Šuca Hubert, Juhás Štefan, Juhásová Jana, Jenčová Věra, Košťáková Eva Kuželová, Lukáš David, Bohuš Peter, Ballová Zuzana, Zajíček Robert, Rejman Dominik, Gál Peter
Prague Burn Centre, Third Faculty of Medicine and University Hospital Královské Vinohrady, Prague, Czech Republic.
Institute of Animal Physiology and Genetics, Czech Academy of Sciences, v.v.i, Liběchov, Czech Republic.
In Vivo. 2025 May-Jun;39(3):1331-1340. doi: 10.21873/invivo.13937.
BACKGROUND/AIM: This study investigated the therapeutic potential of lipophosphonoxin (LPPO), an antibacterial agent, loaded into polycaprolactone nanofiber dressings (NANO-LPPO) for full-thickness wound healing. Using a porcine model, we aimed to assess the impact of areal weight of the dressing (10, 20 and 30 g/m) on wound-healing outcomes and validate findings from previous murine studies.
Full-thickness wounds were created on porcine skin and treated with the NANO-LPPO dressings of differing thickness. Positive control (Aquacel Ag+) and standard control (Jelonet) groups were included for comparison. Wound-healing progression was evaluated macroscopically and on the histological level.
Macroscopic observations indicated no signs of infection in any group, with wounds covered by scabs by day 14. Thicker dressings (areal weights of 30 and 20 g/m) demonstrated superior performance in promoting the formation of granulation tissue and healing compared to the thinner version (areal weight of 10 g/m). LPPO-loading enhanced scaffold wettability and biodegradability without impairing healing outcomes. Both control groups exhibited similar healing characteristics.
The findings underscore the importance of optimizing dressing thickness for effective wound healing. NANO-LPPO dressings exhibit translational potential as a therapeutic option for full-thickness wounds, warranting further preclinical and regulatory evaluation to support clinical application.
背景/目的:本研究调查了负载抗菌剂脂磷毒素(LPPO)的聚己内酯纳米纤维敷料(NANO-LPPO)对全层伤口愈合的治疗潜力。我们使用猪模型,旨在评估敷料面密度(10、20和30 g/m)对伤口愈合结果的影响,并验证先前小鼠研究的结果。
在猪皮肤上制造全层伤口,并用不同厚度的NANO-LPPO敷料进行治疗。纳入阳性对照组(Aquacel Ag+)和标准对照组(Jelonet)进行比较。从宏观和组织学水平评估伤口愈合进程。
宏观观察表明,任何组均无感染迹象,到第14天时伤口被痂覆盖。与较薄版本(面密度10 g/m)相比,较厚的敷料(面密度30和20 g/m)在促进肉芽组织形成和愈合方面表现更优。负载LPPO提高了支架的润湿性和生物降解性,且不影响愈合结果。两个对照组表现出相似的愈合特征。
研究结果强调了优化敷料厚度对有效伤口愈合的重要性。NANO-LPPO敷料作为全层伤口的一种治疗选择具有转化潜力,需要进一步的临床前和监管评估以支持临床应用。