School of Allied Health Sciences, Walailak University, Nakhon Si Thammarat, 80160, Thailand; Natural Product Research Center of Excellence, Faculty of Science and Center of Antimicrobial Biomaterial Innovation-Southeast Asia, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.
Natural Product Research Center of Excellence, Faculty of Science and Center of Antimicrobial Biomaterial Innovation-Southeast Asia, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand; Department of Biomedical and Chemical Engineering, College of Engineering and Computer Science, Syracuse University, Syracuse 13244, United States.
Int J Biol Macromol. 2022 Sep 1;216:235-250. doi: 10.1016/j.ijbiomac.2022.06.172. Epub 2022 Jun 30.
Effective treatment of infected wounds requires a comprehensive wound dressing with a combination of antibacterial, antioxidative, and anti-inflammatory effects. Biodegradable wound dressings incorporating nanostructured material were developed using polyvinyl alcohol with xanthan gum, hypromellose, or sodium carboxymethyl cellulose and extensively evaluated for antibacterial and wound healing efficacy. Synthesized silver nanoparticles and wound dressings displayed λ at 420 nm with zeta potential ≈ - 35 mV. Significant growth inhibition with >99 % reduction in CFU/ml (p < 0.05) against important wound pathogens including Acinetobacter baumannii, Escherichia coli, Klebsiella pneumoniae, Pseudomonas aeruginosa, Staphylococcus aureus, Staphylococcus epidermidis, and Candida albicans were observed. Within 1 h of treatment, hypromellose nanocomposite demonstrated excellent bactericidal effects with a 99.9 % of reduction in growth. In addition, wound dressings demonstrated inhibitory activities against free radical scavengers. Wound dressings demonstrated a significant reduction in the inflammatory response in RAW 264.7 macrophages (p < 0.001). Ex-vivo diffusion demonstrated zero-order release and steady-state flux between 0.1571-0.2295 μg/ml/cmh with 0.124-0.144 permeability coefficient after 10 h. Usage in animals further confirmed that the hypromellose nanocomposite accelerated the wound healing process with biocompatibility. The results suggested that hybrid biodegradable dressings can be effectively applied to treat infected wounds and attenuate inflammatory responses.
有效的感染性伤口治疗需要一种具有抗菌、抗氧化和抗炎作用的综合伤口敷料。使用聚乙烯醇与黄原胶、羟丙甲纤维素或羧甲基纤维素钠开发了具有纳米结构材料的可生物降解伤口敷料,并对其抗菌和伤口愈合效果进行了广泛评估。合成的银纳米颗粒和伤口敷料在 420nm 处显示 λ,zeta 电位约为-35mV。对包括鲍曼不动杆菌、大肠杆菌、肺炎克雷伯菌、铜绿假单胞菌、金黄色葡萄球菌、表皮葡萄球菌和白色念珠菌在内的重要伤口病原体的生长抑制作用显著,CFU/ml 减少>99%(p<0.05)。在 1 小时的治疗时间内,羟丙甲纤维素纳米复合材料表现出极好的杀菌效果,生长减少 99.9%。此外,伤口敷料还表现出对自由基清除剂的抑制活性。伤口敷料在 RAW 264.7 巨噬细胞中显著降低了炎症反应(p<0.001)。在动物中的应用进一步证实,羟丙甲纤维素纳米复合材料的使用具有生物相容性,可加速伤口愈合过程。结果表明,混合可生物降解敷料可有效用于治疗感染性伤口,并减轻炎症反应。