Department of Burns and Wound Repair, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, People's Republic of China.
Key Laboratory of The Diagnosis and Treatment of Severe Trauma and Burn of Zhejiang Province, Hangzhou, People's Republic of China.
J Biomed Mater Res B Appl Biomater. 2023 Apr;111(4):763-774. doi: 10.1002/jbm.b.35187. Epub 2022 Nov 11.
Collagen-based scaffolds reveals promising to repair severe skin defects. The mechanical strength of collagen-based scaffold (CCS) limited its clinical application. Embedding poly(lactic-co-glycolic) acid (PLGA) knitted mesh into CCS improves the mechanical strength of the scaffold. This study was conducted to optimize the configuration of PLGA knitted mesh-collagen-chitosan scaffold (PCCS), and explore possible mechanisms. PLGA knitted mesh was embedded in CCS through freeze-drying method. With the PLGA knitted mesh located at the bottom, middle, or both bottom and top layers of the CCS, three kinds of PCCS were developed. A full-thickness skin wound model was established in Sprague Dawley rats to evaluate the therapeutic effects of different PCCS against CCS. The properties and healing effect of the scaffolds were investigated. Several growth factors and chemotactic factors, that is, VEGF, PDGF, CD31, α-SMA, TGF-β1, and TGF-β3 were analyzed and evaluated. Re-epithelialization and angiogenesis were observed in all animal groups with the treatment of three kinds of PCCS scaffolds and the CCS scaffold (control). The protein and gene expression of VEGF, PDGF, CD31, α-SMA, TGF-β1, and TGF-β3 showed different dynamics at different time points. Based on the healing effects and the expression of growth factors and chemotactic factors, scaffold with the PLGA knitted mesh located at the bottom layer of the CCS demonstrated the best healing effect and accelerated re-epithelialization and angiogenesis among all the scaffolds evaluated. PCCS with the PLGA mesh located in the bottom layer of the scaffold accelerated wound healing by creating a more supportive environment for re-epithelialization and angiogenesis.
基于胶原的支架显示出有希望修复严重的皮肤缺陷。基于胶原的支架(CCS)的机械强度限制了其临床应用。将聚乳酸-共-羟基乙酸(PLGA)编织网嵌入 CCS 中可提高支架的机械强度。本研究旨在优化 PLGA 编织网-胶原-壳聚糖支架(PCCS)的结构,并探索可能的机制。PLGA 编织网通过冷冻干燥法嵌入 CCS 中。PLGA 编织网位于 CCS 的底部、中间或底部和顶部的两层,制备了三种 PCCS。在 Sprague Dawley 大鼠中建立全层皮肤伤口模型,以评估不同 PCCS 对 CCS 的治疗效果。研究了支架的性能和愈合效果。分析和评估了几种生长因子和趋化因子,即 VEGF、PDGF、CD31、α-SMA、TGF-β1 和 TGF-β3。所有动物组均用三种 PCCS 支架和 CCS 支架(对照)治疗,观察到再上皮化和血管生成。VEGF、PDGF、CD31、α-SMA、TGF-β1 和 TGF-β3 的蛋白和基因表达在不同时间点呈现不同的动态。基于愈合效果和生长因子和趋化因子的表达,PLGA 编织网位于 CCS 底层的支架表现出最佳的愈合效果,并加速了所有评估支架中的再上皮化和血管生成。位于支架底层的 PCCS 中 PLGA 网加速了伤口愈合,为再上皮化和血管生成创造了更有利的环境。
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