Li Xiuyun, Han Wenli, Zhang Yilin, Tan Dongmei, Cui Min, Wang Shige, Shi Wenna
Shandong Provincial Maternal and Child Health Care Hospital Affiliated to Qingdao University, Jinan 250014, Shandong Province, P. R. China.
School of Materials and Chemistry, University of Shanghai for Science and Technology, Shanghai 200093, P. R. China.
Biomater Res. 2024 Aug 5;28:0063. doi: 10.34133/bmr.0063. eCollection 2024.
Current hemostatic materials have many shortcomings, such as biotoxicity or poor degradability, and do not effectively promote wound healing after hemostasis. To address these limitations, a hemostasis-promoting wound-healing hydrogel, polyglutamic acid/polyethyleneimine/montmorillonite (PPM), comprising polyglutamic acid, 3,4-dihydroxybenzaldehyde-modified polyethyleneimine, and amino-modified montmorillonite (montmorillonite-NH) was constructed in this study. Due to the excellent water absorption abilities of γ-polyglutamic acid, the PPM and polyglutamic acid/polyethyleneimine hydrogels could rapidly absorb the blood and tissue fluid exuded from the wound to keep the wound clean and accelerate the blood coagulation. The homogeneous distribution of montmorillonite-NH enhanced not only the mechanical properties of the hydrogel but also its hemostatic properties. In addition, the modification of polyethylenimine with 3,4-dihydroxybenzaldehyde provided anti-inflammatory effects and endorsed the wound healing. Cellular and blood safety experiments demonstrated the biocompatibility of the PPM hydrogel, and animal studies demonstrated that the PPM hydrogel effectively stopped bleeding and promoted wound healing. The concept design of clay-based hydrogel may create diverse opportunities for constructing hemostasis and wound-healing dressings.
目前的止血材料存在许多缺点,如生物毒性或降解性差,并且在止血后不能有效促进伤口愈合。为了解决这些局限性,本研究构建了一种促进止血的伤口愈合水凝胶——聚谷氨酸/聚乙烯亚胺/蒙脱石(PPM),它由聚谷氨酸、3,4-二羟基苯甲醛修饰的聚乙烯亚胺和氨基修饰的蒙脱石(蒙脱石-NH)组成。由于γ-聚谷氨酸具有出色的吸水能力,PPM水凝胶和聚谷氨酸/聚乙烯亚胺水凝胶能够迅速吸收伤口渗出的血液和组织液,保持伤口清洁并加速血液凝固。蒙脱石-NH的均匀分布不仅增强了水凝胶的机械性能,还提高了其止血性能。此外,用3,4-二羟基苯甲醛对聚乙烯亚胺进行修饰具有抗炎作用并促进伤口愈合。细胞和血液安全性实验证明了PPM水凝胶的生物相容性,动物研究表明PPM水凝胶能有效止血并促进伤口愈合。基于粘土的水凝胶的概念设计可能为构建止血和伤口愈合敷料创造多种机会。