Department of Intelligent Precision Healthcare Convergence, Sungkyunkwan University (SKKU), Suwon 16419, Republic of Korea.
Department of Chemistry, Korea Advanced Institute of Science and Technology (KAIST), 291 University Rd, Daejeon 34141, Republic of Korea.
ACS Appl Mater Interfaces. 2022 Jun 8;14(22):25115-25125. doi: 10.1021/acsami.2c03930. Epub 2022 May 24.
For rapid and effective hemostasis of uncontrollable bleeding, versatile hemostatic agents have been emerging. Among them, polyphenol-derived adhesives have attracted those hemostatic materials due to instantaneous formation of sticky barriers by robust interactions between the material and the serum proteins from wound. However, a critical challenge in such phenolic materials lies in long-term storage due to spontaneous oxidation under humid environments, leading to changes in hemostatic capability and adhesive strength. Here, we report a transparent hemostatic film consisting of gallol-conjugated chitosan (CHI-G) for minimizing the phenolic oxidation even for 3 months and maintaining strong tissue adhesiveness and its hemostatic ability. The film undergoes a phase transition from solid to injectable hydrogels at physiological pH for efficiently stopping internal and external hemorrhage. Interestingly, the hemostatic capability of the CHI-G hydrogels after 3 month storage depends on (i) the folded microstructure of the polymer with optimal gallol modification and (ii) an initial phase of either a solution state or a solid film. When the hydrogels are originated from the dehydrated film, their successful hemostasis is observed in a liver bleeding model. Our finding would provide an insight for design rationale of hemostatic formulations with long shelf-life.
为了实现快速有效的失控性出血止血,各种止血剂不断涌现。多酚衍生的粘合剂由于材料与伤口血清蛋白之间的强大相互作用,瞬间形成粘性屏障,因此引起了这些止血材料的关注。然而,由于在潮湿环境下自发氧化,此类酚类材料的一个关键挑战在于长期储存,这会导致止血能力和粘附强度发生变化。在这里,我们报告了一种由没食子酸共轭壳聚糖(CHI-G)组成的透明止血膜,即使储存 3 个月也可以最大程度地减少酚类氧化,同时保持强大的组织粘附性和止血能力。该膜在生理 pH 值下从固态转变为可注射水凝胶,可有效停止内出血和外出血。有趣的是,储存 3 个月后 CHI-G 水凝胶的止血能力取决于:(i)具有最佳没食子酸修饰的聚合物的折叠微观结构;(ii)初始状态为溶液状态或固态膜。当水凝胶源自脱水膜时,在肝出血模型中观察到其成功止血。我们的发现为具有长保质期的止血制剂的设计原理提供了新的见解。
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