Publications by authors named "Manero J"

The Boston Keratoprosthesis (BKPro) serves as a medical solution for restoring vision in complex cases of corneal blindness. Comprising a front plate made of polymethylmethacrylate (PMMA) and a back plate of titanium (Ti), this device utilizes the beneficial biomaterial properties of Ti. While BKPro demonstrates promising retention rates, infection emerges as a significant concern that impacts its long-term efficacy.

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Objective: To assess organ damage, with emphasis on the cardiovascular system, over the different stages of the disease in a large SLE cohort.

Methods: Multicentre, longitudinal study of a cohort of 4219 patients with SLE enrolled in the Spanish Society of Rheumatology Lupus Registry. Organ damage was ascertained using the Systemic Lupus International Collaborating Clinics/American College of Rheumatology Damage Index (SDI).

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  • The rat, particularly its tibia, is a key animal model in studying implant dentistry and orthopedics due to its easy surgical access and ability to mimic human diseases.
  • This study involved 80 Sprague Dawley rats with osteoporosis and Type 2 Diabetes, assessing the biological response to implant placement at 4 and 12 weeks, with consistent surgical methods applied.
  • Results showed successful osseointegration of implants in both disease models, indicating stable integration over time and providing a benchmark for future biomaterials research.
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  • Integrin α5β1 plays a key role in how cells attach and move, making it important for development and healing, with its binding proteins being useful in regenerative medicine.* -
  • Researchers developed custom proteins called NeoNectins that specifically target and stabilize the active form of α5β1, leading to improved cell attachment and spread in lab tests.* -
  • When used on titanium surfaces and in 3D hydrogels, NeoNectins showed better results compared to traditional options in boosting tissue integration and bone growth in animal studies, highlighting their potential in biomedicine.*
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Bacterial infection remains a significant problem associated with orthopaedic surgeries leading to surgical site infection (SSI). This unmet medical need can become an even greater complication when surgery is due to malignant bone tumor. In the present study, we evaluated in vitro titanium (Ti) implants subjected to gallium (Ga) and silver (Ag)-doped thermochemical treatment as strategy to prevent SSI and improve osteointegration in bone defects caused by diseases such as osteoporosis, bone tumor, or bone metastasis.

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Scientific literature lacks strong support for using narrow diameter implants (NDI) in high masticatory force areas, especially in molars. Implant splinting in cases of multiple missing teeth reduces lateral forces, improves force distribution, and minimizes stress on implants. However, no studies have evaluated the fatigue load resistance of unitary or splinted implants.

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Soft tissue defects, such as incisional hernia or pelvic organ prolapse, are prevalent pathologies characterized by a tissue microenvironment rich in fragile and dysfunctional fibroblasts. Precision medicine could improve their surgical repair, currently based on polymeric materials. Nonetheless, biomaterial-triggered interventions need first a better understanding of the cell-material interfaces that truly consider the patients' biology.

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Excessive bone resorption is one of the main causes of bone homeostasis alterations, resulting in an imbalance in the natural remodeling cycle. This imbalance can cause diseases such as osteoporosis, or it can be exacerbated in bone cancer processes. In such cases, there is an increased risk of fractures requiring a prosthesis.

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The Boston keratoprosthesis (BKPro) is a medical device used to restore vision in complicated cases of corneal blindness. This device is composed by a front plate of polymethylmethacrylate (PMMA) and a backplate usually made of titanium (Ti). Ti is an excellent biomaterial with numerous applications, although there are not many studies that address its interaction with ocular cells.

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Objective: The persistence of biologic (b) and targeted synthetic (ts) disease-modifying antirheumatic drugs(DMARDs) in monotherapy versus in combination with conventional synthetic (cs) DMARDs is still a controversial topic in rheumatic diseases. To clarify this issue, the retention of the initial treatment strategy of b/tsDMARD in combination with csDMARD versus monotherapy in rheumatoid arthritis (RA), psoriatic arthritis (PsA) and ankylosing spondylitis (AS) patients under real-life conditions was evaluated. Factors associated with maintenance of the initial strategy were analysed.

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Titanium implantation success may be compromised by Staphylococcus aureus surface colonization and posterior infection. To avoid this issue, different strategies have been investigated to promote an antibacterial character to titanium. In this work, two antibacterial agents (silver nanoparticles and a multifunctional antimicrobial peptide) were used to coat titanium surfaces.

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Previously, functional coatings on 3D-printed titanium implants were developed to improve their biointegration by separately incorporating Ga and Ag on the biomaterial surface. Now, a thermochemical treatment modification is proposed to study the effect of their simultaneous incorporation. Different concentrations of AgNO and Ga(NO) are evaluated, and the obtained surfaces are completely characterized.

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The formation of a biological seal around the neck of titanium (Ti) implants is critical for ensuring integration at the gingival site and for preventing bacterial colonization that may lead to periimplantitis. This process is guided by activated fibroblasts, named myofibroblasts, which secrete extracellular matrix (ECM) proteins and ECM-degrading enzymes resolving the wound. However, in some cases, Ti is not able to attract and activate fibroblasts to a sufficient extent, which may compromise the success of the implant.

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  • 3D printing of titanium allows for customized implants, but its bioactivity challenges successful integration in the body.
  • The study explores modifying titanium scaffolds with genetically engineered elastin-like recombinamers (ELRs) to enhance their mechanical properties and promote mesenchymal stem cell activities.
  • Results indicate that scaffolds functionalized with specific ELRs improved cell adhesion and growth, suggesting that further optimization of the ELR properties could enhance the osseointegration of titanium implants.
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Polycystic ovary syndrome (PCOS) is the most common endocrine disorder affecting women of reproductive age, which in some case leads to infertility. This disorder is characterized by hyperandrogenism, ovulatory dysfunction and polycystic ovarian morphology. Infertile PCOS women that need in vitro fertilization (IVF) have greater risk of ovarian hyperstimulation syndrome (OHSS) if conventional ovarian stimulation is used.

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The rapid integration in the bone tissue and the prevention of bacterial infection are key for the success of the implant. In this regard, a silver (Ag)-doped thermochemical treatment that generate an Ag-doped calcium titanate layer on titanium (Ti) implants was previously developed by our group to improve the bone-bonding ability and provide antibacterial activity. In the present study, the biological and antibacterial potential of this coating has been further studied.

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Present commercial titanium alloy implants have an elastic modulus higher than 100 GPa, whereas that of the cortical bone is much smaller (17−28 GPa). This elastic modulus mismatch produces a stress shielding effect and the resorption of the bone surrounding the implant. In the present work, a <100> fiber texture is developed in β type Ti-42Nb (wt%) alloy ingots generated by laser-directed energy deposition (LDED) in order to achieve anisotropic mechanical properties.

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Aim: To assess the golimumab retention rate during up to 8 years of follow up, and any associated factors.

Methods: Retrospective analysis of the BIOBADASER (Spanish registry of biological drugs) database, assessing all adults who had ever started golimumab >6 months before the analysis for an approved indication (rheumatoid arthritis [RA], axial spondyloarthritis [SpA] or psoriatic arthritis [PsA]).

Results: Among 885 patients (RA 267, axial SpA 370, PsA 248) receiving 944 cycles of golimumab, the retention rate of golimumab was 71.

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The use of a PMMA composite with graphene is being commercialized for application as dental prostheses. The different proportions of fibers provide a wide range of colors that favors dental esthetics in prostheses. However, there are no studies that have explained the influence that graphene has on the mechanical properties.

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The passivation of titanium dental implants is performed in order to clean the surface and obtain a thin layer of protective oxide (TiO) on the surface of the material in order to improve its behavior against corrosion and prevent the release of ions into the physiological environment. The most common chemical agent for the passivation process is hydrochloric acid (HCl), and in this work we intend to determine the capacity of citric acid as a passivating and bactericidal agent. Discs of commercially pure titanium (c.

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  • The study aims to evaluate how different targeted therapies and other factors impact COVID-19 hospitalisation risk in patients with inflammatory rheumatic diseases.
  • A cohort of 7,782 patients was analyzed, revealing that while most targeted therapies weren't linked to increased hospitalisation risk, TNF inhibitors significantly lowered it, while rituximab appeared to increase risk.
  • Key demographics and comorbidities, alongside COVID-19 symptoms, also influenced hospitalisation likelihood, indicating that multiple factors play a role in patient outcomes.
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One of the key assumptions associated with structural realism is the claim that successful scientific theories approximately preserve their structurally based content as they are progressively developed and that this content alone can explain their relevant predictions. The precise way in which these theories are preserved is not trivial but, according to this realist thesis, any kind of structural loss should not occur among theoretical transitions. Although group theory has been proven effective in accounting for preserved structures in the context of physics, structural realists are confronted with the fact that even group-theoretic structures are not immune to these structural discontinuities.

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The surface modification by the formation of apatitic compounds, such as hydroxyapatite, improves biological fixation implants at an early stage after implantation. The structure, which is identical to mineral content of human bone, has the potential to be osteoinductive and/or osteoconductive materials. These calcium phosphates provoke the action of the cell signals that interact with the surface after implantation in order to quickly regenerate bone in contact with dental implants with mineral coating.

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One possibility to prevent prosthetic infections is to produce biomaterials resistant to bacterial colonization by anchoring membrane active antimicrobial peptides (AMPs) onto the implant surface. In this perspective, a deeper understanding of the mode of action of the immobilized peptides should improve the development of AMP-inspired infection-resistant biomaterials. The aim of the present study was to characterize the bactericidal mechanism against Staphylococcus epidermidis of the AMP BMAP27(1-18), immobilized on titanium disks and on a model resin support, by applying viability counts, Field Emission Scanning Electron Microscopy (FE-SEM), and a fluorescence microplate assay with a membrane potential-sensitive dye.

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  • This study evaluated the long-term effectiveness of golimumab as a second anti-TNF treatment for patients with spondyloarthritis who had to stop their first anti-TNF drug.
  • Data from 210 patients across 20 clinics in Spain showed significant improvement in disease activity scores for both axial spondyloarthritis and psoriatic arthritis over 1 year.
  • The persistence rate for golimumab was 80% in the first year and gradually declined to 65% by the fourth year, with discontinuation mainly due to lack of efficacy.
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