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一种新型可注射淀粉基止血组织粘合剂。

A novel injectable starch-based tissue adhesive for hemostasis.

机构信息

Engineering Research Center for Biomedical Materials of Ministry of Education, East China University of Science and Technology, Shanghai 200237, P. R. China.

出版信息

J Mater Chem B. 2020 Sep 23;8(36):8282-8293. doi: 10.1039/d0tb01562h.

DOI:10.1039/d0tb01562h
PMID:32785356
Abstract

Hemorrhage remains one of the direct causes of high mortality. The development of ideal hemostatic materials with sound ability to deal with severe wound is urgent needed. Although starch-based hemostatic powder has been widely used, hydrous physiological environments severely hamper its binding to the target tissue, thereby limiting the effectiveness in hemostasis. Herein, inspired by mussel adhesive protein, a novel injectable tissue-adhesive hydrogel (St-Dopa hydrogel) composed of starch, succinic anhydride and dopamine was developed in situ by enzymatic crosslinking. The results show that St-Dopa hydrogels were intimately integrated with biological tissue and formed robust barriers to reduce blood loss. St-Dopa hydrogels exhibited superior capacity for in vitro and in vivo hemostasis as compared with chitin hydrogels. In addition to the ease of operation, St-Dopa hydrogels exhibited rapid sol-gel transition, porous microscopic morphology, good swelling ratio and biodegradability, tissue-like elastomeric mechanical properties and excellent cyto/hemo-compatibility. These results suggest that this newly developed St-Dopa hydrogel is a promising biological adhesive and hemostatic material.

摘要

出血仍然是高死亡率的直接原因之一。急需开发具有良好能力来应对严重伤口的理想止血材料。尽管基于淀粉的止血粉已被广泛应用,但含水的生理环境严重阻碍了其与目标组织的结合,从而限制了其在止血方面的效果。受贻贝类黏附蛋白的启发,本文通过酶交联原位制备了由淀粉、琥珀酸酐和多巴胺组成的新型可注射组织黏附水凝胶(St-Dopa 水凝胶)。结果表明,St-Dopa 水凝胶与生物组织紧密结合,形成坚固的屏障以减少失血。与壳聚糖水凝胶相比,St-Dopa 水凝胶在体外和体内止血方面表现出更好的性能。除了操作简便外,St-Dopa 水凝胶还具有快速溶胶-凝胶转变、多孔微观形貌、良好的溶胀比和生物降解性、类组织弹性机械性能和优异的细胞/血液相容性。这些结果表明,这种新开发的 St-Dopa 水凝胶是一种很有前途的生物黏附剂和止血材料。

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