In situ oxygen-generating bio-heterojunctions for enhanced anti-bacterial treatment of anaerobe-induced periodontitis

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作者
Gong, Jing [1 ]
Wang, Shunhua [1 ]
Liu, Jie [1 ]
Zhang, Yaowen [1 ]
Li, Jiyao [1 ]
Yang, Hao [1 ]
Liang, Kunneng [1 ]
Deng, Yi [1 ,2 ,3 ]
机构
[1] State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, Department of Cariology and Endodontics, West China Hospital of Stomatology, School of Chemical Engineering, Sichuan University,
[2] State Key Laboratory of Polymer Materials Engineering, Sichuan University, Chengdu,610065, China
[3] Department of Mechanical Engineering, The University of Hong Kong, Hong Kong,999077, Hong Kong
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Periodontitis; a chronic inflammatory condition associated with bacterial infection; is the leading cause of tooth loss in adults. Pathogenic bacteria that persist in deep periodontal pockets with hyperglycemic levels following traditional manual debridement can contribute to a persistent local inflammatory microenvironment; posing a significant challenge and highlighting the critical need for improved therapeutic approaches. In addition; the anaerobic environment during these treatments is beneficial to the colonization of anaerobes and may amplify inflammatory responses. Herein; we designed a glucose oxidase (GOx)-coating MXene-SnS2 bio-heterojunctions (MS@G bio-H[!text type='Js']Js[!/text]) for multi-modal and effective treatment of anti-bacteria and anti-inflammatory. Upon the hyperglycemic nidus in periodontal pockets; GOx catalyzes the conversion of glucose into hydrogen peroxide (H2O2). Subsequently; the breakdown of H2O2 into hydroxyl radicals through Sn2+/Sn4+-involved Fenton-like reactions enables in situ liberation of oxygen (O2); contributing to relieve local hypoxia. The proposed bio-H[!text type='Js']Js[!/text] presents a satisfactory bactericidal capability with anti-bacterial rates of more than 99 % upon near-infrared irradiation; in virtue of multi-modal therapies including photodynamic; photothermal and chemodynamic treatments. Furthermore; in vivo assays utilizing infectious rat models demonstrated that the proposed bio-H[!text type='Js']Js[!/text] exhibits high biocompatibility and capacity to alleviate hypoxia and reduce pathogenic virulence factors; potentially contributing to periodontal tissue regeneration. These findings suggest that the versatile bio-H[!text type='Js']Js[!/text] could be a promising therapeutic candidate for treating infectious periodontal diseases. © 2024 Elsevier B.V;
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