БИОСОВМЕСТИМЫЕ БИОМИМЕТИЧЕСКИЕ ПОЛИМЕРНЫЕ СТРУКТУРЫ С АКТИВНЫМ ОТКЛИКОМ В ИМПЛАНТОЛОГИИ И РЕГЕНЕРАТИВНОЙ МЕДИЦИНЕ
Аннотация
Рассматривается проблема физико-химических критериев биосовместимости активных полимерных имплантатов и реагирующих на стимулы скаффолдов. С позиций физики поверхности и управляемого смачивания рассматриваются возможности динамического управления биосовместимостью и адаптивного изменения свойств имплантатов под действием отклика окружающих тканей. Резюмируются базовые свойства активных биосовместимых и биомиметических имплантируемых материалов, отличающие их от пассивных имплантатов ранних поколений. В числе последних указываются: электрофизическая и электрофизиологическая мембранная биосовместимость (вплоть до аналогии с биомембранами – «мембраномиметики» Фендлера); возбудимость, то есть способность переходить в качественно иное состояние, реагируя на внешний стимул; совместимость параметров согласования и импедансов биомембран и активных имплантируемых материалов; наличие всех релевантных типов сопряжения, то есть конвертирования энергии, свойственных биомембранам (хемиосмотического, электрохимического, электромеханического и т.д.); способность к согласованному с параметрами клеточной среды и регулируемому её состоянием пропусканию и высвобождению фармпрепаратов. Вследствие качественного изменения биомедицинского значения подобных имплантатов (от замещения естественной функции к её восстановлению и поддержанию), рассматривается возможность реализации на данных материалах различных новых биорелевантных функций, таких как способность к сенсингу и актуации, основанным на реактивности и преобразовании сигнала / энергии в данных системах. Особенный интерес представляет адаптивная реализация этих функций в растущем и развивающемся организме в механизмах онтогенеза.
Скачивания
Литература
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