State Key Laboratory of Fine Chemicals, School of Chemical Engineering, Dalian University of Technology, Dalian, 116024, PR China.
School of Pharmaceutical Science and Technology, Dalian University of Technology, Dalian, 116024, PR China.
Biomaterials. 2018 Oct;179:83-95. doi: 10.1016/j.biomaterials.2018.06.037. Epub 2018 Jun 26.
High-performance hemostasis becomes increasingly essential in civilian and military trauma. However, available topical hemostats still exist various drawbacks and side-effects. Herein, a silica nanoparticle coated with polydopamine (PDA/SiNP) with good degradability, antibacterial performance was developed for hemorrhage control. PDA/SiNP formed a porous network via lyophilization and rendered material with phenol hydroxyls, aminos, proper hydrophobicity, promising for further cells aggregation and inducing clotting. The degradation behaviors in vitro indicated that the weight loss of PDA/SiNP could attain approximately 40% just after 24 h. All results demonstrated that clotting time of blood was shortened by nearly 150 s for PDA/SiNP compared with that of commercial Celox in vitro hemostasis. PDA/SiNP could significantly accelerate coagulation by activating the extrinsic pathway of the coagulation cascade, adhering platelets and aggregating erythrocytes. Therefore, not only the PDA/SiNP achieved adequate hemostasis with low exothermic effects, but also blood loss was remarkably reduced in the femoral artery and vein injury, liver injury models. Importantly, PDA/SiNP exhibited long-lasting inhibition of Escherichia coli even after 208 h. Also, the hemolysis of PDA/SiNP with low cytotoxicity was much lower, while erythrocytes maintained regular morphology. Thus, amorphous nanoscale PDA/SiNP provided a new avenue for design of silica hemostats and nonmetallic ion antimicrobial.
高性能止血在民用和军事创伤中变得越来越重要。然而,现有的局部止血剂仍然存在各种缺点和副作用。在此,我们开发了一种具有良好可降解性和抗菌性能的涂有聚多巴胺(PDA/SiNP)的硅纳米颗粒,用于控制出血。PDA/SiNP 通过冷冻干燥形成多孔网络,并赋予材料具有酚羟基、氨基、适当的疏水性,有利于进一步细胞聚集和诱导凝血。体外降解行为表明,PDA/SiNP 的重量损失在 24 小时内即可达到约 40%。所有结果表明,与商业 Celox 相比,PDA/SiNP 在体外止血时凝血时间缩短了近 150 秒。PDA/SiNP 可以通过激活凝血级联的外源性途径、黏附血小板和聚集红细胞来显著加速凝血。因此,PDA/SiNP 不仅可以实现充分的止血,而且还可以显著减少股动脉和静脉损伤、肝脏损伤模型中的失血。重要的是,PDA/SiNP 即使在 208 小时后仍能对大肠杆菌产生持久的抑制作用。此外,具有低细胞毒性的 PDA/SiNP 的溶血率要低得多,而红细胞保持正常形态。因此,无定形纳米级 PDA/SiNP 为设计硅质止血剂和非金属离子抗菌剂提供了新途径。