Braťka Petr, Fenclová Taťána, Hlinková Jana, Uherková Lenka, Šebová Eva, Hefka Blahnová Veronika, Hedvičáková Věra, Žižková Radmila, Litvinec Andrej, Trč Tomáš, Rosina Jozef, Filová Eva
Faculty of Biomedical Engineering, Czech Technical University, Náměstí Sítná 3105, 27201 Kladno, Czech Republic.
Grade Medical s.r.o., Náměstí Sítná 3105, 27201 Kladno, Czech Republic.
Nanomaterials (Basel). 2022 Oct 29;12(21):3824. doi: 10.3390/nano12213824.
Chronic wounds represent a significant socio-economic problem, and the improvement of their healing is therefore an essential issue. This paper describes the preparation and biological properties of a novel functionalized nanofiber wound dressing consisting of a polycaprolactone nanofiber carrier modified by a drug delivery system, based on the lipid particles formed by 1-tetradecanol and encapsulated gentamicin and tocopherol acetate. The cytotoxicity of extracts was tested using a metabolic activity assay, and the antibacterial properties of the extracts were tested in vitro on the bacterial strains and . The effect of the wound dressing on chronic wound healing was subsequently tested using a mouse model. Fourteen days after surgery, the groups treated by the examined wound cover showed a lower granulation, reepithelization, and inflammation score compared to both the uninfected groups, a lower dermis organization compared to the control, a higher scar thickness compared to the other groups, and a higher thickness of hypodermis and bacteria score compared to both the uninfected groups. This work demonstrates the basic parameters of the safety (biocompatibility) and performance (effect on healing) of the dressing as a medical device and indicates the feasibility of the concept of its preparation in outpatient conditions using a suitable functionalization device.
慢性伤口是一个重大的社会经济问题,因此改善其愈合情况是一个至关重要的问题。本文描述了一种新型功能化纳米纤维伤口敷料的制备及其生物学特性,该敷料由聚己内酯纳米纤维载体组成,该载体通过药物递送系统进行了改性,该药物递送系统基于由1-十四醇形成的脂质颗粒,并包裹了庆大霉素和醋酸生育酚。使用代谢活性测定法测试提取物的细胞毒性,并在体外对细菌菌株 和 测试提取物的抗菌性能。随后使用小鼠模型测试伤口敷料对慢性伤口愈合的影响。手术后14天,与未感染组相比,接受检查的伤口覆盖物治疗的组的肉芽组织、再上皮化和炎症评分较低,与对照组相比真皮组织较低,与其他组相比瘢痕厚度较高,与未感染组相比皮下组织厚度和细菌评分较高。这项工作展示了该敷料作为一种医疗器械的安全性(生物相容性)和性能(对愈合的影响)的基本参数,并表明在门诊条件下使用合适的功能化设备制备该敷料概念的可行性。