Department of Biomedical Engineering, Yazd Branch, Islamic Azad University, Yazd, Iran.
Advanced Materials Research Center, Department of Materials Engineering, Najafabad Branch, Islamic Azad University, Najafabad, Iran.
Int J Biol Macromol. 2023 Apr 1;233:123491. doi: 10.1016/j.ijbiomac.2023.123491. Epub 2023 Feb 1.
The use of dressings is one of the most common methods for wound treatment. Since most single-layer dressings cannot mimic the hierarchical structure of the skin well, multi-layer dressings have been considered. In this study, a bilayer dressing was fabricated using a gelatin sponge layer cross-linked with sodium tripolyphosphate (Gel-STPP) and a layer of carrageenan nanofibers containing platelet-rich fibrin (Carr-PRF). Chemical interactions between the two layers were characterized by FTIR, and the microstructure was visualized by SEM. It was found that the presence of Carr-PRF nanofiber layer increased tensile strength by 12.96 % (from 0.216 ± 0.015 to 0.268 ± 0.036 MPa) and elastic modulus by 56.70 % (from 0.388 ± 0.072 to 0.608 ± 0.029 MPa) compared to Gel-STPP sponge. Gel-STPP/Carr-PRF wound dressing had a 45.76 ± 4.18 % degradability after 7 days of immersion in phosphate buffered saline (PBS). PRF-containing bilayer wound dressing was able to sustainably release growth factors over 7 days. The Carr-PRF nanofiber layer coated on Gel-STPP sponge was an ideal environment for adhesion and proliferation of L929 cells. Gel-STPP/Carr-PRF bilayer dressing outperformed the other tested samples in terms of angiogenic potential. Average wound closure was 94.21 ± 2.06 % in Gel-STPP/Carr-PRF dressing treated rats after 14 days, and based on the histopathological and immunohistochemical examinations, the Gel-STPP/Carr-PRF dressing group augmented full-thickness wound healing, keratin layer and skin appendages formation after 14 days.
敷料的使用是最常见的伤口处理方法之一。由于大多数单层敷料不能很好地模拟皮肤的层次结构,因此考虑使用多层敷料。在这项研究中,使用一种用三聚磷酸钠交联的明胶海绵层(Gel-STPP)和含有富含血小板纤维蛋白的卡拉胶纳米纤维层(Carr-PRF)制备了双层敷料。通过傅里叶变换红外光谱(FTIR)对两层之间的化学相互作用进行了表征,并通过扫描电子显微镜(SEM)观察了微观结构。结果发现,与 Gel-STPP 海绵相比,Carr-PRF 纳米纤维层的存在使拉伸强度提高了 12.96%(从 0.216±0.015 增加到 0.268±0.036 MPa),弹性模量提高了 56.70%(从 0.388±0.072 增加到 0.608±0.029 MPa)。Gel-STPP/Carr-PRF 伤口敷料在磷酸盐缓冲盐水(PBS)中浸泡 7 天后的降解率为 45.76±4.18%。含 PRF 的双层伤口敷料能够在 7 天内持续释放生长因子。涂覆在 Gel-STPP 海绵上的 Carr-PRF 纳米纤维层是 L929 细胞黏附和增殖的理想环境。在血管生成潜力方面,Gel-STPP/Carr-PRF 双层敷料优于其他测试样品。在 14 天后,接受 Gel-STPP/Carr-PRF 敷料治疗的大鼠的平均伤口闭合率为 94.21±2.06%,基于组织病理学和免疫组织化学检查,Gel-STPP/Carr-PRF 敷料组在 14 天后增强了全层伤口愈合、角质层和皮肤附属物的形成。