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Editorial17 January 2023
Editorial: Biomaterials in Asia

This is a provisional file, not the final typeset article Biomaterials have shown significant potential in various biomedical fields, including disease prevention, theranostics, and tissue regeneration by controlled delivery of therapeutics, contrast agents, sensing agents, growth factors, and so forth. In recent years, Asian scientists have contributed more to biomaterials with the increasing support of various funds. Through this Research Topic, we expected to collect several state-of-the-art advances in biomaterial science and engineering research within Asia and disseminate them to the global audience. This Research Topic comprised 35 articles (including 7 reviews, 27 original research articles, and 1 case report) contributed by 263 authors, and it has attracted 51,307 views, 11,074 downloads, and 27 citations by researchers worldwide up to January 2, 2022.Undoubtedly, this Research Topic has won great success in displaying the significant contributions of Asian scientists to next-generation precision medicine and further clinical translation.The reviews from this Research Topic have covered the latest progress in several different types of biomaterials for diverse biomedical applications, including intraocular lens materials and their surface modification for cataract surgery [1], drug delivery systems for the treatment of autoimmune diseases [2] and intervertebral disc degeneration [3], and engineering exosomes for bone defect repair [4]. Also, anti-biofouling polymer materials with special surface wettability and their biomedical applications are summarized [5]. Particularly, this research topic included two review papers about the recent development of organ-on-a-chips, regarding the application of medical imaging methods and artificial intelligence [6] and physiologically based pharmacokinetic (PBPK) modeling [7]. These wellorganized reviews would provide the readers with an overview and constructive perspectives of these specific topics of biomaterials.The original research articles on this Research Topic have contributed to several critical aspects of biomaterials, including the preparation, characterizations, biological functions/mechanisms, and practical applications in clinic.Smart biomaterials have shown distinct and adjustable in vivo behaviors for the delivery of therapeutic agents, such as small-molecule drugs, genes, and proteins, which is promising to improve the limitations of such therapeutics in clinic, including the low solubility/stability, short circulation, unsatisfactory selectivity on target tissues, and so forth. For example, cancer cell membrane-coated biomimetic mesoporous organosilica nanoparticles improved the anticancer performance and decreased the in vivo system toxicity of cisplatin because it prolonged the circulation time and increased tumor accumulation [8]. Jiang et al. [9] demonstrated that micelles containing 15-crown-5 selectively released the loaded curcumin in response to the intracellular potassium ion (K + ) by forming the 2:1 ''sandwich'' host-guest complexes between 15-crown-5 and K + . Similarly, an amphiphilic micelle comprised of a Y-shaped polypeptide has demonstrated excellent drug loading and release behavior [10]. Interestingly, a carrier-free nanodrug composed of ginsenosides Rg3 and Rb1 has shown better antitumor and antimetastatic effects against triple-negative breast cancer than the direct combination of free drugs [11]. In addition, a cyclic Arg-Gly-Asp (cRGD)-decorated liposome loading with urokinase has shown enhanced thrombolytic effects by active targeting delivery of urokinase to the thrombi [12]. Sun et al. [13] developed electroactive shape memory polymers based on polyurethane and carbon nanotubes, which would be employed as four-dimensional (4D)-printing materials for potential biomedical applications. Some biomaterials have shown capacities to manipulate the behaviors of cells. For example, graphene was proven to promote the differentiation of Lgr5+ progenitors into inner ear hair cells [14].Besides, copper-lithium-doped nanohydroxyapatite promoted the migration and homing of mesenchymal stem cells (MSCs) by upregulating the hypoxia-inducible factor 1α/stromal cell-derived factor-1 (HIF-1α/SDF-1) pathway [15]. Interestingly, increasing the viscoelastic properties of cellulose nanocrystal/collagen hydrogels promoted the proliferation, alteration of shape, and matrix deposition of chondrocytes and reduced the interleukin-1β (IL-1β) secretion [16]. Moreover, Xia et al. [17] developed magnetic nano chains, which guided the oriented growth of neural stem cells-derived neurons. Zhang et al. [18] demonstrated that a conductive hybrid hydrogel promoted the development of neural stem cells into neurons. Wang et al. [19] indicated that epigallocatechin-3-gallate selenium nanoparticles scavenged reactive oxygen species (ROS) effectively and thus provided superior neuroprotective effects. Qin et al. [20] demonstrated intimate interactions among innervation, angiogenesis, and inflammation in the condylar cartilage of temporomandibular joint osteoarthritis, which provided promising treatment targets. Except for developing advanced biomaterials, the surface modification of materials is also a method to obtain biomaterials with specific functions. For example, coating 316L stainless steel with glycogen synthase kinase-3β inhibitor (GSKi) improved the adhesion and proliferation of human coronary artery endothelial cells [21]. Such properties of these biomaterials made them promise to treat various diseases, such as sensory hearing loss, osteonecrosis, osteoarthritis, neurodegenerative disorders, cerebral ischemia-reperfusion injury, and cardiovascular diseases.In the past several decades, tissue engineering and regenerative medicine have emerged as essential branches of biomaterials. Several impressive research articles have provided constructive insights into the current Research Topic. Fu et al. [22] performed a systemic bibliometric and visualized analysis regarding the photosensitive hydrogels for tissue engineering. Qin et al. [23] established a "click" reaction-based method for surface modification of polycaprolactone scaffold, which could be utilized in the long-term controlled release of multiplex signal proteins for tissue engineering. Zhang et al. [24] developed a polydopamine-poly(lactic-co-glycolic acid) (PDA-PLGA) scaffold carrying RINm5f islet This is a provisional file, not the final typeset article cells, which supported the growth of islet cells and showed no influence on insulin secretion. When the type I diabetic rats were transplanted with the scaffold in the skeletal muscles, their blood glucose was maintained at a low level for approximately three weeks.As emerging multipotential natural biomaterials, exosomes and secretomes have exhibited bright prospects in regenerative medicine. Particularly, scaffolds containing engineered exosomes derived from adipose-derived mesenchymal stem cells (A-MSCs) under hypocapnia [25] and hypoxiapretreated MSCs [26] or secretomes derived from basic fibroblast growth factor (bFGF)-pretreated human umbilical cord blood-derived mesenchymal stem cells (hUCB-MSCs) [27] have significantly facilitated the neural regeneration, which demonstrated great promise in the treatment of traumatic brain injury and the functional recovery after surgical treatment.Biomaterials are also developed as sensitive detectors or contrast agents for disease diagnostics and identification of microbes/biomolecules. For example, Lin et al. [28] reported PDA-coated silicon quantum dots as fluorescent probes of bacteria and their biofilms. Selective labeling of gram-positive and gram-negative bacteria was achieved by altering the surface functionalization groups. Besides, Liu et al. [29] developed a visual and temperature-sensitive probe to detect microRNA, which could be biomarkers of diverse diseases like cancer. This biosensor enables point-of-care detection of biomolecules with low cost, ease of operation, and high sensitivity.Clinical applications and translations are the terminal goals of the development of biomaterials.The unique or modified biomaterials and biotechnologies should benefit more patients only when they pass the reliability assessment and model validation. Sun et al. [30] provided an updated design of percutaneously osseointegrated prostheses for amputees, in which new bone formation at the boneimplant-skin opening area and the distal bone canal was observed. For dental materials, Liang et al. [31] demonstrated that the hot etching of zirconia with hydrofluoric acid (HF) induced a more uniform and dense porous morphology, greater roughness, and provided the highest shear bond strength. In addition, a multicenter retrospective study has demonstrated the high efficiency of ultrasound-guided percutaneous thermal ablation in the clinical treatment of hepatic focal nodular hyperplasia [32].Notably, the severe side effects of some medicines have limited their broad applications, although they are approved for clinical use. This Research Topic also reports strategies to reduce the side effects of clinically used therapeutics. Lan et al. [33] developed acitretin-conjugated dextran nanoparticle (ACT-Dex NP), which achieved a similar therapeutic effect on psoriasis-like skin disease at a significantly lower dosage compared to neat acitretin. This low dosage is promising to avoid acitretin's well-known teratogenicity on fetuses. Moreover, Zhang et al. [34] demonstrated that the neomycininduced ototoxicity would be prevented by combination with tetrandrine (a bioactive bisbenzylisoquinoline alkaloid derived from Stephania tetrandra) by promoting the steroid biosynthesis.This Research Topic also included a rare case report in clinic [35]. The authors reported a patient with an uncommon pseudoaneurysm, involving the left common iliac artery because of brucellosis. A favorable therapeutic effect and well prognosis were obtained with a combination treatment of longterm multi-course antibacterial therapy with combination antibiotics. This report would provide a paradigm for the clinical treatment of such diseases.In summary, this Research Topic encompasses a proportion of critical contributions made by Asian researchers in the biomaterial field in recent years. This regionalized issue showed the rapid development of biomaterials in Asia, and it is foreseeable that Asian scientists will play a more significant role in this field in the future.

2,186 views

REVIEW
7 December 2022
Engineering exosomes for bone defect repair
Shaoyang Ma, 4 more and Dandan Pei

8,205 views

37 citations

Hypoxia-pretreated mesenchymal stem cell-derived exosomes-loaded low-temperature extrusion 3D-printed implants for neural regeneration after traumatic brain injury in canines
ORIGINAL RESEARCH
30 September 2022
Hypoxia-pretreated mesenchymal stem cell-derived exosomes-loaded low-temperature extrusion 3D-printed implants for neural regeneration after traumatic brain injury in canines
Xiaoyin Liu, 6 more and Liangxue Zhou
Regenerating brain defects after traumatic brain injury (TBI) still remains a significant difficulty, which has motivated interest in 3D printing to design superior replacements for brain implantation. Collagen has been applied to deliver cells or certain neurotrophic factors for neuroregeneration. However, its fast degradation rate and poor mechanical strength prevent it from being an excellent implant material after TBI. In the present study, we prepared 3D-printed collagen/silk fibroin/hypoxia-pretreated human umbilical cord mesenchymal stem cells (HUCMSCs)-derived exosomes scaffolds (3D-CS-HMExos), which possessed favorable physical properties suitable biocompatibility and biodegradability and were attractive candidates for TBI treatment. Furthermore, inspired by exosomal alterations resulting from cells in different external microenvironments, exosomes were engineered through hypoxia stimulation of mesenchymal stem cells and were proposed as an alternative therapy for promoting neuroregeneration after TBI. We designed hypoxia-preconditioned (Hypo) exosomes derived from HUCMSCs (Hypo-MExos) and proposed them as a selective therapy to promote neuroregeneration after TBI. For the current study, 3D-CS-HMExos were prepared for implantation into the injured brains of beagle dogs. The addition of hypoxia-induced exosomes further exhibited better biocompatibility and neuroregeneration ability. Our results revealed that 3D-CS-HMExos could significantly promote neuroregeneration and angiogenesis due to the doping of hypoxia-induced exosomes. In addition, the 3D-CS-HMExos further inhibited nerve cell apoptosis and proinflammatory factor (TNF-α and IL-6) expression and promoted the expression of an anti-inflammatory factor (IL-10), ultimately enhancing the motor functional recovery of TBI. We proposed that the 3D-CS-loaded encapsulated hypoxia-induced exosomes allowed an adaptable environment for neuroregeneration, inhibition of inflammatory factors and promotion of motor function recovery in TBI beagle dogs. These beneficial effects implied that 3D-CS-HMExos implants could serve as a favorable strategy for defect cavity repair after TBI.

6,294 views

44 citations

ORIGINAL RESEARCH
17 October 2022
Urokinase-loaded cyclic RGD-decorated liposome targeted therapy for in-situ thrombus of pulmonary arteriole of pulmonary hypertension
Jingtao Li, 11 more and Ji Wu

4,029 views

8 citations

Organ-on-a-chip (OOC) is a new type of biochip technology. Various types of OOC systems have been developed rapidly in the past decade and found important applications in drug screening and precision medicine. However, due to the complexity in the structure of both the chip-body itself and the engineered-tissue inside, the imaging and analysis of OOC have still been a big challenge for biomedical researchers. Considering that medical imaging is moving towards higher spatial and temporal resolution and has more applications in tissue engineering, this paper aims to review medical imaging methods, including CT, micro-CT, MRI, small animal MRI, and OCT, and introduces the application of 3D printing in tissue engineering and OOC in which medical imaging plays an important role. The achievements of medical imaging assisted tissue engineering are reviewed, and the potential applications of medical imaging in organoids and OOC are discussed. Moreover, artificial intelligence - especially deep learning - has demonstrated its excellence in the analysis of medical imaging; we will also present the application of artificial intelligence in the image analysis of 3D tissues, especially for organoids developed in novel OOC systems.

13,015 views

31 citations

ORIGINAL RESEARCH
2 September 2022
Effect of hot etching with HF on the surface topography and bond strength of zirconia
Zhuoran Liang, 8 more and Jianfeng Chen

6,977 views

6 citations

ORIGINAL RESEARCH
24 August 2022
3D-printed collagen/silk fibroin/secretome derived from bFGF-pretreated HUCMSCs scaffolds enhanced therapeutic ability in canines traumatic brain injury model
Xiaoyin Liu, 11 more and Liangxue Zhou

4,141 views

19 citations

4,898 views

15 citations

3,875 views

13 citations

ORIGINAL RESEARCH
30 June 2022
Intracellular K+-Responsive Block Copolymer Micelles for Targeted Drug Delivery of Curcumin
Mingyue Jiang, 8 more and Chao Yu

2,629 views

2 citations

Recent Advances of Intraocular Lens Materials and Surface Modification in Cataract Surgery
REVIEW
8 June 2022
Recent Advances of Intraocular Lens Materials and Surface Modification in Cataract Surgery
Chenqi Luo, 4 more and Ke Yao
Advances in cataract surgery have increased the demand for intraocular lens (IOL) materials. At present, the progress of IOL materials mainly contains further improving biocompatibility, providing better visual quality and adjustable ability, reducing surgical incision, as well as dealing with some complications such as posterior capsular opacification (PCO) and ophthalmitis. The purpose of this review is to describe the research progress of relevant IOL materials classified according to different clinical purposes. The innovation of IOL materials is often based on the common IOL materials on the market, such as silicon and acrylate. Special properties and functions are obtained by adding extra polymers or surface modification. Most of these studies have not yet been commercialized, which requires a large number of clinical trials. But they provide valuable thoughts for the optimization of the IOL function.

28,178 views

79 citations

ORIGINAL RESEARCH
2 June 2022
Copper-Lithium-Doped Nanohydroxyapatite Modulates Mesenchymal Stem Cells Homing to Treat Glucocorticoids-Related Osteonecrosis of the Femoral Head
Qianhao Li, 4 more and Pengde Kang

3,986 views

16 citations