Liu Chang, Wang Yun, Wang Pei, Gong Yan, Yi Bingcheng, Ruan Jing, Wang Xiansong
Department of Plastic and Reconstructive Surgery, Shanghai Key Laboratory of Tissue Engineering, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, China.
Department of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, China.
Smart Mater Med. 2023;4:514-521. doi: 10.1016/j.smaim.2023.03.003. Epub 2023 Apr 5.
Alleviating excessive inflammation while accelerating chronic wound healing to prevent wound infection has remained challenging, especially during the coronavirus disease 2019 (COVID-19) pandemic caused by SARS-CoV-2 when patients experienced difficulties with receive appropriate healthcare. We addressed this issue by developing handheld electrospun aloe-nanofiber membranes (ANFMs) with convenient, environmentally friendly properties and a therapeutic capacity for wound closure. Our results showed that ANFMs fabricated with high molecular weight polyvinyl alcohol (PVA) to form fibers during electrospinning had uniform fibrous architecture and a porous structure. Given the value of aloe gel in accelerating wound healing, liquid extracts from ANFMs significantly downregulated the expression of the pro-inflammatory genes, () and (), and markedly suppress the generation of reactive oxygen species (ROS) induced by lipopolysaccharide in RAW264.7 macrophages. These results indicated the excellent antioxidant and anti-inflammatory effects of ANFMs. After implantation into a mouse diabetic wound model for 12 days , ANFMs notably expedited chronic wound healing promoting angiogenesis and enhancing cell viability. Our ANFMs generated by handheld electrospinning healed chronic wounds offer a convenient and promising alternative for patients to heal their own wounds under variable conditions.
在加速慢性伤口愈合以预防伤口感染的同时减轻过度炎症一直具有挑战性,尤其是在由严重急性呼吸综合征冠状病毒2型(SARS-CoV-2)引起的2019冠状病毒病(COVID-19)大流行期间,患者在获得适当医疗保健方面遇到困难。我们通过开发具有方便、环保特性且具有伤口闭合治疗能力的手持式静电纺丝芦荟纳米纤维膜(ANFMs)来解决这个问题。我们的结果表明,在静电纺丝过程中用高分子量聚乙烯醇(PVA)制造以形成纤维的ANFMs具有均匀的纤维结构和多孔结构。鉴于芦荟凝胶在加速伤口愈合方面的价值,ANFMs的液体提取物显著下调促炎基因()和()的表达,并明显抑制RAW264.7巨噬细胞中脂多糖诱导的活性氧(ROS)的产生。这些结果表明ANFMs具有出色的抗氧化和抗炎作用。在植入小鼠糖尿病伤口模型12天后,ANFMs显著加速慢性伤口愈合,促进血管生成并提高细胞活力。我们通过手持式静电纺丝产生的ANFMs为患者在不同条件下自行愈合伤口提供了一种方便且有前景的替代方法。