载有溶菌酶的水分平衡型抗菌敷料具有抗菌活性并促进伤口愈合。

A moisture balanced antibacterial dressing loaded with lysozyme possesses antibacterial activity and promotes wound healing.

机构信息

Department of Burn and Plastic Surgery, the First People's Hospital of Chenzhou, University of South China, Chenzhou 423000, China.

出版信息

Soft Matter. 2021 Mar 21;17(11):3162-3173. doi: 10.1039/d0sm02245d. Epub 2021 Feb 23.

Abstract

Wound moisture management is very important in wound healing. Previous wound management has included dry healing and moist healing, and the theory of wound moisture balance is currently generally accepted. However, current studies have not reported which humidity is suitable for wound healing and how to appropriately use antibacterial compounds when the humidity is suitable. Our study explored the moisture balance of polyurethane foam dressings through a moisture balance test and constructed a safe and effective moisture balanced antibacterial dressing by loading lysozyme onto a polyurethane foam dressing. Wound healing experiments showed that the wound healing speed was the fastest when the humidity was 25%. In vivo and in vitro antibacterial experiments showed the superior antibacterial performance of the dressing after lysozyme loading. We loaded lysozyme on moisture balanced polyurethane dressings by means of dopamine adsorption, and the modified dressings were named PU/DA-LYS (polyurethane/dopamine-lysozyme). Experiments on wound healing in infected mice indicated that PU/DA-LYS helps fight infection while promoting wound healing. Cytotoxicity experiments and in vivo biological safety experiments indicated that PU/DA-LYS was safe for use. Our study found that the lysozyme loaded polyurethane dressing can provide appropriate wound moisture and prevent bacterial infection, which is a future developmental direction for wound dressings.

摘要

伤口湿性愈合管理在伤口愈合中非常重要。以往的伤口处理方法包括干性愈合和湿性愈合,目前普遍接受的理论是伤口水分平衡。然而,目前的研究尚未报道哪种湿度适合伤口愈合,以及在湿度适宜时如何适当使用抗菌化合物。我们的研究通过水分平衡测试探索了聚氨酯泡沫敷料的水分平衡,并通过将溶菌酶加载到聚氨酯泡沫敷料上构建了一种安全有效的水分平衡抗菌敷料。伤口愈合实验表明,当湿度为 25%时,伤口愈合速度最快。体内和体外抗菌实验表明,溶菌酶负载后的敷料具有优异的抗菌性能。我们通过多巴胺吸附的方式将溶菌酶加载到水分平衡的聚氨酯敷料上,改性后的敷料被命名为 PU/DA-LYS(聚氨酯/多巴胺-溶菌酶)。在感染小鼠的伤口愈合实验中,PU/DA-LYS 有助于抗感染的同时促进伤口愈合。细胞毒性实验和体内生物安全性实验表明,PU/DA-LYS 可以安全使用。我们的研究发现,负载溶菌酶的聚氨酯敷料可以提供适当的伤口湿度并防止细菌感染,这是伤口敷料的未来发展方向。

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