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Covalently reactive microparticles imbibe blood to form fortified clots for rapid hemostasis and prevention of rebleeding.

作者信息

Chen Ting, Xiao Chaonan, Chen Xianjun, Yang Ziyi, Zhao Jingwei, Bao Bingkun, Zeng Qingmei, Jiang Li, Huang Xinyi, Yang Yi, Lin Qiuning, Gong Wei, Zhu Linyong

机构信息

School of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China.

Optogenetics & Synthetic Biology Interdisciplinary Research Center, State Key Laboratory of Bioreactor Engineering, East China University of Science and Technology, Shanghai, China.

出版信息

Nat Commun. 2025 Apr 18;16(1):3705. doi: 10.1038/s41467-025-58204-8.


DOI:10.1038/s41467-025-58204-8
PMID:40251193
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12008190/
Abstract

Owing to the inherently gradual nature of coagulation, the body fails in covalently crosslinking to stabilize clots rapidly, even with the aid of topical hemostats, thus inducing hemostatic failure and potential rebleeding. Although recently developed adhesives confer sealing bleeding sites independently of coagulation, interfacial blood hampers their adhesion and practical applications. Here, we report a covalently reactive hemostat based on blood-imbibing and -crosslinking microparticles. Once contacting blood, the microparticles automatically mix with blood via imbibition and covalently crosslink with blood proteins and the tissue matrix before natural coagulation operates, rapidly forming a fortified clot with enhanced mechanical strength and tissue adhesion. In contrast to commercial hemostats, the microparticles achieve rapid hemostasis (within 30 seconds) and less blood loss (approximately 35 mg and 1 g in the rat and coagulopathic pig models, respectively), while effectively preventing blood-pressure-elevation-induced rebleeding in a rabbit model. This work advances the development and clinical translation of hemostats for rapid hemostasis and rebleeding prevention.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/faf1/12008190/61a3af927b4b/41467_2025_58204_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/faf1/12008190/ee5a3af150f3/41467_2025_58204_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/faf1/12008190/59ed7cbc9ffe/41467_2025_58204_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/faf1/12008190/cea559cd05bd/41467_2025_58204_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/faf1/12008190/a33527f0fd38/41467_2025_58204_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/faf1/12008190/5537875192ef/41467_2025_58204_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/faf1/12008190/61a3af927b4b/41467_2025_58204_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/faf1/12008190/ee5a3af150f3/41467_2025_58204_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/faf1/12008190/59ed7cbc9ffe/41467_2025_58204_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/faf1/12008190/cea559cd05bd/41467_2025_58204_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/faf1/12008190/a33527f0fd38/41467_2025_58204_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/faf1/12008190/5537875192ef/41467_2025_58204_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/faf1/12008190/61a3af927b4b/41467_2025_58204_Fig6_HTML.jpg

相似文献

[1]
Covalently reactive microparticles imbibe blood to form fortified clots for rapid hemostasis and prevention of rebleeding.

Nat Commun. 2025-4-18

[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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本文引用的文献

[1]
Swift Covalent Gelation Coupled with Robust Wet Adhesive Powder: A Novel Approach for Acute Massive Hemorrhage Control in Dynamic and High-Pressure Wound Environments.

Small. 2024-8

[2]
A 3D printable tissue adhesive.

Nat Commun. 2024-2-9

[3]
Hemostatic patch with ultra-strengthened mechanical properties for efficient adhesion to wet surfaces.

Biomaterials. 2023-10

[4]
Recent advances in the medical applications of hemostatic materials.

Theranostics. 2023

[5]
Hemostatic powders for gastrointestinal bleeding: a review of old, new, and emerging agents in a rapidly advancing field.

Endosc Int Open. 2022-8-15

[6]
Liquid-infused microstructured bioadhesives halt non-compressible hemorrhage.

Nat Commun. 2022-8-26

[7]
Fibrin Sealants: Challenges and Solutions.

ACS Biomater Sci Eng. 2022-6-13

[8]
Crosslinking hyaluronic acid soft-tissue fillers: current status and perspectives from an industrial point of view.

Expert Rev Med Devices. 2021-12

[9]
Ultrafast, tough, and adhesive hydrogel based on hybrid photocrosslinking for articular cartilage repair in water-filled arthroscopy.

Sci Adv. 2021-8-25

[10]
Rapid and coagulation-independent haemostatic sealing by a paste inspired by barnacle glue.

Nat Biomed Eng. 2021-10

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