Joint Department of Biomedical Engineering, North Carolina State University and University of North Carolina-Chapel Hill, Raleigh, North Carolina, USA.
Comparative Medicine Institute, North Carolina State University, Raleigh, North Carolina, USA.
J Biomed Mater Res A. 2024 Apr;112(4):613-624. doi: 10.1002/jbm.a.37625. Epub 2023 Oct 17.
Platelets play a pivotal role in hemostasis and wound healing and conditional shape change is an important component of platelet functionality. In normal circumstances, platelets travel through the circulatory system in an inactive rounded state, which enables platelets to easily move to vessel walls for attachment. When an injury occurs, platelets are prompted by molecules, such as thrombin, to shift into a stellate shape and increase exposure of fibrin-binding receptors. When active, platelets promote hemostasis and clot retraction, which enhances clot stability and promotes healing. However, in conditions where platelets are depleted or hyporeactive, these functions are diminished and lead to inhibited hemostasis and healing. To treat platelet depletion, our group developed platelet-like particles (PLPs) which consist of highly deformable microgels coupled to fibrin binding motif. However, first generation PLPs do not exhibit wound-triggered shape change like native platelets. Thus, the objective of these studies was to develop a PLP formulation that changes shape when prompted by thrombin. To create thrombin-sensitive PLPs (TS-PLPs), we incorporated a thrombin-cleavable peptide into the microgel body and then evaluated PLP properties before and after exposure to thrombin including morphology, size, and in vitro clot retraction. Once thrombin-prompted shape change ability was confirmed, the TS-PLPs were tested in vivo for hemostatic ability and subsequent wound healing outcomes in a murine liver trauma model. We found that TS-PLPs exhibit a wound-triggered shape change, induce significant clot retraction following exposure to thrombin and promote hemostasis and healing in vivo after trauma.
血小板在止血和伤口愈合中起着关键作用,条件性形态变化是血小板功能的重要组成部分。在正常情况下,血小板以非活性的圆形状态在循环系统中移动,这使得血小板能够轻松移动到血管壁进行附着。当发生损伤时,血小板会被分子(如凝血酶)提示转变为星状形状,并增加纤维蛋白结合受体的暴露。在活跃状态下,血小板促进止血和血凝块回缩,从而增强血凝块稳定性并促进愈合。然而,在血小板耗竭或反应性降低的情况下,这些功能会减弱,导致止血和愈合受到抑制。为了治疗血小板耗竭,我们的团队开发了血小板样颗粒(PLP),它由与纤维蛋白结合基序偶联的高变形微凝胶组成。然而,第一代 PLP 不像天然血小板那样表现出与伤口相关的形态变化。因此,这些研究的目的是开发一种在受到凝血酶刺激时会改变形状的 PLP 配方。为了创建对凝血酶敏感的 PLP(TS-PLP),我们将凝血酶可切割的肽掺入微凝胶主体中,然后在暴露于凝血酶前后评估 PLP 的性质,包括形态、大小和体外血凝块回缩。一旦确认了凝血酶触发的形状变化能力,就将 TS-PLPs 在体内进行测试,以评估其在小鼠肝创伤模型中的止血能力和随后的伤口愈合效果。我们发现,TS-PLPs 表现出伤口触发的形态变化,在暴露于凝血酶后会引起明显的血凝块回缩,并在创伤后体内促进止血和愈合。