ITMO University, Laboratory of Solution Chemistry of Advanced Materials and Technologies, Lomonosova St. 9, 191002, St. Petersburg, Russian Federation.
Mariinsky Hospital, Regional Cardiovascular Center, Liteyny Ave. 56, 191054, St. Petersburg, Russian Federation.
Sci Rep. 2018 Jan 10;8(1):233. doi: 10.1038/s41598-017-18665-4.
Bleeding remains one of the main causes of premature mortality at present, with internal bleeding being the most dangerous case. In this paper, magnetic hemostatic nanoparticles are shown for the first time to assist in minimally invasive treatment of internal bleeding, implying the introduction directly into the circulatory system followed by localization in the bleeding zone due to the application of an external magnetic field. Nanoparticles were produced by entrapping human thrombin (THR) into a sol-gel derived magnetite matrix followed by grinding to sizes below 200 nm and subsequent colloidization. Prepared colloids show protrombotic activity and cause plasma coagulation in in vitro experiments. We also show here using a model blood vessel that the THR@ferria composite does not cause systematic thrombosis due to low activity, but being concentrated by an external magnetic field with simultaneous fibrinogen injection accelerates local hemostasis and stops the bleeding. For instance, a model vessel system with circulating blood at the puncture of the vessel wall and the application of a permanent magnetic field yielded a hemostasis time by a factor of 6.5 shorter than that observed for the control sample. Biocompatibility of composites was tested on HELF and HeLa cells and revealed no toxic effects.
出血仍然是目前导致过早死亡的主要原因之一,其中内出血最为危险。本文首次展示了磁性止血纳米颗粒有助于微创治疗内出血,这意味着可以将其直接引入循环系统,然后在外磁场的作用下定位在出血区域。纳米颗粒是通过将人凝血酶(THR)包埋在溶胶-凝胶衍生的磁铁矿基质中,然后研磨至 200nm 以下,并随后胶凝来制备的。制备的胶体在体外实验中表现出促凝活性并引起血浆凝固。我们还在这里使用血管模型表明,由于活性低,THR@ferria 复合材料不会引起系统性血栓形成,但是通过外加磁场集中并同时注入纤维蛋白原会加速局部止血并停止出血。例如,在血管壁穿刺处有循环血液的模型血管系统中,施加永磁体后止血时间比对照组缩短了 6.5 倍。复合材料的生物相容性在 HELF 和 HeLa 细胞上进行了测试,未发现毒性作用。