Mirjalili Fatemeh, Mahmoodi Mahboobeh
Department of Material Engineering, Maybod Branch, Islamic Azad University, Maybod, Iran.
Department of Biomedical Engineering, Yazd Branch, Islamic Azad University, Yazd, 8915813135, Iran; Department of Bioengineering, University of California, Los Angeles, CA, United States of America.
Int J Biol Macromol. 2023 Jan 15;225:588-604. doi: 10.1016/j.ijbiomac.2022.11.117. Epub 2022 Nov 17.
The physiological healing process is disrupted in many cases using the current wound healing procedures, resulting in delayed wound healing. Hydrogel wound dressings provide a moist environment to enhance granulation tissue and epithelium formation in the wound area. However, exudate accumulation, bacterial proliferation, and reduced levels of growth factors are difficulties of hydrogel dressings. Here, we loaded platelet-rich fibrin-chitosan (CH-PRF) nanoparticles into the gelatin-chitosan hydrogel (Gel-CH/CH-PRF) by solvent mixing method. Our goal was to evaluate the characteristics of hydrogel dressings, sustained release of proteins from the hydrogel dressing containing PRF, and reduction in the risk of infection by the bacteria in the wound area. The Gel-CH/CH-PRF hydrogel showed excellent swelling behavior, good porosity, proper specific surface area, high absorption of wound exudates, and proper vapor permeability rate (2023 g/m .day), which provided requisite moisture without dehydration around the wound area. Thermal behavior and the protein release from the hydrogels were investigated using simultaneous thermal analysis and the Bradford test, respectively. Most importantly, an excellent ability to control the release of proteins from the hydrogel dressings was observed. The high antimicrobial activity of hydrogel was confirmed using Gram-positive and Gram-negative bacteria. Due to the presence of chitosan in the hydrogels, the lowest scavenging capacity-50 value (5.82 μgmL) and the highest DPPH radical scavenging activity (83 %) at a concentration 25 μgmL for Gel-CH/CH-PRF hydrogel were observed. Also, the hydrogels revealed excellent cell viability and proliferation. The wound healing process was studied using an in vivo model of the full-thickness wound. The wound closure was significantly higher on Gel-CH/CH-PRF hydrogel compared to the control group, indicating the highest epidermis thickness, and enhancing the formation of new granulation tissue. Our findings demonstrated that Gel-CH/CH-PRF hydrogel can provide an ideal wound dressing for accelerated wound healing.
在许多情况下,使用当前的伤口愈合程序会破坏生理愈合过程,导致伤口愈合延迟。水凝胶伤口敷料提供了一个湿润的环境,以促进伤口区域肉芽组织和上皮的形成。然而,渗出液积聚、细菌增殖以及生长因子水平降低是水凝胶敷料面临的难题。在此,我们通过溶剂混合法将富含血小板的纤维蛋白-壳聚糖(CH-PRF)纳米颗粒负载到明胶-壳聚糖水凝胶(Gel-CH/CH-PRF)中。我们的目标是评估水凝胶敷料的特性、从含PRF的水凝胶敷料中持续释放蛋白质以及降低伤口区域细菌感染风险。Gel-CH/CH-PRF水凝胶表现出优异的溶胀行为、良好的孔隙率、合适的比表面积、对伤口渗出液的高吸收性以及合适的透汽速率(2023 g/m²·天),这在伤口区域周围提供了必要的水分而不会导致脱水。分别使用同步热分析和Bradford试验研究了水凝胶的热行为和蛋白质释放情况。最重要的是,观察到水凝胶敷料具有出色的控制蛋白质释放的能力。使用革兰氏阳性菌和革兰氏阴性菌证实了水凝胶具有高抗菌活性。由于水凝胶中存在壳聚糖,对于Gel-CH/CH-PRF水凝胶,在浓度为25 μg/mL时观察到最低的半数清除浓度值(5.82 μg/mL)和最高的DPPH自由基清除活性(83%)。此外,水凝胶显示出优异的细胞活力和增殖能力。使用全层伤口的体内模型研究了伤口愈合过程。与对照组相比,Gel-CH/CH-PRF水凝胶上的伤口闭合率显著更高,表明表皮厚度最大,并促进了新肉芽组织的形成。我们的研究结果表明,Gel-CH/CH-PRF水凝胶可为加速伤口愈合提供理想的伤口敷料。