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具有空间设计结构的静电纺丝壳聚糖/PVA/生物玻璃纳米纤维膜,加速慢性伤口愈合。

Electrospun chitosan/PVA/bioglass Nanofibrous membrane with spatially designed structure for accelerating chronic wound healing.

机构信息

Research Center for Human Tissues and Organs Degeneration, Institute of Biomedicine and Biotechnology, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, 518055, PR China.

Shenzhen Key Laboratory for Innovative Technology in Orthopaedic Trauma, The University of Hong Kong-Shenzhen Hospital, Shenzhen, China; Department of Orthopaedic and Traumatology, The University of Hong Kong, 21 Sassoon Rd., Pokfulam, Hong Kong 999077, PR China.

出版信息

Mater Sci Eng C Mater Biol Appl. 2019 Dec;105:110083. doi: 10.1016/j.msec.2019.110083. Epub 2019 Aug 13.

Abstract

Cutaneous wounds, especially chronic wounds, remain clinical challenges, and this is partially due to the complex healing process composed of four overlapping but distinct stages including hemostasis, inflammation, proliferation and remodeling. Therefore, wound dressings with spatially designed structures which can temporally regulate certain bioactive components to function at specific healing stages might be able to accelerate the healing process. In this study, nanobioglass incorporated chitosan-PVA (polyvinyl alcohol) trilayer nanofibrous membrane (nBG-TFM) was fabricated via sequential electrospinning. This membrane exhibited excellent biocompatibility, antibacterial activity and regeneration promotion effect. Furthermore, spatially designed structure optimized functions of each component and provided more suitable microenvironment as compared with uniform membrane. Rat full-thickness skin defects model and mice diabetic chronic wound model showed that nBG-TFM could achieve significantly accelerated and enhanced healing, in terms of complete re-epithelialization, improved collagen alignment and formation of skin appendages. It was revealed that nBG-TFM functioned through upregulating growth factors including VEGF and TGF-β. Meanwhile inflammatory cytokines such as TNF-α and IL-1β were downregulated. The technology presented in this study shed new light on designing functional wound dressings which can promote healing of chronic wounds.

摘要

皮肤伤口,尤其是慢性伤口,仍然是临床挑战,这在一定程度上是由于其愈合过程复杂,由四个重叠但不同的阶段组成,包括止血、炎症、增殖和重塑。因此,具有空间设计结构的伤口敷料可以暂时调节某些生物活性成分在特定愈合阶段发挥作用,从而有可能加速愈合过程。在这项研究中,通过顺序静电纺丝制备了纳米生物玻璃掺入壳聚糖-PVA(聚乙烯醇)三层纳米纤维膜(nBG-TFM)。该膜表现出优异的生物相容性、抗菌活性和促进再生的作用。此外,与均匀膜相比,空间设计结构优化了每个组件的功能,并提供了更合适的微环境。大鼠全层皮肤缺损模型和小鼠糖尿病慢性伤口模型表明,nBG-TFM 可通过完全再上皮化、改善胶原排列和形成皮肤附属物来实现显著加速和增强愈合。结果表明,nBG-TFM 通过上调包括 VEGF 和 TGF-β 在内的生长因子来发挥作用。同时,下调 TNF-α 和 IL-1β 等炎症细胞因子。本研究提出的技术为设计可促进慢性伤口愈合的功能性伤口敷料提供了新的思路。

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