具有生物活性和抗粘连特性的两性离子纳米复合水凝胶用于快速预防术后和复发性粘连。
Zwitterion nanocomposite hydrogels with bioactivity and anti-adhesion properties for rapid prevention of postoperative and recurrent adhesion.
作者信息
Zhu Weihan, Fang Jintao, Xu Wenjun, Yu Dian, Shi Jintao, Xia Qing, Wang Jinwei, Chen Xiaohui, Zha Haorui, Li Shengyu, Zhang Wei
机构信息
The Second Affiliated Hospital and Second Clinical Medical School, Zhejiang Chinese Medical University, Hangzhou, 310000, PR China.
Zhejiang Provincial People's Hospital, Hangzhou, 310000, PR China.
出版信息
Mater Today Bio. 2025 Apr 28;32:101811. doi: 10.1016/j.mtbio.2025.101811. eCollection 2025 Jun.
Postoperative adhesions (PAs) are a common complication after intraperitoneal surgery. Hydrogels are a physical barrier that prevents peritoneal adhesions, but their efficacy is still controversial. In this study, Laponites, a layered two-dimensional nanoscale, is incorporated into zwitterionic hydrogel (pSBLA) to enhanced biocompatibility and bioactivity to develop a nanocomposite for rapid prevention of postoperative and recurrent adhesion. The anisotropic distribution of charges in laponites results in strong hydrogen bonding and electrostatic repulsion in aqueous solutions and enables hydrogen bonding between amphiphilic ions, thereby enhancing the mechanical properties of hydrogels. The pSBLA hydrogels also possess a series of characters for an ideal anti-adhesion material, including resistance to adhesion against fibrinogen, proteins as well as cells. The mechanism underlying the extraordinary hydration of pSBLA is elucidated in this study using molecular dynamic simulations. In addition, pSBLA hydrogel is shown to represent a major advancement in anti-adhesion efficacy by completely and reliably preventing postoperative and recurrent adhesions after adhesiolysis in rat models. Furthermore, mechanistic explorations revealed that pSBLA hydrogel inhibits inflammatory responses and resists fibrosis by regulating the transforming growth factor-β/Smad signal pathway. Therefore, the pSBLA hydrogel has considerable potential for preventing post-operative adhesions in clinical settings.
术后粘连(PA)是腹腔内手术后常见的并发症。水凝胶是一种防止腹膜粘连的物理屏障,但其疗效仍存在争议。在本研究中,将层状二维纳米级的锂皂石掺入两性离子水凝胶(pSBLA)中,以增强生物相容性和生物活性,从而开发出一种用于快速预防术后和复发性粘连的纳米复合材料。锂皂石中电荷的各向异性分布导致其在水溶液中形成强氢键和静电排斥,并使两亲离子之间形成氢键,从而增强水凝胶的机械性能。pSBLA水凝胶还具有作为理想抗粘连材料的一系列特性,包括对纤维蛋白原、蛋白质以及细胞的抗粘连性。本研究利用分子动力学模拟阐明了pSBLA非凡水合作用的潜在机制。此外,pSBLA水凝胶在大鼠模型中通过完全可靠地预防粘连松解术后的术后和复发性粘连,显示出抗粘连疗效的重大进展。此外,机理探索表明,pSBLA水凝胶通过调节转化生长因子-β/Smad信号通路抑制炎症反应并抵抗纤维化。因此,pSBLA水凝胶在临床环境中预防术后粘连具有相当大的潜力。