Shock wave

冲击波
  • 文章类型: Journal Article
    在功率超声振动加工领域,位于工具头和材料之间的薄液体层作为气蚀激波发射的温床,显著影响材料的表面。对这些排放的精确操纵提出了巨大的挑战,源于对该生态位环境中的超声增强效应和冲击波强度的定量分析的历史缺陷。我们的研究通过创新性地修改Gilmore-Akulichev方程来解决这一差距,为复杂的气泡动力学模型和针对薄液层域量身定制的开创性冲击波传播模型奠定了基础。首先,我们的研究调查了薄液体层的各种参数下的超声增强效果,揭示了超声压力在薄液层区域的放大高达7.47倍。使用六阶龙格-库塔方法求解数学模型,以检查不同条件下的冲击波速度和压力。我们的研究确定了工具头的几何参数,薄液体层厚度,超声波频率,和初始气泡半径均显着影响冲击波发射。在60kHz的超声波频率下,在增加过程中,测量点的冲击波压力从182.6MPa短暂下降到179.5MPa。此外,在气泡壁的R0-3R0范围内发现了冲击波的快速衰减。本研究模型旨在提高功率超声振动处理技术,为相关领域的应用提供理论支持。
    In the field of power ultrasonic vibration processing, the thin liquid layer nestled between the tool head and the material serves as a hotbed for cavitation shock wave emissions that significantly affect the material\'s surface. The precise manipulation of these emissions presents a formidable challenge, stemming from a historical deficit in the quantitative analysis of both the ultrasonic enhancement effect and the shock wave intensity within this niche environment. Our study addresses this gap by innovatively modifying the Gilmore-Akulichev equation, laying the groundwork for a sophisticated bubble dynamics model and a pioneering shock wave propagation model tailored to the thin liquid layer domain. Firstly, our study investigated the ultrasound enhancement effect under various parameters of thin liquid layers, revealing an amplification of ultrasound pressure in the thin liquid layer area by up to 7.47 times. The mathematical model was solved using the sixth-order Runge-Kutta method to examine shock wave velocity and pressure under different conditions. our study identified that geometric parameters of the tool head, thin liquid layer thickness, ultrasonic frequency, and initial bubble radius all significantly influenced shock wave emission. At an ultrasonic frequency of 60 kHz, the shock wave pressure at the measurement point exhibited a brief decrease from 182.6 to 179.5 MPa during an increase. Furthermore, rapid attenuation of the shock wave was found within the range of R0-3R0 from the bubble wall. This research model aims to enhance power ultrasonic vibration processing technology, and provide theoretical support for applications in related fields.
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  • 文章类型: Journal Article
    通过线性分析已经很好地建立了小幅度波在血管交界处传播的理论。在这项研究中,我们考虑大振幅的传播,非线性波(即冲击和稀薄)通过从父血管到两个(相同的)子血管的连接使用三种方法的组合:使用Godunov方法的数值计算,分析接合点附近的非线性黎曼问题,以及将线性分析扩展到以下幅度的分析理论。出现了统一的图像:父血管入口处的压力突然(规定)增加,沿着父血管产生传播的冲击波,该冲击波与交界处相互作用。对于适度的驾驶,该冲击波沿着两个子血管分成传播的冲击波,并将稀疏波反射回入口。然而,对于更大的驱动,反射的稀疏波变得跨临界,产生额外的冲击波。刚刚超出临界范围,这个新的冲击波的速度为零,钉在路口,但是对于驱动的进一步增加,这种额外的冲击在子血管中分成两个新的传播冲击波。
    The theory of small-amplitude waves propagating across a blood vessel junction has been well established with linear analysis. In this study, we consider the propagation of large-amplitude, nonlinear waves (i.e. shocks and rarefactions) through a junction from a parent vessel into two (identical) daughter vessels using a combination of three approaches: numerical computations using a Godunov method with patching across the junction, analysis of a nonlinear Riemann problem in the neighbourhood of the junction and an analytical theory which extends the linear analysis to the following order in amplitude. A unified picture emerges: an abrupt (prescribed) increase in pressure at the inlet to the parent vessel generates a propagating shock wave along the parent vessel which interacts with the junction. For modest driving, this shock wave divides into propagating shock waves along the two daughter vessels and reflects a rarefaction wave back towards the inlet. However, for larger driving the reflected rarefaction wave becomes transcritical, generating an additional shock wave. Just beyond criticality this new shock wave has zero speed, pinned to the junction, but for further increases in driving this additional shock divides into two new propagating shock waves in the daughter vessels.
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  • 文章类型: Journal Article
    本文提出了一种方法,该方法结合了实验测量和数学物理分析,以研究在环境扫描电子显微镜(ESEM)中与电子束分散的影响解决方案相关的装有喷嘴的孔中的流动行为。喷嘴的形状显着影响超出孔径的超音速流的特性,尤其是冲击波的形状和类型,与周围的气体相比密度很高。这些显著影响电子散射,这会影响产生的图像。本文分析了在特定低压条件下孔径和喷嘴成形的影响及其对一次电子束电子色散的影响。
    The paper presents a methodology that combines experimental measurements and mathematical-physics analyses to investigate the flow behavior in a nozzle-equipped aperture associated with the solution of its impact on electron beam dispersion in an environmental scanning electron microscope (ESEM). The shape of the nozzle significantly influences the character of the supersonic flow beyond the aperture, especially the shape and type of shock waves, which are highly dense compared to the surrounding gas. These significantly affect the electron scattering, which influences the resulting image. This paper analyzes the effect of aperture and nozzle shaping under specific low-pressure conditions and its impact on the electron dispersion of the primary electron beam.
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  • 文章类型: Journal Article
    引言爆炸伤害在现代社会中经常发生,由于在密闭空间中的恐怖袭击,特别是在城市环境中,室内,在车辆中,导致重大损害。因此,重要的是要关注狭窄空间中的爆炸伤害,而不是传统的露天实验。材料和方法我们使用了2017年在室内建立的空气驱动冲击波发生器(鼓风管),并进行了基础研究,以潜在地挽救爆炸伤患者的生命。在全身麻醉下,猪分为有防弹衣(BA)和无BA组。将猪固定在测量室中,其背部胸部直接暴露于冲击波。驱动压力设定为3.0MPa以实现约50%的死亡率。产生的冲击波直接施加到猪身上。在心脏骤停和生存率方面进行了组间比较,以及呼吸暂停,心动过缓,低血压,这是爆炸肺的三合会。进行尸体解剖以确认器官损伤的程度。使用Fisher精确检验进行统计分析,统计学意义为p<0.05。根据国防医学院附属医院动物伦理委员会审查和批准的方案(批准号19041)进行动物实验。结果8头猪被分配到BA组,7头猪被分配到非BA组。在非BA组中,在7例中的4例中观察到呼吸暂停,其中三人导致死亡。BA组中的八头猪都没有呼吸停止;值得注意的是,都活了下来。在每组的一些猪中观察到低血压;然而,两组均无心动过缓病例.统计分析表明,佩戴BA可显着降低呼吸和心脏骤停的发生率(p=0.026),但未降低生存率(p=0.077)。其他生命体征无明显差异。结论佩戴具有足够颈部和胸部保护的BA可以降低死亡率,并且可以有效地减少针对冲击波暴露的心脏和呼吸骤停。冲击波损伤的死亡率似乎与呼吸停止有关,避免呼吸停止可能导致生存。
    Introduction Blast injuries in modern society often occur owing to terrorist attacks in confined spaces, particularly in urban settings, indoors, and in vehicles, leading to significant damage. Therefore, it is important to focus on blast injuries in confined spaces rather than in conventional open-field experiments. Materials and methods We used an air-driven shock wave generator (blast tube) established indoors in 2017 and conducted basic research to potentially save the lives of patients with blast injuries. Under general anesthesia, pigs were divided into with body armor (BA) and without BA groups. The pigs were fixed in the measurement chamber with their dorsal chest directly exposed to the shock wave. The driving pressure was set at 3.0 MPa to achieve a mortality rate of approximately 50%. A generated shock wave was directly applied to the pigs. Comparisons were made between the groups with respect to cardiac arrest and survival, as well as apnea, bradycardia, and hypotension, which are the triad of blast lung. Autopsies were performed to confirm the extent of the organ damage. Statistical analysis was performed using Fisher\'s exact test, and statistical significance was set at p<0.05. The animal experimentation was conducted according to the protocol reviewed and approved by the Animal Ethics Committee of the National Defense Medical College Hospital (approval number 19041). Results Eight pigs were assigned to the BA group and seven pigs to the non-BA group. In the non-BA group, apnea was observed in four of seven cases, three of which resulted in death. None of the eight pigs in the BA group had respiratory arrest; notably, all survived. Hypotension was observed in some pigs in each group; however, there were no cases of bradycardia in either group. Statistical analysis showed that wearing BA significantly reduced the occurrence of respiratory and cardiac arrest (p=0.026) but not survival (p=0.077). No significant differences were found in other vital signs. Conclusions Wearing BA with adequate neck and chest protection reduced mortality and it was effective to reduce cardiac and respiratory arrest against shock wave exposure. Mortality from shock wave injury appears to be associated with respiratory arrest, and the avoidance of respiratory arrest may lead to survival.
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  • 文章类型: Journal Article
    目前骨肉瘤治疗的困境是长期使用后化疗药物的耐药性,这也带来了危及生命的副作用。
    为了减少骨肉瘤患者的化疗耐药性,作者将冲击波(SWs)应用于人类骨肉瘤MNNG/HOS细胞,然后评估细胞活力和细胞外ATP水平,并进一步研究了SWs对MNNG/HOS细胞顺铂(DDP)细胞毒性的影响。作者的结果表明,在0.21mJ/mm2的400个SW脉冲对MNNG/HOS细胞活力的影响很小。此外,这种SW条件显着促进了MNNG/HOS细胞的细胞外ATP释放。重要的是,低能量SWs明显增加MNNG/HOS细胞中Akt和哺乳动物雷帕霉素靶蛋白(mTOR)的磷酸化和活化,在P2X7siRNA存在下可以部分逆转。作者还发现,在不存在P2X7的情况下,低能量SWs强烈增加了MNNG/HOS细胞的DDP敏感性。
    第一次,作者发现,当ATP受体P2X7下调时,SW治疗可降低MNNG/HOS骨肉瘤细胞的DDP抵抗.SW疗法可能为化学抗性人骨肉瘤提供新的治疗策略。
    UNASSIGNED: The current dilemma of osteosarcoma treatment is the resistance of chemotherapeutic drugs after long-term usage, which also introduces life-threatening side effects.
    UNASSIGNED: To minimize chemoresistance in osteosarcoma patients, the authors applied shock waves (SWs) to human osteosarcoma MNNG/HOS cells, then evaluated the cell viability and extracellular ATP levels, and further investigated the effect of SWs on cisplatin (DDP) cytotoxicity in MNNG/HOS cells. The authors\' results showed that 400 SW pulses at 0.21 mJ/mm2 exhibited little influence on the MNNG/HOS cell viability. In addition, this SW condition significantly promoted the extracellular ATP release in MNNG/HOS cells. Importantly, low-energy SWs obviously increased Akt and mammalian target of rapamycin (mTOR) phosphorylation and activation in MNNG/HOS cells, which could be partially reversed in the presence of P2X7 siRNA. The authors also found that low-energy SWs strongly increased the DDP sensitivity of MNNG/HOS cells in the absence of P2X7.
    UNASSIGNED: For the first time, the authors found that SW therapy reduced the DDP resistance of MNNG/HOS osteosarcoma cells when the ATP receptor P2X7 was downregulated. SW therapy may provide a novel treatment strategy for chemoresistant human osteosarcoma.
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  • 文章类型: Journal Article
    水下爆炸(UNDEX)产生与空气-水界面和结构相互作用的冲击波,导致稀疏波的发生和诱导空化现象。在深水爆炸中,冲击波传播之间存在复杂的耦合关系,气泡运动,和空化演化。冲击波引发了空化的形成,它们的生长和塌陷受到压力场的影响。破裂的气泡会产生额外的冲击波和流体运动,影响随后的冲击波传播和气泡行为。这种复杂的相互作用会显著影响深水爆炸的水动力特性,包括压力分布,密度,和周围流体的相变。在本文中,我们利用双流体相变模型来捕获深水爆炸中空化的演化。我们的数值结果表明,引入两相气液相变模型对于准确捕获涉及突出蒸发或冷凝现象的场景是必要的。此外,我们发现,同一装药在不同爆炸深度下产生的空化表现出显著差异,空化塌陷压力的峰值也是如此。同样,在相同的爆炸深度下,不同的装药量产生的空化是不同的,空化量与电荷量之间的关系不是简单的线性增加。本文提出的研究方法和结果为研究深水爆炸的动力学特性提供了重要参考。
    Underwater explosions (UNDEX) generate shock waves that interact with the air-water interface and structures, leading to the occurrence of rarefaction waves and inducing cavitation phenomena. In deep-water explosions, complex coupling relationships exist between shock wave propagation, bubble motion, and cavitation evolution. The shock wave initiates the formation of cavitation, and their growth and collapse are influenced by the pressure field. The collapsing bubbles generate additional shock waves and fluid motion, affecting subsequent shock wave propagation and bubble behavior. This intricate interaction significantly impacts the hydrodynamic characteristics of deep-water explosions, including pressure distribution, density, and phase changes in the surrounding fluid. In this paper, we utilize a two-fluid phase transition model to capture the evolution of cavitation in deep-water explosions. Our numerical results demonstrate that the introduction of a two-phase vapor-liquid phase change model is necessary to accurately capture scenarios involving prominent evaporation or condensation phenomena. Furthermore, we find that the cavitation produced by the same charge under different explosion depths exhibits significant differences, as does the peak value of cavitation collapse pressure. Similarly, the cavitation produced by different charge quantities under the same explosion depth varies, and the relationship between cavitation volume and charge quantity is not a simple linear increase. The research methods and results presented in this paper provide an important reference for studying the dynamic characteristics of deep-water explosions.
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  • 文章类型: Journal Article
    提高个人防护装备的抗冲击能力,减少因冲击波事故造成的人员伤亡,这项研究制备了四种类型的碳纤维/聚甲基丙烯酰亚胺(PMI)泡沫夹芯板,具有不同的面/背层厚度和芯层密度,并使它们经受准静态压缩,低速冲击,高速冲击,和非破坏性测试。抗冲击面板的机械性能和能量吸收能力,具有陶瓷/超高分子量聚乙烯(UHMWPE)和碳纤维/PMI泡沫结构,进行了评估和比较,并评估了将后者用作个人抗冲击设备的原材料的可行性。对于具有恒定总厚度的PMI夹芯板,增加核心层密度和正面/背面层厚度增强了能量吸收能力,并增加了面层的峰值应力。在恒定的应变下,所有试样的能量吸收值随着冲击速度的增加而增加。当10kg锤子以1.5m/s的速度冲击试样表面时,泡沫夹芯板比陶瓷/UHMWPE板保持更好的完整性。结果表明,碳纤维/PMI泡沫夹芯板适用于需要穿戴者在冲击波下灵活运动的应用,并为设计重量轻的抗冲击设备提供实验依据,高强度,和高能量吸收能力。
    To improve the shock resistance of personal protective equipment and reduce casualties due to shock wave accidents, this study prepared four types of carbon fiber/polymethacrylimide (PMI) foam sandwich panels with different face/back layer thicknesses and core layer densities and subjected them to quasi-static compression, low-speed impact, high-speed impact, and non-destructive tests. The mechanical properties and energy absorption capacities of the impact-resistant panels, featuring ceramic/ultra-high molecular-weight polyethylene (UHMWPE) and carbon fiber/PMI foam structures, were evaluated and compared, and the feasibility of using the latter as a raw material for personal impact-resistant equipment was also evaluated. For the PMI sandwich panel with a constant total thickness, increasing the core layer density and face/back layer thickness enhanced the energy absorption capacity, and increased the peak stress of the face layer. Under a constant strain, the energy absorption value of all specimens increased with increasing impact speed. When a 10 kg hammer impacted the specimen surface at a speed of 1.5 m/s, the foam sandwich panels retained better integrity than the ceramic/UHMWPE panel. The results showed that the carbon fiber/PMI foam sandwich panels were suitable for applications that require the flexible movement of the wearer under shock waves, and provide an experimental basis for designing impact-resistant equipment with low weight, high strength, and high energy absorption capacities.
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  • 文章类型: Journal Article
    冲击波是一种流动现象,在高速飞机和发动机的发展中需要考虑。传统的计算流体力学(CFD)方法是从宏观变量的角度来描述的,比如马赫数,压力,密度,和温度。冲击波的厚度接近分子自由路径的水平,分子运动对冲击波有很大的影响。根据查普曼-恩斯科格方法的分析,非平衡效应是导致流体系统偏离平衡状态的源项。非平衡效应可用于描述与宏观变量不同的冲击波的物理特性。非平衡效应方法的基本思想是通过求解Boltzmann-Bhatnagar-Gross-Krook(BoltzmannBGK)方程或多弛豫时间Boltzmann(MRT-Boltzmann)方程来获得分子速度分布函数的非平衡矩,并从分子运动水平探索冲击波附近的非平衡效应。本文介绍了非平衡效应方法的理论和理解,并回顾了与冲击相关的流动现象中的非平衡行为的研究进展。讨论了非平衡矩在流体宏观控制方程上的作用,从分子运动的角度给出了非平衡矩的物理意义,分析了非平衡矩与平衡矩的关系。研究冲击问题的非平衡效应,比如黎曼问题,冲击反射,冲击波/边界层相互作用,和爆炸波,被介绍。它从中观水平揭示了冲击波的非平衡行为,这与传统的宏观视角不同,显示了非平衡效应的介观动力学方法在冲击问题中的应用潜力。
    A shock wave is a flow phenomenon that needs to be considered in the development of high-speed aircraft and engines. The traditional computational fluid dynamics (CFD) method describes it from the perspective of macroscopic variables, such as the Mach number, pressure, density, and temperature. The thickness of the shock wave is close to the level of the molecular free path, and molecular motion has a strong influence on the shock wave. According to the analysis of the Chapman-Enskog approach, the nonequilibrium effect is the source term that causes the fluid system to deviate from the equilibrium state. The nonequilibrium effect can be used to obtain a description of the physical characteristics of shock waves that are different from the macroscopic variables. The basic idea of the nonequilibrium effect approach is to obtain the nonequilibrium moment of the molecular velocity distribution function by solving the Boltzmann-Bhatnagar-Gross-Krook (Boltzmann BGK) equations or multiple relaxation times Boltzmann (MRT-Boltzmann) equations and to explore the nonequilibrium effect near the shock wave from the molecular motion level. This article introduces the theory and understanding of the nonequilibrium effect approach and reviews the research progress of nonequilibrium behavior in shock-related flow phenomena. The role of nonequilibrium moments played on the macroscopic governing equations of fluids is discussed, the physical meaning of nonequilibrium moments is given from the perspective of molecular motion, and the relationship between nonequilibrium moments and equilibrium moments is analyzed. Studies on the nonequilibrium effects of shock problems, such as the Riemann problem, shock reflection, shock wave/boundary layer interaction, and detonation wave, are introduced. It reveals the nonequilibrium behavior of the shock wave from the mesoscopic level, which is different from the traditional macro perspective and shows the application potential of the mesoscopic kinetic approach of the nonequilibrium effect in the shock problem.
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  • 文章类型: Journal Article
    本研究探讨了通过空气夹带减轻水利工程中的空化破坏。主要目的是通过实验分析与附着在管式喷嘴上的气泡相邻的空化气泡发出的冲击波特性。纹影光学系统用于可视化冲击波,而水听器测量它的压力。对由火花产生的方法在气泡附近引起的空化气泡进行了实验,改变无量纲距离和气泡的大小。结果表明:(1)气泡的引入显著改变了组织形态,运动学行为,和空化气泡的冲击波特征。(2)根据冲击波的数量和形状识别出四种不同的冲击波模式,空化气泡的塌陷行为和冲击波特性在不同模式下的变化。(3)无量纲距离γ和大小δ对冲击波的数量有显著影响,压力峰值,形状,和能量。随着γ减小或δ增大,冲击波数量增加,而冲击波强度降低。对空化气泡和气泡之间相互作用的研究对于阐明空气夹带减轻空化破坏的机理至关重要。
    This study explores the mitigation of cavitation damage in hydraulic engineering through air entrainment. The primary aim is to experimentally analyze the shock wave characteristics emitted by cavitation bubbles adjacent to air bubbles affixed to a tube nozzle. The schlieren optical system is utilized to visualize the shock wave, while a hydrophone measures its pressure. Experiments are conducted on cavitation bubbles induced by the spark-generated method in the vicinity of air bubbles, varying the dimensionless distances and sizes of the air bubbles. The results indicate that (1) The introduction of an air bubble noticeably changes the morphology, kinematic behavior, and shock wave features of the cavitation bubble. (2) Four distinct shock wave patterns are identified based on the quantity and shape of the shock wave, with variations in the cavitation bubble\'s collapsing behavior and shock wave characteristics across different patterns. (3) The dimensionless distance γ and size δ exert significant influence on the shock wave\'s quantity, pressure peak, shape, and energy. With γ decreases or δ increases, the shock wave quantity increases while the shock wave intensity decreases. This investigation of the interaction between cavitation bubbles and air bubbles is essential for elucidating the mechanism through which air entrainment mitigates cavitation damage.
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  • 文章类型: Journal Article
    慢性骨髓炎(骨感染)的治疗仍然是一个临床挑战;特别是,它需要增强抗生素药物的递送来治疗细胞内金黄色葡萄球菌(S.金黄色葡萄球菌),防止感染复发和抵抗。以前的研究发现,用于治疗肌肉骨骼疾病的非侵入性冲击波可以改变细胞通透性,然而,目前尚不清楚冲击波是否会改变慢性骨髓炎的细胞膜通透性。此外,目前尚不清楚这种通透性的变化是否会促进抗生素进入成骨细胞发挥抗菌作用。
    在我们的研究中,采用台盼蓝染色确定对成骨细胞模型无明显损伤的冲击波参数;采用BODIPY®FL万古霉素检测冲击波对成骨细胞模型细胞膜通透性的影响;采用高效液相色谱-质谱(HLPC-MS)检测冲击波对抗生素进入成骨细胞模型的影响;采用平板菌落计数法检测金黄色葡萄球菌对成骨细胞模型中抗生素的清除作用。为了探索机制,用平板菌落计数法检测不同脉冲冲击波对金黄色葡萄球菌的影响,此外,免疫荧光法检测成骨细胞P2X7受体,检测细胞外ATP水平。此外,观察P2X7受体拮抗剂KN-62或A740003对休克辅助抗生素细胞内抗菌活性的影响。然后,我们使用金黄色葡萄球菌建立慢性胫骨骨髓炎大鼠模型,并研究冲击波辅助抗生素治疗大鼠慢性骨髓炎的有效性和安全性。
    在0.21mJ/mm2下施加多达400个冲击波脉冲,对细胞内金黄色葡萄球菌感染的成骨细胞模型的活力没有显着影响。令人惊讶的是,这种冲击波治疗显著增强了BODIPY®FL万古霉素对成骨细胞模型细胞的递送.此外,冲击波疗法增加了亲水性抗生素(万古霉素和头孢呋辛钠)的递送,但不是亲脂性抗生素(利福平和左氧氟沙星),提高了细胞内抗菌作用。之后,我们发现冲击波治疗增加了ATP(P2X7受体激活剂)的细胞外浓度,而KN-62或A740003,P2X7受体抑制剂,细胞内抗菌活性降低。然后,我们发现0.1mL1×1011CFU/mLATCC25923金黄色葡萄球菌适用于大鼠慢性骨髓炎的建模。此外,冲击波辅助万古霉素治疗与最强的抗菌和成骨作用在测试的治疗中被证实在体内通过影像学检查,微生物培养,和组织病理学,具有良好的安全性。
    我们的结果表明,冲击波可以通过以P2X7受体依赖性方式改变细胞膜通透性来促进抗生素进入成骨细胞进行抗菌。此外,考虑到大鼠骨髓炎模型的抗菌和成骨效率以及高度的安全性,因此,冲击波辅助万古霉素治疗可能是慢性骨髓炎的一种可能的辅助治疗.
    UNASSIGNED: Treatment of chronic osteomyelitis (bone infection) remains a clinical challenge; in particular, it requires enhanced delivery of antibiotic drugs for the treatment of intracellular Staphylococcus aureus (S. aureus), which prevents infection recurrence and resistance. Previous studies have found that noninvasive shock waves used to treat musculoskeletal diseases can alter cell permeability, however, it is unclear whether shock waves alter cell membrane permeability in chronic osteomyelitis. Furthermore, it remains unknown whether such changes in permeability promote the entry of antibiotics into osteoblasts to exert antibacterial effects.
    UNASSIGNED: In our study, trypan blue staining was used to determine the shock wave parameters that had no obvious damage to the osteoblast model; the effect of shocks waves on the cell membrane permeability of osteoblast model was detected by BODIPY®FL vancomycin; high performance liquid chromatography-mass spectrometry (HLPC-MS) was used to detect the effect of shock wave on the entry of antibiotics into the osteoblast model; plate colony counting method was used to detect the clearance effect of shock wave assisted antibiotics on S. aureus in the osteoblast model. To explore the mechanism, the effect of different pulses of shock waves on S. aureus was examined by plate colony counting method, besides, P2X7 receptor in osteoblast was detected by immunofluorescence and the extracellular ATP levels was detected. Furthermore, the effect of P2X7 receptor antagonists KN-62 or A740003 on the intracellular antibacterial activity of shock-assisted antibiotics was observed. Then, we used S. aureus to establish a rat model of chronic tibial osteomyelitis and investigated the efficacy and safety of shock-wave assisted antibiotics in the treatment of chronic osteomyelitis in rats.
    UNASSIGNED: The viability of the osteoblast models of intracellular S. aureus infection was not significantly affected by the application of up to 400 shock wave pulses at 0.21 mJ/mm2. Surprisingly, the delivery of BODIPY®FL vancomycin to osteoblast model cells was markedly enhanced by this shock wave treatment. Furthermore, the shock wave therapy increased the delivery of hydrophilic antibiotics (vancomycin and cefuroxime sodium), but not lipophilic antibiotics (rifampicin and levofloxacin), which improved the intracellular antibacterial effect. Afterwards, we discovered that shock wave treatment increased the extracellular concentration of ATP (the P2X7 receptor activator), while KN-62 or A740003, a P2X7 receptor inhibitor, decreased intracellular antibacterial activity. We then found that 0.1 mL of 1 × 1011 CFU/mL ATCC25923 S. aureus was suitable for modeling chronic osteomyelitis in rats. Besides, the shock wave-assisted vancomycin treatment with the strongest antibacterial and osteogenic effects among the tested treatments was confirmed in vivo by imaging examination, microbiological cultures, and histopathology, with favorable safety.
    UNASSIGNED: Our results suggest that shock waves can promote the entry of antibiotics into osteoblasts for antibacteria by changing the cell membrane permeability in a P2X7 receptor-dependent manner. Besides, considering antibacterial and osteogenic efficiency and a high degree of safety in rat osteomyelitis model, shock wave-assisted vancomycin treatment may thus represent a possible adjuvant therapy for chronic osteomyelitis.
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