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超分子杂化水凝胶作为快速按需溶解、自愈且生物相容的烧伤敷料。

Supramolecular hybrid hydrogels as rapidly on-demand dissoluble, self-healing, and biocompatible burn dressings.

作者信息

Gokaltun A Aslihan, Fan Letao, Mazzaferro Luca, Byrne Delaney, Yarmush Martin L, Dai Tianhong, Asatekin Ayse, Usta O Berk

机构信息

Center for Engineering in Medicine and Surgery, Massachusetts General Hospital, Harvard Medical School, 55 Fruit St., Boston, MA, 02114, USA.

Shriners Hospitals for Children, 51 Blossom St., Boston, MA, 02114, USA.

出版信息

Bioact Mater. 2022 Sep 27;25:415-429. doi: 10.1016/j.bioactmat.2022.09.003. eCollection 2023 Jul.

Abstract

Despite decades of efforts, state-of-the-art synthetic burn dressings to treat partial-thickness burns are still far from ideal. Current dressings adhere to the wound and necessitate debridement. This work describes the first "supramolecular hybrid hydrogel (SHH)" burn dressing that is biocompatible, self-healable, and on-demand dissoluble for easy and trauma-free removal, prepared by a simple, fast, and scalable method. These SHHs leverage the interactions of a custom-designed cationic copolymer via host-guest chemistry with cucurbit[7]uril and electrostatic interactions with clay nanosheets coated with an anionic polymer to achieve enhanced mechanical properties and fast on-demand dissolution. The SHHs show high mechanical strength (>50 kPa), self-heal rapidly in ∼1 min, and dissolve quickly (4-6 min) using an amantadine hydrochloride (AH) solution that breaks the supramolecular interactions in the SHHs. Neither the SHHs nor the AH solution has any adverse effects on human dermal fibroblasts or epidermal keratinocytes . The SHHs also do not elicit any significant cytokine response . Furthermore, murine experiments show no immune or inflammatory cell infiltration in the subcutaneous tissue and no change in circulatory cytokines compared to sham controls. Thus, these SHHs present excellent burn dressing candidates to reduce the time of pain and time associated with dressing changes.

摘要

尽管经过了数十年的努力,但用于治疗浅度烧伤的先进合成烧伤敷料仍远非理想。目前的敷料会粘附在伤口上,需要进行清创处理。这项工作描述了第一种“超分子混合水凝胶(SHH)”烧伤敷料,它具有生物相容性、可自我修复且可按需溶解,便于轻松且无创伤地去除,通过一种简单、快速且可扩展的方法制备而成。这些SHH利用定制设计的阳离子共聚物通过主客体化学与葫芦[7]脲的相互作用以及与涂有阴离子聚合物的粘土纳米片的静电相互作用,以实现增强的机械性能和快速按需溶解。SHH显示出高机械强度(>50 kPa),在约1分钟内迅速自我修复,并使用盐酸金刚烷胺(AH)溶液在4 - 6分钟内快速溶解,该溶液会破坏SHH中的超分子相互作用。SHH和AH溶液对人皮肤成纤维细胞或表皮角质形成细胞均无任何不良影响。SHH也不会引发任何显著的细胞因子反应。此外,小鼠实验表明,与假手术对照组相比,皮下组织中没有免疫或炎性细胞浸润,循环细胞因子也没有变化。因此,这些SHH是优秀的烧伤敷料候选物,可减少疼痛时间和与换药相关的时间。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dec/10087110/3e893184f9da/ga1.jpg

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