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石墨烯-蒙脱石复合海绵用于安全有效的止血。

Graphene-Montmorillonite Composite Sponge for Safe and Effective Hemostasis.

机构信息

Beijing Laboratory of Biomedical Materials, Beijing University of Chemical Technology , Beijing 100029, People's Republic of China.

The Key Laboratory of Bioorganic Phosphorus Chemistry & Chemical Biology (Ministry of Education), Department of Chemistry, Tsinghua University , Beijing 100084, People's Republic of China.

出版信息

ACS Appl Mater Interfaces. 2016 Dec 28;8(51):35071-35080. doi: 10.1021/acsami.6b13302. Epub 2016 Dec 16.

Abstract

Montmorillonite (MMT) is considered to be the most effective hemostat among natural phyllosilicates. However, there is a barrier against using MMT for the commercial hemostatics because the invaded MMT powders might cause thrombosis in vessel. Until now, it is still a challenge to manage the release of MMT and eliminate its side effect. Herein, we present a graphene-MMT composite sponge (GMCS), synthesized under a hydrothermal reaction, fixing MMT powders into the cross-linked graphene sheets. We demonstrate that only a few embedded MMT can evoke remarkable platelet stimulation at the sponge interface, while maintaining fast plasma absorbency of the innate sponge. In the synergy of the above hemostatic mechanisms, the GMCS can rapidly stop bleeding in approximately 85 s in rabbit artery injury test. More importantly, computed tomography angiography certifies that the GMCS does not cause thrombus or blood clot in vessels. Cytotoxicity assay further highlights its biocompatibility. In-depth analysis proposes that two-dimensional graphene overmatches one-dimensional linear polymers in the composite construction, and dimension transformation of blood distribution plays a crucial role for reinforcing the hemostatic performance. This GMCS hemostat not only opens a new perspective for graphene composite, but also makes a new chance of using clays for trauma therapy.

摘要

蒙脱石(MMT)被认为是天然层状硅酸盐中最有效的止血剂。然而,由于侵入血管的 MMT 粉末可能导致血栓形成,因此将 MMT 用于商业止血剂存在障碍。到目前为止,如何控制 MMT 的释放并消除其副作用仍然是一个挑战。在此,我们提出了一种在水热反应下合成的石墨烯-蒙脱石复合材料海绵(GMCS),将蒙脱石粉末固定在交联的石墨烯片之间。我们证明,只有少量嵌入的 MMT 就能在海绵界面引起明显的血小板刺激,同时保持海绵固有的快速血浆吸收能力。在上述止血机制的协同作用下,GMCS 可在大约 85 秒内在兔动脉损伤试验中迅速止血。更重要的是,计算机断层血管造影术证实 GMCS 不会在血管中引起血栓或血凝块。细胞毒性试验进一步突出了其生物相容性。深入分析表明,在复合材料结构中,二维石墨烯优于一维线性聚合物,并且血液分布的维度转换对于增强止血性能起着至关重要的作用。这种 GMCS 止血剂不仅为石墨烯复合材料开辟了新的视角,也为粘土在创伤治疗中的应用提供了新的机会。

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