纯Mo及钼基可降解金属材料的研究现状与发展趋势
Research Status and Future Directions of Pure Mo and Mo-Based Biodegradable Metals
通讯作者: 郑玉峰,yfzheng@pku.edu.cn,主要从事生物医用金属材料研究
责任编辑: 肖素红
收稿日期: 2025-10-20 修回日期: 2026-02-11
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Corresponding authors: ZHENG Yufeng, professor, Tel:
Received: 2025-10-20 Revised: 2026-02-11
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作者简介 About authors
郑玉峰,男,1973年生,教授,博士
Mo是人体所必需的微量元素之一,金属纯Mo因其优异的力学性能、均匀的降解行为和良好的生物相容性,成为心脑血管支架、心脏起搏器、肠胃吻合钉和可穿戴生物电子器械等多种植/介入医疗器械潜在的候选材料。钼基金属材料已有一些合金体系和复合材料应用于航空航天、电子和化工等领域,但作为可降解金属用于医疗领域的研究尚处于起步阶段,诸多关键科学问题尚未厘清。本文聚焦纯Mo及钼基金属材料的材料本性,借鉴其在工程领域的制造路径和性能优势,梳理其在生理环境中的腐蚀行为和降解产物的潜在生物学效应,基于材料生物降解性和生物相容性的双重筛选原则,并结合可降解金属器械的服役需求,提出新型钼基可降解金属材料的合金成分设计、微观组织、塑性变形、增材制造和生物医学性能提升策略,展望其未来可能在生物医学领域的应用前景及发展方向。
关键词:
Mo, a trace element in the human body, has attracted increasing attention owing to its excellent mechanical properties, uniform degradation behavior, and favorable biocompatibility. The highlighted features make it a promising candidate for various biodegradable medical devices, including cardiovascular and neurovascular stents, cardiac pacemakers, gastrointestinal anastomotic staples, and wearable bioelectronic devices. Currently, Mo and its alloys have been developed as industrial materials and are well-established in aerospace, electronics, and chemical engineering. However, research on Mo and its alloys as biomaterials is an emerging field of study and faces several critical scientific challenges. In this review, we highlight Mo's intrinsic material characteristics, summarize traditional manufacturing methods and performance advantages, and outline its degradation mechanisms and biological responses in physiological environments. Furthermore, we propose design strategies for Mo-based biodegradable metals that consider biodegradability, biocompatibility, and the functional requirements of biodegradable implants, focusing on composition, microstructure, plastic deformation, and additive manufacturing. Finally, we discuss the future applications and developmental directions of Mo-based biodegradable metals in the field of biomaterials.
Keywords:
本文引用格式
郑玉峰, 谌雨农.
ZHENG Yufeng, SHEN Yunong.
Mo是第VIB族过渡金属元素,在自然界中多以辉钼矿(MoS2)的形式存在[1],瑞典科学家Carl Wilhelm Scheele在1778年通过HNO3分解MoS2获得了H2MoO4和钼盐,并成功制备出MoO3,从而证实了Mo的存在[2]。我国矿产资源丰富,钼矿储量居世界首位,占全球储量的48%[3]。凭借高熔点、良好的热稳定性和优异的力学性能等优点,Mo及其合金在冶金、化工、核能、电子和航空航天等多个领域被广泛应用,已成为我国高端制造和战略性产业发展的关键金属材料之一。Mo是一种A2型bcc结构的银灰色难熔金属,熔点为2623 ℃,沸点为4639 ℃。Mo的热导率(室温下138 W/(m·K))高于大多数结构材料,热膨胀系数(室温下4.8 × 10-6 K-1)极低,是商用金属中热膨胀系数第二小的金属,仅次于W[4]。Mo的标准电极电位为-0.20 V,在室温下稳定,且对非氧化性酸具有良好的耐受性[2]。工业用纯Mo由于含有微量杂质,在空气中保存时其表面会形成致密的氧化膜。此外,Mo的化学态多样,覆盖-2~+6价,由于涉及多个化学反应过程,形成的氧化物复杂,其中主要的稳定氧化相是MoO3。
国际上将钼基金属材料作为可被体液降解的金属生物材料的研究开始起步,金属纯Mo在体液环境下呈现出比金属纯Mg、纯Fe、纯Zn更高的力学稳定性、降解可控性、影像学兼容性等优点。本文首先聚焦金属Mo的材料属性,回顾其在工程领域的材料学研究进展、制造方法和力学性能优势,进而梳理其在生理环境中的降解过程和降解产物所引发的生物学效应,基于生物降解性和生物相容性的双重筛选原则,并结合可降解金属器械的服役需求,提出钼基可降解金属材料在合金成分设计和复合化、微观组织控制、塑性变形方法和增材制造技术等方面的新策略,并展望其在生物医学领域的应用和发展方向。
1 纯Mo作为医用可降解金属候选材料的研究现状
1.1 纯Mo的传统粉体制备和粉末冶金
由于纯Mo熔点高且高温下易氧化,传统熔炼铸造需在高真空或惰性气氛及超高温条件下进行,设备和能耗成本高,因此工业上更倾向采用可在远低于熔点温度下完成成形的粉末冶金技术[5]。高纯Mo粉通常通过两步氢还原法制备,即以焙烧后获得的高纯MoO3或(NH4)2Mo2O7 (ADM)为前驱体,在H2氛围下先还原为MoO2,再进一步还原为金属Mo,其中ADM亦可直接一步还原生成MoO2[5,6]。该方法制备的Mo粉多呈不规则团聚形貌,常需结合喷雾干燥等后处理以实现球形化,从而改善粉末的流动性和堆积性能,满足高要求成形应用的需求[7,8]。粉末冶金是制备高致密纯Mo锭材的主要方法之一,通常包括成形压制、高温烧结及热等静压等步骤[9]。成形后胚体初始致密度为60%~70%[10],经真空或H2氛围下1800~2000 ℃烧结及后续热等静压处理,可显著提高致密度并减少残余孔隙[10~14]。近年来,通过脉冲电流烧结及低温活化、微波和放电等离子烧结等新技术,进一步突破了传统烧结对纯Mo全致密化的限制[15]。
纯Mo在室温下强度高而塑性差,其锭材通常需在高温条件下进行塑性变形加工,主要方式包括锻造、轧制和拉拔等。锻造一般在1000 ℃以上进行,以激活更多滑移系并改善可变形性,但工艺参数对组织和成形性的影响显著,分段锻造过渡区易产生异常粗晶并诱发开裂[16]。在轧制过程中,纯Mo形成典型纤维状组织,随形变量增加逐渐向再结晶织构转变,低形变量时以α-纤维织构为主,大形变量轧制时则表现出由{100}<110>向{112}<110>的织构演变。基于粉末冶金、塑性变形及退火工艺的协同优化,已建立成熟的工业化制备路线,并可获得室温塑性显著提升的纯Mo材料,如通过Y型热轧和高温退火制备的纯Mo板材,其室温延伸率可达108.7%[17]。大变形后的纯Mo通常需经高温退火以释放内应力并通过再结晶细化晶粒,从而改善综合力学性能。研究[18]表明,纯Mo的再结晶行为具有明显的取向和纯度依赖性:高储能γ-纤维织构在退火初期优先生长,而α-纤维织构再结晶缓慢,导致形成分阶段再结晶特征;同时,再结晶温度随纯Mo的纯度提高而降低,回复与再结晶的竞争使组织中并存细晶和异常长大晶粒。
1.2 纯Mo的增材制造
纯Mo作为难熔金属,具有高熔点、高强度和低室温延展性的特点,使得传统制造工艺在复杂几何形状零件的制造中面临巨大挑战,增材制造(additive manufacturing,AM)为突破这一瓶颈提供了关键途径[19]。(1) 激光粉末床熔融是一种在惰性气氛下逐层熔化金属粉末以构建高精度复杂构件的增材制造技术,因设备成本相对较低、热循环快且光斑尺寸小,已成为近年来纯Mo增材制造研究的主要技术[20]。通过优化粉末形貌和粒径分布可显著改善成形质量,如球形化处理可有效提升Mo粉末的流动性和填充密度[21]。同时,调控成形气氛对抑制裂纹具有关键作用,N2或含H2的混合气氛可通过降低氧致晶界脆化、细化晶粒而显著改善纯Mo的成形性能,并在高N2含量条件下实现无裂纹成形[20~22]。此外,通过激光参数优化、扫描策略创新及超短脉冲激光的引入,已实现高致密度、超薄壁和高精度纯Mo构件的制备,显著拓展了其在微结构和精密制造领域的应用潜力[20~23]。(2) 电子束粉末床熔融是在高真空环境下通过电子束对粉床预热并选择性熔化金属粉末的增材制造技术,其在纯Mo成形中具有显著优势:高真空条件可有效抑制氧化物形成,减少晶界氧化导致的热裂纹,而高温粉床预热有助于降低温度梯度和残余应力,从而缓解冷裂纹的产生[23~25]。通过将粉床预热至高温并优化能量密度,可制备高致密、无裂纹的纯Mo构件,其晶体取向随电子束能量密度变化而演化[26]。此外,降低粉末中的O含量并配合参数优化,可进一步将纯Mo块体的致密度提升至99.8%以上[27]。
1.3 纯Mo的力学性能
纯Mo的脆性来源可分为本征脆性和非本征脆性两类。(1) 本征脆性。Mo为bcc难熔金属,在低温下有效滑移系受限,螺位错需克服较高的Peierls势垒,热激活困难,易导致位错塞积并诱发微裂纹;同时,部分d电子的共价键特征在低温下可增强晶格刚性,进一步抑制交滑移[28~30]。(2) 非本征脆性。在制备过程中不可避免地会引入O、N、C等杂质[31],这些杂质易在晶界处偏聚并形成氧化物或氮化物,极微量O即可诱发沿晶断裂,N在晶界偏聚亦会导致应力集中,而不利的C / O含量比(C / O原子比小于2)同样会削弱力学性能,因为C含量不足以抑制O在晶界的偏聚,导致晶界结合力被O严重削弱[32~34]。此外,在粉末冶金过程中,孔隙、粗晶以及热加工和再结晶过程中杂质向晶界偏析,均会加剧晶界脆化和脆性断裂倾向[15,33,34]。
1.4 纯Mo的腐蚀行为及其影响因素
图1
图1
可降解金属纯Mo的腐蚀行为研究:Mo-H2O体系的Pourbaix图[36];纯Mo在生理环境及模拟炎症条件下的生物降解行为示意图[36];选区激光熔化和旋锻纯Mo随浸泡时间演化的腐蚀机理及过程对比[37];Mo在去离子水中溶解时的表面化学状态和显微组织演变[38]
Fig.1
Study on the corrosion behavior of biodegradable molybdenum
(a) Pourbaix diagram of Mo-H2O system (E—electrode potential, SCE—saturated calomel electrode)[36]
(b) illustration of the biodegradation behavior of pure Mo in physiological environments and under simulated inflammatory conditions[36]
(c) corrosion mechanism and corrosion evolution of selective laser melted (SLM) Mo along with immersion time, compared to those of rotary swaged (RS) Mo[37]
(d) changes in surface chemistry and microstructure linked to Mo dissolution in de-ionized (DI) water[38]
Mo在腐蚀过程中会形成四价和五价钼等中间态物种。钼阳离子很可能通过Mo(IV)氧化物晶格中的空位进行迁移,进而引发五价和六价钼中间态物种的形成,经氧化反应最终生成可溶性的MoO
在中性和碱性溶液条件下,一般的六电子化学计量反应方程式如下所示[36]:
生理环境条件下的阴极反应为:
金属Mo薄膜在模拟体液中的腐蚀过程表现为多价氧化物的逐步演变并伴随典型表面化学特征。Yin等[38]揭示了Mo薄膜在模拟体液环境中的腐蚀行为。结果表明,Mo表面的氧化物从原生的MoO3氧化物逐渐演变为由多价氧化物(Mo4+、Mo5+和Mo6+)构成的混合物作为溶解产物,并在80 d后最终生成Mo5+氧化物。根据X射线光电子能谱(XPS)的O1s数据,Mo表面还可观察到OH-以及偶尔吸附的H2O。Mo3d5/2的结合能分别为:Mo 228.7 eV、Mo4+ 229.5 eV、Mo5+ 230.9 eV和Mo6+ 233.0 eV;O1s的结合能分别为:O2- 530.7 eV、OH⁻ 531.8 eV和H2O 533.0 eV[39,40]。透射电镜(TEM)观察结果进一步证实了MoO2和MoO3的存在。这些结果与先前关于块体Mo材料在水溶液中发生溶解时的表面化学特征[39,41]一致(图1d[38])。
1.5 Mo元素相关的生物安全性数据
对于成年人而言,谷物制品是膳食Mo的主要来源,占总摄入量的19%~20%;对儿童来说,牛奶和奶酪制品则是主要摄入源,占比高达27%~40%。Mo的估计平均需要量(EAR)是基于摄入量范围在22 μg/d~1.5 mg/d的广泛研究制定的[42]。即使在最低摄入剂量(低至22 μg/d)时,尿钼排泄量在数月内仍能保持平衡。基于这些发现,美国国家科学院医学研究所食品与营养委员会将Mo的最低平均需求量确定为22 μg/d。考虑到汗液等其他途径的损失(约3 μg/d),最终确定最低需求量为25 μg/d。由于膳食中Mo的生物利用率为75%,因此成人膳食营养素参考摄入量(RDA)设定为45 μg/d,而成人的EAR则为34 μg/d[43]。实际日常摄入量通常高于推荐水平:美国男性和女性的平均摄入量分别为109和76 μg/d;韩国男性和女性的摄入量分别为136和123 μg/d;法国人的平均摄入量估计为275 μg/d;在日本,大米和大豆的摄入使得Mo摄入量达到225 μg/d[44]。
Mo在Wilson's病治疗中的应用具有特殊价值[45]。在该疾病患者体内,未与铜蓝蛋白结合的Cu2+会随血液循环并在组织中蓄积,进而导致肝脏损伤、神经系统病变和脑组织损害。(NH4)2MoS4作为Mo的化合物,能够与Cu及蛋白质形成稳定复合物。当与膳食中的Cu和蛋白质结合时,(NH4)2MoS4可生成抑制Cu吸收的化合物。若在空腹状态下给药,(NH4)2MoS4进入血液循环后可与白蛋白及游离Cu结合,从而阻止毒性Cu在细胞内的异常蓄积。
1.6 含Mo的酶及其在人体中的生物学功能
含Mo的酶主要包括黄嘌呤氧化还原酶(XOR)和醛氧化酶(AOX)。XOR具有三种主要酶学功能:黄嘌呤氧化酶活性可通过次黄嘌呤与黄嘌呤的羟基化反应生成尿酸;烟酰胺腺嘌呤二核苷酸氧化酶活性可产生活性氧,包括超氧阴离子及继发的H2O2;硝酸盐还原酶活性可生成活性氮物种,如NO[46]。XOR广泛分布于肝脏、小肠、乳腺、心肌及内皮细胞中[47]。在适宜浓度水平下,这些分子可维持多种生理稳态功能,包括调节血压、调控先天免疫反应、介导氧化还原信号传导及参与脂质代谢[47]。在白细胞中,XOR通过生成超氧阴离子及H2O2发挥机体第一道防御机制的作用[47]。适量的XOR生成尿酸还可通过清除自由基发挥抗氧化作用,并通过激活肾素-血管紧张素系统参与血压调控[48]。
1.7 Mo元素在人体中的毒性作用
Mo对人体的潜在毒性相对较低,但值得注意的是,该元素可能引发某些动物(尤其是绵羊和牛)继发性Cu缺乏症,使其面临显著的毒性风险。在土壤Mo含量显著偏高的地区(如亚美尼亚),每日摄入10~15 mg的Mo会导致高尿酸血症、关节不适、痛风样症状以及血钼水平升高等症状。一项急性毒性案例研究显示,某受试者在连续18 d每日摄入300~800 μg钼补充剂后,出现幻觉和癫痫发作症状。啮齿类动物毒性实验结果表明,极高剂量的Mo摄入会引发多种不良反应,包括:贫血、生长发育迟缓、肾功能衰竭、肝肾组织学改变、生殖功能障碍及骨骼畸形等。基于这些研究结果,美国国家科学院医学研究所食品与营养委员会将Mo的可耐受最高摄入量(UL)设定为2 mg/d[43]。
Mo的毒性主要由MoO
研究[61]表明,尿液中Mo元素水平升高与高血压存在相关性。相反,早期的研究[62]发现,饮水中的Mo暴露水平(每天0.00003 mg/kg,假设每日摄入2 L)与动脉粥样硬化呈弱负相关。这些相互矛盾的结果在一定程度上提示Mo的作用可能具有剂量依赖性。Mo作为人体必需元素之一,是多种金属酶的辅因子,其中XOR在心血管生理及缺铁性贫血(ACD)病理过程中具有重要作用[61]。XOR在其含Mo辅基结合位点产生活性氧(ROS,如超氧阴离子、H2O2)和活性氮(RNS,如NO)[63]。在生理剂量下,这些分子参与血管稳态的维持,例如NO介导血管扩张并抑制血小板聚集,而H2O2调控血管平滑肌细胞的增殖、迁移和分化[64,65]。然而,在疾病状态下,XOR过度活化会导致ROS和RNS过量生成,造成不利影响,其中包括通过降低NO的可利用性引发内皮功能障碍[47]。此外,超氧阴离子与NO迅速反应生成有毒的过氧亚硝酸盐[66],而ROS和RNS两类物质已被充分证实可引起脂质氧化[64,67,68],其中氧化低密度脂蛋白(Ox-LDL)是ACD进展的重要机制之一。
值得注意的是,XOR已在颈动脉内膜切除术获取的动脉粥样硬化斑块中被检测到[69],在小鼠动脉粥样硬化斑块中的巨噬细胞中也发现了其高表达[70]。此外,高水平尿酸亦与内皮功能障碍、平滑肌细胞增殖以及肾素-血管紧张素系统激活密切相关[47]。因此,Mo水平升高与高血压及动脉粥样硬化疾病的关联并不令人意外。事实上,流行病学研究[71]发现,高Mo暴露地区的居民不仅血清Mo水平升高,同时黄嘌呤氧化酶(XO)与尿酸水平均增高。近期一项动物实验也表明,MoS2纳米片可增加载脂蛋白E (apolipoprotein E,ApoE)基因双等位基因敲除的小鼠ACD进展风险[72]。综上所述,Mo降解位点的局部水平可能影响ACD的病理过程,并且这种作用具有潜在的剂量依赖性。
1.8 金属纯Mo医学植入器件研究现状
目前为止,有关金属纯Mo用于医用领域的体外实验和动物体内实验的研究结果基本上可以归纳为两个方面:一个是在血管环境内植入使用,另一个是作为体内的暂态电子元器件使用。
1.8.1 金属纯Mo在血管内植入
图2
图2
金属纯Mo在血管内植入后的研究结果:EDS分析证实了腐蚀产物层的形成[73];免疫荧光染色显示在Mo和Pt植入物周围存在内皮细胞(CD31)和平滑肌肌动蛋白(α-SMA)的反应[73];X光片、微型CT及取出物观察结果显示植入物可保留并在体内维持血管整合长达12个月[74];苏木精-伊红(H&E)染色和Masson染色证实了大鼠腹主动脉内的血管组织反应[16];SEM观察(BSE模式)显示在3个月时出现支架支杆的在体降解并可见明显的降解产物[16];对降解产物的表征[16];Mo丝编织支架和弹簧圈在颅内缺血性和出血性卒中治疗中的应用及用于评估钼基神经植入物的组织病理学和功能安全性的流程示意图[75];编织支架Mo丝对体内神经功能的影响[75];及二维Mo弹簧圈的体内生物安全性[75]
Fig.2
Research findings on endovascular implantation of metallic molybdenum (a, b) EDS analyses confirmed biodegradation product film formation[73] (d—diameter) (c) immunofluorescence staining showed endothelial (CD31) and smooth muscle actin (α-SMA) responses around Mo and Pt implants[73] (d, e) radiograph, µCT, and explant views revealed implant retention and vascular integration up to 12 months[74] (f, g) hematoxylin and eosin (H&E) (f) and Masson staining (g) confirmed vascular tissue responses in rat abdominal aortae[16] (AM—additive manufacturing) (h) SEM image (BSE mode) at 3 months demonstrated stent strut degradation with visible products[16] (i) degradation products were characterized by SEM-EDS, TEM, EDS mapping, and SAED pattern of focused ion beam (FIB)-sampled regions[16] (j) application of Mo wire braided stents and coils in treating intracranial ischemic and hemorrhagic strokes and schematic workflow for evaluating the histopathological and functional safety of Mo neuro-implant[75] (tMCAO—transient middle cerebral artery occlusion) (k) in vivo neurological function effect of Mo braided stent wire[75] (MCAO—middle cerebral artery occlusion model) (l) in vivo biosafety of 2D Mo coil[75]
Sikora-Jasinska等[73]研究了金属纯Mo作为可降解支架材料在心血管应用中的潜力,发现金属纯Mo兼具适中的降解速率与优异的力学性能,在体外表现出理想的机械行为,在体内则展现出均匀的腐蚀模式(图2a和b[73])。动物实验结果显示,纯Mo植入小鼠动脉后可避免典型的再狭窄相关反应,6个月内仅有轻微的新生内膜增生,未见平滑肌细胞过度增殖或显著炎症,并对内皮细胞再生无不良影响(图2c[73])。然而,肾脏切片分析提示,肾小囊和肾小球存在潜在的病理性重塑,可能影响滤过功能。总体而言,该研究[73]表明纯Mo降解产物对炎症细胞和动脉细胞可能具有中性或有益作用,但其在肾脏中的潜在毒性仍需进一步探讨。
Schauer等[74]研究发现,直径为250 μm的金属纯Mo丝在模拟体液中呈均匀腐蚀,28 d的降解速率约为33.6 μm/a。进一步在雌性Wistar大鼠腹主动脉模型中进行的体内实验表明,金属纯Mo丝在X光下显影性良好(图2d[74]),3~12个月的降解过程同样表现为均匀且可溶性腐蚀(图2e[74]),12个月时的降解速率为13.5 μm/a,且降解程度依赖于植入部位。值得注意的是,金属纯Mo丝降解未引起血液或主要脏器Mo元素水平升高,亦未见肝、肾、脾、脑、肺等组织学异常,炎症指标(C反应蛋白)亦与对照组相当,提示其降解产物可通过生理途径安全转运和排泄。此外,金属纯Mo在组织中显示出优异的射线不透过性。该研究[74]认为金属纯Mo丝具有作为新一代可降解医用金属的潜力。
Bian等[16]利用SLM技术将金属纯Mo粉末制备成支柱厚度≤ 100 μm的薄壁可降解血管支架,并系统研究了其成形质量、壁厚、显微组织、力学性能及降解行为。结果表明,该金属纯Mo支架在径向支撑强度上可与激光雕刻的镁基、锌基可降解金属合金支架相当,同时表现出优异的体外生物相容性(血管相关细胞能良好黏附和铺展,溶血和血栓风险极低)。体内实验进一步证实了SLM制备金属纯Mo支架在大鼠腹主动脉模型中的良好相容性(图2f和g[16]),并能提供足够的机械支撑,同时相对于传统拉拔制备的纯Mo丝材,SLM技术制备的支架杆梁(strut)也表现出均匀的腐蚀行为(图2h和i[16])。该研究展示了通过增材制造实现钼基可降解金属血管支架的可行性。
Shen等[75]将直径50 µm的纯Mo丝多股编织物应用于脑卒中神经介入器械(图2j[75])。神经血管植入物在卒中干预中长期面临一个困境:永久性装置(如NiTi合金支架、铂线圈)常常导致慢性炎症与复发,而传统可降解金属(镁、铁和锌合金)则存在缺乏影像学可视性或神经毒性等问题。在生理及缺血再灌注条件下,Mo丝编织物表现出极低的溶血率(< 5%)、血小板惰性、稳定的凝血动力学,以及对内皮细胞、星形胶质细胞和神经元的良好相容性。体内实验表明,金属纯Mo丝编织支架植入大鼠颈动脉后,可维持血液稳态、器官完整性及神经功能,未见全身毒性(图2k[75])。金属纯Mo丝编织二维弹簧圈则实现了伴随炎症控制和内皮化进展的持久性动脉瘤闭塞(图2l[75])。更重要的是,得益于肾脏清除及血脑屏障的选择性,MoO
综上所述,凭借本征的射线不透过性和适度、均匀的腐蚀行为,金属纯Mo克服了现有镁、铁和锌可降解合金的局限性,被视为下一代神经外科血管内介入器械的潜在变革性候选材料。
1.8.2 金属纯Mo作为暂态电子学器件
Kang等[77]制备了含金属纯Mo丝和纯Mo片的具有多功能特性的脑部植入式传感器(图3a和b[77]),其所有组件可通过水解和/或代谢活动自然吸收,无需手术取出。对颅内压和温度的持续监测证实其对创伤性脑损伤治疗具有关键价值。重要的是,这些可吸收器件的测量性能优于不可吸收的临床标准设备。此外,这些器件均可定制,用于监测温度、运动、pH值或流体流动,适配深脑、四肢及腹部等不同部位。Yu等[79]报道了采用金属纯Mo材料的被动/主动寻址阵列式生物可吸收硅电极具备多通道信号采集能力(图3c和d[79])。这些电极可记录皮层表面及帽状腱膜下间隙的电生理信号,在急慢性实验中均成功检测到正常生理信号和癫痫样活动,其性能媲美标准临床系统,且与传统皮层脑电图(ECoG)电极相比能降低组织反应。该技术在神经接口领域具有普适性,对需要瞬态监测及生理功能调控的疾病治疗、植入体完整性评估及组织再生具有潜在价值。Yang等[80]开发了基于全水溶性材料的生态可吸收/生物可吸收微机电系统(eb-MEMS) (包含金属纯Mo薄片做成的导电元器件,图3e[80]),这些器件可自然降解于环境或体内,避免固体废弃物产生及二次手术。通过机械生物学、组织学和血液学研究验证了植入体及其降解产物的生物相容性。还在小动物模型中安装了可吸收封装材料,能有效减少器件损伤、限制碎片移动并与周边组织建立稳固黏附。Song等[81]开发了无线驱动的微型可吸收电疗器件(包含金属纯Mo丝做的电极,图3f[81]),通过糖尿病小鼠伤口模型验证其能有效促进血管生成、引导上皮迁移并调控炎症以加速愈合。利用阻抗波动还可实时监测愈合进程,为创面电疗提供了高效解决方案。
图3
图3
含Mo薄膜的暂态电子学器件:可吸收的温度和压力传感器实物图及构成传感区域的蛇形Si-纳米膜结构的OM像[77];大鼠脑内可吸收传感器系统的示意图[77];一种用于高分辨率皮层脑电图(ECoG)的有源多路复用全可吸收传感器装置的爆炸透视示意图及处于不同制造阶段的两个单元的OM像和整个系统的实物照片[79];可弯曲的生态可吸收/生物可吸收微机电系统(eb-MEMS)平台的示意图[80];及一种暂时性、无线、无电池的电刺激装置附着在足部创口上的示意图[81]
Fig.3
Transient electronic devices containing molybdenum thin films
(a) picture of bioresorbable temperature and pressure sensors (Inset shows an OM image of the serpentine silicon-nanomembrane structures)[77]
(b) illustration of a bioresorbable sensor system within a rat's brain[77]
(c) an actively multiplexed sensing device for high-resolution electrocorticography (ECoG) in a completely bioresorbable architecture is schematically illustrated in an exploded perspective[79] (NM—nanomembranes, PLGA—poly(lactic-co-glycolic acid))
(d) OM images of two unit cells at different phases of manufacture and a photograph of the entire system[79]
(e) schematic of a bendable ecoresorbable and bioresorbable microelectromechanical systems (eb-MEMS) platform (left) and photograph of the flexible system[80] (The eb-MEMS is shown in the left inset, and the right inset demonstrates its conformal integration onto the curved surface of the myocardium. BN—bottom insulating layer, TP—top layer, MP—middle layer, CMOS—complementary metal-oxide-semiconductor)
(f) diagrammatic representations of a transitory, wireless, and battery-free electrotherapy device attached to a foot wound[81]
2 面向医疗的可降解钼基金属材料研究现状
2.1 新型医用可降解钼合金的材料设计
作为工程用高温结构材料,钼合金的设计理念主要围绕极端服役环境下实现高强度、高蠕变性能、优异的高温抗氧化性能和热稳定性。典型的工业牌号如Mo-Ti-Zr-C (TZM)和Mo-Re合金,材料设计理念是通过固溶强化、弥散强化和稳定晶界等策略提升其高温下的力学性能和结构稳定性。然而,这些设计主要针对航空航天、高温热处理设备和核反应堆等应用场景,与可降解金属的设计理念有着本质差异,无法直接照搬作为可降解金属植入物使用。尽管如此,工程钼合金化策略仍为医用可降解钼合金设计提供了重要参考依据。
目前,传统工程应用领域中钼合金的设计主要分为三大类:第一类是通过在Mo中大量固溶W、Re等过渡金属形成的高固溶强化型合金;第二类是向Mo中添加微量Ti、Zr等元素,实现微量固溶强化并通过析出弥散分布的合金氧化物获得弥散强化型合金;第三类是向Mo中引入固溶度有限但在过饱和状态下可形成强化相的元素,如Si、B、Al等,通过第二相强化和固溶强化等方式提升合金的综合力学性能。对于第一类合金元素,由于它们与Mo同属过渡金属且原子半径接近,在Mo中具有较高甚至无限的固溶度。这种原子尺寸匹配使得其在大量固溶时不会引入显著的晶格畸变场,并提高O在Mo中的溶解极限,降低杂质引起的非本征脆性,从而在提升综合力学性能的同时,避免了脆韧转变温度的显著升高,甚至在某些情况下能够改善其低温韧性。对于第二类合金元素,其在Mo中的固溶度有限,经过固溶或后续热处理从基体中析出,通过晶界净化效应在晶内和晶界形成细小、弥散分布的氧化物颗粒,有效避免杂质在晶界偏聚,减少了合金沿晶断裂的趋势。这些氧化物颗粒不仅能够钉扎位错,又能成为再结晶形核位点,达到细晶强化的同时又降低了脆韧转变温度。对于第三类合金元素,其可利用第二类合金元素的晶界净化效应析出纳米相,提升室温韧性。同时,大量分布于晶内和晶界的纳米级金属间化合物不仅能够有效阻碍位错运动,还能在晶界处发挥显著的钉扎作用,从而抑制裂纹扩展并提升合金的综合力学性能。然而,对于可降解金属的设计,不仅需要在室温或人体体温下拥有优异的综合力学性能,还必须具备可控的降解行为和良好的生物相容性,这些要求是传统钼合金设计中尚未涉及的方面。
为了确保可降解金属植入物在预定时间内逐步降解并最终被机体完全吸收,使其降解周期与组织愈合周期相匹配,通过合金化设计调控钼合金的降解速率是一种有效策略。例如,心血管支架理想的降解速率为20 μm/a,而金属纯Mo的降解速率仅约为10 μm/a,其降解速率偏慢,此时合金化是调控医用钼合金降解速率的有效手段之一。通过引入电极电位比Mo更负的活泼元素,可在Mo基体中形成第二相,与基体构成微电偶,通过牺牲阳极的方式加速降解;或者将活泼元素固溶于Mo基体中,提高基体的整体腐蚀动力学速率,从而提升所设计的新型医用钼合金的降解速率。同样地,在某些需要适当减缓降解的场景,可以通过添加惰性较高的、有固溶度的金属元素,降低合金的整体腐蚀动力学速率,或通过对降解产物的可控钝化,在植入物表面形成稳定的保护膜,从而抑制侵蚀性离子的渗入,减缓界面腐蚀动力学过程。除合金元素的种类外,合金的显微组织也会影响其腐蚀行为,如弥散分布的小尺寸第二相既能加速降解,又不会引起严重的局部腐蚀,粗大的第二相则易造成明显的腐蚀微电偶,导致局部点蚀的进行,从而削弱材料的整体力学性能和服役可靠性。
在生物相容性方面,合金元素的选择必须确保所有腐蚀产物对机体无害,甚至能够协助机体恢复并可被安全吸收或排出。本文作者基于腐蚀科学和金属毒理学基础理论,对元素周期表中的所有金属元素进行了筛选,确定出可降解钼合金的候选合金化金属元素为:Ca、K、Na、Mg、Fe、Zn、Rb、Sr、Sn、Ba、Mn、Li、Cs、Y、Sc、RE和W;候选合金化非金属元素为:O、C、H、N、P、S、F、Si和Se (图4)[87]。在可降解钼合金的设计过程中,需要结合Mo-X二元相图考虑合金化的可能性,并在生物安全性与合金元素固溶度之间充分权衡,合理选择合金元素的种类和添加量。此外,还需精确设计钼合金的加工路径,尤其是在烧结、热处理或增材制造过程中,某些元素会因挥发、氧化等引发脱合金化,导致材料成分的偏析和力学性能失稳。
图4
图4
可降解钼合金的候选合金化元素
Fig.4
Alloying design of Mo-based biodegradable metals based on element selection
2.2 新型医用可降解钼基金属复合材料设计
与工程钼合金设计过程中合金元素固溶和析出的调控方式不同,工程用钼基金属复合材料是通过在粉体中直接加入超细、高熔点的硬质颗粒作为第二相强化。因此,Mo的合金化大多强调热处理过程中的成分和相变过程,而Mo的复合化则更专注于颗粒对晶界和位错的几何钉扎和多尺寸耦合效应。目前,通常通过添加弥散氧化物和碳化物来增强钼基金属复合材料的性能。常见的强化颗粒为稀土氧化物(如La2O3、Y2O3)、陶瓷氧化物(如Al2O3、ZrO2)和硬质碳化物(如TiC、ZrC)等。稀土氧化物颗粒的阳离子半径较大且表面能低,易在晶界形成低界面能区,能够显著提高界面电阻,并通过Zener钉扎机制抑制晶界迁移,促进晶粒细化;同时通过吸附颗粒周围的O、N等杂质,有效降低晶界脆性,进而提升材料的韧性。陶瓷氧化颗粒主要通过Orowan位错绕过机制阻碍位错运动来提高材料的强度,其中,ZrO2与Mo晶格的适配性较好,易形成半相干界面,并且在外力的作用下,其通过相变增韧机制(四方相→单斜相)能够有效吸收裂纹尖端的能量并阻碍其扩展;而高硬度、高热稳定性的Al2O3弥散分布于Mo基体中能够有效提高钼基复合材料的耐磨性和高温力学性能。硬质碳化物颗粒能够与Mo晶格良好匹配,其通常与Mo基体形成稳定相干或半相干的界面,与陶瓷氧化颗粒类似,这些颗粒通过Orowan位错绕过机制增加合金的屈服强度。总体而言,颗粒相通过弥散强化机制,能够显著提高钼材料的高温力学性能和再结晶温度,增加抗氧化和耐腐蚀能力,并改善其在室温下的脆性和可加工性。
对于未来用于人体的钼基可降解金属复合材料,不仅需要关注硬质颗粒在室温/体温温度下力学性能的贡献,还需要综合考虑颗粒的物理化学特性,并系统研究材料的降解行为、体外生物相容性和体内代谢途径。正如前文所述,第二相的种类、尺寸和分布状态对金属的腐蚀行为具有显著影响。在可降解金属的设计过程中,在确保力学性能的条件下,更倾向于通过引入弥散且细小的第二相来实现植入物更加均匀可控的降解,以避免大尺寸颗粒导致的局部腐蚀问题。关于微纳颗粒的体外生物相容性和体内降解途径,尽管在目前的可降解金属领域内研究仍然有限,但在药物递送、分子影像和组织工程及再生医学等生物医学领域已得到广泛研究。相关结果表明:尺寸小于5 nm的纳米颗粒在体内循环后通常能够通过肾脏滤过并随尿液排出,而尺寸大于5 nm的非可降解纳米颗粒则难以通过肾脏清除,易在肝、脾等器官中累积,可能带来潜在的生物安全性风险。在钼基复合材料的制备过程中,借助工艺优化(如冻干技术和低温烧结)可实现超细纳米颗粒(< 50 nm)的均匀、弥散分布。然而,这些超细颗粒在可降解钼基复合材料中的体内安全性和长期代谢行为存在不确定性,仍需系统研究和验证。
因此,在钼基可降解金属复合材料的设计过程中,引入生物安全的可降解颗粒(图5[88])作为增强相或将成为未来值得关注的重要研究方向,有望在提升力学性能的同时实现更安全可控的降解行为。推荐的可降解颗粒包括:生物活性陶瓷(如羟基磷灰石(HA)和β-磷酸三钙(β-TCP))、可降解且生物相容的金属氧化物(如MgO、SrO和ZnO等)。尽管可降解颗粒的硬度比传统颗粒低,但通过工艺优化可使这类颗粒在Mo基体内均匀、弥散分布,仍能有效细化晶粒,并在一定程度上阻碍位错运动,进而提高所设计的钼基金属复合材料的力学性能。值得注意的是,对于熔点低于2000 ℃的可降解颗粒,在其作为硬质相混入Mo粉中后,应优化烧结及热加工工艺,避免颗粒在高温下熔融或分解对钼基金属复合材料的性能造成不利影响。
图5
图5
常见生物安全的可降解颗粒的熔点-硬度关系图[88]
Fig.5
Melting point-Moh's hardness diagram of common bio-safe biodegradable particles (HA—hydroxyapatite,
2.3 含Mo元素的无机非金属生物材料的研究现状
图6
图6
含Mo生物材料应用于骨科器械的实验结果:实物照片和Micro-CT分析显示7.5Mo-BGC (生物活性玻璃陶瓷)支架在第12周相较于空白组和BGC组具有更优的骨软骨修复效果[89];第12周的番红O染色结果显示7.5Mo-BGC组形成了更多透明软骨样组织[89];Micro-CT及三维重建证实在第1和第8周支架的保留、新骨形成及新骨向Mo支架内的长入[90];组织学染色显示新形成的骨-牙周膜-牙骨质复合体[91];免疫荧光结果提示在再生牙周膜内有成纤维连接蛋白骨膜蛋白的表达[92];组织学测量分析显示牙周再生相关参数得到改善[91];免疫荧光进一步显示在骨-牙周膜及牙周膜-牙根界面处存在神经标志物(CGRP、TRPV、TRPM8)的表达[91];RAW 264.7细胞在Mmp9抑制剂(Ilomastat)处理下的免疫荧光图像[92];及巨噬细胞对可降解钼植入物降解产物炎症反应的示意图[92]
Fig.6
Experiment results on the application of molybdenum-containing biomaterials in orthopedic devices
(a) digital photographs and micro-CT analyses demonstrated superior osteochondral repair with 7.5Mo-BGC scaffolds versus blank and BGC groups at 12 weeks[89] (BGC—bioactive glass ceramic)
(b) safranin O staining at week 12 revealed increased hyaline cartilage-like tissue in the 7.5Mo-BGC group[89]
(c, d) micro-CT and 3D reconstructions confirmed scaffold retention, new bone formation, and bone ingrowth into Mo-scaffolds at 1 (c) and 8 (d) weeks[90] (BG-scaffold—bioactive glass ceramic scaffold without molybdenum. Green arrows in Fig.6d show the newly formed bones)
(e) histological staining demonstrated newly formed bone-periodontal ligament-cementum complexes[91] (BRH—bone regeneration height, CRH—cementum regeneration height, PD—probing depth, GR—gingival recession, AL—attachment loss, DH—distance from the cementoenamel junction to bottom of defect)
(f) immunofluorescence indicated periostin expression across regenerated periodontium[91]
(g) histometric analyses revealed enhanced periodontal regeneration parameters[91]
(h) immunofluorescence further showed expression of neuronal markers (CGRP, TRPV, and TRPM8) at bone-ligament and ligament-root interfaces[91]
(i) immunofluorescence images of RAW 264.7 cells treated with Mmp9 inhibitor (Ilomastat)[92] (R-Mo—rolled molybdenum, DAPI—4',6-diamidino-2-phenylindole, Mmp9—matrix metalloproteinase 9)
(j) schematic of macrophage-related inflammatory responses to degradation products of biodegradable molybdenum implants[92]
Tian等[90]通过3D打印技术制备了具有实心支柱结构的含Mo生物活性玻璃陶瓷支架(Mo-scaffold),并在体外和体内评估了其调控促成骨和抗破骨细胞反应的能力(图6c和d[90])。结果表明,钼支架提取物(Mo-extracts)能显著促进骨髓间充质干细胞的成骨分化,同时抑制破骨祖细胞的分化。这种协同调控效应源于提取物中的钼离子,其通过清除ROS和抑制破骨细胞线粒体生物发生来抑制破骨分化。与体外实验结果一致,钼支架在整个骨愈合过程中显著促进成骨细胞介导的骨形成并抑制破骨细胞介导的骨吸收,从而增强骨再生效果。这些发现表明,钼离子是一种多功能细胞调节剂,在生物材料设计和骨组织工程中具有潜在的应用价值。
3 研发高强度钼基可降解金属材料的科学意义和挑战
可降解金属研究领域的发展趋势呈现出三个方面的特征。(1) 材料力学性能逐渐被提升,以期拓展可降解金属在承力部位的临床适应症范畴;从早期的纯Mg、纯Fe、纯Zn,逐渐通过合金化设计手段,优化合金化元素成分配比,发展出力学性能更高的可降解金属材料。钼基可降解金属材料有望达到不可降解的CoCr合金的力学水平(图7a[87,93~95]),将是非常有意义的研究工作。(2) 制造方法从熔炼制备块体材料向粉体的3D打印先进制造发展;从3D打印的镁合金到3D打印的锌合金,先解决粉体制造的瓶颈问题,再到优化其粉末床激光熔融打印技术方法,最终获得几何结构、表面结构和生物性能优化的个性化可降解金属植入物。Mo本身就是难加工金属,增材制造等先进材料制备方法无疑将使钼基可降解金属材料的研发如虎添翼。(3) 从追求简单的可被体液降解且生物相容性合格,到精准调控材料降解行为并赋予材料优异的生物活性、促进成骨、抗菌、抗肿瘤等生物功能。探索Mo及其合金化元素的离子协同释放机制,进而赋予材料更多样的生物学功能,也是一个崭新的研究选题。
图7
图7
纯Mo及钼基合金、其他可降解金属及其合金及CoCr合金体系的力学性能总结图[87,93~95];钼基可降解金属材料的潜在医学应用预测
Fig.7
Summaries of the mechanical properties of pure Mo and Mo-based alloy, other biodegradable metal and alloy, and CoCr alloy systems[87,93-95] (a) and prospective medical applications of Mo-based biodegradable metals (GBR—guided bone regeneration) (b)
钼基可降解金属材料在生物医学领域的系统研究尚处于起步阶段,仍面临一系列尚未完全厘清的关键科学问题。(1) 钼基金属在体内的降解速率及其调控机制仍缺乏统一认识。合金成分、显微组织特征(如晶粒尺寸、第二相形态和分布)、表面状态以及局部生理环境(包括血流剪切力、氧化还原条件和炎症反应)均会对其腐蚀行为产生显著影响,但这些因素之间的耦合关系及其在不同服役阶段的主导作用仍不明确,从而限制了对降解动力学的精准设计和预测。(2) 长期生物安全性评估仍是钼基植入物发展的核心瓶颈之一。尽管现有的短期体外实验和小动物研究普遍显示出良好的生物相容性,但在神经血管等高风险应用场景中,复杂血流动力学条件、持续的机械刺激以及慢性炎症微环境可能显著放大材料-组织相互作用的不确定性。目前仍缺乏基于大动物模型的长期植入研究,用以系统评估钼基支架及新型神经介入器械在真实病理条件下对血管重塑、内皮功能、血栓形成风险及远期安全性的综合影响。(3) 钼基可降解金属材料体内腐蚀产物的代谢路径及其长期归宿尚不清晰。虽然Mo作为人体必需的微量元素,在合理剂量范围内具有较高的生理耐受性,但植入物持续降解所释放的钼离子及可能形成的微纳尺度腐蚀产物,其在局部组织和全身器官中的分布特征、清除途径以及潜在的累积风险仍缺乏系统研究。特别是在长期植入条件下,其是否可能干扰机体微量元素稳态、诱发代谢失衡或慢性毒理效应,亟需通过体内分布学、代谢组学与毒理学相结合的长期研究加以阐明(图7b)。
4 结语和展望
4.1 结语
Mo作为人体必需的微量元素,凭借其优异的力学性能、均匀降解行为以及良好的生物相容性,已成为下一代可降解金属医疗器械(尤其是心脑血管支架和生物电子器件)极具竞争力的候选材料。尽管钼在工业领域应用成熟,但其作为生物医用材料的研究仍处于起步阶段。目前的研究主要聚焦于纯Mo的降解行为和生物学功能,并初步探索了其在心血管介入、神经介入及暂态电子学器件等领域的应用潜力。
尽管前景广阔,钼基可降解金属的临床转化仍受制于三大未厘清的科学难题。首先是降解调控机制缺乏进一步深入认识,合金成分、加工工艺、微观组织特征(如晶粒、第二相)与复杂体内微环境(血流剪切力、体液成分、pH值)之间的耦合关系尚不明确,导致无法对降解动力学进行精准预测和设计。其次是长期生物安全性评估缺失,现有数据多局限于短期小动物模型,缺乏在大动物模型中关于长期植入后的血管重塑、内皮功能影响及血栓形成风险的系统评估,特别是神经血管等高风险应用场景下的远期安全性尚待验证。最后是增材制造的塑性瓶颈,现有的激光粉末床熔融(L-PBF)技术在制备纯Mo薄壁件时,易产生粗大的柱状晶和织构,导致材料室温塑性差、脆性大,难以满足血管支架等器械对径向支撑力和顺应性的严苛要求。
4.2 展望
基于高强度钼基可降解金属材料研发存在的挑战,未来医用钼基可降解金属材料的研究亟需在材料设计理念、结构调控策略和制造路径等多个层面实现系统性突破。
4.2.1 新型可降解钼合金的协同设计与精准适配机制
在合金设计方面,应从传统工程钼合金以高温服役性能为核心的设计范式,转向以人体服役环境为约束条件的生物功能导向合金设计。这要求在合金成分选择时需同步考虑元素的电化学行为、固溶和析出特征以及生物安全性,通过调控固溶强化、第二相类型和尺寸分布,在提升室温力学性能的同时,实现对降解速率和降解均匀性的精细调控,并避免局部腐蚀和力学失稳。在钼基可降解金属复合材料方面,未来研究的重点将从单纯追求力学强化,转向“力学性能-降解行为-体内代谢安全性”的协同设计。通过引入生物安全、可降解或可被机体代谢的第二相颗粒,并对其尺寸、形貌及界面结构进行精细控制,有望在实现弥散强化和晶粒细化的同时,避免不可降解颗粒在体内长期滞留所带来的潜在风险,从而推动钼基复合材料向更加安全、可控的降解模式演进。
我们认为未来材料研究的方向将是:基于可降解金属“生物降解性+生物安全性”双判据所推断出的候选元素,结合Mo-X二元相图数据,以Mo为基体,通过添加合金化候选元素(包括具有生物学功能的Ag、Cu、Fe、Mn、Ba、Si等元素,及以La为代表的稀土元素),利用机器学习模型并辅以人工智能对合金成分进行优选,理论计算和实验验证双管齐下,采用冻干干燥制粉等工艺制备小粒径分布范围、高球形度的优质粉体,利用两步热压烧结粉末冶金等先进制造技术,优化其冷热加工和热处理工艺,制备出新型生物医用可降解钼合金材料,进而对其力学性能、降解行为和生物学功能进行调控。利用动物实验揭示钼基可降解金属材料在各类体内微环境下与机体之间的力学、化学、生物学精准适配机制,实现针对具体植入部位的“可控降解”,建立起最佳医用钼合金成分和加工工艺与其体内降解行为之间的对应关系,使得可降解钼合金的降解行为在时间、空间、生物功能上与颅内血管修复重建完美匹配,为研发新型医用可降解金属材料及其降解调控方法提供新思路,丰富可降解金属的相关基础理论。
4.2.2 发展适合医用钼基可降解金属材料的增材制造方法
现有研究在可降解钼材料的增材制造方面已取得一定突破,例如通过L-PBF技术制造出无裂纹的纯Mo薄壁管,其生物相容性优于目前常见的可降解金属,并成功应用于血管外支架的动物模型。然而,这些器械的力学性能距市面上医疗器械仍有较大差距,例如无论是用于动脉支架还是脑动脉密网支架,此类植入物都需要具备一定的径向顺应性、轴向延伸性和抗疲劳性能,以适应植入前后的压缩和释放及血管在搏动和生理形变中的动态环境。然而,目前增材制造纯Mo薄壁管的塑性远远达不到要求。这主要是由于在大多数增材制造成型技术中(尤其是L-PBF),高能量源和极大的温度梯度会驱动熔池快速凝固,导致熔道内形成大尺寸的柱状晶并呈现择优取向,且由于Mo的本征脆性,使其延伸率进一步降低,在室温及体温下呈现脆性断裂行为。其次,目前对纯Mo的增材制造研究仍集中于块体样品的成型工艺和基础力学性能的探索,对于满足临床应用所需的小尺寸、高精度、复杂几何结构的系统性研究明显不足,尤其是增材制造技术在钼基可降解植入物的个性化定制方面的优势未能体现。这些高度复杂的结构不仅需要极高的尺寸精度和表面质量,还需要在一次成形中实现力学性能、腐蚀行为与生物相容性的协同优化。因此,亟需构建贯穿原料、成形到后续组织调控的系统化增材制造策略,以实现钼基可降解金属材料在组织均匀性、力学可靠性和降解可控性上的协同优化,满足植入物安全服役的需求。此外,增材制造技术为钼基可降解金属在复杂结构植入物和个性化医疗器械中的应用提供了重要契机,但其在塑性、组织均匀性及性能协同方面仍存在显著挑战。未来亟需构建贯穿粉体设计、成形参数调控与后续热-组织调制的系统化增材制造策略,通过合金化与复合化协同调控,抑制柱状晶生长和强织构形成,从而在一次成形过程中实现复杂几何结构、高尺寸精度、力学可靠性与降解可控性的统一,满足神经血管等高风险应用场景对植入物安全服役的严格要求。
4.2.3 优先考虑小尺寸、低重量的植介入器械应用,保障生物安全性
美国MiRus公司研发了Mo-Re合金MoRe®颈椎前路、腰椎外侧钉板系统,其椎弓根螺钉系统及椎间融合器已获得美国食品药品监督管理局(FDA)的510(k)认证,但该Mo-Re合金为不可降解的高腐蚀抗力医用金属。我们认为医用钼基可降解金属材料的临床应用更适合应用于血管内植入物领域,而不适合应用于骨科植入物领域。原因在于:如果将可降解钼合金用于骨科植入物产品,即使一颗小的骨钉(例如,国际骨折内固定研究学会(AO)骨钉材质多为钛合金或不锈钢等,密度分别为4.5和7.87 g/cm3,Mo的密度为10.28 g/cm3),且形状不规则。以常见正畸用的小型AO骨钉为例,长度7~9 mm、直径1.5 mm,单颗重量可能在零点几克到1 g左右;而用于四肢骨折固定的较大骨钉,如股骨钉等,重量可能在几克到几十克不等),如果用Mo及其合金制造,其重量将高于钛合金或不锈钢同类骨钉,这意味着该骨钉完全降解后引入到人体的Mo元素总量(介于零点几克到几十克)将是Mo元素在人体中的总含量(9 mg)的数百倍甚至数千倍,生物安全性堪忧。如果将可降解钼合金用于血管支架产品,以临床广泛使用的Apollo颅内支架的最大尺寸为例(支架直径:4 mm;支架长度:23 mm;丝材数量:48根;丝材直径:0.05 mm),采用直径为50 μm的纯Mo金属丝材编织出48股丝的Mo金属颅内支架,预估支架重量为35.7 mg (该支架完全降解引入到人体的总量将是元素Mo在人体中的总含量(9 mg)的4倍),考虑整个支架在6~12个月内逐渐降解至100%,可测算出钼离子释放量为0.1~0.2 mg/d (符合Mo摄入量0.15~0.50 mg/d),因此生物安全性的担忧比骨科产品要小得多。
总之,有理由相信,医用钼基可降解金属材料有望率先在神经修复、血管组织修复、腔道修复、普外科、生物电子器件等小尺寸、低重量的植介入器械领域开展临床应用前的评价和临床应用研究,在获得应用后可以进一步拓展到骨修复和口腔修复等大尺寸、高重量的植介入器械。
参考文献
Molybdenum metallurgy review: Hydrometallurgical routes to recovery of molybdenum from ores and mineral raw materials
[J].
Molybdenum
[J].Molybdenum, a trace element essential for micro-organisms, plants, and animals, was discovered in 1778 by a Swedish chemist named Karl Scheele. Initially mistaken for lead, molybdenum was named after the Greek work molybdos, meaning lead-like. In the 1930s, it was recognized that ingestion of forage with high amounts of molybdenum by cattle caused a debilitating condition. In the 1950s, the essentiality of molybdenum was established with the discovery of the first molybdenum-containing enzymes. In humans, only 4 enzymes requiring molybdenum have been identified to date: sulfite oxidase, xanthine oxidase, aldehyde oxidase, and mitochondrial amidoxime-reducing component (mARC). Sulfite oxidase, an enzyme found in mitochondria, catalyzes oxidation of sulfite to sulfate, the final step in oxidation of sulfur amino acids (cysteine and methionine). Xanthine oxidase converts hypoxanthine to xanthine, and further converts xanthine to uric acid, preventing hypoxanthine, formed from spontaneous deamination of adenine, from leading to DNA mutations if paired with cytosine in place of thymine. Aldehyde oxidase is abundant in the liver and is an important enzyme in phase 1 drug metabolism. Finally, mARC, discovered less than a decade ago, works in concert with cytochrome b5 type B and NAD(H) cytochrome b5 reductase to reduce a variety of N-hydroxylated substrates, although the physiologic significance is still unclear. In the case of each of the molybdenum enzymes, activity is catalyzed via a tricyclic cofactor composed of a pterin, a dithiolene, and a pyran ring, called molybdenum cofactor (MoCo) (1).
Editorial: Industrial relevance of molybdenum in China
[J].About 80% of all molybdenum mined in the world (not including units recovered via recycling) is used as an alloying element in iron and steel. In general, the intensity of molybdenum use in China is still lower than in more highly developed regions such as the USA and Europe. This difference is manifest in both carbon steels and stainless steels, suggesting a significant opportunity for more widespread use of molybdenum in the future as China follows its self-reliance policy, calling for more sophisticated materials. Active market development, as being pursued by the International Molybdenum Association (IMOA), is a key asset in that respect. This article summarizes some key facts on molybdenum mining, use and market development in China.
The powder metallurgy processing of refractory metals and alloys
[J].
Kinetic analysis of reduction of MoO3 to MoO2
[J].
Production of spherical Mo and Mo-Si powders by spray drying of Si suspension in a water-soluble Mo precursor
[J].
Effect of die compaction pressure on densification behavior of molybdenum powders
[J].
Efficient sintering of Mo matrix composites—A study of temperature dependences and the use of the sinter additive Ni
[J].
Deoxidation of molybdenum during vacuum sintering
[J].
Effect of hot isostatic pressing on porosity of wire-arc directed energy deposited TZM/NbZr1 bimetallic structure
[J].
Fundamental aspects of hot isostatic pressing: An overview
[J].
Full densification of molybdenum powders using spark plasma sintering
[J].
Microstructure evolution and process optimization of molybdenum rods during loose tooling forging
[J].
Orientation dependent recovery and recrystallization behavior of hot-rolled molybdenum
[J].
Additive manufacturing of biodegradable molybdenum—From powder to vascular stent
[J].
Laser melting modes in metal powder bed fusion additive manufacturing
[J].
Densification and crack suppression in selective laser melting of pure molybdenum
[J].
Laser powder bed fusion additive manufacturing of molybdenum using a nitrogen build atmosphere
[J].
Laser powder bed fusion of molybdenum: Density, structure and mechanical properties at room and elevated temperatures
[J].
Pure molybdenum manufactured by laser powder bed fusion: Thermal and mechanical characterization at room and high temperature
[J].
The microstructure and cracking behaviors of pure molybdenum fabricated by selective laser melting
[J].Selective laser melting (SLM) of pure molybdenum encounters all the difficulties of SLM metals due to its intrinsic properties (high melting point, high ductile-to-brittle transition temperature and high surface tension). In this work, we studied the influence of key factors such as powder morphology and processing parameters on SLM fabricated pure molybdenum. Pure molybdenum with a relative density of 99.1% was fabricated by SLM using optimized processing parameters. The formation mechanisms for densification behavior and crack growth behaviors are systematically analyzed. Electron backscattered diffraction analysis indicates that the interlocking grain boundary structure and stretch columnar grains can increase bonding force and inhibit crack growth. The balling and cracking can be reduced by adding support structure and suppressing oxygen content. The hardness of SLM-fabricated molybdenum exceeding 260 HV, which is 30–37% higher than Mo prepared by conventional manufacturing methods, mainly attributed to the fine grains and dislocation strengthening in the SLM process. The bending strength of SLM-ed Mo reached 280 ± 52 Mpa. The fracture mode of SLM Mo was intergranular. This study provides a new route for the fabrication of refractory metals with a complex structure.
Actual state-of-the-art of electron beam powder bed fusion
[J].
Current status and challenges of powder bed fusion-based metal additive manufacturing: Literature review
[J].Powder bed fusion (PBF) is recognized as one of the most common additive manufacturing technologies because of its attractive capability of fabricating complex geometries using many possible materials. However, the quality and reliability of parts produced by this technology are observed to be crucial aspects. In addition, the challenges of PBF-produced parts are hot issues among stakeholders because parts are still insufficient to meet the strict requirements of high-tech industries. This paper discusses the present state of the art in PBF and technological challenges, with a focus on selective laser melting (SLM). The review work focuses mainly on articles that emphasize the status and challenges of PBF metal-based AM, and the study is primarily limited to open-access sources, with special attention given to the process parameters and flaws as a determining factor for printed part quality and reliability. Moreover, the common defects due to an unstrained process parameter of SLM and those needed to monitor and sustain the quality and reliability of components are encompassed. From this review work, it has been observed that there are several factors, such as laser parameters, powder characteristics, material properties of powder and the printing chamber environments, that affect the SLM printing process and the mechanical properties of printed parts. It is also concluded that the SLM process is not only expensive and slow compared with conventional manufacturing processes, but it also suffers from key drawbacks, such as its reliability and quality in terms of dimensional accuracy, mechanical strength and surface roughness.
A new approach of preheating and powder sintering in electron beam powder bed fusion
[J].Preheating is an essential process step in electron beam powder bed fusion. It has the purpose of establishing a sintered powder bed and maintaining an elevated temperature. The sintered powder bed reduces the risk of smoke and in combination with the elevated temperature improves the processability. Today, the line-ordering preheating scheme is widely used. This scheme does not take the previously built layers into account and results in an inhomogeneous elevated temperature and consequently in a variety of sinter degrees, which is disadvantageous for the process. The main challenge is now to modify this scheme to establish a homogeneous temperature distribution. This study addresses this challenge and analyses as well as optimises this scheme. A GPU-parallelised thermal model reveals a heterogeneous temperature distribution during preheating because of varying thermal conditions within a build job. In addition, a work-of-sintering model predicts that the sinter degree of the current powder layer on top of previously consolidated material is smaller than on top of the surrounding powder bed. This work aims to invert this trend to improve powder re-usage and material consolidation. Consequently, this work proposes an extension of the current scheme, compensating for the specific energy loss with local adjustments to the energy input. This adaption results in a uniform temperature distribution and advantageous sintering. Applying the proposed numerical model proves to be an effective method to analyse the evolving process conditions and tailor the local energy input, thereby improving the efficiency of the preheating step.
Crystallographic texture evolution in electron beam melting additive manufacturing of pure molybdenum
[J].
Understanding the processability, microstructure, and mechanical properties of molybdenum processed by electron beam powder bed fusion
[J].
Multiscale modeling of plastic deformation of molybdenum and tungsten: I. Atomistic studies of the core structure and glide of 1/2<111> screw dislocations at 0 K
[J].
Multiscale modeling of plastic deformation of molybdenum and tungsten. III. Effects of temperature and plastic strain rate
[J].
Non-glide effects and dislocation core fields in BCC metals
[J].A hallmark of low-temperature plasticity in body-centered cubic (BCC) metals is its departure from Schmid’s law. One aspect is that non-glide stresses, which do not produce any driving force on the dislocations, may affect the yield stress. We show here that this effect is due to a variation of the relaxation volume of the $$1/2\\langle 111\\rangle$$1∕2⟨111⟩ screw dislocations during glide. We predict quantitatively non-glide effects by modeling the dislocation core as an Eshelby inclusion, which couples elastically to the applied stress. This model explains the physical origin of the generalized yield criterion classically used to include non-Schmid effects in constitutive models of BCC plasticity. We use first-principles calculations to properly account for dislocation cores and use tungsten as a reference BCC metal. However, the methodology developed here applies to other BCC metals, other energy models and other solids showing non-glide effects.
First-principles study of oxygen segregation and its effect on the embrittlement of molybdenum symmetrical tilt grain boundaries
[J].
Evaluation of oxide dispersion strengthened (ODS) molybdenum and molybdenum-rhenium alloys
[J].
The influence of porosity on fatigue crack initiation in additively manufactured titanium components
[J].Without post-manufacture HIPing the fatigue life of electron beam melting (EBM) additively manufactured parts is currently dominated by the presence of porosity, exhibiting large amounts of scatter. Here we have shown that the size and location of these defects is crucial in determining the fatigue life of EBM Ti-6Al-4V samples. X-ray computed tomography has been used to characterise all the pores in fatigue samples prior to testing and to follow the initiation and growth of fatigue cracks. This shows that the initiation stage comprises a large fraction of life (>70%). In these samples the initiating defect was often some way from being the largest (merely within the top 35% of large defects). Using various ranking strategies including a range of parameters, we found that when the proximity to the surface and the pore aspect ratio were included the actual initiating defect was within the top 3% of defects ranked most harmful. This lays the basis for considering how the deposition parameters can be optimised to ensure that the distribution of pores is tailored to the distribution of applied stresses in additively manufactured parts to maximise the fatigue life for a given loading cycle.
The role of stress state on the fracture toughness and toughening mechanisms of wrought molybdenum and molybdenum alloys
[J].
Insight into the biodegradation behavior of pure molybdenum under simulated inflammatory condition
[J].
In vitro corrosion and biocompatibility of additively manufactured biodegradable molybdenum
[J].Recently, molybdenum (Mo) has been recognized a promising biodegradable metal, however, it is difficult to be processed through traditional deformation or machining due to its high strength & hardness. Additive manufacturing is a good way to get rid of this dilemma. Here, Mo components were directly fabricated with fine Mo powder through selective laser melting (SLM). Microstructure, in-vitro corrosion behaviors and biocompatibility of the as-obtained Mo were thoroughly investigated. Compared to Mo fabricated through rotary swaging (RS), ineluctable hot cracks were found in SLMed bulk Mo, and those defects accelerated the initial ion release rate (1.31 μg·mL·d during the first week, one order of magnitude higher than that of RSed Mo). The unique SLMed microstructure resulted in different surface chemical components, constituent phases and corrosion layer structures, thus leading to a different corrosion mode and corrosion evolution along with time. SLMed Mo exhibited good hemocompatibility, and mouse/rat-derived mesenchymal stem cells have certain tolerance to soluble Mo in the sample extracts. However, the deteriorative surface condition on SLMed Mo impaired its biocompatibility to directly attached cells. Cells could adhere onto SLMed Mo, however their proliferation and spreading were impaired along with further corrosion. Additive manufacturing is a powerful tool to fabricate Mo based structural parts, however, the issue of microstructural defects should be well resolved. Close attention should be paid to the hot-cracks and accompanied fast & non-uniform corrosion. STATEMENT OF SIGNIFICANCE: Additive manufacturing is a good way to fabricate implants based on refractory and un-processable biodegradable metals. Here, Mo components were directly fabricated with Mo powder through selective laser melting (SLM). Microstructure, in-vitro corrosion behaviors and biocompatibility of the as-obtained Mo were thoroughly investigated. Compared to Mo fabricated through traditional rotary swaging (RS), the unique SLMed microstructure resulted in different corrosion mode and corrosion evolution along with time. Localized corrosion appeared at the micro-cracks in SLMed samples, thus leading to a 10-fold ion release at week 1. Cells could adhere onto SLMed Mo, however their proliferation and spreading were impaired along with further corrosion. Close attention should be paid to the hot-cracks and accompanied fast & non-uniform corrosion.Copyright © 2024. Published by Elsevier Ltd.
Dissolvable metals for transient electronics
[J].
Valence-band and core photoelectron spectroscopic studies of molybdenum aqueous oxidation and the influence of argon-ion etching
[J]. J.
Oxidation states of molybdenum in oxide films formed in sulphuric acid and sodium hydroxide
[J].
Mechanism of anodic oxidation of molybdenum in nearly-neutral electrolytes studied by electrochemical impedance spectroscopy and X-ray photoelectron spectroscopy
[J].
Molybdenum intake influences molybdenum kinetics in men
[J].The objectives of this study were to determine physiologic adaptations that occur when humans are exposed to a wide range of molybdenum intake levels and to identify the pathways that are influenced by dietary intake. Four males consumed each of 5 daily molybdenum intakes of 22, 72, 121, 467, and 1490 microg/d (0.23, 0.75, 1.3, 4.9, and 15.5 micromol/d) for 24 d each. During each treatment period, oral and intravenous doses of (100)Mo and (97)Mo were administered. Serial plasma, urine, and fecal samples were analyzed for labeled and unlabeled molybdenum. Compartmental modeling was used to determine rates of distribution and elimination at each dietary intake level. Three pathways were sensitive to daily molybdenum intake. With increasing intake, absorption and urinary molybdenum excretion increased, whereas the fraction deposited in tissues decreased. Kinetic analysis suggested a daily intake of 115-120 microg/d (1.20-1.25 micromol/d) would maintain initial plasma molybdenum levels at their prestudy values and that their prestudy dietary intake was well above the Recommended Dietary Allowance of 45 microg/d. The physiological adaptations to changing intake that the model demonstrated may help prevent molybdenum deficiency and toxicity.
Molybdenum nutriture in humans
[J].
Treatment of Wilson’s disease with tetrathiomolybdate: V. Control of free copper by tetrathiomolybdate and a comparison with trientine
[J].
Structure and function of xanthine oxidoreductase: Where are we now?
[J].
Xanthine oxidoreductase: A leading actor in cardiovascular disease drama
[J].
The role of xanthine oxidoreductase and uric acid in metabolic syndrome
[J].
Biochemistry of molybdopterin nitrate/nitrite reductases
[A].
Structure and function of mammalian aldehyde oxidases
[J].Mammalian aldehyde oxidases (AOXs; EC1.2.3.1) are a group of conserved proteins belonging to the family of molybdo-flavoenzymes along with the structurally related xanthine dehydrogenase enzyme. AOXs are characterized by broad substrate specificity, oxidizing not only aromatic and aliphatic aldehydes into the corresponding carboxylic acids, but also hydroxylating a series of heteroaromatic rings. The number of AOX isoenzymes expressed in different vertebrate species is variable. The two extremes are represented by humans, which express a single enzyme (AOX1) in many organs and mice or rats which are characterized by tissue-specific expression of four isoforms (AOX1, AOX2, AOX3, and AOX4). In vertebrates each AOX isoenzyme is the product of a distinct gene consisting of 35 highly conserved exons. The extant species-specific complement of AOX isoenzymes is the result of a complex evolutionary process consisting of a first phase characterized by a series of asynchronous gene duplications and a second phase where the pseudogenization and gene deletion events prevail. In the last few years remarkable advances in the elucidation of the structural characteristics and the catalytic mechanisms of mammalian AOXs have been made thanks to the successful crystallization of human AOX1 and mouse AOX3. Much less is known about the physiological function and physiological substrates of human AOX1 and other mammalian AOX isoenzymes, although the importance of these proteins in xenobiotic metabolism is fairly well established and their relevance in drug development is increasing. This review article provides an overview and a discussion of the current knowledge on mammalian AOX.
Nuclear factor erythroid 2-related factor 2 (Nrf2) regulates airway epithelial barrier integrity
[J].
The role of aldehyde oxidase in ethanol-induced hepatic lipid peroxidation in the rat
[J].Hepatic lipid peroxidation has been implicated in the pathogenesis of alcohol-induced liver injury, but the mechanism(s) by which ethanol metabolism or resultant free radicals initiate lipid peroxidation is not fully defined. The role of the molybdenum-containing enzymes aldehyde oxidase and xanthine oxidase in the generation of such free radicals was investigated by measuring alkane production (lipoperoxidation products) in isolated rat hepatocytes during ethanol metabolism. Inhibition of aldehyde oxidase and xanthine oxidase (by feeding tungstate at 100 mg/day per kg) decreased alkane production (80-95%), whereas allopurinol (20 mg/kg by mouth), a marked inhibitor of xanthine oxidase, inhibited alkane production by only 35-50%. Addition of acetaldehyde (0-100 microM) (in the presence of 50 microM-4-methylpyrazole) increased alkane production in a dose-dependent manner (Km of aldehyde oxidase for acetaldehyde 1 mM); menadione, an inhibitor of aldehyde oxidase, virtually inhibited alkane production. Desferrioxamine (5-10 microM) completely abolished alkane production induced by both ethanol and acetaldehyde, indicating the importance of catalytic iron. Thus free radicals generated during the metabolism of acetaldehyde by aldehyde oxidase may be a fundamental mechanism in the initiation of alcohol-induced liver injury.
New studies on the in vitro genotoxicity of sodium molybdate and their impact on the overall assessment of the genotoxicity of molybdenum substances
[J].
Molybdenum
[J].
Assessment of molybdenum toxicity in humans
[J].In an attempt to define a tolerable daily intake (TDI) for molybdenum based on a toxicological risk analysis approach, a large literature survey was conducted. In man, absorption of molybdenum after oral intake is in the range of 28-77% and urinary excretion is 17-80% of the total dose. A low order of toxicity of molybdenum compounds has been observed in humans. However, with the available data, it is not possible to calculate any dose-response or dose-effect relationships. Because molybdenum toxicity is associated with copper intake or depleted copper stores in the body, humans who have an inadequate intake of dietary copper or some dysfunction in their copper metabolism that makes them copper-deficient could be at greater risk of molybdenum toxicity. In the absence of relevant human studies, animal studies were evaluated for the derivation of the TDI. Effects of Mo on reproduction and foetal development were found to be critical effects observed in rats and mice. A dose-response relationship was observed in a study by Fungwe et al., with a 'no observed adverse effect' level (NOAEL) and a 'lowest observed adverse effect' level (LOAEL) of 0.9 and 1.6 mg Mo kg(-1) day(-1), respectively. Applying uncertainty factors of 10 for intraspecies and 10 for interspecies differences to the NOAEL, a TDI of 0.009 mg Mo kg(-1) day(-1) was calculated. The TDI is given a medium confidence rating. This TDI is more than double the upper limit of adequate intake for adolescents and adults that was derived from the Mo content of the average diet in the USA.
90-day subchronic toxicity study of sodium molybdate dihydrate in rats
[J].
Biochemical studies on molybdenum toxicity in rats: Effects of high protein feeding
[J].Chronic oral administration of ammonium molybdate in rats markedly retarded the growth rate of rats and high protein diet could partially reverse this condition. The activities of several enzymes viz. acid phosphatase, alkaline phosphatase, glucose-6-phosphatase, succinic dehydrogenase, glutamate oxaloacetate transaminase, inorganic pyrophosphatase and acetylcholinesterase in different tissues and serum levels of luteinizing hormone, follicle stimulating hormone, prolactin and cortisol are altered due to the toxicity conditions and high protein diet fed group of animals showed almost normal values in respect of a few of these parameters. Normal histological pattern of both liver and kidney tissues were altered under molybdenum toxicity condition. Significant increase of basophilic substances are observed in the cytoplasm of the liver cells of the toxic group of animals which is counteracted by feeding high protein diet.
Mild renal failure induced by subchronic exposure to molybdenum: urinary kallikrein excretion as a marker of distal tubular effect
[J].In this study we investigated the effect of two molybdenum (Mo) doses (40 and 80 mg/kg/d) on renal function. Neither dose of Mo was able to induce significant hypertension in treated animals. Subchronic exposure to high doses of Mo resulted in a delay in body weight gain associated with mild renal failure marked by a decrease in glomerular filtration. An increase in diuresis and urinary kallikrein excretion associated with unchanged glycosuria and proximal tubular enzymuria (alanine aminopeptidase and gamma-glutamyl transpeptidase) evoked a preferential mild effect at the distal tubule.
Respiratory symptoms and bronchoalveolar lavage abnormalities in molybdenum exposed workers
[J].
Toxicology and carcinogenesis studies of molybdenum trioxide
[R].
Higher urinary heavy metal, phthalate and arsenic concentrations accounted for 3-19% of the population attributable risk for high blood pressure: US NHANES, 2009-2012
[J].The link between environmental chemicals and human health has emerged, but has not been completely examined in terms of its risk factors. Therefore, we aimed to study the relationships of different sets of urinary environmental chemical concentrations and high blood pressure (BP) in a national, population-based study. Data were retrieved from the United States National Health and Nutrition Examination Surveys, 2009-2012, including demographics, BP readings and urinary environmental chemical concentrations. Analyses included χ(2)-test, t-test, survey-weighted logistic regression models and population attributable risk estimation. Urinary cesium (odds ratio (OR) 1.52, 95% confidence interval (CI) 1.06-2.18, P=0.026), molybdenum (OR 1.45, 95% CI 1.04-2.02, P=0.029), lead (OR 1.49, 95% CI 1.12-1.98, P=0.009), platinum (OR 1.66, 95% CI 1.14-2.21, P=0.002), antimony (OR 1.44, 95% CI 1.12-1.86, P=0.008) and tungsten (OR 1.48, 95% CI 1.22-1.79, P<0.001) concentrations were observed to be associated with high BP. Similar results were observed for mono-2-ethyl-5-carboxypentyl (OR 1.29, 95% CI 1.04-1.59, P=0.024), mono-n-butyl (OR 1.36, 95% CI 1.11-1.67, P=0.005), mono-2-ethyl-5-hydroxyhexyl (OR 1.21, 95% CI 1.01-1.46, P=0.041), mono-n-methyl (OR 1.24, 95% CI 1.01-1.46, P=0.014), mono-2-ethyl-5-oxohexyl (OR 1.21, 95% CI 1.01-1.45, P=0.036), mono-benzyl (OR 1.41, 95% CI 1.15-1.74, P=0.002), dimethylarsonic acid (OR 1.38, 95% CI 1.08-1.76, P=0.012) and trimethylarsine oxide (OR 2.56, 95% CI 1.29-5.07, P=0.010) concentrations. Each chemical could account for 3-19% of the population attributable risk for high BP. A small sex difference was found. However, there are no associations between environmental parabens and pesticides and high BP. Urinary heavy metal, phthalate and arsenic concentrations were associated with high BP, although a causal effect cannot be established. Elimination of environmental chemical exposure in humans still needs to be pursued.
Cardiovascular mortality, municipal water, and corrosion
[J].
Xanthine oxidoreductase: One enzyme for multiple physiological tasks
[J].
Nitric oxide and oxidative stress-mediated cardiovascular functionality: From molecular mechanism to cardiovascular disease
[A].
Redox signaling in cardiovascular pathophysiology: A focus on hydrogen peroxide and vascular smooth muscle cells
[J].Oxidative stress represents excessive intracellular levels of reactive oxygen species (ROS), which plays a major role in the pathogenesis of cardiovascular disease. Besides having a critical impact on the development and progression of vascular pathologies including atherosclerosis and diabetic vasculopathy, oxidative stress also regulates physiological signaling processes. As a cell permeable ROS generated by cellular metabolism involved in intracellular signaling, hydrogen peroxide (HO) exerts tremendous impact on cardiovascular pathophysiology. Under pathological conditions, increased oxidase activities and/or impaired antioxidant systems results in uncontrolled production of ROS. In a pro-oxidant environment, vascular smooth muscle cells (VSMC) undergo phenotypic changes which can lead to the development of vascular dysfunction such as vascular inflammation and calcification. Investigations are ongoing to elucidate the mechanisms for cardiovascular disorders induced by oxidative stress. This review mainly focuses on the role of HO in regulating physiological and pathological signals in VSMC.Copyright © 2016. Published by Elsevier B.V.
Nitric oxide, superoxide, and peroxynitrite: The good, the bad, and ugly
[J].Nitric oxide contrasts with most intercellular messengers because it diffuses rapidly and isotropically through most tissues with little reaction but cannot be transported through the vasculature due to rapid destruction by oxyhemoglobin. The rapid diffusion of nitric oxide between cells allows it to locally integrate the responses of blood vessels to turbulence, modulate synaptic plasticity in neurons, and control the oscillatory behavior of neuronal networks. Nitric oxide is not necessarily short lived and is intrinsically no more reactive than oxygen. The reactivity of nitric oxide per se has been greatly overestimated in vitro because no drain is provided to remove nitric oxide. Nitric oxide persists in solution for several minutes in micromolar concentrations before it reacts with oxygen to form much stronger oxidants like nitrogen dioxide. Nitric oxide is removed within seconds in vivo by diffusion over 100 microns through tissues to enter red blood cells and react with oxyhemoglobin. The direct toxicity of nitric oxide is modest but is greatly enhanced by reacting with superoxide to form peroxynitrite (ONOO-). Nitric oxide is the only biological molecule produced in high enough concentrations to out-compete superoxide dismutase for superoxide. Peroxynitrite reacts relatively slowly with most biological molecules, making peroxynitrite a selective oxidant. Peroxynitrite modifies tyrosine in proteins to create nitrotyrosines, leaving a footprint detectable in vivo. Nitration of structural proteins, including neurofilaments and actin, can disrupt filament assembly with major pathological consequences. Antibodies to nitrotyrosine have revealed nitration in human atherosclerosis, myocardial ischemia, septic and distressed lung, inflammatory bowel disease, and amyotrophic lateral sclerosis.
Superoxide and peroxynitrite inatherosclerosis
[J].The role of reactive oxygen species in the vascular pathology associated with atherosclerosis was examined by testing the hypothesis that impaired vascular reactivity results from the reaction of nitric oxide (.NO) with superoxide (O2-), yielding the oxidant peroxynitrite (ONOO-). Contractility studies were performed on femoral arteries from rabbits fed a cholesterol-supplemented diet. Cholesterol feeding shifted the EC50 for acetylcholine (ACh)-induced relaxation and impaired the maximal response to ACh. We used pH-sensitive liposomes to deliver CuZn superoxide dismutase (SOD; superoxide:superoxide oxidoreductase, EC 1.15.1.1) to critical sites of.NO reaction with O2-. Intravenously injected liposomes (3000 units of SOD per ml) augmented ACh-induced relaxation in the cholesterol-fed group to a greater extent than in controls. Quantitative immunocytochemistry demonstrated enhanced distribution of SOD in both endothelial and vascular smooth muscle cells as well as in the extracellular matrix. SOD activity in vessel homogenates of liposome-treated rabbits was also increased. Incubation of beta very low density lipoprotein with ONOO- resulted in the rapid formation of conjugated dienes and thiobarbituric acid-reactive substances. Our results suggest that the reaction of O2- with.NO is involved in the development of atherosclerotic disease by yielding a potent mediator of lipoprotein oxidation, as well as by limiting.NO stimulation of vascular smooth muscle guanylate cyclase activity.
Reactive nitrogen intermediates promote low density lipoprotein oxidation in human atherosclerotic intima
[J].Oxidized low density lipoprotein (LDL) may be of central importance in triggering atherosclerosis. One potential pathway involves the production of nitric oxide (NO) by vascular wall endothelial cells and macrophages. NO reacts with superoxide to form peroxynitrite (ONOO-), a potent agent of LDL oxidation in vitro. ONOO- nitrates the aromatic ring of free tyrosine to produce 3-nitrotyrosine, a stable product. To explore the role of reactive nitrogen species such as ONOO- in the pathogenesis of vascular disease, we developed a highly sensitive and specific method involving gas chromatography and mass spectrometry to quantify 3-nitrotyrosine levels in proteins. In vitro studies demonstrated that 3-nitrotyrosine was a highly specific marker for LDL oxidized by ONOO-. LDL isolated from the plasma of healthy subjects had very low levels of 3-nitrotyrosine (9 +/- 7 micromol/mol of tyrosine). In striking contrast, LDL isolated from aortic atherosclerotic intima had 90-fold higher levels (840 +/- 140 micromol/mol of tyrosine). These observations strongly support the hypothesis that reactive nitrogen species such as ONOO- form in the human artery wall and provide direct evidence for a specific reaction pathway that promotes LDL oxidation in vivo. The detection of 3-nitrotyrosine in LDL isolated from vascular lesions raises the possibility that NO, by virtue of its ability to form reactive nitrogen intermediates, may promote atherogenesis, counteracting the well-established anti-atherogenic effects of NO.
Identification of uric acid and xanthine oxidase in atherosclerotic plaque
[J].Concentrations of uric acid in carotid endarterectomy specimens in men and women were measured using high-performance liquid chromatography in comparison wo nonatherosclerotic control specimens.
Xanthine oxidase inhibition by febuxostat attenuates experimental atherosclerosis in mice
[J].Atherosclerosis is a chronic inflammatory disease due to lipid deposition in the arterial wall. Multiple mechanisms participate in the inflammatory process, including oxidative stress. Xanthine oxidase (XO) is a major source of reactive oxygen species (ROS) and has been linked to the pathogenesis of atherosclerosis, but the underlying mechanisms remain unclear. Here, we show enhanced XO expression in macrophages in the atherosclerotic plaque and in aortic endothelial cells in ApoE(-/-) mice, and that febuxostat, a highly potent XO inhibitor, suppressed plaque formation, reduced arterial ROS levels and improved endothelial dysfunction in ApoE(-/-) mice without affecting plasma cholesterol levels. In vitro, febuxostat inhibited cholesterol crystal-induced ROS formation and inflammatory cytokine release in murine macrophages. These results demonstrate that in the atherosclerotic plaque, XO-mediated ROS formation is pro-inflammatory and XO-inhibition by febuxostat is a potential therapy for atherosclerosis.
Modification of human and animal purine metabolism in conditions of various molybdenum bio-geochemical areas
[J].
Long-term exposure of molybdenum disulfide nanosheets leads to hepatic lipid accumulation and atherogenesis in apolipoprotein E deficient mice
[J].
In-vivo evaluation of molybdenum as bioabsorbable stent candidate
[J].Biodegradable stents have tremendous theoretical potential as an alternative to bare metal stents and drug-eluting stents for the treatment of obstructive coronary artery disease. Any bioresorbable or biodegradable scaffold material needs to possess optimal mechanical properties and uniform degradation behavior that avoids local and systemic toxicity. Recently, molybdenum (Mo) has been investigated as a potential novel biodegradable material for this purpose. With its proven moderate degradation rate and excellent mechanical properties, Mo may represent an ideal source material for clinical cardiac and vascular applications. The present study was performed to evaluate the mechanical performance of metallic Mo and the biodegradation properties. The results demonstrated favorable mechanical behavior and a uniform degradation profile as desired for a new generation ultra-thin degradable endovascular stent material. Moreover, Mo implants in mouse arteries avoided the typical cellular response that contributes to restenosis. There was minimal neointimal hyperplasia over 6 months, an absence of excessive smooth muscle cell (SMC) proliferation or inflammation near the implant, and avoidance of significant harm to regenerating endothelial cells (EC). Qualitative inspection of kidney sections showed a potentially pathological remodeling of kidney Bowman's capsule and glomeruli, indicative of impaired filtering function and development of kidney disease, although quantifications of these morphological changes were not statistically significant. Together, the results suggest that the products of Mo corrosion may exert beneficial or inert effects on the activities of inflammatory and arterial cells, while exerting potentially toxic effects in the kidneys that warrant further investigation.© 2021 The Authors.
Biocompatibility and degradation behavior of molybdenum in an in vivo rat model
[J].
Ultrafine molybdenum wire braided neurointerventional implants: Bridging biodegradability and neurovascular safety for stroke treatment
[J].
Biodegradable piezoelectric force sensor
[J].Measuring vital physiological pressures is important for monitoring health status, preventing the buildup of dangerous internal forces in impaired organs, and enabling novel approaches of using mechanical stimulation for tissue regeneration. Pressure sensors are often required to be implanted and directly integrated with native soft biological systems. Therefore, the devices should be flexible and at the same time biodegradable to avoid invasive removal surgery that can damage directly interfaced tissues. Despite recent achievements in degradable electronic devices, there is still a tremendous need to develop a force sensor which only relies on safe medical materials and requires no complex fabrication process to provide accurate information on important biophysiological forces. Here, we present a strategy for material processing, electromechanical analysis, device fabrication, and assessment of a piezoelectric Poly-l-lactide (PLLA) polymer to create a biodegradable, biocompatible piezoelectric force sensor, which only employs medical materials used commonly in Food and Drug Administration-approved implants, for the monitoring of biological forces. We show the sensor can precisely measure pressures in a wide range of 0-18 kPa and sustain a reliable performance for a period of 4 d in an aqueous environment. We also demonstrate this PLLA piezoelectric sensor can be implanted inside the abdominal cavity of a mouse to monitor the pressure of diaphragmatic contraction. This piezoelectric sensor offers an appealing alternative to present biodegradable electronic devices for the monitoring of intraorgan pressures. The sensor can be integrated with tissues and organs, forming self-sensing bionic systems to enable many exciting applications in regenerative medicine, drug delivery, and medical devices.
Bioresorbable silicon electronic sensors for the brain
[J].
Materials, designs, and operational characteristics for fully biodegradable primary batteries
[J].
Bioresorbable silicon electronics for transient spatiotemporal mapping of electrical activity from the cerebral cortex
[J].
Ecoresorbable and bioresorbable microelectromechanical systems
[J].
Bioresorbable, wireless, and battery-free system for electrotherapy and impedance sensing at wound sites
[J].Chronic wounds, particularly those associated with diabetes mellitus, represent a growing threat to public health, with additional notable economic impacts. Inflammation associated with these wounds leads to abnormalities in endogenous electrical signals that impede the migration of keratinocytes needed to support the healing process. This observation motivates the treatment of chronic wounds with electrical stimulation therapy, but practical engineering challenges, difficulties in removing stimulation hardware from the wound site, and absence of means to monitor the healing process create barriers to widespread clinical use. Here, we demonstrate a miniaturized wireless, battery-free bioresorbable electrotherapy system that overcomes these challenges. Studies based on a splinted diabetic mouse wound model confirm the efficacy for accelerated wound closure by guiding epithelial migration, modulating inflammation, and promoting vasculogenesis. Changes in the impedance provide means for tracking the healing process. The results demonstrate a simple and effective platform for wound site electrotherapy.
Preparation and ductile-to-brittle transition temperature of the La-TZM alloy plates
[J].
Microstructure, room-temperature mechanical properties, and oxidation resistance of Ti-added Mo-Si-B alloys fabricated via hot pressing sintering
[J].
Enhancing the high-temperature creep properties of Mo alloys via nanosized La2O3 particle addition
[J].Molybdenum (Mo) alloys with different La2O3 particle additions (0.6, 0.9, 1.5 wt.%) were prepared by powder metallurgy to investigate the effect of La2O3 particles on microstructural evolution and creep behavior of the alloy. Pure Mo, annealed at 1500 °C for 1 h, presented a fully recrystallized microstructure characterized by equiaxed grains. The alloys doped with La2O3 particles (Mo-La2O3 alloys), on the other hand, exhibited fibrous grains elongated in the rolling direction of the plate. In contrast to the shape of the grains, the average grain size of the alloys was found to be insensitive to the addition of La2O3 particles. Nanosized La2O3 particles with diameters ranging from 65 to 75 nm were distributed within the grain interior. Tensile creep tests showed that dislocation creep was the predominant deformation mode at intermediate creep rate (10−7 s−1-10−4 s−1) in the present alloys. The creep stress exponent and activation energy were found to decrease with increasing temperature, particularly within the low creep rate regime (< 10−7 s−1). The Mo-La2O3 alloys exhibited remarkably greater apparent stress exponent and activation energy than pure Mo. A creep constitutive model based on the interaction between particles and dislocations was utilized to rationalize the nanoparticle-improved creep behavior. It was demonstrated that low relaxed efficiency of dislocation line energy, which is responsible for an enhanced climb resistance of dislocations, is the major creep strengthening mechanism in the Mo-La2O3 alloys. In addition, the area reduction and creep fracture mode of the Mo-La2O3 alloys were found to be a function of the creep rate and temperature, which can be explained by the effect of the two parameters on the creep and fracture mechanisms.
The synthesis of TiC dispersed strengthened Mo alloy by freeze-drying technology and subsequent low temperature sintering
[J].
The origin of exceptionally large ductility in molybdenum alloys dispersed with irregular-shaped La2O3 nano-particles
[J].\n Molybdenum and its alloys are known for their superior strength among body-centered cubic materials. However, their widespread application is hindered by a significant decrease in ductility at lower temperatures. In this study, we demonstrate the achievement of exceptional ductility in a Mo alloy containing rare-earth La\n 2\n O\n 3\n nanoparticles through rotary-swaging, a rarity in Mo-based materials. Our analysis reveals that the large ductility originates from substantial variations in the electronic density of states, a characteristic intrinsic to rare-earth elements. This characteristic can accelerate the generation of oxygen vacancies, facilitating the amorphization of the oxide-matrix interface. This process promotes vacancy absorption and modification of dislocation configurations. Furthermore, by inducing irregular shapes in the La\n 2\n O\n 3\n nanoparticles through rotary-swaging, incoming dislocations interact with them, creating multiple dislocation sources near the interface. These dislocation sources act as potent initiators at even reduced temperatures, fostering diverse dislocation types and intricate networks, ultimately enhancing dislocation plasticity.\n
Fundamental theory of biodegradable metals—Definition, criteria, and design
[J].
Materials selection in mechanical design
[J].
3D printing of Mo-containing scaffolds with activated anabolic responses and bi-lineage bioactivities
[J].When osteochondral tissues suffer from focal or degenerative lesions caused by trauma or disorders, it is a tough challenge to regenerate them because of the limited self-healing capacity of articular cartilage. In this study, a series of Mo-doped bioactive glass ceramic (Mo-BGC) scaffolds were prepared and then systematically characterized. The released MoO ions from 7.5Mo-BGC scaffolds played a vital role in regenerating articular cartilage and subchondral bone synchronously. The Mo-BGC scaffolds were fabricated through employing both a sol-gel method and 3D printing technology. SEM, EDS, HRTEM, XRD, ICPAES and mechanical strength tests were respectively applied to analyze the physicochemical properties of Mo-BGC scaffolds. The proliferation and differentiation of rabbit chondrocytes (RCs) and human bone mesenchymal stem cells (HBMSCs) cultured with dilute solutions of 7.5Mo-BGC powder extract were investigated. The co-culture model was established to explore the possible mechanism of stimulatory effects of MoO ions on the RCs and HBMSCs The efficacy of regenerating articular cartilage and subchondral bone using 7.5Mo-BGC scaffolds was evaluated. The incorporation of Mo into BGC scaffolds effectively enhanced the compressive strength of scaffolds owing to the improved surface densification. The MoO ions released from the 7.5Mo-BGC powders remarkably promoted the proliferation and differentiation of both RCs and HBMSCs. The MoO ions in the co-culture system significantly stimulated the chondrogenic differentiation of RCs and meanwhile induced the chondrogenesis of HBMSCs. The chondrogenesis stimulated by MoO ions happened through two pathways: 1) MoO ions elicited anabolic responses through activating the HIF-1α signaling pathway; 2) MoO ions inhibited catabolic responses and protected cartilage matrix from degradation. The study showed that 7.5Mo-BGC scaffolds were able to significantly promote cartilage/bone regeneration when implanted into rabbit osteochondral defects for 8 and 12 weeks, displaying bi-lineage bioactivities. The 3D-printed Mo-BGC scaffolds with bi-lineage bioactivities and activated anabolic responses could offer an effective strategy for cartilage/bone interface regeneration.
A 3D-printed molybdenum-containing scaffold exerts dual pro-osteogenic and anti-osteoclastogenic effects to facilitate alveolar bone repair
[J].The positive regulation of bone-forming osteoblast activity and the negative feedback regulation of osteoclastic activity are equally important in strategies to achieve successful alveolar bone regeneration. Here, a molybdenum (Mo)-containing bioactive glass ceramic scaffold with solid-strut-packed structures (Mo-scaffold) was printed, and its ability to regulate pro-osteogenic and anti-osteoclastogenic cellular responses was evaluated in vitro and in vivo. We found that extracts derived from Mo-scaffold (Mo-extracts) strongly stimulated osteogenic differentiation of bone marrow mesenchymal stem cells and inhibited differentiation of osteoclast progenitors. The identified comodulatory effect was further demonstrated to arise from Mo ions in the Mo-extract, wherein Mo ions suppressed osteoclastic differentiation by scavenging reactive oxygen species (ROS) and inhibiting mitochondrial biogenesis in osteoclasts. Consistent with the in vitro findings, the Mo-scaffold was found to significantly promote osteoblast-mediated bone formation and inhibit osteoclast-mediated bone resorption throughout the bone healing process, leading to enhanced bone regeneration. In combination with our previous finding that Mo ions participate in material-mediated immunomodulation, this study offers the new insight that Mo ions facilitate bone repair by comodulating the balance between bone formation and resorption. Our findings suggest that Mo ions are multifunctional cellular modulators that can potentially be used in biomaterial design and bone tissue engineering.
Role of molybdenum in material immunomodulation and periodontal wound healing: Targeting immunometabolism and mitochondrial function for macrophage modulation
[J].
Macrophage-related inflammatory responses to degradation products of biodegradable molybdenum implants
[J].
Excellent high-temperature strength and ductility of the ZrC nanoparticles dispersed molybdenum
[J].
Nanostructured high-strength molybdenum alloys with unprecedented tensile ductility
[J].The high-temperature stability and mechanical properties of refractory molybdenum alloys are highly desirable for a wide range of critical applications. However, a long-standing problem for these alloys is that they suffer from low ductility and limited formability. Here we report a nanostructuring strategy that achieves Mo alloys with yield strength over 800 MPa and tensile elongation as large as ~ 40% at room temperature. The processing route involves a molecular-level liquid-liquid mixing/doping technique that leads to an optimal microstructure of submicrometre grains with nanometric oxide particles uniformly distributed in the grain interior. Our approach can be readily adapted to large-scale industrial production of ductile Mo alloys that can be extensively processed and shaped at low temperatures. The architecture engineered into such multicomponent alloys offers a general pathway for manufacturing dispersion-strengthened materials with both high strength and ductility.
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