Radwan-Pragłowska Julia, Janus Łukasz, Piątkowski Marek, Sierakowska Aleksandra, Galek Tomasz, Szajna Ernest, Bogdał Dariusz, Tupaj Mirosław
Department of Biotechnology and Physical Chemistry, Faculty of Chemical Engineering and Technology, Cracow University of Technology, Warszawska 24 Street, 31-155 Cracow, Poland.
Faculty of Mechanics and Technology, Rzeszow University of Technology, Kwiatkowskiego 4 Street, 37-450 Stalowa Wola, Poland.
Polymers (Basel). 2021 Apr 15;13(8):1300. doi: 10.3390/polym13081300.
Massive blood loss is still a great challenge for modern medicine. To stop the hemorrhage during the surgery or after injury apart from suturing or electrocoagulation, the most efficient method of hemostasis restoration is the use of hemostatic agents. Although there are numerous products on the market, there is still a need for biomaterials that are capable of fast and efficient bleeding management without affecting wound closure or embolism. Chitosan is known for its hemostatic activity; however, its quite poor mechanical properties and heterogenous chemical composition still needs some improvements to become superior compared to biological adhesives. The following study deals with the preparation and evaluation of chitosan-derived natural biomaterials containing extract with the potential application as a blood-clotting agent. The materials were obtained under microwave-assisted conditions in two different forms (granules/dressing), whose chemical structure and morphology were studied. Their antioxidant properties have been proven. The chitosan-derived hemostatic agents exhibited superior blood sorption abilities and lack of cytotoxicity to L929 mouse fibroblasts. The study also showed the differences in biological properties depending on their preparation method. The potential mechanism of action was proposed as well as their potential in hemostasis revival.
大量失血仍然是现代医学面临的巨大挑战。除了缝合或电凝之外,为了在手术期间或受伤后止血,恢复止血的最有效方法是使用止血剂。尽管市场上有众多产品,但仍需要能够快速有效地控制出血且不影响伤口愈合或引发栓塞的生物材料。壳聚糖以其止血活性而闻名;然而,其相当差的机械性能和不均匀的化学成分仍需要一些改进,以使其比生物粘合剂更具优势。以下研究涉及含有提取物的壳聚糖衍生天然生物材料的制备和评估,该材料具有作为凝血剂的潜在应用价值。这些材料是在微波辅助条件下以两种不同形式(颗粒/敷料)获得的,对其化学结构和形态进行了研究。已证实它们具有抗氧化性能。壳聚糖衍生的止血剂表现出优异的血液吸附能力,并且对L929小鼠成纤维细胞无细胞毒性。该研究还显示了取决于其制备方法的生物学特性差异。提出了潜在的作用机制以及它们在止血恢复方面的潜力。