Rechargeable Infection-responsive Anticandidal Denture Materials
可充电感染反应型抗念珠菌义齿材料
基本信息
- 批准号:10907403
- 负责人:
- 金额:--
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2012
- 资助国家:美国
- 起止时间:2012-10-01 至 2024-09-30
- 项目状态:已结题
- 来源:
- 关键词:3-DimensionalAffectAgingAnimal TestingAntibioticsAntifungal AgentsAntifungal TherapyAppearanceAttentionBehaviorBindingCandidaCathetersCell Culture TechniquesCessation of lifeChargeChemicalsChlorhexidineClinicalClinical TrialsCoculture TechniquesComplete DentureDental ImplantsDental cariesDentistryDenture BasesDenture StomatitisDenture WearDenturesDevelopmentDevicesDiabetes MellitusDimensionsDiseaseDisinfectionDissociationElderlyEnergy-Generating ResourcesEnvironmentEpithelial CellsEpitheliumFinancial HardshipFundingGoalsHabitsHealthcareHumanHygieneImmunologicsInfectionKineticsLifeMaxillaMedicalMedical DeviceMethacrylatesMiconazoleMicrobial BiofilmsModelingNosocomial InfectionsOral healthOutcomePatient CarePatientsPerformancePeriodontal DiseasesPersonal SatisfactionPharmaceutical PreparationsPlant ResinsPlasmaPolymersPreventionProceduresPropertyProsthesisPsyche structurePyrrolidinonesQuality of lifeRattusRecurrent diseaseResearchResistanceRisk FactorsSalivaSmokingSpeechSteroid therapySurfaceSystemSystemic infectionTechnologyTestingTherapeuticThinnessTissuesTooth DiseasesTooth LossTreatment EfficacyTubeVeteransantimicrobialbiomaterial compatibilitycandida biofilmclinical applicationeffective therapyendotrachealexperimental studyfightingfunctional groupgastrointestinalimplantable deviceimprovedin vivoindividualized medicineinfection ratemanufacturemechanical propertiesmedical complicationmicrobialmicrobial colonizationnew technologynext generationnovelnutritionoral careoral infectionpersonalized medicinepolymethacrylic acidprematurepreventrecurrent infectionresearch clinical testingrisk minimizationtreatment choicetreatment strategy
项目摘要
Candida-associated denture stomatitis (CADS) is a common, recurring disease among denture wearers and
can lead to other oral health problems, systemic infections, compromised quality of life, and even life threating
conditions. Our elderly veteran denture wearers are more prone to develop CADS since many of them are
medically and immunologically compromised due to systemic, physical, and mental diseases and their
associated therapies (e.g., antibiotics, steroid therapies, and xerostomic drugs). Currently, there are no
effective treatment strategies for controlling CADS and the reinfection rate is high, affecting up to 67% of
denture wearers.
This renewal application builds upon the results of our previous funding period in which we used a
rechargeable “click-on/click-off” anticandidal technology to develop long-term, infection-responsive denture
base materials. The functional polymer grafts, including poly-N-vinyl-2-pyrrolidinone (PNVP), polymethacrylic
acid (PMAA), and poly-2-hydroxyethyl methacrylate (PHEMA), were covalently bound onto denture discs using
plasma as an energy source. These novel functionalized denture materials were capable of binding sufficient
quantities of antifungal drugs, such as miconazole and chlorhexidine digluconate, and provide potent
longlasting antifungal effects by release of the drugs into PBS or human saliva over the course of weeks to
months. At the end of the experiment (or therapy for a patient), any remaining drug bound to the surface could
be “washed off’ with a quenching solution. For clinical applications, the “quenched” denture could be returned
to the patient for regular use or, if the infection recurred or persisted, be recharged with the same or different
class of antifungal agent.
Our long-term goal is to develop this rechargeable, “click-on/click-off” anticandidal technology to control CADS
in clinical applications. Previous studies of denture discs have not addressed problems associated with the
topology, bulk properties, physical/mechanical properties, dimensional stability, and drug loading/releasing
properties from 3D complete dentures. The objective of this renewal is to further demonstrate proof of principle
in this pre-translational stage regarding clinical utility of the new strategy. The specific aims of the proposed
research are to: (1) fabricate 3D dentures, using the “click on/click off” anticandidal technology, for use in a rat
model and evaluate their physical/mechanical properties and drug binding/releasing behaviors; (2) evaluate
the new anticandidal rat 3D dentures for their biocompatibility and anticandidal activity under clinically
simulated conditions; and (3) evaluate the new anticandidal 3D dentures in a rat denture stomatitis model.
Further development of this new technology has the potential to significantly improve the quality of oral care
delivered to our veterans by effectively managing CADS and its accompanying complications. If successful,
this new denture material will be the first therapeutic denture, capable of delivering personalized treatment for
long-term management of CADS, and benefit our aging veterans.
义齿相关性口炎(CADS)是义齿佩戴者中常见的复发性疾病,
可能导致其他口腔健康问题、全身感染、生活质量受损,甚至危及生命
条件我们的老年退伍军人假牙佩戴者更容易发展CADS,因为他们中的许多人是
由于全身性、身体和精神疾病及其
相关疗法(例如,抗生素、类固醇疗法和口干症药物)。目前没有
有效的治疗策略,控制CADS和再感染率高,影响高达67%的
戴假牙的人
这一更新申请建立在我们上一个资助期的结果基础上,
可充电“点击/点击关闭”抗牙床技术,以开发长期,感染响应义齿
基础材料功能高分子接枝物,包括聚N-乙烯基-2-吡咯烷酮(PNVP)、聚甲基丙烯酸
酸(PMAA)和聚甲基丙烯酸-2-羟乙酯(PHEMA)共价结合到义齿盘上,
等离子体作为能源。这些新型功能化义齿材料能够充分结合
大量的抗真菌药物,如咪康唑和氯己定二葡萄糖酸盐,并提供有效的
通过在数周内将药物释放到PBS或人唾液中,
个月在实验(或对患者的治疗)结束时,结合到表面的任何剩余药物都可能被释放。
用淬火溶液“洗掉”。对于临床应用,可以返回“淬火”义齿
给患者定期使用,或者,如果感染复发或持续,
类抗真菌剂。
我们的长期目标是开发这种可充电的“点击/点击关闭”的anticandidal技术来控制CADS
在临床应用中。以前的研究义齿盘没有解决的问题,
拓扑结构、本体性质、物理/机械性质、尺寸稳定性和药物装载/释放
3D全口义齿的性能。此次更新的目的是进一步证明原则性
在这个翻译前阶段,关于新策略的临床实用性。建议的具体目标
研究的目的是:(1)制作三维义齿,使用“点击/点击关闭”anticandidal技术,用于大鼠
模拟并评价其物理/机械性能和药物结合/释放行为;(2)评价
新型大鼠抗龋三维义齿的生物相容性和临床抗龋活性
模拟条件;(3)在大鼠义齿性口炎模型中评价新的前牙3D义齿。
这项新技术的进一步发展有可能显著提高口腔护理的质量
通过有效地管理CADS及其伴随的并发症,为我们的退伍军人提供服务。如果成功,
这种新的义齿材料将是第一个治疗义齿,能够提供个性化的治疗,
CADS的长期管理,并使我们的老年退伍军人受益。
项目成果
期刊论文数量(6)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
N-trimethylchitosan/alginate layer-by-layer self assembly coatings act as "fungal repellents" to prevent biofilm formation on healthcare materials.
- DOI:10.1002/adhm.201400428
- 发表时间:2015-02-18
- 期刊:
- 影响因子:10
- 作者:Jiang, Fuguang;Yeh, Chih-Ko;Wen, Jianchuan;Sun, Yuyu
- 通讯作者:Sun, Yuyu
Quaternized chitosans bind onto preexisting biofilms and eradicate pre-attached microorganisms.
Quaternized壳聚糖结合了先前存在的生物膜,并消除了预先附着的微生物。
- DOI:10.1039/c4tb01131g
- 发表时间:2014-12-28
- 期刊:
- 影响因子:0
- 作者:Jiang F;Deng Y;Yeh CK;Sun Y
- 通讯作者:Sun Y
Controlling fungal biofilms with functional drug delivery denture biomaterials.
- DOI:10.1016/j.colsurfb.2015.12.028
- 发表时间:2016-04-01
- 期刊:
- 影响因子:0
- 作者:Wen J;Jiang F;Yeh CK;Sun Y
- 通讯作者:Sun Y
Antifungal activity, biofilm-controlling effect, and biocompatibility of poly(N-vinyl-2-pyrrolidinone)-grafted denture materials.
- DOI:10.1016/j.colsurfb.2013.04.043
- 发表时间:2013-10-01
- 期刊:
- 影响因子:5.8
- 作者:Sun, Xinbo;Cao, Zhengbing;Yeh, Chih-Ko;Sun, Yuyu
- 通讯作者:Sun, Yuyu
Silk fibroin scaffolds promote formation of the ex vivo niche for salivary gland epithelial cell growth, matrix formation, and retention of differentiated function.
丝素蛋白支架促进唾液腺上皮细胞生长、基质形成和分化功能保留的离体生态位的形成。
- DOI:10.1089/ten.tea.2014.0411
- 发表时间:2015
- 期刊:
- 影响因子:0
- 作者:Zhang,Bin-Xian;Zhang,Zhi-Liang;Lin,AlanL;Wang,Hanzhou;Pilia,Marcello;Ong,JooL;Dean,DavidD;Chen,Xiao-Dong;Yeh,Chih-Ko
- 通讯作者:Yeh,Chih-Ko
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CHIH-KO YEH其他文献
CHIH-KO YEH的其他文献
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{{ truncateString('CHIH-KO YEH', 18)}}的其他基金
Validation of a novel rodent Candida-associated denture stomatitis model for studying pathogenesis and therapeutic management
验证一种新型啮齿动物念珠菌相关假牙口腔炎模型,用于研究发病机制和治疗管理
- 批准号:
10486400 - 财政年份:2022
- 资助金额:
-- - 项目类别:
Rechargeable Infection-responsive Anticandidal Denture Materials
可充电感染反应型抗念珠菌义齿材料
- 批准号:
10455453 - 财政年份:2012
- 资助金额:
-- - 项目类别:
Rechargeable Infection-responsive Anticandidal Denture Materials
可充电感染反应型抗念珠菌义齿材料
- 批准号:
8597913 - 财政年份:2012
- 资助金额:
-- - 项目类别:
Rechargeable Infection-responsive Anticandidal Denture Materials
可充电感染反应型抗念珠菌义齿材料
- 批准号:
8240653 - 财政年份:2012
- 资助金额:
-- - 项目类别:
Rechargeable Infection-responsive Anticandidal Denture Materials
可充电感染反应型抗念珠菌义齿材料
- 批准号:
10158399 - 财政年份:2012
- 资助金额:
-- - 项目类别:
Rechargeable Infection-responsive Anticandidal Denture Materials
可充电感染反应型抗念珠菌义齿材料
- 批准号:
9886070 - 财政年份:2012
- 资助金额:
-- - 项目类别:
Salivary Stem Cell Identification for Tissue Restoration
用于组织修复的唾液干细胞鉴定
- 批准号:
6792711 - 财政年份:2003
- 资助金额:
-- - 项目类别:
Salivary Stem Cell Identification for Tissue Restoration
用于组织修复的唾液干细胞鉴定
- 批准号:
6685839 - 财政年份:2003
- 资助金额:
-- - 项目类别:
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