Publications by authors named "Richard P Tan"

Article Synopsis
  • - Mitigating inflammation from the foreign body response (FBR) is crucial for improving implantable medical devices, but current anti-inflammatory strategies can inhibit necessary healing processes.
  • - Previous research showed that the NLRP3 inflammasome inhibitor MCC950 reduced fibrosis around implants without harming tissue healing, but it failed safety trials, leading to the search for safer NLRP3 inhibitors.
  • - Dapansutrile (OLT1177) shows potential as a safer NLRP3 inhibitor, demonstrating beneficial effects on cells involved in FBR and reducing fibrosis while promoting blood vessel growth in a study, making it a promising candidate for future research in improving implant integration.
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  • Synthetic vascular grafts often fail due to poor blood compatibility and narrowing, presenting a significant challenge in medical procedures.
  • The engineered form of perlecan domain V (rDV) enhances blood vessel healing by supporting the signaling of growth factors and promoting endothelial cell growth.
  • Testing on electrospun silk fibroin vascular grafts shows that coating them with rDV improves graft performance and encourages the formation of blood vessel lining in animal models.
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  • Conventional gas plasma treatments are useful for functionalizing materials in biomedicine, but they face limitations like needing vacuum conditions and being unsuitable for aqueous environments and complex shapes.
  • The study proposes using plasma polymer nanoparticles (PPN) as a new functionalization tool, which are compatible with aqueous systems and can easily modify complex geometries.
  • The results show that PPN, especially those loaded with RGD, significantly improve cell attachment and spreading on various substrates, making this method a promising advancement for biomedical applications.
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Article Synopsis
  • * Current treatments typically use broad anti-inflammatory drugs like dexamethasone, which can hinder necessary healing functions, while this study suggests targeting specific inflammatory pathways can reduce fibrosis without affecting beneficial tissue recovery.
  • * MCC950, a selective anti-inflammatory drug, shows promise in improving implant function by reducing immune responses while fostering better tissue growth compared to dexamethasone, highlighting new strategies for managing inflammation in implantable devices.
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Background: RNA editing at the Q/R site of GluA2 occurs with ~99% efficiency in the healthy brain, so that the majority of AMPARs contain GluA2(R) instead of the exonically encoded GluA2(Q). Reduced Q/R site editing infcreases AMPA receptor calcium permeability and leads to dendritic spine loss, neurodegeneration, seizures and learning impairments. Furthermore, GluA2 Q/R site editing is impaired in Alzheimer's disease (AD), raising the possibility that unedited GluA2(Q)-containing AMPARs contribute to synapse loss and neurodegeneration in AD.

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MicroRNAs (miRNAs) are increasingly recognised as key regulators of the development and progression of many diseases due to their ability to modulate gene expression post-translationally. While this makes them an attractive therapeutic target, clinical application of miRNA therapy remains at an early stage and in part is limited by the lack of effective delivery modalities. Here, we determined the feasibility of delivering miRNA using a new class of plasma-polymerised nanoparticles (PPNs), which we have recently isolated and characterised.

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  • Rodent models of arterial injury have been essential for understanding restenosis and advancing endovascular treatments for heart disease, with common models being mouse wire and rat balloon injuries.
  • While these standard models have provided valuable insights, they also present challenges like technical difficulty and disruption of blood flow, prompting the need for complementary injury models.
  • The study introduces a new surgical model for rats that induces vessel injury without permanent artery ligation, demonstrating similar neointimal hyperplasia and endothelial recovery as existing models, while better mimicking the physiological conditions relevant to vascular injury.
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Biomimetic scaffolds recreating key elements of the architecture and biological activity of the extracellular matrix have enormous potential for soft tissue engineering applications. Combining appropriate mechanical properties with select biological cues presents a challenge for bioengineering, as natural materials are most bioactive but can lack mechanical integrity, while synthetic polymers have strength but are often biologically inert. Blends of synthetic and natural materials, aiming to combine the benefits of each, have shown promise but inherently require a compromise, diluting down favorable properties in each polymer to accommodate the other.

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Minimally invasive interventions using drug-eluting stents or balloons are a first-line treatment for certain occlusive cardiovascular diseases, but the major long-term cause of failure is neointimal hyperplasia (NIH). The drugs eluted from these devices are non-specific anti-proliferative drugs, such as paclitaxel (PTX) or sirolimus (SMS), which do not address the underlying inflammation. MCC950 is a selective inhibitor of the NLRP3-inflammasome, which drives sterile inflammation commonly observed in NIH.

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Barrier membranes for guided tissue regeneration are essential for bone repair and regeneration. The implanted membranes may trigger early inflammatory responses as a foreign material, which can affect the recruitment and differentiation of bone cells during tissue regeneration. The purpose of this study was to determine whether immobilizing interleukin 4 (IL4) on plasma immersion ion implantation (PIII)-activated surfaces may alter the osteo-immunoregulatory characteristics of the membranes and produce pro-osteogenic effects.

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  • Endothelial dysfunction is linked to diabetes and is marked by an imbalance between the processes of vasoconstriction and vasorelaxation; this study focuses on the role of Thioredoxin Interacting Protein (TXNIP) in this condition.
  • Two new mouse models were created: one that lacks endothelial TXNIP (EKO) and another that overexpresses it (EKI); findings show that removing TXNIP improves glucose tolerance and vasorelaxation while overexpressing it does the opposite.
  • The research suggests that TXNIP is a key factor in endothelial dysfunction related to diabetes, where its absence protects against negative effects, while its excess contributes to vascular problems.
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Access to lab-grown fully functional blood vessels would provide an invaluable resource to vascular medicine. The complex architecture and cellular makeup of native vessels, however, makes this extremely challenging to reproduce. Bioreactor systems have helped advanced research in this area by replicating many of the physiological conditions necessary for full-scale tissue growth outside of the body.

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Bioengineering an effective, small diameter (<6 mm) artificial vascular graft for use in bypass surgery when autologous grafts are unavailable remains a persistent challenge. Commercially available grafts are typically made from plastics, which have high strength but lack elasticity and present a foreign surface that triggers undesirable biological responses. Tissue engineered grafts, leveraging decellularized animal vessels or derived de novo from long-term cell culture, have dominated recent research, but failed to meet clinical expectations.

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The rising incidence of cardiovascular disease has increased the demand for small diameter (<6 mm) synthetic vascular grafts for use in bypass surgery. Clinically available synthetic grafts (polyethylene terephthalate and expanded polytetrafluorethylene) are incredibly strong, but also highly hydrophobic and inelastic, leading to high rates of failure when used for small diameter bypass. The poor clinical outcomes of commercial synthetic grafts in this setting have driven significant research in search of new materials that retain favourable mechanical properties but offer improved biocompatibility.

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Peripheral artery disease (PAD) has a significant impact on human health, affecting 200 million people globally. Advanced PAD severely diminishes quality of life, affecting mobility, and in its most severe form leads to limb amputation and death. Treatment of PAD is among the least effective of all endovascular procedures in terms of long-term efficacy.

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Despite being one of the most clinically trialed cell therapies, bone marrow-mononuclear cell (BM-MNC) infusion has largely failed to fulfill its clinical promise. Implanting biomimetic scaffolds at sites of injury prior to BM-MNC infusion is a promising approach to enhance BM-MNC engraftment and therapeutic function. Here, it is demonstrated that scaffold architecture can be leveraged to regulate the immune responses that drive BM-MNC engraftment.

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The rapid growth of nanoparticle-based therapeutics has underpinned significant developments in nanomedicine, which aim to overcome the limitations imposed by conventional therapies. Establishing the safety of new nanoparticle formulations is the first important step on the pathway to clinical translation. We have recently shown that plasma-polymerized nanoparticles (PPNs) are highly efficient nanocarriers and a viable, cost-effective alternative to conventional chemically synthesized nanoparticles.

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The functionality and durability of implanted biomaterials are often compromised by an exaggerated foreign body reaction (FBR). M1/M2 polarization of macrophages is a critical regulator of scaffold-induced FBR. Macrophage colony-stimulating factor (M-CSF), a hematopoietic growth factor, induces macrophages into an M2-like polarized state, leading to immunoregulation and promoting tissue repair.

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Encapsulation devices are an emerging barrier technology designed to prevent the immunorejection of replacement cells in regenerative therapies for intractable diseases. However, traditional polymers used in current devices are poor substrates for cell attachment and induce fibrosis upon implantation, impacting long-term therapeutic cell viability. Bioactivation of polymer surfaces improves local host responses to materials, and here we make the first step toward demonstrating the utility of this approach to improve cell survival within encapsulation implants.

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Multifunctional nanocarriers (MNCs) promise to improve therapeutic outcomes by combining multiple classes of molecules into a single nanostructure, enhancing active targeting of therapeutic agents and facilitating new combination therapies. However, nanocarrier platforms currently approved for clinical use can still only carry a single therapeutic agent. The complexity and escalating costs associated with the synthesis of more complex MNCs have been major technological roadblocks in the pathway for clinical translation.

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The rise of additive manufacturing has provided a paradigm shift in the fabrication of precise, patient-specific implants that replicate the physical properties of native bone. However, eliciting an optimal biological response from such materials for rapid bone integration remains a challenge. Here we propose for the first time a one-step ion-assisted plasma polymerization process to create bio-functional 3D printed titanium (Ti) implants that offer rapid bone integration.

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Current synthetic vascular grafts are not suitable for use in low-diameter applications. Silk fibroin is a promising natural graft material which may be an effective alternative. In this study, we compared two electrospun silk grafts with different manufacturing processes, using either water or hexafluoroisopropanol (HFIP) as solvent.

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Cardiovascular disease is an inflammatory disorder that may benefit from appropriate modulation of inflammation. Systemic treatments lower cardiac events but have serious adverse effects. Localized modulation of inflammation in current standard treatments such as bypass grafting may more effectively treat CAD.

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Considerable progress has been made in the field of microfluidics to develop complex systems for modeling human skin and dermal wound healing processes. While microfluidic models have attempted to integrate multiple cell types and/or 3D culture systems, to date they have lacked some elements needed to fully represent dermal wound healing. This paper describes a cost-effective, multicellular microfluidic system that mimics the paracrine component of early inflammation close to normal wound healing.

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Chronic wounds are a major complication in patients with cardiovascular diseases. Cell therapies have shown potential to stimulate wound healing, but clinical trials using adult stem cells have been tempered by limited numbers of cells and invasive procurement procedures. Induced pluripotent stem cells (iPSCs) have several advantages of other cell types, for example they can be generated in abundance from patients' somatic cells (autologous) or those from a matched donor.

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