Department of Biomedical Engineering, Texas A&M University, College Station, TX 77843, United States.
Department of Biomedical Engineering, Texas A&M University, College Station, TX 77843, United States; Department of Genetic Engineering, SRM University, Chennai, Tamil Nadu 603 203, India.
Acta Biomater. 2018 Apr 1;70:35-47. doi: 10.1016/j.actbio.2018.01.045. Epub 2018 Feb 7.
We report injectable nanoengineered hemostats for enhanced wound healing and tissue regeneration. The nanoengineered system consists of the natural polysaccharide, κ-carrageenan (κCA), loaded with synthetic two-dimensional (2D) nanosilicates. Nanoengineered hydrogels showed shear-thinning characteristics and can be injected for minimally invasive approaches. The injectable gels can be physically crosslinked in presence of monovalent ions to form mechanically strong hydrogels. By controlling the ratio between κCA and nanosilicates, compressive stiffness of crosslinked hydrogels can be modulated between 20 and 200 kPa. Despite high mechanical stiffness, nanocomposite hydrogels are highly porous with an interconnected network. The addition of nanosilicates to κCA increases protein adsorption on nanocomposite hydrogels that results in enhance cell adhesion and spreading, increase platelets binding and reduce blood clotting time. Moreover, due to presence of nanosilicates, a range of therapeutic biomacromolecules can be deliver in a sustain manner. The addition of nanosilicates significantly suppresses the release of entrap vascular endothelial growth factor (VEGF) and facilitate in vitro tissue regeneration and wound healing. Thus, this multifunctional nanocomposite hydrogel can be used as an injectable hemostat and an efficient vehicle for therapeutic delivery to facilitate tissue regeneration.
Hemorrhage is a leading cause of death in battlefield wounds, anastomosis hemorrhage and percutaneous intervention. Thus, there is a need for the development of novel bioactive materials to reduce the likelihood of hemorrhagic shock stemming from internal wounds. Here, we introduce an injectable hemostat from kappa-carrageenan and two-dimensional (2D) nanosilicates. Nanosilicates mechanically reinforce the hydrogels, provide enhanced physiological stability and accelerate the clotting time by two-fold. The sustained release of entrapped therapeutics due to presence of nanosilicates promotes enhanced wound healing. The multifunctional nanocomposite hydrogels could be used as an injectable hemostat for penetrating injury and percutaneous intervention during surgery.
我们报告了可注射的纳米工程止血剂,用于增强伤口愈合和组织再生。该纳米工程系统由天然多糖κ-卡拉胶(κCA)和负载合成二维(2D)纳米硅酸盐组成。纳米工程水凝胶表现出剪切变稀的特性,可以用于微创方法注射。在单价离子存在下,可注射凝胶可以进行物理交联,形成机械强度高的水凝胶。通过控制κCA 和纳米硅酸盐的比例,可以将交联水凝胶的压缩弹性模量调节在 20 到 200kPa 之间。尽管具有高机械刚度,但纳米复合材料水凝胶具有高度多孔的互联网络。纳米硅酸盐的添加增加了纳米复合材料水凝胶上的蛋白质吸附,从而促进了细胞的黏附和铺展,增加了血小板的结合,并减少了凝血时间。此外,由于纳米硅酸盐的存在,可以以可持续的方式递送多种治疗性生物大分子。纳米硅酸盐的添加显著抑制了包封血管内皮生长因子(VEGF)的释放,并促进了体外组织再生和伤口愈合。因此,这种多功能纳米复合材料水凝胶可用作可注射止血剂和治疗性药物输送的有效载体,以促进组织再生。
出血是战场伤口、吻合口出血和经皮介入的主要死亡原因。因此,需要开发新型生物活性材料来降低由内部伤口引起的出血性休克的可能性。在这里,我们介绍了一种由κ-卡拉胶和二维(2D)纳米硅酸盐组成的可注射止血剂。纳米硅酸盐通过机械增强水凝胶,提供增强的生理稳定性,并将凝血时间缩短两倍。由于纳米硅酸盐的存在,包埋的治疗药物的持续释放促进了伤口愈合的增强。多功能纳米复合材料水凝胶可用于手术期间穿透性损伤和经皮介入的可注射止血剂。