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用于复杂伤口严重出血的双驱动红细胞穿刺止血器。

Dual-Driven Hemostats Featured with Puncturing Erythrocytes for Severe Bleeding in Complex Wounds.

作者信息

Qiu Haoyu, Lan Guangqian, Ding Weiwei, Wang Xinyu, Wang Wenyi, Shou Dahua, Lu Fei, Hu Enling, Yu Kun, Shang Songmin, Xie Ruiqi

机构信息

State Key Laboratory of Silkworm Genome Biology, College of Sericulture, Textile and Biomass Sciences, Southwest University, Chongqing 400715, China.

Chongqing Engineering Research Center of Biomaterial Fiber and Modern Textile, Chongqing 400715, China.

出版信息

Research (Wash D C). 2022 May 31;2022:9762746. doi: 10.34133/2022/9762746. eCollection 2022.

Abstract

Achieving rapid hemostasis in complex and deep wounds with secluded hemorrhagic sites is still a challenge because of the difficulty in delivering hemostats to these sites. In this study, a Janus particle, SEC-Fe@CaT with dual-driven forces, bubble-driving, and magnetic field- (MF-) mediated driving, was prepared via loading of FeO on a sunflower sporopollenin exine capsule (SEC), and followed by growth of flower-shaped CaCO clusters. The bubble-driving forces enabled SEC-Fe@CaT to self-diffuse in the blood to eliminate agglomeration, and the MF-mediated driving force facilitated the SEC-Fe@CaT countercurrent against blood to access deep bleeding sites in the wounds. During the movement in blood flow, the meteor hammer-like SEC from SEC-Fe@CaT can puncture red blood cells (RBCs) to release procoagulants, thus promoting activation of platelet and rapid hemostasis. Animal tests suggested that SEC-Fe@CaT stopped bleeding in as short as 30 and 45 s in femoral artery and liver hemorrhage models, respectively. In contrast, the similar commercial product Celox™ required approximately 70 s to stop the bleeding in both bleeding modes. This study demonstrates a new hemostat platform for rapid hemostasis in deep and complex wounds. It was the first attempt integrating geometric structure of sunflower pollen with dual-driven movement in hemostasis.

摘要

由于难以将止血剂送达复杂深部伤口中隐匿的出血部位,实现这些伤口的快速止血仍是一项挑战。在本研究中,通过在向日葵孢粉素外壁胶囊(SEC)上负载FeO,随后生长花状CaCO簇,制备了具有双驱动力(气泡驱动和磁场介导驱动)的Janus颗粒SEC-Fe@CaT。气泡驱动力使SEC-Fe@CaT在血液中自扩散以消除团聚,磁场介导的驱动力促进SEC-Fe@CaT逆血流到达伤口深处的出血部位。在血流中移动时,SEC-Fe@CaT中流星锤状的SEC可刺破红细胞(RBC)以释放促凝血剂,从而促进血小板活化和快速止血。动物试验表明,SEC-Fe@CaT在股动脉和肝出血模型中分别在短短30秒和45秒内止血。相比之下,类似的商业产品Celox™在两种出血模式下止血都需要约70秒。本研究展示了一种用于深部复杂伤口快速止血的新型止血剂平台。这是首次将向日葵花粉的几何结构与止血中的双驱动运动相结合的尝试。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a757/9178490/3ce83691427e/RESEARCH2022-9762746.001.jpg

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