Beserra Junior Ivo Marquis, de Sousa Lopes Débora, da Silva Barbosa Milena Costa, da Silva Neto João Emídio, da Silva Henrique Nunes, Fook Marcus Vinícius Lia, Navarro Rômulo Feitosa, Silva Suédina Maria de Lima
Postgraduate Program in Materials Science and Engineering, Department of Materials Engineering, Federal University of Campina Grande, Campina Grande 58429-900, PB, Brazil.
Department of Chemistry, State University of Paraíba, Campina Grande 58429-500, PB, Brazil.
Polymers (Basel). 2024 Sep 15;16(18):2615. doi: 10.3390/polym16182615.
The aim of this study was to develop a material capable of rapidly absorbing bodily fluids and forming a resilient, adhesive, viscoelastic hydrogel in situ to prevent post-surgical adhesions. This material was formulated using O-carboxymethyl chitosan (O-CMCS), oxidized hyaluronic acid (OHA), and a crosslinking pigment derived from genipin and glutamic acid (G/GluP). Both crosslinked (O-CMCS/OHA-G/GluP) and non-crosslinked hydrogels (O-CMCS/OHA) were evaluated using a HAAKE™ MARS™ rheometer for their potential as post-surgical barriers. A rheological analysis, including dynamic oscillatory measurements, revealed that the crosslinked hydrogels exhibited significantly higher elastic moduli ('), indicating superior gel formation and mechanical stability compared to non-crosslinked hydrogels. The G/GluP crosslinker enhanced gel stability by increasing the separation between ' and ″ and achieving a lower loss tangent (tan < 1.0), indicating robustness under dynamic physiological conditions. The rapid hydration and gelation properties of the hydrogels underscore their effectiveness as physical barriers. Furthermore, the O-CMCS/OHA-G/GluP hydrogel demonstrated rapid self-healing and efficient application via spraying or spreading, with tissue adherence and viscoelasticity to facilitate movement between tissues and organs, effectively preventing adhesions. Additionally, the hydrogel proved to be both cost effective and scalable, highlighting its potential for clinical applications aimed at preventing post-surgical adhesions.
本研究的目的是开发一种能够快速吸收体液并在原位形成弹性、粘性、粘弹性水凝胶以防止术后粘连的材料。这种材料是用O-羧甲基壳聚糖(O-CMCS)、氧化透明质酸(OHA)以及一种由京尼平和谷氨酸衍生的交联色素(G/GluP)配制而成。使用HAAKE™ MARS™流变仪对交联水凝胶(O-CMCS/OHA-G/GluP)和非交联水凝胶(O-CMCS/OHA)作为术后屏障的潜力进行了评估。包括动态振荡测量在内的流变学分析表明,与非交联水凝胶相比,交联水凝胶表现出显著更高的弹性模量('),表明其凝胶形成和机械稳定性更优。G/GluP交联剂通过增加'和″之间的间距并实现更低的损耗角正切(tan < 1.0)来提高凝胶稳定性,这表明在动态生理条件下具有稳健性。水凝胶的快速水合和凝胶化特性突出了它们作为物理屏障的有效性。此外,O-CMCS/OHA-G/GluP水凝胶表现出快速自愈能力,并且通过喷涂或涂抹可有效应用,具有组织粘附性和粘弹性,便于组织和器官之间的移动,有效防止粘连。此外,该水凝胶被证明具有成本效益且可扩展,突出了其在预防术后粘连的临床应用中的潜力。