Department of Materials Science and Engineering, Jinan University, Guangzhou 510632, China.
Department of Cardiology, the First Affiliated Hospital of Jinan University, Guangzhou 510632, China.
Int J Biol Macromol. 2020 Sep 15;159:304-315. doi: 10.1016/j.ijbiomac.2020.05.098. Epub 2020 May 15.
Massive blood loss and bacterial infection are major challenges for global public health. However, traditional wound dressings cannot fully meet the current clinical needs in controlling bleeding and avoiding infection. In this study, we prepared a chitin nanofiber suspension by green mechanical grinding and homogenizing, which could be used for developing a porous chitin nanofiber sponge by freeze drying. Then tannic acid/Ca was anchored on the surface of chitin nanofiber sponge by layer-by-layer deposition based on the coordination complex of tannic acid and Ca. These porous chitin nanofiber sponges with meso-macroporous structure could accelerate platelet aggregation for hemostasis. Hemostasis tests also demonstrated that the Ca and TA in the TA/Ca coating on chitin nanofiber sponge could accelerate platelet activity and shorten the hemostatic time both in vitro and in vivo. Besides, the TA in the TA/Ca coating enhanced the antibacterial properties of the sponge, which depended the content of TA/Ca. Based on these results, it could be inferred that the chitin nanofiber sponges anchored TA/Ca coating had rapid hemostatic and antibacterial properties, which would have great potential for designing hemostatic product in clinical application.
大量失血和细菌感染是全球公共卫生的主要挑战。然而,传统的伤口敷料不能完全满足目前在控制出血和避免感染方面的临床需求。在这项研究中,我们通过绿色机械研磨和均化制备了壳聚糖纳米纤维悬浮液,可通过冷冻干燥来开发多孔壳聚糖纳米纤维海绵。然后,基于单宁酸和 Ca 的配位络合物,通过层层沉积将单宁酸/ Ca 锚定在壳聚糖纳米纤维海绵的表面。这些具有中-大孔结构的多孔壳聚糖纳米纤维海绵可以加速血小板聚集以止血。止血测试还表明,壳聚糖纳米纤维海绵上 TA/Ca 涂层中的 Ca 和 TA 可以在体外和体内均加速血小板活性并缩短止血时间。此外,TA/Ca 涂层中的 TA 增强了海绵的抗菌性能,这取决于 TA/Ca 的含量。基于这些结果,可以推断出带有 TA/Ca 涂层的壳聚糖纳米纤维海绵具有快速止血和抗菌性能,这将为临床应用中止血产品的设计提供巨大潜力。