聚多巴胺在口腔疾病治疗中的研究进展OA
Research progress on polydopamine in the treatment of oral diseases
由于口腔环境湿润,龋病、牙周病等口腔疾病的治疗常面临生物膜清除难、药物滞留短、组织修复效率低等挑战.聚多巴胺(polydopamine,PDA)作为仿生生物材料,具有模拟贻贝黏附、智能响应释药等多机制协同特性.PDA黏附性源于其表面的邻苯二酚和氨基官能团,可在湿润环境中保持较强的黏附性,其智能响应性涵盖光热、pH、酶等多机制,能在特定条件下实现药物的可控释放.PDA还兼具抗菌、抗炎、促进成骨细胞黏附与分化等功能,在口腔疾病治疗中具有重要应用价值.在口腔硬组织疾病治疗方面,对于龋病,PDA通过模拟羟基磷灰石晶体生长诱导釉质再矿化,螯合Ca2+促进牙本质胶原矿化,同时发挥抗菌作用抑制致龋菌;在颌骨缺损修复中,PDA通过表面涂层功能化修饰骨植入材料,促进骨髓间充质干细胞黏附分化,激活成骨相关信号通路,并协同促进血管化,改善骨-材料界面整合.在口腔软组织及联合病变治疗中,对于牙周炎,PDA通过抗菌、抗炎及抑制破骨细胞活化,减轻牙槽骨吸收;在义齿性口炎等黏膜病的治疗中,PDA的强湿黏附性延长药物滞留,光热效应与生成活性氧可协同实现广谱抗菌及促愈合.本文综述PDA的合成机制、生物学功能,着重阐述其在口腔疾病治疗中的应用进展,为口腔疾病治疗提供新策略.
Due to the moist environment in the mouth,there are many challenges that arise,such as difficult biofilm removal,short drug retention time,and low tissue repair efficiency,while treating dental caries,periodontal disease,and other oral diseases.As a biomimetic biomaterial,polydopamine(PDA)possesses multifunctional properties,including mussel-inspired adhesion and stimuli-responsive drug release.PDA adhesion properties originate from its surface cat-echol and amino functional groups,which maintain strong wettability in aqueous environments.With smart responsive-ness encompassing photothermal,pH,and enzymatic stimuli,PDA enables controlled drug release under specific condi-tions.Additionally,PDA exhibits antibacterial,anti-inflammatory,and osteoblast-promoting functions,thus demonstrat-ing significant application potential in the treatment of oral diseases.In hard tissue therapies,specifically for dental car-ies,PDA promotes enamel remineralization by inducing hydroxyapatite crystal growth and enhances dentin collagen mineralization through Ca2+chelation while inhibiting cariogenic bacteria.In mandibular defect repair,functionalized PDA coatings on bone implants facilitate mesenchymal stem cell adhesion and differentiation,activate osteogenic signal-ing pathways,and synergistically promote vascularization to improve bone-implant integration.For soft tissue treat-ments,specifically for periodontitis,PDA alleviates alveolar bone resorption via antibacterial and anti-inflammatory ef-fects coupled with osteoclast inhibition.In denture stomatitis management,PDA's strong wet adhesion prolongs drug re-tention,while its photothermal effect and reactive oxygen generation provide both broad-spectrum antibacterial activity and wound healing promotion.This review summarizes PDA's synthesis mechanisms and biological functions,with an emphasis on its therapeutic applications in oral diseases,providing innovative strategies for oral healthcare.
鲁翔相;江珍;邢爱丽;赵斌;孙宾
吉林大学口腔医院口腔颌面外三科,吉林 长春(130021)吉林大学口腔医院修复科,吉林 长春(130021)吉林大学口腔医院口腔颌面外三科,吉林 长春(130021)吉林大学口腔医院牙周科,吉林 长春(130021)吉林大学口腔医院口腔颌面外三科,吉林 长春(130021)
医药卫生
聚多巴胺口腔疾病智能响应光敏剂活性氧药物递送纳米材料多模态抗菌疗法
polydopamineoral diseasesintelligent responsephotosensitizersreactive oxygen speciesdrug deliverynanomaterialsmultimodal antibacterial therapy
《口腔疾病防治》 2026 (3)
302-314,13
吉林省科技发展计划项目(20210203090SF) This study was supported by the grants from Jilin Province Science and Technology Development Plan Item(No.20210203090SF).
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