Kudela Damien, Smith Stephanie A, May-Masnou Anna, Braun Gary B, Pallaoro Alessia, Nguyen Chi K, Chuong Tracy T, Nownes Sara, Allen Riley, Parker Nicholas R, Rashidi Hooman H, Morrissey James H, Stucky Galen D
Department of Chemistry and Biochemistry, University of California, Santa Barbara, Santa Barbara, CA 93106 (USA).
Angew Chem Int Ed Engl. 2015 Mar 23;54(13):4018-22. doi: 10.1002/anie.201409639. Epub 2015 Feb 4.
We present a silica nanoparticle (SNP) functionalized with polyphosphate (polyP) that accelerates the natural clotting process of the body. SNPs initiate the contact pathway of the blood-clotting system; short-chain polyP accelerates the common pathway by the rapid formation of thrombin, which enhances the overall blood-clotting system, both by accelerating fibrin generation and by facilitating the regulatory anticoagulation mechanisms essential for hemostasis. Analysis of the clotting properties of bare SNPs, bare polyP, and polyP-functionalized SNPs in plasma demonstrated that the attachment of polyP to SNPs to form polyP-SNPs creates a substantially enhanced synergistic effect that lowers clotting time and increases thrombin production at low concentrations. PolyP-SNP even retains its clotting function at ambient temperature. The polyP-SNP system has the potential to significantly improve trauma-treatment protocols and outcomes in hospital and prehospital settings.
我们展示了一种用多聚磷酸盐(polyP)功能化的二氧化硅纳米颗粒(SNP),它能加速人体的自然凝血过程。SNP启动血液凝固系统的接触途径;短链多聚磷酸盐通过快速形成凝血酶来加速共同途径,这通过加速纤维蛋白生成以及促进止血所必需的调节性抗凝机制来增强整体血液凝固系统。对血浆中裸SNP、裸多聚磷酸盐和多聚磷酸盐功能化SNP的凝血特性分析表明,多聚磷酸盐附着于SNP形成多聚磷酸盐-SNP会产生显著增强的协同效应,从而降低凝血时间并在低浓度下增加凝血酶生成。多聚磷酸盐-SNP甚至在环境温度下仍保留其凝血功能。多聚磷酸盐-SNP系统有潜力显著改善医院和院前环境中的创伤治疗方案及治疗效果。