Search Results (904)

Estrogens regulate many physiological processes in the human body, including the cardiovascular system. Importantly, Estradiol (E2) exerts its vascular protective actions, in part, by promoting endothelial repair via induction of endothelial cell (EC) proliferation, migration and angiogenesis. Recent evidence that microRNAs (miRNAs) play an important role in vascular health and disease as well as in regulating Estrogen actions in many cell types. We hypothesize that E2 may mediate its vascular protective actions via the regulation of miRNAs. Following initial screening, we found that E2 downregulates the levels of miR-193a-3p in ECs. Moreover, miR-193a-3p downregulation by miR-193a-3p-antimir mimicked the effects as E2 on EC growth, migration, and capillary formation. Restoring miR-193a-3p levels with mimics after E2 treatment abrogated the vasculogenic actions of E2, suggesting a key role of miR-193a-3p in E2-mediated EC-growth-promoting effects. We further investigated the cellular mechanisms involved and found that miR-193a-3p inhibits angiogenesis by blocking phosphoinositide-3-kinase (PI3K)/Akt-vascular endothelial growth factor (VEGF) and Activin receptor-like kinase 1 (ALK1)/SMAD1/5/8 signaling in ECs, both pathways that are important in E2-mediated vascular protection. Additionally, using reverse transcription polymerase chain reaction (RT-PCR), we demonstrate that E2 downregulates miR-193a-3p in ECs via Estrogen Receptor (ER)α, but not ERβ or G protein-coupled estrogen receptor (GPER). Moreover, these actions occur post-transcriptionally, as the expression of pri-miR-193a-3p was not affected. The anti-angiogenic actions of miR-193a-3p were also observed in in vivo Matrigel implant-based capillary formation studies in ovariectomized mice where E2 induced capillary formation, and these effects were abrogated in the presence of miR-193a-3p, but not in the control mimic. Assessment of miR-193a-3p levels in plasma collected from in vitro fertilization (IVF) subjects with low and high E2 levels showed significantly lower miR-193a-3p levels in responders during the high E2 period. Hence, our findings provide the first evidence that miR-193a-3p mimic inhibits angiogenesis whereas its antimir is angiogenic. Importantly, E2 mediates its regenerative actions on ECs/capillary formation by downregulating endogenous miR-193a-3p expression. Both miR-193a-3p mimic or antimir may represent important therapeutic molecules to prevent or to induce endothelial function in treating pathophysiologies associated with capillary growth. Full article

This multicenter study evaluated the effectiveness and safety of third-generation trabecular micro-bypass implantation (iStent^® infinite) combined with phacoemulsification (n = 233 eyes). Key outcomes through 12 months included the mean change in intraocular pressure (IOP) and the number of topical medications, as well as proportions achieving IOPs ≤ 18/15/12 mmHg or using 0/1/2/ ≥ 3 medications. In all eyes with 12-month follow-up data (n = 96, consistent cohort), the mean IOP reduced from 17.2 ± 4.2 mmHg preoperatively to 13.8 ± 3.0 mmHg at Month 12 (p = 0.001), while the mean number of medications reduced from 1.24 ± 0.91 preoperatively to 0.61 ± 0.96 at Month 12 (p = 0.001). The proportions of eyes achieving IOP ≤ 18/15/12 mmHg increased from 63.5%, 34.4%, and 14.6% preoperatively to 92.7%, 71.9%, and 37.5%, respectively at Month 12, (all p = 0.001). The proportions of eyes off medication increased from 16.7% preoperatively to 62.5% at Month 12 (p = 0.001). This study provides clinically relevant, real-world results that demonstrate significant reductions in IOP and the number of topical glaucoma medications required following iStent infinite trabecular micro-bypass and phacoemulsification. Full article

β-catenin is a key regulator of osteoblast differentiation, proliferation, and bone homeostasis. Through its interaction with transcription factors such as TCF/LEF, Runx2, and Osx, it coordinates gene expression essential for osteogenesis. The aim of this review is to demonstrate how β-catenin signaling is modulated by various physiological and pathological factors, including mechanical loading, oxidative stress, HIV-1 gp120, fluoride, implant topography, and microRNAs. These factors influence Wnt/β-catenin signaling through different mechanisms, often exerting opposing effects on osteoblast function. By integrating these modulators, we provide a comprehensive view of the dynamic regulation of β-catenin in bone biology. Understanding this complexity may provide insight into novel therapeutic strategies targeting β-catenin in bone regeneration, metabolic bone diseases, and pathologies such as HIV-associated bone loss or osteosarcoma. Full article

This study aimed to clarify the alterations in gene expression in metastatic renal cell carcinoma (mRCC) during disease progression and in response to treatment with immune checkpoint inhibitors using a syngeneic mouse mRCC model. RENCA cells were orthotopically implanted in BALB/c mice. Mice received first-line treatment with cabozantinib, anti-PD-1 antibody, or a combination. Tumor progression was monitored using serial micro-computed tomography. Lung metastasis samples were collected, and RNA sequencing was performed. Mice with apparent disease progression received second-line treatment with axitinib, everolimus, or lenvatinib after combination therapy. The median overall survival was 28, 34, 34, and 49 days in untreated mice and those treated with cabozantinib, anti-PD-1, or their combination, respectively (p < 0.05). RNA sequencing revealed upregulation of the fibroblast growth factor pathway in lung metastases after monotherapy, whereas mTOR pathway activation was observed only after combination therapy. Treatment-specific gene expression changes occur in mRCC, suggesting that the optimal target for sequential therapy in mRCC varies depending on prior treatment. Full article

Background: Traditional sandblasted large-grit acid-etched (SLA) surface treatments frequently utilize alumina (Al₂O₃) blasting, which may leave residual particles embedded in implant surfaces, potentially compromising biocompatibility and osseointegration. This study investigates a contamination-free alternative: titanium dioxide particle (TiO₂) blasting followed by hydrochloric acid (HCl) etching, aimed at generating a cleaner, hierarchical micro–nano-textured surface. Methods: Grade IV titanium disks were treated either with TiO₂ sandblasting alone or with an additional HCl etching step. Surfaces were analyzed via atomic force microscopy (AFM), scanning electron microscopy (SEM), contact angle measurements, and profilometry. hFOB osteoblasts were cultured to assess adhesion, proliferation, metabolic activity, and morphology. Results: The combination treatment produced a more homogeneous micro–nano structure with significantly increased roughness and a cleaner surface chemistry. Osteoblast proliferation and metabolic activity were notably improved in the TiO₂ and HCl group. SEM imaging showed a more organized cytoskeletal structure and pronounced filopodia at 72 h. Conclusions: Titanium blasting combined with HCl etching yields a cost-effective, contamination-free surface modification with promising early-stage cellular responses. This approach represents a safer and effective alternative to conventional SLA treatment. Full article

Preparing a bioactive surface with a hierarchical micro/nanostructure can improve the osseointegration of titanium implants. In this study, titanium was sand blasted and etched in H₂SO₄ solution to obtain micro-rough morphology. The samples were then hydrothermally treated in the concentrated CaHPO₄ solution at 120–200 °C for 24 h to grow films consisting of anatase TiO₂ and hydroxyapatite nanoparticles (size 80–240 nm). The hydrothermally calcified (200 °C) sample exhibited much better corrosion resistance in the salt solution, as well as similar cellular viability and a higher alkaline phosphatase level in the cell tests using MC3T3-E1 cells, in comparison with the polished titanium sample. The hybrid treatment is a facile and effective method to a form bioactive surface with a hierarchical micro/nanostructure on titanium. Full article

Effective bone tissue regeneration remains pivotal in implant dentistry, particularly for edentulous patients with compromised alveolar bone due to atrophy and sinus pneumatization. Biomaterials are essential for promoting regenerative processes by supporting cellular recruitment, vascularization, and osteogenesis. This study presents the development and characterization of a novel lithography-printed ceramic β-TCP scaffold, with a macro/micro-porous lattice, engineered to optimize osteoconduction and mechanical stability. Morphological, structural, and biomechanical assessments confirmed a reproducible microarchitecture with suitable porosity and load-bearing capacity. The scaffold was also employed for maxillary sinus augmentation, with postoperative evaluation using micro computed tomography, synchrotron imaging, histology, and Fourier Transform Infrared Imaging analysis, demonstrating active bone regeneration, scaffold resorption, and formation of mineralized tissue. Advanced imaging supported by deep learning tools revealed a well-organized osteocyte network and high-quality bone, underscoring the scaffold’s biocompatibility and osteoconductive efficacy. These findings support the application of these 3D-printed β-TCP scaffolds in regenerative dental medicine, facilitating tissue regeneration in complex jawbone deficiencies. Full article

Functional and safety requirements for medical devices are increasing with the continuous advancement of medical technology. To improve the therapeutic effect and safety of medical devices and patients, researchers are constantly exploring new materials and processes. Among them, the preparation of functional surfaces has become an important means to improve the performance of medical devices. This paper provides a comprehensive and critical review of recent advancements in laser processing technologies for the fabrication of functional surfaces in medical devices. Leveraging the unique capabilities of laser-based techniques to precisely tailor micro- and nanoscale surface structures, these methods have demonstrated remarkable potential in enhancing the therapeutic efficacy, biocompatibility, and overall safety of medical implants and surgical instruments. Such innovations are paving the way for the development of next-generation medical devices with multifunctional surface properties, meeting the increasing demands of modern clinical applications. The review focuses on the key applications, including cell function regulation, antibacterial properties, corrosion resistance, friction characteristics, and anti-adhesion properties. It also explores the considerable potential of laser processing technology, while addressing the challenges associated with multifunctional surface design and material selection. Looking ahead, the paper discusses future directions for the application of laser processing in novel materials and complex biomimetic structures. Full article

The implantation of bone substitutes is frequently accompanied by inflammation. To reduce the inflammatory response and enhance cell adhesion, proliferation, and differentiation, scaffolds are often loaded with anti-inflammatory drugs. In this study, cellulose and cellulose/hydroxyapatite (1:1 by weight) scaffolds were developed. Structural analysis using SEM and micro-computed tomography revealed that the morphology of the scaffolds met the requirements for bone tissue engineering. The scaffolds were initially loaded with dexamethasone sodium phosphate; however, the drug was released very rapidly. To prolong its release, cationic groups were introduced into the cellulose macromolecules by amination with 2-chloro-N,N-diethylethylamine hydrochloride in an alkaline medium. Dexamethasone sodium phosphate was then immobilised on aminated cellulose and aminated cellulose/HAp scaffolds at concentrations of 157 mg/g and 87 mg/g, respectively. Due to ionic interactions between the cationic groups in the scaffolds and the anionic groups of the drug molecules, drug release was effectively prolonged. After 24 h, only about 6–7% of the drug had been released, with complete release occurring after 170 h. The cationic groups in the scaffold framework facilitated the adsorption and sustained release of dexamethasone sodium phosphate. Full article

This study investigates the potential of Selective Laser Melting (SLM) to tailor the surface characteristics of Ti6Al4V directly during fabrication, eliminating the need for post-processing treatments potentially for dental implants. By adjusting the Volumetric Energy Density (VED) through controlled variations in the laser scanning speed, we achieved customized surface textures at both the micro- and nanoscale levels. SLM samples fabricated at moderate VED levels (50–100 W·mm³/s) exhibited optimized dual-scale surface roughness—a macro-roughness of up to 25.5–27.6 µm and micro-roughness of as low as 58.8–64.2 nm—resulting in significantly enhanced hydrophilicity, with water contact angles (WCAs) decreasing to ~62°, compared to ~80° on a standard grade 5 machined Ti6Al4V plate. The XPS analysis revealed that the surface oxygen content remains relatively stable at low VED values, with no significant increase. The surface topography plays a significant role in influencing the WCA, particularly when the VED values are low (below 200 W·mm³/s) during SLM, indicating the dominant effect of surface morphology over chemistry in these conditions. Biological assays using osteoblast-like MG-63 cells demonstrated that these as-built SLM surfaces supported a 1.5-fold-higher proliferation and improved cytoskeletal organization relative to the control, confirming the enhanced early cellular responses. These results highlight the capability of SLM to engineer bioactive implant surfaces through process-controlled morphology and chemistry, presenting a promising strategy for the next generation of dental implants suitable for immediate placement and osseointegration. Full article

Background: This study aimed to evaluate the influence of a screw coating on the screw preload and removal torque value (RTV) with and without the application of a cyclic load (CL) to make screws with greater untightening resistance to prevent screw loosening. Methods: Ninety complexes composed of implants, abutments, and prosthetic screws were examined and tested under CL oral conditions (n = 45) and non-CL conditions (nCL, n = 45). Each group was divided into three subgroups (n = 15): a control group (CG) without a screw coating, a GapSeal^®-coated screw group (GG), and a polytetrafluoroethylene (PTFE) tape-wrapped screw group (PG). All screws were tightened at 30 Ncm, and the preload was recorded. In the nCL group, the screws were untightened to record the RTV. In the CL group, the screws were tightened, subjected to a CL in distillated water at a temperature of 37 °C, and then untightened to record the RTV. Micro-Ct analysis was conducted on two samples from each group before CL. SEM analyses of two samples per subgroup before and after CL were also performed. Results: The preload in the PG was significantly lower under nCL (29.92 Ncm) compared with CG (30.95 Ncm) and GG (31.19 Ncm) and also under a CL (PG: 30.92 Ncm) compared with CG (31.72 Ncm) and GG (31.42 Ncm). The RTVs of the PG were significantly lower under nCL (15.30 Ncm) compared with CG (27.98 Ncm) and GG (28.46 Ncm). Under CL, the RTVs of the PG were significantly higher (31.50 Ncm) compared with CG (26.00 Ncm) and GG (27.44 Ncm). Conclusions: Wrapping the screw with PTFE tape significantly reduced the preload but resulted in a significantly greater RTV under CL conditions in the simulated oral environment, suggesting that this could be a solution to decrease the risk of screw loosening. Full article

Due to their excellent mechanical properties and good biocompatibility, titanium (Ti) and its alloys are widely used as biomaterials. However, when implanted in the body, metallic materials may cause serious complications such as wear and infection, leading to patient discomfort and, in some cases, the need for revision surgery. Micro-arc oxidation (MAO) is a surface modification technique that offers a promising strategy to overcome these challenges. This study investigated the impact of the microstructure of Ti-25 Ta-xNb alloys (x = 10, 20, and 30 wt%) and the variation in applied voltage during the MAO process on the characteristics of the TiO₂ oxide coatings formed. The alloys were treated by MAO at 200, 250, and 300 V using a bioactive electrolyte containing Ca, P, Mg, and Ag. EDS, SEM, XRD, Raman spectroscopy, and adhesion tests performed characterization. Results indicated that Nb addition stabilized the β phase and anticipated the potentiostatic regime. Increasing the voltage supplied to the system provides greater energy, prolonging the galvanostatic regime and promoting the formation of larger and more uniform pores. The oxide coating thickness ranged from approximately 3 to 10 μm, with a tendency to decrease at higher voltages. The coatings exhibited low c, with anatase and rutile phases predominating, the applied voltage and Nb concentration influencing their relative proportions. Even in small amounts, all electrolyte elements (P, Mg, and Ag) were successfully incorporated into the coatings under all conditions. Raman and XRD analyses confirmed a decrease in anatase and an increase in rutile phases with increasing voltage and Nb content. Mechanical testing revealed good adhesion of the coatings in all samples, with the best results obtained at 200 V. The findings demonstrate that the developed coatings exhibit promising characteristics for future surface engineering strategies aimed at improving the performance of metallic biomaterials. Full article

Background/Objectives: Accurate implant impressions are critical for capturing the three-dimensional (3D) spatial positioning of implants. Digital workflows using intraoral scanners (IOSs) and scan bodies offer distinct advantages over conventional elastomeric techniques. However, the geometry of scan bodies may influence the precision and trueness of IOS-acquired data, and optimal design parameters remain undefined. This systematic review aims to evaluate the effects of scan body geometry on the trueness of digital implant impressions captured using IOSs. Methods: A systematic search was conducted across PubMed, Scopus, EMBASE, Web of Science, the Cochrane Library, and Google Scholar up to 25 February 2025. Eligible studies assessed the impact of scan body geometry on the accuracy of implant-level impressions acquired with IOSs. Study quality was assessed using the Quality Assessment Tool for In Vitro Studies of Dental Materials (QUIN). Results: Twenty-eight studies were included, of which twenty-six were in vitro. The included studies, published between 2020 and 2025, demonstrated that variations in macro- and micro-geometries influenced both linear and angular trueness. Cylindrical designs with optimal dimensions generally outperformed cuboidal or spherical forms. Structural modifications, such as rigid bar extensions and surface facets, often improved scan accuracy. Some hybrid or modified designs performed comparably to conventional scan bodies. According to QUIN, 27 studies were moderate quality and one had high quality. Conclusions: Scan body geometry affected the accuracy of intraoral implant digital impressions. Designs featuring rigid extensions or simplified geometries improve trueness and precision. Further standardized clinical studies are needed to define optimal design features and validate current in vitro findings. Full article

Magnesium as a biodegradable metal implant has garnered attention. Nevertheless, its rapid degradation rate and insufficient osseointegration restrict its clinical applications. In order to enhance the corrosion resistance and bioactivity of magnesium alloys, superhydrophobic hydroxyapatite (HA) layers were synthesized on micro-arc oxidized (MAO)-treated AZ31B magnesium alloy through liquid-phase deposition. This study examined the surface morphology, phase composition, bonding strength, wettability, electrochemical properties, and in vitro mineralization of the synthesized coatings. The study results demonstrated that the improved corrosion resistance of composite coatings in Hank’s solution is due to the formation of a protective HA layer. The inclusion of the MAO coating significantly enhances the bonding strength between the hydroxyapatite (HA) layer and the bare magnesium alloy. The concentration of NaH₂PO₄ affects both the microstructure and wettability. The composite coating exhibited excellent osseointegration capabilities, with new HA layers observed after immersing the samples in simulated body fluid (SBF) solution for three days. These findings suggest that the combination of MAO and solution treatment presents a promising method for enhancing biocompatibility and reducing magnesium degradation, thus making it a viable option for biodegradable implant applications. Full article

To address the biological inertness of pure titanium implants, a composite coating with a strontium-doped hydroxyapatite (Sr-HA) phase and H₂Ti₅O₁₁·H₂O nanorods was engineered via ultrasonic-assisted micro-arc oxidation (UMAO) with hydrothermal treatment (HT). The ultrasonic field was applied to modulate the MAO discharge behavior, enhancing ion transport and coating formation. Structural characterization revealed that UMAO-HT coatings exhibited a lower anatase/rutile ratio and higher Sr-HA crystallinity, as compared to MAO-HT. In vitro simulated body immersion studies showed that UMAO-HT induced rapid apatite formation within 24 h, with a better apatite-inducing ability than the conventional MAO-HT. Density functional theory (DFT) simulations demonstrated that Sr substitution in HA lowered the (001) surface work function, enhancing Ca²⁺ adsorption energy and promoting apatite phase nucleation. This work reported the synergistic effects of ultrasonic-induced microstructure optimization and Sr-HA higher bioactivity, providing a mechanistic framework for designing next-generation bioactive coatings with enhanced osseointegration potential. Full article