无疤痕治愈全层糖尿病创面:银纳米粒子作为抗菌剂、海藻酸钠纳米粒子作为止血剂、新鲜血液作为营养/生长因子供应源以及壳聚糖作为基质的独特组合。

Scar free healing of full thickness diabetic wounds: A unique combination of silver nanoparticles as antimicrobial agent, calcium alginate nanoparticles as hemostatic agent, fresh blood as nutrient/growth factor supplier and chitosan as base matrix.

机构信息

Centre for Biomedical Engineering, Indian Institute of Technology, New Delhi, India; All India Institute of Medical Sciences, New Delhi, India.

Centre for Biomedical Engineering, Indian Institute of Technology, New Delhi, India; School of Basic and Applied Science, Galgotias University, Greater Noida, Uttar Pradesh, India.

出版信息

Int J Biol Macromol. 2021 May 1;178:41-52. doi: 10.1016/j.ijbiomac.2021.02.133. Epub 2021 Feb 20.

Abstract

Healing of diabetic wounds present a big challenge due to insufficient vascular supply and bacterial infection. We developed chitosan based biodegradable polymeric hydrogel containing silver nanoparticles (AgNPs) as antimicrobial agent and calcium alginate nanoparticles (Ca-AlgNps) as hemostatic agent to address this problem. The prepared Chitosan/Ca-AlgNps/AgNPs hydrogel showed broad spectrum antimicrobial properties against both Gram negative (E. coli, P. aeruginosa) and Gram positive (B. subtilis, S. aureus) bacteria. Taken into account the blood as a vital material containing various circulatory fibrocytes, growth factors, cytokines, platelets and macrophages etc., we incorporated the fresh blood of the same animal to the prepared Chitosan/Ca-Alg Nps/AgNPs hydrogel. In-vivo animal studies of Chitosan/Ca-AlgNps/AgNPs hydrogel and blood mixed Chitosan/Ca-AlgNps/AgNPs hydrogel exhibit 83.5 ± 4.4% and 99.8 ± 2.0% closure of wound respectively, on day 15 as compared to 41.5 ± 3.2% in diabetic control and 60.3 ± 2.2% in commercially available wound healing cream, Silverex Heal. The incorporation of fresh blood to the prepared hydrogel has advantage in terms of supplying growth factors, platelets, circulatory fibrocytes and cytokines which further enhanced the wound healing mechanism in diabetic rats. This work opens a novel idea to formulate hydrogels based dressings for diabetic wound healing.

摘要

由于血管供应不足和细菌感染,糖尿病伤口的愈合仍然是一个巨大的挑战。我们开发了一种基于壳聚糖的可生物降解的聚合物水凝胶,其中含有纳米银(AgNPs)作为抗菌剂和纳米海藻酸钠(Ca-AlgNps)作为止血剂,以解决这个问题。所制备的壳聚糖/海藻酸钠/AgNPs 水凝胶对革兰氏阴性(大肠杆菌、铜绿假单胞菌)和革兰氏阳性(枯草芽孢杆菌、金黄色葡萄球菌)细菌均具有广谱抗菌性能。考虑到血液是一种含有各种循环成纤维细胞、生长因子、细胞因子、血小板和巨噬细胞等的重要物质,我们将同种动物的新鲜血液加入到所制备的壳聚糖/海藻酸钠/AgNPs 水凝胶中。壳聚糖/海藻酸钠/AgNPs 水凝胶和混合有新鲜血液的壳聚糖/海藻酸钠/AgNPs 水凝胶的体内动物研究表明,在第 15 天,分别有 83.5±4.4%和 99.8±2.0%的伤口闭合,而糖尿病对照组为 41.5±3.2%,市售的伤口愈合乳膏 Silverex Heal 为 60.3±2.2%。将新鲜血液加入到所制备的水凝胶中具有供应生长因子、血小板、循环成纤维细胞和细胞因子的优势,这进一步增强了糖尿病大鼠的伤口愈合机制。这项工作为糖尿病伤口愈合的水凝胶敷料的配方设计提供了一个新的思路。

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