the aqueous ring-opening polymerization of TA. Concurrently, salicylic acid-grafted sericin (SAS) was introduced to inhibit poly(thioctic acid) (PTA) depolymerization via the formation of stable sulfur-aryl (S-Ar) bonds. The hydrogel exhibits self-healing capability, injectability, and robust tissue adhesion to porcine skin (1877 Pa dry; 1663 Pa wet). Furthermore, SAS endowed the system with potent antibacterial (99.1% against E. coli, 97% against S. aureus) and antioxidant activities (98.2% ABTS and 72.7% DPPH radical scavenging rates). In vitro evaluations confirmed the viability of L929 cells (>98% over 3 days) and a negligible hemolysis ratio (<5%). Consequently, this study provides a strategy for fabricating next-generation bioactive dressings for complex wound management. Full article

Polysaccharide-based hydrogels represent promising platforms for the development of bioactive wound dressings due to their biocompatibility, bioadhesive properties, and ability to maintain a moist environment at the wound interface. In this study, polymeric films were developed from natural polysaccharides incorporating olive mill wastewater (OMW) as a natural antibacterial agent. Chitosan (medium molecular weight), sodium alginate, sodium hyaluronate, and xanthan gum were selected to prepare hydrogel formulations either as single polymers or binary mixtures. Hydrogels were prepared by aqueous dispersion under magnetic stirring and subsequently converted into films using a solvent casting method. The resulting films were characterized in terms of rheological behavior, pH, morphology, thickness and water content. The obtained hydrogel films showed good casting ability, producing smooth and homogeneous matrices with adequate deformability and skin adhesion. Furthermore, they demonstrated a suitable capacity to absorb and retain water, mimicking the management of wound exudate. OMW was incorporated into the hydrogel formulations as a source of phenolic compounds with well-known antioxidant and antimicrobial properties. The presence of these bioactive compounds provides the films with potential antibacterial and antibiofilm activity against clinically relevant multidrug-resistant staphylococcal strains. These findings suggest that OMW-loaded polysaccharide hydrogels represent a promising and sustainable strategy for the development of antibacterial films for wound healing applications. Full article

In this study, polyvinyl alcohol (PVA) and chitosan (CS) were used as the base materials, and ethyl lauroyl arginate (LAE) as the antibacterial agent to prepare biodegradable bilayer composite films (P/C-L), whose properties compared with those of the monolayer films (P-C-L) of identical composition. Scanning electron microscopy (SEM) results revealed that the P/C-L films formed a compact microstructure with tight interlayer adhesion. Fourier transform infrared spectroscopy (FTIR) confirmed the presence of intermolecular hydrogen bonds within the P/C-L films without the formation of new chemical bonds, and X-ray diffraction (XRD) indicates that the crystallinity of the P/C-L films was dominated by that of PVA. P/C-L films exhibited a dual-surface structure with a hydrophobic CS layer and a hydrophilic PVA layer, broadening their potential application range. The P/C-L films demonstrated superior water resistance and light transmittance to the P-C-L films. When the LAE content increased from 0% to 10%, the P/C-L films displayed a more stable range of variation concerning visible light transmittance, water contact angle (CS layers), and moisture absorption than that of the P-C-L films, with the corresponding changing values being 86.86% to 62.09%, 96.79°to 72.46°, and 8.35% to 19.78%, respectively. Regarding antibacterial properties, the P/C-L films exhibited significantly enhanced activity across all LAE concentrations. Notably, P/C-L films at 2% LAE already outperformed P-C-L films at 4% LAE. At an LAE content of 10%, the inhibition zone diameters of the P/C-L films against E. coli and S. aureus reached 39.42 mm and 42.15 mm, which were 12.71 mm and 13.10 mm larger than those of the P-C-L films, corresponding to increases of 47.58% and 45.09%, respectively. In addition, both the P/C-L bilayer films and the P-C-L films could achieve complete biodegradation within 30 days under laboratory soil burial conditions. These findings suggest that P/C-L films show advantageous overall characteristics, highlighting their strong potential in the field of sustainable active food packaging. Full article

Raw lacquer, a natural polymer derived from the bast of lacquer trees (Toxicodendron vernicifluum), is renowned as the “King of Coatings” due to its exceptional film-forming properties, abrasion resistance, corrosion resistance, and biocompatibility. However, its inherent limitations—including stringent drying conditions, slow curing rates, deep coloration, and difficult application—have severely restricted its modernization and widespread adoption. This review systematically summarizes recent research advances in the modification and application of raw lacquer, focusing on four major modification strategies: (1) Nanocomposite modification—incorporating functional nanofillers such as Al₂O₃, cellulose nanofibrils (CNF), polydopamine (PDA) melanin-like nanoparticles, and SiO₂ to significantly enhance film hardness, compactness, UV-aging resistance, and drying kinetics. (2) Chemical structure modification—employing molecular design strategies including aminoanthraquinone grafting, tung oil blending, water-based emulsification, and terpene/allyl group functionalization to improve hydrophobicity, flexibility, fast-drying properties, and achieve dual photo/oxygen curing. (3) Biomass synergistic composites—utilizing natural polymers such as chitosan and lignin, along with bio-inspired adhesion mechanisms (e.g., PDA), to confer advanced functionalities including antibacterial and antifouling properties. (4) Curing behavior regulation—precisely controlling drying kinetics through inorganic salt ion microenvironment engineering, nonionic surfactants, and salicylaldehyde Schiff base-based driers. Building upon these foundations, this review further expands on the emerging high-value applications of modified lacquer in preventive conservation of cultural heritage, advanced functional coatings (anti-corrosion, super-hydrophobicity, flame retardancy), biomedical materials (hemostasis, antibacterial activity, drug-controlled release, water treatment adsorption), and intelligent responsive flexible electronics. Finally, addressing challenges including weak fundamental research, bottlenecks in green industrialization, and lack of standardization, future development directions are proposed encompassing interdisciplinary innovation, sustainable modification strategies, integration of multifunctional intelligent systems, and big data-driven research paradigms, aiming to provide theoretical guidance and technical references for the high-value utilization and modernization of lacquer resources. Full article

The application of silk sericin as a polymeric biomaterial has recently gained interest, although its film was found to be fragile, exhibiting brittleness when subjected to relatively slight stress, and it also displayed higher water solubility. This study focused on the enhanced physico-mechanical properties of the three films obtained by the crosslinking of sericin protein from three silkworm cocoons with poly (vinyl alcohol) (PVA) to reduce phase separation and solubilization of the films by promoting miscibility between sericin and PVA. The findings demonstrated how crosslinking with glutaraldehyde enhanced thermal stability and tensile strength and controlled the solubility of the three sericin–PVA films. The sericin from G. postica, G. rufobrunnea, and Argema mimosae is composed of serine, aspartic acid, and glutamic acid, which make up 80% of the total polar amino acids. X-ray diffraction (XRD) patterns showed that sericin–PVA films have semicrystalline features, representing amorphous and crystalline regions. The XRD results also indicated that the Saturniidae sericin–PVA film (Sat-SPF), Gonometa postica sericin–PVA film (GP-SPF), and Gonometa rufobrunnea sericin–PVA film (GR-SPF) have crystallinity percentages of 66.4%, 55.9%, and 17.7%, respectively. The moisture vapor transmission rate (MVTR) values observed in this study ranged from 991.2 to 5160 g/m²/24 h, indicating that these films can effectively regulate moisture levels in wounds. The swelling capacity of the three sericin–PVA composite films depends on the crosslinking density of their structures and was also found to be sensitive to the pH of the aqueous media, demonstrating their hydrophilic nature and potential use in drug delivery systems. The water vapor permeability of sericin–PVA films increased with higher environmental relative humidity (RH) and moisture content within the films. The elongation at break for GP-SPF (107.2% ± 3.1) and Sat-SPF (73.0% ± 4.1) was significantly higher than in GR-SPF (29.3% ± 2.3). However, their tensile strength and elastic modulus were lower than those of GR-SPF. These results show that the number of polar groups (amino and hydroxyl groups) from both sericin and PVA influences all the properties of the sericin–PVA composite films. The three sericin–PVA solutions were found to have antibacterial efficacy against three Gram-positive and one Gram-negative bacteria over 24 h. Scanning electron microscopy (SEM) images revealed a rough surface with a granular network pattern, which supports the potential use of sericin–PVA films for cell adhesion and proliferation, which are essential for biomedical wound dressing applications. Full article

Developing zinc oxide-based nano-bactericides as alternatives to conventional chemical bactericides for controlling rice bacterial diseases has become a major research focus. In this study, ZnO nanoparticles were initially surface-modified and subsequently covalently conjugated with chitooligosaccharide (COS) via imine bonds to get a pH-responsive zinc oxide–chitooligosaccharide (ZnO–COS) delivery system. A series of physicochemical characterizations, including FTIR, UV-vis, XRD, and TGA, confirmed the successful synthesis of ZnO–COS NPs. Building on this foundation, the pH-responsive release behavior, foliar deposition performance, antibacterial activity, and biosafety of the nanoparticles were systematically investigated. The prepared ZnO–COS NPs exhibited pronounced acid-triggered Zn²⁺ release, together with enhanced wettability, spreadability, and retention on rice leaf surfaces, owing to COS incorporation. In both in vitro and in vivo assays against Xanthomonas oryzae pv. oryzae (Xoo), ZnO–COS NPs demonstrated effective antibacterial activity associated with bacterial cell damage and the activation of antioxidant defense responses in plants. Consequently, ZnO–COS NPs achieved a preventive efficacy of 56.0% against rice bacterial blight, surpassing those of ZnO (33.3%) and COS (14.3%). Furthermore, safety assessment confirmed the good biocompatibility of ZnO–COS NPs towards rice seed germination and seedling growth. In summary, the synthesised ZnO–COS NPs integrated pH-responsive release, improved foliar deposition, and enhanced antioxidant capacity of rice, offering a promising strategy for mitigating bacterial diseases in rice. Full article

Background/Objectives: Titanium alloy Ti₆Al₄V remains the gold standard in dental implantology due to its excellent mechanical properties, corrosion resistance, and biocompatibility. However, implant-associated infections and insufficient osseointegration continue to represent major clinical challenges, mainly related to bacterial biofilm formation and suboptimal surface–tissue interactions. Biofilm formation refers to the adhesion, accumulation, and growth of microbial communities embedded within a self-produced extracellular polymeric matrix on implant surfaces, which contributes to bacterial persistence and resistance to host defense mechanisms. This review aims to critically evaluate recent advances in multifunctional bioceramic coatings for dental implants, with a particular focus on zirconia (ZrO₂)-based systems and their antibacterial mechanisms. Methods: A structured literature analysis was conducted using major scientific databases including PubMed, Scopus, and Web of Science, focusing mainly on studies published between 2015 and 2025 related to CaP, Ag, and ZrO₂-based coatings for dental implants. The review examines their physicochemical properties, antibacterial strategies, ion release behavior, and biological responses, including osteogenic activity and biofilm inhibition. Particular attention is given to hybrid systems integrating multiple functional phases. Results: CaP coatings exhibit excellent osteoconductivity and promote early osseointegration but show limited intrinsic antibacterial activity. Ag-based coatings provide strong broad-spectrum antimicrobial effects through controlled Ag⁺ ion release, although concerns regarding cytotoxicity and dose-dependent responses remain. ZrO₂ coatings significantly enhance corrosion resistance and surface stability, while their antibacterial performance can be improved through nanostructuring, laser surface modification, and ionic doping. Hybrid Ag–CaP–ZrO₂ coatings demonstrate improved antibacterial activity, enhanced corrosion resistance, and better regulation of ion release kinetics and osteogenic response compared with single-component coating systems. Conclusions: Multifunctional bioceramic coatings represent a promising strategy for improving the performance of dental implants and addressing the dual challenge of infection control and tissue integration. However, challenges remain regarding long-term stability, controlled ion release, and limited clinical validation. Future research should focus on the development of smart, stimuli-responsive coatings and standardized evaluation protocols to facilitate clinical translation. Full article

Methacrylate-based materials, widely used in dentistry, must possess high biocompatibility with oral cells and tissues. Currently, to improve the integration of orthodontic devices with the biological structures, laser-assisted polymer modification is actively employed. Importantly, functionalization is required only for the surface of the material that directly interacts with the oral tissues. This study presents approaches for laser modification of polymethacrylate materials and evaluates their influence on the proliferative activity of human spleen fibroblasts. Using laser radiation, two geometric patterns were obtained on the polymer surfaces. Cell morphology and proliferation on the experimental samples were assessed using scanning electron microscopy. It was found that the polymer with a groove-textured surface (pattern 1) promoted enhanced cell adhesion and reduced material toxicity. Additionally, the antibacterial properties of the polymers were evaluated. The sample with sparsely distributed surface craters (pattern 2) demonstrated an antifouling effect against Escherichia coli. Full article

Developing hydrogel dressings that simultaneously achieve robust wet tissue adhesion, mechanical stability, antibacterial activity, and oxidative stress regulation remains challenging. In this study, a dual-network poly (thioctic acid)/ammonium glycyrrhizinate (PTA/AG) hydrogel was developed through thermally induced ring-opening polymerization (ROP) of TA and sodium thioctate (TA-Na) to form a primary network, followed by the formation of an AG-driven secondary network during cooling. TA-Na improved the aqueous processability of TA, while the AG secondary network reinforced the stability of the PTA primary network. The resulting hydrogel exhibited a crossover strain of 454% and a wet adhesion strength of up to 16.37 kPa on porcine skin. In addition, the hydrogel showed strong antibacterial activity against S. aureus (>99%), high cytocompatibility (>95% cell viability), and effective free-radical-scavenging activity (>77% scavenging of both DPPH and ABTS radicals). Notably, the hydrogel exhibited effective intracellular antioxidant activity, reducing ROS levels to near those of the control group and increasing SOD activity by approximately 13-fold and the GSH/GSSG ratio by 97.83% relative to the H₂O₂ group. Overall, the PTA/AG hydrogel is a promising candidate for multifunctional wound dressing applications. Full article

Superhydrophobic antibacterial coatings offer an effective approach to overcoming the limitations of single anti-adhesion or bactericidal strategies; however, it remains a great challenge to develop such coatings with long-term durability and high bactericidal performance. In this study, a ZT/PDMS composite coating was successfully fabricated by directly mixing ZnO@TiO₂ with PDMS. Benefiting from the low surface energy of polydimethylsiloxane (PDMS) and the coral-like micro/nanostructured rough morphology generated by the incorporation of ZnO@TiO₂ nanoparticles, the coating exhibited excellent superhydrophobic properties, with a water contact angle of 153.5°. The proposed fabrication method showed good adaptability to various substrates, and the resulting coating demonstrated outstanding durability and self-cleaning performance. Notably, the coating retained superhydrophobicity after six abrasion cycles, and the water contact angle remained above 140° after immersion in solutions with pH ranging from 1 to 13 for 7 days. The ZT/PDMS composite coating achieved an antibacterial adhesion rate of 87.98% and 80.11% against Acinetobacter baumannii (A. baumannii) and Staphylococcus aureus (S. aureus), respectively. Under UV and visible light irradiation, its bactericidal efficiency exceeded 90%. The excellent antibacterial performance of the coating was attributed to the synergistic effects of anti-adhesion, active sterilization (Zn²⁺ release and ROS generation), and self-cleaning. This study provides a facile and effective strategy for the development of efficient and durable multifunctional antibacterial coatings. Full article

Sports injuries, especially musculoskeletal and neurological types from strenuous exercise, are a global public health challenge. Characterized by a high incidence and slow recovery, these injuries differ from typical trauma, often resulting in severe mechanical transmission loss and an imbalanced immune microenvironment. Consequently, standard interventions struggle to achieve true tissue regeneration. Gelatin, a collagen-derived biomaterial, offers RGD-mediated cell adhesion, MMP-responsive degradation, and high modifiability. These qualities make it an excellent foundation for biomimetic repair scaffolds. This paper reviews the design principles and recent advances in gelatin-based multifunctional hydrogels in sports medicine. First, we analyse their structure and engineering advantages. Next, we summarise strategies and mechanisms for modules like conductivity, antibacterial activity, self-healing, stimulus responsiveness, and tissue adhesion. The review links these modules to types of injuries: bone or cartilage, tendon or ligament, skeletal muscle, spinal cord, and peripheral nerve. It clarifies their clinical and translational value in remodelling immune microenvironments, regulating electrophysiology, promoting interfacial regeneration, and restoring motor function. This review provides focused insights from materials science and sports rehabilitation to advance precision treatments for sports injuries. Full article