Lu Yifan, Lou Xiangxin, Wang Wenxin, Yang Ziting, Yao Haochen, Wu Jinglei
Shanghai Engineering Research Center of Nano-Biomaterials and Regenerative Medicine, College of Biological Science and Medical Engineering, Donghua University, Shanghai, P. R. China.
Department of Traumatology, The 964th Hospital of PLA Joint Logistic Support Force, Changchun, P. R. China.
J Biomed Mater Res B Appl Biomater. 2025 Jan;113(1):e35528. doi: 10.1002/jbm.b.35528.
Massive bleeding and bacterial infection of wounds may be life-threatening or even lead to death. Nowadays, gelatin-based hemostatic sponges have been widely used, but gelatin is not antibacterial and has poor structural stability. In this study, we mixed an antibacterial polypeptide, ε-poly-L-lysine (EPL), into gelatin. A gelatin/ε-poly-L-lysine (Gel/EPL) sponge with hemostatic and antibacterial functions was prepared by ultraviolet (UV) crosslinking lyophilized Gel/EPL composite. Scanning electron microscopy showed that the sponge had an interconnected porous structure. The incorporation of EPL increased the hydrophilicity and water absorption capacity of the Gel/EPL sponge. The sponge had better structural stability after UV crosslinking. The antibacterial assay showed that bacteria could not grow normally around the Gel/EPL sponge. The contact between blood components and the sponge initiated coagulation via exogenous pathway activation, and no hemolysis occurred. In addition, in vivo experiments confirmed that the sponge has a faster clotting time and lower blood loss. These findings show that the developed Gel/EPL sponge has great potential as a novel hemostatic agent that can quickly stop bleeding and fight bacterial infections.
伤口大量出血和细菌感染可能危及生命甚至导致死亡。如今,基于明胶的止血海绵已被广泛使用,但明胶不具备抗菌性且结构稳定性较差。在本研究中,我们将一种抗菌多肽,即ε-聚-L-赖氨酸(EPL)混入明胶中。通过紫外线(UV)交联冻干的明胶/ε-聚-L-赖氨酸(Gel/EPL)复合物制备了具有止血和抗菌功能的明胶/ε-聚-L-赖氨酸(Gel/EPL)海绵。扫描电子显微镜显示该海绵具有相互连通的多孔结构。EPL的掺入增加了Gel/EPL海绵的亲水性和吸水能力。紫外线交联后海绵具有更好的结构稳定性。抗菌试验表明细菌在Gel/EPL海绵周围无法正常生长。血液成分与海绵的接触通过外源性途径激活引发凝血,且未发生溶血。此外,体内实验证实该海绵具有更快的凝血时间和更低的失血量。这些发现表明,所开发的Gel/EPL海绵作为一种能够快速止血和对抗细菌感染的新型止血剂具有巨大潜力。