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分子自组装策略调控用于生物相容性和可生物降解止血密封的干交联蛋白贴片。

Molecular self-assembly strategy tuning a dry crosslinking protein patch for biocompatible and biodegradable haemostatic sealing.

作者信息

Yu Lisha, Liu Zhaodi, Zheng Yong, Tong Zongrui, Ding Yihang, Wang Weilin, Ding Yuan, Mao Zhengwei

机构信息

Department of Hepatobiliary and Pancreatic Surgery, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Zhejiang, Hangzhou, 310009, China.

Key Laboratory of Precision Diagnosis and Treatment for Hepatobiliary and Pancreatic Tumor of Zhejiang Province, Zhejiang, Hangzhou, 310009, China.

出版信息

Nat Commun. 2025 Feb 7;16(1):1437. doi: 10.1038/s41467-025-56726-9.

Abstract

Uncontrolled haemorrhage is a leading cause of trauma-related fatalities, highlighting the critical need for rapid and effective haemostasis. Current haemostatic materials encounter limitations such as slow clotting and weak mechanical strength, while most of bioadhesives compromise their adhesion performance to wet tissues for biocompatibility and degradability. In this study, a molecular self-assembly strategy is proposed, developing a biocompatible and biodegradable protein-based patch with excellent adhesion performance. This strategy utilizes fibrinogen modified with hydrophobic groups to induce self-assembly into a hydrogel, which is converted into a dry patch. The protein patch enhances adhesion performance on the wet tissue through a dry cross-linking method and robust intra/inter-molecular interactions. This patch demonstrates excellent haemostatic efficacy in  both porcine oozing wound and porcine severe acute haemorrhage. It maintains biological functionality, and ensures sustained wound sealing while gradually degrading in vivo, making it a promising candidate for clinical tissue sealing applications.

摘要

失控性出血是创伤相关死亡的主要原因,凸显了对快速有效止血的迫切需求。目前的止血材料存在诸如凝血缓慢和机械强度弱等局限性,而大多数生物粘合剂为了生物相容性和可降解性会损害其对湿组织的粘附性能。在本研究中,提出了一种分子自组装策略,开发出一种具有优异粘附性能的生物相容性和可生物降解的蛋白质基贴片。该策略利用经疏水基团修饰的纤维蛋白原诱导自组装成水凝胶,再将其转化为干燥贴片。该蛋白质贴片通过干交联方法以及强大的分子内/分子间相互作用增强了在湿组织上的粘附性能。该贴片在猪渗血伤口和猪严重急性出血中均显示出优异的止血效果。它保持生物功能,并确保在体内逐渐降解的同时持续封闭伤口,使其成为临床组织封闭应用的有前景的候选材料。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db52/11806104/50c1deabc7e4/41467_2025_56726_Fig1_HTML.jpg

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