PMID- 36278642 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20221028 IS - 2079-4983 (Print) IS - 2079-4983 (Electronic) IS - 2079-4983 (Linking) VI - 13 IP - 4 DP - 2022 Oct 1 TI - Smart Bacteria-Responsive Drug Delivery Systems in Medical Implants. LID - 10.3390/jfb13040173 [doi] LID - 173 AB - With the rapid development of implantable biomaterials, the rising risk of bacterial infections has drawn widespread concern. Due to the high recurrence rate of bacterial infections and the issue of antibiotic resistance, the common treatments of peri-implant infections cannot meet the demand. In this context, stimuli-responsive biomaterials have attracted attention because of their great potential to spontaneously modulate the drug releasing rate. Numerous smart bacteria-responsive drug delivery systems (DDSs) have, therefore, been designed to temporally and spatially release antibacterial agents from the implants in an autonomous manner at the infected sites. In this review, we summarized recent advances in bacteria-responsive DDSs used for combating bacterial infections, mainly according to the different trigger modes, including physical stimuli-responsive, virulence-factor-responsive, host-immune-response responsive and their combinations. It is believed that the smart bacteria-responsive DDSs will become the next generation of mainstream antibacterial therapies. FAU - Yang, Yijie AU - Yang Y AUID- ORCID: 0000-0003-0245-2433 AD - Shanghai Key Laboratory of Stomatology, Department of Oral and Maxillo-Facial Implantology, Shanghai Ninth People's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200011, China. FAU - Jiang, Xue AU - Jiang X AD - Shanghai Key Laboratory of Stomatology, Department of Oral and Maxillo-Facial Implantology, Shanghai Ninth People's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200011, China. FAU - Lai, Hongchang AU - Lai H AD - Shanghai Key Laboratory of Stomatology, Department of Oral and Maxillo-Facial Implantology, Shanghai Ninth People's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200011, China. FAU - Zhang, Xiaomeng AU - Zhang X AD - Shanghai Key Laboratory of Stomatology, Department of Oral and Maxillo-Facial Implantology, Shanghai Ninth People's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200011, China. LA - eng GR - JYJC202205/Cross-disciplinary Research Fund of Shanghai Ninth People's Hospital, Shanghai JiaoTong university School of Medicine/ GR - 82001098/National Natural Science Foundation of China/ PT - Journal Article PT - Review DEP - 20221001 PL - Switzerland TA - J Funct Biomater JT - Journal of functional biomaterials JID - 101570734 PMC - PMC9589986 OTO - NOTNLM OT - anti-bacterial OT - drug release OT - implants OT - stimuli-responsive COIS- The authors declare no conflict of interest. EDAT- 2022/10/25 06:00 MHDA- 2022/10/25 06:01 PMCR- 2022/10/01 CRDT- 2022/10/24 06:34 PHST- 2022/09/05 00:00 [received] PHST- 2022/09/27 00:00 [revised] PHST- 2022/09/29 00:00 [accepted] PHST- 2022/10/24 06:34 [entrez] PHST- 2022/10/25 06:00 [pubmed] PHST- 2022/10/25 06:01 [medline] PHST- 2022/10/01 00:00 [pmc-release] AID - jfb13040173 [pii] AID - jfb-13-00173 [pii] AID - 10.3390/jfb13040173 [doi] PST - epublish SO - J Funct Biomater. 2022 Oct 1;13(4):173. doi: 10.3390/jfb13040173.