金属植入物中毒作用的病理生理学
Ruchi Gupta1, Priyanka Uttam2, Rakesh K Gupta2
1Department of Prosthodontics and Crown and Bridge, Rungta College of Dental Sciences and Research, Bhilai, Chhattisgarh, India.
Journal of long-term effects of medical implants
|November 8, 2023
概括
金属植入物可以释放有毒的金属离子,影响生物功能并引起全身毒性. 目前的过敏性评估,通常是基于皮肤的,需要进一步研究,以了解患者对植入物的特定免疫反应.
科学领域:
- 生物材料科学 生物材料科学
- 毒理学 毒理学 毒理学
- 免疫学 免疫学 免疫学
背景情况:
- 金属植入物在医学中至关重要,但离子释放会导致毒性.
- 现有的毒性数据通常依赖于饮食或职业暴露,而不是体内植入条件.
- 生物相容性评估对于评估植入物安全性和不良反应至关重要.
研究的目的:
- 详细阐述单个金属植入物的特定毒性作用 in vivo.
- 突出目前对植入物相关过敏的评估工具的局限性.
- 强调需要研究患者对金属植入物的特定免疫反应.
主要方法:
- 对FDA生物相容性临床和非临床评估工具的审查.
- 关于金属植入物的CDRH生物相容性指南的分析.
- 讨论金属离子暴露,哈普顿形成和过敏反应.
主要成果:
- 从植入物中释放的高度金属可以损害生物功能并导致多系统毒性.
- 生物相容性终点包括细胞毒性,敏感性,全身毒性等.
- 金属离子作为哈普作用,可能导致IV型过敏反应.
结论:
- 目前对植入物相关过敏的评估工具主要依赖于皮肤敏感化.
- 需要进一步的研究来了解患者特异性免疫反应和全身过敏症.
- 开发用于评估植入物生物相容性和患者特异反应的改进方法至关重要.
相关概念视频
The Periodic Table and Organismal Elements
179.6K
Overview
179.6K
Types of Toxins
1.7K
Humans continually engage with an environment rich in potentially harmful chemicals. These are introduced to our bodies through inhalation, ingestion, or skin contact. These chemicals exist in various forms, such as air and environmental pollutants, agricultural chemicals, organic solvents, and heavy metals.
Air pollutants, primarily gases, pose significant threats to respiratory health, leading to conditions like hypoxia, lung cancer, and in extreme cases, death.
Environmental pollutants like...
Air pollutants, primarily gases, pose significant threats to respiratory health, leading to conditions like hypoxia, lung cancer, and in extreme cases, death.
Environmental pollutants like...
1.7K
Local Anesthetics: Adverse Effects
424
While local anesthetics are generally safe and well-tolerated, they can occasionally cause adverse effects that vary in severity. Local anesthetics can induce toxicity at two distinct levels. They can either produce local effects through direct contact with the neural elements or be absorbed into the bloodstream from the injection site, leading to systemic effects.
Once absorbed into the systemic circulation, local anesthetics can affect the organs that depend on the functioning of sodium...
Once absorbed into the systemic circulation, local anesthetics can affect the organs that depend on the functioning of sodium...
424
Bacterial Signaling
32.4K
Bacterial signaling can occur within bacteria (intracellular) or between bacteria (intercellular). At times, a group of bacteria behaves like a community. To achieve this, they engage in quorum sensing, the perception of higher cell density that causes changes in gene expression. Quorum sensing involves both extracellular and intracellular signaling. The signaling cascade starts with a molecule called an autoinducer (AI). Individual bacteria produce AIs that move out of the bacterial cell...
32.4K


