Nardini Marta, Perteghella Sara, Mastracci Luca, Grillo Federica, Marrubini Giorgio, Bari Elia, Formica Matteo, Gentili Chiara, Cancedda Ranieri, Torre Maria Luisa, Mastrogiacomo Maddalena
Department of Internal Medicine (DIMI), University of Genova, viale Benedetto XV 10, 16132 Genova, Italy.
Biotherapy Unit, Ospedale Policlinico San Martino IRCCS, largo Rosanna Benzi 10, 16132 Genova, Italy.
Pharmaceutics. 2020 Feb 3;12(2):120. doi: 10.3390/pharmaceutics12020120.
Standard treatments of chronic skin ulcers based on the direct application of dressings still present several limits with regard to a complete tissue regeneration. Innovative strategies in tissue engineering offer materials that can tune cell behavior and promote growth tissue favoring cell recruitment in the early stages of wound healing. A combination of Alginate (Alg), Sericin (SS) with Platelet Lysate (PL), as a freeze-dried sponge, is proposed to generate a bioactive wound dressing to care skin lesions. Biomembranes at different composition were tested for the release of platelet growth factors, cytotoxicity, protective effects against oxidative stress and cell proliferation induction. The highest level of the growth factors release occurred within 48 h, an optimized time to burst a healing process in vivo; the presence of SS differently modulated the release of the factors by interaction with the proteins composing the biomembranes. Any cytotoxicity was registered, whereas a capability to protect cells against oxidative stress and induce proliferation was observed when PL was included in the biomembrane. In a mouse skin lesion model, the biomembranes with PL promoted the healing process, inducing an accelerated and more pronounced burst of inflammation, formation of granulation tissue and new collagen deposition, leading to a more rapid skin regeneration.
基于直接应用敷料的慢性皮肤溃疡标准治疗方法在完全组织再生方面仍存在若干局限性。组织工程中的创新策略提供了能够调节细胞行为并促进生长组织的材料,有利于在伤口愈合早期阶段招募细胞。本文提出将藻酸盐(Alg)、丝胶蛋白(SS)与血小板裂解物(PL)组合制成冻干海绵,以生成用于护理皮肤损伤的生物活性伤口敷料。对不同成分的生物膜进行了血小板生长因子释放、细胞毒性、抗氧化应激保护作用和细胞增殖诱导测试。生长因子的最高释放水平在48小时内出现,这是体内启动愈合过程的最佳时间;SS的存在通过与构成生物膜的蛋白质相互作用,不同程度地调节了因子的释放。未检测到任何细胞毒性,而当生物膜中包含PL时,观察到其具有保护细胞免受氧化应激并诱导增殖的能力。在小鼠皮肤损伤模型中,含PL的生物膜促进了愈合过程,引发炎症加速且更明显的爆发、肉芽组织形成和新胶原沉积,从而实现更快的皮肤再生。