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Glucose-Gated Polyetheretherketone Implants for Enzymatic Gas Therapy to Boost Infectious Diabetic Osseointegration

2nd European Conference on Dentistry and Oral Health

April 16, 2025 | Paris, France

Jiahe Li

Sichuan University, China

Abstract :

The hyperglycemic micromilieu surrounding implants in diabetic patients leads to high fail­ure rate of implantation and implant-associated infection. Carbon monoxide (CO) has been reported to combat infections; however, its on-demand liberation and the elucidation of the underlying antibacterial mechanism remain challenging. To address this issue, we develop a multipurpose orthopedic implant comprising polyetheretherketone, glucose oxidase (GOx), and manganese carbonyl (MnCO), serving as a glucose-gated enzymatic gas therapy for infectious diabetic osseointegration. The GOx acts as a glucose-actuated gate responsive to hyperglycemia, thereby delivering CO in situ triggered by the GOx-driven Fenton-like reac­tion of MnCO. The released CO considerably prevents bacterial multiplication by penetrating the membrane, binding to cytochrome bo3, and interfering with the respiratory chain in vitro. Furthermore, the engineered implant displays desired antibacterial properties and enhanc­es osseointegration in vivo. Collectively, the orthopedic implant is capable of delivering glu­cose-gated enzymatic gas therapy, promising for treating infectious diabetic bone defects.

Biography :

Jiahe Li obtained a bachelor’s degree in dentistry (BDS) from West China School of Stomatology, Sichuan Uni­versity. He is currently pursuing a master’s degree in dentistry (MDS), specializing in endodontics. He has pub­lished 5 SCI papers, with his main research focusing on bone defect repair materials and anti-caries biomate­rials. He has presented academic reports at AO (Academy of Osseointegration) Conference, FDI World Dental Congress, and IADR General Session.