Ong Chee Tian, Zhang Yanzhong, Lim Raymond, Samsonraj Rebekah, Masilamani Jeyakumar, Phan Tran Hong Ha, Ramakrishna Seeram, Lim Ivor, Kee Irene, Fahamy Mohammad, Templonuevo Vilma, Lim Chwee Teck, Phan Toan Thang
Department of Surgery, National University of Singapore , Singapore, Singapore .
Division of Bioengineering, National University of Singapore , Singapore, Singapore . ; Department of Bioengineering, National University of Singapore , Singapore, Singapore .
Adv Wound Care (New Rochelle). 2015 Feb 1;4(2):110-118. doi: 10.1089/wound.2014.0527.
Nanofibers for tissue scaffolding and wound dressings hold great potential in realizing enhanced healing of wounds in comparison with conventional counterparts. Previously, we demonstrated good fibroblast adherence and growth on a newly developed scaffold, Tegaderm™-Nanofiber (TG-NF), made from poly ɛ-caprolactone (PCL)/gelatin nanofibers electrospun onto Tegaderm (TG). The purpose of this study is to evaluate the performance and safety of TG-NF dressings in partial-thickness wound in a pig healing model. To evaluate the rate of reepithelialization, control TG, human dermal fibroblast-seeded TG-NF(+) and -unseeded TG-NF(-) were randomly dressed onto 80 partial-thickness burns created on four female and four male pigs. Wound inspections and dressings were done after burns on day 7, 14, 21, and 28. On day 28, full-thickness biopsies were taken for histopathological evaluation by Masson-Trichrome staining for collagen and hematoxylin-eosin staining for cell counting. No infection and severe inflammation were recorded. Wounds treated with TG-NF(+) reepithelialized significantly faster than TG-NF(-) and control. Wound site inflammatory responses to study groups were similar as total cell counts on granulation tissues show no significant differences. Most of the wounds completely reepithelialized by day 28, except for two wounds in control and TG-NF(-). A higher collagen coverage was also recorded in the granulation tissues treated with TG-NF(+). With better reepithelialization achieved by TG-NF(+) and similar rates of wound closure by TG-NF(-) and control, and the absence of elevated inflammatory responses to TG-NF constructs, TG-NF constructs are safe and demonstrated good healing potentials that are comparable to Tegaderm.
与传统的组织支架和伤口敷料相比,用于组织支架和伤口敷料的纳米纤维在实现伤口愈合增强方面具有巨大潜力。此前,我们证明了在新开发的由聚ε-己内酯(PCL)/明胶纳米纤维静电纺丝到泰科纳(TG)上制成的泰科纳™-纳米纤维(TG-NF)支架上,成纤维细胞具有良好的黏附性和生长情况。本研究的目的是在猪的部分厚度伤口愈合模型中评估TG-NF敷料的性能和安全性。为了评估再上皮化速率,将对照TG、接种人真皮成纤维细胞的TG-NF(+)和未接种的TG-NF(-)随机敷贴在4只雌性和4只雄性猪身上产生的80处部分厚度烧伤处。在烧伤后的第7、14、21和28天进行伤口检查和换药。在第28天,取全层活检组织进行组织病理学评估,用Masson三色染色法检测胶原蛋白,用苏木精-伊红染色法进行细胞计数。未记录到感染和严重炎症。用TG-NF(+)治疗的伤口再上皮化明显快于TG-NF(-)和对照组。研究组伤口部位的炎症反应相似,因为肉芽组织上的总细胞计数无显著差异。到第28天,除了对照组和TG-NF(-)中的两处伤口外,大多数伤口完全再上皮化。在用TG-NF(+)治疗的肉芽组织中也记录到更高的胶原蛋白覆盖率。由于TG-NF(+)实现了更好的再上皮化,TG-NF(-)和对照组的伤口闭合率相似,并且对TG-NF构建体没有升高的炎症反应,TG-NF构建体是安全的,并且显示出与泰科纳相当的良好愈合潜力。