Guo Shijie, Wang Pengyu, Sun Yu, Cao Can, Gao Junwei, Hong Shihao, Li Ning, Xu Ruodan
Department of Biomedical Engineering and Technology, Institute of Basic Theory for Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing, 100700, China.
Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, 100053, China.
Adv Healthc Mater. 2024 Dec;13(30):e2401105. doi: 10.1002/adhm.202401105. Epub 2024 Jun 25.
Chronic wound healing is a major challenge in clinical practice. Secondary dressing damage and antibiotic resistance are the main obstacles for traditional wound dressings. Resina draconis (RD), a natural resin traditionally used in powder form for wound care, is now considered unsuitable due to the lack of gas permeability and moist environment required for wound healing. Here, RD is incorporated in situ by constructing a 3D coiled fibrous scaffold with polycaprolactone/polyethylene oxide. Due to the high porosity of 3D scaffold, the RD-3D dressings have a favorable swelling capacity, providing permeability and moisture for wound repair. Meanwhile, the transformation of RD powder into 3D dressings fully demonstrates capabilities of RD in rapid hemostasis, bactericidal, and inflammation-regulating activities. In vivo evaluations using pressure ulcer and infected wound models confirm the high efficacy of RD-3D dressing in early wound healing, particularly beneficial in the infected wound model compared to recombinant bovine FGF-basic. Further biological analysis shows that resveratrol, loureirin A, and loureirin B, as potentially bioactive components of RD, individually contribute to different aspects of wound healing. Collectively, RD-3D integrated dressings represent a simple, cost-effective, and safe approach to wound healing, providing an alternative therapy for translating medical dressings from bench to bedside.
慢性伤口愈合是临床实践中的一项重大挑战。二次敷料损伤和抗生素耐药性是传统伤口敷料的主要障碍。血竭(RD)是一种传统上以粉末形式用于伤口护理的天然树脂,由于缺乏伤口愈合所需的透气性和潮湿环境,现在被认为不合适。在此,通过用聚己内酯/聚环氧乙烷构建三维卷曲纤维支架将血竭原位掺入。由于三维支架的高孔隙率,血竭三维敷料具有良好的膨胀能力,为伤口修复提供透气性和湿度。同时,血竭粉末转化为三维敷料充分展示了血竭在快速止血、杀菌和炎症调节活性方面的能力。使用压疮和感染伤口模型进行的体内评估证实了血竭三维敷料在伤口早期愈合中的高效性,与重组牛碱性成纤维细胞生长因子相比,在感染伤口模型中尤其有益。进一步的生物学分析表明,白藜芦醇、龙血素A和龙血素B作为血竭潜在的生物活性成分,分别对伤口愈合的不同方面有贡献。总体而言,血竭三维一体化敷料代表了一种简单、经济高效且安全的伤口愈合方法,为将医用敷料从实验室转化到临床应用提供了一种替代疗法。