Cheng Liying, Sun Xiaoming, Li Bin, Hu Changmin, Yang Huilin, Zhang Yuguang, Cui Wenguo
Department of Orthopedics, The First Affiliated Hospital of Soochow University, 188 Shizi St, Suzhou, Jiangsu 215006, People's Republic of China.
J Mater Chem B. 2013 Sep 21;1(35):4428-4437. doi: 10.1039/c3tb20441c. Epub 2013 Jul 25.
Studies have explored many approaches to prevent and treat hypertrophic scars. However, most of them inhibit hypertrophic scars after their formation, without taking into account repairing tissue damage in the early stage and inhibiting scar hyperplasia in the late stage through combining treatments. In this study, Ginsenoside Rg3 (Rg3) loaded poly(d,l-lactide-co-glycolide) (PLGA) electrospun fibrous scaffolds were prepared by a co-solvent electrospinning method, and then hyaluronic acid (HA) was coated on the surface of the drug-loaded electrospun fibers by a pressure-driven permeation (PDP) wrapped method. The hydrophilic Rg3/PLGA/HA electrospun fibrous scaffolds showed the effect of combining treatments of promoting wound healing in the early stage and inhibiting scar hyperplasia in the late stage. The improved hydrophilicity together with a proper porous structure, a stable fibrous structure, durable mechanical properties and a similar drug release model suggested that the Rg3/PLGA electrospun scaffold coated with HA via PDP has great potential for drug-loaded tissue engineering scaffolds. The in vivo animal results showed that the Rg3/PLGA/HA could promote wound healing earlier and significantly inhibit scar hyperplasia compared to other control groups from macroscopic, histologic evaluation, and expression of collagen type I. The Rg3/PLGA/HA electrospun fibrous scaffolds open a new combined therapeutic approach for inhibiting hypertrophic scars.
已有研究探索了多种预防和治疗增生性瘢痕的方法。然而,它们大多是在增生性瘢痕形成后对其进行抑制,而没有考虑通过联合治疗在早期修复组织损伤以及在后期抑制瘢痕增生。在本研究中,采用共溶剂静电纺丝法制备了负载人参皂苷Rg3(Rg3)的聚(d,l-丙交酯-共-乙交酯)(PLGA)静电纺丝纤维支架,然后通过压力驱动渗透(PDP)包裹法将透明质酸(HA)包覆在载药静电纺丝纤维表面。亲水性的Rg3/PLGA/HA静电纺丝纤维支架显示出在早期促进伤口愈合和在后期抑制瘢痕增生的联合治疗效果。亲水性的改善、适当的多孔结构、稳定的纤维结构、持久的力学性能以及相似的药物释放模式表明,通过PDP包覆HA的Rg3/PLGA静电纺丝支架在载药组织工程支架方面具有巨大潜力。体内动物实验结果表明,与其他对照组相比,从宏观、组织学评估以及I型胶原蛋白表达来看,Rg3/PLGA/HA能够更早地促进伤口愈合并显著抑制瘢痕增生。Rg3/PLGA/HA静电纺丝纤维支架为抑制增生性瘢痕开辟了一种新的联合治疗方法。