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Abstract
In aged mice, a cascade-responsive therapeutic system fully repairs bone defects within 4 weeks.
- Age-related bone defects are linked to a cycle involving senescent bone marrow stem cells and pro-inflammatory macrophages.
- Circadian disruption is identified as a key factor driving this cycle.
- Engineered nanocellular pacemakers release melatonin in response to senescence-associated signals.
- Melatonin delivery is associated with the rejuvenation of bone marrow stem cells by regulating circadian rhythms and inhibiting specific signaling pathways.
- Probiotic membrane components on the nanocellular pacemakers may reprogram macrophages towards a pro-regenerative phenotype.
- A dual-network hydrogel facilitates the targeted and timed release of the therapeutic system.
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