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由海洋来源多糖和抗坏血酸制成的高孔隙率超吸水性生物材料作为渗出性伤口处理的最佳敷料

Highly Porous and Superabsorbent Biomaterial Made of Marine-Derived Polysaccharides and Ascorbic Acid as an Optimal Dressing for Exuding Wound Management.

作者信息

Vivcharenko Vladyslav, Wojcik Michal, Palka Krzysztof, Przekora Agata

机构信息

Department of Biochemistry and Biotechnology, Medical University of Lublin, Chodzki 1 Street, 20-093 Lublin, Poland.

Department of Materials Science and Engineering, Faculty of Mechanical Engineering, Lublin University of Technology, Nadbystrzycka 36, 20-618 Lublin, Poland.

出版信息

Materials (Basel). 2021 Mar 4;14(5):1211. doi: 10.3390/ma14051211.

Abstract

There are many modern wound dressings that have promising properties for repairing skin damage. However, due to various types of wounds and the problems they cause, there is still a great demand for new, effective healing strategies. The aim of this study was to create superabsorbent wound dressing made of marine-derived polysaccharides (agarose and chitosan) using the freeze-drying method. The secondary goal was its comprehensive evaluation for potential use as an external superabsorbent bandage for wounds with high exudation. Due to the well-known positive effect of ascorbic acid (vitamin C) on the healing process, biomaterial enriched with vitamin C was prepared and compared to the variant without the addition of ascorbic acid. It was shown that the produced foam-like wound dressing had a very porous structure, which was characterized by hydrophilicity, allowing a large amount of human fluids to be absorbed. According to in vitro tests on human fibroblasts, biomaterial was nontoxic and supportive to cell proliferation. Vitamin C-enriched dressing also had the ability to significantly reduce matrix metalloproteinase-2 production and to promote platelet-derived growth factor-BB synthesis by fibroblasts, which is desired during chronic wound treatment. The material has features of the eco-friendly wound care product since it was made of naturally-derived polysaccharides and was proved to be biodegradable. Importantly, despite degradable character, it was stable in the chronic and infected wound microenvironment, maintaining high integrity after 8-week incubation in the enzymatic solutions containing lysozyme and collagenases. The obtained results clearly showed that developed biomaterial possesses all necessary features of the external dressing for the management of exudate from both acute and chronic non-healing wounds.

摘要

有许多现代伤口敷料具有修复皮肤损伤的良好特性。然而,由于伤口类型多样及其引发的问题,对新型有效愈合策略仍有巨大需求。本研究的目的是采用冷冻干燥法制备由海洋来源多糖(琼脂糖和壳聚糖)制成的高吸水性伤口敷料。次要目标是对其作为高渗出伤口外部高吸水性绷带的潜在用途进行全面评估。由于众所周知的抗坏血酸(维生素C)对愈合过程的积极作用,制备了富含维生素C的生物材料,并与未添加抗坏血酸的变体进行比较。结果表明,所制备的泡沫状伤口敷料具有非常多孔的结构,其特点是亲水性强,能够吸收大量人体液体。根据对人成纤维细胞的体外测试,生物材料无毒且支持细胞增殖。富含维生素C的敷料还能够显著降低基质金属蛋白酶-2的产生,并促进成纤维细胞合成血小板衍生生长因子-BB,这在慢性伤口治疗中是理想的。该材料具有环保伤口护理产品的特点,因为它由天然来源的多糖制成,并且被证明是可生物降解的。重要的是,尽管具有可降解特性,但它在慢性和感染伤口微环境中稳定,在含有溶菌酶和胶原酶的酶溶液中孵育8周后仍保持高度完整性。所得结果清楚地表明,所开发的生物材料具备用于处理急性和慢性不愈合伤口渗出液的外部敷料的所有必要特性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/014e/7961991/7f6322742dec/materials-14-01211-g001.jpg

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