医用钕铁硼体内植入表面改性研究现状*

随着磁外科相关技术的不断深入研究和临床探索应用,钕铁硼磁体体内植入需求不断增加,对于植入人体的磁体表面要求也不断提高。由于人体不同植入部位生理环境不同,对表面改性的要求也不同。目前钕铁硼磁性材料体内植入表面改性方法多样,但用于人体内不同部位的表面改性效果尚不确切,且缺乏系统的评价。该文详细总结了现有医用钕铁硼磁体表面改性方法,针对现阶段表面改性存在的问题提出总结,以期为后续研究提供思路和方向。     

胆酸钠和依地酸二钠复合用药的溶石效果研究

目的:探讨胆酸钠和依地酸二钠不同摩尔比、胆汁中不同药物浓度、溶解时间与胆管结石溶石效果之间的关系。方法:设计在一个月内胆汁中药物浓度为0.1%的、摩尔比分别为0:1、8:1、4:1、2:1、1:1、1:2、1:4、1:8和1:0的九个等级的胆酸钠和依地酸二钠的溶石实验,摩尔比为1:1的这两种溶石药物在胆汁中药物浓度为0、0.1%、0.2%、0.4%、0.8%、1.6%和3.2%的溶石实验,和摩尔比1:1的溶石药物在胆汁中浓度为0.1%的经过0、1、2、4、8、16、32和64d的溶石实验;评估这三个实验的各自溶石质量是否相等(P<0.05有显著性统计意义)。结果:胆汁中药物浓度、溶石时间相同时,单药依地酸二钠溶石效果比胆酸钠强,复合药物比单药效果好,越靠近摩尔比为1:1时的溶石能力越强,在摩尔比为1:1时溶石能力最强;在相同时间、摩尔比为1:1的复合药物中,药物浓度越大,溶石能力越强;在有充足溶石药物的条件下,相同摩尔比、相同药物浓度,溶解的时间越长,溶石能力越强(P<0.05,有显著性统计意义)。结论:胆酸钠和依地酸二钠摩尔比为1:1时,复合药物具有最大的溶石效果;在有充足溶石药物的条件下,药物浓度越大,溶解的时间越长,溶石能力越强     

磁压榨技术建立大鼠胃肠吻合模型的实验研究

目的:探讨采用磁压榨技术建立大鼠胃肠吻合模型的可行性。方法:设计加工适用于大鼠胃肠吻合的子、母磁体。将10只SD大鼠采用磁压榨技术进行胃肠吻合,子、母磁体分别经口置入大鼠胃和空肠内,子母磁体相吸压榨胃壁和肠壁,磁体间受压组织缺血坏死后连同磁体从吻合口脱落入肠道,胃肠吻合即建立,磁体最终经消化道自行排出体外,术后2周处死动物,获取吻合口标本,检测吻合口爆破压、肉眼和光镜下观察吻合口愈合情况。结果:10只SD大鼠中,1只因麻醉意外死亡,其余9只大鼠均顺利完成手术操作并存活至术后2周;手术平均操作时间(15.89±3.25)min,磁体排出体外时间(8.56±1.26)天(范围7-11)天;吻合口爆破压均大于200 mm Hg,吻合口组织HE染色和Masson染色可见粘膜层连续性建立,愈合良好。结论:磁压榨技术可用于大鼠胃肠吻合模型制备,具有操作简单、成功率高的优点。     

3D打印PCL/β-TCP可降解椎间融合器的体外降解及生物力学研究

目的:研究以质量配比为5:5的聚己内酯(PCL)与磷酸三钙(β-TCP)为原材料,应用3D打印技术制备的的可降解的颈椎椎间融合器在体外的降解特性,为临床应用提供理论依据。方法:将制备好的融合器浸泡于模拟体液中,置于37℃温箱,每2周更换浸泡液,按浸泡时间的不同分为六组:分别为空白对照组、2周、4周、12周、26周、52周组。每组浸泡前后经室温真空干燥后用同一天平测量质量,计算失重质量及失重率,应用凝胶渗透色谱仪分析各组融合器中PCL的分子量变化,并应用INSTRON万能试验机进行抗压强度力学测试。空白对照组为样本室温密闭容器放置,在初始称重并检测分子量及抗压强度测试,52周后计算失重率、检测分子量及抗压强度。结果:该种可降解椎间融合器初始抗压强度达到(23.21±2.28)MPa,在体外降解52周后其抗压强度下降不明显,为(18.99±0.49)MPa(P>0.05);其在体外可缓慢降解,52周后失重率约9.23%(P<0.05),其中PCL分子量从初始的10万左右降至7万左右(P<0.05)。结论:该种可降解椎间融合器抗压力学强度适中且能长时间维持,符合临床应用要求,其在体外可缓慢降解,评估其在生物体内的降解吸收特性较好,在人体椎间融合手术中应用的可行性及有效性较高。     

PIII 改性ePTFE 膜对细菌生存状态的影响研究

目的:探讨等离子注入技术(Plasma immersion ion implantation,PⅢ)对膨体聚四氟乙烯(ePTFE)膜改性后表面性能以及对细菌生存状态的影响.方法:采用氧等离子注入技术(PⅢ)对ePTFE膜表面处理,获得改性ePTFE膜,利用扫描电镜(SEM)观察改性ePTFE膜和未处理膜的表面形貌,体外培养变形链球菌,观察改性前后各组膜作体外细菌生存状态变化.结果:与未处理ePTFE膜相比,改性ePTFE膜表面形貌、亲水性发生改变.荧光染色后观察长脉冲组表面的细菌最少;短脉冲组膜表面粘附的细菌密集,形成生物膜;空白组可见少量死菌和活菌粘附于ePTFE膜上.结论:长脉冲PⅢ改性ePTFE膜后有良好的抗细菌粘附能力.     

氟对镍钛拉簧的腐蚀性研究

目的:研究模拟应用氟化物防龋的口腔环境下,不同浓度氟化物对镍钛拉簧的应力衰减的影响。方法:选取两种国内常用品牌0.010 inch镍钛拉簧各40根,随机将每种拉簧平均分入四个浓度组(0.05%、0.10%、0.15%和对照组),将相同浓度组的不同品牌弹簧分别固定于间距为20 mm的四个支架的两端。将四个支架分别放入37℃人工唾液中水浴。将实验组按浓度分组放入不同浓度氟化人工唾液(0.05%、0.10%、0.15%)中处理5 min,每天三次。分别于实验前、实验后1周、2周、3周、4周用拉伸机测量每根弹簧拉伸至20 mm时的应力。对实验结果使用重复测量的方差分析。结果:时间因素对两种镍钛拉簧拉伸应力的衰减的影响有统计学意义,氟化物浓度有辅助效应,二者有交互作用。氟化物作用下不同品牌镍钛拉簧的应力腐蚀变化不同。(P0.05)。结论:1.氟化物的存在可以增加镍钛拉簧的应力衰减。2.在正畸治疗的临床工作中在使用氟化物时应考虑增加镍钛拉簧的更换频率。     

铁改性沸石对Clostridium acetobutylicum XY16固定效率及发酵性能的影响

考察4种无机铁盐改性沸石对丁醇生产菌Clostridium acetobutylicum XY16的固定效率及其发酵产丁醇性能的影响。结果表明:铁改性沸石对菌体的固定效率均优于未改性沸石,而Fe3+改性效果优于Fe2+,经FeCl3改性的沸石对菌体具有良好的吸附作用,当Fe3+-zeolite用量为180 g/L时,细胞的固定效率达到87%。在此基础上,比较了沸石负载的铁离子量对丁醇发酵性能的影响,沸石负载的铁离子量为6.0 mg/g时可显著提高丁醇发酵性能,当葡萄糖质量浓度为60 g/L时进行发酵,丁醇产量为13.5 g/L,总溶剂可达20 g/L,总溶剂的生产速率为0.385g/(L.h),比游离细胞发酵分别提高了9.5%、10.3%和40%。     

纳米结构Ti/TiN涂层对NiTi合金生物相容性的影响

目的：评价纳米结构Ti/TiN涂层对镍钛形状记忆合金（含镍50.6at%）生物相容性的影响,为生物医用纳米结构Ti/TiN涂层表面改性的NiTi合金材料生物安全性提供依据。方法：不影响基体的形状记忆性或超弹性效应的前提下,采用真空过滤电弧离子镀技术,在NiTi合金表面沉积一层纳米结构Ti/TiN涂层,分别对表面改性前和改性后的NiTi合金样品进行体外细胞毒性实验、溶血实验和血小板粘附实验,探索纳米结构Ti/TiN涂层对NiTi合金生物相容性的影响。结果：表面具有纳米结构Ti/TiN涂层的NiTi合金无细胞毒性,H9C2（2-1）细胞相容性优于涂层前,细胞形态典型,粘附数量明显大于涂层前。纳米结构Ti/TiN涂层有改善NiTi合金的血液相容性作用,其溶血率从2.1%降至涂层改性后的1.2%,同时,血小板黏附量和聚集程度小于处理前的NiTi合金。结论：纳米Ti/TiN涂层能够显著改善NiTi合金的生物相容性。     

车前子多糖对人外周血来源的树突状细胞免疫活性的影响

目的:探讨车前子多糖对树突状细胞免疫活性的影响。方法:从健康人外周血获得单个核细胞,贴壁后的单核细胞加入GM-CSF、IL-4诱导为成熟的树突状细胞,在诱导过程中加入不同浓度车前多糖(PSP)作比较,用倒置显微镜及流式检测其细胞形态、表型变化。结果:各组经不同浓度PSP作用后,细胞表面CD80、CD86表达升高,在PSP作用浓度为40ug/ml时,表面分子表达量明显高于其他对照组。结论:在体外培养时,车前子多糖能促进树突状细胞的成熟。     

PLGA改性明胶的性质研究

目的:探讨聚乳酸-聚羟基乙酸共聚物(PLGA)对明胶的改性效果.方法:(1)将PLGA和明胶分别以9:1,8:2,7:3,6:4,5:5,3:7质量比制成膜状试件.(2)以扫描电镜观察试件的微结构.(3)以材料试验机测试其力学性质.(4)以PBS(pH 7.4)为人工降解液考察其在体外在8周内的降解情况.结果:(1)在上述范围内支架均质程度和机械性能随明胶含量增大而变差.(2)体外降解期间支架最大吸水率和失重速率随明胶含量增大而增大.结论:经PLGA改性后的明胶的上述各项指标均发生了显著变化,作为备选组织工程材料,复合体系申明胶含量不宜多于40%.     

Magnetic properties of a cobalt(II) dimer of pseudo tetrahedral geometry [Co2{(CO)9Co3C---COO}5, C14H19N2H]

The crystalline ion pair [Co₂{OOC---CCo₃(CO)₉}₅, C₁₀H₆(N(CH₃)₂)₂H] (1) presents unusual magnetic properties. The X-band EPR spectrum of 1 at room temperature presents two unresolved bands at g=1.98 and 4.55. At a low temperature (20 K), the cluster of clusters 1 presents a complicated spectrum with an intense signal at 1700 G. The magnetic susceptibility of 1 was fit to a two spin S₁=S₂=3/2 Heisenberg model, with J=11.2 cm⁻¹ and a g value of 2.3. There is no field dependence of the magnetization, which suggests intramolecular coupling between the two tetrahedral centers of the cluster. Molecular orbital modeling indicates a sigma path of exchange between two topologically non-equivalent cobalt(II) centers.     

Traumatic Brain Injury in the Rat: Alterations in Brain Lactate and pH as Characterized by 1H and 31P Nuclear Magnetic Resonance

Application of both phosphorus (31P) and proton (1H) magnetic resonance spectroscopy (MRS) to the study of brain metabolism permits the noninvasive measurement of intracellular pH and brain lactate level. We have used water-suppression 1H MRS with novel lactate-editing techniques, together with 31P MRS, to characterize sequential changes in brain lactate level and pH in vivo over an 8-h period following fluid-percussion brain injury of graded severity in the rat. A transient fall in intracellular pH (from 7.09 +/- 0.07 at baseline to 6.88 +/- 0.09 at 40 min postinjury) occurred in animals subjected to moderate- (1.5-2.2 atm) and high- (2.5-3.3 atm) but not low-level (0.1-1.2 atm) injury; intracellular pH returned to baseline by 90 min postinjury. Transient elevations in brain lactate level were observed that temporally paralleled and were significantly correlated with the pH changes for all injury levels (r = 0.93, p less than 0.001). Postinjury alterations in intracellular brain pH and lactate level were identical in magnitude in animals subjected to either moderate or high-level injury. However, animals subjected to moderate injury had a moderate chronic neurological deficit that persisted up to 4 weeks postinjury, whereas animals subjected to a high level of injury showed greater histopathological damage and a more severe chronic neurological deficit. These data suggest that the extent of posttraumatic intracellular cerebral acidosis in our model of experimental head injury is not directly related to the severity of functional neurological deficit.     

A hexanuclear iron(III) complex [Fe6O2(OH)2(PhCOO)10(hedmp)2]·3CH3CN assembled from 2-hydroxyethyl-3,5-dimethyl pyrazole

In order to assemble polynuclear iron(III) complexes, the coordination chemistry of the 2-hydroxyethyl-3,5-dimethylpyrazole (hedmp-H) ligand has been investigated. Reaction of hedmp-H with trinuclear iron carboxylate precursor [Fe₃O(PhCOO)₆(H₂O)₃]Cl in acetonitrile yielded the hexanuclear Fe(III) complex [Fe₆O₂(OH)₂(PhCOO)₁₀(hedmp)₂]·3CH₃CN (1). This aggregate has been characterized by employing various analytical techniques, spectroscopic studies and single crystal X-ray diffraction. Detailed magnetic susceptibility measurements revealed that 1 displays an S_T = 5 ground state.     

Magnetic field intensified bi-enzyme system with in situ cofactor regeneration supported by magnetic nanoparticles

Efficient dynamic interactions among cofactor, enzymes and substrate molecules are of primary importance for multi-step enzymatic reactions with in situ cofactor regeneration. Here we showed for the first time that the above dynamic interactions could be significantly intensified by exerting an external alternating magnetic field on magnetic nanoparticles-supported multi-enzymatic system so that the inter-particle collisions due to Brownian motion of nanoparticles could be improved. To that end, a multienzyme system including glutamate dehydrogenase (GluDH), glucose dehydrogenase (GDH) and cofactor NAD(H) were separately immobilized on silica coated Fe₃O₄ magnetic nanoparticles with an average diameter of 105 nm, and the effect of magnetic field strength and frequency on the kinetics of the coupled bi-enzyme reaction was investigated. It was found that at low magnetic field frequency (25 Hz and 100 Hz), increasing magnetic field strength from 9.8 to 161.1 Gs led to only very slight increase in reaction rate of the coupled bi-enzyme reaction expressed by glucose consumption rate. At higher magnetic field of 200 Hz and 500 Hz, reaction rate increased significantly with increase of magnetic field strength. When the magnetic field frequency was kept at 500 Hz, the reaction rate increased from 3.89 μM/min to 8.11 μM/min by increasing magnetic field strength from 1.3 to 14.2 Gs. The immobilized bi-enzyme system also showed good reusability and stability in the magnetic field (500 Hz, 14.2 Gs), that about 46% of original activity could be retained after 33 repeated uses, accounting for totally 34 days continuous operation. These results demonstrated the feasibility in intensifying molecular interactions among magnetic nanoparticle-supported multienzymes by using nano-magnetic stirrer for efficient multi-step transformations.     

多核19F磁共振成像研究进展

~(19)氟(~(19)F)的磁共振成像(MRI)研究可追溯到35年以上。在这段时间里,~1H磁共振成像的蓬勃发展使磁共振成为影像医学的支柱,但~(19)F磁共振成像研究的进展却较为缓慢。然而最近几年,~(19)F磁共振成像的研究受到了广泛的关注。在某种程度上,这是由于MR成像中软件与硬件的发展,更因为分子影像学的概念的提出与发展。本文将对~(19)F多核磁共振成像的应用,特别是使用全氟化碳纳米成像探针的19F多核磁共振成像进行综述。     

Synthesis, crystal structure and magnetic properties of a chain coordination polymer {[Cu4L2(H2O)] · H2O}n

A chain coordination polymer with the chemical formula {[Cu₄L₂(H₂O)] · H₂O}_n, has been synthesized by the assembly reaction of K₂CuL · 1.5H₂O and Cu(OAC)₂ · H₂O with a 1:1 mole ratio in methanol, where H₄L = 2-hydroxy-3-[(E)-({2-[(2-hydroxybenzoyl)imino]ethyl}imino)methyl] benzoic acid, OAC⁻ = CH₃COO⁻. The crystal structure was determined by single-crystal X-ray diffraction analysis, the compound has chain molecular structure formed by dissymmetrical tetranuclear units. The magnetic measurements showed that Cu-Cu of the complex exhibit antiferromagnetic interactions, and satisfactory fittings to the observed magnetic susceptibility data were obtained by assuming a binuclear system, and further using molecular field approximation to deal with magnetic exchange interactions between binuclear systems.     

Comparative study of three magnetic nano-particles (FeSO4, FeSO4/SiO2, FeSO4/SiO2/TiO2) in plasmid DNA extraction

Recent updates on Magnetic Nano-Particles (MNPs) based separation of nucleic acids have received more attention due to their easy manipulation, simplicity, ease of automation and cost-effectiveness. It has been indicated that DNA molecules absorb on solid surfaces via hydrogen-bonding, and hydrophobic and electrostatic interactions. These properties highly depend on the surface condition of the solid support. Therefore, surface modification of MNPs may enhance their functionality and specification. In the present study, we functionalized Fe₃O₄ nano-particle surface utilizing SiO₂ and TiO₂ layer as Fe₃O₄/SiO₂ and Fe₃O₄/SiO₂/TiO₂ and then compare their functionality in the adsorption of plasmid DNA molecules with the naked Fe₃O₄ nano-particles. The result obtained showed that the purity and amount of DNA extracted by Fe₃O₄ coated by SiO₂ or SiO₂/TiO₂ were higher than the naked Fe₃O₄ nano-particles. Furthermore, we obtained pH 8 and 1.5 M NaCl as an optimal condition for desorption of DNA from MNPs. The result further showed that, 0.2 mg nano-particle and 10 min at 55 °C are the optimal conditions for DNA desorption from nano-particles. In conclusion, we recommended Fe₃O₄/SiO₂/TiO₂ as a new MNP for separation of DNA molecules from biological sources.     

用于可视化光治疗的Mn3O4@CuS纳米粒的制备研究

摘要 目的：本研究旨在制备用于肿瘤可视化光治疗的多功能Mn₃O₄@CuS核壳型纳米粒,在磁共振成像的引导下,使用近红外光定点辐照,实现局部光热消融治疗。方法：（1）采用高温热解法制备油胺稳定的Mn₃O₄纳米粒,在其表面构建CuS壳层,并进行聚乙二醇修饰,得到分散于水相中的Mn₃O₄@CuS核壳型纳米粒。（2）通过透射电镜、紫外可见近红外吸收光谱等方法对该纳米粒进行理化性质表征,并研究其体外磁共振成像、光热升温等性能。结果：制备的水相分散的Mn₃O₄@CuS纳米粒,粒径均一且分散性较好,形态为近圆形,粒径为9.30±2.29 nm;紫外可见近红外吸收光谱图表明Mn₃O₄@CuS纳米粒在近红外区有较强吸收,最大吸收峰位于1100~1200 nm范围;磁共振成像分析结果可计算出Mn₃O₄@CuS纳米粒的纵向弛豫率r1为1.662 mM^-1s^-1,表明其具有较好的磁共振增强造影效果;光热升温曲线显示Mn₃O₄@CuS纳米粒可在785 nm近红外激光下升温至73.5 ℃,具备较好的光热治疗潜力。结论：本文成功制备出水相分散的Mn₃O₄@CuS核壳型纳米粒,具有良好的磁共振造影成像性能和光热升温效应,有望应用于磁共振成像引导下的肿瘤可视化光治疗。     

磁导航技术辅助麦芒仿生鼻肠营养管的设计和初步实验研究

目的:为解决现有液囊鼻肠营养管置管过程中漂浮时间长、成功率低的问题,设计了基于磁导航技术辅助的磁性麦芒仿生鼻肠营养管。方法:分析了麦芒在管腔内能够快速单向移动的力学原理,结合磁外科相关技术,提出了鼻肠管头端内嵌磁性麦芒仿生结构设计方案和磁导航技术辅助快速推进的操作方法,并在体内外模拟了其运动情况。结果:体外管路模拟实验提示麦芒仿生结构在外力作用下能够快速移动。家兔肠道实验显示,磁性麦芒仿生结构在导航磁体引导下,能够在肠道内快速单向移动。结论:磁性麦芒仿生结构在导航磁体的引导下能够实现消化道内快速单向移动,该设计进一步优化有望用于临床。