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Table 2 Strategies for the management of infectious bone defects employing MOFs

From: Addressing the challenges of infectious bone defects: a review of recent advances in bifunctional biomaterials

Categories

Components

Characteristics of MOFs

Assessments of infection

Assessments of bone healing

Year

Porphyrin- Zr -based (HN25 Sonosensitiz-er)

Alendronate

Morphology: diamond

Zeta: 34.64 mV

Surface Area: 1273.47 m2/g

Against MRSA: 98.97%;

Animal models: Significant reduction in bacterial infection and abscess formation

CT and histological evaluations: Significant new bone formation and reduced bone defects;

Osteogenic markers (OPN, Runx2, OCN) & ALP and ARS staining↑;

2024[269]

MOF-801

Zr -based

Ti、hydrofluoric acid (HF)

Coating thickness: Zr-MOF0, Zr-MOF1, and Zr-MOF2 were 5.38 μm, 9.63 μm, and 14.13 μm

The fluorine-doped Zr-MOF2 exhibited a bacterial inhibition rate of 79.43% and 66.28% against S. aureus and E. coli

Zr-MOF2 promoted MC3T3-E1 proliferation and differentiation and induces macrophage transition to M2

2022[270]

UiO-66

Zr -based

Fosfomycin (FOS)

CS-based scaffolds

Size:130 ± 28 nm

Antibacterial Activity: Complete bactericidal activity against S. aureus;

Bacterial Attachment↓

Osteogenic Differentiation

: Related genes (RunX2, COL-I, and OCN) and ECM mineralization in MC3T3-E1 pre-osteoblasts↑;

Gene Expression:

COL-1*2 times, OCN*2.6–3.5 times↑;

ALP Activity↑

2022[271]

Zn-base

ZIF-8

Ag+

PEEK

Size: 300 nm

Zeta: −19.4 mV

Colony Forming Units and Bacterial Growth Curve of SPZA indicated complete bactericidal effect

SPZA showed 85.0% cell viability against L929 mouse fibroblast cells

2021[272]

Zn-base

ZIF-8

CS

Rhombic Dodecahedron

Size: 60 ± 20 nm

Encapsulation Efficiency (VAN)

: 99.3%

pH = 5.4(70% of VAN released with 8 h), pH = 7.4 (55%)

inhibition zones:8–10 mm and a reduction index of ≥ 3

MC3T3-E1 preosteoblasts showed high proliferation and osteogenic activities;

ALP Activity and Calcium Deposition↑

2019[273]

Cu-base

SiO2-CaO

AgNPs

Surface Area: 230 m2/g

Pore Volume: 0.10 cm3/g

Antimicrobial Activity: inhibition zones between 8–10 mm and a reduction index of ≥ 3

MIC and MBC: 62.5 µg /mL to 125 µg/mL

Bioactivity: HAp formation after 7 days

Cytotoxicity: No significant cytotoxic effects

Cell Migration: Ability similar to control assays

2024[274]

Co-base

ZIF-67

Osteogenic Growth Peptide (OGP), Titanium Dioxide Nanotubes (TNTs)

Rhombic Dodecahedron

Size:189 ± 21 nm

pH-sensitive property: rapid dissolution under acidic conditions

E. coli and S. aureus antibacterial ratios reached 94.9% and 94.5%, respectively;

In vivo Antibacterial Efficacy(rat): fewer residual bacteria after 3 days of implantation

Osteointegration: a new bone formation area percentage of 42.6% and a bone-implant contact (BIC) ratio of 56.3% after 4 weeks;

M0 → M2, TNF-αand IL-1β↓; IL-10 and IL-1

2021[275]

Mg-base

Calcium Sulfate,

Calcium Citrate,

Dicalcium Hydrogen Phosphate Anhydrous (DCPA)

Block structure 10–15 μm in size

UV Absorption Peak: Characteristic peak at 259 nm

Antibacterial Activity: S. aureus survival rate ≤ 10% within 4 h

Inhibition Zone: 17.75 mm and 20.59 mm (S. aureus and E. coil)

Mechanical Strength: increased cement strength from 27 to 32 MPa

Osteogenic Differentiation: Promoted mBMSC proliferation and differentiation; Increased expression of Runx2, BMP2, OCN, OPN, and COL-1

Inflammation Regulation: Reduced IL-6 and increased IL-10

2023[276]